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Swedish television showing a documentary on health professor Hans Roslinghttp://svtplay.se/v/1654393...Available until September 18, 2009. Actually this documentary is more concentrated on Rosling as a person, more of his views on the factual matters of medicin and social and economic developement can be found on e.g. TED, but it's still somewhat interesting.

As for the War and Peace example, probably social concerns can never be completely be separated from medicine per se, although of course Tolstoy's example is to the extreme. The overt point there is of course that Natacha's "illness" makes it possible to save face in the social scandal. Good that the doctors could be of help to the Rostovs in also that. But bacteria in drinking water that kill babies is a bit different matter.

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This is why modern medicine's gold standard is double-blind randomised trials.

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I don't remember the exact source and year, and I'm too lazy to go look it up, but Taubes in "Good Calories, Bad Calories" traced an explicit low-carb diet back into the middle to late-middle 1800s.

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I do miss EY's presence on this blog, but I don't miss those darn links

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Today, we'd probably be giving Natasha Prozac or other such pills.

Incidentally, I've read that Charles Dickens's novels contain detailed descriptions of what are now recognized as various medical disorders, long before they were known to be medical problems. For example, a character in "The Pickwick Papers" exhibits textbook symptoms of severe sleep apnea, and one in "Bleak House" has dyslexia.

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Well, it's certainly an old idea. I remember the main heroine in "For Whom the Bell Tolls" saying she would stop eating potatoes so she could stay skinny. Everything is cyclical. There's nothing new under the sun.

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One of the things I recall about "Anna Karenina" is that it has a paragraph describing the employment of the Atkins diet in the same context it is used today. If Wikipedia is to be believed, that makes it one of the earliest descriptions of the metabolic impacts of switching to low carbohydrate diets, but Tolstoy writes it as though it was common knowledge in the 1870s.

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@Ralph:

You don't have to be a medical expert to know that all else equal, new evidence that increases P(A|~B) (in this case, the use of medical treatment even when it won't work, on account of the impulse to "do something" and make people feel taken care of), should increase P(~B|A).

The discovery of additional motives for medicine (aside from curing someone directly) should lower our confidence that any actually applied medical procedure works.

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Maybe its describing something real, but let's keep in mind the logical fallacy of generalization from fictional evidence.

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It seems to me Natasha suffered from a rare but serious condition known as fibromyalgia. She should have asked her doctor about Lyrica.

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Ah, yes; Tolstoy was quite the medical expert.

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