Medical Myths in Movies and Culture

Do doctors ever really stab people in the heart with a syringe? Does chocolate really cause acne?

by Brian Dunning

Filed under Health, Urban Legends

Skeptoid #78
December 11, 2007
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When I first thought of this episode it sounded like a great idea, because the way TV and movies abuse our understanding of medicine and the human body has always bugged the hell out of me. But now that I've put in the research and checked out all the facts, I realize that I'm merely being a huge party pooper. If you've enjoyed believing in some of these fancies, you're probably going to be mad at me. Or better yet, just proclaim that I'm on the payroll of corporate interests, ignore everything I have to say, and go on believing that eating chocolate causes acne.

And that's as good a starting place as any. Folk wisdom tells us that eating chocolate causes acne, or that the oil from cheap greasy food like cheeseburgers or french fries will ooze right out through your skin and cause pimples. Fortunately, numerous trials have been done, and we've learned that groups eating the suspect foods don't get any worse acne than the control groups eating healthy food. So you can keep right on chowing down. The true causes of acne are heredity, hormonal changes associated with adolesence, stress, and bacteria, though some recent studies have found minor correlations with consumption of foods high in iodine. So don't drink iodine if you're pimply.

If you enjoy the taste of chocolate, you've probably also heard that taste buds are arranged on the tongue in different regions, and each region is sensitive to a particular taste. Bitterness is sensed on the tip of the tongue, sweetness on the edges, and so forth. Turns out this is another myth too. Every taste bud senses all flavors. This explains why it never works when you try to test that old story by squeezing lemon onto just little dots of your tongue, and find that it's pretty horrible no matter where you put it.

So long as we're talking about food and the senses, let's mention the old tip of improving your vision by eating carrots. As it turns out, the only connection between carrots and eyesight is the vitamin A that your body derives from the beta-carotene in carrots. You can eat all the vitamin A you want and it won't improve or otherwise affect your vision at all. If you have a severe vitamin A deficiency, it can lead to one cause of blindness. It's not quite clear how this story got started, but one source says it was a misinformation campaign by the Royal Air Force in World War II to explain the effectiveness of their night fighter pilots — the actual classified explanation being their new radar system.

Another food that's said to help is orange juice and cookies to replenish your blood sugar after you give blood. The problem with this is that there's no reason your blood sugar would be any lower or require replenishment after donating. Giving blood just sucks a safe amount of your blood reserve out of your body; it does not change or weaken the blood that remains. Nor is the rest of your body dehydrated after giving blood, so there's no more reason that you would need to rehydrate than there might otherwise be. Some people might get nervous or faint from the process, and the refreshment might help to relax them; but there is no medical need for juice, cookies, flowers, kind thoughts, or anything else.

While we're on the subject of blood, let's talk about one of my pet peeves from Hollywood. In Pulp Fiction, John Travolta stabbed Uma Thurman with a syringe full of epinephrine directly into her heart to cure a drug overdose. In The Rock, Nicolas Cage does the same thing to himself to counter the effects of poison gas. Wow, makes for a dramatic movie scene, doesn't it? And now, since it was such an exciting scene, practically every TV and movie writer thinks it's real and puts it into about every other show. Well I'm sorry to burst your epicardium, but according to emergency room doctors, there is no actual medical treatment that involves the dramatic stabbing of a huge needle directly into the heart — certainly not through the breastbone or in any kind of violent or forceful manner. The way to get any medication into the heart is to simply inject it into a vein. No driving musical soundtrack required.

Of course, if you did accidentally kill your friend by stabbing them in the heart with a syringe, you might get to test the old story that their hair and fingernails will continue growing after death. There's no truth to this either. Metabolism stops at death, so there is no possible mechanism by which new hair or fingernails could be created. This rumor probably got started because a dead body's soft tissues dry out and shrink and pull away, exposing more of the hair and nails. Egyptians didn't really look that creeped out in real life.

Neither does hair grow any thicker or darker after it's been cut. Everyone's been told this, but nobody seems to believe it. Hair is made of dead cells. There is no metabolism or living nerves in hair, thus no mechanism by which the tip of a hair follicle could communicate that it had been cut back to the root to stimulate additional growth or the development of new hair follicles. Some people have longer hair and some people have shorter hair, both on their head and on their bodies, and the speed of growth and the lifecycle of the follicles is determined by your genes. It can't be changed, certainly not by anything as simple as cutting. A cut-off tip of hair is more visible than the finely tapered natural end, which probably explains why so many people still believe this; but that cut hair will never be as long as the natural hair.

Here's a good one, and it's a personal favorite because it happened to a friend of mine. He staggered up out of the water in Cancún with a Portuguese Man-o'-War stuck to his shoulder, tentacles glued all over his torso, and collapsed on the beach writhing in agony. While someone called for help, some gringo SCUBA divers on hand offered to help the way they knew best: All six of them unzipped and hosed him down liberally. Sadly for my friend, the old home remedy of urinating on a jellyfish sting only makes things worse. While vinegar will in fact block any remaining stinger cells from firing, urine contains ammonia, which causes the stinger cells to fire. Let's just say it was a bad day for my friend.

On a less painful subject, who among us does not have a mom who has whacked us with a ruler for cracking our knuckles? Folk wisdom says knuckle cracking leads to arthritis or joint enlargement. As a lifelong knuckle cracker, I can confidently attest to no ill effects. Nor should I expect any. The crack you hear is simply the popping of bubbles within the synovial fluid as the ligament is stretched, as hard to believe as that sounds. It causes no problems and has no cumulative effects. While the popping itself is harmless, the repeated stretching of the ligaments can lead to, well, stretched ligaments, but this too is unrelated to either arthritis or enlargement. Never pay attention to your mother. I'm pretty sure my own mom's not listening, so I can say that.

Have we had enough of these yet? How about one more?

Remember in Beverly Hills Cop, when Judge Reinhold said to Sgt. Taggart that the average person has five pounds of undigested red meat in their bowels? Urban myths like this one are largely responsible for the popularity of colon cleansing in holistic medicine. The hose enters through the exit and some solution is pumped in to rinse out the daily output of your digestive system. This is based on a wholly erroneous assumption, that you have old junk or "toxins" built up in there. You don't. The digestive system is an active, working, one-way conveyor belt. Nothing stops and stays in there. If it does, that's called a blockage, which is a serious medical emergency. Unless you are in the emergency room right now with an intestinal blockage, there is nothing in your intestines older than about 24 hours, other than bacteria which live safely tucked away in the walls. If you've ever had a colonoscopy, you know that all you have to do is stop eating and drink water for a day or two and your bowels will be as clear as a Smurf's conscience.

Tip Skeptoid $2/mo $5/mo $10/mo One time

Whenever you hear a story or a rumor about the human body that seems unusual or doesn't make any obvious sense, be skeptical. It may be true after all — the body is a fascinating machine that's full of surprises — but it's always best for your health to follow a skeptical process and determine the facts for certain.

Brian Dunning

© 2007 Skeptoid Media, Inc. Copyright information

References & Further Reading

Curtin, C. "Fact or Fiction: Urinating on a Jellyfish Sting is an Effective Treatment." Scientific American. Nature American, Inc, 4 Jan. 2007. Web. 11 Jan. 2010. <http://www.scientificamerican.com/article.cfm?id=fact-or-fiction-urinating>

Farnsworth, D., Jewett, D.L. "What's the crack? (The last word)." New Scientist. 8 Mar. 2008, Volume 197: 57.

Hayes, D., Laudan,R. Food and Nutrition. New York: Marshall Cavendish Corporations, 2009. 21-22.

O'Connor, A. Never Shower in a Thunderstorm: Surprising Facts and Misleading Myths About our Health and the World we Live in. New York: Times Books, 2007. 61-62.

Scott. "Hollywood Medical Myth Part 2: Injecting Medication Straight into the Heart Is Beneficial." Today I Found Out. Vacca Foeda Media, 30 Sep. 2013. Web. 30 Sep. 2013. <http://www.todayifoundout.com/index.php/2013/09/myth-injecting-medicine-straight-heart-beneficial/>

Vreeman, R.C., Carroll, A.E. "Medical Myths." British Medical Journal. 22 Dec. 2007, Volume 335, Number 7633: 1288-1289.

Reference this article:
Dunning, B. "Medical Myths in Movies and Culture." Skeptoid Podcast. Skeptoid Media, Inc., 11 Dec 2007. Web. 25 Oct 2014. <http://skeptoid.com/episodes/4078>

Discuss!

10 most recent comments | Show all 70 comments

Chris, Ireland - the myth about heart injections.

You point at a very short wikipedia article which has an empty "uses" section.

An A&E doctor in my family has never done one or worked in a hospital where one has been done, but she is aware of them and points out that recipients need many days of intensive care.

The media usually portray a needle being jammed into the chest, often through the cartilaginous breastbone (a structure that has evolved to resist much stronger blows than a human with a tiny needle), rather than the actual procedure which is to gently and carefully sliding a needle in between ribs on the left-hand side of the chest.

I think your accusation of misinformation is technically correct - the procedure exists. But the point of this article is that the portrayal of it in the media is appallingly inaccurate, and that is absolutely true.

Alice, London
July 18, 2013 4:56pm

Eating and drinking after donating blood is essential, and you can be dehydrated after donating blood.

You are correct in saying that there is no difference at all in the blood before and after donation, the glucose content has not changed. However the volume has, and to maintain pressure the body increases the volume of water. The blood is therefore diluted and the glucose content is lower. This can cause dehydration if the person was borderline dehydrated prior to the donation.

The body also needs to replace plasma and blood cells, and needs a lot of protein within the next half hour to do so.

Bill, Ottawa
July 18, 2013 5:02pm

In The Rock, he injects himself with Atropine which is issued to troops to combat chemical weapons. IT IS NOT A CURE. It can alleviate some of the messier symptoms (nerve agents make you drool, urinate, empty your bowels, amongst other things) allowing you to function long enough to reach real treatment. It is not injected into the heart with a 4 inch needle but rather a stubby autoinjector pen in the thigh or buttocks. Who in the movie business thought stabbing yourself in the chest with anything was a good idea?

Travis, Dupont, WA
July 18, 2013 5:39pm

Interesting post. I had a discussion with my friend about whether or not shaving hair can make it grow back thicker. We came to the conclusion that while the maximum diameter of the hair doesn't get any larger, the average thickness of the hair is greater. This is because normal hair is tapered whereas a cut hair grows out straight.

Dr Wazza, Australia
July 18, 2013 5:50pm

Yes, as you've probably discovered by now, intracardiac injections (such as epinephrine) really do happen, albeit infrequently... I've seen only one. So yes, doctors do really stab people in the chest with really long needles and inject directly in an attempt to restart a heart... it is a last ditch effort after everything else has failed. It isn't, and needn't be fast and furious, nor would a sensible person go through a bone rather than around it.

Dr. Robert Kiser, Kalamazoo, MI
July 18, 2013 8:08pm

Atropine has many perceived properties..Not many of which are correctly reported but all roundly speculated.

Madime Dantefer, Greenacres by the sea Oz
August 14, 2013 5:23am

Although urinating on jellyfish bites doesn't help it is still better to be pissed off. Truth is, rubbling meat tenderizer onto the affected area makes the pain go away. Yes, I do take meat tenderizer to the beach with me. Lived here most my life and have found this to be the most effective way to relieve the pain.
Also have found that it tenderizes meat rather well also.

David Johnson, Wilmington ,nc
September 3, 2013 11:07am

I think if you watch Pulp Fiction (or any other Tarantino movie) in the right frame of mind you will realise that realism is not part of his dramatic agenda...

Ralph, Nottingham, UK
September 5, 2013 2:46am

I'll bet that the perceived correlation between chocolate, french fries, cheese burgers, and zits has to do with nothing more than: what do people do when stressed? There is a definable relationship between stress and skin problems, and what is the first source of relief for stress? Comfort food: chocolate, french fries, cheese burgers,pastries, and those other foods well known to us all. So go ahead and eat that cheeseburger when you are stressed out (please don't over-do it): you are likely to get a zit whether you eat it or not.

Swampwitch, Gainesville Fl
September 9, 2013 5:33am

There is nothing in your intestines older than about 24 hours? ... and what if you dont shit for a week? Does the contents of your bowls magical up and dissapear Brian? As a life time sufferer of ibs, i can tell you for certain it doesnt! And being admited to emergengy more than once with diognosed "chronic constapation" the backing up of your bowels is pretty common."Old junk" and "toxins" build up rather easily, can become stuck and "new junk" will simply pass over it. This is fairly normal and is certainly not treated as a medical emergency, nor is it blockage related. Unfortunately some people just have trouble with their bowels, to which a good colon cleasing is often the best and only solution. Infact i recomend you try it Brain, as you are so clearly full of it.

Ria, Australia
November 9, 2013 2:06pm

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