Query: where have all the good studies gone?

I wonder why so much money gets thrown at the same basic studies over and over again. My personal hair-puller is the ones that call for subjects “with chronic CRPS, with only one affected limb.” They must be testing the same dozen people over and over and over again. Wait, they can’t, because if the subjects have chronic CRPS with only one limb affected, they’re either about to get better or much worse.

It’s all very well to keep re-proving a treatment until a level of acceptance is reached, but there are more effective and cheaper avenues — and much richer ones — that are passed by, in favor of flogging a handful of horses who are, at best, unconscious.

It has been too long since significant effort has gone into much more basic research: by and large, we’re still working with the scientific equivalent of the horse collar, when it comes to pain management — not the Ferrari. In fact, it’s unclear to me why we’re still fixated on management, when we need to think in terms of cure. Most chronic pain is needless.

If we knew more about the relevant neurochemistry and cellular metabolism, we’d be in a MUCH better position to figure out when NSAIDS, lido, shock, acupuncture, spinal cord stim, or ketamine comas will work, and when they’ll just be another doorway into hell.

Can you imagine how much money — and misery, and time — it would save to have a short list of things to try, based not on each doctor’s semi-religious leanings or equipment contracts, but based on each body’s signal framework and chemical signature?

Dreaming is free. Studies require funding. Follow the money, and unfortunately the reasons behind all this brutal silliness become clear.

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File-sharing ~= sex, fecal transplants, and bacterial cognition

This is the richest, most fascinating article I’ve read about life, the biosphere and everything:

http://www.miller-mccune.com/science-environment/bacteria-r-us-23628/

Now that’s a writer with ADD, putting all that into one contiguous piece — but also she’s got one hell of a gift, to make it so coherent and approachable. I want to be like Valerie when I grow up!

I’m completely blown away. I’m going to go for a bus ride so I can explain to the air how thrilling bacteria are. After all, I have to take the bus ride anyway, so I might as well scare people off.

I am in paroxysms of bio-geek delight!

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Scientific method & infant studies

Further thoughts on this article which revealed, to every parent’s astonishment I’m sure, that babies remember what upsets them and learn to hope for less in the future:
http://www.physorg.com/news201964561.html
My first, suppressed response was a huge internal “WTHF??? Who’d do
that deliberately??”
But I was a nurse for years — I know what people will do deliberately and I won’t go into it here, especially since I just had a tasty breakfast.
My second thought was the one reflecting my training, which tells me that if it isn’t repeated in a number of controlled scientific experiments, it’s not accepted medical knowledge (document, document, document!), and if it’s not accepted scientifically, it won’t be accepted as good parenting practice.
grrrrrrrrrrrrrrrrrrrr… But I digress.
On the one hand, I’m glad that a few OBs might suggest that parents hang onto their infants instead of handling them like awkward, smelly little responsibilities to be managed with as little face-time as possible.
On the other, I find it profoundly, horribly wrong to tell young parents to walk away from their screaming baby and stay there while we stab or slash the kid to get a few blood samples, and then come back again later to do it all again.
Because heaven knows you can’t just watch the painful reality of life unfold naturally. That would require the assumption, antithetical to scientific method’s assumptions, that observation and empathy in a real-world setting (where sometimes kids get put down for real reasons) is a valid basis for drawing conclusions.
I could go on about psychogenic shock, neurological development, early bonding, the isolationist shift in child-rearing advice over 30 years, the current puzzlement among psychologists about the staggering proportion of young adults who are incapable of empathy, the weirdness of the fact that most of the world is toilet-trained by ~2 but here we’re rarely trained by 4… And so on.
But that could take awhile and my iPhone is starting to make my fingertips sting.

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Lovely note to start on

Pisses me off that almost all the studies done on CRPS insist on recruiting subjects (that is, patients) who have only one affected limb!  This specifically precludes a huge proportion of us. Unrealistic & stupid.

Happily (and never was the word less apt), RSDS.org is doing a 20-year study on the natural history of CRPS.  With luck, that might change the general focus to something more realistic. It only takes practice about, oh, 10-15 years to catch up with the data.

Frkn one-affected-limb-only.  Sheesh.  Bloody amateurs.

If I had a massive gift to endow, I’d create scholarships for people with CRPS to get all the support & equipment they need to complete medical school, medically-related advanced degrees, whatever it takes.

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