Tag Archive for: Malcolm Gladwell

The Point of Youth Sports

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Malcolm Gladwell, the author of The Tipping Point among many others, published Revenge of the Tipping Point, a look back at what he got right and what may not have turned out to be correct. As I was listening to a new podcast interview, he made a comment on youth sports that stuck with me:

Travel to a game should never take longer than the game itself.

Sport should be fun, not work. Playing on a travel team may seem exciting, but it’s a huge commitment by the entire family, both in time and money. Gladwell’s point was that the quest may not be worth the return. It doesn’t mean that there’s no benefit, but in context, playing to enhance an application for college seven years away is a long shot.

Riley runs like the wind and he can dribble both a soccer and basketball well. But unless he develops a keen interest in the games, playing local makes the most sense. The reason? He’s having fun, staying active, and making friends. I want to see athletics remain a life-long activity rather than watch him burn out chasing the spotlight. To that extent, I agree with Malcolm. If you have a little Tiger Woods or Serena Williams at home, you may decide differently, but the reason you know their names is that their level of talent is extremely rare. Most kids just want to have fun with their friends, and that may be the best lesson they can learn about sports.

What are you prepared to do today?

        Dr. Chet

P.S. If you have a young athlete at home, make sure you’re feeding them the right stuff at the right times; get Dr. Chet on Youth Sports in either MP3 or CD.

The Dog Will See You Now

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The Memo title is from Malcolm Gladwell’s podcast about canine screening of disease, and I would urge you to listen to it. While the focus is on prostate cancer, the logical question comes up: could dogs be used to screen people for COVID-19? The answer is yes. No one knows for certain whether they can they smell the virus, but they can smell the proteins that are being made when the virus replicates in the body. Maybe it’s the spike protein, maybe a different one, but the tests indicate dogs can smell a person’s mask and identify COVID infections immediately with an accuracy of 83% and higher; some dogs approached 99% accuracy.

Will we see dogs checking folks at the door any time soon? I doubt it, whether for COVID testing or any other type of disease. Why not? Let’s take a look.

The Problem with Dogs

Science has shown that dogs can detect odors down to 1.5 molecules per trillion. They don’t even have to be purebred dogs; mixed breeds can be taught to do it. Therein lies the problem: training. It takes time to train the dogs to be able to distinguish that one unique scent among the hundreds of thousands they may encounter in an airport, a school, or a place of business.

They also get tired, not physically but mentally. They’re still dogs that want to run, jump, and play. They love to work, but they’re not like an inanimate testing device that accepts samples and tests them all day long without needing to be fed and given bathroom breaks. Dogs get fatigued, and that means they could make mistakes.

Those are just details that can be worked out. Dogs can screen up to 250 people in an hour at an estimated cost (including their handlers) of about $2 per person. Compare that with a PCR test for COVID-19 that can cost $200 per person. The real problem lies with humans.

The Healthcare Complex

It would be easy to criticize the medical community for not wanting to endorse this unconventional approach to medicine. The papers I read thought it was impractical to train dogs to do such screenings.

What they would rather do is develop an artificial neural nose that could do the job instead. One big problem with that: they have no clue what the dogs actually detect when they perform the screening. They admit that “clinical diagnostic techniques, artificial intelligence, and molecular analysis remain difficult due to the significant divide between these disciplines.” It could take years to come up with such an artificial nose, and then you’d need humans to manufacture, operate, and maintain those devices; I don’t even want to think what the costs would be. Dogs are already being trained that can be ready in a couple of months.

I’ll let you draw your own conclusions as to why the healthcare complex is resistant to pursuing the canine screening solutions. But I suspect health insurance companies and other organizations such as school districts that actually pay the bills will pay a lot of attention to the difference in price as well as the timeline.

The Bottom Line

If I could train a dog to identify a vitamin or mineral deficiency by sniffing the breath, the urine, or feces of humans, I wouldn’t waste time—I’d do it right now. It’s not a threat to what I do; it would be a powerful tool to use to help people address their nutritional deficiencies perhaps before they manifest in disease.

Do we want to get kids back in school? I’d love to know a dog was testing Riley and all his classmates, teachers, and staff every day before they walk in the building. Getting the subjects to not play with the testing equipment would probably be the biggest hurdle, but we’ve been teaching Riley to recognize dogs that are working and not to bother them. Yes, we’d need a lot of dogs, but we can get that done if we’re really committed.

Let’s hope the healthcare complex realizes they already have the noses they need to get the job done, and all the bearers of those noses want is to play with a ball as a reward for their hard work. I’ll say it again: it’s time to let the dogs out.

What are you prepared to do today?

        Dr. Chet

References:
1. J Travel Med. 2020 Dec 23;27(8):taaa131. doi: 10.1093/jtm/taaa131.
2. PLoS One. 2021.16(2):e0245530. doi: 10.1371/journal.pone.02455

Diagnosing Disease: The Canine Frontier

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Malcolm Gladwell, one of my favorite authors, recently did a show on his podcast “Revisionist History” concerning the use of dogs in screening for prostate cancer. You probably recognize his name from his many books including “The Tipping Point”; if you haven’t tried his podcast, I recommend it.

If there’s one thing that keeps men from getting their prostate examined, it would be the invasive nature of the prostate exam known as the digital rectal exam. This refers to the old meaning of digital: performed with a finger. If any problems are suspected, the typical follow-up procedures include the protein specific antigen test (PSA) and prostate biopsy. I know first-hand how uncomfortable these exams can be, and I understand why men would put it off whenever possible, even to the detriment of their health. But what if there were another way? Time to let the dogs out.

No, this new method did not involve dogs doing what they always seem to do, which is to sniff behinds; these dogs were trained to identify prostate cancer in urine samples. Exactly what they’re trained to identify is still a mystery, but most likely it’s a protein. How accurate were they? Over 95%. Anyone that tests positive by canine would then be followed up by a human physician.

Will we be making appointments to see our canine diagnosticians anytime soon? Probably not—even though just about every type of cancer you can think of has been canine-tested and found to be accurate. Are there other conditions that canines can identify? Yes, and I’ll cover that on Saturday.

The Insider Conference call is tomorrow night. I’m going to talk about the COVID vaccine as well as answer Insider questions. Become an Insider before 8 p.m. Eastern Time, and you can join in on the call.

What are you prepared to do today?

        Dr. Chet

Reference: Urologiia. 2019 Dec;(5):22-26.

All Research Matters

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As we enter the final holiday of summer, I want to challenge you to listen to a podcast over this long weekend. Before I get to the details about the podcast, I want to tell you why research matters.

I spend a considerable amount of time examining nutrition research. If you read what I write, you know I’ve criticized who nutrition research is done by as well as how nutrition research is done. That doesn’t mean that the research is not worthwhile. The interpretation of what any given study means can be debated and methodologies can always be better. It doesn’t mean that the research isn’t important; if nothing else, it can show how not to do something.

Take a different topic such as climate change or vaccinations. These topics are a great way to start an argument because people have strong opinions on them. Pick either side and you can find research to support your position. Again, that’s due to the interpretation of research on highly complicated topics, but it doesn’t mean that the research shouldn’t have been done in the first place. It absolutely has to take place.

We seem to be entering an era where government-sponsored research is being attacked, and that will be harmful to us in ways we can’t imagine. Think about it. Do you want research funded only by the sugar industry to set dietary guidelines? How about climate research funded only by the gas and oil industry or energy research funded only by the windmill industry? That’s where basic science research is critical to bring balance to the equation. No research should be avoided because it offends one industry or another.

Now to the podcast: listen to Malcolm Gladwell’s podcast called Revisionist History on your favorite podcast platform. The episode is titled The Obscure Virus Club. It’s the story of a small number of scientists who persisted for decades in researching obscure viruses and whose findings were ignored for way too long; I’ll tell you that Paula was in tears as she figured out the life-or-death consequences of those delays. Think of the implications if even more research were unfunded and unpublished. Just because it’s a holiday weekend doesn’t mean our brains shouldn’t be engaged. Send me your thoughts after you listen to it.

What are you prepared to do today?

        Dr. Chet

Research: http://revisionisthistory.com/episodes/40-the-obscure-virus-club