Merry Christmas, happy holidays, deck the halls, peace on earth, good will toward people, pandas, and puffins, and… so on. I would really love to linger here, because I am a sentimentalist, a traditionalist, a humanist. I love the holiday rituals, and especially gathering with my family. I love pretending for a moment we mean the things we say and sing about peace and love and solidarity, and one great human family of common cause.
The hospital can be a Risky Place
A nation of potatoes overran (well, shuffled, really) their couches today, and a serious shortage in couch space is feared. The movement- or rather, lack thereof- was characterized by a prevailing “knew it along” expression, and a fervent commitment to be the first to find the remote.
This column is ordinarily about some variant on the theme of my profession, Preventive Medicine. The mission of every preventionist is to do all we can to help the healthy stay entirely well; to help those with risk factors control them and avoid disease; to help those with disease avoid progression, disability, and death. There is almost always something left to prevent.
It’s been almost 20 years to the month since Tamiflu (received FDA approval in Oct 1999) has been approved, but it has officially met its match. We now have a new contender, Xofluza. As you’ll likely get many questions about it, I just wanted to give you some quick basics on what you need to know.
This week, I am coining a new term: vigevity. Self-evidently, perhaps, this is the combination of vitality and longevity. I suppose “longality” might also serve, but I like vigevity better to represent the combination of years in life, plus life in years. We’ll see whether or not the term catches on. Either way, though, it is the one health measure to rule them all. It is what truly matters; the prize.
A report in JAMA Internal Medicine highlights prevailing medical practices that should be “reconsidered” in 2018 based on the weight of evidence. The paper, appropriately, is written in the matter-of-fact style customary for the peer-reviewed literature. To some extent, that semblance of analytical calm belies the storm swirling between the lines of the report, and the mess it has long been making in the House of Medicine.