medicine
purepedantry | September 17, 2008USA Today prints a (sort of) joke job description for the next generation of doctors:
Idealistic Generation X/Y overachievers with low- to mid-six-figure student loans to work in imploding health care system currently subject to runaway entitlement spending. Future salary to be subject to government whim and guaranteed not to keep up with inflation. Will be subject to unreasonable expectations of patients and held responsible for less-than-perfect outcomes by consumer advocates and trial lawyers. Must be able to work 70-80 hours per week, not including on-call duties, and place family…
oracknows | September 17, 2008Forgive me, dear readers.
I realize that I've already subjected you once to the contagious supernova of stupidity that is an Olmsted on Autism blog post. I broke my usual rule about not directly linking to the crank blog Age of Autism unless there is a compelling need. One reason is that I hate to drive traffic there, Even though I do always make sure to use a rel="nofollow" tag whenever I link to AoA or any other blog whose Google ranking I don't want to contribute to, increasing AoA's traffic risks letting its "management" (such as it is) charge higher rates for advertising for the…
sb admin | September 16, 2008Cancer is the second leading cause of death in the U.S., and at any moment directly affects almost 4% of the population, or about 10.8 million Americans. A diagnosis of cancer can be one of the most frightening moments in someone's life, and yet most people understand little about the disease. I hear the same questions about cancer over and over again, so it's well past time to give a bit of an explanation of this set of diseases.
First of all, cancer isn't a single disease----it's over a hundred different diseases with certain commonalities. Second, cancer has many synonyms, some of…
oracknows | September 16, 2008Ah, science!
In no other fields can we ask such amazing questions and, through rigorous experimentation, get the answers.
Answers like this:
A study commissioned by a phallically named insurance company proves beyond all doubt that the unbridled roar of an Italian supercar turns women on but the soft purr of a fuel-efficient econobox doesn't stimulate anyone's MPG-spot.
David Moxon subjected 40 men and women to the sounds of a Maserati, Lamborghini and Ferrari, then measured the amount of testosterone in their saliva. He found everyone had higher levels of the stuff -- a measure of their…
oracknows | September 16, 2008Dr. Paul Offit's book Autism's False Prophets: Bad Science, Risky Medicine, and the Search for a Cure has hit the bookstores, and, as predicted, the mercury militia is going into a frenzy of spin and smear. As is usual, because they have no science to support their viewpoint, they are reduced to extended ad hominem attacks. For example, the clueless wonder of a reporter who couldn't find the Clinic for Special Children and the autistic children treated there but nonetheless confidently exclaimed that he couldn't find any autistic Amish children, goes for a full frontal assault in a little…
sb admin | September 15, 2008I've written often about the ethics of doctors and pharmacists imposing their own morals on their patients and customers. Our Sb pharmacologist has as well. And even though all of our legitimate professional organizations recognize this line, Bush's Department of Health and Human Services has jumped into the ring to join a fight that should never have started. And just to demonstrate how single-mindedly idiotic an evangelical (small "e") mindset can be when applied to medicine, PZ Myers, uber-atheist, received an interesting solicitation (please, don't quote-mine that).
To remind you of…
oracknows | September 15, 2008One of the aspects of blogging that I've come to like is the ability to follow a story's evolution over the long term and to comment on new developments as they come along. If you're good at blogging, you can take that story and make it your own, adding it to your list of "signature" issues for which you become known and about which people come to you for commentary as new developments arise. Indeed, now that the fourth anniversary of the start of this blog is fast approaching (December 11, in case you don't remember!), I can look back and see a number of issues that I've done this with,…
oracknows | September 14, 2008...sometimes the good guys win.
Congratulations to Ben Goldacre for taking on the supplement quack Matthias Rath and prevailing. That he did it even in the notoriously plaintiff-friendly U.K. court system is even better. Indeed, The Guardian also deserves kudos for supporting Ben in this.
This case could be as momentous in terms of its implications for going after health fraud in the U.K. as the David Irving case was in terms of Holocaust denial. No, I am not calling Rath a neo-Nazi or Holocaust denier. There is no evidence, at least as far as I'm aware, that he subscribes to such vile views…
clock | September 13, 2008Vedran tells me that people from the Oncology Institute in Belgrade, who usually give women little brochures that describe breast self-exam in words, are now using - and loving - the two videos (originally from here) he has embedded into his Gynecology aggregator. Another win for Open Access.
grrlscientist | September 13, 2008tags: bipolar disorder, manic-depression, mental health, mental illness, behavior
Image: Gerald Slota, The New York Times Magazine.
A couple days ago, I heard an interview with Jennifer Egan on WNYC about her upcoming article in tomorrow's New York Magazine about bipolar disorder, often known as manic-depressive illness, "The Bi | Polar Puzzle." It's long but well-written and definitely worth reading. In this touching and informative piece, Egan primarily addresses several questions; whether bipolar disorder exists in children, what it looks like and whether children with undiagnosed/…
oracknows | September 13, 2008After yesterday's lovefest that really did go to my head. Really, when I wrote it I wasn't trolling for praise, although in retrospect it now does kind of look that way to me. I was simply expressing amazement that anyone would listen to a pseudonymous (although not really anonymous anymore) blogger. Fortunately for my ego, which threatens to expand until it pops like an overinflated balloon, there are are readers who aren't all that impressed by me. Heck, there's even a whole blog, every blogger of which really, really detests me. (I leave it as an exercise to the reader to guess to which…
grrlscientist | September 12, 2008tags: Bovine spongiform encephalopathy, BSE, mad cow disease, Creutzfeldt-Jakob Disease, CJD, pathogenic mutation, prion protein gene
Image: Orphaned.
Mad Cow Disease, technically known as Bovine Spongiform Encephalopathy (BSE), is one of a group of transmissible diseases that destroy brain tissue, collectively known as Transmissible Spongiform Encephalopathies (TSEs). TSEs are an unknown agent(s) that act by damaging the structure of brain proteins known as "prions" (PREE ons). In turn, these damaged prion proteins damage other normal prions and together, they build up to collectively…
sb admin | September 12, 2008One of our sciblings, Dr. Signout, is learning the ropes as she struggles (and presumably excels) through her medical residency. As her writing has picked back up, she has brought up some important questions about medical education and medical professionalism. I'm a little further along in my career than she, and I have some thoughts that may flesh out her experiences, and shed some light on the medical profession as a whole.
Her latest posts brought up two particularly important issues, one about how doctors are treated "without the white coat" and the other on what it means to put…
oracknows | September 12, 2008Even after over three years at this, I still find it amazing that as many people read my verbal meanderings as in fact do. In fact, I still can't believe that I'm one of the more popular medical bloggers out there. True, I'll probably never approach the traffic and readership of the huge political blogs or of our very own P.Z. Myers (who has at least ten times my traffic), but I appear to have become a fixture in the medical and scientific blogosphere.
Even more amazingly (to me, at least), I appear to have developed a bit of influence. I know it's hard to believe, but I was forced to accept…
oracknows | September 12, 2008I've often written about the intersection of medicine and religion. Most commonly, I've lamented how the faithful advocate inappropriately injecting religion into the doctor-patient relationship in a manner that risks imposing the religion of the health care practitioner on the patient, sometimes through physicians feeling no obligation to inform patients of therapeutic options that violate their religious beliefs or pharmacists refusing to dispense medications that (they claim) violate their beliefs. Another common thread running through this blog is criticism of religion when it leads…
tqa | September 10, 2008
You have to give Uncommon Descent poster DaveScot credit. He's not one of life's overly specialized intellects. He's a good, old fashioned generalist, able to talk about absolutely any area of science with exactly the same degree of spectacular incompetence. Today, he's turned his attention to the intersection of mental health and substance abuse.
DaveScot's uninformed ire was sparked, in this particular case, by a news report discussing a paper that recently appeared in the Journal of Clinical Psychiatry. According to the report, the researchers found a strong association between cannabis…
oracknows | September 10, 2008As angry as you justifiably may be at times at the medical profession, it's (usually) not our fault.
Dr. Rob Explains why.
I'm sure PalMD understands even better than I do.
oracknows | September 10, 2008I hate postmodernism.
Well, not exactly postmodernism per se, but I hate it when pseudoscientists and purveyors of dubious "alternative" medicine treatments invoke bizarre postmodernist-sounding arguments to attack science or, in the case of medicine, science- and evidence-based medicine. Usually these attacks involve a claim that science is nothing more than one other "narrative" among many others, a "narrative" that isn't necessarily any more valid than any other. Even worse, these sorts of arguments often claim that science (or, in this case, evidence-based medicine) is nothing more than a…
oracknows | September 9, 2008Well, here's a rare bit of good news in the endless tedium that has become the U.S. election. It appears that Barack Obama has ticked off the antivaccine contingent. I know, I know, I said I would try to lay off this topic for a few days, but this is just too amusing. Apparently, he's gone a long way towards redeeming himself for his previous gaffe when it came to vaccines and autism, and the antivaccine zealots over at Age of Autism are all in a tizzy over it:
Last Friday evening, September 5, 2008, I had the opportunity to ask Senator Barack Obama about childhood vaccine safety/choice. His…
oracknows | September 9, 2008If there's one thing I really detest, it's cancer quackery. Indeed, one of the very earliest posts on this blog was about this very topic, and applying science, skepticism, and critical thinking to extraordinary claims of cancer cures has remained a major theme of this blog ever since. Shortly after that, I described how, because of the variable course of cancer and the fact that many cancers are cured with surgery alone, "testimonials" for cancer quackery can sound very convincing. It's a topic I've covered several times over the three and a half year history of this blog. Whenever a high…