Earlier quoted context omitted.
> Why do we take it as a given that antidepressants should help all of these sub-populations equally? Do we? Antidepressants are a whole class of things. We've got a few options, which indicates we don't expect equal effects. Same with painkillers. Same with statins. Same with migraine medication. These work for the similar problems but depending on the person you will use different one. Sometimes you'll even just cy…
We dont, but we act like we do - Most doctors will try SSRI first despite most knowing they only work for about a third and most doctors will refuse to treat depression using non SSRI antidepressant medication.
A boy, his brain, and a decades-long medical controversy
131–140 of 188 posts
Re: A boy, his brain, and a decades-long medical controversy
#132Earlier quoted context omitted.
The swfinstitute.org link aside, there are different ways to define the term. It isn’t jthedisciple who is making the definition; It is a simple fact that there are two major definitions on the Wikipedia entry for gene therapy: Gene therapy is a medical field which focuses on the genetic modification of cells to produce a therapeutic effect [1] or the treatment of disease by repairing or reconstructing defective gene…
> It is a simple fact that there are two major definitions on the Wikipedia entry for gene therapy: I read this as a single definition rather than two distinct ones but, regardless of how you read this, mRNA vaccines do neither of these two things . > it can be parsed as such that they are a genetic modification of a viral cell No, it cannot be parsed like this. “Genetic modification” has a specific, technical meanin…
> No, it cannot be parsed like this. “Genetic modification” has a specific, technical meaning and mRNA vaccines do not perform it. Furthermore, I’m not even sure what you mean by “viral cell”, since viruses don’t form cells (they form virions). Do you mean a host cell infected by a virus? Because that doesn’t apply here: mRNA vaccines don’t specifically act on infected cells, they act on healthy cells.
I was ambiguously referring to virions as viral cells. Better I hadn't! - thank you - but I think I can be understood nonetheless.
A modification in the frame of mind of genetic understanding is performed on a viral cell. The modification is done from the perspective of an understanding of how genes, genetic material, and genetic processes such as transcription and protein encoding work. A segment of viral genome which encodes part of the body viral is excised and modified.
Then, carried on this understanding, a therapeutic effect is produced.
>> we can parse mRNA vaccines as “the treatment of disease by reconstructing genetic material”
> Again, we cannot do this, because it’s flat out incorrect. What does “reconstructing genetic material” even mean in this context? There’s no defect, so there’s nothing to reconstruct, and the mRNA vaccine does not do so anyway since, again, it does not modify the host genome.
Indeed if you review my words you'll note that I explicitly address the lack of a defect.
The mRNA vaccines we know today can certainly be viewed as a modification and reconstruction of viral genomic material. Of viral RNA genes. Per Wikipedia: "In biology, a gene is a basic unit of heredity and a sequence of nucleotides in DNA or RNA that encodes the synthesis of a gene product, either RNA or protein." — https://en.wikipedia.org/wiki/Gene
In mRNA vaccines, the modification of the viral gene and its replication on a large scale can certainly be viewed as a reconstruction of genetic material. And it's made possible by a deep understanding of genes.
According to Wikipedia, gene or genome editing is "is a type of genetic engineering in which DNA is inserted, deleted, modified or replaced in the genome of a living organism". Note the distinct concept from gene therapy – as things currently stand on Wikipedia, however imperfect Wikipedia is, fundamentally. https://en.wikipedia.org/wiki/Genome_editing
> — In general I’ll note that several sentences in your answer simply make no biological sense and use made-up terms.
Maybe I've just read too much Martin-Löf and am getting overly comfortable with the abstract but I'm not worried about my ability to express my thoughts. As I'm sure you're here to build understanding, I'd like to ask you to point towards the terms you experience as made-up and the sentences that don't make sense to you. I think that is the best course of action if I am to learn anything. Otherwise I might be tempted to take it that what we are experiencing is less a lack of meaning and more a lack of comprehension.
Or to make an honest suggestion, how about we stay on topic in polite discussion and charitable interpretation?
Then in closing, I feel like I am compelled to highlight my repeated use of terms like "ambiguous" and "can be parsed". I also want to repeat that personally I wouldn't call mRNA vaccines gene therapy. We are in more general agreement too: I agree that the terms should be used as you describe. However, they can be and are used ambiguously. We are all the better for understanding this extant ambiguity, not least because the nuance and ambiguity are being abused in order to manipulate people.
Even if only from the perspective of how information on Wikipedia can be construed by the layman - such as myself.
Re: A boy, his brain, and a decades-long medical controversy
#133Earlier quoted context omitted.
For example, the current residency process in the US demands regular 80-100 hours weeks[1] for years, and was designed by a man who was basically high on cocaine 24/7 and expected the same out of all doctors. [1] It's supposed to be legally limited to 80, but ask around and it's obvious that even that limit isn't properly enforced.
Not only in the US, Europe is the same(Portugal and Spain at least). It is absolutely ridiculous to expect life critical care from people who are working those hours. No other critical profession would even dare having those hours(pilots, drivers, etc) yet it is expected that doctors are somehow super humans. I think that is what they want to imply, as well as get boatloads of money on demand due to pay per hour.
Re: A boy, his brain, and a decades-long medical controversy
#134> Conventional psychiatric drugs and talk therapy are backed up by decades of robust scientific evidence. This is not true, he notes, of the typical PANDAS therapies. I think my issue with conventional psychiatric drugs and talk therapy is that they are what Tylenol is to a headache, they don't actually cure the condition, they simply mitigate the symptoms. So it's clear that conventional psychiatry has no clue of th…
Re: A boy, his brain, and a decades-long medical controversy
#135Earlier quoted context omitted.
hEDS, the disorder I have, is somewhat controversial like PANS is. the symptoms include hypermobility (overly flexible), spontaneous joint dislocations, widespread pain, joint degeneration, easily damaged skin, fatigue, immune dysfunction and tachycardia. ~2% of the population is hypermobile, but healthy, and don't have those symptoms. hEDS is known to be heritable, but the genes haven't yet been identified. many doc…
I don't understand why so many doctors seem incapable of doing research or accept research provided to them by their patients. If you have symptoms that match a condition documented in medical literature, and the doctor can't come up with a better fitting explanation, why would they reject it? It's like these people learned a subset of their field and then just refuse to ever learn anything new.
Re: A boy, his brain, and a decades-long medical controversy
#136Earlier quoted context omitted.
> It is a simple fact that there are two major definitions on the Wikipedia entry for gene therapy: I read this as a single definition rather than two distinct ones but, regardless of how you read this, mRNA vaccines do neither of these two things . > it can be parsed as such that they are a genetic modification of a viral cell No, it cannot be parsed like this. “Genetic modification” has a specific, technical meanin…
>> it can be parsed as such that they are a genetic modification of a viral cell > No, it cannot be parsed like this. “Genetic modification” has a specific, technical meaning and mRNA vaccines do not perform it. Furthermore, I’m not even sure what you mean by “viral cell”, since viruses don’t form cells (they form virions). Do you mean a host cell infected by a virus? Because that doesn’t apply here: mRNA vaccines do…
Let me be frank: this sentence is nonsense technobabble.
> A segment of viral genome which encodes part of the body viral is excised and modified.
No, this does not happen (even ignoring that I don’t know what “body viral” means).
> Indeed if you review my words you'll note that I explicitly address the lack of a defect.
And yet you use the term “reconstruct”. — Reconstruct what?
> The mRNA vaccines we know today can certainly be viewed as a modification and reconstruction of viral genomic material.
This sentence becomes somewhat true if we use “information” instead of “material”. But that has nothing to do with gene therapy (as you seem to acknowledge yourself later!?).
> Gene editing or genome editing is […]. Note the distinct concept from gene therapy
I hold a PhD in genomics. You do not need to explain basic molecular biology to me.
> Even if only from the perspective of how information on Wikipedia can be construed by the layman - such as myself.
Then I humbly suggest that your understanding of the subject matter as a layman is — evidently — fragmentary, and insufficient for making up your own definitions and claiming them as being equally valid as those of experts.
Re: A boy, his brain, and a decades-long medical controversy
#137Earlier quoted context omitted.
> The point is to see that there is certain logic behind my statement that is worth discussion Not really, no, given that it's based on a premise ("traits that harm a specific individual's chances of reproduction can't be selected for by evolution") that's obviously false as soon as you take half a second to look at eusocial animals.
The point was to consider the validity of such a statement as something worth considering. What you say is technically true but you made it kind of pedantic here and steered away from the heart of my point. Let me reform it to fit with your logic: "Homosexuality as a trait is not selected for by evolution for humans." There this statement is not definitively false. There is a realistic possibility that it's true. Als…
This does not reflect a bias, but instead reflects that there is very little value in revisiting an exhausted question without bringing more information to the table.
Re: A boy, his brain, and a decades-long medical controversy
#138> Conventional psychiatric drugs and talk therapy are backed up by decades of robust scientific evidence. This is not true, he notes, of the typical PANDAS therapies. I think my issue with conventional psychiatric drugs and talk therapy is that they are what Tylenol is to a headache, they don't actually cure the condition, they simply mitigate the symptoms. So it's clear that conventional psychiatry has no clue of th…
Which works for a lot of people. We don't know what causes a number of mental health issues. Research is being done but a lot of it hasn't gone anywhere.
The human body is complex and there are firm ethical limitations to what methods we can use to understand it. Experimenting on people is fraught with hazards and abuse.
We have use what works with the evidence we have because there isn't a better solution for people who need help now.
Re: A boy, his brain, and a decades-long medical controversy
#139I must have a huge misunderstanding of what a Chiropractor is. I had always known them in the context of treating back pain and spinal issues, but more recently I’ve been hearing stories of chiropractors being seen for anything a “real doctor” won’t consider.
Re: A boy, his brain, and a decades-long medical controversy
#140Earlier quoted context omitted.
As usual this is the result of gatekeeping in the medical industry. It is typical of this industry to kill a million people through inaction to avoid killing one through action. As a bonus, by arrogating the exclusive right to drug prescription and analysis to themselves they can charge what they want. Man deserves true freedom. To self diagnose if one so desires, to kill oneself through incorrect prescriptions if on…
Man deserves true freedom. To self diagnose if one so desires, to kill oneself through incorrect prescriptions if one so desires. The thing is, none of the rules you mention exist to stop patients from doing anything. Rather, they exist to protect desperate patients from con artists selling (sometimes literally) snake oil "cures". I'm reminded of accredited investor rules -- which also chafe at times, but are equally…