medicine

Not again. I have no way of knowing if the media in my hometown happen to be more credulous when it comes to pseudoscience than average, but, given the number of stories referred to me emanating from Detroit and its surrounding suburbs, you'll forgive me if I'm very depressed right now. For instance, we have "investigative reporter" Steve Wilson of WXYZ Channel 7 Action News, who, although claiming the title of "Chief Investigator" for that station, clearly couldn't investigate his way out of a paper bag--at least when it comes to medical stories--given that he is known for routinely…
The health-care system's maddening inefficiencies -- high per-capita spending with poorer overall health outcomes; tens of millions uninsured and tens of millions more underinsured; insane-making battles with insurers to get reimbursements you're entitled too -- are reason enough to spur reform. But "The Big Fix," David Leonhardt's marvelous-but-long piece on the fiscal crisis in last week's Times Magazine, argues that these inefficiencies are a) a prime example of a vested elite's ability to manipulate the economy for its own good and b) one of the most serious obstacles to the nation's…
It's generally a bad idea to assault the religious beliefs of your friends, neighbors, and relatives. That being said, sometimes it's unavoidable. My being Jewish is hard for some people, who feel that just by being me, I am denying their Lord and delaying His return (and before you start tossing No True Scotsmans at me, this has indeed happened more than once). Still, unless someone is directly pestering me with their religion (you know, by posthumously baptizing my grandma or something), I leave them be. But what about quasi-religious beliefs? A great deal of alternative medicine is…
Pity Andrew Wakefield. Actually, on second thought, Wakefield deserves no pity. After all, he is the man who almost single-handedly launched the scare over the MMR vaccine in Britain when he published his infamous Lancet paper in 1998 in which he claimed to have linked the MMR vaccine to regressive autism and inflammation of the colon, a study that was followed up four years later with a paper that claimed to have found the strain of attenuated measles virus in the MMR in the colons of autistic children by polymerase chain reaction (PCR). It would be one thing if these studies were sound…
The Questionable Authority (apt name for this one!) ponders a disturbing report from the Times of London.
A series of articles just published in The Sunday Times reports that it appears likely that Andrew Wakefield falsified much of the data that was used in the 1998 Lancet article that first identified the MMR vaccine as a potential cause of autism. If the charges leveled by the paper are remotely accurate, Wakefield is guilty of homicide - perhaps not legally, but certainly morally. If previous claims made by the paper are accurate, Wakefield may have acted for financial gain. If even a fraction of the accusations leveled by The Times are true, Wakefield engaged in absolutely outrageous…
If Huffington Post wants to have credibility and gain its vaunted #1 spot as the most trusted online new source, there is only one thing it needs to do - ditch the woomeisters Chopra and RFK Jr., and get in their place some people from the reality-based community. People are sick of conservative, emotion-based, gut-feeling decision-making that screwed up the country over the past 28 years. Why allowing the Left fringe equivalents into the mix? It is them that make a lot of people untrusting of Huffington Post. Will Huffington Post publish and defend this piece about the potential fraud…
The movement against vaccination is old---very old. All medical interventions require scrutiny. Like any medical intervention, vaccines require systematic investigation before deployment, and monitoring during their use. Still, vaccines have done more for public health than most Westerners under the age of fifty can imagine. Inoculation and vaccination have been vilified in many ways, from interfering with the will of God, to being a vast conspiracy to infect [insert ethnic group here] with [insert disease here], to a cause of autism. There have been "bad" vaccines, and when this has…
Sometimes, woo makes the news. Does anyone remember "Professor" Bill Nelson, the cross-dressing "inventor" who created a most amazing woo machine? I've written about it three times before: Your Friday Dose of Woo: Miraculous quest for the quantum Your Friday Dose of Woo: Serious woo from Down Under The SCIO, Quantum Xrroid Consciousness Interface, and Bill Nelson: Better late than never--or maybe not This guy sells his device for $20,000 a pop and claims he sells 40 machines a month. Now, check out this Marketplace episode, Miracle Makers or Money Takers? Watch the whole thing. It never…
This month's Science Cafe (description below) will be held on February 17th at The Irregardless Cafe. We will be meeting Dr. Yvette Cook from the Rex Hospital Sleep Disorders Clinic. She will be talking with us about sleep patterns and why people may have trouble getting a good night's sleep. I have attached an article Dr. Cook recently wrote for a Rex Healthcare newsletter that you may find of interest. I hope that many of you can come - it should be a very interesting and informative discussion. Sleep and Sleep Disorders Tuesday, February 17, 2009 6:30-8:30 pm with discussion beginning…
Apparently, it's time once again to remind people why vaccination is important. Pertussis ("whooping cough") is a nasty vaccine-preventable illness that is highly contagious and can be deadly to little ones. And it's making a comeback. The Michigan Department of Community Health is tracking this disturbing trend: Michigan saw a significant increase in reported cases of pertussis (whooping cough) in the second half of 2008 compared to the first half of the year, prompting officials to remind parents and doctors of the importance of vaccinating infants as well as teens and adults against…
If I lived in the U.K., I don't know if I could blog. After all, the U.K. has some of the most plaintiff-friendly libel laws in the world, far more so than here in the U.S., in that in a libel case it is up to the defendant to prove that what he wrote is true, not the plaintiff to prove it false and defamatory. Just go back to 2000 and the most depressing exhibition of that very principle, namely disgraced pseudohistorian David Irving's libel suit against Professor Deborah Lipstadt for having referred to him as a Holocaust denier (which he undoubtedly is) in her book Denying the Holocaust:…
I realize that I've been neglecting my woo. Indeed, yesterday I noticed that it's been a month and a half since I did a real Friday Dose of Woo. Of course, that particular installation of my long-running blog series (over two and a half years!) was some incredibly powerful woo. In fact, it was titanic, mind-bogglingly amazing woo. We're talking Lionel Mllgrom-grade woo. Actually, we're talking Lionel Milgrom himself, a level of sheer looniness that few, if any, can match, much less surpass. Once you've experienced the sheer power of his quantum homeopathic madness, it's hard not to become…
MarkH has Part IV of Choosing a Medical specialty up at denialism blog. Go and read.
A delusion is usually defined as "a fixed, false belief". Anyone can be wrong, but to persist in being wrong despite all the evidence is the hallmark of delusional thinking. In their latest senseless rant at HuffPo, infectious disease promoters David Kirby and Robert Kennedy, Jr. cling to thin strands of tainted reality as the gaping maw of insanity opens beneath them. Of course, delusions are very closely related to lies. The only difference is that liar doesn't believe his bullshit, while the psychotic does. It's hard to know where K and K fall. There latest article, entitled, "Autism…
Reproductive ethics is a field I'm not all that familiar with, but it's been a big deal lately, so I've been thinking about it a bit. The American Society for Reproductive Medicine has a few broadsheets on ethics, which are actually rather helpful. Reproductive medicine is a great field for looking at ethical problems. Let's examine two of them to learn something about the ethics of the field (and of course, about ourselves as well): Parental factors, that is, facts about the parents, may be important in reproductive medicine. When doctors become part of the reproductive process, someone…
I don't have a lot of software (computer is broken, working in the cloud), but here's a slightly annotated picture of my back: To orient you, I'm facing left, the blocky thingies are my vertebral bodies. Hopefully this helps.
So I was checking out my incomming links on sitemeter and I found a great one. You see, fake diseases alway bring out the wackos. This is the thing about medical wackos. Not only do they think that they have diseases that no real doctor thinks exists, but they think everyone else must have it, too. Niels, a guy who I've had to ban before for hostile comment spam, and whose designation on his own board is, appropriately, "Ultimate Member", has this to say about my back woes: this time, i believe karma has already taught him the lesson he needs to learn (sounds like he has lyme disease...…
So, what's up with low back pain? Well, here's what's up with mine: To quote from The Book of Pal: Just below the L4-L5 disc, behind L5 vertebral body on the right side, there is evidence of a large extradural soft tissue density measuring approximately 1.5 x 0.8 cm in its maximum vertical and anteroposterior dimensions respectively. This has the appearance of a large extruded disc fragment within the epidural space, compromising the right L5 nerve root. And we say, "Amen." An MRI of the lumbar spine consists of hundreds of images; I've pulled one out for you. It turns out that science is…
Lately ScienceBlogs has been "buzzing" with a story that, at the risk of needing to don an asbestos suit for the insults that may come my way, I find utterly ridiculous. Here's the context: The Blogosphere is abuzz about an article in the LA Times regarding Second Lady Jill Biden's preference to be acknowledged by her honorific title of "Doctor," which references her Ph.D in education. The article states that many prominent newspapers, including the LA Times and the Washington Post, only use the honorific title in articles if the doctorate degree in question is in a medical field, calling…