COVID-19: Two Years In, Where Have We Been?

By Fred Lipfert, PhD — May 09, 2022
There were more COVID deaths in 2021 than 2020, acceptance of vaccination remains stalled, and some locations are making progress but others are not. Nevertheless, masks have been coming off. Some jurisdictions have declared victory over COVID, but wishing will not make it so.

There were more COVID deaths in 2021 than 2020, acceptance of vaccination remains stalled, and some locations are making progress but others are not. Nevertheless, masks have been coming off. Some jurisdictions have declared victory over COVID, but wishing will not make it so.

Chicken Splash: When Water Meets Raw Chicken

By Chuck Dinerstein, MD, MBA — May 09, 2022
My wife is an excellent cook, and I am a fair sous chef, not quite as devoted as Paul Childs, [1] but persistent and helpful. I always rinse chicken as I take it from its packaging; my wife always tells me that she and the CDC do not recommend that practice. A new study brings physics and bacteriology to the issue, alas, not in my favor – but it offers me some science-informed compromise.

My wife is an excellent cook, and I am a fair sous chef, not quite as devoted as Paul Childs, [1] but persistent and helpful. I always rinse chicken as I take it from its packaging; my wife always tells me that she and the CDC do not recommend that practice. A new study brings physics and bacteriology to the issue, alas, not in my favor – but it offers me some science-informed compromise.

Fulminating Untruths and Legal Consequences: Societal Mutations from the Radium Poisoning Cases

For the once pretty, vivacious young women in their late teens and early twenties awaiting marriage and children, sickened as they lip, dip, and painted radium onto watch dials the statute of limitations was a major obstacle to their legal claims. In Part II of our story, we look at their legal struggle.

For the once pretty, vivacious young women in their late teens and early twenties awaiting marriage and children, sickened as they lip, dip, and painted radium onto watch dials the statute of limitations was a major obstacle to their legal claims. In Part II of our story, we look at their legal struggle.

Obesity Denial? LiveStrong Drinks 'Fat Acceptance' Kool-Aid

By Cameron English — May 06, 2022
As "fat acceptance" gains cultural traction, a growing coalition of health care providers and advice websites downplays the dangers of obesity to appease social justice activists. LiveStrong offers yet another example of the intellectual tap dancing this charade requires.

As "fat acceptance" gains cultural traction, a growing coalition of health care providers and advice websites downplays the dangers of obesity to appease social justice activists. LiveStrong offers yet another example of the intellectual tap dancing this charade requires.

'Un-Herd' Immunity: Covid Pulls Another Trick Out of its Viral Envelope

By Josh Bloom — May 06, 2022
If we've learned anything about Covid it's that when we think we start to understand it the virus changes behavior, as if to spitefully prove us wrong. It's happening again. Now there are Omicron subvariants that can infect people who have not only had Covid but were infected with a slightly different Omicron variant. This pretty much buries the idea of herd immunity – something we were chasing early in the pandemic.

If we've learned anything about Covid it's that when we think we start to understand it the virus changes behavior, as if to spitefully prove us wrong. It's happening again. Now there are Omicron subvariants that can infect people who have not only had Covid but were infected with a slightly different Omicron variant. This pretty much buries the idea of herd immunity – something we were chasing early in the pandemic.

The Ecology of Medicine

By Chuck Dinerstein, MD, MBA — May 06, 2022
There is a structure to how we have organized care. Primary care physicians care for our day-to-day and chronic illnesses while helping us navigate the landscape to find specialists and hospital care when that is needed. They are our Sherpas – knowledgeable of the landscape and its pitfalls and nuances. You wouldn’t attempt to climb Everest without them. Ultimately, because a rope connects you, you must trust them with your life. While that may be a bit dramatic an analogy for a primary care physician, that rope, that trust, is built from many smaller, lower risk encounters. A consistent health Sherpa results in better care.

There is a structure to how we have organized care. Primary care physicians care for our day-to-day and chronic illnesses while helping us navigate the landscape to find specialists and hospital care when that is needed. They are our Sherpas – knowledgeable of the landscape and its pitfalls and nuances. You wouldn’t attempt to climb Everest without them. Ultimately, because a rope connects you, you must trust them with your life. While that may be a bit dramatic an analogy for a primary care physician, that rope, that trust, is built from many smaller, lower risk encounters. A consistent health Sherpa results in better care.

What I'm Reading (May 5)

By Chuck Dinerstein, MD, MBA — May 05, 2022
A non-profit seeks to disrupt the way we finance scientific research Before it was the Big Apple, it was the Big Oyster Eating monkey brains, what could go wrong? There is no such thing as junk food.

A non-profit seeks to disrupt the way we finance scientific research
Before it was the Big Apple, it was the Big Oyster
Eating monkey brains, what could go wrong?
There is no such thing as junk food.

Every Picture Tells a Story: Orthopedists and Infections. Is 24 Hours Enough?

By Chuck Dinerstein, MD, MBA — May 04, 2022
In my experience, orthopedic surgeons are the most fanatical of all surgeons regarding infection prevention. It makes sense since much of their work involves implanting hardware into bones – and an infection in a bone, let alone in the presence of hardware, is very tough to eradicate. So, when a new study looks at orthopedic thought on infection prevention, it is worth considering.

In my experience, orthopedic surgeons are the most fanatical of all surgeons regarding infection prevention. It makes sense since much of their work involves implanting hardware into bones – and an infection in a bone, let alone in the presence of hardware, is very tough to eradicate. So, when a new study looks at orthopedic thought on infection prevention, it is worth considering.

The Swinging Pendulum of Societal Distrust, and the Saga of Radium Poisoning

Once pretty, vivacious young women in their late teens and early twenties awaiting marriage and children, one by one, they sickened. On X-ray, their bones looked moth-eaten; their teeth fell out, leaving pockets of pus– every dental effort to treat them caused more tooth loss. Eventually, their jawbones broke or splintered in their mouths, or they suffered cancerous sarcomas of their limbs, requiring amputation. Their spines crumbled, their legs shortened, so they painfully limped. For years no one could determine what ailed them. They were the “Radium Girls.”

Once pretty, vivacious young women in their late teens and early twenties awaiting marriage and children, one by one, they sickened. On X-ray, their bones looked moth-eaten; their teeth fell out, leaving pockets of pus– every dental effort to treat them caused more tooth loss. Eventually, their jawbones broke or splintered in their mouths, or they suffered cancerous sarcomas of their limbs, requiring amputation. Their spines crumbled, their legs shortened, so they painfully limped. For years no one could determine what ailed them. They were the “Radium Girls.”

Nobody Knows About Glyphosate: More Evidence GMO Debate is Over

By Cameron English — May 03, 2022
Anti-pesticide activist Carey Gillam is beside herself because the public isn't worried about glyphosate exposure. Her complaint inadvertently and helpfully confirms that the anti-GMO movement has lost its sway over the food-safety debate.

Anti-pesticide activist Carey Gillam is beside herself because the public isn't worried about glyphosate exposure. Her complaint inadvertently and helpfully confirms that the anti-GMO movement has lost its sway over the food-safety debate.