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Culture War Roundup for the week of April 24, 2023

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I stand corrected then, increased cortisol can cause hives.

I still don't think the others make any sense.

Have you ever seen a comatose patient with eczema? If the answer is "yes" that pretty firmly disproves this hypothesis, if "no" that means maybe there's something interesting going on there? Unless the reason the answer is "no" is "I don't see many comatose patients".

Even when I was overseeing an ICU, I didn't run into any comatose patients with eczema that I knew of. It's probably a very uncommon combination in the first place.

Right, and thinking about this further it's specifically patients who developed eczema while comatose that we'd care about. Which you definitely wouldn't encounter in an ICU.

You also need environmental stressors for eczema, and you don't get those in the ICU

And it's totally unethical to expose a comatose patient to a known allergen (e.g. latex or betadine if they're allergic) to see if there is a reaction.

Hell, IBS/Crohns are comorbid with depression because they're extremely annoying and debilitating diseases that cause a massive drop in QOL, I'd certainly be sad if not depressed were I diagnosed with that!

IBS (irritable bowel syndrome), not IBD (inflammatory bowel disease), which you’re referring to (IBD encompassing Crohn’s and ulcerative colitis). IBS is the one with no clear etiology, association with previous diagnosis of psychological trauma and/or anxiety and/or depression prior to onset (as well as recent GI infection), and suspicion of involvement of the gut-brain axis.

…As far as I recall.

That's a typo on my end, I'll fix it. I'm aware that IBS is less clear cut.

Hell, IBD/Crohns are comorbid with depression because they're extremely annoying and debilitating diseases

Sarno is referring to IBS though, not IBD.

His claims annoyed me enough that I wasn't reading clearly, I've already made an edit!

Fair enough! I found the claims for coeliac and eczema and disc herniation absurd also.

  1. I had heard that the issue for MRI and herniated discs is that you can see the same indications on a control group that doesn't experience pain.

  2. I'd make a case that Crohn's/IBS-like conditions are simply a set of symptoms. Perhaps there is true-Chrohn's within this. IBS doesn't have a set aetiology in my view though IBS treatments may help the symptoms.