medicine
oracknows | December 8, 2007Sorry, but I can't help but feel a bit of schadenfreude over this. Chelationist extraordinaire Dr. Rashid Buttar is, it would appear, in a bit of trouble:
A Huntersville doctor is facing charges of unprofessional conduct.
Dr. Rashid Buttar's alternative medicine clinic treats autism patients from the around the country, but tonight there are questions about his treatment of cancer patients.
The North Carolina Medical Board's allegations are spelled out in a 10 page document.
They could ultimately lead to the revocation of Dr. Buttar's medical license.
He is accused of offering therapies that…
j7uy5 | December 8, 2007
This case was
href="http://content.nejm.org/cgi/content/full/357/23/2411">written
up in the NEJM,
and made freely accessible. The image on the top left shows a
brain scan taken three years earlier than the one on the top right.
The other images show the cells in the tumor.
It is a meningothelial meningioma, World Health Organization grade I.
You may ask, how is it that we happen to have available
before-and-after views of the same brain. That is not usually
the case. But this was an unusual case: the patient had
undergone sex-change treatment, and was receiving high-dose…
oracknows | December 7, 2007A few weeks ago, Martin over at Aardvarchaelogy, Steve Novella, and I speculated about how alternative medicine modalities might evolve and what the selection pressures on them might be. We all agreed that, to some degree, there is definite selection pressure for remedies that do no harm but that also do no objective good either. In other words, there is selection pressure for placebos.
Obviously, the evolution analogy is imperfect, but there is also another possible explanation for the persistence of something like homeopathy, which is, in essence, no more than water and thus nothing more…
oracknows | December 7, 2007After last week's Your Friday Dose of Woo, which featured an amazingly extravagant bit of woo that took up 10,000 webpages of some of most densely-packed woo language that I've ever seen, I feel the need for a change of pace. It's time to simplify this week. After all, if I were to do nothing but woo on the order of sympathetic vibratory physics, the Wand of Horus, quantum homeopathy, or DNA activation every week, your brain might well fry. And, if your brain didn't fry, my brain would for subjecting myself to such material week after week. Every so often, I need just a little wafer to…
moleculeoftheday | December 6, 2007About 80 years ago, a scientist [pdf] wanted to learn about cholesterol metabolism. He took chicken feed and extracted it with organic solvent. In order make sure fat-soluble vitamins weren't left out, he added in cod liver oil (giving vitamins A and D, which were known). Then his unsuspecting chicks munched on cholesterol-free, cod-liver doped feed. Within weeks, they began hemorrhaging, and their blood failed to clot.
It was already known at the time that animals could synthesize cholesterol all on their own - and just to prove nothing was up, he added cholesterol back into the feed. No…
oracknows | December 6, 2007...because, via Skeptico and DC's Improbably Science, I've learned something that could only warm the coldest cockles of my evil scientific and skeptical heart. It's something that tells us that, maybe, just maybe, what we bloggers do in favor of evidence-based medicine may actually be having an effect. British homeopath Manish Bhatia, Director of hpathy.com, has sent out a frantic e-mail bemoaning how those poor, poor homeopaths are having trouble making a living, going so far as to say that homeopathy is "bleeding to death" (great analogy, given that homeopathy is a lot like the medieval…
oracknows | December 6, 2007It's hard to believe that two weeks have flown by once again. It's even harder to believe that the Skeptics' Circle has been around long enough to reach its 75th edition, which this time around comes straight out of Denmark, courtesy of longtime Respectful Insolence commenter and now blogger Kristjan Wager at Pro-Science. Kristjan's a just-the-facts kind of guy and he delivers a just-the-facts kind of Circle, chock full of skeptical bloggy goodness.
Next up to host on December 20, just in time for Christmas (and what better Christmas gift than the gift of skepticism?) is fellow ScienceBlogger…
denialism | December 6, 2007Speaking of libertarians, reading the JCI this week I came across this wonderful review of Richard Epstein's new book, "Overdose: How excessive government regulation stifles pharmaceutical innovation".
We've discussed Epstein, and his ilk before. The libertarians that routinely attack the FDA as some kind of bogeyman, killing kids, eating babies, blah blah blah, when the market could be making all these drug decisions for us. David Ross, writing for JCI, sees through the nonsense.
Although Epstein terms Overdose a study, it's really a legal polemic that could be subtitled "What's good for…
oracknows | December 5, 2007Lest I forget to mention this one, Randy Cohen, a.k.a. The Ethicist, answers a question. Here's the question:
I work at a hospital where several nurses practice therapies like healing touch and therapeutic touch, said to adjust a patient's energy field and thereby decrease pain and improve healing, although there is no significant evidence for this. If those nurses believe in these treatments, may they tell the patient they are effective? If the treatments provide merely a placebo effect, telling patients about this lack of evidence might undermine that benefit. Would that justify withholding…
oracknows | December 5, 2007The other village quack of the Chicago Tribune has decided to enter the breast cancer fray again.
No, I'm not talking about the main village quack of the Chicago Tribune. That would be Julie Deardorff. Rather, I'm talking about the Chicago Tribune's newly minted breast cancer crank, Dennis Byrne. We've met him before, parroting credulously an incredibly bad study claiming that it had found a slam-dunk association between abortion and breast cancer. How bad was the study? Well, it was so bad that it was published in that bastion of politically-motivated pseudoscience, the Journal of American…
hrynyshyn | December 4, 2007A little press-commentary comparison shopping is in order following the recent news of a breakthrough in the effort to produce stem cells without using embryonic cells. I promise this won't take long. First, the Washington Post's Charles Krauthammer, who announced that Bush was right all along to restrict federal funding for embryonic stem cell research:
That Holy Grail has now been achieved.
Now, the words of the editors of New Scientist:
Impressive as this research is, it is not yet the hoped-for panacea.... there is still a long way to go before they can be used as transplants. ... For one…
oracknows | December 4, 2007Fortunately, I've never had this happen when I've placed a central venous catheter:
See that bright line with the "J" at the end of it? That's the guidewire over which a central venous catheter is threaded. It's a very bad thing when you push it in so far that you lose it. Worse, is not reporting or admitting that you lost it before transferring a patient to another hospital. (You'd have to be really, really stupid not to realize that you lost it.)
oracknows | December 4, 2007Remember how I speculated that appointing die-hard antivaccinationists to the new federal panel on autism research and policy would be a propaganda boon to the antivaccination movement and the mercury militia? Surprise, surprise! It's already happening. Even less of a surprise, first off the mark to gloat is everybody's favorite whore for the mercury militia appearing (as usual) in his favorite house organ of antivaccination propaganda, The Huffington Post. First, of course, he has to "frame" things to represent himself as the brave, brave iconoclast, fighting against those evil scientists…
oracknows | December 3, 2007Depressing. One of the fakest faith-healers of all, Peter Popoff, who was so memorably exposed for a fraud by James Randi back in the 1980s when Randi caught him using a small radio receiver to be fed information on people he was "healing" from his wife, who was reading them off of prayer cards, is back:
And here's Randi's original takedown of Popoff from the 1980s:
Scum always rises again, I guess.
oracknows | December 3, 2007I've been spending a bit of time discussing the sad case of Dennis Lindberg, a 14-year-old youth with leukemia who died because of his refusal to accept a blood transfusion when his hematocrit fell to life-threateningly low levels apparently during chemotherapy. My position is that, while competent adults have the right to refuse transfusion for whatever reason they wish, children are not able to understand the implications of their actions and therefore must be protected from such beliefs. I do point out that I understand that the situation may not be as clear-cut in the case of an…
oracknows | December 2, 2007I'm always loathe to criticize a fellow ScienceBlogger, but, as the resident World War II buff and tireless debunker of Holocaust denial, I couldn't let this one pass.
While perusing the Last 24 Hours feed yesterday, I came across a most curious statement in a slapdown by Greg Laden of an attempt by Bruce Chapman to spin an appearance of John West at the University of Minnesota as anything other than an utter disaster. The debate was over who were the true advocates of eugenics, Christians or scientists, the argument being made that more advocates of eugenics in the U.S. in the early part of…
oracknows | December 1, 2007Yesterday, I wrote about the overwhelmingly sad case of Dennis Lindberg, the 14-year old Jehovah's Witness who died because of his misguided adherence to the twisted interpretation of a 3,000 year old Biblical text and the court's acquiescence to this lunacy. So did P. Z. Myers. In response to the post on Pharyngula, I saw a comment that disturbed me greatly:
At the hospital where I work we have a procedure in place just for JW's. We have a stack of court orders waiting. When the patient loses consciousness a doctor fills out a form declaring them no longer capable of making their own…
oracknows | December 1, 2007The Buckeye Surgeon educates us with a case.
In brief, it's the case of an elderly woman with a clinical picture, including right upper quadrant pain and an elevated white blood cell count consistent with rip-roaring cholecystitis who was admitted to the medical service for her right upper quadrant pain. She underwent an ultrasound, which was consistent with rip-roaring cholecystitis, after which she was admitted to the medical service, which duly consulted the gastroenterology service. Then a CT scan was ordered, which showed a rip-roaring case of cholecystitis. Then the patient was bowel-…
clock | November 30, 2007Tomorrow is the World AIDS Day:
The WAC's slogan for their work is "Stop AIDS: Keep the Promise". This is an appeal to governments, policy makers and regional health authorities to ensure that they meet the many targets that have been set in the fight against HIV and AIDS, and especially the promise of universal access to HIV treatment, care, support and prevention services by 2010. This campaign will run until 2010, with a related theme chosen for World AIDS Day each year.
So, I hope you choose to blog about this tomorrow and raise awareness about the HIV/AIDS epidemic, rallying your readers…
oracknows | November 30, 2007
I don't know what it is about woo-meisters and vibration.
I know I've said this before, but it seems to come up so often that I can't help but repeat it. Everything is vibration. Everything. And if it' not vibration, it's waves, be they energy waves, sound waves, or, as I like to describe them waves of pure woo. Add quantum mechanics to the mix, and you have the ingredients a veritable orgy of woo. (And if you want a real orgy, they might even have your back covered there, too.) I had thought that this fascination with vibration among purveyors of woo was a relatively recent phenomenon.
I…