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Medical links, Good, Bad and Ugly

The good: How an ‘Impossible’ Idea Led to a Pancreatic Cancer Breakthrough by Gina Kolata and Rebecca Robbins for The New York Times. The breakthrough discussed is the real deal, and they manage to do it in a measured tone which correctly identifies daraxonrasib as a stepping stone and not a miracle cure. It has this important note up top and not buried down at the end:

The pills, three taken daily, are not a cure — eventually, daraxonrasib stops working. Many patients do not respond. And it has side effects that can be harsh, including rash, diarrhea, fatigue, nausea and raw, split fingertips.

How refreshing — I hope Derek Thompson takes note.

The bad: The Human Body’s Hidden Pathways by Dr. Avraham Z. Cooper, who is a pulmonary/critical care physician at the Ohio State University, for The New York Times Magazine. For the life of me I can not figure out the point of this post-modern journalistic exercise.

Nominally it is about a peer-reviewed research article which came out in 2021 under the title “Evidence for continuity of interstitial spaces across tissue and organ boundaries in humans”. The NYT Magazine staff did not deem it worthy of being linked to, but here it is in its entirety. In it, the authors showed small fragments of tattoo pigment migrating into tissues — skin and colon — deeper than they expected. We are not talking about ink being injected into a bicep and showing up in someone’s rectum here, but rather a series of biopsies of tattooed skin or the lining of the colon where there is a lot of pigment up top, and much less and in smaller pieces down at the bottom of the slide, deeper in the tissue.

Let me pull out my rarely used master’s degree in histology and note that this is hardly surprising. Connections between cells are not exactly air-tight — other than maybe in the brain and the testes — so of course there is some gel-like fluid circulating in the space. Or did the original article’s authors not realize why people tend to rub their feet when they get swollen?

But that is only the introduction. The meat of the article is Dr. Cooper’s theoretizing that this has something to do with — drumroll, please — acupuncture. With no evidence, mind you, but a tingling sensation in the back of his neck or somesuch. By the time the 30th single-sentence screen scrolls by we are firmly in bullshit territory, in the formal sense of the word. Caveat lector.

The ugly: Longevity Medicine - An evidence based guide by Dr. Vinay Prasad who is out of the FDA and back making YouTube videos. And oh my, the contrast between the most recent thumbnail and the one posted just before he joined the FDA is striking. Has it only been a year? No wonder that his first topic back as an influencer is about longevity.

A sidenote here which I will put at the end: the increased interest of Silicon Valley types with longevity, and I am not thinking only about Bryan Johnson’s delusions here, reminds me of the recently quoted speech Charlie Chaplin gave at the end of The Great Dictator, the relevant quote being that “so long as men die, liberty will never perish.” Good for us that snake oil salesmen are still the longevity field’s most prevalent phenotype.


JTR gave me a kick in the rear I needed to update my Blogroll page. There has been way too much cruft accumulated, with some recommendations not having posted in years. It is still a work in progress — only the first two lists are done — but better than nothing! For a (nearly) up-to-date list of every feed I follow, check out Feedland.


Friday link potpourri

To those who can hear me, I say - do not despair. The misery that is now upon us is but the passing of greed - the bitterness of men who fear the way of human progress. The hate of men will pass, and dictators die, and the power they took from the people will return to the people. And so long as men die, liberty will never perish…

Soldiers! don’t give yourselves to brutes - men who despise you - enslave you - who regiment your lives - tell you what to do - what to think and what to feel! Who drill you - diet you - treat you like cattle, use you as cannon fodder. Don’t give yourselves to these unnatural men - machine men with machine minds and machine hearts! You are not machines! You are not cattle! You are men! You have the love of humanity in your hearts! You don’t hate! Only the unloved hate - the unloved and the unnatural! Soldiers! Don’t fight for slavery! Fight for liberty!

Amen.


Thursday links, Nautilus science edition


Tuesday links, at the movies


As promised, today’s update to Microbe — a micro.blog client for Emacs now at version 2.0 — includes draft syncing. There were also some minor updates to Inkling. Both are available on GitHub though I think I’ll just drop that and just host them here. Something to think about for next week…


Friday links, science-y


"Notes on science and scientism" by Protesilaos

The essay is five years old yet I have discovered it just now because the author is also the person behind Denote, a marvelous note-taking tool for Emacs. The tone is not as dry as a scholastic text [Note: For a Substack version of a similar message I encourage you to check out Experimental History. The most recent post, for example, is a case study of one particular aspect of scientism — zombie ideas. ] but not as entertaining as something one would find on Substack. The message is unambiguous, and rather than rehash it let me quote one paragraph out of many:

Science as a career choice rather than a disposition towards learning, and an attitude of living in accordance with the principles than (sic!) enable such learning, contributes to the distancing from philosophy and to the degradation of the moral character of those involved. The practitioner who has not been in the least exposed to the rigours of a virtuous modus vivendi is likely to prioritise superficialities that obscure their own intellectual insecurities, such as social status, a growing collection of titles and certificates that are supposed to support one’s appeal to intellectuality, or the emptiness of being celebrated as a force for so-called “progress” and “rationality” among those who are believed to be unfortunate enough not to be scientists. The latter is one of those non-scientific beliefs amplified by the oligopoly of mass media that helps the philosophically deprived science stake its claim as the tutelary figure of the contemporary world, while blithely disregarding its instrumentalisation as both the apologist and militant activist of the power apparatus that enables it.

The author, who chose to drop his surname and go just by Protesilaos thereby making me break the house rule of using last names only when referring to folks, lives in a hut he built himself [Note: A hut which brought to mind this recent essay from Joan Westenberg about people retreating from their true calling for years in order to recharge. ] in the mountains of Cyprus. Fascinating stuff, all with a large back catalogue I will be perusing in the months to come.

The last few years have been particularly tricky to tread for people who recognize the difference between science and scientism. If the entire board of the National Science Foundation is fired in one day, is it an attack on science or an attempt to curb scientism? [Note: ¿Por qué no los dos? ] When one of the “Abundance” guys — yes, that book is still on the pile — proposes an unbaked not-even-embryonic scheme for reform, is the rebuke from a seasoned scientist legitimate or just circling the wagons? [Note: Vide supra ] So yes, a retreat to the mountains does sound appealing.


Monday links, in concurrence


Another weekend, another free hour to improve Inkling, the 95% Gemini-generated Emacs client for Inkwell. In addition to fixing a couple of annoying bugs — and how great is it that every RSS feed is its own unique snowflake? — I’ve added a bookmark manager for micro.blog’s bookmarks, complete with tagging. Next up: adding drafts to Microbe.