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Caring For People In The Later Stages Of Alzheimer’s Disease

Barbara Moscowitz, coordinator of geriatric social work for the Geriatric Medicine Unit at Harvard-affiliated Massachusetts General Hospital, spoke to me and about a dozen other Harvard Medical School employees yesterday as part of series of seminars on family life and other issues offered by the school’s human resources department.

Moscowitz’s talk was titled “Dementia and Cognitive Decline (Aging Gracefully).” I was there mainly out of professional interest because I’ve written a couple of articles for the Harvard Health Letter recently about Alzheimer’s and dementia, including a piece in the September 2011 issue about mild cognitive impairment and another in July 2011 about new Alzheimer’s guidelines.

But I also wonder about how my own aging brain is faring (not well, it seems, on some days) and I have an older parent (age 81).

So my curiosity wasn’t entirely work related.

A disease of behaviors

Moscowitz covered Read more »

*This blog post was originally published at Harvard Health Blog*

Improving Research: Device Automates The Process Of Cultivating Cells

fz2vt9dw Cell cultures form the basis of many types of lab research, however growing these cell cultures has always been a time-consuming, laborious job that is largely done by hand.

That is about to change, with the Fraunhofer Institute and Max Planck Institute having developed a machine that completely automates the process of cultivating cells.

From the press release:

The device consists of an array of modules: One of these is a robot that transports the vessels containing the cell cultures, known as multititer plates, from one place to the next. Dr. Albrecht Brandenburg, group manager at IPM describes another module: Read more »

*This blog post was originally published at Medgadget*

Is A New Kind Of Human Intelligence Evolving?

I woke up this morning, tapped my digital signal, and found this from Brian McGowan on Twitter: “What happens when complexity races ahead of the mind’s ability to adapt? When progress outpaces evolution? We need new solutions.”

Like a slow hunch, a version of this idea has been rattling around in my head for some weeks.  Specifically: Is there a new kind of human intelligence evolving?  Will our ability to work with knowledge in the face of limitless information select for a new kind of thinker in the 21st century?  I suspect it will.  Thinking and the creation of new ideas will require Read more »

*This blog post was originally published at 33 Charts*

Paralyzed Man Wants To Know: “What’s Your Excuse?”

I have meet several amazing people at my new job.  Here is one of them:  Richard Vaughn (photo credit).  The poster isn’t accurate any longer, the 12 should read 20.

Richard is the IT guy at my work place.  He broke his back at age 17.  This hasn’t kept him from having a full life.

……Shortly after graduation as a 17 year old, a severe accident – a fall of roughly 85 feet from a scaffolding – left me paralyzed and in a wheelchair. This was in the early 1970s. It was suggested that I enter one of several “special schools” for the handicapped. There, I was told, I might learn a vocation and become a “contributing member of society.” Read more »

*This blog post was originally published at Suture for a Living*

Study Looks Into New Afib Treatment: It’s Not All Good News

The news wires for atrial fibrillation were abuzz this last week. The vigor and speed with which health news travels is striking.

Since 2.6 million Americans live with AF, my guess is that many are looking at the release of the Medtronic-sponsored TTOP-AF trial with anticipation. Here is a link to the press release. The trial purported to show benefits of Medtronic’s novel phased RF ablation system in treating persistent AF.

The study was small and released at a relatively small symposium in Venice, Italy. The TTOP-AF trial randomized 210 patients with persistent AF (including flutter) to either ablation with Medtronic’s ablation system or conventional therapy with drugs and cardioversions.

They found, not surprisingly, that AF ablation reduced AF burden. AF ablation significantly reduced AF burden in 55.8% percent of patients versus only 26% of those treated with conventional medical treatment. Editorial comment: That kind of data is pretty typical.

The problem with the study Read more »

*This blog post was originally published at Dr John M*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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