medicine

In response to my post yesterday castigating J. B. Handley of Generation Rescue for hypocritically accusing the American Academy of Pediatrics of "manipulating the media" when manipulating the media is Generation Rescue's raison d'être, Mike the Mad Biologist turned me on to a rather fascinating article in the New York Times by its Public Editor Clark Hoyt entitled The Doctors Are In. The Jury Is Out. It discusses a topic very near and dear to my heart, namely how newspapers report scientific or medical controversies, specifically, how the NYT covers controversies in which one side is the…
David Colquhoun, eminent scientist and maintainer of the excellent blog DC's Improbable Science, has recently returned home to the U.K. after a trip across the pond to the U.S. and Canada, where, among other things, he gave a lecture at the University of Toronto, as well as the Riker Memorial Lecture at the Oregon Health and Science University. Now that he's back, he's made some observations about the infiltration of quackademic medicine into U.S. medical schools, the same infiltration of woo that I've lamented in my Academic Woo Aggregator. Among his commentary on several "luminaries" of the…
In honor of President's day I have some interesting Presidential pathology to present. I want to talk about Andrew Jackson and his myriad of diseases. To say that Andrew Jackson had medical problems would be the understatement of the century. Starting with a head wound sustained while a prisoner during the Revolutionary War -- he was only 13 at the time, Jackson's entire life was spent plagued with one malady or another. He was shot at least twice in duels, both leading to chronic injuries. He also very likely got malaria during the War of 1812. This situation was complicated by the fact…
Three weeks ago, I wrote about some truly irresponsible antivaccination propaganda masquerading as entertainment that aired in the form of a television show called Eli Stone. This show, which portrayed its hero taking on the case of an autistic boy whose mother blamed his autism on thimerosal (going under the fictional name "mercuritol") in vaccines and scoring a $5.2 million settlement in the process. One consequence of this show was that the American Academy of Pediatrics (AAP) was shaken out of its inaction enough to draft a letter protesting the show and urging its cancellation of the…
The US Food and Drug Administration is a weird chimera: it contains some elements of rule-bound regulatory hell, and some elements of laissez-faire libertarianism.  On the libertarian side, they allow physicians to prescribe any drug that they have approved, even if was not approved for the use for which it is being prescribed.  On the rule-bound side, they have incredibly complex rules for how the drugs can be marketed.   One such rule is that drug companies are not allowed to market a drug for any purpose for which the drug has not been approved explicitly.  That particular rule has been…
Dave Munger has done the science blogosphere a service by spearheading the effort to highlight and aggregate serious posts about peer-reviewed research through his Research Blogging aggregator website and his Bloggers for Peer-Reviewed Research Reporting blog. It's a great idea and a great source for what science and medical bloggers say about the latest published research. Dave is to be commended for creating such a useful site. Of course, aggregating serious research blogging is all well and good, but the assumptions behind it are that the research and the blogger are serious and honest and…
Yes and No. But the article is not from the 'Onion', it's from the Hot Medical News. It's about an onion, in a strange place....
Enjoy! In the hospital the relatives gathered in the waiting room, where their family member lay gravely ill. Finally, the doctor came in looking tired and somber. "I'm afraid I'm the bearer of bad news," he said as he surveyed the worried faces. "The only hope left for your loved one at this time is a brain transplant. It's an experimental procedure, very risky but it is the only hope. Insurance will cover the procedure, but you will have to pay for the brain yourselves." The family members sat silent as they absorbed the news. After a great length of time, someone asked, "Well, how much…
I've become known as an advocate for evidence-based medicine (EBM) in the three years since I started this little bit of ego gratification known as Respectful Insolenceâ¢. One thing this exercise has taught me that I might never have learned before (and that I've only reluctantly begun to accept as true) is one huge problem with EBM. Not surprisingly, it has to do with how EBM is used to evaluate so-called "complementary and alternative medicine" (CAM) therapies, many of which are highly implausible on a scientific basis, to put it exceedingly generously. Consider homeopathy, which on a…
It's winter. And here in NYC, that means it's cold, icy, and generally miserable. Everyone I know is coughing, aching, sneezing, and blowing noses. Ten million sick readers undoubtedly want to know the answer to our latest "Ask A ScienceBlogger" question: What is a Disease? Four scibling responses below the fold... Greg and John discuss how evolution changes what's classified as a "disease." Mike narrows the question down to infectious diseases. And Janet wonders how pharmaceutical advertising may affect our feelings of health.
Balance. It's what the woo-meisters who believe in "Feng Shui" tell us that it will bring to those who use its principles to arrange the objects in their life, be they furniture, homes, the design of buildings, or even the layouts of whole cities. Indeed, Feng Shui tells us that the way we arrange objects in our environment, choose a place to live, or even choose burial plots can allow us to achieve "harmony" with our environment. Obviously, this is true in a trivial sense. If your house is full of crap piled everywhere in seemingly random distributions, it is going to have a negative impact…
You've probably heard that UCLA scientist Edythe London, whose house was earlier vandalized to the tune of tens of thousands of dollars by animal rights activists, has once again been targeted. This time an incendiary device was left on her front door. Abel and Mark weighed in on this appalling use of tactics to terrorize a scientist doing work on approved protocols -- protocols that had to meet the stringent standards imposed by federal regulations. But while the NIH and the odd newspaper columnist stands up to make the case for animal use in medical research and against the violent…
It figures again. I go a few days without Internet access again, and not only does Generation Rescue take out a full page antivaccination ad full of stupidity in USA Today, which I couldn't resist opening both barrels on earlier, but a study's lead senior author is someone I know (albeit not well) about three topics I'm very interested in: breast cancer, health information on the Internet, and so-called "complementary and alternative" medicine. Not surprisingly, in my absence blog stalwarts Abel Pharmboy and Steve Novella already beat me to it in fine form. You might ask if that would in any…
It figures. I'm deprived of full Internet access for a few days, and--wouldn't you know it?--the merry band of antivaccinationists over at Generation Rescue have to go and provide yet more evidence to back up what I've been saying all along about the mercury militia, namely that, once again, J. B. Handley's protestations otherwise, it really, truly is all about the vaccines, not the mercury. It always was. This new bit of confirmation of what I've said time and time again comes in the form of a full page ad taken out in USA Today on February 12 that I found about thanks to the credulous…
"What is a disease?" It would be nice to think that this is the kind of question where there are clear-cut, fact-based answers to be had. "Disease" is a term that seems to pick out a category of biological conditions, and biologists are pretty good with categorization. A disease might be a particular physiological state that is incompatible with the proper functioning of an organism (say, because that state interferes with extracting nutrients from food, or expelling waste products, or oxygenating blood and moving it around the body). Or, from the geneticist's point of view, a disease…
Oops, they did it again. You think the media would learn after the last time, but no.... There it was on Friday greeting me on the ABC News website: "Study: Acupuncture May Boost Pregnancy" in bold blue letters, with the title of the webpage being "Needles Help You Become Pregnant." Wow, what a claim! Naturally, I had to know more. Fortunately (or unfortunately, depending on your point of view) The story began: It sounds far-fetched sticking needles in women to help them become pregnant but a scientific review suggests that acupuncture might improve the odds of conceiving if done right before…
The New York Times reported yesterday that "scientists find new receptor for HIV," referring to a paper published online in Nature Immunology on Sunday by Arthos et al. This is basically correct, although it would be more accurate to call the new receptor a co-receptor, since the infection of a cell with HIV still depends on the primary receptor, CD4, in combination with either CCR5 or CXCR4. The newly-identified co-receptor, just like the other HIV receptors, is a protein located on the surface of white blood cells (T-cells, specifically). HIV, like any other virus, can only replicate…
As I mentioned, I was on the road over the weekend. Unfortunately, that means I didn't manage to come up with a new post for this morning. That's OK, though. Off to the archives we go. This post originally appeared on February 7, 2006. Holy crap! That's over two years ago! Enjoy (I hope). Fear not, new stuff will appear this afternoon or tomorrow. I just didn't manage to have time to finish today's intended post and bring it up to the high standards I demand. If I have time I'll tune it and post it this afternoon. Nonmedical people always seem to have a conception of surgery as being a…
In the year and a half or so that I've been doing Your Friday Dose of Woo, I must admit that I've come across some truly weird stuff. Stuff so weird that, after reading it, you wonder either, "How on earth could someone seriously think something like this is true or would work?" or "How can anyone be so unscrupulous as to scam people like this?" Not infrequently, both questions come to mind simultaneously. Other times, I realize that it's fundamentalist religion of some sort or bizarre spiritual quasi-religious beliefs that are behind the woo. I've also started to notice recurring themes,…
Nooooo! I thought I might be safe. It's been a really long time since I've had to hang my head in shame and contemplate covering it with a paper bag because of creationist pontifications of a fellow physician bringing shame upon our shared profession. It had even been longer since I had dealt with Dr. Geoffrey Simmons, a particularly clueless "intelligent design" creationist. And don't even get me started on the whole "Physicians and Surgeons Who Dissent from Darwinism" silliness started by the Discovery Institute. Now P.Z. Myers informs me that Dr. Simmons is back and dumber than ever…