Inked in tattoos from neck to knuckle, Kevion Lyman rose from his bunk at dawn, pulled scrubs over his skinny frame, stepped out of his cell and set out for work. The 27-year-old strolled down the long central hallway connecting the different wings of the prison, past the dining hall, the solitary-confinement unit for violent offenders and the psych ward. Pushing open the big steel doors, he reported for his morning shift in the hospice. Cont
Going to the doctor isn’t most people’s favorite activity. But it is part of staying healthy (the other major parts are what you eat and how much you exercise). So you may as well get the most out of it. As a doctor I often get asked by friends and family how to make the most of a medical visit. Here’s my advice, and it’s basically the same whether you are the patient, or a family member or a caregiver of the patient.
Lasting Merit Found in a Tuberculosis Vaccine Invented a Century Ago
Tuberculosis kills almost two million people a year. A perfect vaccine could save many of them, but the one now in use — invented in the 1920s and known as BCG, for Bacillus Calmette-Guérin — has so many flaws that some countries, including the United States, have never adopted it.
I let out a huge sigh as I picked up the next chart in clinic. “Chief complaint: Behavioral concerns” was typed out on the top of a thick packet of papers. My young patient was sitting on the exam table comfortably. His parents sat stoically with furrowed brows in the chairs next to him. They were nervous, rigid, clearly concerned.“What’s been going on?” I asked. Apparently he had been acting out at his elementary school. I sifted through the papers, chock full of documentation from teachers, detailing his behavior. He was on the verge of expulsion. His parents expressed understandable frustration to me given his remarkably normal behavior at home.
I gathered my history per usual, directing my questions toward him as he swung his legs back and forth on the exam table. I did not seem to be getting anywhere when I happened to ask, “Is anyone at school making fun of you?”
A promising new strategy against atherosclerosis uses nanoparticles to deliver a peptide fragment of annexin A1 (Ac2-26), a glucocorticoid-regulated protein that helps resolve inflammation, to arterial plaques (Fredman G et al. Sci Transl Med. 2015;7:275ra20). The nanoparticles loaded with Ac2-26 are coated with peptides that target atherosclerotic lesions by binding to type IV collagen, a component of the basement membrane that becomes exposed at sites of vascular injury. Cont
Extracting medical care from the health care system is all too often an expensive exercise in frustration. Dr. Eric Topol says your smartphone could make it cheaper, faster, better and safer.
That’s the gist of his new book, The Patient Will See You Now. Lots of people are bullish on the future of mobile health to transform health care, but Topol gets extra cred because of his major medical chops: Former head of cardiology at the Cleveland Clinic and present director of the Scripps Translations Science Institute in La Jolla, Calif.