Charlie Sheen is HIV positive. As was revealed on the Dr. Oz show, when diagnosed his viral load was 4.4 million. After six months of the a standard anti-HIV cocktail his viral loads were undetectable.
This does not mean he is HIV negative or free of this virus. As part of the viral life-cycle it goes into hiding inside of cells. It is undetectable while hiding, and also cannot be eradicated by medications. This is a major challenge to curing HIV, or even pushing the efficacy of our current treatments further. Researchers are looking into ways to force the virus out of hiding so that anti-retroviral medications can go to work.
With current anti-HIV treatment someone who is HIV positive can expect to live an almost normal life expectancy free of any major complications of the disease and will not go on to develop AIDS from the virus. The big challenge now is to get this modern medicine to those who are HIV positive in the third world, or to those who cannot afford it.
Interestingly, Charlie Sheen, who has all of the advantages of wealth in a Western industrialized country, opted for third-world treatment of his HIV. He recently went off of his anti-HIV medications and instead decided to rely on the ministrations of an unknown doctor in Mexico making bold claims.
This prompted an on-air intervention by Dr. Oz and Sheen’s own doctor (which was ethically dubious but good television, I guess), after which Sheen reported he would go back on his medications.
Of course, most HIV patients who are lured to Mexico with the promise of a miracle cure will not benefit from a personal intervention by Dr. Oz. Hopefully they will benefit from watching that episode, but if history is any guide (unfortunately) the exposure is likely to lead more people to the Mexico charlatan than warn them away.
Why People Seek Charlatans
The Sheen episode raises a fascinating and important question – what is the allure of the lone maverick making bold claims? Often the answer provided is desperation, but what makes the Sheen example so interesting is that desperation was not a factor. He was effectively in remission from his HIV with undetectable loads. He still has to take medications for the rest of his life, but that seems a small price to pay for taking a horrible deadly disease and transforming it into a benign chronic condition with a normal life-expectancy and quality of life. The situation did not call for desperation.
Medical students and residents frustrated with bogus advice from doctors on TV have, for more than a year, been asking the American Medical Association to clamp down and “defend the integrity of the profession.”
Now the AMA is finally taking a stand on quack MDs who spread pseudoscience in the media.
“This is a turning point where the AMA is willing to go out in public and actively defend the profession,” Benjamin Mazer, a medical student at the University of Rochester who was involved in crafting the resolution, said. “This is one of the most proactive steps that the AMA has taken [on mass media issues].”
The AMA will look at creating ethical guidelines for physicians in the media, write a report on how doctors may be disciplined for violating medical ethics through their press involvement, and release a public statement denouncing the dissemination of dubious medical information through the radio, TV, newspapers, or websites.
The move came out of the AMA’s annual meeting in Chicago this week, where representatives from across the country vote on policies brought forward by members of the medical community.
Mazer and fellow medical students and residents were prompted to push the AMA after noticing that the organization was mostly silent during the recent public debates about the ethics of Dr. Oz sharing unfounded medical advice on his exceptionally popular TV show.
“Dr. Oz has something like 4 million viewers a day,” Mazer previously told Vox in an interview. “The average physician doesn’t see a million patients in their lifetime. That’s why organized medicine should be taking action.”
By Yvette d’Entremont via gawker
Vani Hari, AKA the Food Babe, has amassed a loyal following in her Food Babe Army. The recent subject of profiles and interviews in the New York Times, the New York Post and New York Magazine, Hari implores her soldiers to petition food companies to change their formulas. She’s also written a bestselling book telling you that you can change your life in 21 days by “breaking free of the hidden toxins in your life.” She and her army are out to change the world.
She’s also utterly full of shit.
I am an analytical chemist with a background in forensics and toxicology. Before working full-time as a science writer and public speaker, I worked as a chemistry professor, a toxicology chemist, and in research analyzing pesticides for safety. I now run my own blog, Science Babe, dedicated to debunking pseudoscience that tends to proliferate in the blogosphere. Reading Hari’s site, it’s rare to come across a single scientific fact. Between her egregious abuse of the word “toxin” anytime there’s a chemical she can’t pronounce and asserting that everyone who disagrees with her is a paid shill, it’s hard to pinpoint her biggest sin.
Hari’s superhero origin story is that she came down with appendicitis and didn’t accept the explanation that appendicitis just happens sometimes. So she quit her job as a consultant, attended Google University and transformed herself into an uncredentialed expert in everything she admittedly can’t pronounce. Slap the catchy moniker “Food Babe” on top, throw in a couple of trend stories and some appearances on the Dr. Oz show, and we have the new organic media darling.
But reader beware. Here are some reasons why she’s the worst assault on science on the internet.
Natural, Organic, GMO-Free Fear
Hari’s campaign last year against the Starbucks Pumpkin Spice Latte drove me to launch my site (don’t fuck with a Bostonian’s Pumpkin-Spice Anything). She alleged that the PSL has a “toxic” dose of sugar and two (TWO!!) doses of caramel color level IV in carcinogen class 2b.
The word “toxic” has a meaning, and that is “having the effect of a poison.” Anything can be poisonous depending on the dose. Enough water can even be poisonous in the right quantity (and can cause a condition called hyponatremia).
But then, the Food Babe has gone on record to say, ” There is just no acceptable level of any chemical to ingest, ever.” I wonder if anybody’s warned her about good old dihydrogen monoxide?
It’s a goddamn stretch to say that sugar has deleterious effects, other than making your Lululemons stretch a little farther if you don’t “namaste” your cheeks off. However, I implore you to look at the Safety Data Sheet for sugar. The average adult would need to ingest about fifty PSLs in one sitting to get a lethal dose of sugar. By that point, you would already have hyponatremia from an overdose of water in the lattes.
And almost enough caffeine for me.