A long-standing belief that mammals use the same potent antiviral molecules deployed by plants and invertebrates is being challenged by researchers at Icahn School of Medicine at Mount Sinai.
Their findings, published in the July 10, 2014, issue of Cell Reports, surprised many scientists who assumed that antiviral RNA Interference (RNAi) exists in humans as a natural result of evolution.
Scientists know that human cells, like cells in every living organism with a nucleus, encode and generate small RNAs, which influence our genetics. It is also known that mammals combat viruses with interferons—proteins manufactured by immune cells in response to pathogens.
A young woman who underwent a high-stakes liver transplant at The Mount Sinai Hospital in May is now safely back home thanks to an extraordinary collaboration between Stephan Mayer, MD, Director of the Institute for Critical Care Medicine, and Sander Florman, MD, Charles Miller, MD, Professor of Surgery and Director of the Recanati/Miller Transplantation Institute, and their teams.
New York State is ahead of the curve on addressing the financial consequences of out-of-network care, a more and more likely scenario with “narrow” networks.
Recently a New York Times article noted: If you “… are stuck with a surprise bill, patients will be responsible only for whatever their co-pay would be if the doctor were in-network.”
Recently The Atlantic reported: “As doctors and nurses move through hospitals, they aren’t the only ones making rounds—hitching a ride on their hands are dangerous bacteria that can lead to infections ranging from antibiotic-resistant staph to norovirus.”
“In recent years, a number of companies have designed systems that aim to nudge doctors and nurses into washing their hands regularly. One of these devices, a badge made by Biovigil, aims to exploit a very powerful emotion: shame. When a doctor enters an exam room, the badge chirps and a light on it turns yellow—a reminder to the doctor as well as an alert to the patient that he is about to be touched by someone with unclean hands. If the doctor doesn’t wash her hands, the light flashes red and the badge makes a disapproving noise. After the doctor waves a freshly sanitized hand in front of the badge, alcohol vapors trigger a sensor that changes the light from red to green.”
Sounds like science fiction?
Recently a Wall Street Journal article noted “A sweeping transformation of medicine has begun that will rival in importance the introduction of anesthesia or the discovery of the germ basis of infectious disease. It will change how patients and physicians interact. It will change medical research and therapy. “Sick care”—the current model of waiting for you to get sick and then trying to alleviate symptoms and make you well—will become true “health care,” where prevention is the mantra and driving force. Welcome to the world of digital medicine.”
Wikipedia says “The medical home, also known as the patient-centered medical home (PCMH), is a team based health care delivery model led by a physician, P.A., or N.P. that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes.”
Recently a USNews article explained how the Cleveland Clinic’s medical home program works.
Like most everyone I know I don’t look at the EOBs (Explanation of Benefits) I get from Medicare and United Health Care. Do you?
Recently a New York Times article noted “LIKE most people, I am generally vigilant about paying my bills — credit cards, mortgage, cellphone and so on. But medical bills have a different trajectory. I (usually) open the envelopes and peruse the amalgam of codes and charges. I sigh or swear. And set them aside for when I have time to clarify the confusion: An out-of-network charge from a doctor I know is in-network? An un-itemized laboratory bill from a doctor I’ve never heard of? A bill for a huge charge before my insurer has paid its yet unknown portion of a hospital’s unknowable fee?”
Recently a New York Times article explained the cost of externally financed payment plans, that look like credit cards, offered by dentists and physicians.
“It might sound like a good idea at the time: You’re at the dentist’s office, and the receptionist offers you a way to stretch payments for an expensive procedure over many months, apparently with no interest.
Here’s a Q&A from Kaiser Health News:
“Q. My doctor added on a charge for a “chronic disease management” appointment on top of my annual physical because I have thyroid disease and arthritis. The doctor’s office explained that my visit was more complicated than a routine physical. I’m not sure I buy that. In my case, it only cost a $20 copay, but I was surprised that it was billed that way, and it could be a surprise for someone without the excellent coverage that I have. Can they do that? ”