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The Detox Delusion: Our Bodies Can Detox Themselves

Yesterday, the real-life mailbox brought the Pharmboy household the Fall 2009 issue of DukeMedicine connect, a biannual publication on current news from the Duke University Health System. Produced by DUHS Marketing and Creative Services, it “strives to offer current news about health topics of interest” to its readers. This issue is not yet online but you can see the Spring 2009 issue here.

What caught my eye was a cover teaser titled “Detox Delusion” and an article on detoxification diets focusing on an interview with Beth Reardon a nutritionist with Duke Integrative Medicine. (The articles sadly don’t have bylines so I can only give credit to the editor, Kathleen Yount.)

The article focuses on the fallacy of detoxification diets, extreme and sometimes dangerous regimens of purges, enemas, supplements, herbs, with the misguided goal of clearing one’s body of “toxins.” These amorphous toxins are never named, much less denoted with an IUPAC chemical name, but prey upon the fears of our “chemical” environment. Read more »

*This blog post was originally published at Terra Sigillata - PostRank (PostRank: All)*

Caught By FDA: Supplement Manufacturers Boost Efficacy By Adding Real Drugs To Mix

Stiff Nights.jpgI should probably create a new blogpost category just for erectile dysfunction dietary supplements adulterated with authentic or synthetic analogs of prescription phosphodiesterase-5 (PDE5) inhibitors (e.g., Viagra, Cialis).

However, FDA has already created a page for this earlier this year after dozens of companies have been identified as putting real drugs into their erectile dysfunction products.

Do the brains behind these companies not realize that FDA is now monitoring every erectile dysfunction supplement for all manner of PDE5 inhibitors?

Apparently not: Read more »

*This blog post was originally published at Terra Sigillata - PostRank (PostRank: All)*

Amy Wallace On The Anti-Vaccination Movement: Superb, Engaging Science Journalism

amywallace200px.jpgOne of the most engaging and clearly-written pieces of science journalism over the last year or so was published in Wired magazine last week. Amy Wallace’s, “An Epidemic of Fear: How Panicked Parents Skipping Shots Endangers Us All,” is part interview with rotavirus vaccine developer, pediatric infectious disease physician, Dr Paul Offit, and description of the anti-vaccination movement in the United States.

Wallace’s work is the centerpiece a collection of smaller articles providing science-based information about vaccination that also refutes common anti-vaccination myths including “How To Win An Argument About Vaccines” and “The Misinformants: Prominent Voices in the Anti-Vaccine Crusade”.

Wired’s follow-up discussion of the issue includes, “A Short History of Vaccine Panic,” for those of us who “have a day job” and not enough time to read Paul Offit’s 2008 book, “Autism’s False Prophets.”
Read more »

*This blog post was originally published at Terra Sigillata - PostRank (PostRank: All)*

Women And The Nobel Prize In Physiology & Medicine

The tweet came just about an hour ago announcing the well-deserved and much-predicted award of the 2009 Nobel Prize in Physiology or Medicine to Elizabeth Blackburn, Carol Greider, and Jack Szostak for their work on “how chromosomes are protected by telomeres and the enzyme telomerase.”

I wrote about this team and their accomplishments three years ago when the won the Albert Lasker Award for Basic Medical Research, considered the “American Nobel.”

I said then: Read more »

*This blog post was originally published at Terra Sigillata*

A Molecular Cancer Pharmacologist Discusses The Benefits Of Bloggging

UNC Med Journalism.jpgThis morning, I once again get to join in with a group of noted journalists, authors, educators, and all-around people-who-do-things-I-can’t for the annual advisory board meeting of the M.S. in Medical and Science Journalism Program at the University of North Carolina at Chapel Hill’s School of Journalism and Mass Communication.

Program founder and current director, Tom Linden, MD, is a Yale- and UCSF-trained physician-journalist with extensive broadcast experience across a series of California television stations. Dr Linden also recognized very early the potential value and pitfalls of the web for communicating health information and published in 1995, with Michelle Kienholz, one of the first consumer guides to medical information on the internet. I also featured Tom here in December 2007 when he launched his own blog.

So today, Dr Linden has asked me to speak to about science and medical blogging but with respect to how it has augmented my own professional career. Read more »

*This blog post was originally published at Terra Sigillata*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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