With Western Medicine, Ebola May Have Met Its Match

By Dennis Thompson HealthDay Reporter Latest Infectious Disease News

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Doctors in the United States have a near-perfect record of treating Ebola patients, with only one out of nine patients losing their lives while under hospital care in this country.

And the last person under treatment for Ebola in the United States, New York physician Dr. Craig Spencer, was released from Bellevue Hospital in Manhattan Tuesday after being declared free of the virus.

Which begs the question -- is Ebola really as deadly and terrible a virus as many media reports have suggested?

In one sense, it is. Ebola is a virus that ravages the body, attacking all the major organs and causing terrible bleeding, vomiting and diarrhea. It can kill a person in any number of ways.

"I wouldn't say the virus is any less lethal," said Dr. Thomas Ksiazek, director of high containment laboratory operations for the Galveston National Laboratory at the University of Texas Medical Branch. "I wouldn't want it, would you?"

But American doctors' success at treating Ebola victims has revealed that the virus can be regularly bested, through a combination of early detection and solid supportive care.

Until now, the Ebola virus has been a devastatingly effective killer because it has spread in developing countries -- primarily in Africa -- with underfunded and often ramshackle medical systems, said Dr. Amesh Adalja, clinical assistant professor of emergency and critical care medicine at the University of Pittsburgh Medical Center.

In the current West African epidemic, Ebola has killed nearly 5,000 people and infected more than 13,200 individuals, according to the U.S. Centers for Disease Control and Prevention. Past outbreaks in East Africa have had death rates as high as 90 percent.

"We've seen Ebola face-to-face with medicine in austere settings," said Adalja, who's also a spokesman for the Infectious Diseases Society of America. "Now we're seeing Ebola face-to-face with medicine in modern settings. It may not be as formidable here as it was there."

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With Western Medicine, Ebola May Have Met Its Match

Is The VA Socialized Medicine?

Yes, the VA is socialized medicine according to Paul Krugman an it works he wrote, in a column a few years ago. But Sunday evening on 60 Minutes, viewers got a glimpse of what the word works actually means.

VA care means long waits for care, a bureaucracy that treats its clients more like inmates than like customers and all too often a deadly reminder that health care delayed can mean health care denied.

Among the 60 Minutes findings:

Krugman writes:

The most efficient health care systems are integrated systems like the V.H.A.; next best are single-payer systems like Medicare; the more privatized the system, the worse it performs.

Yet here is the reality: many veterans avoid the VA system entirely. Even though the care is free, about 90 percent of the 27 million veterans who could use the VA system choose not to, relying instead on private health insurance and other ways of accessing healthcare.

Moreover, Michael Tanner writes in a Cato Institute study:

it takes an average 160 days simply for a veteran to gain access to his health benefits, and the case processing backlog within the VA currently sits in excess of 344,000 claims. Appealing a VA decision is lengthy as well, requiring an average wait time of 1,598 days.

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Is The VA Socialized Medicine?

Duke Medicine Spreads Men's Health Awareness

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This month, theyre growing out their mustaches for a campaign called Movember, a movement that encourages men to get cancer screenings at an early age.

It was nearly 10 years ago when Lee Byrd heard the words that changed his life.

My story is not unlike a lot of other men in my age bracket. I was going on a semi-regular basis for check ups and everything was fine when I was 50 years old, but then I neglected to go until I was 56 and I was faced with the reality that I had prostate cancer, said Lee Byrd.

Prostate cancer is a reality that doctors say one out of every seven men nationwide are faced with.

I had the operation in 2006. Then I had radiation about 8 months later. Everything was fine for about 3 years and then it resurfaced as it often does, said Byrd.

Byrd is optimistic about his condition. His last two years of treatment at Duke Medicine have been going well.

If I could have caught this two years earlier I would have been better off, Byrd said.

Its that sentiment thats sweeping the nation this month in a movement called Movember. At Duke Medicine, several doctors are growing out their mustaches to change the face of mens health.

We know prostate cancer is a disease of aging and early detection can save lives and can pick up the disease before it leaves the prostate, said Dr. Andrew Armstrong, a Medical Oncologist at Duke Cancer Center.

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Bus bench ad executive's estate gives $50 million to UCLA medical school

The estate of a bus bench advertising executive and his wife is giving $50 million to UCLA's David Geffen School of Medicine, officials announced Thursday.

As a result, a health sciences plaza at the school is being renamed after Irma and Norman Switzer, the late benefactors who were longtime residents of Pacific Palisades.

This exceptionally generous gift is an enduring legacy of two people who clearly cared about the future of medicine and science, UCLA Chancellor Gene Block said in a statement. The university is honored to be the steward of such a transformative bequest.

Norman Switzer, who died in 2011 at the age of 84, founded Norman Bench Advertising, which specialized in bus bench ads, and later became a real estate investor. Irma Switzer, who died in 2013 at 93, was a weaver and involved in local museums.

The Switzer gift will count toward the $4.2-billion fundraising campaign -- the largest such effort of any state university in the nation -- that UCLA announced in May to increase student financial aid, bolster faculty hiring and research, and construct new campus buildings.

In trying to reach that goal by 2019, UCLA said in May that it already had raised about $1.3 billion in a so-called quiet phase. The campaign ties in with UCLA's centennial in 2019, marking 100 years since Angelenos battled the Berkeley-centric education establishment and got the Legislature to approve a southern branch of the University of California.

The largest donation in UCLAs history was entertainment industry mogul Geffen's $200-million gift to the medical school in 2002.

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Medical schools 'should help poorer pupils with applications'

Just two fifths of doctors attended non-selective state schools, while a third were privately educated. Medicine is a very popular career choice, the guidance says, with fierce competition for places at university.

In a 30-page document titled A Journey to Medicine: Outreach Guidance, the Medical Schools Council said: The medical schools are determined to make a difference to social mobility in the UK.

It sets out a series of ways medical schools can increase their intake of pupils from poorer backgrounds.

Among the recommendations are that they should help support individual learners to make successful applications to medicine.

As part of this assistance, they should be aiming to offer support to students to make an application to medical school including writing personal statements and preparing for interviews and admissions tests, the guidance states.

It highlights the example of Brighton and Sussex Medical School which has introduced a five-year scheme targeting people from a low-social-economic group background with the potential to become doctors. Medical students, faculty staff and doctors teach pupils about clinical skills and the human body, as well as advising them on their applications to the Brighton-Sussex Medical School or other institutions.

The guidance also suggests that the journey to medicine should start in primary schools.

Pupils should be told about the qualifications and routes to becoming a doctor, the guidance says, and take part in lively and fun activities linked to the profession.

Medical students acting as ambassadors are often the best people to lead activity, which can include demonstrations, campus tours and mentoring, it says.

Some medical schools formally recognise this work by medical students as part of their educational development.

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Medical schools 'should help poorer pupils with applications'

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