Showing posts with label snake oil. Show all posts
Showing posts with label snake oil. Show all posts

Sunday, February 14, 2010

farmdoc's blog post number 665

I’ve just finished a non-fiction book whose content’s as fascinating as its title: The Men Who Killed Qantas [1, 2]. In 263 readable pages Matthew Benns catalogues Qantas’s biggest downsides – starting at its birth soon after WWI, and ending in September 2009 with the Airbus A380’s woes. As his book’s title and subtitle suggest, Benns’s theme is that in recent years and decades, Qantas’s quest to maximise profits has compromised safety. The 16 chapters are cutely numbered QF1 to QF16. The standout chapter is QF9: ‘Toxic air’. It’s an expose of ‘aerotoxic syndrome’ [3, 4, 5] – which I’d never heard of before. Aerotoxic syndrome causes debility, and even death, of aircrew and passengers after exposure to toxic fumes during flight. The fumes’ pungent odour’s reminiscent of vomit or blue cheese. Apparently, to cut costs, air is taken superheated from inside the jet engines, cooled by aircon, and pumped unfiltered into the cockpit and cabin. This system works almost all the time. Indeed unless there’s an engine oil leak, in which case the oil when superheated breaks down into various chemicals including carcinogens and organo-phosphates. Oil leaks are much more likely in older planes. Pretty scary, eh. Conspiratorially, Benns suggests airlines worldwide are covering up aerotoxic syndrome. I’ve written before of ‘disease mongering’ [6, 7]. I’ve no idea if aerotoxic syndrome’s a covered-up real disease, or a mongered disease. Time will tell.

Friday, January 9, 2009

farmdoc's blog post number 264

Chronic fatigue syndrome. Fibromyalgia syndrome. Multiple chemical sensitivity syndrome. Repetitive strain injury. When I was a medical undergraduate in the 1960s, these conditions were absent from the curriculum. So they’ve all emerged in the last 40 years. And, pointedly, there’s no objective means of diagnosing them, i.e. no objective physical examination abnormality, and no confirmatory laboratory or imaging test. You’d think that with the current sophistication of scientific techniques, if these conditions were of organic origin then medical science would detect abnormalities. But it hasn’t, and so an impartial scientific observer must question these conditions’ existence as physical entities. An article in the latest Medical Journal of Australia also questions the existence of attention deficit hyperactivity disorder – ‘the most common psychiatric clinical presentation in childhood’. It rues ‘the increasing tendency of psychiatry to transform what many regard as normal emotional responses to life’s stresses and traumas into psychiatric disorders’. And it postulates ADHD has been wrongly validated (i.e. reified) as a ‘true entity’ – for several reasons including the opportunity to prescribe drugs for it. Global ADHD drug expenditure rose ninefold to US$2.4b in the decade ending 2003. This process of creating medical ‘diseases’ for commercial gain – coined ‘disease mongering’ – is the topic of an article in the latest Internal Medicine Journal. It’s yet another reason to tread carefully, rely only on hard evidence, and ignore snake oil salesmen.