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Feces-Filled Capsules Treat Bacterial Infection

sciencehabit writes Clostridium difficile infections kill approximately 14,000 Americans every year, often because the diarrhea-causing bacteria are highly resistant to standard antibiotics. Now, scientists have found an unusual way to combat the bugs: human feces in pill form. In the new study, researchers show that frozen fecal matter encapsulated in clear, 1.6 g synthetic pills was just as safe and effective as traditional fecal transplant techniques at treating C. difficile. Within 8 weeks or less, 18 out of 20 participants saw a complete resolution of diarrhea after consuming 30 or 60 of the feces-filled capsules. "It's probably not the best experience of your life," says team leader Ilan Youngster, a pediatric infectious disease doctor at Harvard University. "But it beats getting a tube stuck down your throat or a colonoscopy or having C. diff."

135 comments

  1. Dunno about you but by Anonymous Coward · · Score: 0

    This article is full of Sh!t

    1. Re:Dunno about you but by Anonymous Coward · · Score: 2, Funny

      Gives a new meaning to "Eat shit and live".

    2. Re:Dunno about you but by FatdogHaiku · · Score: 5, Funny

      This article is full of Sh!t

      That's nothing, the pills taste like crap...

      --
      You have the right to remain sentient. If you give up the right to remain sentient, you will be elected to public office
    3. Re:Dunno about you but by 93+Escort+Wagon · · Score: 4, Funny

      In all seriousness - I imagine the pills are fine, but any subsequent burps are rather unpleasant.

      --
      #DeleteChrome
    4. Re:Dunno about you but by davester666 · · Score: 1

      Obviously you haven't tried chewing them.

      --
      Sleep your way to a whiter smile...date a dentist!
    5. Re:Dunno about you but by Anonymous Coward · · Score: 0

      So is it OK now to always go "Ass To Mouth?"
      https://www.youtube.com/watch?v=3buEelLrjZ4

    6. Re:Dunno about you but by jandersen · · Score: 2

      Whatever! Eat shit and, er, ... live?

    7. Re:Dunno about you but by RockDoctor · · Score: 1

      I imagine the pills are fine, but any subsequent burps are rather unpleasant.

      I'd imagine that the technicians designing the pill choose appropriate packaging materials that (1) wouldn't rupture under chewing (because NOBODY reads the instructions on the package, EVER. Well known fact.) and (2) don't release their contents until after acid immersion followed by a return to more normal pH (indicating that the pill has passed the stomach and is now in the small intestine, where the bugs are desired.

      You know, people do think these things through. Unlike people looking for a quick laugh on Slashdot.

      --
      Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  2. It's probably not the best experience of your life by Psicopatico · · Score: 5, Funny

    It's probably not the best experience of your life

    Talk about the poor chinese laborer who assembles the pills...

    --
    Mastering the English language is fucking easy: all you have to do is to put an f* word in every fucking sentence.
  3. Insults by Skiboy941 · · Score: 1

    "Eat shit!" "Joke's on you. I already am."

    1. Re:Insults by 0xdeadbeef · · Score: 4, Funny

      "Eat shit and live, motherfucker!"

      "Well, doctor, if you insist..."

  4. Ugh. by Anonymous Coward · · Score: 2, Funny

    I realize they were just trying to cure a case of C. difficile, but "Two girls, one pill" would have been much easier to watch.

  5. Re:It's probably not the best experience of your l by Skiboy941 · · Score: 4, Funny

    Great. Now I'm imagining a bunch of guys pooping on a conveyor belt. Hershey Kisses anyone?

  6. Well, that ruins an old insult by Anonymous Coward · · Score: 0

    "Eat shit and die!" just won't sound the same anymore. Thank you Slashdot and thank you medical community and research.

    1. Re:Well, that ruins an old insult by wierd_w · · Score: 1

      Dont worry, candy coated shit pills may be a real thing now, but then again, so are fecal borne parasite pills.

      http://en.wikipedia.org/wiki/H...

      Got asthma? Crones disease? Try our revolutionary parasite therapy!

    2. Re:Well, that ruins an old insult by Anonymous Coward · · Score: 0

      Dr. Duke Nukem says "Eat shit and LIVE!"

    3. Re:Well, that ruins an old insult by K.+S.+Kyosuke · · Score: 1

      Apparently, it's "eat shit or die" now. From your health care specialists no less! They must be bursting with anticipation.

      --
      Ezekiel 23:20
    4. Re:Well, that ruins an old insult by K.+S.+Kyosuke · · Score: 2

      Or just fetch a package of Wrigley's Helminth.

      --
      Ezekiel 23:20
    5. Re:Well, that ruins an old insult by wierd_w · · Score: 3, Funny

      Ahh, The eponymous doubleshit gum.

      The gum EVERYONE gives two shits over.

  7. Re:It's probably not the best experience of your l by ColdWetDog · · Score: 3, Insightful

    Typically the stuff has been spun down and freeze dried so it's not so bad....

    --
    Faster! Faster! Faster would be better!
  8. I don't believe them by DrXym · · Score: 1

    I bet you could stick them up your arse for all the good they'd do you.

    1. Re:I don't believe them by Skiboy941 · · Score: 2

      Fry: "I can't swallow that!" Farnsworth: "Well then, good news! It's a suppository."

  9. I guess we were all wrong... by Anonymous Coward · · Score: 0

    Eat shit and don't die!

  10. 2 Girls 1 Cup by Anonymous Coward · · Score: 0

    I have a feeling that TwoGirlsOneCup Labs, Inc. is going to sue them for patent infringement.

    1. Re:2 Girls 1 Cup by houstonbofh · · Score: 1

      Nah... They will just re-market it as a health video.

  11. Timeframe? by Nauglamir · · Score: 2

    Within 8 weeks or less, 18 out of 20 participants saw a complete resolution of diarrhea after consuming 30 or 60 of the feces-filled capsules.

    No wonder they have such a small sample. After the informed consent form I'm sure lots of people told the researchers to gtfo.

    Also, could an MD please provide the usual time frame in which diarrhea runs its course? 8 weeks being an improvement sounds just weird.

    --
    i *had* a low uid, but lost it in my lawn
    1. Re:Timeframe? by Greyfox · · Score: 5, Insightful

      Once you've been crapping your organs out for a couple months, I'm sure you'd be willing to try just about anything.

      --

      I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

    2. Re: Timeframe? by Anonymous Coward · · Score: 5, Interesting

      My stepfather had c. Diff last year. It isn't run of the mill diarrhea. Remember that scene in dumb and dumber with the laxative pill? Something like that. You are physically exhausted and your body is destroying itself. It spreads infection, your immune system goes haywire, your kidneys and liver work overtime breaking things down.

      They quarantined my stepfather and told us that he probably wouldn't make it due to his age. He was put on antibiotics and morphine. I kept complaining to nurses that antibiotics actually caused this (he cut his fingertip and they gave him a dose 3x higher than necessary, if he needed it at all) and to look at alternatives but they don't really care. So many patients to treat, so little time. Nurses said the poop transplant was the option of last resort(even with 90% success rate) and that they would continue with antibiotics. My stepfather was pretty lucky to survive it and is now cautious about antibiotic use.

      If standard diarrhea clears up in 8 weeks, is that in any way useful if you're dead in two?

    3. Re: Timeframe? by Fwipp · · Score: 4, Interesting

      Yep, the antibiotic regimen they put you on is no joke, either. It wipes out all your intestinal flora, leaving you super vulnerable to recolonization (and those spores are real fucking hard to eliminate).

      My grandmother had a fecal transplant and she cleared up in days, after literal months of illness.

      Source: I used to be closely involved with an MD whose primary focus was this bug. Well, the grandma part was sourced from my mom.

    4. Re: Timeframe? by zwarte+piet · · Score: 1

      I wonder why they use poop instead of nice clean odorless freezedried bacteria, like they are sold over the counter in healthshops for many decades.

    5. Re:Timeframe? by Anonymous Coward · · Score: 0

      Humans have a natural disinclination to eat feces for obvious survival reasons. Some of us (like me) have an unnaturally strong disinclination. The instinct is good, but the psychological distress caused by potential violations is too strong, resulting in excessive hand washing (to the point of harming the skin), inhibition of social interaction (with possible harmful emotional impact and impact to personal life), and needless dietary and eating practices.

      Taking a pill that is full of frozen shit is outright horrifying!

      I doubt I would be able to force myself to swallow it. My body would refuse. And even if someone physically forced it down my throat, it would come right back up. The doctor would have to lie to me about what is in it (and actually convince me, since I know about this I would look double-hard at the label on the bottle). Or I would have to be rendered completely unconscious during the administration of each dose.

      Ugh, I really hope I never have to face something like this.

    6. Re: Timeframe? by tibit · · Score: 1

      The diarrhea might be the least of your worries. Eventually you might develop sepsis from the immune reaction to all the toxins and you die, even if well-hydrated.

      --
      A successful API design takes a mixture of software design and pedagogy.
    7. Re:Timeframe? by Anonymous Coward · · Score: 0

      It doesn't taste like shit. It's in a capsule. Swallow it with some food or something and don't be such a pussy.

    8. Re: Timeframe? by Anonymous Coward · · Score: 0

      According other posts here, the over the counter bacteria contain only maybe half a dozen species, but poop gives you a full set from somebody else's intestine. Also, apparently these guys are freeze drying the poop before it goes into capsules.

    9. Re: Timeframe? by Anonymous Coward · · Score: 0

      recolonization

      I see what you did there. ;)

    10. Re:Timeframe? by bware · · Score: 1

      No wonder they have such a small sample. After the informed consent form I'm sure lots of people told the researchers to gtfo.

      If you had C. diff, you'd be doing everything including licking doorknobs at a urgent care clinic to try to get some healthy gut bacteria back.

      I'm guessing they had people lined up and turned away for the study. Except they'd have to have their friends line up, because if you have C. diff, you can't wait in a line. For anything. Including the toilet.

      Also, could an MD please provide the usual time frame in which diarrhea runs its course? 8 weeks being an improvement sounds just weird.

      C. diff doesn't go away by itself. Antibiotics, if they work, work by killing everything off in your gut (again - because lots of times, you're going to have to do multiple rounds of ABs), then just hoping that other bacteria get back in there before the C. diff re-establishes itself. Else repeat, until the subject dies.

      IAAD, BNTKOD*, but for some reason I know way more about this than I ever wanted to.

      *I am a doctor, but not that kind of doctor

  12. ...yeah, but it makes your breath smell like shit by j-turkey · · Score: 1

    Special combination deal: 10% off when you buy with breath mints.

    --

    -Turkey

  13. Suppository form works just fine. by jpellino · · Score: 5, Interesting

    Yes, that's been the preferred method so far. People gong on massive antibiotics have stockpiled frozen fecal suppositories with perfectly good results. Not FDA approves since it's not been properly tested until recently.

    --
    "Win treats sysadmins better than users. Mac treats users better than sysadmins. Linux treats everyone like sysadmins."
    1. Re: Suppository form works just fine. by dgatwood · · Score: 2

      I'm left wondering what is new here. For years, folks have taken probiotics, often in pill form, during antibiotic treatment to restore intestinal flora, and to combat systemic yeast infections. How is this not just a very crude version of the same thing?

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    2. Re: Suppository form works just fine. by phantomfive · · Score: 3, Funny

      I'm left wondering what is new here. For years, folks have taken probiotics, often in pill form, during antibiotic treatment to restore intestinal flora, and to combat systemic yeast infections. How is this not just a very crude version of the same thing?

      According to wikipedia, it has better results than probiotics. That is the end of my knowledge on the topic.

      --
      "First they came for the slanderers and i said nothing."
    3. Re: Suppository form works just fine. by Jarik+C-Bol · · Score: 4, Informative

      The reason for this is probably because even the best probiotics hold maybe a dozen of the various things that populate the intestinal tract, while these pills, by virtue of being a direct sample, contain essentially ALL of the thousands of things that make up our intestinal flora.

      --
      I've decided to Diversify my Holdings. I've divided my cash between my left and right pockets, instead of all in one.
    4. Re: Suppository form works just fine. by Anonymous Coward · · Score: 0

      What the hell does this have to do with Republicans?

    5. Re: Suppository form works just fine. by Bite+The+Pillow · · Score: 4, Interesting

      Probiotics are a very general class of things. And specifically taking bacteria pills (that is, a specific type of probiotic) like acidophilus is not as effective.

      When you take antibiotics, you are disturbing an ecosystem that has evolved over years. Everything you eat could contribute to the bacteria makeup. Dirt is supposed to have beneficial "feel good" bacteria, and the microbiome may affect mood. Acidophilus and Bifidus and Bulgaricus alone will not restore what you just killed with antibiotics, or what you lost through diarrhea.

      Healthy donor stool is the easiest, quickest way to get all of the bacteria. One pill won't do it, because your microbiome is likely to just kill most of the intruders. Not the immune system, but the existing bacteria - maybe just by starving them out. Repeated doses gives you a good chance to let the varied bacteria strains get established.

      Why don't we just figure out which bacteria are needed and give you those? Man, you are brilliant. So brilliant, that you won't be surprised to find out that lots of people are trying to figure out which ones are good, useless, or bad. As you can imagine, isolating the effects of a single type of bacterium on humans, without negatively impacting health, which would throw off the results of such a study, is complicated.

      And it is by no means crude. Crude is having someone poop in a jar, putting it in a blender, and giving yourself a poop enema. This method seems to be a simpler and cleaner way, as well as being possible to get it further into the intestines than you can do at home safely.

    6. Re: Suppository form works just fine. by Anonymous Coward · · Score: 4, Interesting

      Probiotics are only effective to prevent C diff. Useless once you have it, except maybe to prevent recurrence. Once you have C diff, it is imperative to get treatment, either fecal transfer (either as a pill or via colonoscopic instillation; enemas or nasoduodenal routes are less effective) or go on to a special antibiotic regiment.

      The problem is that C diff has become to common that it is starting to become resistant to the typical treatment (metronidazole or oral vancomycin). This is starting to become dangerous, because unchecked C diff can be lethal (I have seen people die from this) or result in the removal of the entire colon - if your surgeon can get to you in time.

      And before you DIYer get any ideas....this is not something to mess around with. It's kinda like packing your own parachute, you better know what the hell you're doing cause you probably only have one shot at this.

    7. Re: Suppository form works just fine. by Anonymous Coward · · Score: 0

      U mad cuy u stuck on da toilet, bro? Well, tough shit.

    8. Re: Suppository form works just fine. by Anonymous Coward · · Score: 0

      Nothing. Grandparent is a troll who's been going around blaming literally everything on Republicans. Most likely he's a Republican himself and thinks he's being clever and subversive by "exposing" how those kooky liberals "really" think.

    9. Re: Suppository form works just fine. by Anonymous Coward · · Score: 0

      Tough shit is constipation.

    10. Re: Suppository form works just fine. by Anonymous Coward · · Score: 2, Funny

      More likely, you and the grandparent are both the same AC and you are really a Democrat who is trying to cast Republicans as manipulative.

      (Of course, maybe I'm the same AC as you and the GP and I am/you are trying to cast Democrats as manipulative - only one, two, or three of us will ever know for sure! It will be a little secret among the AC community.)

    11. Re: Suppository form works just fine. by WalrusSlayer · · Score: 1

      Indeed, not to be messed around with. I was lucky a few years ago in that I developed C-diff but the standard antibiotic took care of it and it never recurred. I have read horror stories of people having chronic C-diff that goes away with treatment but just comes back. Didn't know it had turned lethal, but it is damned unpleasant. Not something I would want to live with on a chronic basis.

    12. Re: Suppository form works just fine. by jrronimo · · Score: 2

      A few years back my girlfriend had C. Diff, pretty badly. At the time, fecal transplants were still new / in testing (or, at least, the doctors hadn't even mentioned it, but we had read about them online). She happened to be browsing journals and found an article that mentioned Saccharomyces boulardii as a possible treatment. A few weeks after starting a pretty healthy regimen, her symptoms cleared up and have been gone ever since. In that respect, a probiotic was effective as a cure.

      It truly is the sort of thing that one should seek medical attention for, I agree. However, at the time she had no insurance and the oral vancomycin that had been prescribed to her was going to be $1,500 per prescription fill, and as you said, it probably wouldn't have helped too much -- C. diff creates spores that tend to outlive most treatments, lending to its 'difficile' name. It was a scary time, but she got very, very lucky.

      We've been off-handedly following news articles about treatments like this one, and this pill is an excellent advancement of treatments. Here's hoping no-one else had to go through what she did.

    13. Re: Suppository form works just fine. by Anonymous Coward · · Score: 0

      And it is by no means crude. Crude is having someone poop in a jar, putting it in a blender, and giving yourself a poop enema.

      I feel awful doing this, but that's not as crude as

      ))<->((
      Forever

    14. Re: Suppository form works just fine. by dgatwood · · Score: 1

      Acidophilus and Bifidus and Bulgaricus alone will not restore what you just killed with antibiotics, or what you lost through diarrhea.

      No, but that's what your appendix is for. Besides, the last probiotic I took contained fifteen different kinds of bacteria, not just a couple. Granted, that's still less than a tenth of the predominant strains in a typical human gut, but the same techniques could just as easily produce a few hundred strains as fifteen.

      And it is by no means crude. Crude is having someone poop in a jar, putting it in a blender, and giving yourself a poop enema. This method seems to be a simpler and cleaner way, as well as being possible to get it further into the intestines than you can do at home safely.

      It's still a lot more crude than culturing all of the gut bacteria over an extended period of time, so that what you end up with is basically just the bacteria rather than dried crap.

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

    15. Re: Suppository form works just fine. by Anonymous Coward · · Score: 0

      The problem with probiotics is that the gut flora ecosystem is so poorly understood that no one quite knows what or how many of which type of bacteria are beneficial. Frozen poop, um, eliminates that problem by giving you the bacteria more or less in the variety and proportions that they exist in your gut.

    16. Re: Suppository form works just fine. by dgatwood · · Score: 1

      Wow. Why does a fifty-year-old, easily synthesized antibiotic that hasn't been under patent protection since the 1980s still cost $1,500? And particularly one that is getting less and less effective against real-world bacteria.... *sigh*

      --

      Check out my sci-fi/humor trilogy at PatriotsBooks.

  14. Former C. Diff Patient here ... by Anonymous Coward · · Score: 1

    ... Your options are not only "getting a tube stuck down your throat or a colonoscopy or having C. diff." or taking these pills. There are indeed stronger antibiotics which work.

    1. Re: Former C. Diff Patient here ... by Anonymous Coward · · Score: 1

      C. Diff infections are always caused by antibiotic overdose. So treating it with a stronger antibiotic seems like insanity.

      I can confirm that it does work, but not all the time. And with the very serious drawback of increasing antibiotic resistance yet again.

      Eating the pill filled with poop has a 90% effectiveness. With the neat side effect of not increasing the arms race in antibiotic resistance. the strong antibiotic currently used can instead be used for more serious infections that don't have other treatments available.

      Sometimes you have to think about consequences if actions instead of simply believing everything that's written in the pharmaceutical marketing pamphlet.

    2. Re: Former C. Diff Patient here ... by tpjunkie · · Score: 2

      C. diff infections are NOT always caused by antibiotic "overdose," which isn't really a thing - there's dose related toxicity for some classes of antibiotics, but not overdose. In the healthcare setting, infections are usually caused by overgrowth in the setting of depleted colonic flora, but symptomatic infections can also happen with contact with a patient already experiencing a C. diff infection - two years ago, a resident at my hospital ended up with such a severe infection she picked up from a patient that she nearly ended up with a total colectomy. In the community setting, about 50% of cases occurred without any prior antibiotic exposure in the past 30-90 days, at least according to a recent meta-analysis [http://www.ncbi.nlm.nih.gov/pubmed/25058469].

    3. Re: Former C. Diff Patient here ... by Anonymous Coward · · Score: 0

      I didn't really mean overdose, I meant overprescribed. And not as in they do it too often (but they do) but as in the dosage or the compound that was chosen was too high or too strong. I didn't mean that the compound poisoned the patient. Ah, semantics.

      As far as I know there are only two ways to get c. Diff. Antibiotic misstep and being involved in treatment of someone who was a victim of the first cause.

  15. Why do the pills have to be clear? by wonkey_monkey · · Score: 1

    researchers show that frozen fecal matter encapsulated in clear, 1.6 g synthetic pills

    I don't see anything about "clear" in the linked article's linked article. I'd think opaque ones would be a lot more popular.

    Might be worth pointing out that they don't just squirt poop into a capsule. It does at least go through a bit of processing and filtration first.

    --
    systemd is Roko's Basilisk.
    1. Re:Why do the pills have to be clear? by sandytaru · · Score: 1

      In another report I read on this topic, the lead research said he wanted opaque pills but they needed something that could survive the stomach and make it to the long intestines. Those thicker capsules only came in clear. The freezing process lightens the contents and also puts some frost on the outside to make it less obvious...

      --
      Occasionally living proof of the Ballmer peak.
    2. Re:Why do the pills have to be clear? by wonkey_monkey · · Score: 1

      The freezing process lightens the contents and also puts some frost on the outside

      Poopsicles!

      They can have that one for free.

      --
      systemd is Roko's Basilisk.
  16. MD here... by tpjunkie · · Score: 4, Informative

    These are for patients who have recurrent C. diff, who have already failed PO vancomycin or fidaxomycin (difficid). Those are the only two antibiotics we really have after you fail metronidazole therapy. It's not an issue of strongness; it's penetrating into encysted bacteria which vancomycin does fairly poorly, and fidaxomycin does only moderately better. At that point, options are fecal therapy, another round of vanc or difficid with increasingly diminishing returns, or in severe cases, colectomy.

  17. Hitler ate Bulgarian Peasant Feces (seriously) by idioto · · Score: 1

    Google it. Anyhow, this isn't necessarily a new thing - but that's the only person I've heard of who has done such a thing. Not exactly a great product endorser.

  18. Eat shit... by Anonymous Coward · · Score: 0

    ...And don't die

  19. poor choise of packaging by Anonymous Coward · · Score: 0

    Does the pill have to be clear? Paint it ffs

    1. Re:poor choise of packaging by Pinky's+Brain · · Score: 1

      Chocolate coat it?

    2. Re:poor choise of packaging by Richy_T · · Score: 1

      They could color it.

      Then you could eat shit and dye.

    3. Re: poor choise of packaging by Anonymous Coward · · Score: 0

      Surely dye, then eat shit?

  20. Perspective by phantomfive · · Score: 5, Informative

    For some perspective, C. dificile kills 16,000 people per year in the United States. Compare that to how many people have died from Ebola.

    --
    "First they came for the slanderers and i said nothing."
    1. Re:Perspective by Anonymous Coward · · Score: 0

      For some perspective, C. dificile kills 16,000 people per year in the United States.

      They should move to another country. Problem solved.

      And oblig.: OMG, that's like terr'ists only it kills more people. Why isn't the TSA requiring stool samples from all travelers?

    2. Re:Perspective by Vitriol+Angst · · Score: 2

      It's funny how our media chooses something a few times a year that can tell a story and scare the public. Usually it's something from overseas, that we have to start behaving differently and checking on people coming across the border to prevent.

      I just heard a story of some moron who yelled "I have Ebola" on an airplane, and they sent him back home. Why the overreaction? Is someone shouting nonsense MORE likely to have a disease after they say; "just kidding?" than the person next to them on the plane? How about people who get sick of stupid TSA nonsense and act out?

      If someone shouted "I have C dificile" on a plane, everyone would say; "sit down and shut up?" Right, nothing would happen. It's almost as dangerous as someone shouting "I have the flu" that kills even more people each year but it's already here -- not something on a plane that requires a background check. Ebola and Al Qaeda are just the latest Pavlovian words that we must respect, otherwise someone needs to over react. It's OK that more Americans die each year from coal pollution or police shootings -- as long as it isn't the "bad guys" from over there. We blow up thousands and a few people get beheaded on TV and everyone MUST DO SOMETHING -- let's spend another trillion dollars without question.

      It's so damn old and tired now how like clockwork, we get scared about some existential threat each fall. It's like our local TV stations pretending they've got hard hitting news and investigating a strip club, or the mechanic who replaces your old auto part with another old auto part and RIPS YOU OFF! Ignore the over draft fees from the bank and the hundred and one overpayments you make to a monopoly.

      I don't know if this is a plan to distract us, or just an organic process of brain dead 24 hours news chasing the last safe stories that don't hurt the feelings of a paying sponsor -- but it damn sure seems the stay away from topics of real interest regardless of whether they are paid to or not.

      --
      >>"ad space available -- low rates!!!"
    3. Re:Perspective by Seumas · · Score: 1, Interesting

      Personally, I like how everyone has completely lost their shit over Ebola overseas and oh my god we have to do something about it and blah blah blah blah.

      But as soon as there's a case of it state-side, these same people are all "oh, this could never become an issue here and more people die from sneezing themselves to death each year in this country than have died of Ebola blah blah blah".

      I mean, pick your concern and try to be consistent about it.

      Besides, the same could be said about all of these global cooling^H^H^H^H^H^H^Hwarming^H^H^H^H^H^H^Hclimate change idiots. I mean, not idiots on the face of it, but just idiots because they spread idiotic bullshit like "it's too late, nothing we can do now will help because we're doomed to die by 2030 because of global-whatever-the-fuck-we're-calling-it-today!".

      As for why Ebola is so newsworthy and strikes such fear in people -- is it really a mystery to you? Where have you been the last thirty years, when it was portrayed as a catalyst for the potential end to all of humanity in hundreds of films? It is terrifying in the same way that plane crashes are terrifying. Statistically, people should be more afraid of crossing the street or the prostate cancer 100% of men will eventually get, but the idea of contracting something from beyond your own control (especially when hearing reports of system failures across the board that seem not to take things seriously where Ebola is concerned) that will basically liquefy you into blood "overnight" is far more /terrifying/.

      Kind of the same way everyone has been able to capitalize on terrorism. A couple buildings got knocked down and for the next hundred year's, we're afraid of people boarding airplanes with tennis shoes, underwear, and smarmy slogans on tee-shirts. Logic has little to do with it.

    4. Re:Perspective by Anonymous Coward · · Score: 0

      The only problem is that Ebola has a mortality rate of about 50% (http://www.who.int/mediacentre/factsheets/fs103/en/) whereas CDI has a mortality rate of 6.9% at 30 days and 16.7% after a year of infection. (http://www.vdh.virginia.gov/epidemiology/surveillance/hai/cdiff.htm)

    5. Re:Perspective by phantomfive · · Score: 1

      The only problem is that Ebola has a mortality rate of about 50% (http://www.who.int/mediacentre/factsheets/fs103/en/) whereas CDI has a mortality rate of 6.9% at 30 days and 16.7% after a year of infection.

      Yeap, and being in an airplane when it's crashed into a tower by terrorists has nearly a 100% mortality rate. You have to look at more than the mortality rate to determine how dangerous something is.

      --
      "First they came for the slanderers and i said nothing."
    6. Re:Perspective by swillden · · Score: 1

      It's funny how our media chooses something a few times a year that can tell a story and scare the public.

      It's not so much that they "choose" something. It's the fundamental difference between "news" and "not news" colliding with the way humans have evolved to give cognitive weight to things they hear about frequently and which can be associated with strong narratives.

      C. dificile killing 16K people annually isn't news, because it's been happening for years. It's part of the background, not something which jumps up and begs to be called out. If a few thousand people in Africa had been dying at a steady pace from Ebola, for decades, it would also likely be part of the background... just like malaria is. Outbreaks are news, even if the death rates are small, while a steady year in and year out death toll is not, even if it's killing a lot more people. Unless, of course, there is news about initiatives to eradicate the "normal" disease, or interesting new research or something that makes a change worth talking about.

      Ebola is also particularly powerful from a narrative perspective. The graphic imagery it produces, plus the horrific nature of bleeding to death from the inside out, makes for a strong story. Then when you add in self-sacrificing health care practitioners risking their lives and working in horrific conditions to try to help the sufferers, and then themselves suffering the same horrible death, it becomes a really compelling narrative. Throw in government corruption resulting in basic protective measures being unavailable to said self-sacrificing practitioners and it's a blockbuster.

      C. difficile, not so much. People don't usually die of diarrhea, and it's an experience all of us are familiar with, and don't really want to talk or think about. Lousy narrative, no great changes to make it news, so it gets ignored, until someone decides to try swallowing human feces as a treatment. That's news, and it has a narrative we can all relate to and be disgusted by. Which is why we're talking about it now.

      If you notice the stories that the media "chooses" to scare the public, they're all "news with a powerful narrative". These things resonate with people and get their interest -- including members of the media -- so the media provides them. The nice story plus the repetition of seeing the story daily causes people to dramatically overestimate the danger.

      We all need to learn more about how our brains work so we can compensate for our inherent biases.

      --
      Note to ACs: I usually delete AC replies without reading them. If you want to talk to me, log in.
    7. Re:Perspective by swillden · · Score: 1

      Personally, I like how everyone has completely lost their shit over Ebola overseas and oh my god we have to do something about it and blah blah blah blah.

      But as soon as there's a case of it state-side, these same people are all "oh, this could never become an issue here and more people die from sneezing themselves to death each year in this country than have died of Ebola blah blah blah".

      I mean, pick your concern and try to be consistent about it.

      I haven't seen that pair of positions at all. I wish I had, because those are consistent. Ebola is so dangerous in Africa because sanitary conditions and medical facilities are so poor there. All of those deaths are a tragedy, and the deaths of healthcare workers sacrificing themselves are a tragedy that tugs the heartstrings.

      On the other hand, Ebola is truly not dangerous here, because we do have good public health infrastructure.

      There's nothing at all inconsistent about those two perspectives, unless you assume that people worried about death in Africa should only care if they fear that it's going to threaten them personally.

      --
      Note to ACs: I usually delete AC replies without reading them. If you want to talk to me, log in.
    8. Re:Perspective by bluegutang · · Score: 1

      Of course, the number of C. dificile infections is not doubling every few weeks these days.

    9. Re:Perspective by karpis · · Score: 0

      If C. difficile would have spread speed and mortaliy rate of ebola - we would be eating corn flakes with shit for breakfast. And remember kids Ebola is real shit with blood added... I wish neither C. difficile nor Ebola to anyone - live and prosper.

  21. Bacterial Domination by Anonymous Coward · · Score: 0

    I, for one, welcome our feces overlords.

    1. Re:Bacterial Domination by Opportunist · · Score: 1

      *sigh* Why does everything on /. have to degenerate into a bickering about politicians?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    2. Re:Bacterial Domination by Anonymous Coward · · Score: 0

      *sigh* Why does everything on /. have to degenerate into a bickering about politicians?

      It's ./'s version of a blood sport. Apparently some geeks/nerds/dweebs feel the need to politicise everything.

    3. Re:Bacterial Domination by Anonymous Coward · · Score: 0

      Because otherwise you can't necessarily include a reference to Hitler. :-)

  22. Eat shit and ... by CaptainDork · · Score: 3, Funny

    ... live.

    --
    It little behooves the best of us to comment on the rest of us.
  23. Re:It's probably not the best experience of your l by Anonymous Coward · · Score: 0

    ...with Raymond Scott's Powerhouse Second Movement as a soundtrack.

  24. Trademark by Anonymous Coward · · Score: 0

    Let's think of a trademark for this product: FeeCoTab, Dungoposit, PooPill..

    This will certainly be a challenge because the USPTO will not approve trademarks that contain offensive words. Remember when Mike Green tried to register "God Damn" for The Angry Grandpa Show.

    1. Re:Trademark by Anonymous Coward · · Score: 0

      The little poople pill, manufactured by AsstraZeneca? (AsstaMoutheca Seemed like too much of a stretch). Oxycolontin. Fecolin XR (Focalin) made by Nofartis. Scattera (Strattera). Novolog (Novolog Flxpen). Addungerall (Adderall). What the hell am I doing? That's enough...

  25. Pardon the pun... by Anonymous Coward · · Score: 0

    Honestly, who comes up with this shit?

  26. Mary Roach's Gulp by Snotnose · · Score: 1

    has a chapter on this, done up in her usual hilarious style.

    The capsules are clear because they have to survive the stomach to get the icky contents into the intestine. For whatever reason they only make those capsules clear.

  27. Feces filled capsules... by Anonymous Coward · · Score: 1

    ... also known as Taco Bell burritos.

  28. The prescription form will read by russotto · · Score: 0

    "Eat shit and live".

  29. You are already eating human shit by Anonymous Coward · · Score: 0
  30. um by Charliemopps · · Score: 0

    Within 8 weeks ... saw a complete resolution of diarrhea after consuming 30 or 60 of the feces-filled capsules.

    Um... that's an improvement? That's like advertizing "We found a new cure for hemorrhoids! It takes 2 months and involves a soldering iron!"

    1. Re:um by St.Creed · · Score: 2

      Within 8 weeks ... saw a complete resolution of diarrhea after consuming 30 or 60 of the feces-filled capsules.

      Um... that's an improvement? That's like advertizing "We found a new cure for hemorrhoids! It takes 2 months and involves a soldering iron!"

      It's an improvement over suffering from diarrhea until you die, months later. And *a* cure for hemorrhoids actually does involve something like a soldering iron (laser). It's just a bit faster than 2 months, although recovery will be quite a few days. And incredibly painful if you're part of the unlucky 2% or so of the population who have nerve endings in the wrong place.

      --
      Therefore, by the (faulty) logic you're using, you're just a cow with a keyboard - osu-neko (2604)
  31. Whose? by frisket · · Score: 1

    Is this the patient's own faeces, or someone else's?

    1. Re:Whose? by Anonymous Coward · · Score: 0

      Generally someone else's because after you have C Diff, then your own faeces are infected.

    2. Re: Whose? by Anonymous Coward · · Score: 1

      Hrmm, think about it for a sec. Seriously. Once you have C. Diff. You need these fecal pills to resolve the diarrhea, so obviously the bacteria you need to restore the intestinal flora isn't in the diarrhea you are suffering from if you have C. Diff. Which is a result of the broad spectrum antibiotics you just took. This means that before you start taking the antibiotics you need to stock up on stool for them to process at the lab.

      I presume it takes quite a while to process stool into a consumable pill, and to make sure the poo isn't going to give you something else.

      Thank you to those that posted valuable info above regarding this topic, I'm into poop jokes just as much as any other guy, but seriously this post got almost nothing but poop jokes. I know your all trying to show how brilliant you are, but responses to this one wasn't that challenging. A little restraint, I doubt it would kill you.

    3. Re:Whose? by __aaltlg1547 · · Score: 1

      Someone else's. You need to ingest capsules that have only the non-disease-causing bacteria.

    4. Re: Whose? by Snotnose · · Score: 1

      I presume it takes quite a while to process stool into a consumable pill, and to make sure the poo isn't going to give you something else.

      According to Mary Roach it only takes a few minutes.

  32. Re:It's probably not the best experience of your l by Anonymous Coward · · Score: 1

    Typically the stuff has been spun down and freeze dried so it's not so bad....

    ...says the guy who's clearly got experience making some seriously shitty homemade jerky.

  33. Re:It's probably not the best experience of your l by Anonymous Coward · · Score: 0

    You are disgusting, racist pig.

  34. WTF is a 'fecal transplant technique'? by Anonymous Coward · · Score: 0

    Surely not another load of bullshit snake oil from the 'experts' in the medical industry?

    1. Re:WTF is a 'fecal transplant technique'? by Anonymous Coward · · Score: 0

      And just who is it we "should" be taking medical treatment from?

  35. Re: It's probably not the best experience of your by Anonymous Coward · · Score: 0

    What's your fucking problem, you honky kike nigger chink raghead jap injun gook?

  36. I suppose making it look like candy... by gatkinso · · Score: 1

    ...was too difficult?

    --
    I am very small, utmostly microscopic.
  37. "Not the best experience..." by CODiNE · · Score: 1

    that'll teach those heathen "pill first" types to properly sip of the water and THEN put the pill in their mouths.

    --
    Cwm, fjord-bank glyphs vext quiz
  38. Re:It's probably not the best experience of your l by camg188 · · Score: 1

    Seriously, who is the donor?
    Do you get to decide what they eat before they donate?
    What if you actually met the donor? That would be weird. "Oh, by the way, I ate your shit."

  39. Now with more Beta by Anonymous Coward · · Score: 0

    emmmm feces. still better than beta

  40. Re:It's probably not the best experience of your l by sandytaru · · Score: 4, Informative

    TFA says healthy volunteers. The big improvement of this method is that they can "donate" just once, have their donation frozen, and then have it .... used over the course of a few months. The previous method required a healthy donor the day of the transplant, usually a relative of the recipient.

    --
    Occasionally living proof of the Ballmer peak.
  41. Turning sh!t into solid gold by Anonymous Coward · · Score: 0

    It's the alchemist's dream come true!

  42. I was going to make a joke about this by penguinoid · · Score: 2

    ...but I decided it was just a bunch of crap.

    --
    Don't waste your vote! Vote for whoever you want, unless you live in a swing state it won't matter anyways
  43. Advert note pads by Anonymous Coward · · Score: 0

    Soon doctors will begin receiving those ubiquitous advert note pads with the company logo, the trademark, the generic description and the slogan beneath.

  44. Obligatory LGBT reference by Anonymous Coward · · Score: 0

    Fecal exchange via FudgePAC®

    Ewwwwwwww! (cue tonewheel spin-down sound effect used in Warner Brothers and DFE cartoons).

  45. Yah mahn and fucking virgins cures AIDS and... by Baldrson · · Score: 1

    Killing healthcare workers prevents Ebola and I'll just betcha that injecting hemorrhaged blood from an Ebola victim in his family will vaccinate against Ebola.

    In fact, let's get rid of public sanitation. What a regressive idea.

    1. Re:Yah mahn and fucking virgins cures AIDS and... by Anonymous Coward · · Score: 0

      You're acting more regressive than you accuse this treatment of being.

  46. Re:It's probably not the best experience of your l by Anonymous Coward · · Score: 0

    You are disgusting, racist pig.

    And you are an idiot who can't understand that a joke is a joke.

    Take your political correctness and shove it up your ass, that is if there
    are not a couple of dicks up there already.

  47. Now Wanted - Better GelCaps by Scot+Seese · · Score: 1

    ..

    Now we need better gelatin capsules that don't get caught and dissolve in the back of your throat.

    Because.. I just don't want to think about that.

    *shudder*

    --
    THIS SPACE INTENTIONALLY LEFT BLANK.
  48. If it cures you... by Snufu · · Score: 1

    do you have a shit eating grin?

  49. We need to update the saying... by argStyopa · · Score: 2

    So it's no longer "eat shit and die"?

    --
    -Styopa
  50. Re:It's probably not the best experience of your l by KiloByte · · Score: 1

    Hershey "chocolate" is made from vomit rather than feces. And this is not a joke; at the time I assumed I got a badly spoiled piece.

    --
    The creatures outside looked from Alt-Right to Antifa; but already it was impossible to say which was which.
  51. The blue pill or the red one by Anonymous Coward · · Score: 2, Funny

    "You take the blue pill - you wake up in your bed, a victim of projectile diarrhea. You take the red pill - I show you how deep the rabbit hole goes...but you still suffer from projectile diarrhea."

  52. Why clear? by zieroh · · Score: 1

    For the love of god, why oh why do the pills have to be clear?!?

    --
    People who say "sheeple" have about as much sophistication as an AOL user, and in fact are probably actually AOL users.
    1. Re:Why clear? by ihtoit · · Score: 1

      because brown's the only available colour and... well, I don't think that'd work.

      --
      Political debates have me rolling my eyes so much I think I got optical whiplash. I should sue. - Foamy The Squirrel
    2. Re: Why clear? by Anonymous Coward · · Score: 0

      It says stated above that the pills have to survive your stomach and make it into your intestines before dissolving and those pill casings are only made in clear.

  53. Here's an idea... by Anonymous Coward · · Score: 0

    Perhaps newspapers could, each week heading the obituaries, list how many people people died and of what causes. If more people got used to seeing that on a regular basis, then perhaps more people would get a sense of balance when some big news story about one or two people end up on the front page.

  54. Great news! by Anonymous Coward · · Score: 0

    That's actually great news despite being somewhat icky!

    About a year ago I developed C. Diff. despite my young age, probably due the fact that I had been eating poorly for a couple of years before that for financial reasons, so the bacterial flora inside me was already weakened and the first set of antibiotics, which were for another infection btw, erased all of my bacterial defences. And I can vouch that it's a relatively nasty bug to be sure. I think I ate about 10-11 boxes of antibiotics in total, and 7 of them were those really expensive Vancomycins and nothing really helped so I ended up having a fecal transplant in colonoscopy. Not pleasant by any means. On a scale of 1-10 where 1 is very mild pain and 10 is screaming in agony (probably something like you experience after a gunshot wound), the colonoscopy ranked somewhere about 7 or so. But I don't care. After almost three months of crapping everything out almost immediately after eating I thought that nothing could be worse than that.

    And it was highly effective: the diarrhea stopped immediately. I've had a bit of problems after that, but they're more related to the fact that my intestines were quite aggravated due the antibiotics and all the other meds, and how colonoscopy re-arranged my guts. About a year later I still have some minor problems, but all in all everything seems to be improving so given another year I think I'll be mostly ok again.

    Also, during the time I had that bug I lost 14 kg of weight. So that should give you some idea how serious it can be. So any treatments for this is actually highly useful despite how yuck they might sound.

  55. Large instructions on the carton by Anonymous Coward · · Score: 0

    DON'T CHEW....

    But people will always ignore it. ;-)

  56. Re: There is a reaso by Anonymous Coward · · Score: 0

    I have a dachshund. She can't reach her ass because her torso is too long. In a mean twist of fate her breath smells like shit anyway.

  57. Why a pill and not an enema? by mariox19 · · Score: 1

    Call me a conspiracy nut, or whatever you want; but I question what's going on here. Is there someone with a background that can explain?

    A fecal transplant can be done with an enema, and my understanding is that it's quite effective. But some doctors aren't interested, preferring either to deliver the dose via a colonoscopy or endoscopy. My father had C. Diff last year, but began to get nauseated when they tried putting tubes up his nose. So the doctor was going to recommend as an alternative—and I swear this is true—that my father mix feces up in a blender with yogurt and eat it. WTF!

    If you ask me, an enema can be done by a nurse, or even at home, for next to nothing. There's no money in that for the doctor, like there is with a colonoscopy, for instance. Now there's a little pill: meaning, that drug companies can get rich, rather than pharmacies selling enema kits for $15 a pop. Isn't that what's going on?

    Am I wrong here? I'd love to have someone tell me—with documentation—that enemas are ineffective and that pills and medical procedures are actually the best way, but I'm skeptical. I think there's more economics behind these courses of treatment than there is medicine.

    --

    quiquid id est, timeo puellas et oscula dantes.

    1. Re:Why a pill and not an enema? by pnutjam · · Score: 1

      I think your trolling, but the reason a colonoscopy is preferred probably to do with inserting the bacteria far enough into your body to avoid having them killed by your natural defenses. Eaten bacteria would generally be killed by your stomach acid. i'm not sure how the other end protects itself.

  58. Disastrous home remedy? by Rick+in+China · · Score: 1

    So we'll have a bunch of idiots reading this type of article or seeing it somewhere in the news, and immediately start feeding their sick family members their own shit to save money. This spells disaster all over it. Rather than "Please Wash Your Hands" signs, people will expect "Please Poop On Your Hands" signs in their place -- for health reasons, of course.

  59. Re:It's probably not the best experience of your l by Anonymous Coward · · Score: 0

    Your persuasive skills are unparalleled. You seem like a really nice guy. I will listen to anything you say.