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...predictive of an individual's heart-disease risk, genes are likely a very important component of that risk profile. It's just that our current screening tools are already capturing much of this genetic contribution. "This study reflects the fact that genetic influences can be controlled through lifestyle," says Dr. Lori Mosca, director of preventive cardiology at New York Presbyterian Hospital...
...overwhelming demand for artificial limbs: of the 250,000 people injured, doctors estimate as many as 100,000 are amputees. And that doesn't count the victims who will probably need limbs amputated down the line because of wound infections. Outside the Medishare tent ward, Florida orthopedic surgeon Dr. Albert Volk watches a teenage girl limp by on crutches and shakes his head. "An open tibia fracture, with the bone exposed," he says. "Chances are in six months she'll lose the leg below the knee." (See children's messages of hope to Haiti...
Local input is just as crucial on the physical-therapy side - especially if Haiti is going to be more accepting of amputees. At the Medishare complex, which is now the largest hospital in Haiti, disaster volunteers like Miami podiatrist Dr. Sandra Garcia-Ortiz have begun training Haitians in recent days to help amputees properly care for wounds. If those injuries go neglected, for example, the limbs can become flexed, or too rigid for prostheses to work. "Our hope," says Garcia-Ortiz, "is that enough Haitians will see that there are too many amputees for them to ignore now, and that...
That, in turn, could go a long way toward the change in the Haitian mind-set that has to take place before any kind of prosthetic boom can take off. "This has to be about Haitians helping Haitians," says Dr. Henri Ford, a Haitian American and chief surgeon at Children's Hospital in Los Angeles, who is also an earthquake volunteer in Haiti. "Amputees are too often told in Haiti, 'You are a burden to society and to your family - people do not have the time for you.'" Before he performs an amputation there, Ford says, patients often shout...
...from the stereotypical image of Dr. Feelgoods acting with total disregard for their patients' health, Pinsky says, most doctors who get into trouble with celebrity clients mean well but are in over their heads. "It's not as simple as it seems, and it needs to change. If you want to distill it down to one thing, it's doctors really don't understand addiction, and that's how they get themselves into trouble. And then they also don't understand their relationship with celebrity and their own personality figuring into that relationship...