Caduceus Newsletter: Summer 2013.02, July
You KNOW it’s hot when:
For more examples, please go to Marginalia II.
Table of Contents:
Washington University (Washington, D.C.) offers a Master’s Degree in Public
1. George Washington University (Washington, D.C.) offers a Master’s Degree in Public Health.
2. The question was, “How will nanobots change medicine?”
that fix tissues and control drugs have been envisioned for over 30 years. Now,
using DNA origami and molecular programming, they are reality. These nanobots can seek and kill cancer cells, mimic social
insect behaviors, carry out logical operators like a computer in a living
animal, and they can be controlled from an Xbox. Ido
Bachelet from the bio-design lab at Bar Ilan University explains this technology and how it will
change medicine in the near future.
3. The Association of Accredited Naturopathic Medical Colleges announces that Colorado now licenses and recognizes naturopathic physicians.
Colorado Governor John Hickenlooper paved the way for naturopathic doctors (NDs) to become an essential part of the state health care system by approving a measure requiring naturopathic doctors to obtain a license to practice medicine. The bill, which goes into law in January of 2014, will make Colorado the 17th state to require licensure for NDs.
We were already planning a prospective student forum in conjunction with our annual conference in Keystone, Colorado on July 13, 2013. Now there is even more reason for celebration.
Please feel free to join us or send interested students.
JoAnn L. Yanez, ND, MPH
Association of Accredited Naturopathic Medical Colleges www.AANMC.org
4. Georgetown University Medical Center (Washington, D.C.) offers a Master’s Degree program in Complementary & Alternative (CAM).
5. Inside OME (Osteopathic Medical Education), June 2013 issue.
Please find our June 2013 e-newsletter, Inside OME, with many timely articles of interest for you and your aspiring pre-medical students. The launch of the 2014 AACOMAS Application, Two COMs Announce Approval of New Campus Locations, Dr. Shannon’s article, Innovation is Key to Success in Alleviating U.S. Physician Workforce Shortage, and much more that is taking place across the nation at Osteopathic Medical Schools. We hope many of your applicants will be able to attend recruitment events taking place across the nation at our member medical schools by checking out our Recruitment Calendar.
Happy Summer everyone!
Gina M. Moses, M.Ed.
Associate Director of Application Services
American Association of Colleges of Osteopathic Medicine
5550 Friendship Blvd., Suite 310
Chevy Chase, MD 20815-7231
Tel: (301) 968-4184
Fax: (301) 968-4191
If you are unable to view this
e-mail clearly you may view it online at
6. Received this week.
· Washington University (St. Louis) School of Medicine Viewbook 2013-14. (Copies in the BBB/PHP lounge.)
7. The Soul of Bioethics: June 20, 2013 issue.
THE SOUL OF BIOETHICS
(June 20, 2013)
Edited by H.R. Moody
- Soul in the Hospital
- Sacred Dying
- Urban Legends of Aging: 4% Fallacy
- Caregiving Dreams
- Case Study: Dementia Care
- Web Sites to See
- Books of Interest
- Transience of Life
I encourage you to subscribe to “HealthCare Chaplaincy Today,” the free, twice monthly e-newsletter for the latest developments on the integration of palliative care and multifaith spiritual care at http://bit.ly/hycJ2O
SOUL IN THE HOSPITAL
"A few weeks ago I had an accident. I fell on my hip.
There it was ... a broken hip...
I’m in the hospital getting my hip repair. Hospitals are
body-oriented. It’s the body shop. To most of the hospital
staff I am the old guy in Room 322 with a broken hip. That’s who I am in their minds. They are the nurses and doctors, they’re the professionals and they must know, right?
But, don’t we also have a spiritual identity? Aren’t we also souls? The overwhelming mindset of the hospital is, no, we are not souls, we are just bodies. Now, my view is that I am in this
incarnation to learn about my true self, to learn about my soul.
Along the way I have also learned a lot about strokes and broken hips.
I have found you can think about them in many different ways.
Did I lose my soul in the hospital? Well, maybe I lost my
connection with my soul for awhile, but I didn’t lose my soul.
Where could it go? I’m still here. I have a new hip.
I’m even hipper than I was."
From Ram Dass, "Content To Be" Journal of Transpersonal Psychology (2011), Vol. 43, pp. 246-252.
"In Western society, many people have lost touch with the spiritual aspect of death and dying. Medicine and technology, while valiantly saving lives, treat death as a failure or an embarrassment. How can the dying reclaim grace and dignity for themselves? How do we refocus attention on the profound spiritual experience that is fundamental to the end-of-life process?"
To learn more about answers to these questions, explore the Sacred Dying Foundation at:
URBAN LEGENDS OF AGING:
The Four Percent Fallacy
"Only 4 percent of older people live in nursing homes."
This one is a half-truth propagated by well-intentioned advocates like to portray old age in "happy talk," without any downside.
Alas, long-term care is much more likely to be part of our future than many people believe. The 4% number is accurate but the number applies only at a single point in time. But on a life-span basis, 40% or more of those who reach age 65 will spent time in a long-term care facility before they die. One more example of the fallacy of cross-sectional versus longitudinal comparison.
Consider the following dream of a woman whose father had early-onset Alzheimer's Disease. There was a period when her father's deterioration created such a burden that she lost interest in anything else in life. During that period she had the following dream:
DOWNHILL ALL THE WAY
Her father was in a car rolling slowly downhill, but for some reason he was unable to step on the brakes. Terrified, she ran after the car and grabbed the bumper, pulling backward with all her strength to keep it from rolling any further. But the car continued to roll forward, dragging her through thorny underbrush and forcing her to let go. Then she ran in front of the car and stopped it with her hands, straining to hold it in place, but it kept pushing forward until, in order to save her life, she was forced to jump clear.
When this dreamer awakened, she understood immediately that the car rolling inexorably downhill symbolized the trajectory of Alzheimer's. Neither she nor her father nor anyone else could stop it from running its course. "Of course I kept on helping take care of my father," she said. "And I loved him just as much as ever.
But I tried not to let the disease run me down and destroy me, too. I knew that's what my father would want me to do: jump clear."
--------------------------<<< >>> ---------------------------
CASE STUDY: Dementia Care
Alice watched her mother's long slide into Alzheimer's type dementia certain that her mother's careful attention to advance planning would be able to prevent her worst nightmares. What happened in practice is another story:
WEB SITES TO SEE
JUSTICE BETWEEN GENERATIONS. Look at "Think Long,"
which contains presentations from the programs sponsored by the Oxford University Center on Aging, at:
REGRETS. What are the top five regrets of the dying? Find out now at:
ZEN BUDDHISM. Learn more about the Zen Center for Contemplative Care at:
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BOOKS OF INTEREST
ETHICS, HEALTH POLICY AND (ANTI-) AGING: Mixed Blessings, edited by Maartje Schermer and Wim Pinxten (Springer, 2012).
THE INEVITABLE HOUR: A History of Caring for Dying Patients in America, by Emily K. Abel ( Johns Hopkins Univ. Press, 2013).
METHODS IN MEDICAL ETHICS: Critical Perspectives, by Tom Tomlinson (Oxford University Press, 2012).
"As we grow older and draw nearer to physical death,
we inevitably become more conscious of the transience
of our life here and of the world to which we unduly
-Hugh L'Anson Fausset
Towards Fidelity (1952)
This electronic newsletter, edited by Harry (Rick) Moody, is published by HealthCare Chaplaincy and co-sponsored by the Office of Academic Affairs at AARP.
The opinions stated are those of Mr. Moody and may not necessarily reflect those of HealthCare Chaplaincy or AARP.
To submit items of interest or request subscription changes, contact H.R. Moody at email@example.com
HealthCare Chaplaincy in New York is a leader in the research, education and practice of multifaith spiritual care within health care and palliative care, and the only organization that does all three. HealthCare Chaplaincy provides professional chaplaincy services—one of the most cost-effective resources to increase patient, family, and staff satisfaction—in major metro New York health care facilities. Since 1961 it has helped close to 6 million patients, loved ones and hospital staff find meaning and comfort – whatever their religion, beliefs, values or culture. Now in collaboration with the California State University Institute for Palliative Care it is providing the first online professional certificate course in palliative care for chaplains and other spiritual care providers. Also, it is developing the National Center for Palliative Care Innovation, including an enhanced assisted living residence. Learn more at www.healthcarechaplaincy.org
(c) Copyright 2013; all rights reserved.
8. AMA Declares Obesity of Disease. From Medscape.com.
AMA Declares Obesity a Disease
Jun 19, 2013
CHICAGO — Physicians voted overwhelmingly to label obesity as a disease that requires a range of interventions to advance treatment and prevention.
However, there was impassioned debate in the hours before the vote here at the American Medical Association (AMA) 2013 Annual Meeting.
Although policies adopted by the House of Delegates have no legal standing, decisions are often referenced in influencing governmental bodies. This decision could have implications for provider reimbursement, public policy, patient stigma, andInternational Classification of Diseases coding.
"Obesity is a pathophysiologic disease. There is a treatment for this disease; it involves behavioral modifications, medications, and surgeons. Obesity affects minorities disproportionately," said Jonathan Leffert, MD, alternate delegate for Endocrinology, Diabetes, and Metabolism. "The scientific evidence is overwhelming."
Melvyn Sterling, MD, said this brings to mind to the debate over whether hypertension is a disease.
"I'm a general internist, among other things, and I treat the complications of this disease. It's interesting to look back in history at a time when hypertension was not thought to be a disease," said Dr. Sterling, who is from the AMA Organized Medical Staff Section, but was speaking for himself. "Obesity is a disease. It's very, very, very clear that even though not every hypertensive gets a stroke and not every obese person suffers the complications, that does not change the fact that this is a disease."
Some Not Convinced
Others testified that the measure for determining obesity is imperfect and although it is an epidemic, obesity does not meet the criteria for disease.
Russell Kridel, MD, incoming chair of the AMA Council on Science and Public Health (CSPH), told Medscape Medical Newsthat there is no debate about the importance and urgency of addressing the problem, but he doesn't believe it qualifies as a disease.
"It's more like smoking. Smoking isn't a disease. Smoking can cause disease such as lung cancer and emphysema in the same way that obesity can lead to diabetes and hypertension," he explained. "We're really talking nomenclature here, not philosophy."
He noted that behavior and dietary choices play a part in obesity. "Thirty years ago, we did not have the obesity problem we have now. If you look scientifically at what has changed, our diet has changed. There's been no change in our genetic structure in the past 30 years."
Dr. Kridel said he would like to see more attention focused on prevention and personal responsibility. The CSPH issued a 14-page report opposing the classification of obesity as a disease.
"We did not think the evidence rose to the level where obesity could be recognized as its own distinct medical disease state. Obesity is a very serious condition. It's a scourge on our nation. It's an epidemic. It's a significant risk factor for many other diseases," said Robert Gilchick, MD, speaking on behalf of the CSPH. "But that does not alone make it a distinct medical disease state."
He explained that because body mass index, an imperfect measure, is used to determine obesity, people who are otherwise healthy are being diagnosed as obese.
"Why should one third of Americans be diagnosed as having a disease if they aren't necessarily sick?" he asked.
One Third of Americans
According to the Centers for Disease Control and Prevention, 35.7% of Americans are obese. Obesity-related conditions, including heart disease, stroke, type 2 diabetes, and certain cancers, are some of the leading causes of preventable death.
In other AMA actions, a policy that supports banning the marketing and sale of high-energy drinks to anyone younger than 18 years was adopted.
Also accepted was a policy that supports letting students have sunscreen at school without restrictions. Currently, most states don't allow students to possess over-the-counter medications in school without a note from a physician. Sunscreen is considered an over-the-counter medication because it is regulated by the US Food and Drug Administration.
Medscape Medical News © 2013 WebMD, LLC
Send comments and news tips to firstname.lastname@example.org.
Cite this article: AMA Declares Obesity a Disease. Medscape. Jun 19, 2013.
9. Summer Events for All at Maryland University of Integrative Health.
Join us in person,
online, or by phone this summer to learn about nutrition, herbs, yoga
therapy, our academic programs, and more! Click on the title for details and
to register for each of our upcoming free events and continuing education
Webinar: The Power of Raw and Living Foods
10. The Philadelphia College of Osteopathic Medicine will be hosting Open House events for the Graduate and Doctor of Osteopathic Medicine programs.
Graduate Programs Open House on Wednesday, July 10th from 5:30pm - 8:00pm. The following programs will be represented that evening: Biomedical Sciences, Physician Assistant Studies, Clinical Psychology, School Psychology, Organizational Development and Leadership, Forensic Medicine and Counseling and Clinical Health Psychology.
Doctor of Osteopathic Medicine Open House on Tuesday, July 23rd from 4:00pm - 8:00pm. Participants will have the opportunity to learn more about osteopathic medicine, osteopathic manipulative therapy and life in medical school.
Attendees at both Open Houses will have the opportunity to connect with faculty, currently enrolled students and tour the campus. Refreshments will be served both evenings; additional details can be found at pcom.edu, with registration available on line.
Thank you for all of your support. We are looking forward to working with you and your students throughout the coming year!
Deborah A. Benvenger
Chief Admissions Officer
Philadelphia College of Osteopathic Medicine
4170 City Avenue
Philadelphia, PA 19131
(215) 871-6719 (f)
11. Eastern Mennonite University (Harrisonburg, VA) offers a Master’s Degree in Biomedicine.
12. Wolf River Conservancy June 2013 E-Newsletter.
Be sure to add "email@example.com" to your address book.
13. Union University’s “Future Pharmacist: School of Pharmacy Newsletter”, Summer 2013 issue. (Thanks to Ms. Aven Humphreys for sending me this.)
14. Marginalia I: I would not have believed this fish story if it weren’t for the photographs, which appear legit and not photoshopped.
15. Marginalia II: You know it’s hot when…
Dr. Stan Eisen,
Caduceus Newsletter Archives: http://www.cbu.edu/~seisen/Caduceus.html