COVID-19: The State of the States, July 2022

By Fred Lipfert, PhD — Aug 29, 2022
Most of our previous COVID-19 analyses focused on national and regional trends. A recent article indicated that the pandemic might be entering a new period of less lethal infections [1]. This trend might relate to a new variant, exposure differences, or additional vaccination acceptance. Here we draw on weekly state-level data to explore such relationships, including two other COVID-19 metrics: percentages of positive tests and rates of hospitalization.

Most of our previous COVID-19 analyses focused on national and regional trends. A recent article indicated that the pandemic might be entering a new period of less lethal infections [1]. This trend might relate to a new variant, exposure differences, or additional vaccination acceptance. Here we draw on weekly state-level data to explore such relationships, including two other COVID-19 metrics: percentages of positive tests and rates of hospitalization.

Body-Affirming Surgery

By Chuck Dinerstein, MD, MBA — Aug 29, 2022
We spend quite a bit on body-affirming surgery in the US. According to the Aesthetic Society, in 2021, we spent $14.6 billion on procedural care, including liposuction and breast augmentation, to mention the top two. That doesn’t include the nips, tucks, revisions, or injectables to fill or paralyze. One form of body-affirming surgery remains quite controversial, genital gender affirming surgery – a new study follows up on our earlier reporting.

We spend quite a bit on body-affirming surgery in the US. According to the Aesthetic Society, in 2021, we spent $14.6 billion on procedural care, including liposuction and breast augmentation, to mention the top two. That doesn’t include the nips, tucks, revisions, or injectables to fill or paralyze. One form of body-affirming surgery remains quite controversial, genital gender affirming surgery – a new study follows up on our earlier reporting.

Is Sitting Killing Us?

By Chuck Dinerstein, MD, MBA — Aug 26, 2022
The global population is becoming increasingly sedentary, an inevitable result of labor-saving technologies. Some might argue that our couch-potato ways go against our evolutionary design; we were hunters and gatherers, and that rarely allowed time for sitting around. A new study considers whether sitting is the great Satan of a healthy life.

The global population is becoming increasingly sedentary, an inevitable result of labor-saving technologies. Some might argue that our couch-potato ways go against our evolutionary design; we were hunters and gatherers, and that rarely allowed time for sitting around. A new study considers whether sitting is the great Satan of a healthy life.

A Spoonful of Sugar Helps the Medicine Go Down (Only if You’re Postured Correctly, and Your Stomach is a Mathematical Model)

If you find yourself wondering why the science press is afforded so little respect these days, maybe overhyped claims are contributing. Last week, various lay publications and press releases reported that posture significantly affects how fast the body absorbs medicine. The results were based on a new model to simulate drug dissolution in the human stomach. Sounds important and impressive, no? No. Read on.

If you find yourself wondering why the science press is afforded so little respect these days, maybe overhyped claims are contributing. Last week, various lay publications and press releases reported that posture significantly affects how fast the body absorbs medicine. The results were based on a new model to simulate drug dissolution in the human stomach. Sounds important and impressive, no? No. Read on.

What I'm Reading (Aug. 25)

By Chuck Dinerstein, MD, MBA — Aug 25, 2022
Certainty and extremism Will we ever know the origin of COVID-19? What can the Talmud teach us about Twitter and Facebook? And now, a moment with Hans Rosling.

Certainty and extremism
Will we ever know the origin of COVID-19?
What can the Talmud teach us about Twitter and Facebook?
And now, a moment with Hans Rosling.

Podcast: FDA's Laughable Opioid 'Give-Back' Program; 10 Anti-Pesticide 'Facts' Debunked

By Cameron English — Aug 24, 2022
The FDA has tried to fight opioid addiction by asking patients to mail their excess prescription pain meds to the agency for disposal. It's an absurd proposal. There's lots of anti-pesticide 'facts' floating around the internet; let's debunk the most popular of these claims.

The FDA has tried to fight opioid addiction by asking patients to mail their excess prescription pain meds to the agency for disposal. It's an absurd proposal. There's lots of anti-pesticide 'facts' floating around the internet; let's debunk the most popular of these claims.

Eleventh Hour Veto Prevents Californians from Trying a New Solution to a Big Problem

By Josh Bloom — Aug 24, 2022
Politics vs. public health. California Governor Gavin Newsom vetoed a bill that would have authorized safe consumption sites to help prevent drug overdoses, an example of harm reduction. Dr. Jeffrey Singer, a senior fellow at the Cato Institute and member of the ACSH Scientific Advisory Board strenuously disagrees.

Politics vs. public health. California Governor Gavin Newsom vetoed a bill that would have authorized safe consumption sites to help prevent drug overdoses, an example of harm reduction. Dr. Jeffrey Singer, a senior fellow at the Cato Institute and member of the ACSH Scientific Advisory Board strenuously disagrees.

A 'Mild' Way to Destroy PFAS (Forever Chemicals). But Is It Practical?

By Josh Bloom — Aug 24, 2022
A paper in the journal Science describes a new method for breaking down forever chemicals (PFAS), which, as their name implies are not so easy to destroy. Can this method be used to remove traces of these chemicals from our water? Or for anything else?

A paper in the journal Science describes a new method for breaking down forever chemicals (PFAS), which, as their name implies are not so easy to destroy. Can this method be used to remove traces of these chemicals from our water? Or for anything else?

Pressure Ulcers and Nursing Home Ratings

By Chuck Dinerstein, MD, MBA — Aug 24, 2022
One measure of the safety and quality of nursing home care is the presence of a pressure ulcer on its residents. CMS reports these numbers to the public as a star-ranking on Nursing Home Compares and penalizes nursing homes with more observed pressure ulcers than anticipated. The system relies on the self-reporting of pressure ulcers to CMS. A new study finds that nursing homes “substantially underreport” these events.

One measure of the safety and quality of nursing home care is the presence of a pressure ulcer on its residents. CMS reports these numbers to the public as a star-ranking on Nursing Home Compares and penalizes nursing homes with more observed pressure ulcers than anticipated. The system relies on the self-reporting of pressure ulcers to CMS. A new study finds that nursing homes “substantially underreport” these events.

Fusion Power: Finally at Ignition!

By Doctor Y — Aug 24, 2022
In 1974 I called a nuclear engineer to interview him for a term paper on nuclear fusion power. We talked about all the advantages of fusion power, its prospects for the future, the impact on civilization, and so forth…and at the end of the interview, I asked him when he expected to see commercial fusion power. “I think it will be about 20 or 25 years from now that we see the first fusion reactor come online.” And that’s been the standard joke about fusion power since before I wrote my paper – that it’s about 25 years in the future…and always will be. But maybe that’s changing.

In 1974 I called a nuclear engineer to interview him for a term paper on nuclear fusion power. We talked about all the advantages of fusion power, its prospects for the future, the impact on civilization, and so forth…and at the end of the interview, I asked him when he expected to see commercial fusion power. “I think it will be about 20 or 25 years from now that we see the first fusion reactor come online.” And that’s been the standard joke about fusion power since before I wrote my paper – that it’s about 25 years in the future…and always will be. But maybe that’s changing.