Science Guardian

Science Guardian incorporates New AIDS Review, Global Health Review, and Paradigm Overthrow.

Power and politics in science and health

Cool examination of hot debates

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A site defending the values of science and good scientists who dissent in the paradigm wars of HIV/AIDS, cancer, evolution, global warming, nutrition, religious belief and other disputes over new and different ideas in science, health and economics.

We aim to expose truths buried in the literature and commonly overlooked by the media, and review novel claims without the group prejudice against modern Galileos, whistleblowers, distinguished mavericks, past or future Nobelists, or any other original and independent good minds (such as the noted scientists Peter Duesberg and Kary Mullis) who may question scripture.

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"It seemed so simple when one was young and new ideas were mentioned not to grow red in the face and gobble." - Logan Pearsall Smith.

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The Times finally notes the passing of Lang, the greatest gadfly

September 30th, 2005

Serge Lang finally (after more than two weeks) receives some of the respect he deserves from the Times with an obituary today, which is surprisingly positive.

OBITUARY: The New York Times September 25, 2005 “Serge Lang, 78, a Gadfly and Mathematical Theorist, Dies” By KENNETH CHANG and WARREN LEARY

The New York Times

September 25, 2005

Serge Lang, 78, a Gadfly and Mathematical Theorist, Dies

By KENNETH CHANG and WARREN LEARY

Serge Lang, a leading mathematical theorist who became better known for his academic jousts with nonmathematicians on social and political issues than for his work in geometry and the properties of numbers, died Sept. 12 in Berkeley, Calif. He was 78.

The Yale University mathematics department, where Dr. Lang taught for more than 30 years before retiring this year, announced the death but gave no cause.

Throughout his life, Dr. Lang railed against inaccuracy and imprecision and felt that the scientific establishment unfairly suppressed dissident ideas.

Beginning around 1977, he adopted a more activist approach, writing letters and articles - sometimes even buying newspaper advertisements - to challenge research that he considered unscrupulous or sloppy. He would pull together his writings and add news articles, Congressional testimony and other documents into what he called files and mail the compiled documents to scientists, journalists and government officials.

“He just thought by presenting everyone all of the primary documents, everyone else would be able to see what he saw,” said Kenneth A. Ribet, a professor of mathematics at the University of California, Berkeley. “It was a very effective tool.”

Edward G. Dunne of the American Mathematical Society said: “Lang was always meticulous in his documentation. These things multiplied. People would be receiving 25-, 35-, 100-page documents from Lang.”

One focus of Dr. Lang’s ire was the Harvard political scientist Samuel P. Huntington. Dr. Lang mounted a one-man campaign against Dr. Huntington’s nomination to the National Academy of Sciences in 1986, dismissing Dr. Huntington’s use of mathematical equations to relate factors like economic development and political instability as “pseudoscience” and “nonsense” - “a type of language which gives the illusion of science without any of its substance.”

Dr. Lang also challenged Dr. Huntington’s description of apartheid in South Africa in the 1960’s as a “satisfied society.”

Dr. Huntington, who said the math was not meant to be rigorous but rather a “shorthand” of his arguments, twice failed to win election to the academy.

Controversially, beginning in the mid-1990’s, Dr. Lang sided with skeptics who doubted that AIDS was caused by human immunodeficiency virus, arguing that the scientific evidence connecting them was weak and faulty. He criticized the denial of research money to Peter Duesberg, a skeptic on the H.I.V.-AIDS link.

He was never convinced otherwise. A week before his death, he mailed out his latest file, a dozen pages of letters and e-mail messages about two papers he had written about the AIDS debate that had been rejected by the Proceedings of the National Academy of Sciences.

Dr. Lang also threw in a whimsical document, “The Three Laws of Sociodynamics,” which states, among other things, that “the power structure does what they want, when they want; then they try to find reasons to justify it.”

Dr. Lang started his career as one of the nation’s leading thinkers in fundamental mathematics, using aspects of geometry to study the properties of numbers, and evolved into a gifted but challenging teacher.

Decades of students discovered that if they did not pay attention in class, Dr. Lang would throw chalk. “He would rant and rave in front of his students,” Dr. Ribet said. “He would say, ‘Our two aims are truth and clarity, and to achieve these I will shout in class.’ “

He was a prolific author, having written more than 40 mathematics textbooks and research monographs and well over 100 research articles.

Born in Paris in 1927, Serge Lang moved to California with his family when he was a teenager.

He graduated from the California Institute of Technology in 1946 and received a Ph.D. in mathematics from Princeton in 1951. He taught at the University of Chicago before becoming a professor at Columbia in 1955.

Dr. Lang resigned his Columbia professorship in 1971 because of the university’s handling of antiwar protesters.

He was elected to the National Academy of Sciences in 1985 and was a member of the American Mathematical Society, but forcefully challenged both bodies at times over the election of new members and other issues.

He resigned from the mathematical society in 1996, because the society’s journal had refused to publish an article he wrote about AIDS.

“He described himself as a congenital troublemaker,” said Paul Vojta of the University of California, Berkeley, who had been a postdoctoral student at Yale under Dr. Lang.

Dr. Lang’s research focused on number theory and algebraic geometry. He won the Frank Nelson Cole Prize in 1960 from the American Mathematical Society for his insights on algebra.

Certainly, it shortchanges him on many points, and shows the usual reflexive disrespect for his anti-HIV stance. And while it makes his alarming behavior in the cause of his ideals fairly plain, it omits the fact that he was popular with students despite it (he was chosen to speak on Parent’s Day at Yale last year). There are bigger flaws, including the omission of his seminal book, “Challenges” (Springer Verlag, 1998). Indignant Lang supporters are promising to write in and set the record straight, if they can.

But on the whole Kenneth Chang and Warren Leary (two reporters!) are quite respectful, and their account is strangely pregnant in its truncation. Lang fairly leaps from the physical page as a man bursting with life, about whom far more could be said, and that only space constraints (we presume not editorial prejudice and lingering irritation at Lang’s challenges to decisions at the Times) force this too sketchy account which tries to pour his life force into two below-the-fold columns.

Liveliness and clarity were two brilliant attributes of Lang which shine through and we can imagine many readers would think of buying his magnum opus, “Challenges” (Springer Verlag, 1998), that is, if they had bothered to mention it. Was the mention of this masterpiece of singlehanded political research, now an unmatched reference for science sociologists, edited out? We can imagine it might have been, simply because it is the most embarrassing record of the mistakes and irresponsibility of top academics and editors in the US that exists.

So let us say now that any public affairs intellectual, science student or media iconoclast who doesn’t take the chance of buying a copy of the admittedly high priced “Challenges” before it disappears from the market will remain forever underresearched and undereducated in how things are done behind the scenes in the corridors of academic and editorial power. Currently $47.95 at Amazon new and still $36 used, it’s worth every cent, especially because Lang always had this unique habit of reproducing primary documents, as a colleague notes.

What isn’t said is that these included the letters his hapless victims wrote back in reply to his challenges, letters which became the best evidence against them. These often funny (to the reader) missives were self indictments because they showed how much the correspondents preferred that their errors and misleading public statements be forgotten or whitewashed than any corrections made. They formed many classic examples of the problem of correction of error and irresponsibility in the intellectual arena that Lang sought to root out.

Maybe one reason we feel the obituary is suitably vivid is the picture of a younger Lang from 1962 that smiles from the page with bright eyed intensity, all perky, fox terrier alertness and michievous, though modest, humor. Are we wrong to sense that the writers have had their own personal dealings with Lang, and knew his worth, as well as how alarming he could be? Maybe one or both of them were his students.

The slightly crackpot aspect of Lang’s over-the-top behavior in pursuing truth in the political arena is not just hinted at, it is plainly mentioned. Fair enough. Together with his idealism, this was certainly the aspect of Lang’s personality that distinguished him from his peers. He was disturbingly reactive, where they were polite and agreeable, and complacent about their mistakes, which were properly only sins when they showed how little it mattered to them to correct them. But the point was that Lang cared, and they didn’t, and from their point of view he was bound to be a troublemaker, as he freely admitted he was.

Fully involved as a teacher, moreover, he would throw chalk at the inattentive and “rant and rave” in class, as the Times notes:


Decades of students discovered that if they did not pay attention in class, Dr. Lang would throw chalk. “He would rant and rave in front of his students,” Dr. Ribet said. “He would say, ‘Our two aims are truth and clarity, and to achieve these I will shout in class.’ “

A former pupil now at Harvard complains this makes him “sound like a madman”, and another, Sean Westmoreland, has written this letter to the Times:

To the Editor

Re: Re: Serge Lang, 78, a Gadfly and Mathematical

Theorist, Dies

A fact. An opinion. A hole in the ground.

To hold the distinction between these three types in

whatever arena they might appear, and demand that his

students do so as well, was Serge Lang’s constant

business. He may have hurled chalk by way of

punctuation, but that was merely a bonus.

I am tempted, in reviewing his obituary, to object to

the manner in which serial details align toward the

impression that he was a screaming madman,

incidentally blessed with a mathematical brilliance

that withered when exported to the realms of politics,

journalism, or other, softer fields. Rather a large

charge, so let me share one opinion that changes

nothing: from first meeting him as a Yale

undergraduate to the days before he died, I regarded

Serge Lang as the warmest and most intellectually

generous teacher I have ever known.

Those with a more fluent command of mathematics can

speak to his specific greatness, but it is hilarious

to read that Serge came to be “better known for his

academic jousts with nonmathematicians on social and

political issues than for his work in geometry and the

properties of numbers.” Better known by whom?

Mathematicians? Editors at the New York Times? The lay

public clamoring for the hot new thing in algebraic

geometry?

You write that political scientist Samuel P.

Huntington was the “focus of Dr. Lang’s ire,”

contributing to the impression that Lang’s political

engagements were byproducts of eccentricity, zealotry,

borderline derangement. Why, the story almost writes

itself.

In his book “Political Order in Changing Societies,”

Huntington classified apartheid-era South Africa as a

“satisfied society.” Following Lang’s scrupulously

documented challenges to this claim, among others,

Huntington said the following in a 1987 interview

published in the New Republic magazine:

“The term ‘satisfied’ has to do with whether or not

there are measurable signs that people are satisfied

or not with their lot. That lot may be good, fair, or

awful; what this particular term is describing is the

fact that the people for some reason are not

protesting it. When this study…was done in the early

1960’s, there had been no major riots, or disturbances

[in South Africa]…”

Times readers may evaluate to what extent Huntington

can distinguish, as Lang would say, “a fact from a

hole in the ground.”

One of his former students has reminded me that Serge

would often flag an important theorem by saying you

should absorb it so comprehensively as to remember it

three days after you died. Sometimes it was seven.

Members of his cc list were, as it happened, receiving

his latest mailing several days after his end.

Who knows what may be coming next?

Suspense.

-Sean Westmoreland

New York, New York

But in a way Lang was a little mad to ride roughshod over the normal niceties of social behavior. On the other hand, he was an activist fighting a creeping conformist complacency about standards which he had a right to be indignant about, since he was an educator who was protecting the minds of all students.

Certainly no one else in the establishment was as responsive to the quality of what his fellow intellectuals said and wrote in public discourse. At least, that is, from Lang’s particular point of view, which was whether it was factually accurate or misleading. Lang cared, passionately, about accuracy and truth, and showed it without hesitation. As the Times hints, by the standards of his victims he seemed to dispense with the collegial niceties that ordinary tact and diplomacy requires. Time and again, however, Lang would expose this politesse as a cover for the laziness and irresponsibility of teachers, editors and reporters who polluted the stream of public discourse with specious claims and nonsense, falsehoods which might become universally believed.

Even so, the fact remains that Lang could be alarming. In his defense we would say that Lang’s intensity was probably the single irresistible force that could move the immovable object of mediocrity in position and power. Friends and students found that together with his strength of character and moral purpose his redeeming feature was his essential good humor, underlying but always there. Typically it burst out at the end of every excited tutorial rant, in the form of a punctuating giggle after his points were made.

In our experience this wasn’t just to relieve the social tension or the seriousness of his points. It seemed that Lang had to giggle at himself and at his predicament, as he found himself almost alone having to stand up for values which in the earlier part of his life he had thought would never be in question. But it was also he mightily enjoyed his work, and his role in serving true knowledge and his students.

When the idealistic mathematician and educator (he wrote many current textbooks) met the fraying standards of modern professorial and editorial politics the result was an explosive bewilderment which had to end in laughter. After all, the moral failure of human beings formally dressed up in power, pomp and influence to behave according to the standards they represent is always a little ridiculous.

The peculiar genius of Lang was precisely not to allow any such perspective to interfere with what had to be done. He particularly refused to be distracted by any of the social emotions which so often compromise truth. He simply asked people who purveyed error in misleading public statements to clean up their act, and to correct their position in accord with the facts.

Above all he would not allow the natural reluctance most of us have to confront and oppose other members of the club or society to which we belong to divert him from this higher public good, which was to ensure that the public and especially young minds are not misled by higher-ups.

The reaction of most of us is to go easy on fellow members, just as the Times does in this obituary. Harvard’s great oversimplifier Samuel Huntington is let off the hook even though his humiliation at the hands of Lang is mentioned (he was twice blackballed from getting into the National Academy of Sciences at Lang’s public instigation), by allowing him to plead that his plainly silly and specious comments and formulae in his writings on comparing national societies were simply “shorthand”. What is not mentioned is that Huntington rated South Africa a “satisfied” society at the height of apartheid.

Like any good mathematician, and Lang was a brilliant and productive one, he sought to exclude false premises from his own reasoning and false reasoning from his conclusions. And he sought the same for the informing of students and the public which, in a democracy, is supposedly the ultimate arbiter of public goals and the means by which they are achieved.

This is why Lang took up his battle against the paradigm hijackers of HIV/AIDS with such determination, since there is probably no greater example of false conclusions derived from false premises extant, according to the peer validated scientific review literature by Peter Duesberg and others which Lang read and respected, and even added to in his challenges to the CDC to correct its specious formulations and definitions in preparing AIDS statistics.


Controversially, beginning in the mid-1990’s, Dr. Lang sided with skeptics who doubted that AIDS was caused by human immunodeficiency virus, arguing that the scientific evidence connecting them was weak and faulty. He criticized the denial of research money to Peter Duesberg, a skeptic on the H.I.V.-AIDS link.

He was never convinced otherwise. A week before his death, he mailed out his latest file, a dozen pages of letters and e-mail messages about two papers he had written about the AIDS debate that had been rejected by the Proceedings of the National Academy of Sciences.

One can’t blame the writers for this perfectly correct yet shallow and subtly disparaging formulation (how about “pointed to serious flaws in the theory”?) of Lang’s efforts to correct the facts of the gospel of AIDS, because we realize that they have perforce to write something that fits with the assumptions of the people that surround them at the Times, a paper that has barely covered the review dispute in AIDS and which has shown little curiosity as to why the issue remains alive year after year despite their continuing editorial assumption (guided we assume by Larry Altman, their chief medical correspondent on this matter, who is a child of the CDC in that he is a graduate of their training program) that it is dead.

But the slight implication that Lang was barking up the wrong tree is inappropriate, since they have no a priori reason to believe that he did not know what he was talking about in this regard. If they had actually read what he wrote, they would certainly know that he did know what he was talking about. Lang’s File on AIDS is a masterpiece of clarity and a revelation on the topic, and anyone who reads the relevant pages of Challenges can see that for him or herself.

The Times obituary unfortunately shows the great extent to which Lang’s behavior could easily be misunderstood. Lang threw chalk in the classroom, it reveals. “Makes him look like a madman,” our correspondent from Harvard complains. Actually we don’t think so. But the obit should have made it clear that Lang was not an unreasonable man, just indignant. His fierceness was passion for truth and scholarship, and the accuracy that embodied it. Aside from that, Lang was a pussycat who wouldn’t have harmed a fly, and probably never did.

Lang criticised misbehavior in dealing with information and knowledge as an abstract failure, not a personal one. He didn’t have a knife out for those guilty of it, but a pen for them to make corrections. He wanted simply to correct any deviations from high standards of accuracy and to clean the public record. He would never, in fact, criticize personal or political motivation or even speculate about it, not even in private conversation. He had a marvelous disinterest in the myriad emotional reasons why factual statements in thought and speech go awry, but a very great interest in keeping them on the rails when they were liable to serve as a guide for young minds.

The resistance to his cause seemed to baffle him. Why would anyone not want to serve the truth if they were in a position of public responsibility, either editorial or especially educational? And the truth seemed to be that very often he was simply facing a certain stupidity. The kind of obtuseness he faced was the dimmed vision that comes even to good minds when the simple goal of truth is obscured by the need to go along to get along.

As Mark Twain often observed, when it comes to politics very few people think with reason. They think with their feelings, and those feelings are based on their adherence to a group and its ideology. They may simply be blind to anything that disagrees with that ideology, unable to read it or listen to it or credit it.

To quote the classic analysis of humanity’s ruling intellectual flaw from “Corn Pone Opinions”:


The black philospher’s idea was that a man is not independent, and cannot afford views that interfere with his bread and butter. If he would prosper, he must train with the majority; in matters of large moment, like politics and religion, he must think and feel with the bulk of his neighbors, or suffer damage in his social standing and in his business prosperities. He must restrict himself to corn-pone opinions, at least on the surface. He must get his opinions from other people: he must reason out none for himself: he must have no first-hand views.

… Broadly speaking, there are none but corn-pone opinions. And broadly speaking, corn-pone stands for self-approval. Self-approval is acquired mainly from the approval of other people. The result is conformity. Sometimes conformity has a sordid business interest–the bread-and-butter interest–but not in most cases. I think. I think that in the majority of cases it is unconscious and not calculated; that it is born of the human being’s natural yearnings to stand well with his fellows and have their inspiring approval and praise - a yearning which is commonly so strong and so insistent that it cannot be effectively resisted, and must have its way.

A political emergency brings out the corn-pone opinion in fine force in its two chief varieties—-the pocketbook variety, which has its origin in self-interest, and the bigger variety, the sentimental variety—the one which can’t bear to be outside the pale; can’t bear to be in disfavor; can’t endure the averted face and the cold shoulder; wants to stand well with his friends, wants to be smiled upon, wants to be welcome, wants to hear the precious words, “He’s on the right track!” uttered, perhaps, by an ass, but still an ass of high degree, an ass whose approval is gold and diamonds to a smaller ass, and confer glory and honor and happiness, and membership in the herd. for these gauds many a man will dump his life-long principles into the street, and his conscience along with them. We have seen it happen. In some millions of instances.”

Seen it happen, indeed, especially in the case of HIV/AIDS, in science and out a vast parade ground for sheep. Not, however, in Lang’s case. He was one of the few men inside the modern establishment who never lost one iota of his youthful principles to comfortable conformity or to hear the precious words of an ass, “He’s one of us!”

The sad thing is that the Times obituary is evidently written as best they can by men who either personally or institutionally cannot seem to recognize or celebrate that strength of character and purpose. Instead they represent Lang as a mild crackpot who never recognized the error of his ways in AIDS, threw chalk in class and generally created personal trouble where he was outside his field of expertise.

The truth was the opposite. Lang was a highly disciplined, independent mind who cherished accuracy in education and public life. He was without the slightest interest in advancing his interests through conformity or collegiality. His very qualification and merit was signalled by the perception that he was “difficult”. He was an expert in the issues he took up, not only because he applied his rigor and precision to each one and challenged his correspondent to meet the same standards, but because kept his focus on the ideas and not personal relations.

The great failure of his colleagues was not to pay him more attention and respect. Recently, Lang was first given and then disrespectfully refused permission to distribute his File, or packet of documents, on the questions he and others raised about the claims and statistics of HIV/AIDS paradigm, to the audience inside the hall at Yale where a visiting mainstream lecturer on the topic was to speak. In his late seventies, undaunted, Lang stood outside the door to hand out the information which he felt Yale students should possess, but which was being withheld from them.

It is precisely this kind of uncompromised and uncompromising, thinking and principled man that should be listened to, and listened to carefully, when the important public issue is, for instance, whether a generally accepted paradigm, such as HIV/AIDS, which they so strongly object to, is justified or not.

It is because such men and women are a rare species, that his death is a great loss. Lang, in his way, was utterly unique on the US intellectual landscape.

One way to stay healthy—keep out of hospital

September 27th, 2005

Who shall guard the guardians?

The ability of bacteria to evolve immunity to current antibiotics is a dark cloud on the horizon of modern medicine, and an increasingly hot news topic as efforts are made to cut down on antibiotics in the food chain.

What many people may not realize, however, is the extent to which human behavior compounds the serious problem of infection in hospitals. Doctors and nurses in US hospitals do not wash nearly often enough, according to Ms. McCaughey, a former lieutenant governor of New York State who is chairman of the Committee to Reduce Infection Deaths (www.hospitalinfection.org) in the New York Sun today (Sep 27).

.


Amazingly, doctors fail to clean their hands before treating patients 52% of the time according to research by infectious disease expert Didier Pittet, M.D. Equipment contaminated with bacteria - like stethoscopes - are used on one patient after another without being cleaned. Doctors and nurses carry bacteria from bedside to bedside on their own lab coats and uniforms, and some hospital workers even wear their scrub suits out on the street and then back to work.

What this can lead to is a real horror story:

September 27, 2005 Edition > Section: Opinion > Printer-Friendly Version

Superbugs

BY BETSY MCCAUGHEY

September 27, 2005

URL: http://www.nysun.com/article/20634

Three-year-old McKenzie Smith was taken to the hospital with a rare hereditary disease. She died, not from the disease she came in with but from an infection she got in the hospital, her distraught parents explained in the New York Post. The Post also reported that another little girl, Grace Murphy, treated on the same pediatric floor, died from the same infection a few months later.

Construction in hospitals is almost always to blame for the type of infection these little girls got - Aspergillus. It’s a fungus found in soil and old buildings, and when disturbed, its deadly spores can float through elevator shafts, windows, vents, and hallways into patients’ rooms. According to the grieving families, the little girls were treated within yards of the construction. The dust was so thick, McKenzie’s mother Michele told the Post, that she could run her finger through it on virtually every surface in her daughter’s room.

Hospitals undergoing construction are supposed to seal off the work site, move patients with weak immune systems as far away as possible, and monitor the environment for spores. Mrs. Smith was constantly wiping down her daughter’s room, struggling to remove the dust as it piled up. It makes you wonder whether hospitals are doing everything they can to protect their patients from deadly complications.

McKenzie died four years ago. Though Aspergillus is a rare infection that affects only a handful of people each year, her death is a sad indication of a vastly larger and underreported health crisis. Each year, 2 million people in our country contract infections in the hospital, and more than 100,000 die from them. All of us have heard of one of the most common infections, Staph, short for Staphylococcus aureus. It’s so widespread that it’s becoming a household name. Nearly all these infections have a common cause: poor hygiene.

Staph germs race through a hospital because of unclean hands, contaminated equipment, bacteria-laden uniforms, and inattention to proper procedures. Amazingly, doctors fail to clean their hands before treating patients 52% of the time according to research by infectious disease expert Didier Pittet, M.D. Equipment contaminated with bacteria - like stethoscopes - are used on one patient after another without being cleaned. Doctors and nurses carry bacteria from bedside to bedside on their own lab coats and uniforms, and some hospital workers even wear their scrub suits out on the street and then back to work.

Dealing with hospital construction is an unusual problem, but what is not unusual about Michele Smith’s plight is that she had to constantly clean her daughter’s room. All too commonly, family members are left to their own devices, scrubbing the bathroom floor or wiping up. When Lydia Dyroff’s mother went into a Florida hospital for bypass surgery, she did her best to clean her mother’s room, but it wasn’t quite enough.” It needed professional care. We complained to many, but nothing seemed to help” Lydia later recalled in an e-mail to the Committee to Reduce Infection Deaths. Her mother contracted a Staph infection that didn’t respond to medication. Her wounds didn’t heal, and she eventually died.

Staph infections are growing more dangerous because, increasingly, they cannot be cured with commonly used antibiotics. Patients who get MRSA, short for methicillin-resistant Staphylococcus aureus, often spend months in the hospital and go through several operations to cut out infected tissue. Sixty percent of Staph infections are now drug-resistant.

A new report (September 15) in the medical journal “Clinical Infectious Diseases” warns that another large group of infections, including Acinetobacter, Pseudonmonas, and Kliebsiella, to name a few, are rapidly becoming drug resistant. You’ve probably never head of these other “superbugs,” even if someone in your own family has suffered from them, because most hospitals say as little as possible when there’s an infection problem.

A few hospitals in Virginia, Pennsylvania, and Iowa have virtually eradicated the worst drug-resistant infections. How? Through rigorous hygiene, meticulous cleaning of equipment in between patients, testing incoming patients to identify those carrying dangerous bacteria, and strictly isolating them to prevent transmission to other patients. Unfortunately, most hospitals don’t make hygiene a top priority. It’s time they did.

Medical schools should also be teaching future doctors how to protect patients from infection. Some medical schools are stressing the importance of curbing the use of antibiotics. That’s good, because overuse of antibiotics wastes money and causes bacteria to morph into new, drug-resistant strains. But limiting the use of antibiotics won’t stop hospital infections. No hospital has ever eradicated infection merely by controlling the use of these drugs.

It’s hard to believe, but most medical schools devote virtually no time, not even one full class, to showing students how germs are transmitted from patient to patient on clothing, equipment, and hands, and what can be done to prevent it. It’s ironic. Medical schools have committees to ensure that bioterrorism is covered, but not hospital infection, a far more immediate threat to most of us. How could a hospital stop a covertly introduced contagion from racing through its patients if it cannot even stop a common infection from spreading? When medical students put on their white coats and swear the Hippocratic Oath, they should be taught how to do no harm. They should learn it before they go out on the hospital floors and touch their first patient.

Ms. McCaughey is a former lieutenant governor of New York State and chairman of the Committee to Reduce Infection Deaths (www.hospitalinfection.org).

September 27, 2005 Edition > Section: Opinion > Printer-Friendly Version

One way to stay healthy—keep out of hospital

September 27th, 2005

Who shall guard the guardians?

The ability of bacteria to evolve immunity to current antibiotics is a dark cloud on the horizon of modern medicine, and an increasingly hot news topic as efforts are made to cut down on antibiotics in the food chain.

What many people may not realize, however, is the extent to which human behavior compounds the serious problem of infection in hospitals. Doctors and nurses in US hospitals do not wash nearly often enough, according to Ms. McCaughey, a former lieutenant governor of New York State who is chairman of the Committee to Reduce Infection Deaths (www.hospitalinfection.org), in the New York Sun today (Sep 27).

.

Amazingly, doctors fail to clean their hands before treating patients 52% of the time according to research by infectious disease expert Didier Pittet, M.D. Equipment contaminated with bacteria - like stethoscopes - are used on one patient after another without being cleaned. Doctors and nurses carry bacteria from bedside to bedside on their own lab coats and uniforms, and some hospital workers even wear their scrub suits out on the street and then back to work.

What this can lead to is a real horror story:

September 27, 2005 Edition > Section: Opinion > Printer-Friendly Version

Superbugs

BY BETSY MCCAUGHEY

September 27, 2005

URL: http://www.nysun.com/article/20634

Three-year-old McKenzie Smith was taken to the hospital with a rare hereditary disease. She died, not from the disease she came in with but from an infection she got in the hospital, her distraught parents explained in the New York Post. The Post also reported that another little girl, Grace Murphy, treated on the same pediatric floor, died from the same infection a few months later.

Construction in hospitals is almost always to blame for the type of infection these little girls got - Aspergillus. It’s a fungus found in soil and old buildings, and when disturbed, its deadly spores can float through elevator shafts, windows, vents, and hallways into patients’ rooms. According to the grieving families, the little girls were treated within yards of the construction. The dust was so thick, McKenzie’s mother Michele told the Post, that she could run her finger through it on virtually every surface in her daughter’s room.

Hospitals undergoing construction are supposed to seal off the work site, move patients with weak immune systems as far away as possible, and monitor the environment for spores. Mrs. Smith was constantly wiping down her daughter’s room, struggling to remove the dust as it piled up. It makes you wonder whether hospitals are doing everything they can to protect their patients from deadly complications.

McKenzie died four years ago. Though Aspergillus is a rare infection that affects only a handful of people each year, her death is a sad indication of a vastly larger and underreported health crisis. Each year, 2 million people in our country contract infections in the hospital, and more than 100,000 die from them. All of us have heard of one of the most common infections, Staph, short for Staphylococcus aureus. It’s so widespread that it’s becoming a household name. Nearly all these infections have a common cause: poor hygiene.

Staph germs race through a hospital because of unclean hands, contaminated equipment, bacteria-laden uniforms, and inattention to proper procedures. Amazingly, doctors fail to clean their hands before treating patients 52% of the time according to research by infectious disease expert Didier Pittet, M.D. Equipment contaminated with bacteria - like stethoscopes - are used on one patient after another without being cleaned. Doctors and nurses carry bacteria from bedside to bedside on their own lab coats and uniforms, and some hospital workers even wear their scrub suits out on the street and then back to work.

Dealing with hospital construction is an unusual problem, but what is not unusual about Michele Smith’s plight is that she had to constantly clean her daughter’s room. All too commonly, family members are left to their own devices, scrubbing the bathroom floor or wiping up. When Lydia Dyroff’s mother went into a Florida hospital for bypass surgery, she did her best to clean her mother’s room, but it wasn’t quite enough.” It needed professional care. We complained to many, but nothing seemed to help” Lydia later recalled in an e-mail to the Committee to Reduce Infection Deaths. Her mother contracted a Staph infection that didn’t respond to medication. Her wounds didn’t heal, and she eventually died.

Staph infections are growing more dangerous because, increasingly, they cannot be cured with commonly used antibiotics. Patients who get MRSA, short for methicillin-resistant Staphylococcus aureus, often spend months in the hospital and go through several operations to cut out infected tissue. Sixty percent of Staph infections are now drug-resistant.

A new report (September 15) in the medical journal “Clinical Infectious Diseases” warns that another large group of infections, including Acinetobacter, Pseudonmonas, and Kliebsiella, to name a few, are rapidly becoming drug resistant. You’ve probably never head of these other “superbugs,” even if someone in your own family has suffered from them, because most hospitals say as little as possible when there’s an infection problem.

A few hospitals in Virginia, Pennsylvania, and Iowa have virtually eradicated the worst drug-resistant infections. How? Through rigorous hygiene, meticulous cleaning of equipment in between patients, testing incoming patients to identify those carrying dangerous bacteria, and strictly isolating them to prevent transmission to other patients. Unfortunately, most hospitals don’t make hygiene a top priority. It’s time they did.

Medical schools should also be teaching future doctors how to protect patients from infection. Some medical schools are stressing the importance of curbing the use of antibiotics. That’s good, because overuse of antibiotics wastes money and causes bacteria to morph into new, drug-resistant strains. But limiting the use of antibiotics won’t stop hospital infections. No hospital has ever eradicated infection merely by controlling the use of these drugs.

It’s hard to believe, but most medical schools devote virtually no time, not even one full class, to showing students how germs are transmitted from patient to patient on clothing, equipment, and hands, and what can be done to prevent it. It’s ironic. Medical schools have committees to ensure that bioterrorism is covered, but not hospital infection, a far more immediate threat to most of us. How could a hospital stop a covertly introduced contagion from racing through its patients if it cannot even stop a common infection from spreading? When medical students put on their white coats and swear the Hippocratic Oath, they should be taught how to do no harm. They should learn it before they go out on the hospital floors and touch their first patient.

Ms. McCaughey is a former lieutenant governor of New York State and chairman of the Committee to Reduce Infection Deaths (www.hospitalinfection.org).

September 27, 2005 Edition > Section: Opinion > Printer-Friendly Version

One way to stay healthy—keep out of hospital

September 27th, 2005

Who shall guard the guardians?

The ability of bacteria to evolve immunity to current antibiotics is a dark cloud on the horizon of modern medicine, and an increasingly hot news topic as efforts are made to cut down on antibiotics in the food chain.

What many people may not realize, however, is the extent to which human behavior compounds the serious problem of infection in hospitals. Doctors and nurses in US hospitals do not wash nearly often enough, according to Ms. McCaughey, a former lieutenant governor of New York State who is chairman of the Committee to Reduce Infection Deaths (www.hospitalinfection.org), in the New York Sun today (Sep 27).

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Amazingly, doctors fail to clean their hands before treating patients 52% of the time according to research by infectious disease expert Didier Pittet, M.D. Equipment contaminated with bacteria - like stethoscopes - are used on one patient after another without being cleaned. Doctors and nurses carry bacteria from bedside to bedside on their own lab coats and uniforms, and some hospital workers even wear their scrub suits out on the street and then back to work.

What this can lead to is a real horror story:

September 27, 2005 Edition > Section: Opinion > Printer-Friendly Version

Superbugs

BY BETSY MCCAUGHEY

September 27, 2005

URL: http://www.nysun.com/article/20634

Three-year-old McKenzie Smith was taken to the hospital with a rare hereditary disease. She died, not from the disease she came in with but from an infection she got in the hospital, her distraught parents explained in the New York Post. The Post also reported that another little girl, Grace Murphy, treated on the same pediatric floor, died from the same infection a few months later.

Construction in hospitals is almost always to blame for the type of infection these little girls got - Aspergillus. It’s a fungus found in soil and old buildings, and when disturbed, its deadly spores can float through elevator shafts, windows, vents, and hallways into patients’ rooms. According to the grieving families, the little girls were treated within yards of the construction. The dust was so thick, McKenzie’s mother Michele told the Post, that she could run her finger through it on virtually every surface in her daughter’s room.

Hospitals undergoing construction are supposed to seal off the work site, move patients with weak immune systems as far away as possible, and monitor the environment for spores. Mrs. Smith was constantly wiping down her daughter’s room, struggling to remove the dust as it piled up. It makes you wonder whether hospitals are doing everything they can to protect their patients from deadly complications.

McKenzie died four years ago. Though Aspergillus is a rare infection that affects only a handful of people each year, her death is a sad indication of a vastly larger and underreported health crisis. Each year, 2 million people in our country contract infections in the hospital, and more than 100,000 die from them. All of us have heard of one of the most common infections, Staph, short for Staphylococcus aureus. It’s so widespread that it’s becoming a household name. Nearly all these infections have a common cause: poor hygiene.

Staph germs race through a hospital because of unclean hands, contaminated equipment, bacteria-laden uniforms, and inattention to proper procedures. Amazingly, doctors fail to clean their hands before treating patients 52% of the time according to research by infectious disease expert Didier Pittet, M.D. Equipment contaminated with bacteria - like stethoscopes - are used on one patient after another without being cleaned. Doctors and nurses carry bacteria from bedside to bedside on their own lab coats and uniforms, and some hospital workers even wear their scrub suits out on the street and then back to work.

Dealing with hospital construction is an unusual problem, but what is not unusual about Michele Smith’s plight is that she had to constantly clean her daughter’s room. All too commonly, family members are left to their own devices, scrubbing the bathroom floor or wiping up. When Lydia Dyroff’s mother went into a Florida hospital for bypass surgery, she did her best to clean her mother’s room, but it wasn’t quite enough.” It needed professional care. We complained to many, but nothing seemed to help” Lydia later recalled in an e-mail to the Committee to Reduce Infection Deaths. Her mother contracted a Staph infection that didn’t respond to medication. Her wounds didn’t heal, and she eventually died.

Staph infections are growing more dangerous because, increasingly, they cannot be cured with commonly used antibiotics. Patients who get MRSA, short for methicillin-resistant Staphylococcus aureus, often spend months in the hospital and go through several operations to cut out infected tissue. Sixty percent of Staph infections are now drug-resistant.

A new report (September 15) in the medical journal “Clinical Infectious Diseases” warns that another large group of infections, including Acinetobacter, Pseudonmonas, and Kliebsiella, to name a few, are rapidly becoming drug resistant. You’ve probably never head of these other “superbugs,” even if someone in your own family has suffered from them, because most hospitals say as little as possible when there’s an infection problem.

A few hospitals in Virginia, Pennsylvania, and Iowa have virtually eradicated the worst drug-resistant infections. How? Through rigorous hygiene, meticulous cleaning of equipment in between patients, testing incoming patients to identify those carrying dangerous bacteria, and strictly isolating them to prevent transmission to other patients. Unfortunately, most hospitals don’t make hygiene a top priority. It’s time they did.

Medical schools should also be teaching future doctors how to protect patients from infection. Some medical schools are stressing the importance of curbing the use of antibiotics. That’s good, because overuse of antibiotics wastes money and causes bacteria to morph into new, drug-resistant strains. But limiting the use of antibiotics won’t stop hospital infections. No hospital has ever eradicated infection merely by controlling the use of these drugs.

It’s hard to believe, but most medical schools devote virtually no time, not even one full class, to showing students how germs are transmitted from patient to patient on clothing, equipment, and hands, and what can be done to prevent it. It’s ironic. Medical schools have committees to ensure that bioterrorism is covered, but not hospital infection, a far more immediate threat to most of us. How could a hospital stop a covertly introduced contagion from racing through its patients if it cannot even stop a common infection from spreading? When medical students put on their white coats and swear the Hippocratic Oath, they should be taught how to do no harm. They should learn it before they go out on the hospital floors and touch their first patient.

Ms. McCaughey is a former lieutenant governor of New York State and chairman of the Committee to Reduce Infection Deaths (www.hospitalinfection.org).

September 27, 2005 Edition > Section: Opinion > Printer-Friendly Version

The difficulty in communicating science news to the public

September 25th, 2005

The Op Ed piece the other day (Sept 18), “Dangling Particles”, which argued that science needs to clean up its language and presentation if it is to be understood by the public, made a very good general point. Science reporters these days seem to need a lot of help in conveying good science to the public.

We are especially happy that Harvard theoretical physicist Lisa Randall said one particular thing, which many fail to state for fear of playing into the hands of the Intelligent Design crowd: that evolution is still an unfinished theory in the sense that it needs to be completed with the gaps filled in with explanation and evidence for the jumps, though not by God, we would hope:


The very different uses of the word “theory” provide a field day for advocates of “intelligent design.” By conflating a scientific theory with the colloquial use of the word, creationists instantly diminish the significance of science in general and evolution’s supporting scientific evidence in particular. Admittedly, the debate is complicated by the less precise nature of evolutionary theory and our inability to perform experiments to test the progression of a particular species. Moreover, evolution is by no means a complete theory. We have yet to learn how the initial conditions for evolution came about - why we have 23 pairs of chromosomes and at which level evolution operates are only two of the things we don’t understand. But such gaps should serve as incentives for questions and further scientific advances, not for abandoning the scientific enterprise.

This debate might be tamed if scientists clearly acknowledged both the successes and limitations of the current theory, so that the indisputable elements are clearly isolated. But skeptics have to acknowledge that the way to progress is by scientifically addressing the missing elements, not by ignoring evidence. The current controversy over what to teach is just embarrassing.

The New York Times

September 18, 2005

Dangling Particles

By LISA RANDALL

Cambridge, Mass.

SCIENCE plays an increasingly significant role in people’s lives, making the faithful communication of scientific developments more important than ever. Yet such communication is fraught with challenges that can easily distort discussions, leading to unnecessary confusion and misunderstandings.

Some problems stem from the esoteric nature of current research and the associated difficulty of finding sufficiently faithful terminology. Abstraction and complexity are not signs that a given scientific direction is wrong, as some commentators have suggested, but are instead a tribute to the success of human ingenuity in meeting the increasingly complex challenges that nature presents. They can, however, make communication more difficult. But many of the biggest challenges for science reporting arise because in areas of evolving research, scientists themselves often only partly understand the full implications of any particular advance or development. Since that dynamic applies to most of the scientific developments that directly affect people’s lives - global warming, cancer research, diet studies - learning how to overcome it is critical to spurring a more informed scientific debate among the broader public.

Ambiguous word choices are the source of some misunderstandings. Scientists often employ colloquial terminology, which they then assign a specific meaning that is impossible to fathom without proper training. The term “relativity,” for example, is intrinsically misleading. Many interpret the theory to mean that everything is relative and there are no absolutes. Yet although the measurements any observer makes depend on his coordinates and reference frame, the physical phenomena he measures have an invariant description that transcends that observer’s particular coordinates. Einstein’s theory of relativity is really about finding an invariant description of physical phenomena. Indeed, Einstein agreed with the suggestion that his theory would have been better named “Invariantentheorie.” But the term “relativity” was already too entrenched at the time for him to change.

“The uncertainty principle” is another frequently abused term. It is sometimes interpreted as a limitation on observers and their ability to make measurements. But it is not about intrinsic limitations on any one particular measurement; it is about the inability to precisely measure particular pairs of quantities simultaneously. The first interpretation is perhaps more engaging from a philosophical or political perspective. It’s just not what the science is about.

Scientists’ different use of language becomes especially obvious (and amusing) to me when I hear scientific terms translated into another language. “La théorie des champs” and “la théorie des cordes” are the French versions of “field theory” and “string theory.” When I think of “un champs,” I think of cows grazing in a pasture, but when I think of “field theory” I have no such association. It is the theory I use that combines quantum mechanics and special relativity and describes objects existing throughout space that create and destroy particles. And string theory is not about strings that you tie around your finger that are made up of atoms; strings are the basic fundamental objects out of which everything is made. The words “string theory” give you a picture, but that picture can sometimes lead to misconceptions about the science.

Most people think of “seeing” and “observing” directly with their senses. But for physicists, these words refer to much more indirect measurements involving a train of theoretical logic by which we can interpret what is “seen.” I do theoretical research on string theory and particle physics and try to focus on aspects of those theories we might experimentally test. My most recent research is about extra dimensions of space. Remarkably, we can potentially “see” or “observe” evidence of extra dimensions. But we won’t reach out and touch those dimensions with our fingertips or see them with our eyes. The evidence will consist of heavy particles known as Kaluza-Klein modes that travel in extra-dimensional space. If our theories correctly describe the world, there will be a precise enough link between such particles (which will be experimentally observed) and extra dimensions to establish the existence of extra dimensions.

Even the word “theory” can be a problem. Unlike most people, who use the word to describe a passing conjecture that they often regard as suspect, physicists have very specific ideas in mind when they talk about theories. For physicists, theories entail a definite physical framework embodied in a set of fundamental assumptions about the world that lead to a specific set of equations and predictions - ones that are borne out by successful predictions. Theories aren’t necessarily shown to be correct or complete immediately. Even Einstein took the better part of a decade to develop the correct version of his theory of general relativity. But eventually both the ideas and the measurements settle down and theories are either proven correct, abandoned or absorbed into other, more encompassing theories.

The very different uses of the word “theory” provide a field day for advocates of “intelligent design.” By conflating a scientific theory with the colloquial use of the word, creationists instantly diminish the significance of science in general and evolution’s supporting scientific evidence in particular. Admittedly, the debate is complicated by the less precise nature of evolutionary theory and our inability to perform experiments to test the progression of a particular species. Moreover, evolution is by no means a complete theory. We have yet to learn how the initial conditions for evolution came about - why we have 23 pairs of chromosomes and at which level evolution operates are only two of the things we don’t understand. But such gaps should serve as incentives for questions and further scientific advances, not for abandoning the scientific enterprise.

This debate might be tamed if scientists clearly acknowledged both the successes and limitations of the current theory, so that the indisputable elements are clearly isolated. But skeptics have to acknowledge that the way to progress is by scientifically addressing the missing elements, not by ignoring evidence. The current controversy over what t