I’ve only seen scurvy once. I was in training at Barnes Hospital in St. Louis, and a homeless man was admitted with weakness, muscle and bone pain, bleeding gums, and shortness of breath. It turned out that his diet consisted solely of hotdogs (no condiments) and Coke. It’s a good thing he came to tertiary care hospital, because scurvy is so rare now that many physicians wouldn’t even consider it in their diagnosis.
I will admit, though, that I’ve been watching a friend of my son for years, expecting to see my second case of scurvy. This friend only eats white rice. Well, he also eats white bread, and a few other things, but only bland things. I thought he would grow out of it but he still hasn’t, and he’s teenager.
I’ve been puzzled about his dietary habits, but I just read something that might explain this.
In The Medical Detective, Roueché describes a baker who suddenly developed a similar problem. The baker, named Rudy, had a perfectly normal sense of smell and taste until one day, he came down with a cold. Then suddenly, his smell and taste perception changed (and persisted). He couldn’t handle the smell in his pizza bakery any more. The ripe tomatoes smelled rotten. The entire kitchen smelled like burnt plastic. Continue reading “Can You Taste with Your Kidneys? Can You See with Your Blood Vessels?”
You know those people who only need 4 hours of sleep a night, yet who are energetic to the point of making you feel exhausted just by seeing what they do in a day? Well, there’s an app for that. OK, not really, but there is a gene for that. It’s called DEC2 (also called BHLHE41), and the evidence for it is pretty convincing. The group that originally identified this gene even made mice with a mutation in the gene and the mice also became short sleepers, and at least one other group has identified mutations subsequently in the same gene in other families with short sleep phenomenon.
What does this gene do, can I have a copy of that mutation, you are asking yourself. Continue reading “To Sleep, Perchance to Dream… Or Not”
A recently published paper reported that combination of three diabetes drugs (GLP-1, GIP, and glucagon) improved memory in a mouse model of Alzheimer’s. This is quite remarkable, but not shocking.
There are several competing theories of Alzheimer’s disease. There is the all-but-discredited theory of beta amyloid. I would like to still believe in this theory, having been a proponent of this theory for several years at Elan. It is a compelling theory for several reasons. First, the familial forms of Alzheimer’s disease have mutations that increase beta amyloid. Second, you can cause Alzheimer’s by injecting beta amyloid into the brain. Third, transgenic mouse models targeting beta amyloid can reproduce some of the symptoms of the disease. But unfortunately, data from multiple studies have shown that the theory is incorrect. It is difficult to admit that so much beautiful science (much of it done at Elan) can be so wrong but I think it may be. Continue reading “Diabetes Drugs for Alzheimer’s Disease?”
My best friend was diagnosed with gout recently. I told him to stop ingesting fructose immediately.
Only twenty five years ago, when I was in training, gout looked like it was like a disease on its way to extinction, sort of like tuberculosis. We were taught it used to be common hundreds of years ago but that it was pretty rare. Sure, I had a few patients with gout in my clinic with gout but I would see a case once every couple of months at most.
Now, it’s exploded in frequency.
Gout is very, very bad. Not only because it is excruciatingly painful. (In some patients, you can’t even let a gouty big toe brush against tissue paper without unbearable pain. It’s one of the few things that may rival childbirth in the intensity of pain.) And not only because it is a major risk factor for heart disease. Not only because it causes heart disease. No, it’s very bad because your risk of dying goes up by 25% if you have gout. Continue reading “Gout and Cardiovascular Disease”
The bacteria called Fusobacterium nucleatum plays an important role in causing gingivitis and periodontal disease. It is also found in the placenta. Gingivitis is an interesting disease, because people who have gingivitis also tend to have higher risk of a number of other problems, such as diabetes and heart disease. It has been a long-running debate whether gingivitis causes these other diseases or whether it’s just a non-causal correlation.
Into that debate drops this bombshell: a paper recently published in Nature just reported that Fusobacterium, which was previously reported to be found in many patients with colon cancer and to induce tumors (in this paper, they show the bacteria recruit immune cells to the tumor, which is very very bad Continue reading “Colon Cancer and Bacteria”
Ed Thorpe is the mathematician who wrote “Beat the Dealer.” In that book, he detailed his invention of card counting. He proved for the first time that it was possible to beat the Las Vegas casinos in blackjack, something that was believed to be impossible. He also invented the Black-Scholes equation several years before Black and Scholes (and in fact Black and Scholes directed credited Thorpe’s writing for inspiring them), which resulted in a Nobel Prize. Except he didn’t share in the Prize because he used the equation to make millions of dollars on Wall Street rather than publishing it. But that’s another story.
Thorpe writes about the time he was asked to dinner with Warren Buffett. Ralph Gerard, the dean of UC Irvine, where Ed was a professor of mathematics, was thinking about moving his money from Buffett to Ed. Warren was secretly assessing Ed’s bona fides.
Ed passed muster when he correctly answered Warren’s question about the oddly numbered dice. This is a curious phenomenon. Let’s say you have three dice. The first die A is numbered 3,3,3,3,3,3. The second die is numbered 6,5,2,2,2,2. The third die C is numbered 4,4,4,4,1,1.
If you roll the dice, then most of the time, die A will beat B, B will beat C, and… C will beat A. Continue reading “Metas, Or, Biology is Non-Transitive”
There is a fantastic post by luysii on his Chemiotics II blog. In it, he discusses his theory that senescent cell may be producing mediators that cause chronic fatigue syndrome (CFS). I think it’s a fascinating idea.
CFS is a terrible disease, made worse by the fact that some physicians don’t believe that it exists. Trust me, it does.
An interesting things about the disease is that it tend to occur in high income countries, and almost never in developing countries, and that in my experience, it tends to occur in women from mid to higher socioeconomic strata. This is in contrast to fibromyalgia, which Continue reading “Being Sleepy and Tired”