I've been describing this Slate piece as the most awesome thing I really should not have read at 38 weeks pregnant. For decades, doctors thought that a pregnant woman whose heart stopped had pretty much no chance of survival. After trying to resuscitate her, attention would shift to rescuing the baby. But recent research suggests a better solution: Spend less time trying to get the mother's heart pumping again
. Not only does it give the infants a better shot at survival, it also, insanely enough, saves more mothers. Turns out, once somebody removes the other human from your body, your failed heart will often just start pumping again on its own.
Chinese surgeons constructed a replacement nose on a patient's forehead to replace his own that was injured. It will eventually be moved to the center of the man's face. This may look unusual but it surprisingly is fairly common practice. "The forehead is a traditional place to get extra tissue from to rebuild a nose," says Shehan Hettiaratchy, Chief of Plastic and Reconstructive Surgery at the Imperial College Healthcare NHS, who the BBC quoted as an expert on the matter. "The skin from there is a good match for nose skin. Most importantly, the forehead skin can be moved to the nose and keep its blood supply, which is essential otherwise the skin would die." This reminds me of body artist Stelarc's ear on his arm.
A few years ago, Harriet Hall googled "The One True Cause of all disease", just to see what the Internet would come up with. She counted 67 One True Causes before she got bored (52 of them made it into the handy chart above).
Besides making for an amusing anecdote, this little exercise also helps illustrate why there's a problem with ideologically driven medical treatments — the sort that comes from people who are pushing a lifestyle or a philosophy along with ostensible healthcare. It's both intriguing and convenient to think that, if we just open the right secret door, we can find the thing that's actually causing all our problems. The truth, unfortunately, seems to be that our bodies and the world they inhabit are complicated and messy and that lots of of things can lead to disease (doctors typically learn to divide these things into nine different categories, Hall says). In fact, a disease we think of as a single entity can have its roots in more than one thing. All of this is pretty obvious but it's the kind of obvious that's worth rubbing our noses in on occasion. If somebody tells you that everything from obesity to bipolar disorder to allergies to cancer all stem from the same root and can be treated or prevented with the exact same treatment, there's probably good reason to question what they're telling you.
A gentleman in Texas briefly became an involuntary drunk (at one point ending up in the hospital with a blood alcohol concentration of .37, despite not having imbibed all day) when a colony of brewer's yeast took up residence in his gut
and started converting every starchy food he ate into booze.
ProPublica has an in-depth story about the hidden dangers of over-the-counter drugs
, especially Tylenol. One of the key problems with Tylenol is that it doesn't take all that many extra pills to start experiencing harmful side effects. For instance, the maximum recommended daily dose is eight extra-strength tablets. Just two additional tablets a day, taken over a long period, can cause liver damage. All told, this isn't a massive risk — about 150 people die from Tylenol poisoning a year — but it does illustrate why you can't assume there are no risks, just because it's easy to buy something.
At Matter, physical therapy professor Eric Robertson writes about a very rare condition called rhabdomyolysis — it's what happens when chronically overworked muscle cells rupture and overload your kidneys with massive amounts of protein. The results are painful, reasonably disgusting, and potentially deadly. Rhabdomyolysis used to be something you only had to worry about if you were, say, part of an elite military squad or a professional athlete. But as more average folks have gotten into elite physical training regimens through programs like CrossFit, the profile of people damaged by rhabdomyolysis is changing
. Training like a bad-ass can bring along some of the physical risks of being a bad-ass.
In the NYT, an item
on new research that reveals what many of us grumpy med-skeptics have self-righteously known all along: those copper bracelets and magnets your grandparents and arthritis-suffering friends are suckered into purchasing, to relieve their pain? Total quackery.
Surprisingly, there are a good half-dozen medical eponyms that come from Nazi doctors who performed experiments on unwilling human subjects or used bodies of executed prisoners in their work — often in the course of discovering the very things that now bear their names. Clara cells, for instance, are a type of cell that lines small airways in your lungs. They're named for Max Clara, who discovered them by dissecting executed political prisoners
Yesterday was the 50th anniversary of the bombing of the 16th Street Baptist Church, a major event in the history of civil rights in the United States. Members of the Ku Klux Klan planted a box of dynamite at the church, which was a major organizing center for the black community and civil rights protests. The resulting explosion killed four girls — Addie Mae Collins, Cynthia Wesley, Carole Robertson, and Denise McNair.
That part of the story is pretty well-known. What isn't well known is the fact that one of those girls, Addie Mae Collins, may well have been a victim of racism after her death, thanks to a longstanding tradition where white medical schools raided black cemeteries for dissection cadavers. I happened to stumble across this story last week, while reading Harriet Washington's book, Medical Apartheid. The tale, and how it connects to racism both historical and modern, haunted me all day yesterday.
Read the rest
These are the ancient Egyptian hieroglyphs that are thought to refer to acne. They're part of a nifty piece by Hilda Bastian that looks at the history of our understanding about zits — where people thought they came from before we knew about their relationship to hormones and bacteria. And how some of the myths that originated in that pre-scientific understanding still affect our cultural attitudes about acne and the way anti-acne products are marketed to us today.
A Chinese woman reportedly suffered a snake bite when the reptile jumped from her wine bottle and struck her hand. Apparently, the woman from Shuangcheng, Heilongjiang Province had been drinking pickled snake wine to treat her rheumatism, but this particular snake was still living. Snake wine is a common curative in traditional Chinese medicine. (Global Times)
A 3-year-old girl enters a hospital with severe Vitamin A deficiency and micronutrient malnutrition. The cause: Her parents had self-diagnosed her with so many food allergies that her entire diet consisted of chickpea milk, bison meat, and salicylate-free vegetables. (Which, basically, means very few vegetables
.) An older sister on the same diet had developed scurvy and rickets. The case report is technical and dry, but the story you can see happening underneath is just heart-wrenching
. Especially the point at which the parents refuse Vitamin A supplementation and the doctors have to call child protective services.
Here's a great piece by Anahad O'Connor that looks at the dozens of studies that are supposed to link the act of eating breakfast with weight loss
— and the problems that very quickly arise when you look at them closely. The biggest issue: Most of the advice you get telling you to eat breakfast if you want to lose weight is based on observational studies — large collections of information about people's lives and health that scientists then comb through looking for correlations. Like any correlation, those associations should be thought of as jumping-off points for more research, not proof of how you should live your life. With breakfast and weight loss, the truth seems to be that the two things may not be connected at all. For every study that shows them inextricably linked, another found no relationship at all ... or even an inverse
relationship, where skipping breakfast led to weight loss.
At Forbes, Katie Kelly Bell has an interesting look at the extremely subjective measurements happening behind the seemingly objective instruction to drink only "in moderation"
Swords: A major cause of nose loss in 16th-century Europe. (Also a problem: syphilis.) The good news is that somebody had a plan for how to replace your missing nose
. The bad news is that there was no anesthesia, the process could kill you, and you had to spend two weeks with your nose in your own armpit.