Medicine
oracknows | October 29, 2014
R.I.P., McKenzie Lowe. Unfortunately, Stanislaw Burzynski was no more able to save you than anyone else, his claims of great success treating pediatric brain tumors notwithstanding:
HUDSON — Thirteen-year-old Hudson resident McKenzie Lowe died Friday evening after a 2-year-battle against an aggressive and inoperable brain stem tumor.
McKenzie died at 10:27 p.m. in her own bed at her home in Hudson.
McKenzie was diagnosed on Nov. 28, 2012 with Diffuse Intrinsic Pontine Glioma, or DIPG, a brain tumor located on the brain stem. Patients with DIPG typically survive for less than a year.…
oracknows | October 29, 2014
If there is one thing that the ongoing Ebola outbreak in Africa has revealed to the world, it’s the full extent of quackery that is out there and advertised as being able to treat deadly diseases such as Ebola. The deadlier the disease, the more quackery is out there, amplified by the scariness of the disease. And, make no mistake about it, Ebola is scary. No, it’s not scary here in the U.S., where the odds of the average person catching the disease, particularly if he’s not a health care worker who’s directly cared for a patient with Ebola, is vanishingly tiny. If you happen to live in…
oracknows | October 28, 2014
One of the biggest medical conspiracy theories for a long time has been that there exist out there all sorts of fantastic cures for cancer and other deadly diseases but you can’t have them because (1) “they” don’t want you to know about them (as I like to call it, the Kevin Trudeau approach) and/or (2) the evil jackbooted thugs of the FDA are so close-minded and blinded by science that they crush any attempt to market such drugs and, under the most charitable assessment under this myth, dramatically slow down the approval of such cures. The first version usually involves “natural” cures or…
gregladen | October 27, 2014Jim Moore and I were both students in the PhD Program in Anthropology at Harvard a few years ago. He graduated about the time I entered the program. To give a rough historical touchstone, I remember the day he needed to get his thesis off to the Registrar, and there was a delay because it was taking longer than expected to deburst the pages fresh out of the printer. Anyway, Jim is Professor of Anthropology at UC San Diego, and has done a great deal of work with Old World Primates, the evolution of social systems, and related topics. A while back Jim wrote an important piece for American…
oracknows | October 21, 2014
Supporters of science-based medicine and keeping pseudoscience out of medicine have a few years to prepare for an onslaught of crappy studies “proving” the value of “integrative” oncology. No doubt at this point you’re wondering just what the heck Orac is talking about. I will tell you. It involves an institution we’ve encountered before and a naturopath we’ve met before, specifically the Ottawa Integrative Cancer Centre and Dugald Seely, ND (translation: Not a Doctor), FABNO (translation: Not an Oncologist). Somehow, Dugald Seely and his brother Andrew have somehow scored some sweet,…
pharyngula | October 21, 2014I have to admit that my first response to these reports out of Britain that stem cells had been successfully used to repair a complete spinal cord transection was skepticism -- incredulity even. They're reporting that a man with a completely severed spinal cord at level T10-T11 is able to walk again! The Guardian gushes! The Daily Mail gets in the act (always a bad sign)! When I read that the patient had an 8mm gap in his spinal cord that had been filling up with scar tissue for the last two years, I was even more doubtful: under the best of conditions, it was unlikely that you'd get…
sa smith | October 21, 2014Remember how I said my lab wanted to do a PPE response video to Sanjay Guptas terrifying attempt? But we couldnt for liability reasons?
Now there is an even better option! We can all take a peek into how Ebola patients are treated at Emory University, and get to see their protocols for putting on/taking off PPE:
Emory Healthcare launches Ebola protocols website as resource on prevention and patient care
But before you can see their videos, you have to 1) register, and 2) agree not to hold Emory University responsible if you get infected with Ebola.
The information provided on this site,…
oracknows | October 16, 2014
Does anyone remember the H1N1 influenza pandemic? As hard as it is to believe, that was five years ago. One thing I remember about the whole thing is just how crazy both the antivaccine movement and conspiracy theorists (but I repeat myself) went over the public health campaigns to vaccinate people against H1N1. It was truly an eye-opener, surpassing even what I expected based on my then five year experience dealing with such cranks. Besides the usual antivaccine paranoia that demonized the vaccine as, alternately, ineffective, full of “toxins,” a mass depopulation plot, and many other…
oracknows | October 14, 2014
A common topic that I’ve written about since the very beginning of this blog is the infiltration of quackery into what were formerly bastions of science-based medicine. Most recently, I lamented just how far this process has progressed at the Cleveland Clinic, as evidenced by its recent opening of a clinic devoted to the quackery that is functional medicine and, not long before that, its opening a clinic run by a dubious naturopath practicing traditional Chinese medicine. That’s not even counting its long-standing credulous promotion of the faith healing known as reiki and the use of…
oracknows | October 12, 2014A few weeks ago, I wrote a post in which I explained why wearing a bra does not cause breast cancer. After I had finished the post, it occurred to me that I should have saved that post for now, given that October is Breast Cancer Awareness Month. The reason is that, like clockwork, pretty much every year around this time articles touting various myths about breast cancer will go viral, circulating on social media like Facebook, Twitter, Pinterest, and Tumblr like so many giant spider-microbes on the moon a week ago. Sometimes, they’re new articles. Sometimes they’re old articles that, like…
sa smith | October 12, 2014On an academic level, I am not a fan of bacteria. I like viruses. Thus, I usually like the idea of using viruses to kill bacteria. But I am a huge fan of fecal bacteriotherapy, aka, poop transplants.
Someone is sick, they get antibiotics. Antibiotics kill off their 'normal' bacteria, and allow 'bad' bacteria, like Clostridium difficile, to thrive. C. diff is a dangerous, increasingly drug resistant bacteria that kills, according to Wikipedia, 300 people a day.
Fecal bacteriotherapy is replacing the C. diff patients good bacteria with gut bacteria from someone else. Gut bacteria, normally…
gregladen | October 11, 2014According to those intimately involved in the response to the West African Ebola outbreak, NewLink Genetics owns the rights to a piece of the puzzle needed to quickly test and deploy one of two likely Ebola vaccines and they are holding up the entire process because they are not entirely sure they are going to get rich on it. Other suggest it is incompetence. NewLink seems to be claiming it is just a lot of paperwork. In the end, tough, none of these excuses is convincing. This is one of those cases that gives Big Pharm a bad reputation.
From as story in Science:
Stephan Becker is tired…
gregladen | October 2, 2014First, let’s look at the situation in West Africa, because that is way more important than anything going on in the US right now. The WHO has said two things about this. First, if there is not a full intervention, there may be hundreds of thousands or even millions of cases of Ebola several months from now (cumulatively). Second, with full intervention they can stop this epidemic.
What is full intervention? They say that full intervention is the development and manufacture of an effective vaccine, and the deployment of that vaccine to a very large percentage of the affected population.…
oracknows | September 25, 2014Ever since the latest outbreak of Ebola viral disease in West Africa, there has been panic that’s metastasized to the US, even though the risk of a major outbreak here is very low. Unfortunately, whenever there’s panic over a disease, whatever the disease is, there soon follows quackery in response to that panic, from quacks who are either looking to make a buck or who are true believers (or both). For instance, I’ve seen high dose vitamin C touted as an Ebola remedy. I’ve also written about deluded homeopaths claiming that homeopathy can be used to treat Ebola. One particularly deluded…
lborkowski | September 24, 2014by Michael Lax, MD, MPH
The news that almost one third of NFL football players can expect to suffer the effects of brain trauma made headlines in major media. While it is not surprising that large men, often leading with their heads, bashing each other week after week suffer some consequences, what was unexpected was how many players are likely to be injured, and that the NFL actually acknowledged this reality.
Obviously, the findings lead to the question of what to do about it besides compensate the injured. In the context of workplace injuries the injury rate in this industry is…
lborkowski | September 24, 2014Last week, an Institute of Medicine panel released a report that critiques US handling of end-of-life healthcare and suggests improvements. Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life recommends improved communication between patients and providers so that patients can decide what kind of end-of-life care they want, and then receive it. Many people would prefer to die at home, with their care focused on making them comfortable -- not in a hospital undergoing tests and procedures that might prolong their life but diminish the quality of their…
egrossman | September 22, 2014“Shift work refers to work that takes place outside of traditional 9-to-5 daytime hours. If you work nights or rotating shifts, you are a shift worker. Many people who work shifts are at risk for developing shift work disorder (SWD) and may experience excessive sleepiness (ES) on the job.” So says the website designed to market the drug known as Nuvigil, sold by Cephalon, a subsidiary of Teva Pharmaceutical Industries, Ltd. Approved by the US Food and Drug Administration (FDA) in 2007 to treat narcolepsy and obstructive sleep apnea and the excessive sleepiness that may come with working a…
oracknows | September 19, 2014Over the years, my goals in doing this blog have evolved. Now, I want to do more than just blog about the issues of science and pseudoscience in medicine that are this blog’s primary raison d'être (along with the occasional post on more generalized areas of skepticism or the even more occasional political rant). I also want to publish my science-based critiques in the peer-reviewed medical literature. My first crack at came in the form of an article by Steve Novella and myself published last month in Trends In Molecular Medicine entitled Clinical trials of integrative medicine: testing…
oracknows | September 19, 2014
As I sat down to do my final post for this week, I perused my list of posts thus far and was amazed to discover that I hadn’t done a single post on vaccines. After all that nonsense the other week, where I spent more than a week blogging about nothing but the antivaccine movement, I thought this a refreshing change. So I figured I’d keep the momentum going, at least for today (I’m sure the subject will come up next week sometime) and stick with a topic that doesn’t involve vaccines. That topic, I hate to say, is another frequent topic of this blog, namely the infiltration of quackery into…
oracknows | September 16, 2014
Of all the quacks and cranks and purveyors of woo whom I’ve encountered over the years, Deepak Chopra is, without a doubt, one of the most arrogantly obstinate, if not the most arrogantly obstinate. Sure, a quack like Mike Adams wins on sheer obnoxiousness and for the sheer breadth of crankery to which he ascribes, which includes everything from quackery, to New World Order conspiracy theories, to Scientology-like anti-psychiatry rants, to survivalist and gun nut tendencies, but he's so obviously unhinged, as well as intermittently entertaining, that he doesn't quite get under the skin the…