t-0 · HackerTrans

hace 4 añosdiscuss

I appreciate that you are using exageration to make a point, but it's worth noting for the record that iatrogenicity is hardley the number one cause of modern disease. Having a medical problem is a prerequisite to the chance of iatrogenic harm after all. Furthermore, a patient can suffer from iatrogenic harm even if everything was done correctly, and does not imply that someone didn't "know" something correctly.

t-0

hace 4 añosdiscuss

I've been thinking about doing somethign similar and am really interested in what hardware you're using for this and what your setup looks like. Do you run a VPN service directly on your router, for example?

t-0

hace 5 añosdiscuss

A lot of these are still used, although some in slightly different contexts. A few of them could still be seen on death certificates. I have to wonder how the author decided on the list. Just looking at the first few letters:

We still describe widespread oedema as anasarca. Apoplexy is still used, but only really in the context of pituitary apoplexy. Atrophy is of course still in use. Cerebritis is still used. Cholera, obviously. Chorea is still a description of abnormal movements (Huntington's Chorea, Sydenham's Chorea etc.) Colic still used to describe a certain kind of abdominal pain. Congestion is still a term. Coryza is still used to describe the collection of symptoms you get from an URTI. Cyanosis is still the correct term. Cystitis is still the term for bladder inflammation.

Goes on and on...

t-0

hace 6 añosdiscuss

This is not entirely true.

Gout is caused by excessive levels of uric acid, which is an end-product of purine metabolism. You can get uric acid via two pathophysiologic mechanisms: under-excretion of uric acid, or over-production.

Under-excretion is by far and away the most common cause of gout (think ~90% of cases). Causes for this include things like chronic kidney disease or an inborne/hereditary problem (like you mentioned), but can also be caused by extrinsic factors such as some medications (common ones include cyclosporine, most diuretics, a few of the TB drugs) as well as more general problems (alcohol decreases UA excretion by itself, dehydration can contribute)

Over-production is a whole other kettle of fish. This is most commonly secondary to some problem of increased cell turnover (think leukaemia, lymphoma, haemolytic anaemia etc.), Again alcohol and obesity can contribute.

You'll note alcohol was in both groups. Alcohol excess (especailly beer) can lead to gout without any other contributing factor. Excess alcohol + excess red meat is an especially bad combo which can lead to gout without any other contributing health issues.

So, gout can certainly be caused by what you eat. It's not the ONLY cause of gout, though.

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