Archive for September, 2009


In Tweetment

From the HIPAA, SHMIPAA files:

A new survey of medical-school deans finds that unprofessional conduct on blogs and social-networking sites is common among medical students. Although med students fully understand patient-confidentiality laws and are indoctrinated in the high ethical standards to which their white-coated profession is held, many of them still use Facebook, YouTube, Twitter, Flickr and other sites to depict and discuss lewd behavior and sexual misconduct, make discriminatory statements and discuss patient cases in violation of confidentiality laws, according to the survey, which was published this week in the Journal of the American Medical Association.

Quote of the day

No one treats anything they care about based on efficiency.

 

- Andrew Kimbrell

BYOP

NEW YORK—Researchers at the Mount Sinai School of Medicine were hardly able to stifle their laughter Tuesday while administering a placebo to 25 patients participating in a single-blind trial of an experimental new emphysema drug. “Did you see Participant No. 425? He was like, ‘I think it’s really working, Doc,’” Dr. Lewis Rodriguez said to a team of snickering pulmonary specialists. “How gullible can you get? I can’t believe those guys think they’re actually getting CDDO-Im.” Although the trial is expected to run for two more months, Rodriguez told reporters that he almost could not wait to analyze the data, compile the results, publish the findings, and see the looks on their stupid faces.

22andMe?

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23andMe co-founder Linda Avey is leaving for the nonprofit world:

I’ve decided that I’d like to focus my efforts on an area that is personally significant and will continue to have a huge impact on our healthcare system–Alzheimer’s disease. Effective today, I’m leaving 23andMe and have begun making plans for the creation of a foundation dedicated to the study of this disorder. The foundation will leverage the research platform we’ve built at 23andMe–the goal is to drive the formation of the world’s largest community of individuals with a family history of Alzheimer’s, empower them with their genetic information and track their brain health using state-of-the-art tools. We’ve always planned to include Alzheimer’s in our 23andWe research mission…I’m just approaching it from a new angle.

Some of you might be aware that my father-in-law suffered from Alzheimer’s and passed away last year. For this reason, Randy and I are motivated to do what we can to improve the understanding of what leads to the debilitating symptoms and what might prevent them from starting in the first place. The ApoE4 association is barely understood but gives us a great starting point.

More details here. Speaking personally, even when we’ve disagreed, for as long as I’ve known her, Linda has been nothing but gracious to me and incredibly generous with her time. I wish her the best and have every expectation she will succeed at whatever she puts her mind to.

And I think it’s gonna be a long long time

If they had wi-fi, I’d be on the first spaceship out of town:

If it sounds unrealistic to suggest that astronauts would be willing to leave home never to return alive, then consider the results of several informal surveys I and several colleagues have conducted recently. One of my peers in Arizona recently accompanied a group of scientists and engineers from the Jet Propulsion Laboratory on a geological field trip. During the day, he asked how many would be willing to go on a one-way mission into space. Every member of the group raised his hand. The lure of space travel remains intoxicating for a generation brought up on “Star Trek” and “Star Wars.”

Poem of the day

“Cancer’s A Funny Thing”
I wish I had the voice of Homer
To sing of rectal carcinoma,
Which kills a lot more chaps, in fact,
Than were bumped off when Troy was sacked.
Yet, thanks to modern surgeons’ skills,
It can be killed before it kills
Upon a scientific basis
In nineteen out of twenty cases.
I noticed I was passing blood
(Only a few drops, not a flood).
So pausing on my homeward way
  From Tallahassee to Bombay
I asked a doctor, now my friend,
To peer into my hinder end,
To prove or disprove the rumour
That I had a malignant tumour.
They pumped in BaSO4
Till I could really stand no more,
And, when sufficient had been pressed in,
They photographed my large intestine.
In order to decide the issue
They next scraped out some bits of tissue.
(Before they did so, some good pal
Had knocked me out with pentothal,
Whose action is extremely quick,
And does not leave me feeling sick.)
The microscope returned the answer
That I had certainly got cancer.
So I was wheeled into the theatre
Where holes were made to make me better.
One set is in my perineum
Where I can feel, but can’t yet see ‘em.
Another made me like a kipper
Or female prey of Jack the Ripper.
Through this incision, I don’t doubt,
The neoplasm was taken out,
Along with colon, and lymph nodes
Where cancer cells might find abodes.
A third much smaller hole is meant
To function as a ventral vent:
So now I am like two-faced Janus
The only* god who sees his anus.
(*In India there are several more
  With extra faces, up to four,
  But both in Brahma and in Shiva
  I own myself an unbeliever.)
I’ll swear, without the risk of perjury,
It was a snappy bit of surgery.
My rectum is a serious loss to me,
But I’ve a very neat colostomy,
And hope, as soon as I am able,
To make it keep a fixed time-table.
So do not wait for aches and pains
To have a surgeon mend your drains;
If he says ‘cancer’ you’re a dunce
Unless you have it out at once,
For if you wait it’s sure to swell,
And may have progeny as well.
My final word, before I’m done,
Is ‘Cancer can be rather fun.’
Thanks to the nurses and Nye Bevan
The NHS is quite like heaven
Provided one confronts the tumour
With a sufficient sense of humour.
I know that cancer often kills,
But so do cars and sleeping pills;
And it can hurt one till one sweats,
So can bad teeth and unpaid debts.
A spot of laughter, I am sure,
Often accelerates one’s cure;
So let us patients do our bit
To help the surgeons make us fit.
                        - J.B.S. Haldane