Is precision medicine a matter of national security? | Healthcare IT … – Healthcare IT News

BOSTON -- Heres a new twist in the precision medicine plot: the U.S. needs it to adequately staff the military.

This isnt just about solvency, its about workforce productivity and national security, Lynda Chin, chief innovation officer for health affairs at The University of Texas Health System said Tuesday morning at the HIMSS Precision Medicine Summit.

Chin said that 8 out of 10 Americans who are ineligible for the military do not quality because of a chronic condition.

[Also:Eric Dishman wants precision medicine to move from personal to universal]

That might not be as big a problem when the government is not drafting people but should that change and we have to put, say, diabetics that need insulin every day on the battlefield, it could become problematic quickly.

The same goes for corporate workforce productivity, particular to employees with chronic conditions, Chin said, adding that preventing diseases and chronic conditions are critical to a healthier economy.

[Also:Genome editing tools set to bring monumental change to healthcare]

Of the nearly $3 trillion the U.S. spends on healthcare annually, comprising 17 percent of the gross domestic product and rising, 86 percent of those costs go toward managing chronic conditions and that will continue rising as the population ages, she said. When it comes to hypertension, diabetes, and cardiovascular disease, 60 percent of the factors that contribute to a patients outcome emerge from outside the healthcare system, Chin said.

Another big opportunity to lower spending is cancerbecause at least half of cancers can be prevented by behavior.

We have to start thinking about how to keep people healthy, Chin said. Our global security will be impacted by 20 percent or higher GDP.

Twitter:SullyHIT Email the writer: tom.sullivan@himssmedia.com

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Is precision medicine a matter of national security? | Healthcare IT ... - Healthcare IT News

University of Chicago Medicine may soon be out of UnitedHealthcare’s network – Chicago Tribune

About 8,000 UnitedHealthcare customers who get care from University of Chicago Medicine might have to switch doctors this summer or pay significantly more for services because of a contract disagreement between the insurer and the medical system.

UnitedHealthcare the state's second-largest health insurer and University of Chicago Medicine have been unable to agree on a contract to keep the medical center and the system's doctors in the insurer's network.

Both sides say in statements on their websites that they're still negotiating. But they're also warning that patients may no longer be able to get in-network care at the University of Chicago Medical Center or from University of Chicago Physicians Group after June 30 if no agreement is reached.

U. of C. Medicine sent letters to patients last week saying that UnitedHealthcare is ending its contract with the academic medical center and its physicians group after June 30. Patients with preferred provider organization and point-of-service plans would have to pay out-of-network rates, according to UnitedHealthcare.

The U. of C. Medicine letter, however, says that UnitedHealthcare members undergoing "active treatment" might be able to continue getting care at in-network rates for a time. That may include people who are already in the hospital, many pregnant women, nonsurgical cancer patients, patients with end-stage renal disease, dialysis patients and symptomatic AIDS patients, according to the letter. Patients have to contact UnitedHealthcare to see if they qualify.

UnitedHealthcare customers in group retiree Medicare Advantage plans and Medicare Supplement plans will not be affected by the contract negotiations, according to UnitedHealthcare.

Representatives of UnitedHealthcare and U. of C. Medicine declined to discuss details of the disagreement.

But the insurer said in a statement that it remains "committed to working with University of Chicago officials on a new contract."

"We recognize the important role University of Chicago plays in supporting the health care needs of our members, and our two organizations have met regularly over the last few months to reach a solution that will renew our relationship," UnitedHealthcare said.

In an email, U. of C. Medicine spokeswoman Ashley Heher said, "The medical center is committed to making sure its care and expertise is available to as many people as possible, including about 8,000 UChicago Medicine patients who are currently covered by UnitedHealthcare's commercial insurance plans."

The uncertainty is sparking stress among patients.

Ivy Elkins, of Buffalo Grove, has been seeing her University of Chicago Medicine oncologist since she was diagnosed with stage 4 lung cancer more than three years ago. Elkins, 50, researched and carefully selected her doctor, and followed her to the University of Chicago from a different hospital system.

She's unsure if she'll qualify, as a cancer patient, to continue receiving care if the contract falls through.

"As a level 4 cancer patient, you build up this level of trust, and I trust her," Elkins said. "Every decision she's made for my health up to this point has been spot on, and I don't want that to change in any way."

lschencker@chicagotribune.com

Twitter @lschencker

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University of Chicago Medicine may soon be out of UnitedHealthcare's network - Chicago Tribune

Eric Dishman wants precision medicine to move from personal to universal – Healthcare IT News

BOSTON In 1989, when he was a 19-years-old college student, Eric Dishman was diagnosed with a rare kidney cancer and given just months to live.

Instead he spent the next 23 years visting 17 hospitals and clinics across eight states, receiving exhaustive and exhausting treatment more than 60 rounds of chemotherapy, radiation and/or immunotherapy than ended up costing more than $6 million.

Over the decades, he received 57 different diagnosis codes. Even in the early days, he remembers "two oncologists arguing in front of me about what I really had," said Dishman, keynoting the HIMSS Precision Medicine Summit in Boston on Monday.

[Also:Widespread precision medicine is still years away, experts say]

By the time he was in his early 40s, the prognosis was not good. His kidneys were failing, and dialysis was not compatible with the chemotherapy he needed.

At that time, Dishman was a fellow at Intel; in what he described as a "Hail Mary" gambit, one of his colleagues suggested he avail himself of the company's technology and undergo a whole-genome sequencing.

The insights gleaned from the three terabytes of genomic data that resulted changed everything. Clinicians suddenly realized that his unique form of cancer has more in common with pancreatic disease than with renal cancer, said Dishman.

[Also:How precision medicine can fix a broken healthcare system]

That enabled them to better target their treatment plan, and before long he was cancer free and eligible for a kidney transplant.

Dishman's doctor eventually told him that 90 percent of the treatment regimens he'd endured for more than than 20 years millions of dollars worth of "imprecision medicine" had been essentially worthless.

In 2016, President Barack Obama asked Dishman to head up the cohort program of the landmark Precision Medicine Initiative.

Now, as the director of what's become known as the All of Us Research Program at the National Institutes of Health, Dishman said he aims to make that patient cohort as large and representative of the U.S. population as possible.

He's also keenly aware, he said, of how lucky he was to receive the treatment he did and how great it wouldbe to democratize it. Even a a high-powered technology executive, with a smartphone filled with the names of senators and CEOs, "I barely got access to precision medicine," said Dishman. "So how do we scale that to everybody?"

Dishman has done advocacy for more than 1,100 cancer and kidney patients, and he's donated his whole-genome data to a survivor study to learn what other insights might be gleaned from it. But he wants more.

And that starts with casting as wide a net as possible for the million participants he hopes to sign up for the NIH All of Us program to speed precision medicine advances.

Most medical research participants are college-educated white men, said Dishman. "We don't have the depth of data to understand what causes illness and health."

By accounting for big individual differences in lifestyle, environment and genetics, NIH researchers will better be able to uncover new strategies for delivering precision medicine to more people he said.

Right now, healthcare is primarily delivered in an expensive "medical mainframe," said Dishman, using a computing analogy, with the focus on expensive and resource-intensive specialty hospitals, emergency rooms and ICUs.

The path forward has to be away from the "medical megaplex with the high priests of healthcare," and toward a more "personal, distributed" healthcare and health research that embraces telehealth, remote monitoring, wearables, home physician visits and more.

Rather than remaining only the province of large academic medical centers, Dishman sees a day in the not-too-distant future where genomic data could, for instance, be collected at the drugstore or even at the workplace.

But between now and then, there are four challenges but also opportunities to arriving at that model for personal, distributed research:

Toward that end, the All of Us project has three big goals, said Dishman: first, to nurture relationships with one million U.S. trial participants, "from all walks of life," for decades to come. Second, to deliver the "largest, richest biomedical dataset" yet compiled, and making it easy, safe and free to access. Third, to to catalyze a robust ecosystem of diverse researchers and funders, hungry to use and support it.

It won't be easy, but by distributing data collection and diversifying to that large and broadly diverse group, engaging them on a longitudinal basis (perhaps as long as 60 years), NIH will help democratize its research to a wider continuum of expertise, said Dishman approaching a "universal cohort" and something akin to a "learning healthcare system."

Twitter:@MikeMiliardHITN Email the writer: mike.miliard@himssmedia.com

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Eric Dishman wants precision medicine to move from personal to universal - Healthcare IT News

Widespread precision medicine is still years away, experts say … – Healthcare IT News

While the Office of the National Coordinator believes the dawn of precision medicine has started, when pressed on the current state of the innovative technology, technology leaders say that the industry is still years away from full utilization.

In fact, on a scale of one to 10, most would place precision medicine at a three in terms of progress.

The landscape is changing so quickly and things [in the industry] have changed so much already, University Of California, San Francisco Director of Research Strategy and Associate Director of Precision Medicine India Hook-Barnard said at the HIMSS Precision Medicine Summit in Boston on Monday.

[Also:How precision medicine can fix a broken healthcare system]

Thats not to diminish the progress thats already happened, but I also think theres so much thats going to be happening moving forward, she said.

Pegasystems Director of Industry Principal Amy Simpson said there are tremendous accelerators like cost reductions that are helping make the shift to fully utilizing the technology. But real operational efforts are what will really fuel the precision medicine push.

To Stanford University Chief of General Primary Care Megan Mahoney, when considering how far along the industry is, its important to view it by function. While building big data is pretty advanced, genomics is still in the early stages.

[Also:Eric Dishman wants precision medicine to move from personal to universal]

We have to recognize that only 1 percent of patients have access to [precision medicine],said National Institutes Of Health All Of Us Research Program Director Eric Dishman. Success plus results minus expectations Were still about 15 to 20 years out.

The challenges to precision medicine are the same as the other issues facing the healthcare industry, said Simpson. Effective EHR implementation and the shift to value based care are going to pose the same problem to implementing precision medicine.

Providers really need to think about patient support. Simpson said that so much of the patient engagement framework and saturation will be critical to keeping patients engaged throughout the life cycle.

The realistic solution to some of these issues is the coordination, said Hook-Barnard. Its going to be about partnerships across multiple disciplines It really is the regulatory, policy and cultural changes that are slowing us down.

Organizations need to coordinate and forge those partnerships, which Hook-Barnard feels is one of the biggest challenges.

The revolution Mahoney sees will come with actively engaging our data and effectively bringing patients along, which will reduce costs.

Twitter:@JessieFDavis Email the writer: jessica.davis@himssmedia.com

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Widespread precision medicine is still years away, experts say ... - Healthcare IT News

Henrik Stenson’s advice for US Open: take your medicine – Golfweek.com


Golfweek.com
Henrik Stenson's advice for US Open: take your medicine
Golfweek.com
Of course, Stenson and the other players will also need to take their figurative medicine on the course. There are times to be aggressive, but with Erin Hills' penal fescue and tough spots around greens and in bunkers, there are times to be conservative.

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Henrik Stenson's advice for US Open: take your medicine - Golfweek.com

Traditional Chinese medicine may benefit some heart disease patients – Medical Xpress

June 12, 2017

Traditional Chinese medicine might be effective as a complement or alternative to traditional Western medicine for primary and secondary prevention of heart disease, according to a state of the art review paper published today in the Journal of the American College of Cardiology.

Heart disease is the No. 1 cause of death worldwide, and despite advances in Western medicine for treating and preventing heart disease, unmet needs remain. As a result, traditional Chinese medicine is being increasingly looked at as a supplement to Western medicine, but to date randomized controlled trials are overall of poor quality and flawed.

Western scientists often reject Chinese medicine for specific reasons: the formula consists of dozens of ingredients with many chemical molecules, making it hard to clarify the therapeutic mechanism; the medications available in China do not undergo the same rigorous approval process as Western drugs to guarantee efficacy and safety; and most trials were conducted in China by traditional Chinese medicine physicians with medications largely unavailable in the United States.

Researchers in this review looked at studies published over the past 10 years on randomized controlled trials of traditional Chinese medicine used for patients with hypertension, dyslipidemia, diabetes/pre-diabetes, atherosclerotic cardiovascular disease and chronic heart failure to assess the efficacy and safety of traditional Chinese medicine.

In all, certain Chinese medications showed suggested benefits for each of the cardiovascular health conditions studied. For example, researchers looked at eight randomized controlled trials on traditional Chinese medicine and hypertension. The evidence indicated that Tiankuijiangya, Zhongfujiangya, Qiqilian, Jiangya and Jiangyabao have antihypertensive effects and a good safety profile, making them a potential good alternative for patient intolerant of or who cannot afford Western medications.However, whether those benefits transferred into long-term positive cardiovascular outcomes would have to be determined by long-term trials.

"Of note, one should bear in mind that traditional Chinese medicine medications are usually prescribed as complex formulae, which are often further manipulated by the practitioner on a personalized basis," said Yuxia Zhao, senior author of the review and a physician in the Department of Traditional Chinese Medicine at Shandong University Qilu Hospital in Jinan, Shandong, China. "The pharmacological effects and the underlying mechanisms of some active ingredients of traditional Chinese medications have been elucidated. Thus, some medications might be used as a complementary and alternative approach for primary and secondary prevention of cardiovascular disease."

Explore further: Can traditional chinese medicine offer treatments for dementia and Alzheimer's disease?

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Traditional Chinese exercises such as Tai Chi may improve the health and well-being of those living with heart disease, high blood pressure or stroke, according to new research published in the Journal of the American Heart ...

Researchers at the University of Adelaide have shown how a complex mix of plant compounds derived from ancient clinical practice in China a traditional Chinese medicine works to kill cancer cells.

China will double the number of AIDS patients it treats with traditional Chinese medicine (TCM), officials have said, part of a broader push to increase the use of the ancient practice in the country's medical system.

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I thought it was because I gave up soft drinks and was only drinking water. One day I had a stomachache. I was in bed for 4 days. The doctor's appointment was for a Wednesday. I got sick and went to emergency room on a Monday. I was told my blood sugar level was 810 and I have diabetes. Since then, I eat better, take better care of myself and went from 260 to 220 lbs.and was thirsty all the time. One day I got extremely sick, could not keep anything down, had blurry vision, a rapid heartbeat, and began hyperventilating. taking metformin 1000 mg twice daily. I am writing this to inform others that nothing was really working to help my condition.I went off the metformin (with the doctor's knowledge) and started on Diabetes herbal formula i ordered from Health Herbal Clinic, my symptoms totally declined over a 5 weeks use of the Diabetes natural herbal formula. i am now doing very well, Visit there website www. healthherbalclinic. net or email Info@ healthherbalclinic. net

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Acoustic Old Crow Medicine Show electrifies Dylan at Palace … – Minneapolis Star Tribune

Ketch Secor (center) and Old Crow harmonized

Old Crow Medicine Show is an acoustic Americana band. Acoustic and amped.

The Nashville bands interpretation of Bob Dylan music starting with his classic album Blonde on Blonde in its entirety and ending with Like a Rolling Stone was more electrifying live on Saturday at the Palace Theatrein St. Paul than Dylan probably has been in concert since his 1974 tour with the Band.

Yes, the instruments were acoustic guitar, upright bass, mandolin, fiddle, banjo, pedal steel guitar, dobro, accordion, piano and drums (the organ was electric). But the performers had the energy and enthusiasm of middle-aged punk rockers.

Hammy and hyper frontman Ketch Secor, 39, was so fired up that at times he seemed overanxious and too eager to please. He name checked St. Paul about 100 times and gave shout-outs to Dinkytown more than anyone in the history of modern music. He was so thrilled to be performing Dylan music in Dylans home state that he sometimes couldnt contain his excitement.

And, of course, this wasnt the first time Old Crow has played in the Twin Cities. Theyve performed several times on A Prairie Home Companion and in various local venues. In fact, multi-instrumentalist Critter Fuqua gave a shout-out to nearby Mickeys Diner.

When he handled lead vocals, Fuqua did a pretty good Dylan impression. Secor had the Dylanesque phrasing but his voice was smoother, more forceful and often more urgent than Dylans.

Both Secor and Fuqua, who cofounded the band 19 years ago, played several different instruments. Same was true for all seven members of Old Crow. The musicianship may have been the most impressive aspect of the two-hour, two-set performance. That and Secors ability to remember so many Dylan lyrics without a cheat sheet.

Some songs hewed close to the original arrangements such as Like a Rolling Stone, during which Secors harmonica was so loud that concertgoers wearing earplugs even covered their ears.

Some tunes were recast such as 4th Time Around as a waltz and the bluesy rocker Obviously 5 Believers as a smokin hot bluegrass breakdown.

Secor told the story of how OCMS came to collaborate with Dylan on writing a song. The bard had written Rock Me, Mama for 1973s soundtrack to Pat Garrett and Billy the Kid. Secor added more lyrics more than two decades later and called the song Wagon Wheel. It became a signature for Old Crow and a country hit for Darius Rucker.

One Old Crow members met Dylan after "Wagon Wheel" was releasedand the great one told Mr. OCMS: You guys are killin it.

Secor told the St. Paul crowd that said hes thinking of having You guys are killin it tattooed across his chest.

Secor and crew did manage to rein it in at times. OCMS explored its old-time roots when five players huddled around one microphone (one other guy tap danced for percussion) for Knockin on Heavens Door and Blowin in the Wind.

That was a Dinkytown hootenanny 50 years later, Secor declared at songs end.

Lets see, Dylan left Dinkytown in 1960 and he wrote Blowin in the Wind in 1962. Ah, lets not quibble. Old Crow was a hoot. Period.

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Acoustic Old Crow Medicine Show electrifies Dylan at Palace ... - Minneapolis Star Tribune

Using Herbs as Medicine – Albany Times Union (blog)

As a practitioner of Chinese Medicine both Acupuncture and Chinese Herbal Medicine I am invested in herbal medicine and its use and application. As such, I am going to write a series of articles on the subject of herbal medicine, which is truly the oldest form of medicine on the planet.

Having good health and wellness practices in your life are so basic to living a vital life full of energy, zest, purpose and fulfillment.

And good health and wellness practices are basic to living a Low Density Lifestyle the better you feel, the more you feel less dense and in the flow.

And achieving good health and healthy living are not that complicated to do, although it seems to be something out of the reach of most people.

A whole foods-oriented diet, movement, attitude, stress management, energy practices such as acupuncture, reiki, yoga and tai chi and feeling a sense of fulfillment are key ingredients to healthy living and living a Low Density Lifestyle.

Yet when people dont feel well, what do they do? Instead of going to a holistic-oriented health provider, most people rely on drugs.

Drug therapy has only been around in recent times. On the contrary, Herbal Medicine, which is natures medicine cabinet, is the oldest form of medicine.

Many drugs are made from herbs. For instance, inulin comes from the roots of dahlias, quinine from the cinchona, morphine and codeine from the poppy, digoxin from the foxglove, and aspirin from meadowsweet (aspirin also owes a big thanks to willow bark, which contains salicin, which is converted in the body into salicylic acid).

The word aspirin comes from an abbreviation of meadowsweets Latin genus Spiraea, with an additional A at the beginning to acknowledge acetylation, and in was added at the end for easier pronunciation.

The word drug itself comes from the Dutch word druug (via the French word Drogue), which means dried plant.

The use of herbs as medicine has been around as long as humans have walked the earth, but for many people, they have lost track of their roots (no pun intended). Herbal Medicine has been used by most cultures in every continent on earth as part of their traditional healing practices.

From the Sumerians and Traditional Egyptian Medicine, to Ayurvedic and Chinese Medicine, to the ancient Greeks and Romans, to Hippocrates and European Medicine, and to indigenous people all over the world, herbs have always been seen as an essential aid in helping a person heal.

The World Health Organization (WHO) estimates that 80 percent of the worlds population presently uses herbal medicine for some aspect of primary health care.

A German apothecary with a medical herbalist

To this day, herbal remedies are very common in Europe. In Germany, herbal medications are dispensed by apothecaries. Prescription drugs are sold alongside essential oils, herbal extracts, or herbal teas.

In the United Kingdom, the training of medical herbalists is done by state funded Universities. For example, Bachelor of Science degrees in herbal medicine are offered at Universities such as University of East London, Middlesex University, University of Central Lancashire, University of Westminster, University of Lincoln and Napier University in Edinburgh.

So what has happened? Why are herbs the forgotten orphan of medicine and healing?

Because we have come to deify the modern medical approach of drugs and surgery for all health issues, whereas in actuality modern medicine is at its best in emergency situations thats when the use of a drug makes more sense than the use of an herb.

Thyme

But for chronic health problems, a different approach is needed. One that stresses natural remedies.

And when natural remedies are used, herbal medicine must always be part of the approach.

I have a new free six-day email course that I am offering, entitled Enlightened Living: 6 Ways to Build an Authentic, Serene and Healthy Life. Read more about it here: The Enlightened Living Course.

Michael Wayne, Ph.D., L.Ac., is a practitioner of Acupuncture, Chinese Medicine and Integrative Medicine, with offices in Saratoga Springs and Clifton Park. He is also the author of three books, the founder of the Saratoga Integrative Medicine Education Network or SIMEN, the producer/host of the online video interview series Interviews with the Leading Edge at http://www.LeadingEdgeInterviews.com, and Director of the Center for Quantum Revolution at http://www.QuantumRevolution.net. His new book is The Quantum Revolution: The Power to Transform. He can be reached at (518) 210-1557, his email is mwayne2@mac.com and his website is http://www.DrMichaelWayne.com.

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Using Herbs as Medicine - Albany Times Union (blog)

Regenerative Medicine Can Help Make America Great – Morning Consult

When President Donald Trump urged the biopharmaceutical industry to reduce the price of new medicines and to increase its manufacturing in the United States, many took it as a threat.

We believe its a call to action. Americas ingenuity in biomedical research is unsurpassed. However, our country is losing out to other nations in the fastest growing biotechnology sector, called regenerative medicine: harnessing the capacity of our cells to repair and restore health and sustain well-being.

Second place is not an option. The regenerative medicine market is growing about 21 percent a year and is expected to be worth over $350 billion by 2050. Today, the U.S. regenerative medicine sector is generating $3.6 billion in revenues and has produced 14,000 jobs. By 2050, the industry could create nearly a million new jobs nationwide.

Regenerative medicine will also reduce the cost of disease. Such therapies will replace drugs, devices, and surgery, saving lives, increasing productivity, and reducing the cost of care. This transformation will add trillions in value to our economy.

Finally, regenerative medicine will also make America more secure. Our nation still lacks the ability to quickly and cheaply mass produce vaccines, antidotes, and cell therapies to counter pandemics and bioterrorism. Our fighting forces need reliable sources of these countermeasures and deserve immediate access to treatments that give them back their lives. We shouldnt outsource the safety and well-being of our nation and our Armed Forces to other countries.

To regain leadership in regenerative medicine, U.S. firms dont need government loans, tax credits or massive de-regulation. Instead, it needs the opportunity to invest in reducing the time and cost of manufacturing cellular therapies. To the extent that regenerative medicine is curative it must be made available at vaccine like prices. At present, only a handful of people can afford such treatments.

China and Japan are now in forefront of reducing the cost of producing stem cells, tissue, and other products with restorative biological properties. As a result, they are attracting more capital and forming more new companies than the U.S.

In 2014 Japan became the first country in the world to adopt an expedited approval system specifically for regenerative medical products and to allow outsourced cell culturing. Two products were approved under the new system within a year of its adoption.

By contrast, the Food and Drug Administration regulates any use of manufactured stem cells as equally risky without regard to prior use, health benefit, or therapeutic potential. Indeed, many of the most common stem cell therapies including bone marrow transplants and blood transfusions would require 10 years of FDA review if they were brought to market today.

The problem isnt over-regulation. Its outdated regulation. Safety checks and benchmarks for cell manufacturing should be based on real world evidence of past applications. Regulation should focus on the specific potential side effects for each specific potential use. In this regard, we agree with incoming FDA Commissioner Scott Gottlieb, who has noted, Expediting the development of these novel and transformative technologies like gene- and cell-based therapies doesnt necessarily mean lowering the standard for approval, as I believe other countries have done. But it does mean having a framework thats crafted to deal with the unique hypothetical risks that these products pose.

In fact, the United States has the best regenerative medicine manufacturing technology in the world. But it is literally sitting unused in warehouses.

For example, under the Accelerated Manufacture of Pharmaceuticals program, private companies partnered with the Defense Advanced Research Projects Agency to develop mobile cell and tissue manufacturing plants that can be set up almost anywhere. The facilities can produce cells and tissues at a fraction of the current cost. These mobile factories make real-time production of vaccines and biologics for potential bioterrorist threats and pandemics possible. They are also low-cost, high-tech platforms for experimental evaluation of any type of regenerative medicine.

AMPs are operating in Indonesia, Singapore, China, and Japan where cell products including vaccines are being mass produced. Not a single AMP is being used in the United States because of outdated regulations.

To remove this regulatory obstacle, the Trump administration should establish a separate regenerative medicine pathway. This pathway, which could be developed by DARPA, FDA, and the Centers for Disease Control and Prevention, would develop regulatory standards for the safe manufacturing and testing of development of regenerative products to treat battlefield related traumas such as traumatic brain injury, life-threatening limb damage, and drug-resistant pathogens.

The focus on the conditions and circumstances unique to war or counter-terrorism is both appropriate and strategic. After World War II, Franklin Roosevelt directed that the scientific and entrepreneurial talents used to achieve ramp up war-time production of penicillin and blood plasma be used in the days of peace ahead for the improvement of the national health, the creation of new enterprises bringing new jobs, and the betterment of the national standard of living.

What was created exceeded that vision. The cooperative efforts to achieve mass production of penicillin and blood plasma inspired and supported the creation of industries that employ millions of people today.

Similarly,developing an affordable source of cell therapies to heal our fighting forces and protect the homeland will yield a wide array of affordable technologies and cures that will produce, in FDRs words, a fuller and more fruitful employment and a fuller and more fruitful life. Simply put, by making the manufacture of regenerative medicine affordable can help make America great.

Robert Hariri is CEO of Celularity. Robert Goldberg is vice president of Center for Medicine in the Public Interest.

Morning Consult welcomes op-ed submissions on policy, politics and business strategy in our coverage areas. Updated submission guidelines can be foundhere.

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Regenerative Medicine Can Help Make America Great - Morning Consult

WVU Medicine On Call at Greenbrier athletic events, training camps – The Exponent Telegram (press release) (registration)

GREENBRIER WVU Medicines sports medicine physicians will provide specialized care at The Greenbriers professional athletic events and training camps under a partnership and clinical affiliation.

A doctor will be on-site during all athletic events, including The Greenbrier Classic and any training camps at The Greenbrier. According to a news release from the health system, WVU Medicine will be the official medical provider for professional sports events The Greenbrier continues to add. A Greenbrier spokesman did not answer messages inquiring if new sports or events are in the works.

Anyone requiring specialty care will be transported to WVU Medicines J.W. Ruby Memorial Hospital in Morgantown.

We are excited to partner with WVU Medicine as The Greenbriers official sports medicine provider, said David Darden, administrator of the Greenbrier Clinic. Two great organizations are combining resources to ensure the professional athletes involved in sporting events at The Greenbrier have access to excellent medical services.

The 104-year-old luxury resort in White Sulphur Springs will host the eighth annual Greenbrier Classic golf tournament, a PGA Tour FedEx Cup Event, from July 3-9. Brenden Balcik, M.D., a WVU Medicine emergency medicine and sports medicine physician, will serve as medical director for the tournament, providing care to the golf pros, their families and their caddies.

The resorts Sports Performance Complex is home to the Houston Texans NFL football training camp and formerly hosted the New Orleans Saints.

WVU Medicine providers will handle needs that cant be served locally.

We certainly realize The Greenbrier is a world-class organization, said Darin Rogers, vice president and chief ambulatory operations officer at WVU Medicine. They provide very comprehensive care down there. At times, services are not available at The Greenbrier, and those patients have to go out.

He said the Greenbrier Clinic offers specialty and primary care, as well as an extensive Executive Health Program.

They dont have inpatient beds, but again, they have a nice variety of services, so for the needs they cant supply, we thought this would be great for those patients, Rogers said. We feel this is a great opportunity for two world-class organizations to work together and collaborate; were looking forward to developing and blossoming this relationship.

Greenbrier Valley Medical Center, a 122-bed teaching hospital in Ronceverte, also serves Greenbrier County, where the resort is located.

Greenbrier Valley Medical Center has provided and will continue to provide diagnostic testing and emergency services to The Greenbrier resort for its athletic events and training camps since their inception, reads a statement from GVMCs Director of Marketing Kim Estep. We are supportive of the resorts agreement with WVU Medicine to offer access to round-the-clock orthopedic and sports medicine services for the elite athletes who visit our region. We look forward to continuing to serve visitors and residents of the Greenbrier Valley and welcome WVU Medicine.

Albert Wright, president and CEO of the WVU Medicine-West Virginia University Health System, said it was fitting that two of West Virginias most recognized brands WVU Medicine and The Greenbrier would collaborate.

When people visit The Greenbrier, they expect the best, and the same is true of those who seek out WVU Medicine for their medical care.

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WVU Medicine On Call at Greenbrier athletic events, training camps - The Exponent Telegram (press release) (registration)

A health scare sparked her interest in sports medicine field – The Daily Herald

Abby Culver, 18, has been a student trainer for sports teams at Edmonds-Woodway High School. After being treated for a brain tumor, she decided to pursue an interest in sports medicine. She will begin classes at Washington State University in August.

Question: Whats your role with the sports teams?

Answer: Student trainer. Football for three years, basketball for the last two years.

I did boys soccer my sophomore and junior years. And I went to state with boys soccer last year and girls basketball last year. This year, I went to playoffs with boys basketball.

Q: What got you interested in sports training?

A: Sports medicine is something Ive done for the last three years. I loved the atmosphere of football games, knowing I can make a difference, seeing players who are injured, watching them rehabilitate, and seeing them able to play again and be successful.

Q: Was there some specific thing that drew you to sports training?

A: When I was a freshman in March of 2014 I found out I had a brain tumor the size of a golf ball or plum growing in my brain. That was pretty scary and random. I had a lot of headaches, small seizures and migraines closer to the diagnosis. I got a MRI and they told me to go to the emergency room immediately.

Q: Did you have to have an operation?

A: Yes. I had operation and they removed it. It hasnt come back. They said I was born with it and it grew really slowly for years and years. That experience made me a lot more interested in medicine. It gave me an appreciation for health care and health care professionals.

Q: Did that influence the classes you took?

A: The next year I took sports medicine. I wanted to be one of those people who helped people like my doctors and nurses helped me.

Q: Whats your GPA?

A: 3.99. Ive always really liked school and getting good grades and learning has been really important to me.

Q: What Running Start classes have you taken at Edmonds Community College?

A: English, psychology, medical terminology, art appreciation, personal finance, African-American History and Pacific Northwest History.

Q: Can you tell me about the award you recently won at the school districts Scholar-Athlete Banquet?

A: It was a $3,000 scholarship.

Q: How did you become interested in attending Washington State University?

A: Well its kind of a funny story. Im totally a planner. So two to three years ago, I started making lists of colleges. WSU was not on any of them. Then I actually started looking at the schools. Most didnt have the programs that I want. Im going to study kinesiology or sports science.

My mom finally convinced me to go visit WSU. I visited last April and really liked It. Its a beautiful campus. The sense of community there really drew me in and their athletic facilities for what I would be doing, sports medicine. They have great athletic training rooms.

Q: You said youre a planner. WSU starts in mid-August. Are you already packed?

A: No, but Ive got a list. Ive begun planning a little bit and making a list of things Ill need in my dorm.

Q: Will you need a masters degree to pursue your future job goals?

A: I know the field. Im not sure of the career. I want to do something in medicine, more specifically sports medicine. I dont have a specific job.

With kinesiology I can do a strength and conditioning minor to still work with athletes. I can keep my options open that way and explore some different interests I have in sports medicine.

I have four years to figure it out.

Sharon Salyer: 425-339-3486; salyer@heraldnet.com.

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A health scare sparked her interest in sports medicine field - The Daily Herald

Dr. Agnes Gomes retires after 52 years in pediatric medicine – Grand Island Independent

When Dr. Agnes Gomes finished one of her first appointments as a pediatrician at the Grand Island Clinic, her patient looked up at his mother. Mom, he asked. When is the doctor going to get here?

Forty-one years of practice later and Gomes patients have flipped the stereotype. Now they ask about a doctors arrival when theyre treated by male pediatricians.

Weve come full circle, Gomes laughed.

For over 41 years Gomes has broken barriers and formed bonds at the Grand Island Clinic, but her full circle began thousands of miles away from Nebraska, when Gomes started medical school as a teenager in India.

Gomes father suffered a stroke from hypertension and her brother died when he was young. Gomes said she knew she wanted to be a part of preventing the illnesses that had impacted her family.

No family should ever have to lose a child, Gomes said.

So she began medical school as a 16-year-old, which Gomes said was unusual for a female in India.

My father was asked, Why are you wasting your time and money on a daughter? Gomes said. But my father had always told us that education was the most important thing. Nobody can take that away from you, he told us.

Gomes lessons emphasized treating patients regardless of who they were, or how much money they might have.

We learned we were doing a service to humanity, Gomes said. We were there because we wanted to help and to heal.

Gomes brought that mentality to the United States when she and her husband traveled to Connecticut for their residency trainings, and she brought it to Grand Island when they landed here in 1975.

Gomes and her husband didnt intend to stay in the United States permanently, but she said the country made it easy for them to do what they wanted to do.

In India you have to worry about patients paying upfront, and if they cant pay you cant treat them, Gomes said. In the United States, the hospital is just the place that takes care of you.

When the couple began to look around, a co-resident from Gomes program recommended Nebraska.

Where in the world is Nebraska? Gomes wondered.

But when she and her husband visited Grand Island, they were persuaded by its kind and welcoming people.

Over her years, every patient has been different and beautiful. Watching the children grow has been an honor that I have never taken lighten lightly, she said.

Like her father, Gomes values education. She encourages every patient to make the most of their education and talents, and she pushes every parent to give their children opportunities.

Every child has potential, Gomes said. And getting that potential out is up to the adults.

Seeing children reach their capabilities has been the reward of Gomes 52 years in medicine, and she said she hoped people would continue to see the value in a childs potential.

Sometimes people dont realize that children are the future of a nation, Gomes said. If we invest in children we will never go wrong.

The last month at the Grand Island Clinic before Gomes retirement was bittersweet.

You dont realize the impact you have on people, or the impact they have on you, she said.

Gomes said it would be hard to say goodbye to her patients, after years of trust and treatment.

And it will be hard for her patients to say goodbye to her, too. One little girl told Gomes her retirement was no problem; she could just come straight to Gomes house.

And I dont think she was joking, Dr. J.D. Law said. I feel like shes going to show up in Aggies garage.

Law is a pediatrician at the Grand Island Clinic and said Gomes passion was part of what persuaded him to become a pediatrician.

Law remembered Gomes staying hours after close with patients, approaching every child as if they were the days first patient and earning the nickname the baby whisperer for her ability to make every child comfortable.

Every kid is her grandchild, Law said. She shows that compassion every day, which was very inspiring to me and made me say, Yes, this is something I want to do for the rest of my life.

With Gomes entering retirement, Law said her colleagues joke that the clinic will have to hire three doctors to replace her.

So as three doctors do her work, Gomes will enjoy peace and quiet and time with her family, She wants to be involved with volunteering in the community but, Gomes said. It has to involve children.

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Dr. Agnes Gomes retires after 52 years in pediatric medicine - Grand Island Independent

Republican Congressman: Socialized medicine is knocking on the door, America – Fox News

The ObamaCare status quo is unacceptable.

Its become so obvious that politicians on both sides of the aisle are acknowledging it and proposing solutions to fix it.

The majority of House Republicans voted to pass the American Health Care Act in May, which currently awaits debate in the Senate.

In America, we value choice, competition, and access to care. In socialized medicine, those luxuries would be gone.

The majority of House Democrats have proposed an alternative fix called the Expanded & Improved Medicare for All Act, otherwise known as "single payer." This should send shivers down the spine of any tax-paying, Constitution-loving American.

Socialized medicine in America is no longer a hypothetical. Senator Bernie Sanders (I-VT) won 12 million votes in the 2016 Democratic primaries with a single payer platform, and the DNC is encouraging Democrats to campaign on the issue in 2018.

But what would the single payer reality look like?

First, the cost. The nonpartisan Urban Institute studied Sanders plan, determining it would cost taxpayers an additional $32 trillion over the next decade. Essentially the federal government would have to double the $3.2 trillion in tax receipts it collected in 2016 each year to pay for it.

The Democrats' single payer dream would double the taxes of every American to pay Washington bureaucrats to manage government-run hospitals.

Doubling the size of the federal government would take massive tax increases. An across the board doubling of rates would drive the top bracket from 39.6 percent to a whopping 79.2 percent tax of their income. Individuals making $38,000 a year would see their marginal rate grow to 50 percent from the current 25 percent.

In return, every American would be forced onto a socialized health care system to receive insurance from central planners in Washington. Every single American who has a private health insurance policy - some 178 million Americans - would immediately be forced off of their current insurance.

In America, we value choice, competition, and access to care. In socialized medicine, those luxuries would be gone.

For a real world example, look to Great Britain, where think tanks, universities, and government officials say its National Health Service (NHS) is at its breaking point. Financial strain, staff shortages, and unprecedented demand are leading to rationing of care.

Under a similar system, our wait times for routine surgeries like knee replacements would surpass 14 weeks, far longer than the 11 days it is now.

Long wait times would worsen our already existing emergency room overcrowding because Medicaid patients cant find primary care doctors who will accept their insurance.

Eventually, our emergency rooms could face a 50 percent doctor shortage.

In addition to the overcrowding, severe doctor shortages would be exacerbated as doctors would flee the system rather than be forced to take inadequate reimbursements for their services as set by the government.

Eventually, a two-tiered system based on wealth status would emerge here as it has in other socialized systems.

Private doctors would allow wealthy patients to jump the line for same-day appointments for a price. The rest of us would be forced to wait months for a visit with the government.

The Democrats' single payer dream would double the taxes of every American to pay Washington bureaucrats to manage government-run hospitals. Wait times would increase exponentially and access to life-saving care would shrink. It would be a nightmare for the American people.

Thankfully, its not too late.

To stop socialized medicine from becoming reality, Congress must continue its rescue mission. We must bring insurers back to the marketplace so we can lower costs and increase access to care.

The House has laid out one pathway to save American health care. As the Senate appears poised to vote on a bill soon, one thing remains true: our country must unite in our opposition to the nightmare of socialized medicine.

Republican Kevin Yoder is a United States Congressman, representing Kansas' 3rd District.

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Republican Congressman: Socialized medicine is knocking on the door, America - Fox News

Kamen predicts Millyard will be a hotbed of regenerative medicine … – The Union Leader

Manchester inventor and DEKA founder Dean Kamen is heading the new Advanced Regenerative Manufacturing Institute in the Manchester Millyard. He gave a tour of some of the spaces Wednesday.(DAVID LANE/UNION LEADER) Manchester inventor and DEKA and ARMI founder Dean Kamen gives a tour of the new entry area at DEKA headquarters at Manchester on Wednesday.(DAVID LANE/UNION LEADER) MANCHESTER --Inventor Dean Kamen hopes Manchester can become the Silicon Valley for regenerative medicine, attracting researchers and companies to collaborate and make human skin, blood and organs.

Some ideas "almost seem like science fiction," Kamen said during an interview at his company, DEKA Research & Development Corp., in the Millyard.

More than 80 companies, universities and other organizations have signed on to the Advanced Regenerative Manufacturing Institute that Kamen is heading at 400 Commercial St.

"ARMI wants to connect all the research, the billions of dollars that's already been spent to create these miracles and the billions that's going to need to be spent to bring them to the public that needs them to offer the public what will be trillions of dollars of medical care value," Kamen said last week. "ARMI just wants to accelerate all those connections to happen."

"Imagine all of these researchers have these miracles in their laboratories," Kamen said, but getting their discoveries into production may be beyond their capabilities.

ARMI has received $80 million in federal funding and another $214 million in cash and in-kind donations from the various partners.

Changing lives

"Literally, probably every family in America is ultimately touched by some medical problem that regenerative medicine can fix," Kamen said.

Kamen's inventions have included the Segway Human Transporter and the first wearable insulin pump for diabetics.

"If ARMI works, it will overshadow any one of the individual inventions I've worked on," said Kamen, who will be appearing Tuesday at the New Hampshire High Tech Council's Entrepreneur of the Year event at Southern New Hampshire University to talk about the project.

Retiring Dartmouth-Hitchcock Health CEO and President James Weinstein, who has joined the ARMI effort, said the institute's successes could bring widespread benefits.

"It has the potential to alter the lives of hundreds of thousands of people around the world and most importantly, to improve the quality of those lives," said Weinstein, who will continue to practice as an orthopedic surgeon. "Not just the patients, but their family members, who will no longer have to see them suffer and struggle."

Companies signing on

Kamen said it's difficult to predict how many jobs will be created, but he envisions companies sending workers to the Millyard and startup companies springing up.

"If a substantial number of them end up clustering around this Millyard and this area the same way the semiconductor industry clustered around what became known as Silicon Valley, it could be lots and lots of people," Kamen said.

"I think if it goes as I expect, what you're going to see is a couple of giant companies, big pharma companies that everyone's heard of, companies like Merck and Pfizer, that want to be at the table," Kamen said. "Then you're going to see a cottage industry around them of companies that need each other, that have some piece but not the whole piece to get to scale (to production)."

Milwaukee-based Rockwell Automation, which describes itself as the world's largest company dedicated to industrial automation and information, has committed $10 million over five years.

"This is literally a life-changing approach and adds a new chapter to medicine," Blake Moret, CEO of Rockwell Automation, said in a statement announcing his company's participation. "Our contribution is to integrate biomanufacturing science with production techniques that increase the capacity, speed, modularity and consistent quality of new tissue and organ production."

Kamen said he thinks ARMI participants will develop a manufacturing process in the Millyard and "they'll actually make stuff there to prove that it's makable." But it's still too early to know whether materials to be put into humans will be made in Manchester or elsewhere.

Potential projects

Kamen said he promised the Department of Defense that within five years ARMI would be self-sustaining financially. The institute is compiling a matrix of project ideas, considering factors such as cost, lowest risk and what would help the most people. No obvious project candidate has emerged.

"We're looking at maybe a couple of parallel paths, quick-start paths which will allow us to demonstrate industrial scale on something quickly over the next couple of years at the same time we start down the road to make some of the really big wins to happen within five years, but it's too early to know which ones are going to be at the top of those lists," Kamen said.

He said a couple of researchers are "on the cusp" of making blood cells, perhaps leading to mass-producing blood and lessening the danger of contaminated blood.

"We're sitting there saying, 'What would prevent us from building essentially a modern version of a bioreactor, some cross between a still or a brewery system ... that could make blood at a scale that we no longer need blood drives?'" Kamen said. "I think that's a possibility."

ARMI is working with the University of New Hampshire-Manchester to set up a program to train workers in biotech research.

"So I think what's going to happen is ARMI will build a little lab that can show that these kinds of things work, and then some group is going to say, 'Well, I can use that to make skin or bone or pieces of cardiac tissue for people or retinas,'" Kamen said.

"And based on their knowledge and their expertise and their individual passion, they'll set up a place around here that will leverage these skill sets and hire the people that are coming out of the university with the skills to run these machines."

mcousineau@unionleader.com

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Kamen predicts Millyard will be a hotbed of regenerative medicine ... - The Union Leader

Nebraska Medicine Holds Reunion for Nurses and Former NICU … – KMTV – 3 News Now

OMAHA, Neb. (KMTV) - -

Theyre the hospitals most vulnerable patients - premature babies, some born as early as 24 weeks along, and now they are growing strong thanks to their dedicated Neonatal Intensive Care team.

Saturday, the nurses and families reunited at Nebraska Medicine.

I didnt even know I was in labor. I thought they were going to send me home, put me on bed rest, recalled Allyson Storoy.

A few days after Christmas of 2015, Storoy went to the Bellevue Medical Center complaining of cramps. She was 24 weeks pregnant.

They were like, The babies are here. Like, theyre coming right now, she Storoy.

She gave birth to twins at Bellevue Medical and was taken by ambulance in the middle of a snowstorm to Nebraska Medicine where the NICU facilities were better equipped.

Her baby girl died 5 days later, but baby Samuel survived.

He was just so tiny. He just still need[ed] to develop. He came out and he was 1 lb. 11 oz. He was bright pink, one eye open, she described Samuel.

Allyson and her husband Hans spent 89 days in the NICU, but said their nurses made them feel at home.

Such a traumatizing experience and theyre there to lift your spirits and help you feel better day to day. So, we definitely appreciate everything they did, said Storoy.

Saturday, over 200 former patients and family members came back to Nebraska Medicine to reunite with the nurses and doctors that saved their lives.

Its just great to see these babies from when they were teeny, teeny tiny to now theyre one, two, three even up to 10 years old. To see how well theyve matured and grown, said nurse Sara Milliken.

Milliken says preemies need help breathing and learning to eat, and even experienced parents need help learning to care for someone so small.

We take care of the babies and the parents will be on the other side and will help change diapers and take temperatures,

All these babies are now growing strong thanks to their extended family at Nebraska Medicine.

It makes you tear up when you see these babies and youre like, Oh, my gosh, look how good you guys look! said Milliken.

Nebraska medicines NICU has been caring for newborns and preemies since 1968. They hold the reunion annually and many families attend year after year.

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Nebraska Medicine Holds Reunion for Nurses and Former NICU ... - KMTV - 3 News Now

Dr. David Katz, Preventative Medicine: Do we dare to eat lectins – New Haven Register

Lectins are a family of proteins found in many plants, dairy, yeast, eggs, and seafood that can bind to other molecules, notably sugar and carbohydrate molecules, that are present both in foods, and in the membranes of our cells. The case made in the The Plant Paradox, a current best-seller, is that the binding of lectins from plant foods to our cells is a major cause of ill health, and thus we must all fear and avoid lectins, and the rather dire foods, such as berries and beans, that sinisterly serve as their delivery vehicles. This, of course, is utter nonsense.

For starters, the reality of lectins is far more nuanced than the sound bites, scapegoats, and silver bullets of formulaic best sellers in the diet category. The scientific literature raises theoretical concerns about the potential toxicity of lectins in certain contexts, but also suggests the possibility of unique health benefits related to cancer prevention, and gastrointestinal metabolism. Lectins are far more active in binding to our cells when consumed at high concentration and in isolation, as they are in experiments, than when consumed in food as they generally are by actual humans. Cooking often attenuates the binding action of lectins, or causes them to bind to other compounds in food.

This is not the first time we have been warned away from fruits and vegetables, beans and legumes, nuts and grains. Both low-carb and gluten-free diet advocacy foreswear whole grains, despite overwhelming evidence of the health benefits they consistently confer on all but the constitutionally intolerant. Both low-GI and fructose-is-toxic dietary platforms have caused people, intentionally in the first case and perhaps unintentionally in the second, to abandon fruit, despite overwhelming evidence of its role in defending us even against the very concerns associated with high-glycemic foods and excess fructose, notably type 2 diabetes. We abandoned nuts in the throes of misguided applications of advice to reduce dietary fat intake, somehow reaching the conclusion that Snackwells were good for us, while almonds were not.

This decades-long parade of dietary fads and fashions, an incessant sequence of nutritional misadventures demonstrate one thing above all others: there is more than one way to eat badly, and we the people of the United States seem committed to exploring them all. If you have a new version of dietary nonsense to sell, put it in a book and we will buy it.

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The new contention that we should avoid all of the most nutritious plant foods, including many vegetables, nearly all fruits, all beans, and all legumes because they contain lectins, takes nutritional nonsense to a whole new level. Following this advice will decimate the quality of your diet, and for anyone who actually sticks with such silliness over time (an unlikely eventuality with any diet) your health.

The case being made against most of the foods most reliably linked to vitality and longevity suffers from several fallacies common to all manner of nutritional nonsense. One is to prioritize a theoretical concern (or hope) over the prevailing pattern of outcomes among actual people. As I recently noted to a colleague, oxygen is not a theoretical toxin with theoretical harms in people; it is a known toxic with established harms. The atmosphere of our planet is thus analogous to the dietary sources of lectins: both contain compounds with potentially toxic effects, but net benefit is overwhelming both from eating plants, and breathing.

Another is the conflation of a change in the dialogue about some threat with a change in the threat itself. In 2015, for instance, the International Agency for Research on Cancer, a subsidiary of the World Health Organization, declared processed meat, bacon, pepperoni, and such, a class I carcinogen. There was widespread media coverage, the customary hyperbole, and something nearing panic among the I have never met a slice of bacon I didnt like crowd.

But, of course, such a response made no real sense. Yes, processed meat is bad for you, and yes, youd be better off not eating it. And yes, eating it is rather bad for our fellow creatures and the planet, too.

But the risk from one day to the next changed not at all. Whatever your risk for cancer had been all along, it remained exactly the same the day after the IARC determination was announced. All that had changed was the official position on the matter of that risk. Similarly, the lectins that are in your hummus this week were there last week, too.

So, do you need to fear lectins now? Dr. Steven Gundry, the author, who reportedly will be happy to sell you supplements to replace the nutrients present in the foods he is telling you not to eat, says: yes. I say: hold your breath, and count to a thousand while contemplating the theoretical toxicities of oxygen. Long before you finish, the truth will surely come to you in a gasp.

Dr. David L. Katz; http://www.davidkatzmd.com; founder, True Health Initiative

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Dr. David Katz, Preventative Medicine: Do we dare to eat lectins - New Haven Register

AMA’s vigor, vision spread across all areas of medicine: AMA CEO … – American Medical Association (blog)

The AMA, founded 170 years ago, is not showing its age as it moves energetically to develop critical resources and policies for medicine, guide lifelong professional development and physician growth, improve the nations health and marshal changes that touch virtually every corner of the country, the Associations Executive Vice President and CEO James L. Madara, MD, said during Saturdays opening session of the 2017 AMA Annual Meeting.

The Associations three major initiativesto improve professional satisfaction and practice sustainability, create the medical school of the future and improve health outcomes for patients with prediabetes and hypertensionhave gained traction and national attention, Dr. Madara said. They also have begun to interconnect and broaden, incorporating critical advocacy work and organically linking to other initiatives.

In the area of professional satisfaction, initial work on the STEPS Forward collection of practice-improvement modules has expanded to the MACRA Action Kit, the Payment Model Evaluator, and the organizations ongoing efforts to expand the innovation ecosystem and take a leadership role in digital medicine.

Creating tools and policies to promote satisfaction also extends to our recent work defining principles for better electronic health record usability, Dr. Madara said, adding that efforts in this area also created the principles to reform prior authorizationprinciples that are now supported by more than 100 organizations and are aimed at correcting deep flaws in prior authorization.

The AMAs focus on physician development and growth began with encouraging medical education innovation and now extends to the redesign of our Education Center, our initiatives to combat physician burnout, and of course to the JAMA Network, he said.

When it comes to improving health outcomes, an effort that first saw partnership with the Centers for Disease Control and Prevention has expanded to include work with other organization leaders such as the American Heart Association to help change patient behavior by integrating prevention into care settings in a way that does not further burden practicing physicians. In this area too, the scope has widened to include vital roles in advancing personalized medicine and health equity while reducing the opioid epidemic.

Conceiving of the Associations essential work in this way tells a more complete story of the AMAand that is a story of leadership, Dr. Madara said. And it is leadership that spreads far, deep and wide, extending to:

Before concluding, Dr. Madara touched on something really big and incredibly, incredibly importantthe Associations leadership effort on health-system reform.

The AMAs aim, he said, is to ensure that the 20 million-plus Americans who have gained insurance coverage in recent years do not lose it and to encourage lawmakers to view health care from the shoes of the patient, to encourage them, as our campaign states, to put patients before politics.

The AMA is working broadly with others to promote a comprehensive vision for health reform that seeks to expand affordable and meaningful coverage, protect funding for safety-net programs, strengthens the individual insurance market and creates cost transparency, he said.

We all have to acknowledge the challenging political environment were working in. We are truly in unchartered waters, Dr. Madara added. Yet, we will push forward with mission, advocacy and leadership three words that have defined the AMA over these last 170 years.

Read more news coverage from the 2017 AMA Annual Meeting.

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AMA's vigor, vision spread across all areas of medicine: AMA CEO ... - American Medical Association (blog)

Boko Haram Terrorists Raid Adamawa Village For Food, Medicine – SaharaReporters.com

Boko Haram insurgents on Saturday night raided Kuda-kaya village in Madagali, Adamawa State to steal food and medical supplies, residents and officials said.

The sources said scores of fighters stormed the village, two kilometres from Gulak, the administrative headquarters of Madagali, for the attack.

They came in numbers and just started shooting sporadically into the air with their guns; and there was pandemonium as people started fleeing for their lives, a fleeing resident said.

Our local hunters engaged them in a fierce battle. Presently we are hiding somewhere in a nearby village, the resident, who sought anonymity for security reasons, stated.

A local hunter in the area, who pleaded anonymity, added that, They (Boko Haram) came at about 8 p.m. and wanted to take over the village which is just a stone thrown to Gulak.

But we engaged them, he added; saying soldiers later arrived.

The Chairman of Madagali Local Government Area, Yusuf Muhammad, confirmed that the attack was repelled by the hunters and the soldiers who arrived promptly.

Mr. Muhammad lauded the efforts of security agencies and local vigilantes, and urged for more support to secure the area.

Boko Haram raided Kuda-kaya, in the latest rampage to steal food and medical supplies, but our gallant soldiers and hunters had engaged them to a fierce battle.

They were on rampage to steal food and medical supplies; even on Friday the raided my fathers village Humbli, he said.

He said calm had returned to the area with soldiers on permanent guard.

The Army is yet to react to the attack. Akintoye Badare, a major and spokesperson of the 28 Task-Force Battalion, Mubi, could not be reached as at the time of filing this report.

But an officer in the battalion confirmed the incident.

All I can confirm to you now is that there was an attack on Kuda-kaya and Humbli villages; but we successfully repelled; no casualty on our side, the source said.

The attack on Kuda-Kaya came less than 24 hours after a similar attack in Humbli, forcing residents to flee. The attack also occurs about two days after a daring Boko Haram onslaught on Maiduguri, the Borno State capital.

The recent attacks indicate the group is still able to carry out major attacks and has not been defeated despite the successes achieved by Nigerian soldiers in the war.

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Boko Haram Terrorists Raid Adamawa Village For Food, Medicine - SaharaReporters.com