There is a structure to how we have organized care. Primary care physicians care for our day-to-day and chronic illnesses while helping us navigate the landscape to find specialists and hospital care when that is needed. They are our Sherpas – knowledgeable of the landscape and its pitfalls and nuances. You wouldn’t attempt to climb Everest without them. Ultimately, because a rope connects you, you must trust them with your life. While that may be a bit dramatic an analogy for a primary care physician, that rope, that trust, is built from many smaller, lower risk encounters. A consistent health Sherpa results in better care.
Disease
In my experience, orthopedic surgeons are the most fanatical of all surgeons regarding infection prevention. It makes sense since much of their work involves implanting hardware into bones – and an infection in a bone, let alone in the presence of hardware, is very tough to eradicate. So, when a new study looks at orthopedic thought on infection prevention, it is worth considering.
These days we’re awash in mask mandate conflicts, continuing vaccination resistance, and warnings that the wholesale disruptions to our lives “ain’t over yet.” While the media tends to focus on administrative conflicts as well as the slight, local, daily up and downticks, here we present a longer and broader view.
Imagine running long enough to get out of breath, long enough to be winded for a minute or two. Now imagine that same need for air after walking from your bedroom to the kitchen. That is the lived experience of individuals with severe respiratory illness, like the on-the-job illness we call black lung disease.
Socioeconomic risk factors have gotten much attention as they relate to disparities in health outcomes. Lower income, lower educational attainment, and so-called lifestyle issues – drinking, smoking, eating, and exercise – seem to be fellow travelers. A new mediation analysis seeks to disentangle them and point us toward the real drivers of health disparity.
We know from many studies that there is an inverse association between our intake of dietary fiber and the development of cardiovascular disease. The mechanism joining fiber to cardiovascular disease is thought to be mediated by INFLAMMATION! A new study strongly suggests that it is time to give that hypothesis a rest – as always, it is more complicated and unclear.
Disparities in healthcare are increasingly a hot topic in the journals. Two recent studies demonstrate disparity but identify very different actionable causes. As with all healthcare, it is more complicated and entangled than a single narrative or lens can explain. The data dots are correct, but there is more than one way to connect and explain them.
FAIR Health aggregates pricing and cost information for private insurers of healthcare. Its annual report, on what we might consider primary care, shows the changes wrought by COVID-19 and how we seek care. [1]
Hear about the German guy who got arrested for getting selling forged vaccine cards to anti-vaxxers? That should be funny enough, right? Nope. ACSH goes the extra kilometer, as usual.
When Will Smith slapped Chris Rock at the Oscars for making a joke about his wife’s bald head, it brought attention to a disease that is often invisible, misunderstood, or treated as a punchline for jokes: alopecia areata. What is this disease? Why does it create such intense feelings that Will Smith lost all control on stage in front of millions?
Daily COVID-19 cases reached an all-time high in February and then descended as rapidly as they had surged, with the Omicron variant in full swing. Mask rules were eased as the media featured reports of double-digit percentage decreases in infections and hospitalization, implying that Omicron infections may be less severe than with the previous Delta variant. Meanwhile, vaccination rates remained stalled in some recalcitrant states, and thoughts of a 4th booster program appeared. Who knows what evil still lurks in the heart of the virus?
Jane Campion takes home the 2022 Oscar for Best Director in "The Power of the Dog," an unsettling, psychological Western drama. The tension is due to the relationship of the main character, Phil Burbank, with his brother's new wife and her son, Peter. Phil, to put it bluntly, is a bully. However, young Peter is training to become a medical doctor and [spoiler alert] uses his knowledge of pathogens to destroy an unwitting Phil. How did making a rawhide rope lead to death?