Archive for the ‘Best of TPR’ Category

The Most Amazing Medical Article Ever Published

August 2, 2010, 8:07 pm

TPR received a number of comments about this weekend’s post reviewing a recent article about “Spice” and other smoking mixtures containing synthetic cannabinoids.  Much of the interest centered on an incidental comment that the article referenced another paper from Journal of Mass Spectrometry, in which two of the researchers, in addition to running various mixtures through GC-MS and TLC to identify exactly what they contained, did a self-experiment by smoking a sample of “Spice Diamond” to assess its physiologic and psychotropic effects.

That got us thinking about the glorious history of self-experimentation in medicine, as described in Lawrence Altman’s wonderful book “Who Goes First?”. One reader pointed out the Altman left out the incredible episode of of Jack Barnes and his discovery of the cause of Irukandji syndome. This was a serious omission.  But Altman also did not include what is without doubt the most bizarre example of self-experiementation ever published in the medical literature.

The year was 1884. . . .

Read More »

Botticelli mystery solved — it’s the squirting cucumber!

June 10, 2010, 12:15 pm

Several weeks ago I wrote about the controversy concerning what — if anything —  is being held by the weird satyr in the lower-right corner of Botticelli’s great painting “Venus and Mars”. An art historian from Sotheby’s had claimed that the satyr was clutching Datura stromonium (Jimson Weed), suggesting that the sleeping Mars was not so much post-coital…

Read More »

Button battery ingestions causing increased fatalities

June 6, 2010, 11:50 pm

★★★★★

Emerging Battery-Ingestion Hazard: Clinical Implications. Litovitz T et al. Pediatrics June 2010;125:1168-1177.

Abstract

This must-read article points out that with the growing popularity of 20-mm lithium batteries, the percentage of button battery ingestions involving major outcomes or fatalities is increasing. The authors, from the National Capital Poison Center in Washington, DC, analyzed data from 3 major sources concerning these ingestions. They make the following important points: . . .

Read More »

Cyanide, the heart, and hydroxocobalamin

May 22, 2010, 2:44 pm

★★☆☆☆

Cyanide Poisoning and Cardiac Disorders: 161 Cases.  Fortin JL et al.  J Emerg Med May 2010;38:467-476,

Abstract

This manufacturer-sponsored, multicenter retrospective study reviewed cases of patients with smoke inhalation or cyanide ingestion who received early hydroxocobalamin in the field, before arriving at hospital.  The study period was from January 1995 to July 2008. The authors paid special attention to…

Read More »

Adulterated Drugs Now and Then: Cocaine and Jamaican Ginger Extract

March 16, 2010, 8:31 pm

★★★★☆

Adulterated Cocaine and Lessons Learned from the Jake Walk Blues.  Wiegand TJ  J Med Toxicol (published online 11 March 2010 ahead of print).

No abstract available online

In this very interesting short article, T.J. Wiegand from the Northern New England Poison Center uses recent reports that a large percentage of cocaine coming into…

Read More »