Word: duking
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Dates: during 1990-1999
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...treatment is called cord-blood transplantation. It is an approach that is being used at several medical centers, but Duke has done more of it than anyplace else...
...like to treat everybody," says Joanne Kurtzberg, the cord-blood-program director. "But Duke is not going to let me practice here if all I do is lose money...
...these young lives, Kurtzberg is always searching for ways to cut treatment costs. She and her staff spend long hours on the phone each day trying to wring money out of insurance companies. But the bottom line for the cord program is not healthy, which means constant battles with Duke's bureaucracy as well. "I'm not fighting for me to take a vacation to China," says Kurtzberg, who puts in 100-hour workweeks. "I'm fighting for the patient. But this administration has gotten much more business oriented...
...Duke bureaucracy, she complains, has become removed from the patients, which she thinks is just the way they want it. Kurtzberg picks up the fax from the Russian boy and says, "You can't make those decisions with a letter like this on your desk." Then she adds, "If this kid showed up in my clinic, I wouldn't turn him away...
...Robert Califf, arguably one of the most important people at Duke Med, is on a flight to Washington, where he is scheduled to lead an international strategy session on how heart-failure drugs should be studied. As director of the Duke Clinical Research Institute, he is charged with doing whatever he can to take the guesswork out of medical care, and he has a specific statistic he wants to change. "Only 15% of the decisions a doctor makes every day are based on evidence," he recites...