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The Listening Project

It’s rare to experience a piece of media that hits you straight between the eyes, providing a level of intimacy that leaves you feeling honoured to have been present. Midst a lonely post wedding journey back from the Peak District this afternoon Radio 4s Omnibus kept me company between the horizontal rain, the storm force winds and the endless M1.

Specifically The Listening Project. A gem of a collaboration between BBC Radio 4, BBC local and national radio stations and the British Library. Tasked with capturing the nation in conversation to build a unique picture of our lives today and preserve it for future generations it’s a brilliantly gentle and real picture of who we are as a nation. If you are ever sat at your desk trying to find a voice for the rich collective of humanity we write for then I could recommend no better time spent than here. For me its  a healthy reminding kick to remember the real people that go through life not distant demographic classifications.

Please excuse my poor editing of the podcast attached I didn’t want the whole podcast only the health related conversation. It was this submission by BBC Radio Ulster that left me attempting to wake my catatonic girlfriend up on the back seat to no avail. After years of dialysis and declining health, Brendan was the recipient of a kidney donated to him by his older brother Kyron. They talk candidly about what this has meant for both their lives. Emotional heartwarming treasure.

One to the kidneys

 


Medicine & Social Media

Over my morning cup of tea I had a quick read of the latest tweets on the HIVE feed. One of the tweets mentioned a medicine and social media course… well that looks interesting I thought and with a quick click I started learning all about a site called Webicina.

Webicina.com is a free service that provides curated medical social media resources in over 80 medical topics in 17 languages. Their mission is to let empowered patients and medical professionals access the most relevant social media content in their own languages on a customizable platform. So how does it work? Well you simply select your condition and the form of social media you’re interested in – news, blogs, podcasts, videos, twitter feeds, etc. – and Webicina gives you a nice little list of everything available on those platforms. Currently the site covers a range of medical conditions from acne to arthritis and cancer to epilepsy. Amazing. They obviously have this whole social media and healthcare thing wrapped up.

This brings us back to course they’re running: The Social MEDia course, the idea being that “digital literacy must be in the medical curriculum globally”. The course was launched two weeks ago; it’s online and Prezi-based, with tests and gamification. The best part? It’s free!

On the site there is also a list of interesting presentations on topics such as health search engines, e-patients, medical blogging and virtual worlds. You could spend the whole day on there and still come back for more.

Have a look for yourself at www.webicina.com and www.thecourse.webicina.com/

 

 

 


We’re moving


We moved from the Festival Hall to Regent Street in January 2008, October 2009 saw us get into Soho and now June 2012 see us hop again. This growth needs homing. Each time we bolt in space, resources and capacity to get us all set to achieve plan. This is our 3rd move and one that should see us chill for a year or or 5.

Way back when we were on Regent Street we dedicated a wall to the 2,000 sq. Ft we were moving into here in Soho. Asking the 12 of us to input. Well its that time again, except now there 53 or us around and about. We need a bigger wall!.

We are midst the legal stuff, on 7,200 sq. Ft about 200m or 4mins (cheers google)  from where we are now. 7.200sq ft is a big area. (Rural folk; 0.16 acre = enough to feed a vegetarian for a year, Greek; half an Olympic swimming pool, Devon; detention centre sized), so we are midst two hackathons to get everyone’s input in the features, fun and stuff our new home needs.

We kick off with a list of problems for the office to solve, and a list of assessment criteria for the ideas we are going to solve these problems with. Last night amidst Princi Pizza and tarts the ideas kicked off at great pace. Dozens of them. From the simple to the extravagant, to the coolish to the foolish, all up there for everyone to vote on.

With one exception all ideas are up for grabs. All of us early bees when looking around offices in the early days noticed one consistent feature. Every office we had visited which had housed an agency that had gone bust had a table foosball. Usually with one leg kicked off as a last rebellion prior to handing the keys in. This icon of misplaced budget and Toy-town business snuck up on us in every dusty, paper strewn depressing office. They are the early warning tremors for clear financial downfall and as such categorically they are banned – never never never.

Once we have got to a list following Mondays final session I will ping it up here to hopefully encourage you to input in the usual way.


Of mice and medicine – Hive Review Series

In a long article published late last year in Slate magazine , Daniel Engber posed some questions that the pharmaceutical industry should be paying attention to. His article, ‘The Mouse Trap’, begins with an observation made by the neuroscientist Mark Mattson in 2007, when he ‘“began to realize that the ‘control’ animals used for research throughout the world are couch potatoes.”’ Mattson went on to co-author an analysis of the problem for the Proceedings of the National Academy of Sciences, finding that lab mice are ‘insulin-resistant, hypertensive, and short-lived.’

This has happened because ad libitum feeding and zero exercise are standard conditions in the rodent-breeding factories that provide scientists with mice (a $1.1 billion dollar industry). But why does it matter? It matters because, as Engber writes, ‘the inbred, factory-farmed rodents in use today – raised by the millions in germ-free barrier rooms, overfed and understimulated and in some cases pumped through with antibiotics – may be placing unseen constraints on what we know and learn.’

The problem is, so invested are researchers in the mouse that no one wants to acknowledge the possibility that there’s a problem. But if there is a problem with mice, there’s a problem with drug development: scientists chew through 88 million mice a year in experiments and drug testing, and since 1965 the number of papers involving mice and rats has more than quadrupled. According to Engber ‘we’ve arrived at something like a monoculture in biomedicine,’ the main reasons being cheapness, docility, and the mouse’s amenability to ‘the most advanced tools of genetic engineering.’

In late 2010 Francis Collins, director of America’s National Institutes of Health, established a new agency to analyse what he called the ‘pipeline problem’ in biomedicine. The problem is that ‘innovation has slowed to a trickle. It takes more than a decade, and some $800 million, to produce a viable, new drug; among the compounds considered for testing, only 1 in 10,000 come to fruition.’ Could this perhaps be because ‘rats and mice were never so good at curing disease as they were at making data for its own sake’? Of the thousands of mouse studies for tuberculosis, ‘not one has been used to pick a new drug regimen that succeeded in clinical trials.’

The geneticist and statistician Michael Festing, one of the world’s experts on inbred lab mice, notes that ‘“the more research you do on something, the more valuable it becomes.”’ ‘A format war hides in the history of biomedicine,’ Engber writes, describing how not just one species but one particular strain, the Black-6, has become the most widely used organism in drug research. The problem is, since 1999 it’s been accepted that, for one, different mice have different responses to pain (prior to that the consensus was that every kind of mouse was essentially the same). And mice have different pain responses to other rodent species. And rodent species have different pain responses humans.

Experimental science does recognise certain fields where specific animals prove useful: for example armadillos in leprosy, prairie voles for autism, finches for language acquisition, but these models ‘live only at the margins of biomedicine…For most questions [the mouse is] a skeleton key that’s tried at every one of Nature’s doors.’ This despite the fact that, in the case of cancer, mice are prone to lymphomas and sarcomas as opposed to the carcinomas which are much more common in humans. Mouse tumours are much less varied than those seen in any hospital oncology department. They serve up ‘a bland and homogenized product, a fast-food version of the disease’. According to Robert Weinberg, the MIT biologist who discovered the first human oncogene and tumour suppressor gene, mice are ‘“the rate-limiting step in cancer research”’, and drug companies are ‘“wasting hundreds of millions of dollars on animal research that has little predictive value.’”

Engber’s article, which portrays both the problems with the mouse model and the ‘institutional inertia’ that prevent those problems from being formally acknowledged by the very people who would benefit most from their resolution, is essential reading.