We don’t accept talk like that here

House Calls To The Homeless: A Doctor Treats Boston’s Most Isolated Patients
September 29, 2015
http://www.npr.org/sections/health-shots/2015/09/29/444214320/house-calls-to-the-homeless-a-doctor-treats-bostons-most-isolated-patients

I remember one night I was struggling. Some man had come in – this is early on – some man had come in and said he was going to kill himself. And I was in the shelter clinic. And I – that’s an alarm for all of us in medicine, … Barbara came in, and she looked at the man and she said, so what’s going on?
He said well, I’m going to kill myself. And she said well, we don’t accept talk like that here in the clinic. If you want to talk like that, please go outside in the alley and talk to whoever you want about it, but we don’t talk like that.
And I was horrified that you don’t do that. And then as I learned later, Barbara had known this man for years, knew exactly where he was coming from. She knew how to handle him. And in fact, all he was looking for was some reassurance and that people knew him, and that was the way out.
And I started to realize there’s many, many ways to take care of homeless people, and the best ones are based on who knows that person best and who knows how to handle them best.

Dr. Wikipedia

Dr. Wikipedia: The ‘Double-Edged Sword’ Of Crowdsourced Medicine
February 08, 2014
http://www.npr.org/2014/02/08/273680018/dr-wikipedia-the-double-edged-sword-of-crowd-sourced-medicine

Wikipedia has become a go-to source for definitions, celebrity facts, and now, medical information. A study by the IMS Health Institute published in January names Wikipedia as the “single leading source” of health care information for both patients and health care professionals.
http://www.imshealth.com/portal/site/imshealth/menuitem.c76283e8bf81e98f53c753c71ad8c22a/?vgnextoid=ebc072cc270b3410VgnVCM10000076192ca2RCRD

cf (a failed forecast):
Wikipedia: A ‘Victim Of Its Own Success?’
September 23, 2009
http://www.npr.org/templates/story/story.php?storyId=113128568

related:

Wikipedia Teams Up With Academia
November 02, 2010
http://www.npr.org/templates/story/story.php?storyId=131018359
Davis says students are supposed to be looking out for things such as misleading statements or missing information.
“Because they’re not experts, they couldn’t point out that there were errors,” Davis says.

Insurer Uses Personal Data To Predict …

Insurer Uses Personal Data To Predict Who Will Get Sick
June 08, 2015
http://www.npr.org/sections/health-shots/2015/06/08/408190121/insurer-uses-personal-data-to-predict-who-will-get-sick

Independence Blue Cross then assigns each high scorer a staff member — what it calls a “health coach,” who will work at no charge to the client to see what extra services may be helpful.

“This coordinated effort then works for the patient,” Nigam says. The coach may assemble health information tailored to the patient’s needs; make medical appointments; resolve medication issues, or maybe help arrange transportation to the doctor’s office. Sometimes the coach helps arrange for a home care nurse.

We all need our Heroes

The Hero in Medicine
Michael Radetsky, MD
JAMA. May 5, 2015;313(17):1715.
http://jama.jamanetwork.com/article.aspx?articleID=2281708

We all need our heroes.

I am nearing the end of my career in medicine. Like others who reach this professional milestone, I have mixed feelings about my doctoring life. At the beginning I was in love with the nobility of the profession. Now I am not so sure. Enthusiasm in medicine often fades with advancing age. Intense clinical practice fosters isolation. Long hours monopolize time. The repetitive patterns of illness blunt the sense of discovery and dull the edge of motivation. Professional satisfaction has not fully compensated for a waning sense of wonder. Now more than ever I am in need of inspiration. And so, as always, I turn to my hero.

… In a profession that contains many personal risks, too often we feel alone. Other physicians often will not help; family and friends often cannot help. So when I struggle with dark emotions, when I feel insufficient to the task, when I feel disoriented, as I do now, I look to my hero for guidance.

================
Family Health History: The Case for Better Tools
Brandon M. Welch, MS, PhD1; Willard Dere, MD2; Joshua D. Schiffman, MD3,4
JAMA. May 5, 2015;313(17):1711-1712
http://jama.jamanetwork.com/article.aspx?articleID=2272855
This Viewpoint discusses the importance of the family health history and the need for novel family history tools in the changing health care environment.

Continued Progress Against Hepatitis C Infection
Hari Conjeevaram, MD
JAMA. May 5, 2015;313(17):1716-1717
http://jama.jamanetwork.com/article.aspx?articleid=2281679

Ramelteon for Prevention of Delirium in Hospitalized Older Patients
Stany M. T. Perkisas, MD; Maurits F. J. Vandewoude, MD
JAMA. 2015;313(17):1745-1746.
http://jama.jamanetwork.com/article.aspx?articleid=2281684

Anatomic Nomenclature
Albert C. Eycleshymer, B.S., M.D., Ph.D.
JAMA. 2015;313(17):1760.
http://jama.jamanetwork.com/article.aspx?articleid=2281687
On the various structures of the human body there has piled up such a mass of technical terms that the science of anatomy staggers beneath its own terminology.

Mom’s Pregnancy Diet Rewires Baby’s Brain

Neonatal Insulin Action Impairs Hypothalamic Neurocircuit Formation in Response to Maternal High-Fat Feeding
Cell. Volume 156, Issue 3, p495–509, 30 January 2014
http://www.cell.com/abstract/S0092-8674(14)00018-X

Highlights:
•Maternal HFD feeding during lactation impairs metabolic health of the offspring
•Maternal HFD during lactation impairs formation of melanocortin projections
•Abnormal insulin action in POMC neurons impairs POMC projections to preautonomic PVH
•Abrogating POMC insulin action improves glucose metabolism despite maternal HFD

Journalistic version:

Can Mom’s Pregnancy Diet Rewire Baby’s Brain For Obesity?
January 24, 2014
http://www.npr.org/blogs/thesalt/2014/01/16/263110970/does-moms-pregnancy-diet-rewire-babys-brain-for-obesity