Sailing is hard work —

Rome Kirby is an extreme sailor. When they tried putting him on a heart-rate monitor, they found he was burning 9,000 calories a day. (via Super Punch) — Cory •

This undated bodybuilding ad is a spectacular example of the form -- the busy, unbridled, exuberant machismo, the fonts, the repetition. I think the world would be a better place if all printed literature took this form.

Come on, Buddy!

Coronavirus — characterized by the halo of protein spikes that surround each individual virus particle — is the family that gave birth to SARS. Today, there's a new coronavirus stalking humans, especially in the Middle East. Scientists have documented 16 infections, and 10 fatalities. The good news is that there are probably lots of non-serious infections that aren't being reported, meaning the fatality rate probably isn't as high as it looks. Also, this coronavirus seems to have trouble spreading from person to person. But, in regards to that last factor, it's important to pay attention to a detail from the SARS outbreak that we still don't totally understand. Turns out, a handful of people were responsible for most of those infections. The Canadian Press' Helen Branswell writes about superspreaders and the scientists trying to understand how individuals can alter the course of an outbreak. (BTW: If you don't follow Helen Branswell on Twitter, you're missing some of the best infectious disease reporting out there.)

There are apparently no insurers in the UK willing to extend cover to independent midwives, and so independent midwives and their clients operate in an insurance-free zone, which is risky, but it was apparently a risk everyone was willing to take. However, a new EU regulation mandates that midwives operate with insurance, and once that regulation is implemented locally, it will end the practice of independent midwifery in the UK unless there's some drastic action to create an insurance policy to which independent midwives may subscribe.

We had our daughter at home with an NHS midwife, and it was wonderful. Not everyone is lucky enough to live in the cachement of a hospital with midwives who'll help mothers deliver at home (especially now as NHS budgets are being slashed to ribbons across the country). If this rule comes to pass in the UK without any insurance fix, having a baby safely at home will become effectively illegal for families across the country.

A silent protest is scheduled for today at the House of Commons:

This campaign continues with a Silent Protest and march in Westminster on Monday 25 March, from 11am, to lobby Government to protect women's right to choose their maternity care and find a solution to the issues raised by an EU Directive.

Independent Midwives are registered midwives who have chosen to work outside the NHS to be able to offer continuous care and support to women who choose it. This is the kind of autonomous midwifery that you see in the hugely popular programme “Call the Midwife”. Nowadays it is mostly only independent midwives who are able to provide what David Cameron once called “gold standard care”. Due to staff shortages and budgetary pressures very few NHS Trusts are able to provide this kind of care.

Sally Randle is an independent midwife in Bristol, offering local women an alternative to NHS care. Sally says, “I was lucky enough to practise this way in the NHS in London, but local maternity services did not provide this way of working. I decided to become an independent midwife so I could continue this rewarding work. I love my job; I don't even mind getting up in the night to go out to a birth because I know the family well and feel privileged to be involved in this amazing time in their lives”.

I can't figure out why insurers can't sort this out. The actuarial data set is robust and well-established. The potential liability, though high, is calculable. If you can get insurance to juggle machetes in Covent Garden (high potential liability, small data set, massive individual variation), why the hell can't indie midwives get cover?

Silent Protest and March (Thanks, William!)

The other problem with fake vaccine scares —

It's not just that bad information on the "dangers" of vaccines is working to reduce the number of children getting vaccines — a fact that affects herd immunity. Now, there's evidence that the fake scares (and efforts to debunk them) are getting in the way of scientists publishing real evidence about actual problems with certain vaccines. These aren't the kind of broad "vaccines are poison" claims you're familiar with. Instead, we're talking about legitimate science documenting side effects that are usually very rare, but still have an impact on certain subsets of the population and need to be addressed. — Maggie •

Why "cancer clusters" are so hard to confirm —

This excerpt from the new book, Toms River by Dan Fagin, has me instantly intrigued. The book is about one of the rare places where scientists were able to prove that not only was there a cluster of cancer cases, but that those cases could be linked to a cause. The excerpt explains why this is such a rare thing. Turns out, just because it looks like a town has more cancers than it should, doesn't mean that's always what's going on. — Maggie •

Grapefruit + prescription drug = overdose —

There are 44 prescription drugs on the market today that should never be combined with grapefruit. That's because the sour fruit (and some other, closely related, kinds of citrus) contain chemical compounds called furanocoumarins that prevent your body from metabolizing certain prescription drugs. Essentially, the grapefruit creates an artificial overdose where one tablet packs the power (and side effects) of 20. The CBC has a full list of the drugs, which includes cancer drugs, cholesterol-lowering drugs, and drugs to treat problems of the urinary tract. Wikipedia has more about why this interaction happens. — Maggie •

Dr. Google proves himself somewhat useful —

Googling what ails you sounds like a good and empowering idea — until you run into barren fields of Yahoo Answers, swamps of misinformation peddled by charlatans, and orchards of seemingly useful sites that yield only the bitter fruit of tiny bits of information you have already read 5000 times already. But, it turns out that Dr. Google can actually be good for something. At The New York Times, John Markoff reports on a study that found Google search data could be used to discover and track previously unreported side-effects of common medications. — Maggie •

I like the Exergen TemporalScanner because with a gentle stroke of the forehead, I can get a person’s temperatureaccurately and almost instantly — without having to stick something in their ear, mouth, or any other orifice. I can even check a child’s temperature while they sleep. It’s very easy to use — but do read the instructions to get the right swipe motion.

The device takes 1,000 readings per second, selects the most accurate among them, and adjusts for room temperature to give you the temperature of the temporal artery (near the temple) — which is an earlier signal of disease than rectal temperature. This temporal artery thermometer is more accurate than ear thermometers and is less affected by the sources of error that can make oral or underarm temperatures misleading. (However, for many purposes, temperature precision isn’t that important. Just knowing whether there is a fever or not is far more important than knowing the temp within a few tenths of a degree. And often fever is helpful, anyway.) But accurate thermometer readings can bring great peace of mind.

I use one of these at our home and carry one with me everywhere in my pediatrician doctor’s bag. -- Alan Greene, MD

Exergen Temporal Artery Thermometer $31

FDA approves 3D-printed replacement skulls —

The FDA has approved OsteoFab, "a cranial maxillo-facial (CMF) plate for skull reconstruction which can be used to replace up to 75% of the skull." — Cory •