Real Nutty Articles by Yosef Leibman, M.D.
Monday, March 29, 2010 Just to switch gears, the Mythbuster has to read a lot of articles to keep his position. Occasionally, over the years, nutty articles creep into the literature and the Mythbuster has accumulated quite a collection. As such, I am featuring last year's comic article EMU (Emergency Medicine Update)- by the next blog, this year's issue will be ready (we do it once a year)
1.) You can do some pretty neat tricks with epidemiology, and if your woman is dressed to kill- she may just succeed. Lipstick is a risk factor for the development of SLE-so if you are interested in protecting yourself from damage to your urinary tract- I meant your kidneys- stay away from the women in war paint (Clin Rheum 27(10) 1339)
2.) Speaking of the urinary tract we can not ignore the frequently missed diagnosis of urinothrorax. You may want to consider this diagnosis when someone coughs on you on the bus. (Ann Trhorac Surg 85:2141)
3) Urine is not the only thing that can get into the wrong place- how about that woman with epigastric pain and air under the diaphragm without peritonitis or hollow viscus injury on CT? This Australian lady got this from sitting on an air hose (MJA 189(11) 678) This case blew me away.
4) OK, you knew sitting on an air hose was dangerous- but how about ingesting a stingray barb? No harm there, right? It caused a TIA- which lipstick does not cause. (MJA 189:668) Make nice to your pet sting ray, do not eat him.
5) Reproduction- as least the initial stage – does improve oxygen saturation in COPD. Now that was said delicately, no? (Resp Med 102(6)927) There may be other health benefits as well, but we won’t go into that now.
6) On a similarly delicate subject, a full professor at BU and a lecturer at Harvard published a landmark article that notes that Coca Cola is not a good method of contraception. (BMJ 337:1664). This article was very scholarly and the details about how they checked that sperm can out run Coke were impressive but here is not the place to go into details. I will just note one limitation of the study that Pepsi and Sprite were not tested, nor was Superdrink, but if you have tasted Superdrink Cocktail flavor you are aware that it could kill anything.
7) Think your wife is trying to kill you? You may be right. FFP from female donors caused more lung injury and more hypoxia (CCM 36(6) 1769). Could it be the lipstick????
8) In the “ooh that hurts just to think about it department” (older subscribers will never forget that urinophillic catfish in the Amazon) ( J Urology Aug 2000, page 270) we now present the knotted urinary catheter (Maturitas 60(2) 180) Enjoy your lunch.
9) Now it is time for one our favorite feature: the Rick Bukata School of Title Writing Best Titles for articles of the Year. Hard to believe you missed any of these articles. Here we go:
a) Armadillos as a Source for Infection for Leprosy (SMJ 101(6)581)
b) Moderate Sedation for Chest Physicians (Chest 133(6) 1489) you’ll get the joke here if you give this the old Emily Latella twist and ask your self”What is all this fuss I hear about moderate sedation for Chest Physicians. Why do they need sedation?”
c) The dangers of Tooth picking (EMJ 25(8)509)
d) HIT Happens (Anest Analg 107(2) 356) Yes this was about heparin induced thrombocytopenia. There is no missing letter.
e) Cardiac Arrest : It ‘s All in the Head (Lancet 371(9622)1476)
f) When and How to Welcome Government into the Bedroom (MJA 2 Mar 09)
10) Our last regular feature to the Purim issue are Notable Quotes:
a) While discussing the diabetic child on an air flight, the Arch Dis Child (93:528) notes that “the meals themselves may be unsuitable.” Where did they know that from?
b) A rejection from a peer reviewer isn’t often soft. One from the MJA comments “I’ll stop this review before it’s longer than the worthwhile parts of the paper under consideration”
c) And a quote about our profession from a non medical source. Jay Leno points out “A recent New England Journal of Medicine Study noted that 9 out of 10 doctors think that 1 out 10 doctors is an idiot".
d) Frank Burns MD: "I am a good Doctor. Just ask any of my patients."
e) BJ Honeycutt MD: "Frank, we can’t dig people up just for that."
Well I hope that this reminds you that despite the serious nature of EMU, academia is really funny. Take time to laugh, and you’ll see you will be a better doctor.
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