Word: neurologist
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...lurch like a drunkard. To see double images of a coffee cup, a friend's face, a newspaper. To feel dizzy because rooms seem to spin like merry-go-rounds. The onset of such symptoms 10 years ago sent Chicago sales representative Suzanne Arens, now 39, stumbling to a neurologist. The diagnosis: multiple sclerosis. "It was devastating," she recalls. "The disease progressed to where I would have an attack every six months. I was hospitalized three times." For the past five years, however, Arens has managed to remain symptom-free, the result, she is convinced, of regular treatments with...
...chronic viral infections. So in 1984 they began testing gamma interferon, one of the body's own antiviral weapons, in MS patients. To their horror, patients became dramatically worse. The false step proved instructive however. "It told us that gamma interferon was a major player in this disease," explains neurologist Dr. Kenneth Johnson of the University of Maryland at Baltimore...
Still, the appearance of any compound that can positively alter the course of this relentless disease is cause for cautious celebration. "Half a loaf," observes University of Chicago neurologist Dr. Barry Arnason, whose research helped stimulate interest in beta interferon, "is a lot better than no bread." If the FDA goes along with the panel's recommendation and approves the drug, says Stephen Reingold, chief of research for the National Multiple Sclerosis Society, "I predict it will be used widely -- and it should...
...levels of basic care. Instead, Americans face a glut of specialists who tend to charge more per visit. Specialists claim greater expertise and more experience. But they bypass a critical--yet less expensive--step in the health care process. It's a waste for a patient to visit a neurologist for a head cold checkup. It's a waste for the physician, as well...
Finally, many economists maintain that Clinton appears to be combining contradictory ideas that will cancel each other out. Paul Ellwood, a pediatric neurologist and health-policy expert who helped develop the managed-care idea, insists that his model cannot work in conjunction with price controls. Says he: "That would be like Yeltsin saying, 'We're going to introduce market forces here in Russia, but we're going to start out with the government setting the prices.' Price controls are not compatible with price competition." In Ellwood's system, costs would be controlled by competition among health-care suppliers to serve...