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THE ENERGETICS OF SCIENCE – The Case of Medicine
Perhaps because we are at the threshold of medicine itself, and therefore at the junction between science and medicine, it might be worthwhile to view science in society from a broader perspective. I confess at the outset a lack of expertise. The societal forces that...
THEORY
As difficult as it is to imagine a novel and useful set of facts, or some new way of doing things, the difficulty is much greater when what may prove useful is how nature does something. For unlike facts, or a made thing whose function we can easily test, we cannot...
EMPIRICAL RESEARCH IN THE CASE OF MEDICINE
This is the third of a group of articles that concerns science in relation to commerce and society in the case of medicine. We've already spoken about empiricism as one of the three forms of knowledge, but we haven't said very much about what it looks like. At heart...
HOW SUGAR CAUSES KIDNEY STONES
We have already shown you that drinking just some sugar water will raise your urine calcium and at the same time lower your urine volume. The net effect will raise kidney stone risk by saturating stone forming salts. We obviously did not do a good enough job. It isn't...
THE PROCESS OF SCIENCE
This is the second of a group of articles that concern science, commerce, and society in the case of medicine. The first outlines the relationships between the three components. This one focuses on the process of scientific research itself. Each has a podcast created...
SCIENCE, COMMERCE AND SOCIETY
This is the first of a group of posts about science. They are new in that I attempt to embed science in the larger context of society and commerce, and in the special case of medicine - the only case where I have real expertise. Examples are important to illustrate...
BRUSHITE STONE DISEASE
The magnificent painting (oil on oak panel) by Hieronymus Bosch ("The Extraction of the Stone of Madness"), created between 1501-1505), dwells in the Museo del Prado since 1839, and has a provenance unbroken from its first owner, Philip of Burgundy, Bishop of Utrecht....
THE NEW THIAZIDE TRIAL
I picture a younger me on this article because the long line of thiazide trials stretches back decades in time to when I looked just like the photograph. The large picture that heads this article depicts my spreadsheet of all of the trials I have reviewed, and this...
PHOSPHATE FOR CALCIUM KIDNEY STONE PREVENTION
Long ago, physicians gave calcium kidney stone formers oral phosphate supplements to reduce urine calcium and kidney stone production. But trials were small and informal, so when a single and excellent trial showed lack of benefit our generation left phosphate by the...
Do Vitamin D Supplements Raise Kidney Stone Risk?
Not rarely patients and readers on this site ask about vitamin D supplements and whether they raise the risk for kidney stones or reduce risk for bone fractures. This article is about the first question. In pursuit of the answer, I would like to share with you how one...