Agile Thinking

Health

The Lowly Appendix & The Arrogance of Medicine

devaki berkson's avatar
devaki berkson
Jun 12, 2024
∙ Paid
9
6
1
Share

I remember when medicine regarded parietal cells, that make stomach acid and turn on all the downstream events of digestion, as only problematic. Practically useless.

The standard-of-care thought has been lets give most maldigestive patients meds to shut up these cells.

In came the use of ubiquitous proton pump inhibitor prescriptions.

Up until newer Association of Gastroenterology guidelines tried to emphasize only using them for 6 weeks, the common prescriptive thought had been, most gut patients can practically “live on em’”.

Medicine even now often prescribes proton pump inhibitors to babies that spit up.

What babies don’t spit up?

Proton pump inhibitors act by blocking proton pumps.

Parietal cells use proton pumps to manufacture stomach acid (betaine hydrochloride).

But we need proton pumps in many tissues. To keep many diverse tissues thriving.

From brain. To kidneys. To more.

Babies’ brain tissue has multiple proton pumps to help it grow so much. So rapidly.

When we give proton pumps to babies’ it is not just parietal cell proton pumps that are tamped down. But proton pumps all over babies’ body. Especially in the brain.

In lots of other tissues, too. Like developing renal filters (glomeruli).

Keep reading with a 7-day free trial

Subscribe to Agile Thinking to keep reading this post and get 7 days of free access to the full post archives.

Already a paid subscriber? Sign in
© 2025 Dr. Devaki Lindsey Berkson
Privacy ∙ Terms ∙ Collection notice
Start writingGet the app
Substack is the home for great culture