Tag Archives: medicine

Over-the-counter genetic testing kits at your local drugstore

As of this Friday, Walgreens customers in the US will be able to purchase a home-use genetic testing kit for US$30 or less… though access to the results (via the Pathway Genomics website) could cost another $200 or more, depending on what the user wants to know [via MetaFilter].

Though mail-order DNA tests have been available over the Internet since 2007, Pathway Genomic’s new campaign brings the personalized genomics market to a neighborhood near you, hopefully lending an air of trust and familiarity to the practice, says vice president of marketing at the company, Chris D’Eon.

“People trust their pharmacy and their pharmacist,” he says. “The world is moving towards a preventive health society and working with Walgreens is a huge opportunity to market [personalized genetic screening] to more people, faster.”

[…]

Customers who purchase Pathway Genomics’ “Insight Saliva Collection Kit” will collect their samples at home and return them (a postage-paid box is included) to the company. From there, all other steps are online. Customers need to buy the actual tests on their DNA separately and will receive their reports in about eight weeks via e-mail.

A report on how you will respond to drugs like statins or Tamoxifen runs $79. A pre-pregnancy planning report, which provides information on your baby’s risk for genetic disorders, is $179, and a comprehensive test, including your personal risk on a number of diseases, is $249.

People with important job titles are not impressed:

“This is a horrible idea,” says Dr. Michael Grodin, professor of bioethics, human rights, family medicine and psychiatry at Boston University. “Genetic testing is a complex, difficult and emotionally laden medical process which requires extensive counseling, contextualization and interpretation.”

Lee Vermeulen, director for the Center for Drug Policy at the University of Wisconsin Hospital and Clinics, agrees, calling the test “reckless and inappropriate.”

“Regardless of whether they are told they are at low or high risk, the impact on their future behaviors will be affected substantially and inappropriately,” he says.

A high-risk result may alarm the consumer needlessly, doctors say, and a low-risk one may provide a false sense of security, lulling consumers to pay less attention to their health habits and skip preventive medical screenings.

Doctors also said genetic factors can only explain a portion of disease risk, and were concerned that customers getting a genetic “clean bill of health” would mistakenly think they were in the clear.

I’d be the first to say that you should have access to your own genetic code-base, but given the general public’s incredible susceptibility to quackery, oversimplification and medical mythinformation, getting any genuine use from it will remain the province of the highly-trained, while the fast money will be found in giving people the interpretations they most want to hear (or already fear to be true). The Food & Drug Administration is looking into the Pathway kits (which have allegedly never been approved by them for sale to the general public), but I think we can assume Pandora’s box to have been irrevocably opened at this point.

Or perhaps I’m being overly cynical again – might consumer-level genetic testing, combined with the internet’s open access to vast swathes of medical data, actually help us become healthier?

Photochemical Tissue Bonding: a light touch for battlefield injuries

File under “new theoretical tech that might end up looking vaguely like something out of Star Trek”: though they don’t provide much detail or any links to such, Gizmag reports briefly on Photochemical Tissue Bonding, which…

… can replace conventional sutures, staples and glues in repairing skin wounds, reconnecting severed peripheral nerves, blood vessels, tendons and incisions in the cornea.

And how does it work?

When treating an injury, a medic applies a dye to the wound, then briefly exposes it to green light. The dye absorbs the light, which helps it to molecularly bond proteins on the tissue surfaces. The result is what the researchers call a nanosuture, and it appears to be superior to conventional methods. “No glues, proteins or other materials are used that might stimulate an inflammatory response,” said Kochevar. “An immediate, water-tight seal is formed between the tissue surfaces leading to reduced inflammation in the near term and better scar formation in the long term.”

Find wound, smear gunge on it, beam light at it. Neat trick… though I expect that superglue and adhesive dressings will remain the cheaper option for some time to come. And neither of them need batteries, either.

I wonder what would happen if you used this on tissue that wasn’t injured, though. The body-mod crowd could do some really weird stuff with this technology once it becomes street-cheap.

An Old Enemy: Fighting Cancer

So how did I go from last month’s topic about geoengineering to cancer treatment? Well, for one, keeping the Earth healthy is a bit like doing the same for humans: harder than you’d think. Systems engineering on a fairly complex level that we don’t entirely understand. This is also a personal topic. Cancer used to be an academic concept for me. Not any more. Science fiction lost a brilliant voice to cancer earlier this year, when Kage Baker died of it. Now I have friends and family with cancer, and it has become a palpable evil rather than something distant that I don’t want, like elephantiasis or malaria. I’ve seen it, and I don’t like it. Continue reading An Old Enemy: Fighting Cancer

First remote-controlled robot heart surgery successful

A reminder (if such were needed) that technology is a double-edged sword: while remote-controlled tech can be used to kill, it can also be used to save lives, as demonstrated by the first successful remote-controlled robot heart surgery procedure, performed earlier this week in London [via SlashDot].

Granted, the surgeon was only on the other side of a wall from the patient, but proof-of-concept is proof-of-concept.