medicine
oracknows | May 14, 2008Regular readers here are probably most familiar with the so-called "complementary and alternative medicine" therapy known as chelation therapy in the context of its use, or, more specifically, its misuse in "treating" autistic children, a misuse that has resulted in at least one death, a five-year-old autistic boy named Abubakar Tariq Nadama. However, before the profit potential of chelating nonexistent mercury in autistic children was even a gleam in Dr. Roy Kerry's eye, there was another equally dubious use of chelation therapy: to treat atherosclerotic coronary artery and peripheral…
sb admin | May 13, 2008Well, I'm back from a great vacation, and buried under an avalanche of work. Just to give you a hint of what an internist actually does...
My office schedule is full---really full. Everybody needs to see me, plus the various sick people I have to squeeze in. It's great; being busy is fun, but it's time consuming.
Then there's my desk. It is covered in lab results, home care orders to be signed, hospice orders, medication refills, prior authorizations...
And of course, back to teaching, including evaluations, etc.
So, it may be a bit quieter around here for a while, but I wanted to point…
oracknows | May 13, 2008Last week, I wrote about factors that lead to the premature adoption of surgical technologies and procedures, the "bandwagon" or "fad" effect among surgeons, if you will. By "premature," I am referring to widespread adoption "in the trenches," so to speak, of a procedure before good quality evidence from science and clinical trials show it to be superior in some way to previously used procedures, either in terms of efficacy, cost, time to recover, or other measurable parameters. As I pointed out before, laparoscopic cholecystectomy definitely fell into that category. The popularity of the…
oracknows | May 12, 2008And I thought, whatever his other faults and whatever my disagreements with his politics,, that Bill Clinton was incredibly smart. Apparently I was wrong:
"You do not want to bring your children into the world where we go on with the number of children who are born with autism tripling every 20 years, and nobody knows why," he said.
Even if the true prevalence of autism is increasing (which is highly debatable), it is not tripling every 20 years--nowhere near it. Again, the apparent increase in prevalence observed over the last two decades can be explained largely by increased awareness and…
oracknows | May 12, 2008Oh, no! Phil Plait did a great post on why vaccines do not cause autism. What's his reward?
To be invaded by antivaccinationists!
I think you all know what to do. Please, go lend Phil some tactical air support, and I'll be grateful.
oracknows | May 12, 2008Wow.
I just saw something that utterly stunned me over at that house organ of the mercury militia and antivaccinationists everywhere Age of Autism. It's an example of hypocrisy so blatant that it stuns even me, someone who's been following the whole pseudoscientific "vaccines cause autism" movement for over three years now. It started with this headline:
DR. OFFIT'S CONFLICT OF INTEREST SHOULD DISALLOW HIM FROM COMMENTING
Then, when The Probe quite reasonably points out in the comments:
Kim, since you are so concerned about conflicts of interest that you are willing to deny Dr. Offitt his…
denialism | May 12, 2008I'm sorry I've been buried the last couple weeks, as I've just started my general medicine rotation. Today is my post-call day, which means I get to sleep in and then study all day long. The fire hydrant of information is cranked open full bore again, and the shelf exam for medicine is supposed to the hardest. There is an incredible amount to know, and only a limited amount of time to assimilate it.
Inpatient medicine is especially challenging. It's funny because most people's perception of medicine is from all the TV shows about medicine and you see doctors constantly fixing some…
oracknows | May 12, 2008"Detoxification."
Whenever I hear that term, I'm at least 90% certain that I'm dealing with seriously unscientific woo. The reason should be obvious to longtime readers of this blog or to anyone who has followed "alternative medicine" for a while, because "detoxification" is a mainstay of "alternative" treatments and quackery for such a wide variety of diseases and conditions. Of course, toxins are indeed a bad thing, and we close-minded reductionist "allopathic" physicians do indeed use detoxification when appropriate. What differentiates us from "alternative" medicine practitioners is that…
oracknows | May 10, 2008...more outbreaks of vaccine-preventable diseases like pertussis:
Erik Ferry thought little of the sniffles and cough his 12-year-old daughter came down with in February.
But the coughs became more frequent and violent, and the bug hung on for days, then weeks.
Concerned it was more than just a cold, Ferry took his daughter to the doctor, and a dose of antibiotics cleared things up. Only later did he learn that several of the girl's classmates at the East Bay Waldorf School in El Sobrante had the same symptoms.
And it was only this month that Ferry, who lives in Berkeley, learned that a bout…
ddobbs | May 9, 2008In a nifty bit of reporting, veteran health reporters Shannon Brownlee and Jeanne Lenzer revealed in "Stealth Marketers," a story on Slate, that a "Prozac Nation: Revisited," a radio piece on antidepressants and suicide that ran on many public radio stations recently, "featured four prestigious medical experts discussing the controversial link between antidepressants and suicide" who all reportedly have financial ties to the makers of antidepressants -- as does the radio series, known as "The Infinite Mind," that produced the show.
As the story notes, the extent of the financial ties are…
oracknows | May 9, 2008Last week's woo was pretty darned hard to top, don't you think? It had it all, after all: Boner potentiation, penis enlargement, magnets, near infrared, and more. The only thing it lacked that would have made it absolutely perfect woo were references to pseudoscientific "vibration" or, even better, quantum theory. That's the reason I could only give it a 9.5/10 rather than a perfect score of 10/10. All I can say is: Better luck next time.
In looking for something that could at least live up to last week, if not surpass it, I was surprised that there actually was such a link in my ever-…
oracknows | May 8, 2008Although there are a lot of medical bloggers out there, there's always room for more good blogging, particularly if it's related to basic and translational research. That's why the Cancer Research UK Science Update blog is worth checking out. It's actually been around a while as an internal blog, but now it's "gone public," so to speak, allowing readers to check out its older posts. I encourage my readers to take a look.
sb admin | May 8, 2008As the death toll in the immediate aftermath of Cyclone Nargis becomes clear, new dangers loom. Complete breakdown in essential services and sanitation will conspire to kill thousands more via disease unless the world moves quickly (and maybe, even if we do).
Arthropod-borne diseases such as malaria and dengue fever are likely to flourish as standing water serves as breeding ground for mosquitoes. Malaria kills around a million people a year. Dengue is most often a disabling illness characterized by fever and severe pain, but in endemic areas it can lead to dengue hemorrhagic fever, a…
When medical experimental therapeutics gets co-opted as complementary and alternative medicine (CAM)
terrasig | May 8, 2008Sorry to get to this so late but I wanted to weigh on an excellent post from my cancer blogging colleague, Orac, the other day on the investigation of CAM therapies in cancer. The post covers a lot of ground, as expected from any of Orac's exhaustive missives, but I wanted to focus on the comparison and contracts between NIH's National Center for Complementary and Alternative Medicine (NCCAM) and the Office of Cancer Complementary and Alternative Medicine within the National Cancer Institute (NCI-OCCAM).
I am on record as a strong critic of NCCAM but a supporter of NCI's OCCAM in that the…
oracknows | May 8, 2008In science- and evidence-based medicine, the evaluation of surgical procedures represents a unique challenge that is qualitatively different from the challenges in medical specialties. Perhaps the most daunting of these challenges is that it is often either logistically impossible or unethical to do the gold-standard clinical trial, a double-blind, randomized placebo trial, to test the efficacy of an operation. After all, the "placebo" in a surgical trial involves exposing patients to anaesthesia, making an incision or incisions like the ones used for the operation under study, and then…
j7uy5 | May 8, 2008One thing about hospitals, is that they
href="http://www.energybulletin.net/43514.html">use an awful
lot of
electricity. We already know about some of the
challenges
that will occur in health care in the post-peak-oil era; I wrote about
that in
href="http://scienceblogs.com/corpuscallosum/2007/10/peak_oil_and_health_care_chall.php">October
2007.
...Petroleum scarcity will affect the health system
in at least 4 ways:
through effects on medical supplies and equipment, transportation,
energy generation, and food production...
One way this will affect medical care is that it will…
oracknows | May 7, 2008...because Dr. Roy Kerry, the negligent physician who killed an autistic child with chelation therapy and against whom criminal charges were dropped yesterday, wants to go back to work:
Dr. Roy Kerry, 70, of Sharpsville, read from a prepared statement today at the Butler offices of his attorney, Al Lindsay, but would not answer questions on the advice of his other lawyers. Kerry still faces a civil suit over the death of Abubaker Tariq Nadama, and a hearing on the future of his medical license.
"I plan to continue my life's work helping many patients with serious illnesses with the highest…
ddobbs | May 7, 2008From Well, Tara Parker-Hope's health blog at the NY Times:
More than half of the task force members who will oversee the next edition of the American Psychiatric Association’s most important diagnostic handbook have ties to the drug industry, reports a consumer watchdog group.
The Web site for Integrity in Science, a project of the Center for Science in the Public Interest, highlights the link between the drug industry and the all-important psychiatric manual, called the Diagnostic and Statistical Manual of Mental Disorders. The handbook is the most-used guide for diagnosing mental disorders…
oracknows | May 7, 2008Longtime readers of this blog probably remember the tragic case of Abubakar Tariq Nadama, the five-year-old autistic boy who died as a result of being treated with chelation therapy three years ago by Dr. Roy Kerry, an otolaryngologist who had apparently had given up doing head and neck surgery in favor of the more lucrative pastures of woo. This case was about as clear as a case could get. A known potential complication of chelation therapy is a lowering of calcium levels in the blood, to the point that cardiac arrhythmias and cardiac arrest can occur. Moreover, children are more sensitive…
grrlscientist | May 6, 2008A friend sent me this story about medical breakthroughs enjoyed in other countries. I thought you would also enjoy reading about this since, of course, American comes out on top!
According to an Israeli doctor; "Medicine in my country is so advanced that we can take a kidney out of one man, put it in another, and have him looking for work in six weeks."
Then a German doctor remarked; "That is nothing, we can take a lung out of one person, put it in another, and have him looking for work in four weeks."
A Russian doctor replied; "In my country, medicine is so advanced that we can take half a…