Thursday, September 29, 2005

Lightening of the blog

Blogging will be light (and may actually end up being nonexistent--it all depends on whether I get any time and the quality of the Internet access I have) over the next three days. I have to go to a training conference in Chicago and then come back and be on call on Sunday.

Don't worry, though. You-Know-Who (and I don't mean Valdemort) will make his usual monthly appearance no later than Monday--and maybe even sooner if I happen to get the chance. It wouldn't do to disappoint his fans...

Also, stay tuned. There's a study (not medical this time) that came out this week that could use a bit of deconstruction, but unfortunately I didn't have time to do more than barely get started on doing a proper job of it before having to leave. I hope to take it on early next week, unless some other more interesting topic comes along. (That's the problem with blogging; if you wait too long to post about an incident, you're so far behind all the other bloggers that you might as well not bother...)

The Eighteenth Meeting of the Skeptics' Circle is here

The Eighteenth Meeting of the Skeptics' Circle has been posted at Wolverine Tom's. Go forth and be innoculated against the rampant credulity in the blogosphere!

And then join Nurse Kelly as she hosts the Circle on October 13 at Time To Lean. And, as always, I continue to scour the blogosphere for hosts for the Circle. If you're interested, e-mail me at oracknows@gmail.com. This is what it's all about.

Well, this is an interesting development...

Via Majikthise, I've learned that the Louisiana Attourney General and a senior medical examiner are investigating allegations of euthanasia after Hurricane Katrina. Because, I posted a very skeptical examination of the allegations a couple of weeks ago, I'll be very interested in seeing where this goes and whether the charges are substantiated.

Grand Rounds, Vol. 2, No. 1 (or #53)

Grand Rounds has just entered its second year, and with it has advanced to a new volume. This time, Family Medicine Notes is hosting. Go forth and check out the best of the medical blogosphere.

Here's a meme we can all participate in

Via Majikthise and Pharyngula, I've learned of a meme we can all participate in. Yes, as I've mentioned before, this week is Banned Books week, and this meme involves listing how many of the American Library Association's Top 100 Challenged Books you've read. So, even though I haven't yet been invited, I'm crashing the party. Here we go. The one's I've read are in bold and red:
  1. Scary Stories (Series) by Alvin Schwartz
  2. Daddy’s Roommate by Michael Willhoite
  3. I Know Why the Caged Bird Sings by Maya Angelou
  4. The Chocolate War by Robert Cormier
  5. The Adventures of Huckleberry Finn by Mark Twain
  6. Of Mice and Men by John Steinbeck
  7. Harry Potter (Series) by J.K. Rowling
  8. Forever by Judy Blume
  9. Bridge to Terabithia by Katherine Paterson
  10. Alice (Series) by Phyllis Reynolds Naylor
  11. Heather Has Two Mommies by Leslea Newman
  12. My Brother Sam is Dead by James Lincoln Collier and Christopher Collier
  13. The Catcher in the Rye by J.D. Salinger
  14. The Giver by Lois Lowry
  15. It’s Perfectly Normal by Robie Harris
  16. Goosebumps (Series) by R.L. Stine
  17. A Day No Pigs Would Die by Robert Newton Peck
  18. The Color Purple by Alice Walker
  19. Sex by Madonna
  20. Earth’s Children (Series) by Jean M. Auel
  21. The Great Gilly Hopkins by Katherine Paterson
  22. A Wrinkle in Time by Madeleine L’Engle
  23. Go Ask Alice by Anonymous
  24. Fallen Angels by Walter Dean Myers
  25. In the Night Kitchen by Maurice Sendak
  26. The Stupids (Series) by Harry Allard
  27. The Witches by Roald Dahl
  28. The New Joy of Gay Sex by Charles Silverstein
  29. Anastasia Krupnik (Series) by Lois Lowry
  30. The Goats by Brock Cole
  31. Kaffir Boy by Mark Mathabane
  32. Blubber by Judy Blume
  33. Killing Mr. Griffin by Lois Duncan
  34. Halloween ABC by Eve Merriam
  35. We All Fall Down by Robert Cormier
  36. Final Exit by Derek Humphry
  37. The Handmaid’s Tale by Margaret Atwood
  38. Julie of the Wolves by Jean Craighead George
  39. The Bluest Eye by Toni Morrison
  40. What’s Happening to my Body? Book for Girls: A Growing-Up Guide for Parents & Daughters by Lynda Madaras
  41. To Kill a Mockingbird by Harper Lee
  42. Beloved by Toni Morrison
  43. The Outsiders by S.E. Hinton
  44. The Pigman by Paul Zindel
  45. Bumps in the Night by Harry Allard
  46. Deenie by Judy Blume
  47. Flowers for Algernon by Daniel Keyes
  48. Annie on my Mind by Nancy Garden
  49. The Boy Who Lost His Face by Louis Sachar
  50. Cross Your Fingers, Spit in Your Hat by Alvin Schwartz
  51. A Light in the Attic by Shel Silverstein
  52. Brave New World by Aldous Huxley
  53. Sleeping Beauty Trilogy by A.N. Roquelaure (Anne Rice)
  54. Asking About Sex and Growing Up by Joanna Cole
  55. Cujo by Stephen King
  56. James and the Giant Peach by Roald Dahl
  57. The Anarchist Cookbook by William Powell
  58. Boys and Sex by Wardell Pomeroy
  59. Ordinary People by Judith Guest
  60. American Psycho by Bret Easton Ellis
  61. What’s Happening to my Body? Book for Boys: A Growing-Up Guide for Parents & Sons by Lynda Madaras
  62. Are You There, God? It’s Me, Margaret by Judy Blume
  63. Crazy Lady by Jane Conly
  64. Athletic Shorts by Chris Crutcher
  65. Fade by Robert Cormier
  66. Guess What? by Mem Fox
  67. The House of Spirits by Isabel Allende
  68. The Face on the Milk Carton by Caroline Cooney
  69. Slaughterhouse-Five by Kurt Vonnegut
  70. Lord of the Flies by William Golding
  71. Native Son by Richard Wright
  72. Women on Top: How Real Life Has Changed Women’s Fantasies by Nancy Friday
  73. Curses, Hexes and Spells by Daniel Cohen
  74. Jack by A.M. Homes
  75. Bless Me, Ultima by Rudolfo A. Anaya
  76. Where Did I Come From? by Peter Mayle
  77. Carrie by Stephen King
  78. Tiger Eyes by Judy Blume
  79. On My Honor by Marion Dane Bauer
  80. Arizona Kid by Ron Koertge
  81. Family Secrets by Norma Klein
  82. Mommy Laid An Egg by Babette Cole
  83. The Dead Zone by Stephen King
  84. The Adventures of Tom Sawyer by Mark Twain
  85. Song of Solomon by Toni Morrison
  86. Always Running by Luis Rodriguez
  87. Private Parts by Howard Stern
  88. Where’s Waldo? by Martin Hanford
  89. Summer of My German Soldier by Bette Greene
  90. Little Black Sambo by Helen Bannerman
  91. Pillars of the Earth by Ken Follett
  92. Running Loose by Chris Crutcher
  93. Sex Education by Jenny Davis
  94. The Drowning of Stephen Jones by Bette Greene
  95. Girls and Sex by Wardell Pomeroy
  96. How to Eat Fried Worms by Thomas Rockwell
  97. View from the Cherry Tree by Willo Davis Roberts
  98. The Headless Cupid by Zilpha Keatley Snyder
  99. The Terrorist by Caroline Cooney
  100. Jump Ship to Freedom by James Lincoln Collier and Christopher Collier
Hmmm. Only 19. I was hoping for at least 20. I almost counted Madonna's Sex, except honesty demands that I admit that, although I did pick it up in a bookstore and and browse it once, I didn't exactly "read it." I'm sure know what I mean.

Of course, I'll never get to 100, given that I have absolutely no interest in some of these books (like Goosebumps, The New Joy of Gay Sex, or any of the Judy Blume books). Also, some of the books on the list aren't necessarily good. Just because someone has tried to get a book banned doesn't mean it's a good book. On the other hand, I have no idea which of the other books on the list I should check out. So, everyone, you can crash the party too. Which of these books have you read? Which ones should I check out (that is, if I ever manage to get through the pile of unread books that I have lying around)?

Yoda debates Mace Windu over intelligent design

Yoda debates Mace Windu over intelligent design creationism here. A sample of Windu's critique of evolution:

There is no need to look any farther than my beautiful, perfect, shiny head to know that someone intelligent had to have a hand in its design. This kind of cranial prettiness did not come about by accident.

It degenerates from there...

I never realized that the Flying Spaghetti Monster was an activist

Apparently, the Flying Spaghetti Monster is branching out. This time, the Noodly One was spotted at an antiwar rally. The funny thing is that the right wing blogger who posted this to mock anti-war protesters (some of which, I must admit, are pretty flaky and off the wall) seems to be utterly clueless about the significance of His Noodliness. He should feel honored to have encountered a Pastafarian prophet such as this openly proclaiming his message. He even looks as though he might be wearing an FSM T-shirt, but I can't tell for sure, because the sign is covering the image.

One can only hope this prophet heads over to Dover, PA to proclaim the Word at the intelligent design trial there, where fundamentalists are waging a never-ending battle against biology textbooks "laced with Darwinism." The horror.

This sounds just like our dog

This sounds just like our dog, only our dog weighs about 1/3 as much.

She does the same thing with her butt...

Hat tip to my wife for pointing this one out...

Wednesday, September 28, 2005

A little criticism directed Orac's way

I really have to stop checking Technorati searches on my blog and my Sitemeter referral logs. I really do. If I didn't check them a couple of times a week, then I would probably never come across posts mentioning me that raise my blood pressure like this one (unless, of course, readers alert me to them). Or maybe I should just learn to ignore such posts, rather than responding and risking provoking a blog flame fest. Too bad last night that I was in just the right mood to pay attention to one post in particular that mentioned me and feeling just cranky enough to lay down a little Respectful Insolence about it.

For a blogger who says he works in the pharmaceutical industry and doesn't like Kevin Trudeau (although I would disagree with his qualification of his dislike in which he said that there's "a lot to Kevin Trudeau that's admirable"--I consider Trudeau to be a scam artist), a blogger going by the 'nym Random John sure doesn't seem to understand one of my major recurring points. He starts here:
Posts like this simply make my blood boil. Perhaps I should keep my “buttons on the inside” (i.e. not let other people push my buttons), but I get frustrated when doctors get their priorities all out of whack and misinterpret the results of experiments.
That's two of us who should perhaps keep our "buttons on the inside," but I get frustrated when other bloggers make big, fat straw men out of what I say and then angrily (or happily--or both) tear down said straw men. The post of mine to which he was referring is here. In it I pointed out how easy it is for doctors to delude themselves into believing a treatment works on the basis of anecdotal observations when it may not and why evidence-based medicine as exemplified by well-designed clinical trials can help avoid that trap and allow doctors to confirm or reject early anecdotal observations. John took issue:
Statistics measure population tendencies, and are bad at predicting individual results. I ought to make every doctor on the face of this planet write this on a chalkboard until they say it in their dreams. Maybe it should be a semester course in medical school and biostatistics. A three-hour course required for graduation. Three hours a week of writing this on the board, supervised, and a recorder stuck under their mouths at night for verification. To pass the class, they have to be saying this in their sleep.

Orac seems to take the most extreme example of the alternative-medicine-is-good-and-conventional-medicine-is-bad nutcase (and, the person who fits the description he gives on the page is a nutcase, I’ll give him that), and equate people giving testimonials.
Geez, I wonder what I said that set him off so much.

Uh, no, that's not what I said or meant. My piece on the altie to which you refer was humor that was indeed directed at the most extreme example, but it did not say that anecdotes are without value. What it did say that is relevant is this:
If you accept vague and/or poorly documented anecdotes and testimonials as sufficient evidence that an "alternative" therapy "works," you just might be an altie.
How is that unreasonable? And, yes, John, there are a fair number people like that. I've encountered them on misc.health.alternative. They inspired the piece, to which many old regulars of m.h.a. contributed, whether they knew it or not. Another relevant excerpt:
If you dismiss every well-designed randomized clinical study that failed to show a benefit for an alternative medicine or therapy over placebo control as either not proving that the therapy is ineffective or as having been manipulated by nefarious forces (conventional medicine, the pharmaceutical companies, the government, etc.) to produce a negative result, you may well be an altie.
Hmmm. Note the words. "Vague and/or poorly documented anecdotes and testimonials." "Dismiss every well-designed randomized clinical study." (Emphasis mine.) I was making fun of people who buy vague and/or poorly documented testimonials for their favorite cure du jour while at the same time automatically rejecting well-designed studies either because they were done by the hated conventional medical community or because don't show what they want them to show. But John isn't finished:
Let’s look at this argument then: clinical trials good, testimonials bad. Do you see the bias here? No?
Uh, no, John, it's not "bias" to understand that testimonials are inherently less reliable than clinical trials in identifying which treatments work and which do not and then putting them into their correct place in the hierarchy of medical evidence. It's just good science. And, no, John, I did not say that anecdotes are "bad." I merely pointed out that they are far less likely to be widely applicable than the results of clinical trials. I've explained multiple times why most testimonials don't even meet the minimum standard of medical evidence, and why personal observation alone is prone to many more biases, including selective thinking and confirmation bias. Finally, contrary to John's characterization of what I said, I have not entirely dismissed anecdotal evidence. Actually I have said repeatedly, that such evidence, if better documented than just a testimonial, can be useful to guide further research. Consider, first, what I said about the difference between testimonials and anecdotes:
The other problem with testimonials is that they don't rise even to the lowest level of medical evidence, the anecdotal report. Anecdotal reports in medicine require a careful documentation of symptoms, lab tests, diagnoses, exact courses of treatment, and a patient's response to treatment. Testimonials almost never present these elements in sufficient detail to judge whether the treatment actually did anything. There's just no way of telling truth from exaggeration or fiction.
I reiterated the faults of testimonial-based "claims" here:
So what's wrong with testimonials? Well, as I like to say, the plural of "anecdote" is not "data," and testimonials usually don't even rise to the level of anecdotes. Testimonials are often highly subjective, and, of course, practitioners can and do pick which testimonials they present. Even in the case of cancer "cure rates," testimonials often mean little because they are given for diseases that surgery alone "cured." (Also, dead patients don't provide good testimonials.) Worse, testimonial-based practice tends to preclude the detailed observation and long-term followup necessary to identify which patients benefit from treatments and which do not, complication types and rates, or long-term results of the treatment. Anecdotes are really good for only one thing, and that's developing hypotheses to test with basic scientific experimentation and then clinical trials.
Note the last sentence. That's me pointing out the proper weight that should be given to anecdotal evidence, which is not zero but is much less than the weight that should be given to a well-designed clinical trial. I suspect the problem here is that John seems to be equating testimonials and anecdotal data. Given that John works for the pharmaceutical industry, I would have thought that he would know the difference (namely that testimonials are usually poorly documented or not at all and are usually primarily intended to sell a product), but apparently not. In any case, what I said was not all that different from what John himself said, except for my emphasis on distinguishing dubious, highly subjective testimonials from the more objectively observed medical anecdote:
The sparks for ideas that lead into scientific revolutions come from odd, anecdotal observations that are outside of what statistics predicts. Individuals give important information that statistics will miss, and cutting out anecdotal or testimonial information and relying solely on clinical trials for our research is like cutting off our legs because the car gets us there faster.
John's also constructing and attacking another huge straw man here. I never advocated "cutting out" anecdotal information (although I definitely do advocate cutting out testimonials, for the reasons I described in detail here, here, and here). I merely pointed out that anecdotes are usually pretty weak evidence. John did have a point in mentioning that clinical trials may not adequately predict the response of any single individual to treatment. That does not invalidate my point, however, because anecdotes are considerably worse than clinical trials at such prediction. In addition, it isn't more anecdotes that will help us predict more accurately the response of any individual to any given therapy. It will be clinical trials that identify factors that might help us predict which individual patients will respond better to which treatment. Indeed, that's the whole point of genomic medicine and molecularly targeted therapeutics like Herceptin.

Now that I think about it, it's rather tempting to build up a straw man of my very own and take John to task for recommending that we abandon clinical trials as medical evidence in favor of anecdotes and testimonials. (Insert much triumphant ranting and raving about said straw man here.)

If I were to do so, though, I just hope it would be a real straw man and not the truth.

Tuesday, September 27, 2005

Last call for submissions to the Skeptics' Circle

The Eighteenth Meeting of the Skeptics' Circle will convene on Thursday. You still have a day to get your best skeptical blogging to Wolverine Tom. So let's see 'em!

Answering some lurker comments

I was amazed and gratified to the response to my post last Thursday asking for lurkers to delurk temporarily and make a comment, 81 comments thus far and counting, most complimentary. If I'm not careful, I might get a swelled head at the praise. Of course, I realize that, should that ever happen, you (and my fellow bloggers) will be there to slap me down and teach me humility again. There were too many comments for me to answer them all individually, but there were a few that caught my eye.

For example, fasta benj said:
Delurking: medical editor (f, 40) in the UK - read for pieces on critical thinking (alt med, Holocaust denial, ID, ...). So much for the 'medical' part; the 'editor' part suggests that you condense your writing somewhat, And, sorry, but cut the Hitler Zombie.

Blake's 7: first series, or second series?
The "editor" part is correct. I realize that I tend to be more verbose than I should be. Suffice it to say it's probably my biggest weakness, as far as writing goes, and I continue to work on it. As for cutting the Hitler zombie, well, let's just say that, although he has been lying low recently, he may be making an appearance in the near future, having clearly chomped the brain of an old nemesis. Sorry. As for Blakes 7, I'm really not sure which series Orac was in. I thought Orac showed up in the last episode of the first season and stayed until the end.

Next, a reader by the 'nym of Sastra says:
Since you asked: given your expertise, I suppose I'd like to see you post more on "alternative" medicine...Over time, though, I think I've slowly started to develop a bit of a crush on Eneman. This is not good. He seems like a nice, friendly, well-traveled guy with a lot of hobbies and interests, good with kids, happy disposition -- but I have an uncomfortable suspicion that he might be a bit "kinky," so to speak.
Hmmm. I'm not sure how to respond to this one. I wouldn't want to be responsible for such a development. EneMan might be happy and cheerful, but he does have a bit of a creepy edge to him, which is why I find his hanging out with children a bit disconcerting. I'd recommend staying away from EneMan. There are others who are interested in him that way...

Next, we have a comment from "anonymous":
Hi Orac - I read you almost every day. I work for Big Pharma in the NJ/NY/Conn area (where else would big pharma be?) My job responsibility is Market research for Oncology drugs and services. So, while I find all the other stuff riveting, it is your insight into cancer treatment that I find most useful.
Uh-0h. Don't tell the alties that. They already think I'm a pharma shill as it is.

Finally, Kristjan Wager, who has contributed as a guest blogger, comments on something another anonymous poster said regarding my posts on the thimerosal/autism activists:
Someone anonymous asked:

"I've never seen so much sheer anger in a blog dialogue. Does this happen when you mention any other diseases?"

I haven't seen it here at Orac's place , but I have seen quite a lot of anger when someone's favorite alternaitve cancer cure has been debunked. However, with the autism debate, it's often peoples' children we are talking about, which makes the anger more prevalent.
Indeed. I've seen this anger before extensively on misc.health.alternative. It's not just autism, although Kristjan has a point that because it autism affects children it tends to provoke more intense reactions. Oddly enough, I've had tirades almost as intense directed at me for referring to dentists who remove people's fillings for exaggerated fear of mercury as quacks or for pointing out that the evidence does not support the claims of activists that breast implants cause systemic diseases like fibromyalgia or autoimmune diseases. (I can't believe nine months have gone by and I haven't blogged on this topic; I'll put it on the list of future posts.) The problem is magical thinking and desperation, and anything that goes against that thinking is viewed as a threat.

Now, for the moment, I close the mailbag. I liked this whole delurking thing. I hope that some of the lurkers who revealed themselves will comment more often in the future.

This is what I'm talking about

I've mentioned Mothering.com before as a source of antivaccine nuttery and in the context of interviewing Christine Maggiore, the HIV/AIDS denialist whose adherence to altie beliefs appears to have cost the life of her child. Now, via the Final Church of the Nodding Apocalypse, I've found a photo that sums up the altie madness that this magazine was advocating four years ago:


This magazine also fully buys into antivaccine rhetoric, mercury/autism hysteria, and antiamalgam wingnuttery. Remember this whenever an altie cites anything written in this magazine, which appears to be a dubious amalgamation of the worst of altie excesses.

It's a RINO stampede!

The RINOs are stampeding over at Tinkery Tonk. Stay out of the way...

Monday, September 26, 2005

Banned Books Week

I didn't realize it, but I just found out that it's Banned Books Week. Go out and buy or read a book that people have tried to ban!

You can start here.

I still can't believe that the Harry Potter series, Madame L'Engle's A Wrinkle in Time, and Daniel Keyes' Flowers for Algernon (among many other rather hard-to-believe candidates for banning) have kept ending up on this list over the last 15 years.

Maybe I wasn't as on top of this as I had thought

Last week, I wrote about a couple of Letters to Nature in which scientists discussed in a tongue-in-cheek manner what the genetics of inheritance of the wizarding ability might be in the Harry Potter stories. A reader named Sarah has pointed out to me that I (and the authors of both Nature letters) are a bit behind the times. Apparently, this discussion has been going on for at least since 2003, and Sara shared with me some links to prove it. I thought I'd share them with you:


Ah, well. I guess that's what I get for being a relative newcomer to the Harry Potter phenomenon, having only just read all the books since last winter.

Another tragically unnecessary death of a child

A few weeks ago, I commented extensively on the case of Abubakar Tariq Nadama, a five year old autistic child who died of a cardiac arrest while receiving an unproven "alternative" treatment (chelation therapy) for his autism. Now I've been made aware of another case just as tragic, a case also sadly resulting in the preventable and unnecessary death of a young child:
The HIV-positive mother of two laid out matter-of-factly why, even while pregnant, she hadn't taken HIV medications, and why she had never tested her children for the virus.

"Our children have excellent records of health," Maggiore said on the Air America program when asked about 7-year-old Charlie and 3-year-old Eliza Jane Scovill. "They've never had respiratory problems, flus, intractable colds, ear infections, nothing. So, our choices, however radical they may seem, are extremely well-founded."

Seven weeks later, Eliza Jane was dead.

The cause, according to a Sept. 15 report by the Los Angeles County coroner, was AIDS-related pneumonia.

These days, given advances in HIV care, it's highly unusual for any young child to die of AIDS. What makes Eliza Jane's death even more striking is that her mother is a high-profile, charismatic leader in a movement that challenges the basic medical understanding and treatment of acquired immune deficiency syndrome.
Christine Maggiore is a high profile spokesperson for a movement that refuses to accept the now well-established science that concludes that HIV causes AIDS. She is the author of a book entitled What If Everything You Thought You Knew About AIDS Was Wrong?, has appeared on The Ricki Lake Show and 20/20, and has been interviewed for Mothering and Newsweek magazines about her activism for the contention that HIV does not cause AIDS. (Mothering, by the way, is the same magazine where the web discussion forums are filled with anti-vaccination rhetoric.) This phenomenon of HIV/AIDS denialism is disturbing to scientists and mainstream AIDS organizations for good reason:
Mainstream AIDS organizations, medical experts and ethicists, long confounded and distressed by this small but outspoken dissident movement, say Eliza Jane's death crystallizes their fears. The dissenters' message, they say, is not just wrong, it's deadly.

"This was a preventable death," said Dr. James Oleske, a New Jersey physician who never examined Eliza Jane but has treated hundreds of HIV-positive children. "I can tell you without any doubt that, at the outset of her illness, if she was appropriately evaluated, she would have been appropriately treated. She would not have died.

"You can't write a more sad and tragic story," Oleske said.
Well, actually, you can. The story of Abubakar Nadama, for instance. Both stories are as sad and tragic as can be imagined, and in similar ways.

I've encountered HIV/AIDS denialists before, not surprisingly, on misc.health.alternative. They tend to be influenced by the opinions scientists such as Peter Duesberg and Harvey Bialy, both of whom are proof positive of the way in which even f0rmerly reputable scientists can fall under the sway of pseudoscience. Based on their writings and those of others, HIV denialists claim that it is drugs like AZT used to treat AIDS that destroy the immune system, not HIV. Of course, when it is pointed out to them that AIDS was identified as a syndrome in the early 1980's and AZT wasn't widely used until 1987, they wave their hands and blame AIDS on "lifestyle" and "recreational drugs" (exacerbated by anti-HIV drugs, of course), which to me sound a lot like the unnamed "toxins" to which alties like to attribute many diseases. HIV denialists also ask questions like: Why do the in vivo and in vitro virus neutralizing antibodies that are present in easily assayable amounts in the blood of HIV infected people not protect against AIDS if HIV is the culprit? (Even I, a surgeon, can answer that one without having to look up any references: There are lots of diseases that provoke a neutralizing antibody response that doesn't fully protect against disease. Hepatitis B, for example. If the antibody response protected against disease, then the organism wouldn't be pathogenic.) They also like to claim that we don't know very much about how HIV does all the things to the immune system that it does, when in fact we know quite a bit about how HIV accomplishes its devastation of the immune system. In any case, the evidence that HIV causes AIDS is overwhelming, and the success of antiretroviral cocktails in decreasing death rates from AIDS and producing many actual long term survivors of a disease (AIDS) that used to be 100% fatal within a relatively short period of time flows from the scientific validity of the HIV/AIDS hypothesis.

The HIV/AIDS denialists, like alternative medicine cranks in many other diseases, cherry pick studies and ignore the vast quantity of evidence that doesn't support their point of view. They magnify anything we don't understand about HIV or any inconsistency in existing data and conveniently forget about the enormous amount that we do know about how HIV causes AIDS. They absolve themselves from having to come up with a compelling alternate hypothesis and the evidence to support it. And, of course, they postulate dark conspiracies of pharmaceutical companies wanting to "suppress" alternative "cures" and sell high-priced drugs. They also tend to be to be antivaccine, as many mercury/autism activists are and Ms. Maggliore was:
What set Maggiore apart became clear only when she talked about her views on medicine.

She didn't vaccinate either child, believing the shots did more harm than good. She rejected AZT and other anti-AIDS medications as toxic. "I see no evidence that compels me that I should have exposed a developing fetus to drugs that would harm them," she said.

Maggiore hired a midwife and gave birth to her children at home; Charlie was born in an inflatable pool on her living room floor. She wanted to avoid being tested for HIV or pressured to use AZT in a hospital, although technically neither is required by California law.

She breast-fed both children, although research indicates that it increases the risk of transmission by up to 15%.
AZT and other anti-retrovirus drugs can decrease the risk of maternal-child transmission to very low levels and is responsible for the plummeting rate of cases of AIDS among children; for an HIV-positive mother to refuse to use it is tantamount to child abuse (no matter how well-meaning she is or how much she loves her child) and exposes the deficiencies in the child welfare system. And right in the thick of this story is an old friend, with whom Orac has tussled before over his posts to the Huffington Post: Dr. Jay Gordon, who apparently was one of the doctors who treated Eliza Jane:
Dr. Jay Gordon, a Santa Monica pediatrician who had treated Eliza Jane since she was a year old, said he should have demanded that she be tested for human immunodeficiency virus when, 11 days before she died, Maggiore brought her in with an apparent ear infection.

"It's possible that the whole situation could have been changed if one of the doctors involved — one of the three doctors involved — had intervened," said Gordon, who himself acknowledges that HIV causes AIDS. "It's hindsight, Monday-morning quarterbacking, whatever you want to call it. Do I think I'm blameless in this? No, I'm not blameless."
No, Dr. Gordon is not blameless. Although I believe that Dr. Gordon probably means well and probably does more or less accept that HIV causes AIDS, I hope he'll excuse me if I can't help but thinking that he sounds a bit like he is covering his behind. It is some of the stuff I've found on his own website that leads me to wonder about whether he truly accepts the science behind the HIV/AIDS hypothesis. For example, look at Dr. Gordon's preamble to a bunch of recommendations for unproven "remedies" to alleviate HIV/AIDS symptoms, such as echinacea to "strengthen the immune system" and milk thistle to "cleanse" the liver:
The conventionally and most widely held approach say that AIDS is caused by the HIV (Human Immunodeficiency Virus) which is a very difficult virus to kill or control.

There is a second school of thought not terribly popular with physicians: HIV causes AIDS with, because of, or assisted by the medication used to prevent AIDS. The usual anti-HIV medication is quite potent and works in ways beyond the scope of this article. Suffice it to say that the medications have huge side effects and that the latest research published in late-April makes it quite clear that our hope that the antiviral compounds actually cure AIDS is probably incorrect and the virus is very capable of surviving this chemical onslaught and "hiding" for many decades in the human body. Please do not misunderstand, as far as I can tell, many lives have been prolonged, changed for the better and even saved by advances in AIDS chemotherapeutics. I just think it's also very reasonable and prudent to investigate other ways of keeping this virus in check by strengthening the immune system's ability to deal with it and by increasing the overall health of the person who is carrying HIV.
Is it just me, or does it sound as though Dr. Gordon is rather sympathetic to the AIDS denialist position and somewhat grudging in his acceptance of the HIV/AIDS hypothesis? If, as Dr. Gordon says, he accepts the current science that HIV causes AIDS, then why does he present the the view that HIV causes AIDS "with, because of, or assisted by the medication used to prevent AIDS" on his website in such a context that leads the reader to believe that he considers the denialist view as almost equally plausible to what he terms the "conventionally" held view that HIV causes AIDs. Why is his disclaimer so weak? Why, also, did he not seem to consider the possibility that the "ear infection" that he suspected in Eliza Jane might be something more serious, given that he knew that she was the child of an HIV-positive mother who had flouted every medical guideline for preventing HIV transmission to her children, even having breast fed them? Why did he not insist on an HIV test? Even I would have known to suspect AIDS, and I'm just a dumb surgeon. No doubt Ms. Maggliore would have refused, but at least he would have started to do the right thing.

I am quite sure that Mrs. Maggliore is suffering enormous emotional pain because her daughter died. I also have no doubt that she loved her daughter as only a mother can, despite her rationalizations about the cause of her daughter's death. However, we must not allow our sympathy for her grief to lead us to forget that her daughter is dead because she enthusiastically bought into a bogus, pseudoscientific line of altie nonsense--or that she still buys the line and is aggressively selling it on the radio and elsewhere. It is indeed unfortunate that this horrific experience didn't lead her to wonder if maybe--just maybe--conventional science is right about HIV causing AIDS after all.

Unfortunately, all too many others buy into HIV/AIDS denialism too, which guarantees that Eliza Jane will not be the last child to be infected with unnecessarily with HIV via maternal transmission or to die from that infection.

ADDENDUM: Mossback Culture has more on this here and here,particularly on the role of prominent bloggers in facilitating HIV/AIDS denialism. (And, boy, is he pissed, so much so that he does something I wish he hadn't done and takes a cheap shot at his intended target in the last paragraph of this post.) His main target is one blogger in particular that I rather used to like--until I was made aware of his decidedly unskeptical (or, as I like to call such crankery, "pseudoskeptical") HIV/AIDS denialist opinions last spring (opinions that I would have been aware of sooner had I read his blog more often).

More can also be found, ironically enough, at the Huffington Post, where Trey Ellis comments. Other medical bloggers Red State Moron and Gordon's Notes have also commented.

Saturday, September 24, 2005

Thirty three years too late...

Given that Bowie is probably my favorite performer of all time, I find this reassuring...


david bowie
You're David Bowie...and every guy wants to be you, every girls wants to be in your pants. Or vice versa, or both! You are innovative, always weird, and aesthetically pleasing. Your lyrics are literate, and your music is unlike any other. You are always unique, no matter what situation you are in. Everyone tries to bite off your style, but no one can be you because you are funky fresh. Be careful to keep your mental health in check, because you have a tendency to flip out. But hey, being borderline crazy makes you even more alluring! You are skilled at manipulating everyone: the press, your fans, and even your closest friends. You are beautiful and strange, and you allow yourself to change and grow.


Because I have a soft spot for glam (among my other musical proclivities, both odd and mainstream), I thought this would be a good jumping off point for me to list a few of my favorite 1970's glam rock albums:
  1. David Bowie, The Rise and Fall of Ziggy Stardust and the Spiders from Mars
  2. David Bowie, Hunky Dory
  3. Mott the Hoople, All the Young Dudes
  4. David Bowie, Aladdin Sane
  5. T. Rex, Electric Warrior
  6. Queen, A Night at the Opera
  7. Alice Cooper, Billion Dollar Babies (Alice was glam, albeit its darker side.)
  8. Sweet, Desolation Boulevard
  9. Elton John, Goodbye Yellow Brick Road (Oh, yes, Elton was glam in his 1971-1976 heyday. Believe it.)
  10. Various Artists, Velvet Goldmine: Music from the Original Motion Picture (OK, I know this isn't 1970's glam, but it's the best recreation of 1970's glam I've ever heard.)
Hmmm. What should be next sometime? My top ten favorite metal albums? My top ten favorite punk albums? Folk? New wave? Or maybe even my top five favorite Sinatra albums?

Stay tuned...

In the meantime I'll probably write something to post either tomorrow or Monday addressing some of the comments from lurkers who were kind enough to delurk since my request a couple of days ago.

Friday, September 23, 2005

Another reason to love the Harry Potter books

Wow. I'm totally surprised at the response I got from my Lurker Day post. I expected maybe one third the response. I'm also flattered at some of the comments. In fact, I think I may address a few of them sometime over the weekend if I get time. In the meantime, if you're a lurker and haven't de-lurked, please go here and let me know you're reading.

On to other topics...

Via Stupid Evil Bastard, I've found another reason to love the Harry Potter books. British geneticists Jeffrey M. Craig, Renee Dow, and Mary Ann Aitken examined the chromosomal basis of being a wizard or a muggle, suggesting that wizarding ability is inherited in a Mendelian fashion as a recessive. Last month, they even got their idea published as a Letter to Nature. They speculated:
Wizards or witches can be of any race, and may be the offspring of a wizard and a witch, the offspring of two muggles ('muggle-born'), or of mixed ancestry ('half-blood').

This suggests that wizarding ability is inherited in a mendelian fashion, with the wizard allele (W) being recessive to the muggle allele (M). According to this hypothesis, all wizards and witches therefore have two copies of the wizard allele (WW). Harry's friends Ron Weasley and Neville Longbottom and his arch-enemy Draco Malfoy are 'pure-blood' wizards: WW with WW ancestors for generations back. Harry's friend Hermione is a powerful muggle-born witch (WW with WM parents). Their classmate Seamus is a half-blood wizard, the son of a witch and a muggle (WW with one WW and one WM parent). Harry (WW with WW parents) is not considered a pure-blood, as his mother was muggle-born.

There may even be examples of incomplete penetrance (Neville has poor wizarding skills) and possible mutations or questionable paternity: Filch, the caretaker, is a 'squib', someone born into a wizarding family but with no wizarding powers of their own.

We believe that, with the use of these examples, the concepts of mendelian genetics can be introduced to children as young as five, and then built on by gradually introducing specific terms such as 'gene' and 'allele', and relating these to chromosomes and DNA. At every stage, the children's familiarity with the Harry Potter characters can be used as a hook to engage them in discussing concepts of heredity and genetics.
I like it. Too bad I missed the original letter, which Panda's Thumb pointed out when it was originally published. (I think the reason I missed this one is because it came out while I was on vacation and I never quite caught up on the journals that piled up in my absence, ending up just filing many of them away mostly unread.) In any case, although I know a lot about genetics, I'm not a geneticist. Even so, I realize that this proposed explanation is probably too simplistic. Fortunately for my ability to blog on this without seeming a month and a half out of date, another group of scientists, not to be outdone, agree. They fired off a retort that was published in Nature last week:
Following Craig and colleagues' analogy, Hermione, as a muggle-born witch, must have WM parents. However, as Rowling fans could point out, Hermione's parents were muggle dentists who lack any family history of wizarding. It's true, of course, that chance may not have thrown up a witch or wizard for many generations, or that any who did have magical powers may have kept them secret to avoid a witch hunt.

What about Neville's apparently poor wizarding skills? These cannot be explained by incomplete penetrance, as Craig and colleagues suggest. In incomplete penetrance, individuals either display the trait or not: they do not display an intermediate degree of the trait. Poor wizarding skills might be indicative of variable expressivity of an allele. However, both variable expressivity and incomplete penetrance are associated with dominant alleles. If the wizarding allele were dominant, rather than recessive as suggested, wizarding children such as Hermione could not be born to non-wizarding parents.

Neville's clumsiness may, perhaps, be an individual characteristic unrelated to his potential powers. However, it is not possible, from the evidence presented so far, to conclude that wizarding is a heritable trait.
Hmmmm. They have a point there. However, if wizarding abilities are not somehow heritable, then what determines who is a wizard and a muggle? Or should I just realize that it's only fiction and stop contemplating the question?

Of course not! What fun would that be? In any case, the discussion in the comment section after the original Panda's Thumb article has some entertaining speculation:
Wizardy is clearly a quantitative, multigenic trait with variable expressivity and incomplete penetrance. I wouldn’t discount a role for epigenetic effects either.
Or:
Possibly the magic ability is only partly inherited. One explanation for squibs and muggle-born wizards/witches would be that the allele(s) for magic are fairly common in the population, but that they are expressed only when they are triggered by some external factor. This factor would have to act sometime in the early years (wizards and witches develop their abilities slowly up to around age eleven, and there is no mention in the books of someone gaining magical powers as an adult.) This factor could simply be exposure to magic, or to some microorganism that is endemic to the wizarding community. Muggle-born wizards/witches could come from accidental exposure to either of these. If it is a microorganism, squibs could be explained by immunity from an earlier infection by a related organism. It would be an exciting topic for a research project!
Personally, I favor the latter explanation, but it could be simply because I understand that explanation better than the former. (My memories of my genetics classes are getting hazier, the further out from graduate school I get.) Regardless of the obviously tongue-in-cheek nature of this little exchange, I like the concept of using Harry Potter to teach young children some very basic concepts of genetics and inheritence described in the first letter. Given the sorry state of biology education in this country, any reasonable gimmick should help. Heck, it might even work. Yes, the concept of wizarding skills doesn't quite fall into a concept based on Mendelian inheritance, but it's close enough to provide a "teachable moment." Besides, the second group of scientists were probably just expressing sour grapes because they didn't think of the idea first. I do note, however, that they cleverly managed to get their names on a Letter to Nature, just like the first group of scientists. Having any publication in Nature, even just a letter, is a an addition to one's CV that many scientists would kill for. I know I'd have to think about it if someone told me that all I'd have to do is to kill someone to get a first author paper in Nature. Just kidding.

Barely.

Of course, there is yet another upside to this idea, if it ever caught on. Teaching genetics also implies implies the acceptance of evolution and could even provide an "in" to introducing basic concepts of evolution. As SEB and Clive both point out, that's another reason for the Christian right to hate Harry Potter. Not only would they accuse J. K. Rowling of indoctrinating children into witchcraft, but they could accuse her of something many of them probably view as even worse: introducing them to concepts of evolution.

Is pre-emptive homicide justified?

Normally, I would say no, but this has made me wonder if I should change my mind.

It's clear that Ice-T has lost his mind. "Hassel the Hoff"?

The Mad House Madman tells it like it is

Medical students! You want to know how to write a scintillatingly brilliant personal statement for your residency applications?

Listen to the Mad House Madman! He'll tell you how. The Madman gives ready, bite-sized prose to sneak into your personal statement to guarantee that you get noticed by the residency admissions committee. Actually, his suggestion for medicine residency applications sums up perfectly why I went into surgery instead:
I really love treating chronic disease. I particularly enjoy diabetes. It always fascinated me how blood glucose can go up and then down and then up, and then down. I find it particularly interesting how certain medications will help and then stop helping, and then I add another medication, and then that will help, and eventually it will stop helping. Sweet! (I mean that ironically)"

Thursday, September 22, 2005

One week until the Skeptics' Circle

The Eighteenth Meeting of the Skeptics' Circle will occur one week from today at Wolverine Tom's. Get your best skeptical blogging to Tom at wolverinetwh513@gmail.com and put the words "Skeptics' Circle" in the Subject header. Guidelines are here and here.

And, as always, I'm still looking for hosts. I'm happy that we have hosts lined up into early February (and the one year anniversary of the Skeptics' Circle), but I'm looking for hosts to get the second year off to a great start, including prior hosts who might be interested in hosting again. If you're interested, drop me a line at oracknows@gmail.com.

Blog lurker day

Alright, I know I've been following the blog crowd a bit this week (for example, doing this academic blogger meme). Well, what the heck; sometimes I just feel like going with the flow. That time is coming to an end soon, but there's still one more thing going around the blogosphere that I became aware of. It interests me; so I'll do it. Yesterday, Creek Running North declared Lurker Day, and was joined in rapid succession by Feministe, Pharyngula, afarensis, Cosmic Variance, and Science and Politics. Of course, in order to be slightly contrarian or just "different" (or just because I'm lazy), I'll do it a day late.

The idea is that, every so often, a blogger gets curious about who's reading. In my case, I've always realized that it's a relatively small subset of my readers who comment regularly. This has to be the case, given that this blog's visit count has climbed to an average of around 1,000 visitors a day but only rarely do I attract more than 10 comments or so a day. (The exceptions, of course, are some of my posts about the mercury-autism controversy--or even ones that were not primarily about mercury and autism but were somehow perceived to be. These posts drew so many comments of a rather intense--vitriolic, actually--nature that it was almost scary. PZ Myers may be used to getting over 100 comments after many of his posts, but I sure ain't.)

In any case, today, I'm humbly asking those of you out there who read what I like to write down on a regular basis but have either never commented (or only very rarely commented) to take a moment to delurk and leave a comment to say hi. Tell me who you are and where you're visiting from. (No names necessary unless you want to tell, obviously.) Let me know what you like about Respectful Insolence or fire off some constructive criticism. What do you want to see? More medblogging like this? (I realize I've drifted somewhat away from that compared to the early days of the blog.) More science? More Hitler Zombie (who is always--pardon the term--lurking in the background himself)?

And, of course, spread the word.

More evidence that many Holocaust "revisionists" are Nazi sympathizers

I've occasionally been criticized for equating Holocaust deniers with neo-Nazis. Via Flavor Country, I've found a link that lends a little tactical air support to what I've been saying all along. Check out what they're saying about the death of Simon Wiesenthal over at "The Revisionist Forum," which is the web forum of the so-called "Committee for Open Debate on the Holocaust" (CODOH) and vho.org, both prominent denier organizations.

Some representative quotes from the discussion that broke out after the news of Wiesenthal's passing was posted:
  • At the foot of the BBC's gushing obituary it says - "Six million Jews were murdered in the Nazi death camps of World War II, along with thousands of Gypsies, homosexuals, disabled people and political dissidents." They're still using 6 million, what figure do the lobby currently use?
  • It may be in bad taste, but can we break out the Schnapps yet?
  • To anyone reading who thinks that Simon 'Jewish soap' Wiesenthal was a man of integrity, ethics, and truth, they should read the threads here which demolish this evil, hatemongering piece of human garbage. Good riddance.
  • How does one survive FIVE 'death camps'? Answer: They weren't 'death camps'.
  • A disgrace to the Jewish people and a spreader of malicious hate & lies against the German peoples. Yeah, what a man he was.
  • A shot of Cuervo Gold for me. Ole' amigos, the slimeball is dead.
  • The man was a criminal liar, a scumbag. The world is a better place without him.
Why did these so-called Holocaust "revisionists" (who claim that they are simply interested in "objective" historical research) hate Wiesenthal so? Easy, he was effective in bringing Nazis to justice, even decades after the war. He was the most effective Nazi hunter of all, and he was Jewish. That's why revisionists hated him, and that's why they are rejoicing at his death.

Still don't believe me? Delve deeper into the CODOH discussion forums and see. Read some more "revisionist" literature. But be sure to bring a barf bag.

The hatred of these scumbags is the greatest posthumous tribute to Wiesenthal's life and work I can think of. It is a testament to his effectiveness in fighting them. Let them rant.

Wednesday, September 21, 2005

The AAS tells it like it is

The American Astronomical Society has come out in favor of teaching evolution in public schools and against teaching intelligent design as science. This in and of itself is not surprising. However, the AAS statement gives one of the most succinct descriptions of what a scientific theory is and why ID is not a scientific theory:
Evolution is a valid scientific theory for the origin of species that has been repeatedly tested and verified through observation, formulation of testable statements to explain those observations, and controlled experiments or additional observations to find out whether these ideas are right or wrong. A scientific theory is not speculation or a guess -- scientific theories are unifying concepts that explain the physical universe.
And:
In recent years, advocates of “Intelligent Design,” have proposed teaching “Intelligent Design” as a valid alternative theory for the history of life. Although scientists have vigorous discussions on interpretations for some aspects of evolution, there is widespread agreement on the power of natural selection to shape the emergence of new species. Even if there were no such agreement, “Intelligent Design” fails to meet the basic definition of a scientific idea: its proponents do not present testable hypotheses and do not provide evidence for their views that can be verified or duplicated by subsequent researchers.
I'm just too longwinded. I wish I could have boiled it down to its essence so nicely.

Tangled Bank XXXVII

Tangled Bank XXXVII has been posted at milkriverblog. Time for some great science blogging!

The Wedgie Document and the creationist challenge

Creationists have the Wedge Document. Now, thanks to The Commissar, one of my favorite conservative bloggers, a man after my own heart who leans right (albeit a bit farther right than I do) but doesn't buy into the fundamentalism of the Christian right that has infested the Republican Party, we now have the Wedgie Document, a guide to arguing with creationists on the Internet.

One phenomenon The Commissar mentions that hit close to home is the "not a creationist" creationist, a phenomenon, I would point out, that is not limited to just one variety of crank. Back in my days on alt.revisionism, we had to deal with a similar sort of person, the "not a denier" Holocaust denier. We regulars could spot them right away. Usually, it would start with a newbie entering the newsgroup. They would then express innocent-sounding "doubts" about some aspect of the Holocaust or other. A little questioning would usually be all that it would take to reveal their true agenda and that their "doubts" came straight from the standard list of denier canards. I usually tried to give them the benefit of the doubt, at least initially, in case they were just someone ignorant about history who had stumbled onto neo-Nazi or Holocaust denier websites. I soon learned I was wasting my time and became a lot faster to realize that, when it walks like a duck and quacks like a duck, it's probably a duck.

I can well understand why Holocaust deniers would want to try to hide their true agendas or beliefs. Most people consider Holocaust deniers to be despicable--and rightly so--because it is virtually always anti-Semitism that drives their Holocaust denial. As I have said before, although I leave open the possibility that there is a Holocaust denier out there who isn't either a neo-Nazi, an anti-Semite, or both, I have yet to encounter one. (Indeed, every Holocaust denier that I've ever encountered will, with a little questioning, reveal anti-Semitic and/or neo-Nazi sympathies.) On the other hand, I have a harder time understanding why creationists would go so far to deny that they are creationists. There is no real perjorative implication to being labeled a creationist in large swaths of the country, certainly nothing as bad as being labeled a Holocaust denier. Creationists tend to confuse religion with science, and they really only become a problem when they try to pressure gullible school boards to put the imprimatur of the state behind their beliefs and require their teaching in public schools. I suspect that their reluctance to reveal themselves is because, for some reason, creationists seem to crave the mantle and authority of science. They're desperate to be taken seriously outside of the context of their religion, which is odd, given the contempt many of them seem to have for science. Such a desire will drive "intelligent design" creationist "luminaries" like William Dembski to say with a straight face during a CNN debate with Michael Shermer that "intelligent design" doesn't require the "designer" to be God (and could even be aliens or some sort of Gaia-like intelligence). Of course, he will then turn around and say in essence to evangelical audiences that of course the "designer" must be God. Because they either know they are peddling religion or are too ignorant of science to realize that ID is not science, creationists can't admit that ID is religion-based in secular settings. They realize that doing so would endanger their strategy to get ID taught in public school classrooms as an "alternative" to evolution by explicitly running afoul of the Establishment Clause.

So, if I may be so bold, I'd like to suggest to the Commissar another variety of ID creationist: the "my religious beliefs have nothing to do with my support of ID" variety, a variant of the "not a creationist" creationist. And, in The Commissar's spirit of going on the attack, I'd like to adapt an earlier challenge to a different variety of crank. The next time you see an ID apologist claiming that religion or God has nothing to do with ID, lay this challenge on them:
Where are all the "intelligent design" advocates who are atheists (or even just agnostics)?

It's a fair question. After all, how can ID advocates hope to be taken seriously if they all have such apparent biases, agendas and axes to grind? If, as its advocates claim, "intelligent design" is strictly about science, evidence, and experimentation and has nothing to do with a belief in God, then it is not unreasonable to expect that there should be some atheists out there who accept ID as science.

In a particularly telling contrast, there are plenty of "evolutionists" out there who believe in God, refuting the oft-voiced claim by some creationists that "evolution=atheism." There is clearly no inherent conflict between belief in God and acceptance of the science of evolution. So, if ID is science, as its adherents claim, then why shouldn't we also expect there to be some atheists out there who, without a belief in God (or any religious beliefs at all) have come to accept "intelligent design"?

So, then, if "intelligent design" is an intellectually honest scientific endeavor, where are the ID advocates who are atheists (or even agnostics)? You'd think that after many months of my looking for one, at least one ID advocate who is an atheist or agnostic would have come forward and said "Here I am!"

But, no. It appears that there just aren't any such ID advocates around.
I plan on posting this challenge every so often. I encourage readers to do the same. Unfortunately, even though it should be, simply emphasizing and explaining the mountain of evidence for evolution and contrasting it with the zero credible scientific evidence for ID creationism isn't enough. We have to frame the debate in its true terms: adherents of ID trying to have their religious views taught as science. And it's not just any religion or even Christianity in general, but a small fundamentalist subset of Christians and other religions, including Muslims and Jews. Most mainstream religions accept evolution as settled science and as being in no conflict with their beliefs. That point needs to be hammered home again and again and again, and my little challenge is just one way of doing it. Coming from a Roman Catholic background, I have no problem with religion or a belief in God, as long as it is not forced upon children in state-run schools. Unfortunately, that's exactly what teaching creationism, whether of the ID variety or otherwise, in public schools would be.

Tuesday, September 20, 2005

Simon Wiesenthal has died

Simon Wiesenthal, 96, the controversial Nazi hunter who pursued hundreds of war criminals after World War II and was central to preserving the memory of the Holocaust for more than half a century, died today in Vienna, Austria, his base of operations. (Link)

Rest in peace. Your work will not be forgotten.

Grand Rounds LII

Grand Rounds LII has been posted at SoundPractice.net. Go forth and check out the best of the medical blogosphere.

A meme strikes

Yesterday was clinic day. Clinic always wipes me out, and yesterday was no exception. Thankfully, via Pharyngula, I found this meme, the answers to which my readers might find informative and which didn't require much effort to answer, thus providing precious material on a day when I didn't much feel like blogging and didn't have anything in reserve. So, without further ado:

Academic Blog Survey

Overview:

The following survey is for bloggers who are actual or aspiring academics (thus including students). It takes the form of a go-meme to provide bloggers a strong incentive to join in: the 'Link List' means that you will receive links from all those who pick up the survey 'downstream' from you. The aim is to create open-source data about academic blogs that is publicly available for further analysis. Analysts can find the data by searching for the tracking identifier-code: "acb109m3m3". Further details, and eventual updates with results, can be found on the original posting:

http://pixnaps.blogspot.com/2005/09/academic-blog-survey.html

Instructions:

Simply copy and paste this post to your own blog, replacing my survey answers with your own, as appropriate, and adding your blog to the Link List.

Important (1) Your post must include the four sections: Overview, Instructions, Link List, and Survey. (2) Remember to link to every blog in the Link List. (3) For tracking purposes, your post must include the following code: acb109m3m3

Link List (or 'extended hat-tip'):
1. Philosophy, et cetera
2. Pharyngula
3. Respectful Insolence
4. Add a link to your blog here

Survey:

Demographics
Age - early 40's
Gender - Male
Location - Mid-Atlantic
Religion - Roman Catholic
Began blogging - December 2004
Academic field - Surgical Oncology
Academic position [tenured?] - Assistant Professor [not yet]

Approximate blog stats

Rate of posting - Daily, with occasional days off
Average no. hits - Excluding Instapundit-generated visits to my hosting of the History Carnival, just under 1,000/day (folks, let's get the average over 1,000!)
Average no. comments - 5-10/day
Blog content - 30% medicine, 25% science; 30% skepticism; 10% political, 5% personal.

Other Questions

1) Do you blog under your real name? Why / why not?
- No. I use a pseudonym. I've explained why here. Basically, I do not want my blog to be the first link that comes up when patients Google my name. However, as I've pointed out before, it's not particularly difficult to find out who I really am. Indeed, recently, I was "outed" on a mailing list. The woman who did it listed a bunch of links, and seemed to be implying that I was sympathetic to or somehow connected to Jeff Rense, who, in case you haven't heard of him, is a conspiracy-mongering racist who routinely posts or links to tripe like this. She was clearly too blinded by her own dislike of my message for evidence-based medicine and against quackery to realize that the reason my name sometimes pops up alongside anti-Semitic twits like Rense is because I have spent a lot of time arguing against such hatemongering. Either that, or she didn't care.

2) Do colleagues or others in your department know that you blog? If so, has anyone reacted positively or negatively?
- Yes. My Department Chair and Division Chief know. Neither of them has given feedback negative or positive, and, as far as I can tell, neither of them read it regularly. I'm not sure if either of them read it at all. When informed of its existence, both have told me they don't care about it as long as it's done outside of work and doesn't interfere with my duties.

3) Are you on the job market?
- No, not now. I don't have any plans to go anywhere anytime soon. (Of course, if I actually were thinking of moving on, do you think I'd mention it here? Didn't I just tell you that my Division Chief and Department Chair know about my blog? That's one reason this question in the meme is a little bit silly for any but students and postdocs.)

4) Do you mention your blog on your CV or other job application material?
- Are you out of your mind? I doubt potential employers would understand or appreciate EneMan or the Hitler Zombie (although one who did would certainly go up several notches in my estimatinon.) I would never lie if asked about it by anyone, but I see no reason to be the first to bring it up. Certainly, I see no reason to put it on my CV, as it is irrelevant to my qualifications.

5) Has your blog been mentioned at all in interviews, tenure reviews, etc.? If so, provide details.
- I have no way of knowing right now. When I finally go up for promotion to Associate Professor, I may find out, but I highly doubt it will matter one way or the other.

6) Why do you blog?
- I've been active online on and off since the early 1990's and continuously since 1997. Mostly I was on Usenet and other forums combatting Holocaust denial. After starting to blog on a whim, I rapidly discovered is much more fun and satisfying than Usenet and online forums, because I can write about what I want to write about when I want to write about it and when I have time, rather than primarily reacting to what other people post, which is the usual case on Usenet. I also have managed to amass a much larger readership than I probably ever did on Usenet. Finally, scientific writing (which is what I have to do a lot of at work) is very formalized and staid. Blogging allows me to indulge my creative side. As a side benefit of blogging, I've even noticed that I encounter writer's block while working on grants and papers noticeably less frequently than I used to.

Any academics reading this, feel free to participate...

RINO Sightings XI: The Hornitarian Jihad

RINO Sightings XI has been posted at evolution. As j.d. likes to say:
The rhinoceros is a good mascot for the Raging RINOs. Rhinos are mostly docile; they like to sleep, lie in the cool mud, have sex, eat, play with the kids, things we all like to do. We Hornitarians like to keep our horns sharp, however, for when the elephants and donkeys come stampeding through with their bags of money and TV cameras.
Go get 'em.

Monday, September 19, 2005

What makes a crank a crank?

The other day, I was amused to read PZ Myer's highly entertaining slapdown of Timothy Birdnow, who posted to the mis-named website The American Thinker an appallingly ignorant article entitled, The Case Against Darwin. PZ was brutal as he usually is with such confidently asserted ignorance about evolution, but no more brutal than the material, a listing of the usual creationist "critiques" of Darwin served up with some truly egregious errors in basic biology--such as not getting the number of phyla even close to correct (Birdnow claimed there are 5 when there are 30) and the claim that DNA molecules are "composed of the even simpler RNA molecule"-- deserved. Predictably, Birdnow whined in his blog that he was being abused and then laughably removed his response and created a new Blogspot blog entitled Darwin's Inquisition, where he re-posted his original laughable response, entitled Darwinist Declare Jihad on Birdblog. (No, that's not my typo.) He even ran to William Dembski's blog begging for help, claiming that he's being "assaulted by PZ Myers and his Panda's Middle Finger minions at my website," while directing poetry back at PZ that, ironically, he doesn't seem to realize applies to him far more than his critics.

It is not my intent to pile on and add another point-by-poing blog slapdown of Mr. Birdnow to those of PZ. There's really no need, as Mr. Birdnow has dug himself into a deep hole and made an utter fool of himself flaunting his amazing ignorance of biology and then, when all his errors were pointed out to him, claiming that his errors didn't make his arguments less valid. (Besides, I can't come close to PZ when it comes to giving creationists like Birdnow the blog slapdowns they beg for.) When faced with legitimate (albeit somewhat rough) criticisms of the blatant errors in his presentation and his arrogance in refusing to recognize how much he does not know, Birdnow went running to Dembski, making him hardly worth bothering with as much as I have. Rather, what caught my eye was an interesting exchange in the comments of his post that summed up quite well what makes creationists cranks. Indeed, it summed up a characteristic of cranks in general, which is why I wanted to make it my launching point.

A commenter going by the 'nym of StaticNoise said:
Without the complete taxonomic relationship of organisms we can't possibly guess at ancestral relationships and declare evolutionary theory completely settled. There has been a persistent campaign by evolutionists to bully the lay public, as evidenced in this thread, into accepting that the debate is over.
Another commenter called Dr. G. Hurd, recognizing this as an argument from ignorance, retorted:
Can you tell me the exact trajectory of every round of every rifle fired in the Second world War? Can you tell me the names of every person, civilian or military, who died on Nov. 17th, 1943 as a result, direct or indirect, of the Second World War?

Obviously, your failure to do so "proves" that the "theory of the Second World War" is a total fabrication used by historians to "bully the lay public, as evidenced in this thread, into accepting that the Second World War is over."
Hurd nailed it right on the head! And succinctly, too! In fact, I wondered as I read his comment whether he had had some experience dealing with Holocaust deniers. Why? Because one of the key claims of some Holocaust deniers is that there could not have been nearly as many Jews killed in the Holocaust because, as they like to demand, "Where are the bodies and ashes?" Or, alternatively, they like to ask they like to make the fallacious claim that there is no forensic evidence that victims were gassed. As creationists do about mainstream scientists, they make claims that "mainstream" historians try to "bully" the public that the "debate is over" while implying that, if historians can't come up with a Holocaust death toll that accounts for every single Jew, Gypsy, Slav, and others who died at the hands of the Nazis, this somehow casts grave doubt on the very historicity of the entire Holocaust. (Oddly enough, they never ask the same questions or raise the same doubts about the Dresden firestorm or the Hamburg bombing, instead accepting without question even the most obviously inflated death tolls--a point I and others often throw back in their face, asking the same question, "Where are all the bodies?") In any case, in their their zeal to deny the Holocaust, Holocaust "revisionists" magnify uncertainties in estimates of the death toll or minor controversies over various aspects of the Holocaust, selectively disregarding the massive quantities of other documentary, physical, and forensic evidence supporting the contention that the Nazis intentionally developed a campaign of mass murder designed to eliminate European Jewry and any others that they saw as inferior or potential enemies of the state.

[DISCLAIMER: I do not mean to imply that creationists are anti-Semitic, as virtually all Holocaust deniers are, or Nazi apologists, as some Holocaust deniers are. I doubt that you would find a larger percentage of anti-Semites or neo-Nazis among creationists than you would in the general population. As I have pointed out before, I use this example to illustrate similarities in the fallacious reasoning the two groups use. I realize that such comparisons need to be used with care, hence this disclaimer.]

This sort of selectivity in attacking flaws in a theory or history is not limited to pseudohistorians like Holocaust "revisionists," of course, as "Dr. G. Hurd" pointed out by using his obviously absurd example. Creationists, including those of the "intelligent design" variety, like to pull a similar fast one, implying that, because we do not understand everything about how evolution occurred, because there are gaps in the taxonomy, because we do not entirely understand every step, because we haven't found each and every transitional fossil, this must imply that evolutionary theory is somehow fatally flawed and untrue. They ignore how much we do understand about evolution (which is a lot) and focus on every "flaw" in evolutionary theory, real or perceived, and every area where our understanding is incomplete, trying to magnify them in order to cast doubt on the theory of evolution. (Of course, they are also happy to overlook the fact that there is zero scientific evidence for "intelligent design.") The second implication, if you buy their claims that evolutionary theory is fatally flawed, is that their pet idea of "intelligent design" must be correct (or at least better). They seem to think that, by attacking evolution by hook or by crook, they "prove" that "intelligent design" is a reasonable alternative, all, conveniently enough, without having to produce any actual positive evidence for their alternative idea. (I won't dignify it by calling it a "theory.")

Indeed, this sort of behavior is almost a sine qua non of every variety of crank and pseudoscientist, be they "intelligent design" creationist or altie. Cranks tend to crave certainty, and, usually unintentionally, they often misinterpret weaknesses in current theory as fatal flaws that completely negate the theory. To them, if every hole isn't filled in, if every doubt isn't addressed, if every detail isn't understood, then theory must be invalidated, and, by implication, theirs must be a reasonable alternative. Science doesn't work that way, though, nor does history. For such disciplines, there will always be areas we do not understand in as much detail as we would like, and there will always be areas that current understanding doesn't adequately explain. However, these areas must be examined in light of what we do understand. For example, for evolution we understand a lot. There is an enormous amount of observational and experimental evidence from many disciplines that support current theory.

Unfortunately, science will always be susceptible to this sort of attack, at least in the eyes of nonscientists, because it is the very nature of science that no theory is ever final. Although to become elevated to the level of a "theory," a set of scientific postulates must have an enormouse amount of evidence supporting them, making them the best current understanding of a natural phenomenon that we have, no theory is ever considered to be the final word; every theory is subject to revision (most common) or replacement with a better theory (much less common) when new evidence and experimental results warrant it. To me and most scientists, science would be a boring and unrewarding field indeed if it were otherwise, because we would have very little to study. Much of the excitement of doing science comes from the possibility of discovering something new and unexpected that adds to our understanding of nature. Indeed, contrary to what cranks seem to think, the greatest glory in science is not confirming current theory but modifying it or even overturning it for something new. Unlike scientists, however, cranks don't understand that only pointing out and exaggerating the flaws in current theory is enough. They conveniently forget the part about having to produce strong evidence that supports their ideas, evidence strong enough to convince the vast majority of scientists.

Saturday, September 17, 2005

Odd ads appearing on my new Gmail account

A week into having my spiffy new Gmail account, I've come to like it. Its concept (no folders and search-based message finding) takes some getting used to, but it actually seems to work, particularly for the amount of e-mail I get from this blog. Better yet, I can access it using a POP client if I wish. It serves its purpose as the contact e-mail address for thiis blog better than the old Hotmail account (which, by the way, I'm checking on less and less often).

One thing I've noticed, though, is ads appearing on the side of the browser. Supposedly, these ads are chosen based on an automated computer algorithm that screens the text of your mail and somehow picks links or ads that it calculates you will be interested in. Yesterday, I was perusing my blog mail, and noticed this link to the side of my mail:


Hmmm. Maybe that Google algorithm isn't so ridiculous after all.

Friday, September 16, 2005

Thinking "outside of the box"

A Photon in the Darkness has an excellent piece on the difference between "thinking outside the box" and "going around the bend" (although I would have phrased it as "going off the deep end"). I particularly like the part where he points out that even Nobel Laureates are not immune to going off the deep end when they wander outside of their field of expertise, with this warning:
Those things [Nobel Prizes] should come with warning labels: "CAUTION! DOES NOT GRANT SUPERHUMAN MENTAL POWERS!"
As I've always said, it's good to have an "open mind" in science. That's how nearly all the major advances come about, from scientists with open minds and a willingness to work very hard on their ideas using rigorous scientific method. But you really do have to make sure your mind is not so open that your brains fall out. You do have to keep in mind what is and is not likely--or even possible.

Yet more screwing over by a software developer

I've had all I can stands, and I can't stands no more. (Apologies to Popeye.)

A couple of weeks ago, I learned that Thomson Scientific is peddling yet another upgrade to EndNote, from version 8 to version 9. For those of you who don't know what EndNote is, it's reference manager software. The reason this sort of thing comes to the fore right now is because I'm presently working on a paper and a grant. I don't know how people kept track of dozens (or even hundreds) of citations and references in the era before reference manager software (say, before the early 1990's, when I first discovered this software). I remember writing up mere 15 page lab reports for Physical Chemistry in college, which generally needed around 10-20 references, and typing them up on an old-fashioned typewriter while keeping all the citations and references straight was hard enough. I don't know how I would have managed my doctoral thesis, with its eight chapters and 250+ references without EndNote, and I don't know how I would have handled my most recent grant application, which had a similar number of references.

Consequently a good reference manager is an absolute essential for a scientist or an academic physician, as it is for many other academics who need to cite other work extensively in their writing. Unfortunately, over time, having swallowed up all the competition, like Reference Manager, Thomson Scientific has become, in essence, a monopoly on this sort of software, much as Microsoft Word has become more or less a monopoly on Word processing software, particularly for the Mac. Back when I started using EndNote in the early 1990's, it was a lean, mean citation machine whose major updates were actually major updates, released at reasonable time intervals. Unfortunately, I've noticed a disturbing trend over the last 5 years or so for its developers to release more and more frequent paid "major" upgrades that really aren't "major" at all. This wouldn't be such a big deal, except that first ISIResearchSoft (which bought out EndNote from Niles Software several years ago) and then Thomson (which bought out ISIResearchSoft) have had a sneaky way of making them into de facto mandatory upgrades. In short, EndNote almost always breaks after a major upgrade of either Microsoft Word or the Mac OS. For example, a while back, when Apple released a major upgrade, EndNote broke to the point where it couldn't be used. Something like that shouldn't happen to software that doesn't hook into the system somehow and that follows Apple' developer guidelines. None of my other major applications broke with that Mac OS upgrade, so why did EndNote? When Microsoft released Office 2004, EndNote stopped working with Word 2004. So what? you say. Thomson can't control changes that Microsoft decides to make in Word. True enough. And it wouldn't have bothered me that much, except that it took Thomson five months to release a Word 2004-compatible version (EndNote v.8) with very little in the way of new features to offer other than Word 2004 compatibility (certainly the feature set wouldn't have tempted me to upgrade by themselves.). This is very odd because EndNote is a product that is intimately tied to Microsoft Word. Didn't the developers have access to beta versions of Word to use to develop EndNote 8, so that it wouldn't take them five months after the release of Word to get their product out? And of course, you had to pay for this "upgrade."

That was last October.

When I upgraded to Tiger (Mac OS X v.10.4), I did so with some trepidation, because I was afraid that EndNote would break again. I installed Tiger only on one older computer that I almost never used for serious writing. Much to my relief, it actually seemed to work OK. A little testing seemed to be OK; consequently, I applied the upgrade to my laptop and desktop computers. So far so good. What's going on here? I wondered. Thomson must be slipping.

And now, less than a year after the last "major" upgrade, Thomson is trying to soak its users again for yet another "major" upgrade. This is getting ridiculous. Scanning the feature set, all I see that might be useful is integration with Spotlight, the system-wide search function integrated into Tiger. Nice, but is it worth forking out $99 for? No way. If you're a Windows user, I can't see why on earth you'd bother with this particular upgrade, because to you its new integration with Spotlight would be irrelevant.

Even though I've been a continuous user of EndNote since the early 1990's, I think I'll pass this time around and wait for either the next version of the Mac OS or Microsoft Word to break EndNote 8 or (maybe) for EndNote 10 to be released. Even though EndNote 8 is a bit buggy, at least it works now, and I have no guarantee that EndNote 9 won't be just as buggy. It's not wise to switch reference managers in the middle of a writing project, anyway; and it's even less wise to submit to yet another attempted screwing by Thomson.

Thursday, September 15, 2005

The Seventeenth Skeptics' Circle

While I was slaving away over the History Carnival last night, decorabilia was frantically working on the most recent Skeptics' Circle, and his efforts have been rewarded.

If you want to know what's bogus and what's not? Go to the Seventeenth Skeptics' Circle and Ask a Random Skeptic!

The History Carnival XVI

Welcome to the History Carnival.

As many of you know, I am not a history blogger or trained historian. Indeed, the primary focus of this blog has been evidence-based medicine versus quackery, science versus pseudoscience, the occasional political post, and the occasional uncategorizable bizarre post, and, yes, history versus pseudohistory. However, I do have a strong interest in history, particularly World War II history and the Holocaust, as well as a long history of debunking Holocaust denial, and that’s why I wanted to host this carnival. My first idea for hosting involved a storyline that included Orac, EneMan, and the Hitler Zombie. Fortunately for you, dear reader, unlike the case for my previous hosting of Tangled Bank, this time I actually showed some restraint.

With my interest in World War II history and the Holocaust, you’d think I’d love The History Channel (a.k.a. The “Hitler” Channel, given the predominance of programming about World War II and the Nazis it generally serves up). And I do, for the most part. (It seems to be a guy thing.) However, even I get tired of such large quantities of earnest programs about various World War II battles, series about the rise and fall of Hitler, or shows about military equipment and warplanes of that era. I sometimes dream of a broader, more diverse History Channel that emphasizes many eras and cultures and presents the topics accurately but with a sense of—dare I say it?—fun. So imagine, if you can, what sorts of shows might be premiering on History Channel this fall if the channel were run by History bloggers. Imagine, if you will, The Historoblog Channel.

PREMIERE WEEK ON THE HISTOROBLOG CHANNEL

I leave it to the reader to determine which show should be on what night. What's a Monday night show? What's a better Friday night show? What show should be on in the early morning or the middle of the night? You decide. Now, without further ado:

What the Bleep Do We Know--About History? (Miniseries) This week, the crew examines basic methodology in historical research, particularly the question of how we know what we know about history how we find out about history. In this first episode, Peter Kirby of Christian Origins gives an introduction to the historical method. Future episodes will include a two part (1, 2) segment on how archaelogy can supplement the historical method to investigate the history of slavery and an episode about David Hume's writing of "philosophical history."

The Education of a Talking Head. (Miniseries) Behind the scenes reality show in which a historian learns what it's really like to make a TV documentary about history, in this case about Ulysses S. Grant. (Four part series.) Hijinks ensue as matters of scholarly credibility battle the need for screen presence.

Lying About History? (Series) Lying About History? is a show that demonstrates that distorting for ideological purposes history isn’t just for David Irving anymore. In this show, a roundtable of historians delivers a well-deserved smackdown, McLaughlin Group-style, to those who would distort, lie about, or misuse history for ideological reasons and in general just argue about issues where it is not so clear that there is distortion. In this premiere episode, the controversy over Michelle Malkin’s book In Defense of Internment about the internment of Japanese-Americans during World War II is examined. David Neiwert, a frequent critic of Malkin, takes on Malkin's claims once again that Assistant Secretary of War John J. McCloy had ordered the internment of Japanese-Americans on the basis of decrypted MAGIC transcripts indicating a high level of espionage among this population. Greg James Robinson explains why McCloy may have changed his justification and expands on why this change completely undermines Malkin's thesis. Finally, Neiwert laments that this pseudohistory is spreading to more mainstream conservative writing. (Ed. Note: Orac really does wish this show actually existed. Imagine the possibilities, as distorting history is a bipartisan proclivity.)

History by PowerPoint. (Series) No, this isn't some sort of Microsoft plot for world domination. This series takes a humorous look at major historical events by telling the tale through imagined "lost PowerPoint slides," proving that any complex historical event can be reduced to a series of bullet points. This week: The Lost PowerPoint Slides of William Wallace. (Why? Because we can.) Next week: Thucydides present the history of the Peloponnesian War.

Religion in History. (Series) Wilson examines a treatise from 1644 that argues that civil authority does not derive from religious authority. Jonathan Rowe examines the claim that the U.S. was founded as a Christian nation. Future episodes will include a multipart feature about the Oracle of Delphi and the effect belief in the Oracle had on the development of the Greek calendar, entitled "Dolphin Watching in Ancient Greece."

Historic True Crime. (Series) "An Audience for Murder." This week, how to get away with murder in front of a live audience.

Ethics in History. (Series) This show presents ethical issues from the past and contrasts ethics then with ethics now. This week: Ahistoricality Alert: Did Lincoln Violate the Geneva Convention? (Of course, there was no Geneva Convention back then, but isn't that the point?)

Racism in America. (Series) This show explores every week the evolving history of racism in America. "The Untold History of the Chinese Exclusion Act." An in-depth look at the Chinese exclusion act and its consequences. Future episode: Venus in the Dark: Blackness and Beauty in Popular Culture. The history of the "Hottentot Venus" and how racism has led to the demeaning use of black bodies.

Rebellion! (Series) This show examines rebellions and revolutions throughout history. This week: The story of the largest slave revolt in colonial North American history.

Listen Up! (Series) This series is dedicated to bringing you the sounds of history, from primary recordings when possible, from recreations based on the latest scholarship for earlier events. This week, ghw examines why there is a growing interest in how history sounds.

Genocide. (Series) Genocides throughout history and their repercussions. This week: British Muslims complain that Holocaust Remembrance Day excludes them. Are they justified in their complaint?

Monuments. (Series) Thorgrim presents the social history of the Standing Stone. Randy can't believe his ears when he hears a father tell his child that a Civil War monument is "just another monument." Phil Harland reports on a new study of Roman imperial statue bases.

9/11 as History. (Special) Join Beldar as he examines what may happen in 20 years, when 9/11 will be more history than memory, comparing it to Pearl Harbor. Doc Charles points out that 9/11 is still firmly memory for him. Meanwhile Michael McNeil describes the 1,905th anniversary of a different 9/11.

Past Present Imperfect. (Series) This provocative show looks at present day events and looks into history for parallels. This week: The New Orleans Hurricane and Flood. Rob MacDougall hosts, comparing the 2005 flood with the "good flood" of 1927 in New Orleans, examining its consequences. In another segment Radagast looks at some rather inflammatory comparisons between the response to this natural disaster and the response of previous Presidents to natural disasters. Guests Sean Hannity and Karl Rove get very upset.

The Untold Story of a Different Apartheid. (Special) J. Otto Pohl shines a light on a lesser known example of apartheid, this time in the Soviet Union.

Plagues Throughout History. (Series) The history of disease and plague. This week: When Germs Travel (plagues throughout the centuries and their consequences). Future weeks: Greek Fire, Poison Arrows & Scorpion Bombs (Adrienne Mayor describes how Hercules was the most famous early practitioner of germ warfare); Fire and Plague (Did the Great Fire of London of 1666 halt the spread of the Great Plague by killing off the city's rats?)

Mysterious People. (Series) Mysterious and intriguing people throughout history. This week: The Mystery of the "Piano Man."

Thanks everyone for contributing and nominating others' work. It's been fun. And be glad that that I restrained myself from having the Hitler Zombie make an appearance! He'll show up again, sometime, I'm sure, though.

In any case, the next History Carnival will be hosted by The Apocalyptic Historian on October 1 (I love that blog name). Get your entries to Lisa at vox@apocalyptichistorian.com. Also, don't forget Carnivalesque on October 9. A call for entries is here.

Wednesday, September 14, 2005

I wish I had said that

I'm working on the History Carnival for Thursday; so I don't have a lot of time. I hadn't planned on posting today at all, actually, but when I came across this article, I just had to post. I can't believe I didn't notice it a while ago, when it first came out.

In this letter, published in BMJ, Michael Baum, Professor Emeritus of Surgery at University College London, chastises Prince Charles for his fondness for quackery and his recommendation that cancer patients try the Gerson therapy. I take this excerpt from it because it is one of the best and most concise rebukes of fashionable nonsense I have heard. Here he lets the Prince have it with both barrels, using that oh-so-British exaggerated respect:
The power of my authority comes with a knowledge built on 40 years of study and 25 years of active involvement in cancer research. I'm sensitive to the danger of abusing this power and, as a last resort, I know that the General Medical Council (GMC) is watching over my shoulder to ensure I respect a code of conduct with a duty of care that respects patients' dignity and privacy and reminds me that my personal beliefs should not prejudice my advice.

Your power and authority rest on an accident of birth. Furthermore, your public utterances are worthy of four pages, whereas, if lucky, I might warrant one. I don't begrudge you that authority and we probably share many opinions about art and architecture, but I do beg you to exercise your power with extreme caution when advising patients with life threatening diseases to embrace unproven therapies. There is no equivalent of the GMC for the monarchy, so it is left either to sensational journalism or, more rarely, to the quiet voice of loyal subjects such as myself to warn you that you may have overstepped the mark. It is in the nature of your world to be surrounded by sycophants (including members of the medical establishment hungry for their mention in the Queen's birthday honours list) who constantly reinforce what they assume are your prejudices. Sir, they patronise you! Allow me this chastisement.
"Allow me this chastisement"? I love it. So British. No doubt alties will resent Mr. Baum (I still can't get used to the way the British refer to surgeons as "Mr.," rather than "Doctor") for "arrogance" for claiming that his 40 years of experience and 25 years of research should count for more than the Prince's love of quackery. I only hope that, once I've reached 40 years in practice, I remember his rebuke. He then goes on to explain why anecdotes are not good enough evidence of effectiveness:
Many lay people have an impressionistic notion of science as a cloak for bigotry. Nothing could be further from the truth. The scientific method is based on the deductive process that starts with the humble assumption that your hypothesis might be wrong and is then subjected to experiments that carry the risk of falsification. This approach works. For example in my own specialism, breast cancer, we have witnessed a 30% fall in mortality since 1984, resulting from a worldwide collaboration in clinical trials, accompanied by improvements in quality of life as measured by psychometric instruments.

You promote the Gerson diet whose only support comes from inductive logic—that is, anecdote. What is wrong with anecdote, you may ask? After all, these are real human interest stories. The problems are manifold but start with the assumption that cancer has a predictable natural history. "The patient was only given six months to live, tried the diet, and lived for years." This is an urban myth. With advanced breast cancer the median expectation of life might be 18 months, but many of my patients live for many years longer, with or without treatment.
Go get 'em, Mr. Baum. Sharing Mr. Baum's specialty, I've discussed this very shortcoming of "testimonials" multiple times, but in most detail here.

But here's where he sums it up perfectly:
I have much time for complementary therapy that offers improvements in quality of life or spiritual solace, providing that it is truly integrated with modern medicine, but I have no time at all for "alternative" therapy that places itself above the laws of evidence and practises in a metaphysical domain that harks back to the dark days of Galen.
That's exactly what the vast majority of alternative medicine tries to do, unfortunately.

Tuesday, September 13, 2005

Two last calls

Two last calls for blog carnivals!

First, I'm hosting the History Carnival on Thursday, September 15. You have only a little more than 24 hours to get your best blogging about history to me at oracknows@gmail.com. The deadline is 9 PM EDST tomorrow night.

Second, decorabilia is hosting the Skeptics' Circle, also on Thursday, September 15. You have a little more than 25 hours to get your best skeptical blogging to Jim at decorabilia@hotmail.com. The deadline is 7 PM PDST.

Grand Rounds LI

Grand Rounds LI has been posted at Sneezing Po, this time with an art theme.

Leave it to EneMan to be unable to resist a classy presentation.

Active euthanasia in New Orleans: An urban legend in the making?

Via Kevin, M.D., I've learned of a news report in which it is claimed that doctors made the morally harrowing decision to kill patients in flood-ravaged hospitals with overdoses of morphine rather than letting them die in pain. The story Kevin cites seems to have originated from this article published in the British tabloid The Mail on Sunday and then to have spread thoughout the British, Canadian, and Australian media. It tells a harrowing tale, which has been commented on by Majikthise and Pandagon, among others:
With gangs of rapists and looters rampaging through wards in the flooded city, senior doctors took the harrowing decision to give massive overdoses of morphine to those they believed could not make it out alive.

In an extraordinary interview with The Mail on Sunday, one New Orleans doctor told how she 'prayed for God to have mercy on her soul' after she ignored every tenet of medical ethics and ended the lives of patients she had earlier fought to save.

Her heart-rending account has been corroborated by a hospital orderly and by local government officials. One emergency official, William 'Forest' McQueen, said: "Those who had no chance of making it were given a lot of morphine and lain down in a dark place to die."
Given the horrific conditions in some New Orleans hospitals three days after the hurricane, the story certainly sounds plausible on the surface. Conditions were harsh in New Orleans hospitals for a few days before relief came. There was no power, no running water, and flooding of the lower floors of all but one hospital. And, yes, there were armed gangs of looters threatening to break into some hospitals. But something--I'm not sure what--set my skeptical antennae twitching. Something about this story definitely seemed fishy to me.

As I thought about it more, my misgivings multiplied. Yes, it is very likely that doctors probably were forced to do some form of disaster area triage, deciding which patients had a decent chance of making it and which didn't, and then making decisions accordingly about who would be treated and/or transported first. However, as a physician myself, it didn't ring true to me that these doctors would be quite so cavalier about devoting so much of their precious stocks of morphine to euthanize "hopeless" cases when there were undoubtedly many salvageable patients who needed pain medicine and no new supplies of drugs could be anticipated any time soon. In addition, as The Well-Timed Period points out, if all the narcotics were in a state of "lockdown" because of fear of armed looters and drug addicts breaking into the hospital (as claimed in the story), then how did one doctor get so many doses of morphine to use without attracting a lot of attention from nurses and her colleagues? And if it weren't just one doctor doing this, then why were there apparently no discussions or arguments about this, which would have been hard to keep secret? Killing our patients is not the sort of things that we doctors would all agree on, no matter how extreme the circumstances or how morally justified some might consider it under the circumstances. Individual practitioners would likely have strong and varied opinions about this issue. Finally, even if such passive euthanasia did occur, it seems unlikely that a doctor would talk about this to the press, particularly so soon afterward, with the disaster recovery still very much under way. This unnamed doctor would, under Louisiana law, be admitting to murder. It seems unlikely that any doctor who had actually committed such an act would want to take the chance of drawing attention to what she had done by blabbing to the press, with the attendant risk of the police identifying her. She would also be increasing the pain of the surviving relatives.

I decided to look into the story a bit more last night. Most interestingly, I Googled this William "Forest" McQueen described in this story. (I only wish I had clicked on the link in the piece in The Well-Timed Period before; ema had already done the Googling for me.) I could find nothing on the web about him other than this article from the BBC News Service:
Mother-of-two Suzanne McQueen, of Maidstone, Kent, is waiting for news of her American husband (William) Forest McQueen.

He has been working in his home country since 1997, and lives and works with his brother in the Abita Springs area, north of Lake Pontchartrain, which is north of New Orleans.

The couple married in the UK in 1991, and Suzanne said she and her daughters - aged 11 and 13 - were planning to move to the US to join her husband as soon as was possible.

Mr McQueen's wife has had no news from his friends and family. Part of his job there is to maintain the grounds of an old plantation house, she said.

"I phoned the morning the hurricane hit, and his brother said Forest hadn't been home for the last 24 hours because he'd been on shift clearing up trees and lines from all the wind damage that came before the hurricane. I haven't heard anything since.
This only named source cited in the article was a utility manager whose job it was to maintain the grounds of an old plantation house? He and an unnamed intern were the corroboration for this doctor's story?

But that wasn't the most dubious part. This part of the story sounds even fishier:
Mr McQueen, a utility manager for the town of Abita Springs, half an hour north of New Orleans, told relatives that patients had been 'put down', saying: "They injected them, but nurses stayed with them until they died."
This McQueen guy told relatives that their loved ones had been "put down"? What a compassionate, diplomatic guy! And, if nurses stayed with these patients, why was it that the only sources they could find to corroborate this unnamed doctor's story were an unnamed orderly, unnamed "government officials," and this guy, whose responsibility (if any) in the chain of command is not reported? How would he be in a position to know? Had he gone into New Orleans itself, or had he just been working in Abita Springs? After all, the worst conditions reported were within the city of New Orleans itself. Or were there armed gangs of thugs threatening hospitals the Abita Springs area? Why is Mr. McQueen the only named source?

I don't discount the possibility that this story may turn out to be true, given the brutal conditions in some New Orleans hospitals in the aftermath of the hurricane. Indeed, it could be true or an exaggerated account of what really happened. However, I have not been able to find any independent account to verify that this did happen that doesn't appear to be a variation of the original Mail story, and the three accounts there are as of this writing are riddled with claims that sound dubious to me. In the absence of independent corroboration, I must withhold judgment and consider the account unlikely to be true. What is unfortunate to me is the very credulous response that this story has received in the blogosphere, with lots of outraged or sad posts referencing the story but not one that I've been able to find (other than the one at the Well-Timed Period) expressing skepticism stronger than the "I'm not sure how reliable this source is" variety. Even the Bioethics Weblog commented on it without a whiff of skepticism, even though some of my concerns should have set off their skeptical antennae as well.

There's nothing about this yet on Snopes.com, but, if this story does turn out, as I think likely, to be an urban legend, it still brings up some difficult moral and bioethical questions, as J Train at Majikthise pointed out. Yet one has to ask, what chord did this story strike that caused it to resonate so? I think one possible answer is, oddly enough, contained right in the original story itself:
Their families believe their confessions are an indictment of the appalling failure of American authorities to help those in desperate need after Hurricane Katrina flooded the city, claiming thousands of lives and making 500,000 homeless.
The response to the Katrina disaster was so ineffectual initially that it is very easy to believe that doctors would become desperate enough to consider such an act. In such an environment, a story like this can gain a traction that it might not have gotten otherwise, had the government response been more swift.

Monday, September 12, 2005

RINO sightings

The latest RINO Sightings has been posted, this time inspired by Vanity Fair by William Makepiece Thackeray

Dispatches from the road, part V: I'm glad I didn't order the pulled pork

And now for something completely different...Why? Because I feel like it:

True story. (Apologies to Derf.)

Date: Four weeks ago today.
Location: Zingerman's Roadhouse, Ann Arbor, MI
Time: Approximately 7:30 PM

I can't believe I've already been back at work for two weeks. It's always amazing to me how fast vacations go by and how fast they recede into the past. Four weeks ago, I was on vacation and hanging out with old friends. One of my oldest, dearest friends and his wife still live near where we went to college together, the University of Michigan. We were fortunate enough to be able to pay them a visit, and they suggested Zingerman's Roadhouse as the restaurant they wanted to go to. Now, Zingerman's Deli is an Ann Arbor institution whose fine food I had partaken of on multiple occasions during my college years. Apparently, Zingerman's had expanded by building a second location, a full-sized restaurant on the outer edge of the city. Although Zingerman's Roadhouse was not my first choice, I nonetheless anticipated nothing less than good old-fashioned deli goodness for a meal plus the fine companionship that my friend and his wife would provide me and my wife.

We dined outdoors on the patio. The weather was perfect, and we were having a fine time catching up on news with our friends. As we waited to order, I noticed two large outdoor brick grills with steel covers. They looked large enough to grill a whole cow in them. At first, I thought nothing of them. Then I read this on the menu:
Eastern North Carolina Pulled Pork: Traditional whole-hog Eastern North Carolina barbecue. Fourteen hours on the pit, hand-pulled, chopped and blended with spicy vinegar sauce. Served with Southern-style braised greens and mashed Yukon Gold potatoes.
Hmmm. I thought. Sounds good. I hadn't tasted pulled pork since a trip to North Carolina several years ago. I rather liked it then. I briefly contemplated ordering it, but then decided that I'd rather have a burger instead. While we were eating, my attention came back to the grill I had previously noticed. It did not appear to be in operation at the time, and I was relieved at this because, from the menu description, I was pretty sure I knew what they used this particular grill for.

I was wrong. No, I wasn't wrong about what the grill was used for, but I was wrong about my asssessment that it wasn't in operation.

We were just reaching the end of our meal when a tall young cook wearing a and a Zingerman's T-shirt came out, pushing a steel cart with two large trays loaded on it, and stopped in front of the grill. He opened the steel cover to reveal a whole roasted pig, split down the middle, eyes open and staring, its flesh grilled golden brown. It thoroughly grossed me out. Pulled pork is rather like sausage. It tastes good and looks OK on your plate, but you really don't want to think about where it comes from too much. And you really, really, don't want to see it being made. Unfortunately, it looked as though that's exactly what I was going to get to see. As my friends and I continued to reminisce and discuss things that had happened to us in the last few months since we had last seen each other, I was treated to a spectacle. Well, I'm not sure "treated" is the right word.

The guy with the cart stopped the cart next to the grill and its contents. He then wedged two large plastic restaurant trays, like the kind they use in salad bars, between the cart and the grill, using the lips of the trays to for support. He then started to drag the roasted pig towards them. Hmmm. I thought. That looks like a two person job. It looks as though he could use some help.

I watched incredulously, with a feeling of impending doom, much like the feeling would get seeing a car racing towards a pedestrian and realizing that something very bad was about to happen but that there was nothing anyone could do to stop it. That pig, even gutted and split, looked as if it could weigh 100 lbs. Did the cook honestly think that the way he had those trays supported would be stable enough to hold all that weight? I sure didn't, even from 30 feet away. I sincerely hoped that this guy would get a sudden attack of judgment and find a different way to transport the pig to the kitchen for the pulling of the meat off of the bones or that someone would come out to help him.

He didn't and no one did.

It appeared for the moment that he might get away with what he was doing. He managed to drag the pig over and get the front half of it to hang into one of the trays. I assumed he was going to cut it in half and put the rear end of the pig into the other tray. (I sure couldn't think of how he would manage to lift both trays, plus a pig carcas straddling them, onto the steel cart.) He was struggling to get the other end of the pig dragged the rest of the way to the second tray when disaster struck.

Yes, dear reader, you can guess what happened next. The cart rolled a little bit, with not unexpected results. The tray holding the front end of the pig slipped off its precarious perch and fell to the concrete with a startling crash. Time froze momentarily, just like in the movie where the hero yells and runs in slow motion to try to prevent his buddy from being shot but fails. The pig's front end hung from the grill, hovering for just long enough for me (and the kid) to sense that the irresistable nature of gravity's pull would inevitably have its way before he could do anything to prevent it. The weight of the pig's front end caused it to slide off the grill, down the side of the grill, and to the ground. Because the pig had been roasted so long, it was quite tender, and it came apart on impact, chunks of meat separating from body in a horror of pig carnage, spreading grease and little flecks of pork about the edge of the grill and the concrete.

Of all four of us dining that night, I, unfortunately, had the best view of the incident, and I, of all of us, got to watch as the cook tried to pick up the pig carcass from the ground. Even without a couple of limbs, the pig carcass still looked heavy, and indeed it must have been, because the cook struggled to lift it off the ground and get it into the trays. Finally, he succeeded, and meekly wheeled his prize out of my view, presumably to the kitchen. Fate was somewhat kind to him in that at least the wheels of his cart didn't squeak as he did so.

My friends saw little of what had just happened, because they were facing away from the grill and had been so engrossed in conversation that they had failed to notice the explosion of pig parts behind them. When I told them, they almost didn't believe it, until I pointed out the stains and little flecks of pork on the concrete where the pig had met its ignominious fate.

As we left, I congratulated myself for my good judgment in not having ordered the pulled pork.

Sunday, September 11, 2005

September 11

WTC attack 1 Pentagon attack 3

The fourth anniversary of the terrorist attacks of September 11, 2001 is upon us, and it seems odd to me. In one way, so much has happened since then, such as the invasion of Afghanistan (which I supported) and the war in Iraq (which I started out ambivalent about and then came to oppose), that sometimes the attacks seem like ancient history, distant and increasingly irrelevant. Yet, in another way, it seems like only yesterday that the horror of the images being beamed to the nation from New York and Washington were burning their way into my consciousness. Today, I'd like to reminisce a little, maybe ramble a little as one can only do in a blog, but with a purpose (I hope). Because on that day, I discovered online just how pervasive hatred of America was even before our invasion of Iraq, and, given how complacent I was in retrospect, this revelation shocked me even more than my discovery of Holocaust denial eight years ago.

It was a Tuesday morning like any other Tuesday morning, except that the weather was spectacularly beautiful. It was a little after 9 AM were wrapping up our usual weekly Breast Cancer Conference, when a faculty member poked his head into the door of the conference room and informed us that apparently a plane had hit one of the World Trade Center towers and that there was a huge fire there. As the meeting was ending anyway, we all got up and headed over to the chemotherapy suite, where there were several televisions provided to help our cancer patients pass the time while they received their infusions, which for some of them could take 3 or more hours. There, the staff and patients were all riveted to the screens of every available TV. I gently muscled my way in and what met my eyes was far worse than anything I had expected. By this time, the second aircraft had hit the other World Trade Center tower, and enormous plumes of smoke and flame were pouring out of both towers. All of us remained riveted to the television, with only breaks to tend to the patients, as the chaotic news reports came in, with news of the Pentagon attack, news of the crash of the fourth plane in Pennsylvania, rumors of multiple other planes still in the air. I missed the fall of the first tower, but I was watching, jaw agape, when the second tower fell. I remember muttering intentionally loud enough to overhear something along the line of, "We have to get whatever fuckers did this," with a quivering rage greater than any I could remember every having experienced before. I think I knew then what people must have felt like when they learned of the Pearl Harbor attack; only in 1941 people couldn't watch it happening live on TV. I called my wife, who was not working that day, to see if she had turned on the TV yet and just to talk. I called my parents to let them know I was OK, even though I was many miles from the carnage.

It's easy to forget how chaotic the reports coming in were that morning, how full of rumors, how full of fear over planes unaccounted for, how difficult it was to know what was really going on. Given that our affiliated hospital is within easy helicopter range of Manhattan, we all assumed that we might be receiving casualties. The E.R. went on emergency footing; we closed the chemotherapy suite and sent the patients home as soon as we could. Orders came down that no physician was allowed to leave--not that any of us wanted to yet. The rest of the day was a blur, as we scrambled to set up, and as others used the chemotherapy suite for an impromptu blood drive. We had more donors than we could deal with quickly.

Night fell, and the last college students from our University filtered out after having donated blood, it became clear that no casualties were coming, and the reason was becoming increasingly obvious. There were so few survivors that local hospitals could handle them. As the medical staff had still been asked to stay, I went back up to my office and listened to the news reports. I couldn't concentrate on doing any productive work; so I fired up my computer and browsed the Usenet newsgroup, alt.revisionism to kill some time until word came down from above that the medical staff could leave. I immediately came across a thread begun by an angry post entitled Who Blew Up the World Trade Centers and Pentagon? It wasn't long before I came across a post by a regular on the group, who said:
It seems manifestly obvious to anyone who surveys this afternoon's festivities that the primary targets were not the American people but the financial and military installations of those who spread murder, poverty, death and despair throughout the world.
"Festivities"? Then unknown thousands of my countrymen had just been murdered in terrorist attacks, and this asshole was calling it "festivities" only three hours after the towers fell, as if it were a joke, a celebration? Suppressing the urge to respond immediately, I continued reading the thread, and came across this post by the same author in response to a comment calling him "beneath contempt" (a sentiment I thoroughly agreed with; this guy was scum):
For many months now the government of America, with the backing of the British government and other lackeys around the world, has been directly responsible for the deaths of thousands of children in the Middle East. Sometimes your filthy friends dropped death from the skies in the form of bombs directed at the people of Iraq. Sometimes your fellow vermin in the American government sponsored other governments to do their murderous work for them, as has been the case with their support for the strutting war criminal Sharon in Israel. Sometimes you people starved your victims slowly to death, depriving them of medicines and other essentials, as has been the case not only in Iraq but also in the Islamic Emirate of Afghanistan. The difference is that we never heard about those deaths. We were not shown the pictures of smouldering buildings crumbling to the ground when they were Iraqi buildings. We did not see the bleeding bodies when they were the bodies of Iraqis. We were not allowed to hear the cries of the dying children of Afghanistan or Palestine. Those things were kept from our television screens. And because you kept it from our television screens, you kept it from the minds of our poor, betrayed people. Now, however, the chickens are coming home to roost. This afternoon a truly wonderful thing has happened: the oppressed of the earth have turned around and have shown that they do not have to be nature's eternal victims. They have shown that the poor, the downtrodden, and the powerless can strike back at the very heart of the dark forces that are oppressing them. This time it was not Palestinian children who cowered in fear as death came from the skies -- this time it was the very fat bankers and financiers who sustain the terroristic regime of Sharon. This time it was those very military men who mastermind the attacks on the women and children of Iraq. They thought they were so safe as they planned death and destruction from their comfortable offices in the Pentagon, and as they did their dirty deals in the World Trade Center. Now they have been given a bloody nose that they will never forget.

Today was a glorious day. May there be many others like it.

Death to American capitalism!

Death to international finance!
I was flabbergasted. "A truly wonderful thing"? "Glorious day?" "May there be many others like it"? Here was a Brit who hated America so much that he was rejoicing in the deaths of thousands of us. Although I had become somewhat familiar with how much many Arabs and Palestinians hated the U.S., I had never seen such an intense hatred of the U.S. before coming from someone like this.

Time went by, and memory of the attacks became less intense. Then, earlier this year, I was reminded of this Usenet encounter when the Ward Churchill controversy arose. Ward Churchill, as you may recall, is a Professor of Ethnic Studies at the University of Colorado who apparently had had a bit of his brain snacked on by the Hitler zombie, inspiring him to write an essay about the September 11 attacks that surfaced early this year and caused him no end of trouble, thanks to his referring to workers at the World Trade Center as "little Eichmanns." His essay entitled Some People Push Back: On the Roosting of Chickens, written not long after the September 11 attacks, seemed to me to be an expansion of that Usenet post that I had seen mere hours after the attacks, so much so that I almost wondered if he was channeling that British Usenet poster. Consider this quote by Professor Churchill:
On the morning of September 11, 2001, a few more chickens – along with some half-million dead Iraqi children – came home to roost in a very big way at the twin towers of New York's World Trade Center. Well, actually, a few of them seem to have nestled in at the Pentagon as well.
Or this quote referring to the civilians killed in the World Trade Center:
Well, really. Let's get a grip here, shall we? True enough, they were civilians of a sort. But innocent? Gimme a break. They formed a technocratic corps at the very heart of America's global financial empire – the "mighty engine of profit" to which the military dimension of U.S. policy has always been enslaved – and they did so both willingly and knowingly. Recourse to "ignorance" – a derivative, after all, of the word "ignore" – counts as less than an excuse among this relatively well-educated elite. To the extent that any of them were unaware of the costs and consequences to others of what they were involved in – and in many cases excelling at – it was because of their absolute refusal to see. More likely, it was because they were too busy braying, incessantly and self-importantly, into their cell phones, arranging power lunches and stock transactions, each of which translated, conveniently out of sight, mind and smelling distance, into the starved and rotting flesh of infants. If there was a better, more effective, or in fact any other way of visiting some penalty befitting their participation upon the little Eichmanns inhabiting the sterile sanctuary of the twin towers, I'd really be interested in hearing about it.
He went on to compare Americans to "good Germans" who supported Hitler's aggression, at least until the defeat of the Wehrmacht at Stalingrad in January 1943. Sound familiar? Yes, it does sound a lot like that Usenet post I encountered that day four years ago, the one that turned my stomach. But what really caught my attention was the dichotomy between the two sources. You see, in marked contrast to Ward Churchill, the person whose post on September 11 churned my stomach was not a leftist, an aggrieved Native American, or an Arab. No, he was a British ultra-right wing white nationalist, Hitler apologist, and Holocaust denier named David Michael with whom I had been sparring in alt.revisionism for three or four years before. He had also admitted admitted involvement with the National Front and the British National Party in Britain and the Conservative Party, Afrikaner Weerstandsbeweging, and Afrikaner Volksfront in South Africa. Michael's usual modus operandi was either to downplay the Holocaust as exaggerated or, failing that, to claim moral equivalency between the Nazis and the Allies because, according to him, the Allies did just as bad or worse. All the while he denied that he was an anti-Semite, even though he oozed contempt for Jews and blamed them for "exaggerating" the Holocaust. As an example of the sort of mindset David Michael was coming from, I quote one of his most infamous posts about National Socialism:
...National Socialism was a revolutionary movement that was based upon a wonderful dream. Forget the stories of corpses for a moment, and imagine a world very different from the world we inhabit today. Imagine a world free from the wars that have scarred the face of this tired old planet since the beginning of time; a world with no extreme poverty, with no disease, with no exploitation of worker by employer, no jolting financial crises (with the misery that such crises entail) -- a world united in a common purpose and a common vision. . . Imagine, if you will, a world where, through a process of artificial genetic selection, mankind has been enhanced to heights undreamed of: when, year by year, mere human beings grow ever closer to becoming gods. Think of the beauty of those people, of their art, their music, their literature. Think of their levels of culture, their humanity, their nobility. Now contrast this with the world that has been bequeathed to our children as a result of that needless and miserable world war. Just pick up a newspaper and look around you -- look at what your 'liberals' and your 'democrats' have left to them. Look at the dull-eyed teenagers, drugged to their eyeballs, staggering around bleak housing estates, their stereos blaring drum-beats! What do they know of the glories of a Bruckner symphony, or the heart-rending beauty of Nietzsche? What good have 'democracy' and 'liberalism' ever done for them? Answer me that! Look at Africa and Asia -- thousands upon thousands of square miles, characterized by war, starvation, famine, massacre, corruption, decay, filth. What good have 'freedom' and 'rights' ever done for the inhabitants of those miserable regions? Answer me that!
If that doesn't sound like Nazi apologia, I don't know what does. Michael seemed to be arguing that it was a bad thing that the Nazis lost the war and that democracy is not a good thing. The funny thing is, he would somehow manage to get all indignant any time anyone accused him of being a Nazi apologist.

As I first started to write this post many months ago, inspired by the Ward Churchill controversy, I still thought it odd that a leftist Native American "activist" could sound almost indistinguishable from a hard core British white nationalist Holocaust denier (who now calls himself a National Anarchist) in his contempt for America and its policies and that they could both argue that we "asked for" the September 11 attacks. I could fall back on the idea that the far left and the far right start to resemble each other as one moves away from the center as one explanation, but that doesn't seem to cover it, even though both Ward Churchill and David Michael used very similar imagery and language in their indictments of U.S. behavior. In the end, I think it doesn't necessarily boil down to whether one is left wing or right wing, but rather one's sense of victimization--and upon whom or what one blames for that victimization. As the world's only superpower, the U.S. represents a big fat target for blame for whatever goes wrong in the world--all too often deservedly so but also often not deservedly. Ward Churchill identifies with the victimization of Native Americans, even though he is probably not himself of Native American ancestry. Given the unfortunate history of how the U.S. has treated American Indians, it is not surprising that he would come to view the U.S. as a major source for evil in the world and behave accordingly. David Michael, who apparently lived in South Africa for a time, given his involvement with nationalist political groups there, seems to consider himself a victim of increasing liberalization that led to the loss of his privileged status as a white person as Apartheid ended. It is less clear to me why he would consider America to be a major source of his victimization, except that he seems to blame globalization and multiculturalism for his woes, and the U.S. is indeed at the heart of these. I also rather suspect that, as an anti-Communist, he still blames us for having aligned ourselves with Stalin to defeat the Nazis, rather than the other way around.

Although Churchill and Michael are generally nonviolent (although they appear to applaud violence against those they disapprove of), this same sense of victimization, whether justified, imagined, or exaggerated, very likely played a role in motivating the terrorists. I was not alone in being taken aback at the intensity of their hatred. Nor, I suspect, was I alone in being surprised by the number of our own fellow citizens who share a less homicidal version of that contempt and who, metaphorically speaking, spit on the victims of that attack by claiming that they deserved their horrible fate on that clear fall morning four years ago, as both Churchill and Michael have. Since adulthood, I had always recognized that my nation, as much as I love it, has done things throughout its history that did not even come close to living up to the lofty ideals expressed in our founding documents or the writings of our Founding Fathers, but I had always believed (and still believe) that, in the balance, the U.S. has been and is far more a force for good in the world than evil. Certainly, I've always viewed it as a good thing that we try to strive for those ideas, even though we often fail to live up to them. Maybe I was naïve or ignorant before, my contact with right wing Holocaust deniers notwithstanding, but 9/11 was a major wake-up call to me. Part of that wakeup call was the utter intensity of the hatred some have for us, to the point that some would be willing to commit suicide in order to commit mass murder of me or my countrymen and others like Ward Churchill, David Michael, and others willing to justify or even applaud that mass murder, representing it as "just" retribution for America's sins, both real and imagined. The second part of that wakeup call was that the hatred of and contempt for America doesn't just come from radical Islamicist or Jihadist beliefs, but can also arise from more conventional left wing and right wing radical ideologies in our very own country or in western Democracies. Paradoxically (or maybe not so paradoxically), whether this rhetoric comes from the right, the left, or from fundamentalist religious beliefs, it ends up sounding very much the same, and its results can be seen today in the empty site where two of the tallest buildings in the world once stood.

flag2

Never forget!

Saturday, September 10, 2005

Do you know what today is?

Neither did I, until I was shown this. I had no idea there was such a thing as World Naked Gardening Day. Given my lack of affinity for gardening even in my clothes, I think I will take a pass. Given my physique, I rather suspect that my neighbors will also be grateful.

Friday, September 09, 2005

Fans of Skepticality

One of my favorite podcasts is Skepticality. I became a fan after the now-retired blogger St. Nate pointed it out to me and I checked out a few of their shows, which are about exactly the sort of topics that skeptics like.

Earlier today, I was working on a grant in my office, and I decided to check iTunes to see if there was a now Skepticality podcast. What popped up was a show entitled "The Message." If you're a fan of the show, as I am, you will want to listen to the show now. It is only 3:25 minutes long and reports, sadly, that one of the hosts, Derek, is in the hospital in a phenobarbital-induced coma for an intracerebral hemorrhage due to a suspected arteriovenous malformation. It's very serious.

Join me in wishing him the best hopes for a full recovery.

The Rationalist Party

Miles Pilitus, Agnostic Paladin makes this suggestion:
I have a suggestion for a new political party, the Rationalists. A party that analyzes what has worked in society and doesn't and looks to apply what works. The process of government being decided and carried out by some semblance of the scientific method. The goal of the group would be to try promote America as a solid nation and drive forward the human experience.

Part of the problem I can see is the goal, but that can be argued out. What doesn't need to be worked out is what methods work and what methods don't. Both sides are holding on to ideas to don't work.
Given the irrationality that is dominating our political discourse today, particularly the antiscience attitudes among the religious right, this idea has much appeal to skeptics like myself. Certainly, on the face of it, it would almost have to be better than the administration that is running the nation right now, whose party has turned into what I'd like to call the "Irrationalist Party." I have to disagree, however, that we actually do know what "works" and what "doesn't work." In some cases we do, but in all too many cases we don't. On the other hand, Miles is quite correct that agreeing on the goal is the most important part. That's the biggest problem with his concept, and he seems to recognize that. Even the most "rational" people can have pretty violent disagreements over what direction we should be going.

More of what gives me pause about the concept of a Rationalist Party is my knowledge of what similar approaches to politics and governance represented as rooted in science and rationality have led to in the past. For example, take the eugenicists in the first three decades of the last century. They enthusiastically advocated the compulsory sterilization of those whom they deemed to have genetic derangements, based on what they considered "rational" and even "scientific" reasoning based on "Darwinian" natural selection combined with the emerging understanding of the inheritance of phenotypic traits and genetics. In essence, eugenics and "racial hygiene" were the bastard offspring of social Darwinism, which was in turn a misapplication of Darwin's work. Many politicians were persuaded based on the supposedly "scientific" nature of such laws, such that mandatory sterilization became law in many states. These sorts of seemingly scientific considerations were behind anti-miscegenation laws as well. Also, our understanding of which diseases had genetic components was sorely lacking, leading to the mandatory sterilization under eugenics laws of the deaf, the blind, epileptics, and even homosexuals. In essence, in the U.S. and elsewhere, eugenics led to policies that had the veneer of scientific "objectivity" to support them, but were in reality rooted in prejudice and misunderstandings of what conditions had genetic components and how great those components were.

I'm not saying that that's what Miles was advocating. My intent is merely to cite such examples as a cautionary tale of how easily "rational" or "scientific" approaches to policy can become divorced from morality and a respect for human rights, particularly when our understanding of the science is so incomplete. The other problem with this approach is the very fact that whoever is in power gets to define what is "rational," whether it is, in fact, rational or not. Finally, even the most "rational" among us have biases and beliefs that could interfere with any sort of objective hypothesis testing, particularly when it comes to testing policies, deciding on measures of outcomes to verify that they "work," and actually quantifying those outcomes. That does not mean we shouldn't try to insist on more objective determinations of what policies succeed and fail, merely that doing so would be highly unlikely to decrease the level of disagreement and conflict in our political system.

Although Miles' idea has appeal to me, it is probably too utopian ever to work. Human beings are not, at heart, rational creatures. We have to work at it. Part of the reason that the scientific method came to be accepted is because scientists are human prone to the same tendency to believe what they want to believe and discount what doesn't fit in with what they want to believe. It also probably won't work for the reason Miles states:
But it probably won't work. We don't like logic in this country. We like strength and displays of power and faith.
Indeed we do, sadly, more so than rationality and science, that's for sure. In any case, given that politics is about government providing for people's wants (which are usually not strictly rational), I doubt such an idea will ever catch on enough to challenge the two dominant parties. Besides, we had such a party before that claimed to be based on scientific principles, the Natural Law Party (now the U. S. Peace Government) and it didn't go very far. No, I'm afraid skeptics and rationalists will, for the foreseeable future, work within the two parties we have.

Calling all skeptics!

While I may be taking on my fourth blog carnival next week, don't think I've forgotten about the one I'm now in charge of. The Seventeenth Edition of the Skeptics' Circle is going to be hosted by decorabilia next week. That leaves all you skeptical bloggers out there the weekend (and then some!) to get your best skeptical blogging to Jim at decorabilia@hotmail.com by Wednesday night

Then join him on Thursday for a blast of reason to combat the rampant credulity that permeates the blogosphere. And, of course, as always, I'm on the lookout for hosts, whether old hands who've hosted before and would like to do it again or new skeptical blood. Drop me a line at oracknows@gmail.com if you're interested.

Thursday, September 08, 2005

Calling all history buffs...I need History Carnival entries!

Over the last 9 months, I've hosted a fair number of blog carnivals. Maybe not as many as that blog carnival afficianado Bora has hosted, but still a fair number for a blog that's less than a year old. I've hosted the the Skeptics' Circle not just once, but twice, in the process somehow inheriting the responsibility of coordinating it. I've also hosted Grand Rounds and Tangled Bank. In essence, I've hosted blog carnivals dedicated to nearly all the subjects that I like to blog about: medicine, science, and skepticism. There's only one of my major areas of interest that I haven't hosted a blog carnival about yet.

History.

Yes, as many of you know, I have an interest in history, particularly World War II history, and even more specifically Holocaust history. I've been into reading about World War II history since I was in grade school, and, as I grew my interests became more sophisticated than just being interested in the battles and the cool fighter aircraft that were used. Several years ago, I discovered online Holocaust denial, and a recurrent theme of this blog has been to write about the Holocaust and its denial. My pet peeve about people using overblown or fallacious Nazi/Hitler/Holocaust analogies even let me to create a certain creature that likes to eat the brains of activists, philosophers, and others, leading them to even greater heights of stupidity. Lately, I've become more interested in Civil War and World War I history. (American Brutus: John Wilkes Booth and the Lincoln Conspiracies by Michael W. Kauffman was the last book I read before the sixth Harry Potter book came out.)

Now it's time for me to indulge my interest in history a bit and complete my hosting of every blog carnival that I regularly peruse. I'm scheduled to host the next edition of the History Carnival on September 15.

Unlike the other blog carnivals I've hosted, I approach this one with a little bit of trepidation. There are two reasons for this. First, I have no formal training in history other than some courses in college and am not a historian. The History Carnival is one of the more highbrow, erudite blog carnivals out there, and now, after having volunteered to host, I'm mildly worried. The level of historical writing of some of the posts tends to be scholarly to the point that I'm not sure whether I'll be able to evaluate or introduce all of the articles properly. Of course, I could overdo it and go off the deep end with the wild creativity angle, as I did for Tangled Bank, but I don't think that something that wild would work for the History Carnival. (On the other hand, it could make the whole affair more entertaining; stay tuned.) Second, I've only received a couple of entries so far. Yes, I know there's almost a week to go until the deadline, but if I don't get more submissions soon, as St. Nate threatened to do when it was his turn to host the History Carnival, I'm going to prowl the blogosphere, hunting down articles vigilante-style to use for my own nefarious purposes. You don't want that from me anymore than you did from Nate. It won't be pretty if I end up having to take that approach.

So send those entries to me, Orac at my spiffy new Gmail address oracknows@gmail.com (thanks to the reader who sent me an invitation), by 9 PM EDST on Wednesday, September 14, and then join me for the History Carnival the next day. As always, any history-related blog entry is welcome. I particularly encourage entries about World War II and/or the Holocaust, but also hope someone will send me something that helps me understand areas of history that I know very little about, such as African or Asian history. Finally, given that we've just suffered one of the worst natural disasters (if not the worst) in the history of the United States, I would shocked if I didn't get at least a submission or two trying put Hurricane Katrina into historical perspective.

Get me the posts, and I'll try to put them into an entertaining and educational format for your edification!

This one's for you, PZ

Here's something PZ and all Pastafarians everywhere should appreciate.

Pirate art!



Arrrr, me laddies! Get yer scurvy hides over there now!

(Via Garfield Ridge)

Wednesday, September 07, 2005

Tangled Bank XXXVI

Tangled Bank XXXVI has been posted at B and B. Enjoy the best science blogging from the last two weeks!

My two favorites from this week's collection are:

Identifying the bullshit all around us

and

Why creationism will save the public schools

Yes, they're both a bit sarcastic. What did you expect? After all, I am the proprietor of the Skeptics' Circle.

We wants it, we needs it

Yessss, we do, Precioussssss....Gives it to us.....

Selective outrage over treatment-related deaths

Sadly, I don't often make it back to my old stomping grounds at the Usenet newsgroup misc.health.alternative anymore. The time I used to spend jousting with alties on misc.health.alternative and Holocaust deniers an alt.revisionism has more or less been replaced completely by the effort I now put into Respectful Insolence since I started it last December. There's no way I have could possibly have time to do both (and, yes, admittedly sometimes it's questionable whether I should devote as much time to my online hobby as I do).

Every so often, however, curiosity gets the better of me, and I just can't resist the temptation to drop into the newsgroups where I used to be a regular, see what the remaining regulars are up to, and sometimes even post a little, if only to remind them that I haven't completely disappeared. Weeks, sometimes months, go by between my appearances, but they can be instructive, particularly in relation to the themes of this blog. Last night was one such time. I was not surprised when I dropped in on misc.health.alternative to be greeted with a bit of heated "discussion" over the recent case of Abubakar Tariq Nadama, the 5 year old autistic boy who died while receiving chelation therapy for "autism" at an altie clinic near Pittsburgh. Predictably, the discussion fell into the usual two camps, with those in favor of evidence-based medicine (such as myself, Mark Probert, or Peter Bowditch) expressing justifiable outrage over what appeared to be a clean kill of an otherwise healthy boy who was unfortunate enough to have been treated by a quack named Dr. Kerry, and the altie contingent either trying to defend Dr. Kerry or at least downplay the death, arguing that it doesn't show that chelation isn't generally safe.

This week, one particular longstanding regular on misc.health.alternative, an altie named Jan (posting under the pseudonym of "Lady Lollipop"), displayed an excellent example of this behavior. Jan is one of the most die hard alties I've ever come across in my entire life. Throughout the years I've butted heads with her on Usenet intermittently. When it comes to any treatment-related complications or deaths or deaths due to negligence or medical errors that occur during "conventional" treatments and are controversial or egregious enough to make the news, Jan has generally been quick to become outraged. For example, take the famous case of Jesse Gelsinger, the 18-year-old boy who died as a result of a gene therapy trial at the University of Pennsylvania in 1999. This is what Jan has had to say about him:
Isn't that most strange,,,,,,,,,,,,,,,,,,,,

This health fraud that KILLED a volunteering, caring, loving teenager, helping man kind, and the doctor who KILLED him who committed, FRUAD, COVER UPS, FALSE AND MISLEADING *REPEATED* AND *DELIBERATE* VIOLATIONS,,,,,,,,,,,,,,,,,,,, ,,,,remains on staff. (Link)
(Yes, I left the spelling and punctuation unaltered.) Another example:
Are YOU interested in the fact that those in organized medicine are doing worse, and remain on staff??? You've been asked your opinion, you are strangely silent, but still posting ONLY fraud within alternative medicine. Furthermore we see fraud within conventional medicine, EVERYDAY.

Do tell us WHY we never see this kind of fraud on the Barrett, Polevoy and Bowditch websites???????? (Link)
She said a lot more about the Gelsinger case, but that gives you a flavor of her mindset. When it comes to conventional medicine or experimental treatments in even well-designed clinical trials, Jan was very harsh indeed on the doctors involved, allowing room for no errors, no risk, no adverse outcomes. (In actuality, when it comes to the Gelsinger case, to some extent I sympathize with her viewpoint, as there was evidence of shoddy record-keeping and a question of whether previous adverse reactions in patients participating in the trial had been properly reported before his death. I was rather disappointed that the penalties assessed in that case weren't more severe, and felt a bit odd going to see a talk by the principle investigator of that gene therapy trial, Dr. James Wilson, who was still being invited to give scientific talks in its immediate aftermath in 2000.) In any event, any time there is error or negligence by conventional doctors or, even worse, pharmaceutical companies resulting in patient harm, Jan is utterly unrelenting and vicious in her criticism. She will post relevant (and often irrelevant) news articles about such incidents over and over and over again, along with her invective.

It was quite a different story when Jan found out about young Tariq's death while receiving chelation therapy for autism, however. After a bit of sniping, back and forth, during which time Jan, as she is frequently wont to do, deleted the the quoted text of one of my posts and replied by calling me a liar. At this point, I said:
Snipping what I said won't change that it was almost certainly chelation that killed that boy.
To which Jan replied:
We shall wait and see, and if it did, it happens, as with all procedures.
Let me reemphasize what she said:
...if it did, it happens, as with all procedures.
Note the rather blithe attitude towards this complication. This is the same woman who roared her outrage at the death of Jesse Gelsinger. Note her now equating the utterly unproven treatment of chelation therapy given in an uncontrolled situation with no oversight outside of a clinical trial with an experimental gene therapy vector administered under the auspices of approved clinical trial that had to be approved by multiple entities. In the latter case, she correctly (if near hysterically) questions whether the oversight was adequate or whether the doctors administering the gene therapy vector were being reckless. In the former, she dismisses the child's death with, "It happens, as with all procedures." If this had been, say, a patient dying from infectious complications after chemotherapy, I know from past experience that Jan would be ranting and raving about "conventional medicine" pushing toxic chemotherapy that suppresses the immune system and how the patient would not have died if not for the evils she perceives in conventional medicine. She might also blame big pharma as well, for good measure. The bottom line is: From conventional medicine, she will not accept even reasonable justification or explanations of risk-benefit ratios for any complications or treatment-related deaths as tolerable. Yet when one of her favored therapies results in the death of a boy, suddenly she becomes oh-so-circumspect, oh-so "let's wait and see" about it. Suddenly, she's willing to bend over backward to give the benefit of the doubt, hoping against hope that the final results of the autopsy will give her an out that allows her "reasonable doubt" over whether chelation killed the boy.

A regular named Rich summed it up best:
But when it happens with a conventional treatment Jan is quick to invoke evil organized medicine to explain the death. Funny that Jan does not say it happens with all procedures when the death is due to a conventional procedure.

But when the death is due to some alternative procedure (and chelation for autism is certainly alternative) then she just says "it happens". Well if a treatment with absolutely no credible evidence for efficacy is used then the death is a senseless one that should never have happened.
Precisely. Poor Tariq's death was senseless and unnecessary, but there are a fair number of people out there who will not concede that point, as Kev has shown. Unfortunately there are extreme alties out there for whom conventional medicine can do no good and alternative medicine can, it seems, do no ill. It is not just in the field of autism, either. I simply used this recent event to illustrate my point because it is fresh in my mind. For another example, some alties like to go on and on about the number of people who die as a result of complications of coronary artery bypass operations while at the same time extolling the supposed virtues of another bogus use of chelation therapy, to treat cardiovascular disease. Another example I could have used that is not related to chelation therapy is the way that many die-hard alties defend quacks like Hulda Clark, who charge large amounts of money for ineffective cancer treatments that can result in catastrophic delays in patients seeking effective cancer treatment, as I described in The Orange Man.

The odd thing is that people like Jan seem to expect an incredibly high level of performance from "conventional" medicine, so much so that errors or treatment-related morbidity and mortality are utterly unnacceptable. In contrast, their expectations for "alternative" practitioners seem to be much lower, so much so that they are willing to give them every benefit of the doubt and defend them even when their treatments kill. To them, any death or compliction due to alternative medicine seems to be excusable ("it happens, as with all procedures"), but conventional doctors must have utterly perfect results, something no human can achieve.

ADDENDUM: On January 5, 2006, the coroner announced the results of the autopsy, concluding that it was indeed EDTA chelation that killed Tariq. I wonder what Jan will say now.

Tuesday, September 06, 2005

Grand Rounds #50

Grand Rounds #50 has been posted at Corpus Callosum. Once again, enjoy this week's best from the medical blogosophere.

The Flying Spaghetti Monster Game

Our favorite new deity, that delicious al dente living critique of the antiscientific nonsense that is known as "intelligent design" creationism, the Flying Spaghetti Monster, is now a game:
There are 25 original characters in the game. Try to convert them all to Pastafarians in the time limit, using your noodly appendage.

Game play may seem challenging at first, but after you play a few times, you'll get a better feel for where you need to aim to convert people.
"Challenging"? It's more than that. I could only manage to convert 2/25 with by deploying the FSM's noodly appendage! I must be losing my old video game skills from college. I guess I need more practice. Either that, or the game is just too difficult for any but a 13 year-old GameBoy whiz. (I'll have a better idea if I get a chance to play around with it some more after I get home from work tonight.) I won't tell you what happens when you manage to "convert" someone to a Pastafarian, but it's rather amusing.

Oh, and you have to avoid contact with "darkly clad school administrators" (who appear to be carrying Bibles) as well!

Mourn the passing of summer

Sadly, here in the U.S., the passing of Labor Day means the end of the summer vacation season and the return to school for the kids. That means it's time to buckle down, stop farting around, and get back to serious work, particularly for us academics. (Unfortunately, in a college town such as where I work, it also means the reappearance of some serious traffic problems and the huge buses that shuttle students between campuses, much to the frustration of all motorists.) However, pasty white middle-aged guy that I am, I can take take satisfaction that sunscreen and not being all that big on beach activities or lying around to bake in the sun means that, even at the end of summer vacation season, I don' t look like this:


After all, you could get melanoma that way, and then have to pay a visit to my partner and sometime research collaborator, who happens to specialize in melanoma surgery. He could then cut out big chunks of your skin and inject you with dye to locate the lymph nodes to which the melanoma might have gone. Personally, even if melanoma or even less deadly skin cancers were not a risk, I never could understand the appeal of sun worship to the point of brown, leathery skin. Nothing prematurely ages your skin faster than the sun, with the possible exception of smoking. Fortunately, geek-boy that I am, between work, reading, blogging, etc., I can be pretty confident that I won't suffer any sun-related skin malignancies.

So what does the end of the summer season mean for ye olde blog here? Well, grant writing season is upon us for the next few weeks. I'll probably still manage to blog almost every day, but the epic, verbose posts may become less frequent, particularly the ones that require me to do a bit of research. For example, I had a rather cool post in mind for today about a certain snake oil purveyor, done in the style many, but not all, of you like. Unfortunately, because I was so busy yesterday working on the specific aim for a grant that I will be co-investigator on and also foolishly succumbed to the temptation to do a little quick blogging about the hurricane even though I'm not primarily a political or news-oriented blogger, I didn't have time to produce anything more concrete than this. Fortunately, the leather-skinned lady was here, ready to fill in and provide me with blogging material. Also, if there's any topic you, my readers, would like me to write about, leave a comment after this post. I can't guarantee that I'll necessarily do it, but you never know.

Don't worry, though. More of what you like (I hope) is on the way. I even still have a couple of stories from vacation that I just have to tell, which should make me look fondly (or at least with a bemused detachment) at summer 2005. Then, of course, there are always plenty of quacks and pseudoscientists to provide fodder for Orac's brand of Respectful (or not-so respectful) Insolence.

Monday, September 05, 2005

An interesting contrast between hurricane experiences

Without comment because it speaks for itself, here's an interesting report on the differences between people's experience of the hurricane that were observed depending upon where they were at the time:
NEW ORLEANS -- At the Royal Sonesta Hotel in the French Quarter, dinner the last few nights has consisted of grilled tilapia, bow-tie noodles with tomato basil sauce, a T-bone steak and a nice red wine to wash it down.

It's being prepared by two of the Bourbon Street hotel's chefs, who are using propane grills to prepare meals for the 31 staff members who have stayed behind to protect the 500-room hotel in the aftermath of Hurricane Katrina.

"We're eating like kings," said Gary Davis, the hotel's electronic technician. "We've got to eat it all before it goes bad."

Less than a half mile away, at the New Orleans Convention Center, Sadique Jabbar's first meal yesterday was a bag of Cheetos someone gave her around 11 a.m.

"You know the only reason we've been fed?" Jabbar said. "Some men out of prison have been breaking into buildings, getting food for us and bringing it back here."

Even under normal circumstances in this city -- like most cities -- the disparity between the haves and have-nots is broad. After Katrina, it's cavernous.

The Convention Center has become the symbol for the failure of authority in this city. They went days with no water or food. Children are crying. People are passed out from the heat. A dead body has sat outside in a chair for days, baking in the sun until someone finally put a bedspread over it.

The Royal Sonesta is the opposite extreme.

The lobby looks as if it could receive guests at any moment. Generators keep some of their appliances in operation, including a refrigerator, a television, and several large air circulating fans. They even have ice for cold drinks.

The director of security, Joel Smith, spends his nights with a gun in his hand on guard against looters, but his days taking quick dips in the hotel pool.
Complete article here. I'm surprised it hasn't been picked up by the national news. Or, at least, if it has, I haven't seen it.

More Katrina idiocy

A couple of days ago, I mentioned that David Duke's headquarters had been destroyed by the hurricane. Unfortunately, that didn't stop him from posting his racist twaddle to his website, the most recent example of which is his response to a letter condemning his racist tirades about looting in New Orleans, in which Duke asks, "Where is your outrage about these racial atrocities against Whites?" and laments, "It has gotten to the point where a White person can’t even protest the intentional rape and murder of our people without himself being condemned!" One also notes that an article on David Duke's European-American Unity and Rights Organization (EURO) website by Jeff Davis (clever, adopting as his nom de plume the name of the only President of the Confederacy, eh?) openly speculates, "Imagine most of the black refugees never returning to New Orleans. Imagine the slums never being rebuilt. Imagine a majority white New Orleans." Uh, Jeff, much of what makes New Orleans such an appealing tourist attraction comes from African-American culture. You know, jazz and the blues. You've heard of them, haven't you?

Unfortunately, Duke is not alone exploiting this tragedy for his own vile ideological ends.

Whereas Duke exploits the tragedy to promote his racist agenda and fire up his white supremacist followers, there are a number of extremist religious leaders out there as well, doing the same thing. The most vile and hateful of these is, as one might expect, the so-called "Reverend" Fred Phelps, he of the God Hates Fags infamy. We've met Freddy (I refuse to dignify him any more by referring to him as "Reverend Phelps") before on this blog, when he had so much sympathy for the Asian tsunami last year that he thanked God for the deaths of at least 2,000 Swedes because, in his twisted world, it was punishment for Swedish tolerance for homosexuality. Freddy was also quite overjoyed at the deaths of 3,000 of his own countrymen and wished for a tsunami to hit the U.S. itself to "cleanse" it of homosexuals. (One also notes that the Hitler Zombie long ago ate Freddy's brain, as he declared, "Canada and America are homo-fascist regimes of Nazi terror!" Oh, and he also advocates the death penalty for homosexuals.) In the interim, Freddy and his sick followers have made names for themselves by picketing at the funerals of soldiers slain in Iraq, rejoicing over all the fallen as "punishment" for our wickedness and homosexuality, thanking God for IEDs and dead soldiers (more photos, news account).

Never one to pass up an opportunity to gloat over the misfortunes of others and lay claim to them as "evidence" of God's wrath, Freddy's been practically having orgasms over the death and devastation wrought by Katrina. He "thanks God" for Katrina, labeling New Orleans "a putrid, stinking, toxic cesspool of fag fecal matter" as he prays for "more dead bodies floating on the fag-semen-rancid waters of New Orleans." I really have to wonder about this guy's obsession with homosexuality and bodily excretions such as semen and feces. I also wonder about a guy who hates homosexuals so much that he manages to forget everything Christianity says about forgiveness and doing good unto others in favor of a Christianity that rejoices in the death and destruction of any perceived as being insufficiently harsh on homosexuals. He even thinks the Bush administration is too gay-friendly:
You are pouring gasoline on the raging infernos of God's wrath in Iraq and New Orleans. You have filled your administration with fags and dykes, you idiot - and you propose to add the flaming faggot Izzy Hernandez to your Cabinet. You are living for the devil in blatant defiance of your Creator and leading the country to Hell in a faggot's handbasket. It is now time for you to follow the lead of the king of Nineveh who led his nation to profound repentance upon the preaching of Jonah; "And God saw their works, that they turned from their evil way; and God repented of the evil, that he had said that he would do unto them; and he did it not." Jonah 3:6-10. Let no one deceive you, Mr. President: THERE'S NO OTHER WAY OUT.

And - President LazyAss - you must be sincere and humble before God, for the first time in your pampered life. Your repentance must be utterly sincere and complete. And - as John the Baptist put it - You must bring forth fruits (solid evidence) demonstrating your repentance to be genuine:

"But when he saw many of the Pharisees and Sadducees come to his baptism, he said unto them, O generation of vipers, who hath warned you to flee from the wrath to come? Bring forth therefore fruits meet for repentance." Mat 3:7,8.

The only fruits meet for repentance in today's circumstances are these: Completely rid your administration of fags and dykes; and, recriminalize sodomy and abortion, and impose the death penalty for these crimes. Nothing less will do. Otherwise, we warn you again: Expect worse and more of it from that Outraged God your sins have mightily offended.
I've never understood how one could become so twisted with hate for one group that it could dominate one's life so totally. I also realize that criticizing a nutcase like Freddy for being a crazy hate-filled nutcase is like fishing with hand grenades. Nonetheless, I think it's instructive every now and then to remind ourselves that such people exist. However, echoes of their hate can be found in even "mainstream" fundamentalist religious figures. For instance, consider what Nation of Islam leader Louis Farrakhan said in Philadelphia the other day, where he suggested that the devastation caused by Hurricane Katrina was divine punishment for the violence America had inflicted on Iraq:
"New Orleans is the first of the cities going to tumble down... unless America changes its course," Farrakhan said.

"It is the wickedness of the people of America and the government of America that is bringing the wrath of God down," he told several hundred people at Tinsley Temple United Methodist Church.
Hmmm. Farrakhan doesn't sound all that much different from Freddy, does he?

Or what about these? Rick Scaroborough of Vision America (whose advisory board is made up of a who's who of the Christian fundamentalist right and whose Countering the War on Faith conference in October will feature a panoply of famous right wing speakers, including Tom DeLay) and the Judeo-Christian Council for Constitutional Restoration has blamed Hurricane Katrina on gay marriage, among other things (such as bestiality and Israel pulling out of Gaza--I kid you not, you can't make stuff like this up). Another one, J. Grant Swank, Jr., has in essence claimed that the hurricane was God's wrath descended upon New Orleans because of an impending festival scheduled for this Labor Day weekend called Southern Decadence celebrating homosexuality as a lifestyle. So has an evangelical group known as Repent America, although Repent America also noted Mardi Gras and abortion as other examples of "wickedness" that needed to be "cleansed." Says Michael Marcavage:
"We must help and pray for those ravaged by this disaster, but let us not forget that the citizens of New Orleans tolerated and welcomed the wickedness in their city for so long," Marcavage said. "May this act of God cause us all to think about what we tolerate in our city limits, and bring us trembling before the throne of Almighty God," Marcavage concluded.
Of course, it's hard not to point out to Marcavage that most churches of all denominations in New Orleans are underwater as well, and that, for example, half the Catholic priests in New Orleans are unaccounted for. Congregations are scattered, and it's not just the "wicked" who have died by the hundreds because of the flooding. By his own rationale, I have to ask: Is the hurricane also God's judgment on his and everyone else's churches, mosques, and synagogues, not just in New Orleans, but in southern Louisiana, Alabama, and Mississippi? It seems a rather blunt instrument to use, given that its devastation extends hundreds of miles from what these religious nuts believe to be its intended target, that den of iniquity known as New Orleans.

Many faith-based organizations and charities do prodigious work not just for the victims of hurricane Katrina, but in numerous disasters all over the world, as well as providing day to day assistance for those in need. For example, Catholic Charities, with whom I've had dealings in helping uninsured and indigent patients to obtain the medical care they need without proselytizing, is one such organization, and tragedies like Katrina bring out their best. Unfortunately, tragedies like Katrina also bring out the worst from religious nutcases and political ideologues like Freddy and David Duke.

RINO sightings

A special Labor Day edition of RINO Sightings has been posted at One Fine Jay for your holiday reading. Lots of blogging about the hurricane is there, among other topics.

Sunday, September 04, 2005

Stupid phishers

Phishing schemes really annoy me. First off, it insults my intelligence that some stupid spammer thinks I'm stupid enough to give my personal information out in response to an e-mail. Lately, phishers have been getting more sophisticated. I've even gotten a few that almost fooled me (although I would still never give out personal information in response to an e-mail solicitation and fortunately because I use a Mac it's very unlikely that some horrible spyware could be installed without my knowing it just by my visiting the website). Then I received this in my e-mail the other day, to show me the opposite end of the phishing spectrum:


Dear Optium member,

Technical services are being carried out on a planned software upgrade.
We earnestly ask you to visit the following link to start the procedure
of confirmation of your personal data.

Follow this link to update account information.
However, failure to update your billing information record
will result in account termination.

We present our apologies and thank you for your cooperation.

Sincerelly,
Support Team


I would think that rule number one in phishing schemes would be: If you want to fool anyone, it's helpful to be able to spell the service you're trying to fool people you're from. It's Optimum Online, not Optium Online. Oh, and learn to spell "sincerely."

Then, something didn't look quite right. I didn't notice this until I highlighted the text to use for this post. So I looked at it more carefully:

Cayuga exciting inequality Darwinism sourdough
Dear Optium member, heroically Austrian despised uniformed brainy

Technical services are being carried out on a planned software upgrade. woodpecker Edward rapid Mueller parked
We earnestly ask you to visit the following link to start the procedure lashed hyacinth rightness organizer Kajar
of confirmation of your personal data. flanked cattle mistress shearing Asiatics

Follow this link to update account information. Betties embalm aggravate shapeless spinally

However, failure to update your billing information record Amharic recaptures modulates penal collies
will result in account termination. physic burrowed reporting livers Milan

We present our apologies and thank you for your cooperation. arctic laundering vaudeville Avernus bleedings


Sincerelly, calling gadget unlinking stagnant vales
Support Team uniting fader survivals Dominican Becky

Unbelievable. A bunch of random gibberish text in very light color included along as a strategy of getting past my spam filtering software! Do these idiots think people really wouldn't notice this? Is anyone, even an Internet newbie, stupid enough to fall for this, click the link, and actually give these morons their personal information?

End of rant.

Saturday, September 03, 2005

One bright spot in the hurricane

David Duke's headquarters appears to have been destroyed by the hurricane. Fortunately, there was no injury or loss of life, but for the foreseeable future Duke will have a great deal of difficulty spewing his racism across the land (or, as the National Vanguard puts it, engaging in his "pro-White activities"). It may even be a financial blow from which his organization can't recover, although sadly that's not (yet) stopping him from posting stories entitled, White Genocide in New Orleans: Whites in New Orleans are Facing Rape and Genocide at the Hands of Black Mobs.

Fortunately for white racists everywhere, Duke knows where his priorities are, though:
I am in Eastern Europe but will have to interrupt my work and teaching here and return home and do my best to get my grim personal circumstances in order and to get the Duke Report and EURO back into production. It will be a daunting, heartbreaking, and arduous task to say the least.

Our volunteers will work diligently to get out the DVDs that have already been ordered. Other orders will be processed and driven the 150 miles to the still-functioning postal facilities. I expect these to go out by the middle of next week at the latest. Please be patient. But right now, police are not allowing anyone to even enter the parish (county).

With our printer also being out of commission, we will have to find an alternative source to print the Duke Report.
Uh...that's OK, David. Don't sweat getting the racist propaganda out. Really. You have bigger and more important problems to deal with. Take your time rebuilding your house and your life, just like the hundreds of thousands of other victims whose homes have been destroyed. Take care of yourself and your family first. That's what's important. Besides, think about the big picture: There are still hundreds of thousands of people homeless, thousands trapped, and hundreds still dying all over southern Louisiana, Alabama, and Mississippi, and you're worrying about getting your racist newsletter and DVDs out? The nation will do just fine without your "contribution" for a while. I know it's hard to believe, but it's true.

Dr. Charles and Legends of the Examining Room

Fellow medblogger Dr. Charles has self-published a book, Legends of the Examining Room, consisting of a "best of" his blog. Dr. Charles was one of the first medbloggers I encountered when I first dipped my toes in to the blogosphere. Even though I'm not strictly a medblogger (although I seem to be drifting even further away from straight medblogging lately), he was a big early influence. His stories are well-told, often amusing, and definitely show the human side of medicine

Even better, he's donating a portion of the proceeds to relief efforts for the victims of Hurricane Katrina.

Hmmm. Maybe I should consider emulating Dr. Charles one more time. On second thought, somehow I don't think the strangeness that is Orac would translate very well into the printed page...

Now a refugee

Wade Rankin and I haven't often seen eye-to-eye, but I recently learned via Kev that he and his family, including his autistic son, are now refugees due to Hurricane Katrina. Fortunately, he's one of the lucky ones. He had the means to heed the warnings, load up his car with his family and pet, and get out early Sunday morning. He managed to find a pet-friendly hotel with high speed Internet acess. Good fortune in getting out aside, however, he has no idea if he has a home to go back to or if all of his possessions have been destroyed, much less when he will be allowed to go back.

Disagreements in the past aside, I'm hoping for the best for him and all the other victims of Katrina. Take a moment to visit his blog and leave a comment. Tell him Orac sent you.

Friday, September 02, 2005

An interesting theological question

A fellow blogger and comrade in the fight against Holocaust denial Andrew Mathis has posed an interesting theological question. Having discovered the glory that is the Flying Spaghetti Monster, he asks:
I only wonder if belief in the Flying Spaghetti Monster would conflict with my Judaism. Does the Torah say that God is not a flying spaghetti monster? Does believe in the FSM contradict any of Maimonides's thirteen articles of the Jewish faith?

This is truly a conundrum for me. Help!
I'm not Jewish and don't know enough about the Jewish faith even to hazard a guess. Certainly I am unaware of anything in the Torah (or the Bible) that says that God isn't a Flying Spaghetti Monster. (Yes, I know that pasta didn't exist when they were written.) I would imagine, however, that God could appear in any form He wishes. Certainly the consuming of pasta shouldn't be a problem, particularly if it's Kosher. Christians might have a problem with the requirement to end all prayers with "Ramen," instead of "Amen," but that shouldn't be a problem for Jews, I would guess.

Can anyone else do a better job of helping Andrew out?

EneMan answers Poop Doc

Rrrrr.

As you may recall, last month's appearance of everybody's favorite colon cleanser was marred (well, only a little bit) by a request for reciprocal links by someone calling himself "Poop Doc." I rather suspected at the time that our heroic, pointy-headed defender of bowel health was the reason why someone calling himself Poop Doc thought I might be interested in reciprocal links. I suppose it could have been my scintillating writing and well-informed rants against pseudoscience and quackery, but somehow I doubt that's what it was, as you'll see. Certainly it wasn't my infamous Orange Man piece from a few months ago.

In any case, I ignored him the first time. Too bad he didn't ignore me. During the past week and a half, I received not one, but two e-mail messages like this:

Dear Webmaster,

My name is Scott Olsen, and I manage a web site about Constipation:

http://www.poopdoc.com

The other day I wrote you to let you know I'm very interested in exchanging links. I'm sending this reminder in case you didn't receive my first letter.

You can automatically get a link back to your site by using the form below and send you a list of our other sites for links as well or reply with your details and we will post it as soon as possible.

As you know, reciprocal linking benefits both of us by raising our search rankings and generating more traffic to both of our sites. Please post a link to my site as follows:

Title: Constipation
URL: http://www.poopdoc.com
Description: Now, an all natural discovery allows you to Get Constipation
Relief on Demand.

Once you've posted the link, let me know the URL of the page that it's on, by entering it in this form:

http://www.poopdoc.com/links/link_exchange.php?ua=_ua9&site_index=NTU2OTQ2OQ%3D%3D

You can also use that form to make changes to the text of the link to your site, if you'd like.

Thank you very much,

Scott Olsen
Links Manager


Argh, I say again! What hath EneMan wrought? Because it was probably EneMan whose appearances got this guy on my case, I decided that Eneman would have to deal with him. So I e-mailed EneMan (if you've ever encountered him in person at a medical or surgical meeting, you would know that he doesn't talk; so phoning him was out of the question) about some of Poop Doc's claims.

Orac: I appear to have acquired an altie groupie, either that or a spambot. Tell me, EneMan, what do you think of these claims? Here's one:
PoopDoc is a full intestinal and colon cleanser which has been formulated to melt away compaction in the bowel and provide oxygen to the intestinal tract and carried through the bloodstream throughout the body. PoopDoc doesn’t just clean out the colon, it cleans the colon, small intestine, and large intestine—all without the side effects of laxatives or psyllium based cleansers. While psyllium and other fiber products simply scrape matter out through the center of a clogged colon, PoopDoc removes old, impacted fecal matter as it detoxifies and cleans the entire intestinal tract.
And one more:
Over time undigested food and waste material build up in the intestinal tract and colon. This is a perfect breeding ground for anaerobic bacteria, which if left alone could cause serious health problems. Many strains of Anaerobic bacteria can be harmful in our digestive system. This type of bacteria cannot survive in a healthy, oxygen enriched environment, such as a healthy digestive system.

Aerobic bacteria are the ‘GOOD’ bacteria that allows our digestive system to operate properly. This type of bacteria thrives on oxygen. When PoopDoc is introduced into the digestive system, the O1atom attaches itself to both good and bad bacteria. The oxygen released helps to destroy the bad bacteria and nourish the good bacteria.

PoopDoc cleans the entire 25-30 feet of the digestive tract. It is designed to clean, oxidize and reduce the amount of impaction and hard fecal matter in the small intestine, large intestine and colon. Other cleansers focus on the colon and stimulate mucous production instead of breaking down hard fecal matter.

EneMan: Oh, dear. This Poop Doc guy seems really fixated on the colon and feces, doesn't he? It's understandable that I might be fixated on such things (it's my purpose in life, after all), but why is an otherwise healthy guy so worried about "cleansing" his colon? And what was all that silliness about oxygen and free radicals? "Poop" contains huge amounts of bacteria, many of which are anaerobic, but under normal conditions those bacteria are actually necessary for good health. Antibiotic-associated diarrhea can result when those normal "good" bacteria are killed off by antibiotics and one particular bacteria, Clostridium difficile, overgrows. Really, I may be an overgrown enema, but even I don't have that inflated a concept of what I'm good for or spout a bunch of impressive-sounding pseudoscientific bunk to justify my existence. I have only a couple of purposes: to clean out the rectum and lower colon, usually in preparation for some sort of endoscopy; to help relieve moderate constipation or stool impaction. And I'm quite good at it. I don't have delusions of grandeur that I can do anything more than that. After all, I'm just a 6-foot Enema with a job to do, but I'm not going to "detoxify" you or cure any major diseases.


Orac: Indeed, EneMan. You're quite good at what you do. But what do you think about this altie obsession with "cleansing" the colon? I mean, so many altie remedies emphasize "cleansing" the body of "impurities," whether it be chelation therapy for cardiovascular disease or autism or various "flushes" designed to "clean out" the colon or liver. I mean, what's with that?





EneMan: I don't understand it either. It's as though they view their own waste products as inherently "harmful." They also have an obsession with their "purity of essence" that would rival that of General Jack Ripper. But what do you think the colon evolved to do, if not to take care of normal solid bodily waste? And don't they realize that in a normal healthy individual the bacteria in the colon are not only not harmful, but they are helpful? Heck, they help us digest and absorb certain nutrients! Why on earth would they think a colon needs any help in an otherwise healthy individual, other than eating enough fiber and limiting consumption of red meat? Heck, even more silly is the claim that you can somehow "clean out" all 25 feet of the small and large intestine with his product. Anyone who's ever had to do a bowel prep for surgery or colonoscopy knows that GoLytely (a misnomer if ever there was one) is quite effective if you really want that "clean" feeling. I don't recommend it, though, and anyone who's ever had to drink a gallon of the stuff knows why. Besides, frequent purging, enemas, and cleanses can screw up your colon function big-time, and I'm totally against that!



Orac:
So can you help me out here? I cannot abide such illogic and have far more interesting problems to which to apply my circuitry than refuting such hangers-on. Can you talk to that guy and tell him to quit bothering me? It's clear to me that if he actually read what was on my blog he would realize I'm really not the sort of guy he wants to exchange links with.





EneMan:
Of course you're not. Anyone can see that!

Anything for you, Orac baby! Perhaps I could pay him a visit, if you like. I could even offer my services to him. Clearly his obsession with colon cleansing should be rewarded with the ultimate colon cleanse, and who better for the job than me? Can you imagine his reaction when a huge walking Fleet enema shows up at his business or house?








Orac:
Somehow I don't think that would help, unfortunately. I'm also afraid he might want to add you to his product line! That would be unacceptable to me, as you seem to have acquired too many fans around here. I'll just deal with him in my own fashion, namely with my characteristic snark and giving him what he wants, but not in the way he wants it.





Thus ended the exchange. EneMan understood. And, really, he did seem a bit too eager to ply his skills on Poop Doc, which made me very reluctant to actually set him loose.

However, that gives me an idea, though. Perhaps I could send EneMan to pay a visit to Pat Sullivan, Jr., who has been drowning the comments section of posts here and here with his verbiage, most of which consists of regurgitating Dr. Buttar's claims that his "transdermal" chelation system is a successful "biologic" treatment for autism while making laughably lame excuses for why Buttar hasn't yet done some very simple tests to show that his concoction actually is absorbed through the skin and gets into the blood to, oh, actually chelate mercury, as he claims, and the rest of which seem to involve claiming that Dr. Buttar doesn't need to prove that his concoction chelates anything because he has "empiric evidence" that it works. Never mind that Dr. Buttar hasn't published any of this evidence, which appears to consist of mainly testimonials, in any actual medical journals.

On second thought, maybe siccing EneMan on Pat isn't as a good idea as it sounded at first, tempting though it may be. The load Pat's dropped on this blog over the last couple of nights suggests to me that perhaps he's already had an encounter with our colon cleansing mascot in the recent past. (Either that, or perhaps he's one of Poop Doc's customers.) Given that Pat's already declared victory (labeling himself a "giant killer," yet!--snicker) and left in a huff of self-congratulatory puffery, maybe it's best not to send EneMan after him. It might provoke the dropping of yet another load of more of the same. On the other hand, one can only hope that there's nothing left for him to drop, but sadly I suspect that, with Pat, there's always some more.

Instead, why don't we just pay our mascot with the hat whose function you really don't want to think too closely about yet another of his traditional visits. Fortunately, these pictures aren't as creepy as last month's, but I still find his affinity for hanging out with young children a bit disturbing.

EneMan 2002-09_1
September 2002


EneMan 2004-09
September 2004


EneMan 2005-09
September 2005

And, for those of you who are new to the phenomenon that is EneMan, I provide a list of all his appearances since the very beginning:


As usual, EneMan will return in one month. And you know you can hardly wait.

Thursday, September 01, 2005

Yin and Yang

Yes, Grasshopper, you must learn that all things have their opposites.

Yin and Yang. Light and Shadow. Evidence-based medicine and Quackery. Science and Pseudoscience. Evolution and Creationism.

History and Bad History.

At this transient moment in time, History can be represented by the latest edition of the History Carnival at ClioWeb, while Bad History can be represented by the latest edition of the Carnival of Bad History at Dodecahedron. Go forth, young Grasshopper, and learn of history and how it is distorted and abused for various ideological reasons. Pay particular attention to this piece, which shows the interconnectedness of History and Science by encouraging appropriate questions to ask your history teacher.

Students, we will speak of this again when I take a turn hosting the History Carnival in two weeks time. Begin to prepare your essays now; your scrolls are due here by 9 PM EST on Wednesday, September 14.

Just when you thought it couldn't get any worse in New Orleans

It does.

Robbery, rapes, looting, corpses lying in front of the convention center, even shooting at rescue helicopters seeking to evacuate patients from devastated hospitals, it seems that New Orleans is descending into complete anarchy, with no sign of a light at the end of the tunnel. How bad will it get? Can the authorities and the heroic people trying to bring relief to the city make a difference in time to prevent hundreds more deaths?

Here's a sobering thought. Stress people enough, make them desperate enough, and the veneer of civilization falls away far more easily than we would like to admit. Even here in the United States.

The Sixteenth Meeting of the Skeptics' Circle

The Sixteenth Meeting of the Skeptics' Circle has been posted at Red State Rabble. Pat's done a great job of gathering the best of the skeptical blogosphere into one convenient package. Check it out.

And in two weeks, don't forget to join us again for the Seventeenth Meeting of the Skeptics' Circle at decorabilia. It's never too early to start lining up your best skeptical blogging to send to Jim; so get cracking. It's also a lot of fun to host the Circle. Drop me a line if you're interested, as I'm always looking for new hosts (or old hosts who want to do it again).

Oh, and don't worry, regular readers, I haven't forgotten about my usual first-of-the-month tradition. Out of respect for Pat, I just didn't want to distract from his hosting of the Circle with our hero's oddness. I have no idea if he appreciates the wonder that is this blog's mascot or not. Besides, tomorrow is the Friday before the long Labor Day weekend, a far more appropriate time for our mascot to make an appearance...

The "scientific method"?

I found an interesting little tidbit on the web about Dr. Roy Kerry, the Pennsylvania chelation doctor whose quackery and carelessness was almost certainly what killed an unfortunate five year old autistic boy named Abubakar Tariq Nadama last week. It comes from a page in the Google cache of August 25 for a page from a website called Juiceguy.com, which, as of this writing appears to be down. Fortunately, the cached page remains, and it gives us an insight into the mind of Dr. Kerry. Apparently he didn' t just administer quack remedies like chelation therapy for autism and various treatments for "environmental" illnesses and antiaging, but he used such remedies himself and apparently gave testimonials for them to sites like Juiceguy as well.

Dr. Kerry's testimonial starts:
I would consider myself a healthy and careful skeptic.” says Dr. Roy E. Kerry of Greenville, PA. Dr. Kerry has just completed a series of independent medical laboratory tests in order to verify Oasis’ claims on its products and the ACI Test. Dr. Kerry, a specialist in head and neck surgery, environmental medicine and soon to be certified in longevity medicine, has always been very interested in Anti-Aging. Upon hearing about the amazing products Oasis Wellness Network had to offer, he felt compelled to investigate.
Call yourself whatever you like, Dr. Kerry, but just calling yourself a "skeptic" doesn't make it so. Indeed, your very testimonial is strong evidence against your "skepticism," as is your hawking an altie "anti-aging" antioxidation concoction. The only question I have is this: What the heck is "longevity medicine" and why is an otolaryngologist doing hawking such dubious "medicine," given how much outside his specialty it is?

But, sadly, here's one of the funnier things I've ever read in any altie testimonial:
After establishing baseline values in nine different tests, including the ACI Test, measuring different bio-markers, Dr. Kerry began his 30 day journey to renewal complete with Oasis 30 Day Renewal System, Longevity Signal Formula and Anti Oxidant. As a scientist, Dr. Kerry was careful to include controls in his validation experiment. “I chose not to change my lifestyle, so the results would only reflect Oasis’ products.
"I chose not to change my lifestyle, so the results would only reflect Oasis' products"? This is Dr. Kerry's idea of the scientific method, of the proper way to skeptically evaluate a therapeutic intervention? This is Kerry's idea of proper "controls" for an experiment? Did this guy forget everything they taught him at the University of Pittsburgh? Apparently so, if he considers this lame test to be "scientific." How, specifically, did he make sure he didn't "change his lifestyle"? How, specifically, did he make sure that his knowledge that he was taking these products didn't subtly influence him to "change his lifestyle"? How does he account for the possibility of placebo effect? He doesn't say. Read the rest of his testimonial for an idea of just how poor his concept of what constitutes evidence-based medicine is.

You know, I think I may have gone too easy on this quack the first time I wrote about him. I sincerely hope that the State of Pennsylvania takes his medical license away forever. It would be even nicer if the parents whom he fooled would sue him for huge money, but sadly that seems unlikely, about as unlikely as it is that this death will stop this particular brand of quackery.

Medicine in the flood and coping

After Hurricane Katrina and the breaking of two levees the day after that resulted in 80% of the city being under water, New Orleans hospitals are in crisis conditions, with no power, flooding, and a serious shortage of supplies, plus even the apparent threat of looters. Worse, emergency generators are running out of fuel, worsening the situation. Only the Ochsner Clinic, at 8 ft. above sea level, remains unflooded.

What do you do as a doctor or nurse in conditions like this? Many of the tools of modern medicine and surgery require electrical power. At the very least, light is needed, and in the sweltering summer weather of New Orleans (over 90 degrees, 90% humidity), air conditioning is about close to a necessity as you can get. Running water and toilet facilities are also needed, but not available.

I remember one time when I was on call as a resident one Saturday night. There was a rather nasty thunderstorm, and the power went out. Surprisingly, for some reason, the emergency backup generators didn't kick in right away, and the power remained out for around 20-30 minutes before the generators finally started up. Nurses and every available resident on call scrambled to the ICUs to manually bag patients on ventilators. Fortunately, most of the monitors had battery packs; so monitoring the patients wasn't a problem. Also fortunately, there were no respiratory or cardiac arrests to deal with. We also didn't have the lower levels of our hospital flooded or have to worry about looters, as at least one New Orleans hospital apparently did. My experience was nerve-wracking enough for me.

Now imagine trying to deal with such a situation in a blighted city for three days and counting while waiting seemingly endlessly for help to come to evacuate patients to inland medical facilities. Consider the difficulties involved in actually getting to these hospitals and transporting hundreds of patients. And donate to the hurricane relief charity of your choice. A place to look for charitable organizations involved is here.

Personally, I recommend Catholic Charities (I've had personal experience with their competence in providing services to my indigent patients) or the American Red Cross.

UPDATE: The New York Times has more on the desperate conditions in New Orleans hospitals, and GruntDoc is blogging about it as well.