Nobel Prize Awarded for Stomach Ulcer Discovery 291
gollum123 writes to tell us the BBC is reporting that the Nobel prize for medicine has been awarded to two Australian scientists for their work with ulcers. Their research has shown that the majority of ulcers are caused by bacteria and can be cured with a short-term course of drugs and antibiotics. From the article: "Dr Marshall proved that H. pylori caused gastic inflammation by deliberately infecting himself with the bacterium. The Nobel citation praises the doctors for their tenacity, and willingness to challenge prevailing dogmas."
1982! (Score:5, Informative)
Re:1982! (Score:5, Interesting)
This proves that it is still possible to do great medical research in the mould (sorry) of Fleming and Penicillin, and you don't need a $100m research budget.
He suffered a lot of problems getting the medical establishment to believe him, and it took at least 20 years, but once it did, the Nobel was bound to happen sooner or later.
Good on you Bazza
Re:1982! (Score:5, Interesting)
Rather chilling when you consider one of the body's mechanisms of protection against bacteria is stomach acidity. Hence why European versions of this drug include the ancient antibiotic bismuth (also found in a famous pink stomach medicine)
So treating a symptom and possibly making it worse in the long run; good business plan - almost as graceful as nicotine enlarging airways and easing breathing: early adverts recommended cigarettes as a cure for bronchitis!
Re:1982! (Score:3, Insightful)
Remember this when you hear all the talk about cholestrol and the drugs to treat it.... (Just a hint)
Re:1982! (Score:2, Interesting)
OPTION 1. Excersise. Muscle fat will cause more BP problems than fat on outside. Salt buildup is the major cause of high BP. Aerobic excercise for a few hours every week (you have to sweat
For proper cholesterol, well, stop eating *#$#$#* crap fats. Cholesterol is made by your liver based on the type of fat you eat.
Polyunsaturated fat - lowers total cholesterol levels
Unsaturated fat - increases goo
Fat Science trumps Fat PROPAGANDA! (Score:4, Informative)
For proper cholesterol, well, stop eating *#$#$#* crap fats. Cholesterol is made by your liver based on the type of fat you eat.
Polyunsaturated fat - lowers total cholesterol levels
Unsaturated fat - increases good cholesterol
Saturated fat - increases bad cholesteros
Transfat - liquid plastic that'll make sure you get a quad bypass.
Much more important is to stop eating ALL polyunsaturated oils (hydrogenated oils/transfats are usually made from polyunsaturated oils), and replace them with saturated oils.
Fats that are less-than-fully-saturated quickly go rancid when exposed to oxygen.
The saturated fat in beef has been slandered in recent years as being unhealthy. It's not that the beef itself is unhealthy, but that most beef cattle are raised with an unatural diet that includes a great deal of polyunsaturated fats, in the form of grains/soybeans in feedlot animal feed.
Coconut Oil and its Virtues [naturodoc.com]
The Cholesterol Myths [newtrendspublishing.com]: Exposing the Fallacy That Saturated Fat and Cholesterol Cause Heart Disease. (intro chapter in PDF form)
The Tragic Legacy of CSPI [westonaprice.org] (Center for Science in the Public Interest - instigated the anti-saturated fat campaign of the 1980's)
Also see the rest of the articles on fat [westonaprice.org] at the Weston A. Price foundation site.
Re:1982! (Score:2, Insightful)
1) H. pylori is very common in the general population (not just people with ulcers). If it's a causative agent, why do comparatively few people with H. pylori get ulcers?
2) The inflammation that makes un ulcer hurt also destroys H. pylori. Ergo, no bacteria in the ulcer under a microscope, and no bacteria on cultures.
Re:1982! (Score:3, Insightful)
Re:1982! (Score:3, Insightful)
I'll bet what you need to make you feel better is some of Professor Smith's Patented Emulsified Snake Oil (cures all manner of discomfort and sickness, you know).
Here, have a swig...
Re:1982! (Score:4, Insightful)
This is cool becasue Barry Marshall was a junior doctor who saw something he couldn't explain and decided to investigate and test it, in classic geeky fashion.
This is what religious fundamentalists/people who push intelligent design will never understand. From the article: The Nobel citation praises the doctors for their tenacity, and willingness to challenge prevailing dogmas. That's the beauty of true science, it's a quest for truth regardless of what was previously "known". If you discover something that conflicts with earlier thinking, not only are you recognized, but you're celebrated. This is because truth, not of centuries of tradition, is the motivating factor behind science.
I mean, just think about what faith is... No matter how much evidence goes against what you believe, you will still believe it anyway. Simply because it was told to you by your parents and your local wizard. It must be pretty amazing that out of the hundreds of religions all over the face of the Earth you happened to be born into the one "right" religion. Science doesn't care where you come from, or who your parents are, it's all the same search for truth. Science is much more unifying than religion.
Hum bug! (Score:2, Flamebait)
Faith vs. Dogma (Score:5, Insightful)
Faith is an essential means to remain optimistic in an uncertain world. Faith is belief in the face of doubt / the absurd. Faith is arguably very important to scientific discovery, lest one doubt their hypotheses.
On the other hand, blind believe in the face of evidence strikes me more as dogmatism. And there certainly has been a lot of that in the history of science.
Re:Faith vs. Dogma (Score:3, Insightful)
Re:Faith vs. Dogma (Score:5, Insightful)
Faith however, is not essential and I would argue it's not particularly desirable. I prefer to practice realism (to the best of my ability) than delude myself with a reality distortion field built on expectations that are by definition unrealistic and founded on false premises.
You can still be a kind, generous, altruistic and forgiving person and not have faith, but because you believe it's an appropriate way to behave and has net benefits (in that it can be beneficial to you, and to society as a whole because it encourages reciprocal behaviour, as indeed it does).
Those pushing religion tend not to be keen on that idea though, they prefer to push the notion that you need to latch on to a specific 'faith' system to support you lest you fall of the wagon. I believe that approach is misguided and potentially dangerous.
'Faith' as a solution is at best a kludge and at worst a red herring, that can lead down a dark path with disastrous repercussions on a global scale. Addressing root causes such as inequality, injustice, and persecution are more effective approaches at dealing with the things that drive people to 'faith' based groups in the first place.
I do not believe the world can ever be 'a perfect place' - history and logical deduction seem to suggests otherwise, as any social environment that relies on co-operation also leaves open the opportunity for another to profit by shafting others in the group, meaning there will always be an incentive not to co-operate (The Scorpion and the Frog [allaboutfrogs.org]) - and that's to say nothing of human nature, chemical imbalances and behaviour in exception circumstances.
There is clearly room for significant improvement in the way we interact with each other, particularly on a global scale however I do not believe faith based systems are an effective means of progression to that point. The acceptance of an unfavourable circumstance and a logical extrapolation of the most effective way to resolve an issue are more helpful than any system based on sheer optimism.
With specific regard to:
Faith is arguably very important to scientific discovery, lest one doubt their hypotheses
I think if you don't have any doubt about your hypotheses there is something seriously wrong with your approach. Even if your right you ought to have doubts about it and set out to prove yourself wrong until you are certain you are right, that's how hypotheses progress to being regarded as 'proven'.
mitochondria (Score:5, Informative)
Re:mitochondria (Score:3, Funny)
Re:1982! (Score:2, Insightful)
Re:1982! (Score:2)
Re:1982! (Score:2)
Of course being celebrated often comes long after years of being told you're an idiot, persecuted and maybe not until years after yoiur death.
And let's not forget that its not the "religious fundamentalists" who are the naysayers/persecuters. In most cases (including Darwin's evolution) its the
Re:1982! -on CBC in 1990s (Score:2)
After I saw the TV show, I told anyone who complained in front of me about ulcers, that it was probably treatable with antibi
Hmmmmmmm, I wonder... (Score:2)
Do "a lot of problems" include stomach aches?
Re:1982! (Score:4, Funny)
Re:1982! (Score:2, Informative)
Re:1982! (Score:5, Insightful)
That being said, yes, the discovery was made in 1982, but it wasn't even *confirmed* until 1987, so it's not just the Nobel prize committee, either.
Ouch (Score:3, Interesting)
Re:Ouch (Score:5, Interesting)
The Nobel prize, on the other hand, is awarded purely for groundbreaking research, usually on the basis of a single seminal piece of research but sometimes something more like a 'lifetime acheivement' award. In almost all cases, it is awarded long after the original research, when the impact can be properly judged in the historical context. For many Nobel lauriates, the work they received the prize for was an exception in an otherwise ordinary career. And in some cases, (the physics prize for the 3K microwave cosmic background comes to mind) the recipents were not actually scientists, but just stumbled upon the discovery by accident.
Re:Ouch (Score:3, Informative)
Re:1982! (Score:5, Funny)
Re:1982! (Score:2)
Oy...
=Smidge=
That's the point (Score:2)
There's also the problem of the committee unofficially rotating the prize among subdisciplines in a given field, and sometimes a glut of important work. To me, this is somewhat weak for a Nobel prize (which nat
Re:1982! (Score:5, Insightful)
The Nobel Prize committee is almost as slow as Slashdot. The actual discovery, per TFA, was made in 1982.
Similar to what I was going to post. I have known this since 1996 or so, when I heard a presentation by a Dr. Barach. He was saying that the cure for ulcers is tetracycline (antibiotic) and bismuth. In short, antibiotics with a shot of Pepto-Bismol should do it.
The trouble with Dr. Barach knowing this is that, being a veterinarian, he was forbidden to use this knowledge on people. We have this taboo, which is sometimes codified into law (as it was where he practiced) that one person cannot be licenced as both a DVM and an MD.
Re:1982! (Score:2)
Check this [fda.gov] out.
Re:1982! (Score:2)
Dr. Crawford has a DVM and a PhD in pharmacology. He is not an MD.
Re:1982! (Score:2)
It hasn't required an endoscopic procedure for some time as it can now be detected through antibodies in a blood sample. I've had one only a few months ago. I presume that an endoscopy would primaily be used to investigate the damage that it had caused and not purely as a diagnostic test.
Re:1982! (Score:2)
Re:1982! (Score:3, Funny)
Yeah, but I bet the Nobel Committee only gives them the prize once.
Re:1982! (Score:2, Interesting)
Ughhh..... (Score:2, Funny)
I'm surprised he didn't end up dead (Score:5, Insightful)
Re:I'm surprised he didn't end up dead (Score:2)
Come on, how many people do you know who died from ulcers?
Common medical theory at the time was that the bacteria couldn't survive a gastral war in the stomach. Turned out that it was just very slow to grow.
Re: (Score:3, Informative)
Re:I'm surprised he didn't end up dead (Score:2)
I'm surprised he didn't end up dead
as:
I'm surprised I they didn't find him conveniently stabbed to death
As in people selling treatments making a lot of money don't like young doctors coming up and taking those profits away.
Re:I'm surprised he didn't end up dead (Score:2)
Good, now he's gone, we can talk.
I agree: there's a lot of money in palliatives, and what's more the patient will keep buying. Cures, on the other hand, tend to get just the one sale.
I'm currently on peppermints(!) for the evil stomach cramps I've been having for a while. It's a perfect cure... provided I keep buying peppermint capsules for the rest of my life. Not only that, but (I now know) many many people are on the sam
worthless doctors (Score:3, Interesting)
Finally I end up going to an Doctor of Osteopathy who specializes in Osteopathic Manipulation. He's like, "yeah, you're fucked up. I can fix you, no problem." And he does his ten-fingered medicine, and I slowly but magically start to feel better. Neat.
And ove
Inflammation (Score:2, Informative)
Re:Inflammation (Score:2, Informative)
Inflammation isn't really the CAUSE, per se. Peptic ulcer is due to a hypersecretion of stomach acid. H. pylori attacks the D cells in the stomach that normally turn off acid secretion in the parietal cells. It probably directly affects ECL cells (they release histamine, a potent mediator for the release of acid) and also directly stimulates the HCl producing parietal cells as well. The acid doesn't really cause inflammation, it erodes the mucous protective layer in the stomach, which can either perforate
My kingom for... (Score:2, Interesting)
How much is can someone pay for a cure of something that can not be cured?
Re:My kingom for... (Score:2)
Re:My kingom for... (Score:4, Interesting)
Seriously - been on them for a week, no symptoms. Not a cure, but a hell of a better life.
J.
Re:My kingom for... (Score:2)
Re:My kingom for... (Score:2)
Personally I have IBS-C (the constipation one), I have tried a lot of things, medication (Meveberine, pinaverium bromide) but do not like to take them for a lot of time and, they do not help 100%.
I also tried what another poster said, Peppermint Oil, again I think it kind of helped a bit
Best way to find a cure... (Score:5, Funny)
Obvious (Score:5, Interesting)
From another BBC article [bbc.co.uk]
Mr Warren said he was a "little overcome" by the award.
"It is nice to be officially recognised and it gives some sort of a stamp of approval, but we believed it within a few months because it was so bloody obvious," he told reporters.
About time! (Score:5, Insightful)
My mother was the unfortunate sufferer of a stomach ulcer for almost 30 years of her life.
One day, her doctor finds out she has it (after all, who keeps trying to fix a 30 year old condition that hasn't killed you yet?), and gives her the newly recognised course of broad-spectrum anti-biotics & neutralisers (since the stomach is kinda hard to treat, acidic n all, tends to destroy the anti-biotics before they have an effect
It's scary how long it took for the standard opinion to get torn down, and how simple the final answer really was! In hindsight, the original theory sounds decidedly suspicious. Stress, indeed.
ashridah
Re:About time! (Score:3, Interesting)
Re-infection can be a serious problem for people in areas like that. Apparently much of his work at UVA dealt with susceptibility studies and clustering. Fascinating guy.
Re:About time! (Score:2)
Point is that sometimes it is best to question your doctor and get a second opinion. If it seems like your doctor is dismissing something, question them about it.
Fashion vs. Science (Score:2)
I've heard that, after Hans Selye's [wikipedia.org] work on stress, [wikipedia.org] there was a period of sloppily using "stress" as a default "diagnosis" to explain away the unknown disease processes, such as gastric ulcer.
I remember discussing this with my graduate advisor in chemistry around 1992; he was glad to see someone persist in the face of criticism to understand what was really going on.
Dr Marshall is my Hero (Score:5, Funny)
Smart thinking. You either get a Nobel Prize or a Darwin Award. A win-win situation.
Bacteria?!? (Score:4, Funny)
Dr. Marshall in Perth (Score:2, Insightful)
Nobel Prize in Physics Awarded Also... (Score:3, Informative)
According to the schedule on the website, chemistry gets awarded tomorrow and peace on Friday.
Right Livelyhood Award (Score:2)
[correction] Right Livelihood Award (Score:2)
Diagnosing "Conditions", not finding Causes (Score:5, Interesting)
Re:Diagnosing "Conditions", not finding Causes (Score:5, Insightful)
This is a very insightful view of what is a real problem with the current practice of medicine . There are many 'syndromes' that are considered to be triggered by lifestyle when actually there are deeper root causes. All too much of medicine is based on statistical studies that show correlations - and correlations do not in any way provide causality.
The real breakthrough in the discovery of a bacterial cause of ulcers is the spotlight it places on the worth of really finding the root cause of a problem rather than just hand waving and correlative studies. Hopefully the medical profession and medical research takes this lesson seriously because it provides a path to real progress in treatment of many debilitating serious chronic diseases. We spend too much time treating symptoms rather than auses and it drives the cost of medical care sky high.
I thought... (Score:5, Funny)
Comment removed (Score:4, Interesting)
Re:Nobel awarded on merit of utility or tenacity?? (Score:5, Informative)
First: Does H. pylori eradication lead to increased incidence of Barrett's esophagitis and esophageal cancer? Maybe. The jury is still out. The Japanese have just published a pretty comprehensive review (Japanese Journal of Clinical Medicine. 63(8):1383-6, 2005 Aug)on the subject. The increase in one may be more common with the eradication of the other. Fine. Are they casually related? That's a more complex question that I think the research is sorta investigating. I dont think Scientific American really has the answer.
But that's not the major issue. Stomach ulcer is a condition that PRIOR to the triple treatment (bismuth + antibiotics + acid inhibitors) would take months to years to heal. Some anecdotal stories as long as 6 years. More. Sometimes never. Leading to serious, serious complications that have even worse prognoses. You see what I'm getting at here. Quality of life years lost are huge, affecting huge chunks of the population. Known risk of causing stomach cancer, perforation of your guts (think your guts spilling into your abdominal cavity) and iron deficiency due to chronic bleeding just for a start. Now we're saying... OK. It MAY result in reflux, eosophageal cancer and Barrett's (cells in your eosophagus changing morphology).
Hardly the "eliminating H. pylori is worse than the symptoms created by too much of it." If anything, what this might suggest is that there might be some unwanted complications to altering the internal milieu of the stomach, and they should be addressed. Full stop. Sky's not falling yet, pal.
Re:Nobel awarded on merit of utility or tenacity?? (Score:2, Interesting)
Diagnosis and treatment (Score:3, Informative)
I'm actually currently taking a treatment for it. One of the common ones is a combination of three drugs. Two antibiotics (for me Amoxicillin and Clarithromycin), and a PPI (Proton Pump Inhibitor - like Nexium, Protonix, or a few others - I'm taking Prevacid).
The only draw back to the treatment is its a LONG 14 days of strong medicine. Makes your stomach feel horrible to say the least.
But the point is, I'd rather a couple weeks like this, then years of popping antacids. My thanks go out to these pioneers.
Interesting book on experiments (Score:3, Interesting)
I am not sure if there is an English translation, but the web site [verrueckte...rimente.de] has some excerpts.
What the hell is "stress"? (Score:2)
It sounds like 19th century medicine (Score:3, Interesting)
MOD PARENT UP (Score:2)
So much for the "purple pill" (Score:3, Insightful)
This is great! (Score:3, Funny)
Challenge the establishment! (Score:2)
are heart disease and cancer infections too? (Score:3, Insightful)
Short term course of antibiotics (Score:3, Interesting)
Admittedly, this is short term compared to the years of antibiotics that some people wind up using, and it's better than living with an ulcer for the rest of your life.
Re:Short term course of antibiotics (Score:3, Interesting)
Great science on the cheap (Score:2, Insightful)
What I really love about their work is that it was done with the conventional clinical tools that had been available to pathologists and gastroenterologists for decades, even in non-academic venues. Their example illustrates that great work can still be done without employing multimillion-dollar labs, big grants, and multi
Reminds me of Dr. Pasteur. (Score:2)
From the link:
Apparently Pasteur himself was among those awed by his stunning demonstrations of power over life and death. He developed a remarkably robust faith that he could do no harm. When, in an incident that Geison omits, Dr. Grancher, one of his assistants, accidentally stuck himself with a syringe filled with a virulent emulsion, Pasteur proposed that Grancher inoculate himself with the rabies vaccine and then, as if to conjure away any possi
Re:Infected himself? (Score:2)
Re:Infected himself? (Score:5, Funny)
Boredom?
Re:Infected himself? (Score:2)
Only in Australia? (Score:2)
http://www.virginia.edu/topnews/10_04_2005/marshal l_barry.html [virginia.edu]
Many of us who went through med school there figured he'd win it eventually. It was interesting that I'd never know Marshall was at UVa from the BBC article.
Re:Now that's my kinda medicine (Score:2)
Re:Now that's my kinda medicine (Score:5, Informative)
They're usually not too bad on testing for the ulcer itself. Unfortuately, they are quite happy to hand out powerful drugs for anything that appears to be gastritis.
The upshot is that the drugs they will give you (primarily antibiotics) are for short term use, and aren't that different from what they tend to give people "just in case". Though I have to wonder if some of the stomach damage isn't caused by reckless use of antibiotics. The human stomach is inteded to have a variety of bacteria to aid in digestion. Using antibiotics tends to nail ALL bacteria, including the stuff you want to keep.
Yogurt with live cultures is a good way of replacing Acidophilus, but if you've recently had antibiotics, you might want to think about a bottle of bacterial supplements. These can be had in pill form, but you *must* keep it cold and pay attention to the expiration date.
Re:Now that's my kinda medicine (Score:2)
Interestingly, the cultures that people have been making yoghurt with for thousands of years do not contain the "good" bacteria (such as L. acidophilus) that modern yoghurts have. It was only last century that we realised the benefit of "probiotics" and we switched to making yoghurt with acidophilus (and bifidus and casei) rather than Streptococcus.
Re:Now that's my kinda medicine (Score:2)
Further down, in the colon, you'll find a variety of bacteria that take care of most of the digestion, and yes, a lot of them get destroyed during long-term treatment with broad-spectrum antibiotics (my own experience). This is well-known.
The symptoms of (chronic) gastritis on the one hand and various forms of dyspepsia related to the problems you are describing differ, however,
Re:Now that's my kinda medicine (Score:2)
*Ahem*
Re:Now that's my kinda medicine (Score:2)
Re:Now that's my kinda medicine (Score:2)
Well... (Score:3, Informative)
So, stress is involved, albeit indirectly.
Re:So Ulcers.. (Score:4, Insightful)
So Ulcers . . . Are not caused by stress?
Peeve alert: starting sentences in the subject line and finishing them in the body is annoying. Just so you know.
Anyway, what I really am posting about, though, is that stress weakens the immune system, giving the bacteria the ability to take hold. There are other, similarly-behaved things, such as eczema (a skin affliction), which is viral, but will mostly only manifest when you are stressed badly.
Re:willingness to challenge prevailing dogmas (Score:3, Informative)
http://talkorigins.org/origins/faqs-mustread.html [talkorigins.org]
Re:This was discovered in 1999?? (Score:2)
-- Staff member from the winner's institution
Re:COLD FUSION research will be awarded with Nobel (Score:4, Insightful)
Concerning an excess of heat. Don't forget that putting interstitial hydrogen into a metal is an exothermic process. We could generate heat, in fact we scared the h*ll out of ourselves with one of the 'deuterium gas in titanium' experiments. It generated so much heat that we were afraid about the strenght of the container. Pure hydrogen exploding into air could really ruin your day. This also produced counts in a neutron detector, but these were consistent with the known temperature sensitivity of the detectors. So, we did see heat, but only heat that could be understood in terms of basic chemistry.
I will state that I was rather skeptical of the whole topic, but I did work for the DOE and I would have been happy to be proven wrong. Free, clean energy is worth more than my pride. So, even if the odds were a million to one against success, the DOE is justified in studying this topic. There just were not results that could be reproduced. As Fermi noted, 'Anything worth doing once is worth doing twice.' If you can't do it twice, it isn't science.
Please, prove that this works. But extraordinary claims need extraordinary evidence. Finding a way to overcome nuclear forces (potential barriers of millions of electron volts) with electrostatic forces at THERMAL energies (tens of milli electron-Volts)is an extraordinary. Perhaps something like sonoluminescence can produce very high localised temperatures in a jar of water, but this produces light with a few electron volts. The probability of particles tunneling across a barrier varies as exp( -E/kT) as long as E is millions of electron volts and kT is around 60 meV, you have a number like exp(-10^7). These basic considerations make CF an extraordinary claim. Where is the extraordinary evidence?
Re:Are Most Medical Doctors - Illiterate? (Score:2)
Fair enough, fair enough. And you've made some reasonable (although unsubstantiated) points that, while unconventional, are certainly not trollish. I don't necessarily agree with them, but that's just fine.
Oh, and there you go. Now since that's pretty much the textbook definition of a comment deserving, "-1 Troll," being both innacurate and inflamatory, you'll probably get dinged fo
Re: (Score:2)