‘Tisn’t The Season

Wed 17 Oct 2007 @ 1648 — nosugrefneb    

Something that annoys me year after year after year after year is the increasing early preparations this country makes for its holidays. When I was growing up, people did their Christmas shopping and put up Christmas decorations in December—you know, that month with Christmas in it. Likewise, Thanksgiving was celebrated on the fourth Thursday of November, which happens to be, strangely enough, Thanksgiving, and Halloween was celebrated on Halloween, as opposed to not-Halloween.

These days, things are vomit-inducingly different. The Christmas season, for all intents and purposes, is in full swing, fully two months early. (Don’t get me wrong: Christmas is my third favorite day of the year behind the day daylight saving ends and St. Patrick’s Day.) Stores have had Halloween decorations up for a month, and I’ve seen carved pumpkins on front stoops for at least a few weeks. People, pumpkins don’t last that long. They get moldy and gross within a few days, if not smashed by the teenage locals. Thanksgiving talk has already started, too. Lest we forget, none of the three holidays have even so much as approached yet.

So, for those of you who on December 26 will promptly begin preparations for Christmas ‘08, this website may be of some guidance. Please, do visit and learn from its infinite wisdom.

(via Majorly English)

This Is Terrible News

Mon 15 Oct 2007 @ 1555 — nosugrefneb    

There’s a Dunkin’ Donuts opening up less than a block from my apartment. All its cheap, caffeiney goodness only steps away. I’m doomed. Good thing they don’t have free wifi.

From The Archives: On the Announcement Of One’s Credentials Via Vanity (Plates)

Thu 11 Oct 2007 @ 1533 — nosugrefneb    

Originally posted 19 April 2007. Upon reading MedStudentGod’s lament of his fellow medical student’s ridiculous license plate (story here, vomit-inducing picture here), I am reminded of a similar post I wrote earlier this year. I’m happy to report that my singular perspective seems to be dead-on as a more global, extra-Chicago phenomenon, as this kid’s got the stereotypical bimmer and everything. (How a med student has the funds for a bimmer in the first place is beyond me. Also, I’m loving this new trend of premeds and medical students going around calling themselves “docs.”)


As seen today on the license plate of a ridiculously-gigantic Lexus SUV:

HLA B 27

Rheumatologist? Gastroenterologist? Pretentious asshole-doctor/scientist broadcasting precisely that, or perhaps publicly declaring his or her love for a small but clinically significant molecule?Oh well. At least it’s not as those who feature some explicit reference to the fact that they’re a doctor because they have some innate, untapped desire to shove down your throat the fact that they’re rich enough to drive that beemer bimmer. You know, something like “BOOB DR” or “PHD MD” or “IMBTRTHNU”.

Meh. Who needs a car, anyway? I’ll broadcast that I’m a piss-poor medical permastudent on my bicycle, thanks very much.

We’re Getting The Band Back Together!

Tue 09 Oct 2007 @ 1331 — nosugrefneb    

Actually, not the band, which remains defunct, but the a cappella group. And, technically, they were never apart; I just left for a little bit.

But I’m rejoining them. They were looking for a tenor, and I am one, or at least I can be if I try real hard. I initially left the group mostly to study for the boards but also because I was largely unhappy with the general mindset of the group, which often tended toward a social basis for its existence rather than toward a musical one, which always sort of annoyed me. But, having had several old folks leave and several new folks join to take their places, it seems, at least at this point from the outside, that it’s got its head on straight, and there are also a handful of remaining original folks who were good friends at the time. So, back I go. I’m excited. We’re getting the band back together.

Cancer Research Blog Carnival #2

Fri 05 Oct 2007 @ 0830 — nosugrefneb    

UPDATE: Welcome StumbleUpon users! Hope you enjoy the carnival, and if you’re interested in hosting the next edition, let the folks over at the Bayblab know.

UPDATE 2: There’s a tiny Digg button down below the post on the left that helps drive readership and promotes awareness of this topic. If someone Diggs this, I would totally be BFFs with you. Just give it a little clicky-click action. See what happens.


Welcome to the second edition of the brand-spankin’-new Cancer Research Blog Carnival, a tradition in the making begun by those crazy geniuses that are, collectively, The Bayblab.


loeb.jpgLet’s kick things off with a pair of items from Doctor David’s Blog, written by a pediatric oncologist and researcher. He first introduces us to his research involving potential cancer stem cells in Ewing’s sarcoma, the treatment for which remains unsuccessful in a large number of cases. Ideally, the unequivocal identification and further characterization of these cells will allow for more effective early diagnosis and therapy for this nasty disease.He also tips us off to the interesting alarming news that increasingly-ubiquitous RFID chips, which have been highly touted as key agents in the future of portable personal medical records, so enthusiastically touted at times as to suggest that they may actually hold the cure for cancer within their tiny shells, are in fact linked to the development of cancer in lab animals. Oops. What’s more: There may have been some funky business going on in its cover-up:

How did these devices get approved by the FDA if they cause tumors in mice? I’m not usually a conspiracy theorist, but I could offer one reason for their approval:

The FDA is overseen by the Department of Health and Human Services, which, at the time of VeriChip’s approval, was headed by Tommy Thompson. Two weeks after the device’s approval took effect on Jan. 10, 2005, Thompson left his Cabinet post, and within five months he became a board member of VeriChip Corp.”

Okay, but one question still remains: My dog has an RFID chip implanted in him. Say he gets cancer. Does he eat the cancer? These are important questions, people!—about as important as why the hell a government agency would approve something that’s been shown to cause malignant tumors in mice for human use.


joe-oncology.jpgJoe Oncology tells us about a fascinating new non-invasive and inexpensive method for detecting a number of different cancers: push on ‘em, and watch what happens. I happen to fancy my description, but the more “glamorous” name for it is elastography:

Recently, studies have demonstrated remarkable detection accuracy rates in thyroid, prostate, and breast cancer detection. Last year, a small breast cancer detection study involving 80 women accurately distinguished 100% of malignant tumors and 99% of non-malignant tumors.”

All together now: “Why didn’t I think of that??”


scienceblogs.jpgA lot of talk has been floating around in recent years about the phenomenon that calorie restriction leads to gains in lifespan. However, the reason for this is not entirely clear, and explanations that have been offered have largely been superficial and often raise more questions than they answer in the first place.Well, The Cheerful Oncologist directs us to another piece of the puzzle: NAD+ is increased in the context of calorie restriction and appears to be cytoprotective. Explains the cheerful one:

What they found is that mitochondria exposed to stress and nutrient restriction can still maintain adequate levels of the important coenzyme NAD+, and that rats fasted for 48 hours can increase production of mitochondrial NAD+ by activating the gene that can increase production of NAD+…It may be the most important anti-aging gene in the eukaryotic cell, not to mention us humans.

Reducing the calorie intake of a mammal may delay the aging process and protect against such devastating age-related illnesses such as cancer and Alzheimer’s disease.”

Very cool stuff. Should’ve paid more attention in biochemistry class.


microarray.jpgWalter over at Highlight Health writes about a practice that we’ll be seeing more and more in the treatment of cancer (not to mention any other disease) in the coming years: personalized therapies based on specific individual expression profiles. Says Walter:

This technology allows physicians to personalize medication regimens based an individual’s unique gene expression profile, enabling them to choose drugs and dosages most likely to have a positive effect. With personalized medicine, therapeutic options can be chosen based on evidence, rather than instinct.

This report is interesting because oncologists don’t yet base treatment decisions on gene expression profiling. The results demonstrate that a personalized molecular oncology approach, basing chemotherapy on tumor gene expression, has a great deal of promise.”

This is fascinating stuff and has already been taking place to some extent with the emergence of translational research. However, tailoring individual treatment strategies based on individual disease characteristics has not yet become widespread, but with cheaper methodologies and an ever-expanding pool of molecular targets, this is clearly the future of cancer treatment.


gnif_articles_studies.jpgSpeaking of personalized information, Robert at the Global Neuroscience Initiative Foundation’s Brain Blogger…blog invokes Craig Venter’s most recent escapade foray into the news involving the public release of his own genome sequence and his subsequent prophylactic use of statins to counteract his apparent risk for cholesterol problems. He’s also got some visions for the future of personalized care, namely in public awareness of health risks and its increased influence on specific lifestyle modifications to avoid disease (a la Venter). Finally, he touches on the potential benefits of peace of mind in avoiding cancer:

Emotional stress appears to increase oxidative stress as well — the same oxidative stress that contributes to cancer.

Let’s talk about a genetic connection. People who are members of genotypes (GSTM1 and GSTT1) that lack genes for glutathione S-transferase are more vulnerable to oxidative damage and cancer from effects such as smoking, according to a recent study. The same study found that four cups a day of green tea were especially helpful for this genetic group in reducing the oxidative damage.”

I think it’s safe to say that most medical and graduate students are squarely in the “high cancer risk group” when it comes to stress levels. Crap.


omnologos.jpgMaurizio over at Omnologos examines in detail the debate of power lines and their possible relationship to pediatric leukaemias, and he does a rather thorough workup. He also schools us on some basic statistical and epidemiological methods:

Statistical indicators are explained poorly and in an alarmistic manner. For example, a Relative Risk of 1.69 is described as a 69% increased probability to develop leukaemia. Such a reporting is mathematically right, conceptually wrong and frankly misleading. Is there as 400% growth in increasing one’s savings from £1 to £4? Yes, but it’s still just £4. Moreover, as explained below, values of RR less than 3 seldom are considered worth of note in epidemiological studies.”

Check it out.


logo.gifJames Randerson, increasingly my favorite science reporter, of The Guardian, increasingly my favorite source for science news, briefly summarizes some interesting work with drug delivery and gene replacement therapy for cancer in the form of viral infection. Specifically, genes of interest can be packaged into adenoviruses and targeted to specific cells or tissues. This largely eliminates off-target effects, and for things like lung cancer, for which viruses can be administered via inhalation, viral delivery is more convenient than traditional methods. This method is being used with more frequency and in combination with traditional chemoradiation therapies to combat cancers. James reports another advantage:

The modified adenovirus exploits what Lawrence Young, who is leading the research project at the University of Birmingham, calls the cancer cell’s ‘achilles heel’. ‘It’s a little molecular switch [on the cell's surface],’ he said. ‘If you switch it on it does two things - it induces the cells to die, but it also provokes the body’s immune response to destroy the cancer. So it is a double whammy.’”

It will be interesting to see how this pans out in the future of cancer therapeutics, or whether bacterial infections may also be exploited to specifically target cancer-associated molecules.


gse_multipart37482.jpg Eye on Miami warns us of some potential dangers of housing nuclear reactors in south Florida, where plans to tap nuclear power sources seem to be in full swing. We’re taken on a nice trip through some of the history of nuclear reactors and their link to human disease:

It is probable that cancer rates have soared during the second half of the 20th century partly as a result of the radioactivity released initially from the massive Cold War atmospheric bomb testing during the 1950s and early 1960s, and more recently from nuclear power plants during the 1970s and continuing up to the present.

Since the beginning of the nuclear age over a half-century ago, human beings have been the unwitting subjects of a monu­mental, albeit unintended, radiation experiment initially involving atmospheric testing of nuclear weapons, and subsequently, radiation releases from nuclear power plants. It took decades before the links between other known carcinogens, such as as­bestos, tobacco, and vinyl chlorine, were formally acknowledged by medical professionals and government public health officials. There seems to be a growing momentum behind a similar pro­cess of scientific peer review and validation to assess the public health impact of internally-ingested environmental radiation re­leased by nuclear power reactors.”

It’s an interesting read to say the least.


twinkies.jpgMoving right along, two quick mentions: The first is from The Twinkies blog where we get a brief intro to the expanding base of literature in support of the fact that breast milk may contain antitumor compounds, namely alpha-lactalbumin. Good to know. Yet another reason to love boobs. primatediariesmed-lg.jpgSecond, a great post from The Primate Diaries about some of the prouder moments in the history of human experimentation. Definitely worth a read.


picture-3.jpgTo wrap things up, The Stupid Cancer Blog, the weblog of the I’m Too Young For This! Cancer Foundation For Young Adults, reminds us that we as cancer researchers still have a long way to go toward making people better and finding cures. Because I do research in the area of lung cancer, which has made essentially no progress in treatment outcomes over the last 30 years, I am reminded of this constantly. However, TSCB tells us that this is especially true of young adult patients. Who should tackle this problem? Young adults themselves:

When I was diagnosed with brain cancer 12 years ago while a College senior, I was given 50% chance to live for five years. You’d figure that, 12 years later, with all of the progress we’ve made, should I or anyone else get that same brain cancer today, that 50% would be a lot higher.

It isn’t – and the same would be true if I had leukemia, colon cancer, breast cancer, osteosarcoma or any other cancer. Bottom line – if you are diagnosed between 15 and 39 today, just pretend it’s 1977 when disco was king and the average 5-year remission was 50%.

Will no one answer the call of young adult cancer research? Because unless someone does something, in another 12 years, whoever gets diagnosed with my brain cancer will still only have a 50% chance.

Wake up GenX/Y’ers – this is our cancer, our fight, our calling. We have to take care of our own because no one else does. No one has yet risen to the occasion until we figure out how to turn this cause into the next ’so-retarded-yet-I-can’t-look-away’ rodent video.

Yes, we’re invincible and ‘this can’t possibly happen to us’ – but it can, it does and it’s scary as hell, especially since there’s been no progress in 30 years. Let’s rethink where we donate our time, our talent and our money. Does your cancer charity care about young adults? Do they simply get it? Do you even have a cancer charity?”

I would strongly encourage you to visit the whole entry and the Foundation website itself. Then, once you’ve done that, think about focusing your efforts on the young adults with cancer. They need our help.


bayblab-logo-final1.jpgPostscript: The AC from the Bayblab just reminded me that in their recent podcast episode (12.1), available on their home page or on iTunes, they have an interesting discussion about photodynamic therapy for the treatment of cancer. This method involves local or systemic uptake of a photoreactive chemical that is sensitive to light of a certain wavelength, which, when applied, activates this chemical inside cancer cells, and some other crazy magic stuff happens, and then you pray a little, and then poof!—cancer’s gone. and creates a potent form of reactive oxygen species that ideally results in localized cell death. It’s by no means a new technology—it’s been around for nearly a century—but it seems to have gained popularity in recent years. At any rate, it’s an interesting discussion on their podcast, so check it out.


That’s it for the second edition of the Cancer Research Blog Carnival. Hope you enjoyed it! Stay tuned for the next edition in early November, and get in touch with someone over at the Bayblab if you’re interested in hosting this sometime.

Great News!

Thu 04 Oct 2007 @ 1042 — nosugrefneb    

You will all be happy to know that this site is now optimized for viewing on the iPhone and iPod Touch.

iphoney.jpg

Also, for those of you with an iPhone and/or iPod Touch, I will give you $10 for either or both of them. I know, I know, it’s a generous offer, but I’m willing to pay top dollar to get my hands on one.

Episode 5: Students’ Interview Experiences, Part 1

Mon 01 Oct 2007 @ 2245 — nosugrefneb    

podcast-300×300.jpg

Episode 5 has been released to critical acclaim. Not really, but I’m keeping my fingers crossed that it’ll hit the New York Times’ Best Podcast List one of these days. Also, that the Times makes a Best Podcast List in the first place, because that would be sweet.

For the awesomeness, go here.
Or here.
Or here.
Or here.

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