Decision to Drop Atomic Bombs on Japan in 1945 Was a Strategic and Moral Imperative

By Henry I. Miller, MS, MD — Aug 01, 2023
The Manhattan Project to develop the bombs was one of the greatest scientific, technological, and logistical achievements in history. The bombs ended the war and saved millions of lives of combatants and civilians.

The Manhattan Project to develop the bombs was one of the greatest scientific, technological, and logistical achievements in history. The bombs ended the war and saved millions of lives of combatants and civilians.

Chasing the Cost of Ambulances

By Chuck Dinerstein, MD, MBA — Jul 31, 2023
It is seemingly such an easy question: if I need an ambulance, what will it cost me? Unfortunately, there's only a complex answer, summarized as “it depends.”

It is seemingly such an easy question: if I need an ambulance, what will it cost me? Unfortunately, there's only a complex answer, summarized as “it depends.”

The First Amendment Clashes with Commerce: Can We Muzzle Bad Science if it Strangles Business?

Johnson’s Baby Powder once conjured cooing babies, satiny-smooth skin, and wholesome purity. But claims the talc was contaminated with asbestos invoked the fear of cancer, leading to thousands of personal injury suits and millions of dollars in damages, which relied on expert testimony for support. Denying any causal connection, J&J’s spin-off declared bankruptcy but now is fighting back – suing doctors whose “research” shored up the awards. While J&J has a right to protect its product brand, don’t doctors have the right to free speech?

Johnson’s Baby Powder once conjured cooing babies, satiny-smooth skin, and wholesome purity. But claims the talc was contaminated with asbestos invoked the fear of cancer, leading to thousands of personal injury suits and millions of dollars in damages, which relied on expert testimony for support. Denying any causal connection, J&J’s spin-off declared bankruptcy but now is fighting back – suing doctors whose “research” shored up the awards. While J&J has a right to protect its product brand, don’t doctors have the right to free speech?

What I'm Reading (July 27)

By Chuck Dinerstein, MD, MBA — Jul 27, 2023
A Fish Tale The Ancients on Public Life Hester Prynne, cancel culture’s first victim? Should I get a COVID booster?

A Fish Tale
The Ancients on Public Life
Hester Prynne, cancel culture’s first victim?
Should I get a COVID booster?

'To Mask or Not to Mask?' In Healthcare Facilities Remains a Hotly Debated Question. It Shouldn't Be.

By Henry I. Miller, MS, MD — Jul 27, 2023
Masking to prevent COVID infections has diminished drastically, even in healthcare settings, and there are already examples of its negative effects. Across-the-board abandonment of masking is premature: It is effective, inexpensive, not terribly inconvenient, and applicable to preventing airborne and droplet-spread infections in addition to COVID. Most important, it is in the best interest of staff, patients, and public health.

Masking to prevent COVID infections has diminished drastically, even in healthcare settings, and there are already examples of its negative effects. Across-the-board abandonment of masking is premature: It is effective, inexpensive, not terribly inconvenient, and applicable to preventing airborne and droplet-spread infections in addition to COVID. Most important, it is in the best interest of staff, patients, and public health.

Can CBD Oil Make You Test Positive For THC?

By Josh Bloom — Jul 26, 2023
It is virtually impossible to walk a single block in New York City without seeing stores selling CBD oil. The Drug Gods haven't frowned upon CBD yet because it won't get you high. But CBD frequently contains delta-9-THC, the primary psychotropic component of marijuana, and that will get you high. Can CBD oil get you in trouble? Maybe.

It is virtually impossible to walk a single block in New York City without seeing stores selling CBD oil. The Drug Gods haven't frowned upon CBD yet because it won't get you high. But CBD frequently contains delta-9-THC, the primary psychotropic component of marijuana, and that will get you high. Can CBD oil get you in trouble? Maybe.

To Aggregate or Separate Data: The Dilemma of Categorization

By Chuck Dinerstein, MD, MBA — Jul 26, 2023
One of the judgments made by scientists is how to aggregate or segregate data – especially when it comes to changing a continuous variable like age – into separate bins (10 to 18, 19 to 34, etc.). Race/ethnicity as a category has come in for some well-deserved criticism. Leave aside the argument that it is a social construct, race/ethnicity contains too many confounding features. A study in Nature points to a new way to break the category into meaningful segments.

One of the judgments made by scientists is how to aggregate or segregate data – especially when it comes to changing a continuous variable like age – into separate bins (10 to 18, 19 to 34, etc.). Race/ethnicity as a category has come in for some well-deserved criticism. Leave aside the argument that it is a social construct, race/ethnicity contains too many confounding features. A study in Nature points to a new way to break the category into meaningful segments.

Shionogi and Antibiotics: A Feel-good story.

By David Shlaes — Jul 25, 2023
Shionogi just purchased Qpex. When I inquired about this, the Qpex folks told me that Shionogi is a company truly committed to the antibiotics space. What I found was truly inspiring! This is a real feel-good story! How often does that happen for antibiotics?

Shionogi just purchased Qpex. When I inquired about this, the Qpex folks told me that Shionogi is a company truly committed to the antibiotics space. What I found was truly inspiring! This is a real feel-good story! How often does that happen for antibiotics?

On PFAS, US Geological Services Shades the Data

By Susan Goldhaber MPH — Jul 25, 2023
Earlier this month, the headline “New Study Finds PFAS 'Forever Chemicals' in Drinking Water from 45% of Faucets Across US” led many news reports. That's after 32 individual PFAS were tested and found in both private and public water supplies, presenting potential hazards to our nation’s health. What did the study really say?

Earlier this month, the headline “New Study Finds PFAS 'Forever Chemicals' in Drinking Water from 45% of Faucets Across US” led many news reports. That's after 32 individual PFAS were tested and found in both private and public water supplies, presenting potential hazards to our nation’s health. What did the study really say?

Flip the Script: Which Came First, Germs or the Infection?

By Chuck Dinerstein, MD, MBA — Jul 25, 2023
Roughly 99.5% of people born before 1980 are infected with herpes zoster, yet only 33% will develop its clinical manifestation: shingles. The Institute for Health Metrics and Evaluation estimates that 98% of people in the U.S. have been infected with COVID, but roughly 30% of our population has been symptomatic to the extent that they are registered as “cases.” It's time to discuss the infection enigma - “the puzzling observation that only a small minority of infected people die from infection or even develop clinical disease.”

Roughly 99.5% of people born before 1980 are infected with herpes zoster, yet only 33% will develop its clinical manifestation: shingles. The Institute for Health Metrics and Evaluation estimates that 98% of people in the U.S. have been infected with COVID, but roughly 30% of our population has been symptomatic to the extent that they are registered as “cases.” It's time to discuss the infection enigma - “the puzzling observation that only a small minority of infected people die from infection or even develop clinical disease.”