out.of.the.basement / radiation.medicine  Por  arte de portada

out.of.the.basement / radiation.medicine

De: Jason Beckta MD PhD
  • Resumen

  • A sprawling mix of real-world education, armchair journalism, and scientific exploration, all anchored in Radiation Medicine. The Establishment has locked information behind Towering Ivory Walls: consider us Nuclear Robin Hood, stealing from the rich to give to the poor; gadflies forcing radioactive truth into the spotlight. Out of the Basement is produced by Photon Media, a project from the 501(c)(3) nonprofit Cold Light Legacy. Of course, none of this is medical, legal, or financial advice. Support this podcast: https://podcasters.spotify.com/pod/show/radmed/support
    Jason Beckta, MD, PhD
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Episodios
  • High Yield LDRT for OA - Everything Under the Sun (Xstrahl Miniseries Capstone)
    May 29 2024

    Ever found yourself thinking, "Man, I wish there was a single podcast episode that summarized all the most helpful and practical information on low-dose radiotherapy for osteoarthritis"?

    Well, good news!

    This episode is your ultimate guide to understanding the science, clinical efficacy, and practicalities of LDRT. We’re distilling the highlights of the entire “Xstrahl Miniseries” into one convenient digital treasure trove. Perfect for those looking to expand their modern practice with a treatment that's been in use for over a century, this capstone experience explores how LDRT can revolutionize not just OA management, but the entire field of Radiation Medicine in America.

    Specific highlights include tips on charming skeptical patients and colleagues, as well as navigating the labyrinthine world of insurance claims.

    Jam those earbuds into your external acoustic meatuses and discover why LDRT might just be the best-kept secret in Radiation Medicine…because who doesn’t love a good underdog story?

    ***

    High Yield - Mechanisms of Action in LDRT for Osteoarthritis

    https://doi.org/10.6084/m9.figshare.25918756

    ***

    Brought to you in part by Xstrahl, modern manufacturers of orthovoltage devices.

    Visit them at ⁠⁠⁠⁠⁠https://xstrahl.com/⁠⁠⁠⁠⁠

    ***

    OOTB, produced by Photon Media, is made possible by Cold Light Legacy, a 501(c)(3) nonprofit that thrives on community support.

    jason@coldlight.org

    --- Support this podcast: https://podcasters.spotify.com/pod/show/radmed/support
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    56 m
  • The Nuclear Scare Scam - Galen Winsor (also known as "that physicist who ate uranium in the 1980s")
    May 18 2024

    Recently, a video of a physicist eating uranium while delivering a lecture appeared on my social media feed. While I ignored it once or twice, THE ALGORITHM knows me better than I know myself, and I eventually watched it.

    However, the short clip contained no information, and I couldn’t tell the context of why someone would do this, let alone if it was even real.

    Turns out…it’s very real.

    This is the full, unedited version of “The Nuclear Scare Scam”, a talk delivered by a man named Galen Winsor in 1985.

    The “uranium eating” takes place around the 1 hour 12 minute mark.

    Galen Winsor was a nuclear physicist who served in the Navy during World War II, returning home to help design and operate the first nuclear power plant in Hanford, WA – and many power plants thereafter.

    Winsor dismantles the exaggerated fears surrounding nuclear energy, revealing how strategic disinformation and vested interests have perpetuated a culture of radiophobia in America.

    Through personal anecdotes and historical context, he argues that the dangers of low-level radiation have been blown out of proportion. He critiques the overly cautious regulations driven by economic and political agendas, suggesting that these fears were deliberately cultivated to hinder the growth of atomic technology.

    Winsor makes some…potentially controversial points in this talk. Most notably, his opinion on Three Mile Island. Currently, I am neither supporting nor condemning any of his spicier ideas – that’s for future episodes.

    But: in the 1980s, Winsor traveled across America giving this same talk 77 times - and thus snacked on uranium dust 77 times.

    Winsor did eventually die…

    ...in 2008, at the age of 86, more than 20 years after “The Nuclear Scare Scam” was recorded.

    It’s hard to argue with the results.

    ***

    OOTB, produced by Photon Media, is made possible by Cold Light Legacy, a 501(c)(3) nonprofit that thrives on community support.

    jason@coldlight.org

    --- Support this podcast: https://podcasters.spotify.com/pod/show/radmed/support
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    1 h y 31 m
  • Those "negative" randomized control trials everyone likes to cite and say "LDRT doesn't work" are really, really bad (Radiotherapy for Arthritis: The Miniseries)
    Apr 16 2024

    Episode Four (part...one?) of the “Real World LDRT” miniseries (sponsored by Xstrahl) gets more into the evidence behind LDRT. Specifically, the two RCTs out of the Netherlands published a few years back showing that LDRT had no benefit in osteoarthritis.

    So...couple small problems with that. Namely, the trials had less than 30 patients in each arm, used too high of a dose, used only half the standard treatment, and...oh, yeah. In the LDRT arm in one of the trials, 2/3rds of the patients had >5/10 pain for >15/30 days per month despite analgesics/therapy for >5 years. That's VERY severe pain, by any definition.

    ...and:

    One of the primary outcome criteria was "greater than 50% relative improvement in pain/function AND >20 points in absolute improvement" on their specific measurement tool.

    ...and:

    "...both studies were powered to detect a large effect of low-dose radiation therapy. Using the primary outcome, allowing for a 15% dropout rate, [they] aimed to include 27 patients per group, assuming an expected difference of 40% in the proportion of responders between the low-dose radiation therapy and sham intervention groups, 80% power and 5% α level, and that 40% of the sham intervention group would be responders..."

    Is there any intervention on Planet Earth that would show a positive signal with a design like this?

    Please. Please. Please stop citing these trials.

    ***

    Brought to you in part by Xstrahl, modern manufacturers of orthovoltage devices. Visit them at ⁠⁠⁠⁠https://xstrahl.com/⁠⁠⁠⁠

    ***

    OOTB, produced by Photon Media, is made possible by Cold Light Legacy, a 501(c)(3) nonprofit that thrives on community support.

    jason@coldlight.org

    --- Support this podcast: https://podcasters.spotify.com/pod/show/radmed/support
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    18 m

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