surgery
dr. dolittle | November 14, 2013Surgeons at Morriston Hospital in Swansea are using 3D printing technology to create titanium implants for a patient whose face was crushed in an accident. This was reported to be the first use of 3D printing to recreate a face after an injury.
Using CT scans, they created a mirror image of the side of the patient's face that was not damaged by the motorbike accident. They hope to begin the reconstruction process very soon.
This reconstruction project is actually the feature exhibit in "3D: Printing The Future" at the Science Museum in London until July 2014.
Source:
BBC News
For more…
oracknows | October 20, 2013Blogging is a rather immediate endeavor. Over the last nine years (nearly), I've lost track of how many times I saw something that I wanted to blog about but but by the time I got around to it was no longer topical. Usually what happens is that my Dug the Dog tendencies take over, as I'm distracted by yet another squirrel, although sometimes there are just too many targets topics and too little time. Fortunately, however, sometimes the issue is resurrected, sometimes in a really dumb way, such that I have an excuse to correct my previous oversight. This is just such a time, and the manner in…
oracknows | September 19, 2013One of the greatest mysteries I've encountered since I started following the case of Stanislaw Burzynski is how he's managed to keep practicing for 36 years after he first began treating patients with his concoction of peptides purportedly isolated from blood and urine that he dubbed "antineoplastons" (ANPs) because of their alleged ability to inhibit the growth of cancer. This is not an issue that is by any means unique to Burzynski; I've discussed other cases like this, such as Rolando Arafiles, who used his business relationship with the local sheriff to fend off the Texas Medical Board (…
oracknows | August 26, 2013I've written a lot about Stanislaw Burzynski and what I consider to be his unethical use and abuse of institutional review boards and clinical trials. Before that, I used to regularly write about Mark and David Geier and their unethical use and abuse of IRBs and clinical trials. In both cases, I lamented how they could use their own IRBs stacked with their own cronies to rubberstamp scientifically and ethically dubious studies. Mark and David Geier got away with it for years. Stanislaw Burzynski got away with it for decades and, apparently, is still getting away with it to some extent. (His…
oracknows | October 4, 2012I've frequently discussed the difference between what has come to be known as "evidence-based medicine" (EBM) and "science-based medicine" (SBM). Basically, SBM is EBM in which prior probability and plausibility of proposed medical and surgical therapies are considered along with clinical trial evidence. I don't plan on getting into that specific issue in detail right here. Rather, I bring it up because the best medicine is based on science and evidence. However, I've also pointed out that medicine, while it should be science-based, is not and can never be, strictly speaking, a science. (Look…
oracknows | May 31, 2012I've pointed out before that pover the last couple of years I've become a bit of a fan of old time radio, having discovered Radio Classics on Sirius XM Radio. I don’t remember how I discovered it, but I rapidly became hooked on shows like Suspense, Yours Truly, Johnny Dollar, The Whistler, Gunsmoke, Dragnet, The Six Shooter, and The Adventures of Sam Spade (the Howard Duff episodes, of course). Then, of course, there's The Story of Dr. Kildare. This particular radio show stared Lew Ayres as Dr. Kildare and Lionel Barrymore as the irascible Dr. Leonard Gillespie (the latter of whom was…
denialism | February 12, 2012Many are linking to this story around the blogosphere and I encourage everyone to read it. In it, a Ob/Gyn describes her emergency care of a woman who arrived in her ED in hemorrhagic shock from a botched illegal abortion. Though clearly it was touch and go and there was some panicky action, our heroine thought fast and saved a life. My mother once worked in a labor and delivery ward to put herself through medschool in the days before Roe v Wade and this type of situation was common.
This is a great story because it illustrates two points. One, the war on abortion by the right wing is…
denialism | January 18, 2012A few weeks ago Tara Parker Pope wrote The Fat Trap for the NYT and once I read it I started sending it to other doctors I know. It is a great summary on the current knowledge of why we get fat, and more importantly for those of us that already are tipping the scales, why is it so damn hard to take that weight back off. (I'll discuss Young, Obese and Getting Weight Loss Surgery nearer the end)
Beginning in 2009, he and his team recruited 50 obese men and women. The men weighed an average of 233 pounds; the women weighed about 200 pounds. Although some people dropped out of the study, most…
oracknows | January 17, 2012I had been planning on either discussing a study or analyzing another cancer cure testimonial, but things have been (mostly) too serious around the ol' blog the last few days. What with depressing posts about the return of whooping cough thanks to antivaccine idiocy, more evidence that Andrew Wakefield is a despicable human being, and evidence that there are equally despicable ideas prevalent in "complementary and alternative medicine" (CAM), I was starting to enter one of my periodic periods of depression brought on by contemplating the sheer scope of human gullibility and stupidity. I…
oracknows | January 11, 2012For all the good things about my life there are, there is one bad thing, and that was that I was born so that I reached high school age right at the height of the disco era. At least, that's the way I viewed it at the time because at the time, like many teenaged boys of that era, particularly in Detroit, I hated disco. Loathed it. Despised it. I used to draw cartoons in the back of my notebooks showing Robert Plant destroying disco records, and I was a card-carrying member of DREAD. Not for me were the Bee Gees, who were so huge during my sophomore and junior years in high school, although I…
oracknows | December 27, 2011Another Christmas is over, and we're settling in to that strange week between Christmas and New Years when, or so it would seem, most of the world isn't working except for retail. I'm half taking the week off from work in that I don't plan on going into the office if I can possibly avoid it, but will be starting up a couple of grants for the February/March NIH cycle and dealing with a couple of nagging issues left over from before the holidays. Regular readers might have noticed that ScienceBlogs had a bit of a glitch beginning sometime in the early morning hours of Christmas morning and not…
oracknows | October 25, 2011I usually don't do requests, at least not very often. As selfish as it might sound, I do this blog mainly to amuse myself, which means that I choose whatever topics interest me and write about them. Believe it or not, I'd probably still be doing this even if my readership were 1/100 of what it is. After all, I did it seven years ago before anyone had ever caught on to the glory (and ego) that is Orac. I've just been fortunate in that, for the most part, the topics that interest me enough to write about them are generally interesting enough to a bunch of people every day to read them. That…
oracknows | October 2, 2011I've been harshly critical of the entire concept of "integrative medicine" (IM), which has over the last few years nearly supplanted the former term used for non-science-based medicine or medicine based on prescientific ideas represented as though it were scientific medicine, "complementary and alternative medicine" (CAM). Indeed, just last month I pointed out how IM is far more about marketing than it is about science or medicine, and over the last few years I've been particularly harsh on the concept of "integrative oncology," which is actually being promoted as a legitimate "subspecialty"…
oracknows | September 9, 2011ORAC NOTE: Work kept me out late last night going out to dinner with a visiting professor. Fortunately, it was actually pretty fun. Unfortunately, it kept me from cooking up a heapin' helpin' of the Insolence, either Respectful or not-so-Respectful, that my readers crave. So instead, here's a repost from elsewhere. I didn't think I could use it because the deadline for the survey I discuss was originally September 1. Fortunately, the College of Physicians and Surgeons of Ontario (CPSO) extended the deadline to September 16, making this post relevant for exactly one more week. Enjoy! And go…
oracknows | May 25, 2011Many are the times I've referred to homeopathy as The One Quackery To Rule Them All. Because homeopathic remedies diluted greater than 12 C (12 serial hundred-fold dilutions) have been diluted more than Avagadro's number, they are incredibly unlikely to have even a single molecule of starting compound in them. That makes them water. Given that the vast majority of homeopathic remedies are, in fact, only water, they are the perfect quackery, and any effects due to homeopathy are nonspecific and placebo effects. More recently, I've pointed out that, because you can't have naturopathy without…
oracknows | April 25, 2011I should have popped up some popcorn. I had a feeling this was coming, but who knew it would be so entertaining when it finally happened?
On Tuesday, I wrote about how famed vascular surgeon Dr. Lazar Greenfield had written a bizarre, sexist attempt at Valentines Day humor in which he implied that evolutionary biology meant shows that semen is a mood enhancer for women and in essence recommended unprotected sex on Valentine's day, slipped his lame attempt at humor into the official newsletter of the American College of Surgeons, and then as a result was later forced to resign his position as…
oracknows | April 20, 2011Over the years, I've learned that a lot of surgeons are very religious. Actually, a lot of doctors are quite religious. Indeed, long ago in the history of this blog, back when I used to write about evolution a lot more than I do these days, I've pointed out that at least as many physicians as the general public accept "intelligent design" creationism as a valid description of the origin of life. Indeed, 15% of physicians believe that states should be required to teach ID and 50% believe that states should be permitted to teach it. In other words, approximately 65% of physicians are in favor…
oracknows | April 19, 2011I'd like to thank Buckeye Surgeon for reminding me of something I had seen and wanted to blog about but totally forgot about. Maybe it was so forgettable that I should just skip it, but as a surgeon I actually don't think so. Basically, it's a story of a surgeon making a fool of himself. I know, I know, that's such an impossibility that it's well nigh inconceivable, but it actually did happen. Perhaps what brought my attention to this sordid tale is that there is a connection to the University of Michigan, where I went to both undergraduate and medical school.
The surgeon in question is Dr.…
oracknows | January 7, 2011Just so you know, I claim the title of Mopey. Either that, or Sleepy, even though I'm not a trauma surgeon or OB/GYN.
oracknows | December 11, 2010Has it really been six years?
Six years ago today, on a dim and dreary Saturday in December, almost on a whim I sat down, went to Blogspot, and started up the first version of Respectful Insolence with an introductory post with the cliched title, Please allow me to introduce myself. Here it is, six years later. On this cold December Saturday, I still find it difficult to his blog is considered one of the "top" medical blogs by one measure, and some actually--shockingly--consider me somewhat of a "famous" skeptic. I know, I know, I still can't wrap my head around the concept myself. At least,…