medicine
oracknows | February 4, 2009It's really hard to take David Kirby seriously any more.
Well, actually, it's been hard to take him seriously for at nearly four years now, ever since he wrote his paean to antivaccinationists, Evidence of Harm, in which no conspiracy-mongering related to mercury as an alleged cause of autism was too out there, too ridiculous, for Kirby to parrot. Since then, he's become antivaccine apologist number one, the go-to guy for the antivaccine movement whenever the twisting of science, logic, and reason was needed to spin an event or a study that refutes the "vaccines cause autism" hypothesis. He's…
denialism | February 4, 2009The process of choosing a medical specialty, and applying for residency programs is nearly complete as I have returned from my tour of the West Coast and am nearly done with interview season. This is when medical students travel the country at great (and unreimbursed) expense to find their future training program. When all is said and done, all your research into programs and time spent interviewing boils down to a simple question. Do you want to work with these people for the next 3-7 years of your life?
It's also nice to see the cities where you may live and get a feel for the type of…
clock | February 3, 2009From SCONC:
Even if you haven't heard of Bisphenol A (BPA), you've likely been exposed to it. The endocrine disrupting compound is common in plastic infant bottles, water bottles, food cans and lots of other products. Scientists debate its dangers but the National Toxicology Program (based in RTP) acknowledges BPA as a source of "some concern" due to its possible harm to the brains and behavior of fetuses, infants and children.
On Wed. Feb. 18, at noon, come hear NCSU assistant biology professor Heather Patisaul share what she's finding about BPA's potential permanent effects in a talk…
palmd | February 3, 2009She sat on the exam table looking tired an cranky. Otherwise there wasn't much to note about her appearance---not young, but not old; not thin, but not fat; she didn't smell of smoke or have pet hair on her clothes. A glance at her demographics sheet confirmed that she was middle-aged, domiciled, and employed---and uninsured. But why tired and cranky?
She's been wheezing for weeks and this was her second visit to the doctor for the same problem. She has been using her short acting inhaler every few hours, with some temporary relief, but she's run out. It's hard for her to sleep at night…
amillikan | February 3, 2009As the field of genetics sheds its sci-fi image and gains approval in the public eye, the possibilities unravel for mainstream commercial use. But some worry that if couples can use In-Vitro Fertilization to screen for disease during pre-implantation procedures, they could use it to select desired physical characteristics like eye color and gender as well, as dozens of couples from Australia have been traveling to the U.S. to do. But ScienceBlogger Daniel MacArthur from Genetic Future doesn't anticipate that this recent trend will catch on, and discusses why he thinks there won't be a large…
oracknows | February 3, 2009Ten months ago, I thought I was joking. I really did.
Regular readers may (or may not) remember back in March, when, in one of my usual flights of fancy, I decided that I could write a short fictional interlude, a combat scene. True, I didn't do it because I wanted actually to write a fictional story (although I have always wondered if I could write decent short stories or a novel if I put my mind to it). Rather, I did it to make a point, and argument, a reductio ad absurdum, if you will, of a program in the Air Force to bring "battlefield acupuncture" to the our fighting men and women in the…
terrasig | February 2, 2009I've been having this 3:30 am (EST) insomnia for about the last two months, so I often pull the laptop up and survey the blogosphere in the still of the night. A simple look at the Last 24 Hours at ScienceBlogs and elsewhere in the blogosphere tells me that some knuckleheads in the mainstream press have taken issue with Dr Jill Biden, doctor of education, using the honorific, "Dr."
Keep in mind that the article in question comes from the L.A. Times - the very same paper that graces my e-mail account weekly humping their fishwrapper's science and environment coverage. I did just look up some…
grrlscientist | February 2, 2009Have you read the latest piece of anti-intellectualism to come out of the LATimes? Apparently, their so-called journalists are showing their ignorance by stating that Jill Biden, who earned her PhD in Education -- and who also happens to be the wife of Senator Vice President Joe Biden -- cannot be referred to as "Doctor Biden". What have they been smoking??
"My feeling is if you can't heal the sick, we don't call you doctor," said Bill Walsh, copy desk chief for the Washington Post's A section and the author of two language books. (He apparently agrees with the LATimes' stupidity, because…
palmd | February 2, 2009One of the frequent complaints I hear about real medicine is that it is dangerous. Of course, it's true---so is riding in a train, but it sure beats walking. And that's the danger of this particular fallacy---yes, medicine is a sharp tool, but it's also an effective tool, so we must use it properly. And this is where the tools of evidence- and science-based medicine can give us a hand.
The potential harms of modern medicine must be approached carefully. If they are ignored or approached in an ineffective way, we'll miss an opportunity to save lives. This comment is typical of the type of…
oracknows | February 2, 2009I'm pretty sure that I've mentioned this before at least a couple of times, but I am an alumnus of the University of Michigan twice over. I completed a B.S. in Chemistry with Honors there and then I stayed on to do obtain my M.D. Several of my longtime friendships were forged or solidified during those years. Consequently, I still care about the place. That's why it distresses me when I see my alma mater shoots itself in the foot. Now, I'll grant you that what I'm about to discuss probably doesn't bother me as much as the plight of the Michigan Wolverines bothers me, given that never before…
palmd | February 2, 2009I gotta admit that I just don't get it. Perhaps it's my overly narrow world-view, or perhaps it's my lack of imagination, but I really don't get it. Let me explain.
I've got this horrid pain in my back and leg. It's searing, aching, gnawing. My foot is numb, but still hurts. It tingles, feels heavy, and it's weak. Sometimes it feels like electricity is jumping through it, sometimes like little worms are crawling in it. Being a curious person, I look for ways to explain this.
I'm sure this horrid crawling feeling could be explained thusly:
Perhaps there are actual worms crawling…
j7uy5 | February 2, 2009This needs to be replicated before any conclusions can be drawn, but it
is encouraging. 21 patients with relapsing-remitting
href="http://health.nytimes.com/health/guides/disease/multiple-sclerosis/overview.html?scp=1-spot&sq=multiple%20sclerosis&st=cse">multiple
sclerosis, in whom conventional treatment failed, were given a stem
cell treatment. 17 patients improved; 16 had no relapse at all;
none got worse. They were studied over a period of two to four
years. The study was published in The Lancet Neurology, (
Early Online Publication, 30 January 2009) $ for full access:…
oracknows | February 2, 2009I love Tim Minchin.
I also totally understand where he's coming from when it comes to confronting woo, though, as I've described here. In any case, see Tim in action (parts may be NSFW due to profanity):
Enjoy, as I'm running a bit late in producing my usual content for Monday. Fear not, it's coming later today!
oracknows | February 1, 2009Sometimes, coincidence is a strange thing indeed.
Friday, I wrote this post about yet another meta-analysis whose results are completely consistent with acupuncture being nothing more than an elaborate placebo. Later that day, less than four hours after my post went live, I received this e-mail sent, not to my work account or my other Gmail account, but rather to my account for this blog:
For immediate release
Contact: Karla Shepard Rubinger, Mary Ann Liebert, Inc. (914) 740-2100, ext 2153, krubinger@liebertpub.com
21st Annual Symposium of the American Academy of Medical Acupuncture to Be…
palmd | January 30, 2009A patient broke the news to me. There is a massive recall of generic drugs made by a single company, Ethex Corp, a subsidiary of KV Pharmaceuticals. The company makes many of the popular generic drugs that I prescribe every day, such as generic extended-release metoprolol.
This is a really big deal, and I'm pretty angry that I had to rely on a patient to tell me. Generic medications have revolutionized the affordability of essential care, and are usually a good thing. Also, insurance companies push them, and hard, offering incentives for their use, and penalties for using branded drugs…
oracknows | January 30, 2009
Sometimes I come across something so bizarre, so utterly wrong, that my mind reels in confusion and amazement, not to mention horror, that anyone can actually think or write something something like it. In fact, for a moment I considered offering up this one bit of horrifically inspired craziness up as an installment of Your Friday Dose of Woo, but I decided against it. The reason, I'm afraid, is the same reason that I've considered some bits of woo previously for this "honor" but then ultimately declined and covered them as normal posts, dripping with my usual brand of Respectful and not-…
palmd | January 29, 2009A long time ago (in blog years) I wrote a series on alternative medicine over at my old Wordpress blog. It's time to dust off the old post and get back to some basics.
What is alternative medicine, anyway?
That's a great question. I know it is, because I asked it. I get this question almost daily. The secret answer is that there is no such thing as alternative medicine. You don't believe me? Why not--I am a doctor.
There are several ways to define alternative medicine, and sometimes it is contrasted with "complementary medicine". CM refers to treatments that "complement" traditional…
palmd | January 29, 2009It started a few weeks ago---a dull ache in my lower back, more on the right, worse with sitting for prolonged periods of time. I did my usual stretches, although not as much as I should have. The pain waxed and waned, until a few days ago, when the pain escalated suddenly, preventing me from standing up straight, and making even a trip to the bathroom an unwelcome adventure. Two nights ago, I lay in bed awake, pillows wedged at strategic points, hoping to find some comfort, any comfort.
And then all hell broke loose. My back spasms loosened up a bit last night, so I got a few essential…
amillikan | January 29, 2009A notorious bacterial foe has made its first documented appearance in the U.S. and is jumping species around the farm scene. First, MSRA—methicillin resistant Staphylococcus aureus— was found in chickens. Just recently, research conducted by ScienceBlogger Tara Smith from Aetiology found that ST398, a strain found in pigs, was also found in many of the humans who came into contact with the pigs at a large food production farm in Iowa. While this strain seems to spread readily between animals and humans, its potential for lethal infections is still unclear.
Related ScienceBlogs Posts:
Swine…
oracknows | January 29, 2009I think my title says it all: Can we finally just say that acupuncture is nothing more than an elaborate placebo? Can we?
The reason I ask this question is because yet another large meta-analysis has been released that is entirely consistent with the hypothesis that acupuncture is a placebo. Because I've written about so many of these sorts of studies over the last year or two that I really had a hard time mustering up the will to write about one more. But I got in pretty late last night and therefore knew I could handle this in a reasonably expeditious fashion. Besides, it is a fairly…