Monday, March 5, 2012

Think Twice Before Taking Statins

The trouble with statins is the side effects, which can be considerable and dangerous. I have tried Zocor, Lipitor and Vytorin for moderately elevated cholesterol values (around 240 total), but all gave me numbness in my feet, muscle and joint pain. My doctor switched me from one medication to another, but they all had side effects, why I decided to stop, watch my diet and excersice more. The last time I checked, my total cholesterol was under 220, which is nothing to worry about (even though the drug companies say that you should.)

Safety Alerts Cite Cholesterol Drugs’ Side Effects (New York Times, February 28, 2012)

Federal health officials on Tuesday added new safety alerts to the prescribing information for statins, the cholesterol-reducing medications that are among the most widely prescribed drugs in the world, citing rare risks of memory loss, diabetes and muscle pain.
It is the first time that the Food and Drug Administration has officially linked statin use with cognitive problems like forgetfulness and confusion, although some patients have reported such problems for years. Among the drugs affected are huge sellers like Lipitor, Zocor, Crestor and Vytorin.
But federal officials and some medical experts said the new alerts should not scare people away from statins. “The value of statins in preventing heart disease has been clearly established,” said Dr. Amy G. Egan, deputy director for safety in the F.D.A.’s division of metabolism and endocrinology products. “Their benefit is indisputable, but they need to be taken with care and knowledge of their side effects.”
The new reports warn that statins can give you Type 2 diabetes, and memory loss.
"We’re overdosing on cholesterol-lowering statins," Eric J. Topol writes in The Diabetes Dilemma for Statin Users (New York Times, March 4, 2012). He is a cardiologist at the Scripps Clinic, professor of genomics at the Scripps Research Institute, and author of “The Creative Destruction of Medicine.” He warns that the overuse of statins could lead to "a sharp increase in the incidence of Type 2 diabetes." And he continues:
"More than 20 million Americans take statins. That would equate to 100,000 new statin-induced diabetics. Not a good thing for the public health and certainly not good for the individual affected with a new serious chronic illness.  
If there were a major suppression of heart attacks or strokes or deaths, that might be justified. But in patients who have never had heart disease and are taking statins to lower their risk (so-called primary prevention), the reduction of heart attacks and other major events is only 2 per 100. And we don’t know who the 2 per 100 patients are who benefit or the one per 200 who will get diabetes! Moreover, the margin of benefit to risk is quite narrow."
People with high cholesterol and where diet and excercise doesn't work, may have no other choice but to take their pills, but if you can avoid it, you should consider it. Topol writes:
"What should people who are taking statins do? If they are prescribed for someone who has already had heart disease or a stroke, the benefit is overriding — no changes are suggested. But in the vast majority of people who take statins — those who have never had any heart disease — there should be a careful review of whether the statin is necessary, in light of the risk of diabetes and the relatively small benefit that can be derived. Beyond that, a dose reduction or use of a less potent statin should be considered on an individual basis." 

Will the Ivy League Crumble?

The foundation for higher education is changing, a slow but steady movement driven by economics and ubiqutous communications. I suspect that high cost and exclusive Ivy League system will one day go the way of the music industry.

Instruction for Masses Knocks Down Campus Walls


Wednesday, February 29, 2012

IBM Teases With Demo of Quantum Computing

If you want to know more about what a quantum computer is, listen to this guy, who is not an avatar....

Cool 3D Moves From Microsoft Research

This is pretty cool, but it will probably take 3-5 years before you see anything like it at Best Buy.

Wednesday, February 1, 2012

How Mitt Romney Became the Underdog

Conservative Republicans and the Tea Party crowd don't like Mitt Romney much. It's probably not because he is a Mormon as much as that they suspect that he lacks a spine and has no fire in his belly. He was so rich and slick that people far out on to the right feared he couldn't fight hard and dirty.

There were many challengers to the nomination, and some are still hanging around, but something funny happened on the way to forum. Having fought off the weird and the crazy, and beating Newt Gingrich in Florida, Romney doesn't look so polite and preppy anymore. He is starting to look like a candidate that might even be able to satisfy the conservative Republicans' desperate hunger for a leader with a great L. It is as if they don't trust the God they have been praying to and want a stand-in here on Earth.

In periods of chaos and dislocation, people tend to look backwards, search for a Golden Age or a Savior. That has happened over and over again in human history, often with disastrous consequences (read Hannah Arendt's The Origins of Totalitarianism for a chilling analysis.) Newt Gingrich fits the image of a maniac who could be really dangerous if given enough power, while Mitt Romney at the core is a pragmatic and cold businessman.

After Florida, he is starting to look like a winner. There is even something Reaganesque over him now that the battle has made us see him as an underdog, a dog that can bite.

I hope team Obama pays attention.

Friday, January 20, 2012

Chucho Valdés at McCarter

Erik and I saw Chucho Valdés and the Afro-Cuban Messengers at McCarter Theatre. It was the second time I've seen Chucho at McCarter. This is world class jazz! Every man in the band was fantastic, and so was the female guest singer (I couldn't hear her name and she was not in the program). The opening act was also Cuban, the Alfredo Rodriguez Trio. At first I was skeptic, but they soon won me over and after 50 minutes we were ready for Chucho. Erik, who knows more about music than I, was impressed by the tremendous skill displayed by the band members.

Apple Is Getting Greedy and Evil

Remember the famous ad where the runner threw a sledgehammer at Big Brother on the giant screen. Well, Apple has long since outgrown that rebellious mindset if it ever was there, and the whole spiel was not just sour grapes of being so small compared to Big Blue. Well, for all its design skills, Apple is a closed shop and has no intention of joining the open movement anytime soon. Being the perennial media darling, Apple gets away with a lot of things that IBM and Microsoft would never get away with.

Until now:

Ed Bott, a veteran computer journalist, virtually screams at the guys in Cupertino in his latest PC Magazine blog post about the end-user license agreement (EULA) Apple attached to its new iBooks Author program:

"I have never seen a EULA as mind-bogglingly greedy and evil as Apple’s EULA for its new ebook authoring program."
He continues:
"For people like me, who write and sell books, access to multiple markets is essential. But that’s prohibited:
Apple, in this EULA, is claiming a right not just to its software, but to its software’s output. It’s akin to Microsoft trying to restrict what people can do with Word documents, or Adobe declaring that if you use Photoshop to export a JPEG, you can’t freely sell it to Getty. As far as I know, in the consumer software industry, this practice is unprecedented.
Exactly: Imagine if Microsoft said you had to pay them 30% of your speaking fees if you used a PowerPoint deck in a speech."
Is that Apple getting rotten?

Thursday, January 19, 2012

Lanier Criticises the Web Blackout

Jaron Lanier, a musician, veteran of the web and pioneer in virtual reality, speaks out in the New York Times on the latest round of web protests. He is a critic of the proposed law, but also critizes the critics:

There is, however, an outdated brand of digital orthodoxy that ought to be retired. In this worldview, the Internet is a never-ending battle of good guys who love freedom against bad guys like old-fashioned Hollywood media moguls. The bad guys want to strengthen copyright law, and make it impossible to post anonymously copied videos and stories.
The proposed Stop Online Piracy Act, or SOPA, which is being considered in the House while the Senate looks at a similar bill, is deemed the worst thing ever. Popular sites like Wikipedia staged a blackout on Wednesday to protest the bills. Google put a black banner over its name. Nothing quite like that has ever happened before. This is extraordinary, because it shows that belief in the priority of fighting SOPA is so absolute as to trump the stated nonpartisan missions of these sites.
I wrote about the protests in yesterday's blog here at the Nordic Link.

Wednesday, January 18, 2012

Wikipedia Is Not A Weapon

The New York Times calls the 24-hour shutdown of the English version of Wikipedia a "political coming of age". I disagree. If anything, it shows lack of maturity.

Whatever you think of the law, which seems like an overly broad and clumsy attempt to solve a very real problem - online theft of intellectual property - today's protest is naive, bordering on stupid.

The web is a utility for the mind. It should never be shut down, never turned into a spigot that anybody can turn on or off. Just look at China where the autocratic leaders takes information and communication extremely serious, arming an army of controllers with the latest surveillance tools to monitor the collective mind for any signs of cracks and dissent. The opponents of SOPA may think that they are fighting for freedom, but they actually opened the door to a very dark room.

Hans Sandberg