keratoconus: fingers crossed for a cure

Someone on FaceBook posted an interesting question about keratoconus, the eye disorder that afflicts Ethan. The question was whether we think there's hope for a "medicine for keratoconus in our lifetime.

By way of background, keratoconus is a weakening and/or thinning of the cornea. It gets distorted, typically forming a conical shape due to the pressure from behind it. The cause is unknown, there is some speculation. The treatment is a process called "crosslinking." Riboflavin drops are administered to the affected eyes as UV light gets shone on them. Under the UV light, the riboflavin bonds with the collagen in the cornea, thereby strengthening it and slowing or (hopefully) stopping the progression. I'm not a medical professional, but that's the nickel tour.

With that in mind, I answered yes. I do think medicine will be developed to treat keratoconus. Why? Because, essentially it has been. The riboflavin drops -- are essentially medicine. The fly in the ointment is that it has to be administered with UV light. Also, many believe it's not efficacious unless you first remove the epithelium from the cornea. But that means that the big issue is finding a way to deliver the riboflavin so without having to remove the epithelium. And, hopefully, without needing the UV light. I think -- I hope -- they're on their way.

why didn't the dentist lose his license?

Is anyone familiar with the appropriately named Jackass films? These films are vignettes of a crew of guys, headed by Johnny Knoxville, playing practical jokes and pranks on each other, or doing distasteful things on dares. A few examples?

• One guy ate horse manure on a dare.
• A couple guys were tricked into getting into a limousine. Once they were in, the doors were locked and bees were poured in through the moonroof.
• One guy allowed himself to be branded on the backside (with a red hot brand shaped like a penis.

 You get the idea.

These don't interest me, but I have, unfortunately, seen a bunch of these stunts and pranks. Which is a bunch more than I need. But I learned something today that has me wondering. In one incident, a member of the crew was convinced to have his tooth pulled by a Lamborghini. That is, they tied it to the back of a car and had the driver burn rubber. In order to convince him to allow this, they paid a dentist to tell him the tooth was infected and needed to be pulled.

How is that not a violation of medical ethics? How come that dentist hasn't been censured?

The relevant video is below. But it is definitely NSFL.