surgery
oracknows | August 20, 2009One of the advantages of hanging out around home on the proverbial staycation is that, instead of actually paying more attention to the news, I've paid less attention to the news. That's why I didn't notice some stories from earlier this week about what the new director of the NIH, Francis Collins, plans to do.
Regular readers probably know that, other than the occasional snarky comment on other people's blogs, I haven't (much) engaged in the blogospheric kerfuffle over Collins' religion and the (in my opinion) vastly overblown fear in some quarters that he would inject his religion into his…
oracknows | August 13, 2009I've been ragging a lot on some of the right wing critics of President Obama's health care reform initiative. Without a doubt, with their talk of "death panels" and their likening the health care reform bill to the beginning of another Nazi-like euthanasia program, they deserve it. But I just saw something on YouTube that has been spreading virally among surgeons, and, depressingly, it's President Obama engaging in a bit of nonsense of his own in support of his agenda:
Yes, it's our President contrasting what primary care docs make treating diabetes with what docs can make if a diabetic…
oracknows | August 10, 2009If there's one theme that's run through this blog since the very beginning, it's that the best medical care should be based on the best science. In other words, I like to think of myself as being far more for science- and evidence-based medicine, than I am against against so-called "complementary and alternative medicine" (CAM).
Unfortunately, even though the proportion of medical therapies not based on science is far lower than CAM advocates would like you to believe, there are still more treatments in "conventional" medicine that are insufficiently based on science or that have never been…
oracknows | July 29, 2009I realize this is well over a month old, and maybe some of you have seen it before, but I haven't. It's a fascinating look by surgeon and inventor Catherine Mohr at the history of surgery and how it has evolved over the centuries.
One thing that talks like this remind me is just how much surgery has evolved just in the short span of my career thus far, since I went to medical school in the mid-1980s. Indeed, I undertook my surgical training right in the middle of the laparoscopic revolution and experienced some of the disconnect that older surgeons must have experienced. You see, I went…
oracknows | July 13, 2009I just returned from Las Vegas after having attended The Amazing Meeting. Believe it or not, I was even on a panel! However, my flight was scheduled to arrive very late Sunday night, and I'm still recovering. Consequently, for one more day I'll be reposting some Classic Insolence from the month of July in years past. (After all, if you haven't been following this blog at least a year, it'll be new to you. And if you have I hope you enjoy it again.) This particular post first appeared in July 2007.
The other day, Sid Schwab, surgeon blogger extraordinaire, brought up a question that, I'm…
oracknows | July 6, 2009Two of the major themes on this blog since the very beginning has been the application of science- and evidence-based medicine to the care of patients and why so much of so-called "complementary and alternative" medicine, as well as fringe movements like the anti-vaccine movement, have little or--more commonly--virtually no science to support their claims and recommendations. One major shortcoming of the more commonly used evidence-based medicine paradigm (EBM) that has been in ascendance as the preferred method of evaluating clinical evidence. Specifically, as Dr. Kimball Atwood IV (1, 2, 3…
oracknows | July 4, 2009While I"m on a Mitchell and Webb kick and it's still a slow blogging holiday weekend, this isn't about homeopathy but it does skewer a certain profession:
You know, I can sort of picture Dr. Michael Egnor (a younger version, of course) being the brain surgeon in this sketch...
oracknows | June 24, 2009At the risk of repeating myself (but, then, since when did such concerns ever stop me before?), I'll just start out by mentioning that, of all the non-herbal "alternative" medicine remedies out there, I used to give a bit of a pass to acupuncture. No, I never did buy any of that nonsense about how sticking thin needles into the skin at points along various "meridians" somehow "redirects the flow of qi," that mystical life force upon which so much woo, particularly woo based on Eastern mysticism and traditional Chinese medicine depends. However, because acupuncture involves an actual physical…
grrlscientist | June 24, 2009tags: medicine, surgery, robots, Catherine Mohr, TEDTalks, streaming video
In this video, surgeon and inventor Catherine Mohr tours the history of surgery (and its pre-painkiller, pre-antiseptic past), then demonstrates some of the newest tools for surgery through tiny incisions, performed using nimble robot hands. Fascinating -- and very graphic. This is an inspiring presentation, but she neglected to mention all the other people who contribute to this technology, from engineers and computer designers to scientists. [21:28]
TEDTalks is a daily video podcast of the best talks and…
oracknows | June 13, 2009What should a doctor recommend for a 90 year old man with pancreatic cancer and liver metastases? Palliative care? Hospice? Those would seem to be the most reasonable options. If I were that 90 year old man, that's what I'd recommend. Unfortunately, I know from experience that that is all too often not what happens. I know and have seen the ordering of many invasive tests that won't change the outcome.
So does Buckeye Surgeon.
American medicine, as it is practiced now, all too often takes on a momentum that is very difficult to stop, a momentum demanding more, more, more, more, even in the…
oracknows | June 9, 2009Yesterday, I marveled at an article that appeared on the Associated Press new feed that basically said a lot of things about the infiltration of quackademic medicine into academic medical centers, how so-called "complementary and alternative medicine" 9CAM) is finding its way into the mainstream despite almost nonexistent evidence for the efficacy the vast majority of them, and how supplements are virtually unregulated. If the article had mentioned the extreme scientific and biological implausibility of nearly all of the non-herbal CAM therapies that are routinely promoted, it would have…
oracknows | March 23, 2009Has it really been that long?
More than two years ago, I wrote a post entitled Death by Alternative Medicine: Who's to Blame? The topic of the post was a case report that I had heard while visiting the tumor board of an affiliate of my former cancer center describing a young woman who had rejected conventional therapy for an eminently treatable breast cancer and then returned two or three years later with a large, nasty tumor that was much more difficult to treat and possibly metastatic to the bone, which, if ture, would have made it no longer even possibly curable. My discussion centered on…
bioephemera | March 12, 2009You've probably heard about the man with the eyeball camera. Here's the most detailed (and sometimes graphic) video I've yet seen about documentary filmmaker Rob Spence (aka Eyeborg), who is working on getting his prosthetic eye replaced with a wireless eye socket camera:
I first encountered Spence in this writeup at Wired last fall. According to the new video, they've hit a few snags since then, but for some reason Spence is all over the news right now. And it's a safe bet he'll continue to be, if he becomes the first cyborg reporter with a bionic eyecamera!
More: a briefer AP video on…
oracknows | March 12, 2009Science as it is practiced today relies on a fair measure of trust. Part of the reason is that the culture of science values openness, hypothesis testing, and vigorous debate. The general assumption is that most scientists are honest and, although we all generally try to present our data in the most favorable light possible, we do not blatantly lie about it or make it up. Of course, we are also all human, and none of us is immune to the temptation to leave out that inconvenient bit of data that doesn't fit with our hypothesis or to cherry pick the absolutely best-looking blot for use in our…
oracknows | March 9, 2009
PZ's muscling in on my territory. Apparently, ruling the Darwinian, creationist-destroying atheist cephalopod blogging world isn't enough, and he has to start moving in on medicine. No problem, given that this time around he brought some rather interesting woo to my attention, suggesting it as perhaps a suitable topic for Your Friday Dose of Woo called God's Answer to Cancer. Besides, it's PZ's birthday; so as a birthday present, instead of reposting the same silly picture that I have for the last two years, I'll simply link to him now and add, oh, perhaps 1% to his traffic total for today…
oracknows | March 4, 2009As this posts I should be on an airplane winging its way to much warmer climes than where I reside in order to attend the Society of Surgical Oncology 62nd Annual Cancer Symposium. There, in Phoenix, I will eagerly absorb all the latest and greatest knowledge in the realm of cancer surgery, commune with friends whom I often don't see more than once every year or two at this meeting, and, hopefully, drink much good beer.
I'll likely still be blogging, but if I'm learning too much or having too much fun, you may see a couple of reruns again. As for any sort of meetups, I don't know if I'll have…
oracknows | March 4, 2009If there's' one theme, one cause, that this blog has emphasized throughout the four years of its existence and the three years of its having resided on ScienceBlogs, it's been to champion science- and evidence-based medicine over pseudoscience and quackery. Whether it's refuting the lies of antivaccine zealots, having a little fun with some of the more outrageously bizarre forms of pseudoscience, railing against cancer quackery, lamenting how easily pseudoscientific quackery has infiltrated medical academia, complaining about drug companies rigging clinical studies, or trying to educate my…
oracknows | March 2, 2009Over the weekend, some readers sent me a link to a story that, presumably, they thought would be of interest to me, given that I graduated from the University Michigan Medical School back in the late 1980s. Specifically, it's a report that U. of M. has halted the use of dogs in its surgical training:
Surgeons training at the University of Michigan Health System will no longer use live, healthy dogs to learn drastic surgical procedures that can save people's lives, the university announced Thursday.
The anesthetized animals -- obtained from shelters -- were used to teach tracheotomies, how to…
oracknows | February 17, 2009Unfortunately, as we have been dreading for the last four months or so since her relapse was diagnosed, my mother-in-law passed away from breast cancer in hospice. She died peacefully, with my wife and the rest of her family at her side. As you might expect, I do not much feel like blogging, and even if I did my wife needs me more. Because I foresaw this coming, however, I do have a series of "Best of" reposts lined up. If you've been reading less than a year or two, they're new to you. If not, I hope you enjoy them again. I don't know when I'll be back, other than maybe a brief update or two…
oracknows | February 12, 2009Today is Darwin Day. But, more than that, it is a very special Darwin Day in that it is the 200th anniversary of the birth of evolutionary biologist Charles Darwin. This day is meant to celebrate not just the life, but especially the discoveries, of Charles Darwin. His theory of evolution by natural selection, is one of the most elegant examples of science in history. Darwin's theory was so robust that subsequent discoveries did not invalidate it. Rather, many were either predicted or easily accommodated in evolutionary theory, and many more complemented it, such that, in the early 20th…