Word: ohman
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Dates: during 1990-1999
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...JACK OHMAN, The Oregonian I like drawing Dan Quayle because I think he looks like a Furby or one of the Campbell's soup kids, and frankly some of the other people out in politics today look like Mr. Potato Heads. Everybody is so bland looking. Those are the kinds of people that drive you crazy. My idea of hell would be having to draw George W. Bush for eight years...
...year-old heart-attack victim is given less than a 5% chance of surviving. Outside her room, Ohman examines a box belonging to the patient. It's filled with nutritional supplements. There are medications that could have prevented her heart attack; none are in the box. "This is a sign we have failed," says Ohman...
...hospital, young doctors are presenting cases and being interrogated about their observations, interpretations and plans. Tired residents, stethoscopes slung around their neck, dressed in new white coats (short for interns, knee-length for the more senior residents), are questioned--and questioned some more. They will never know enough, but Ohman hopes they will come to hear these questions, even when no one is asking. "I'm trying to create a mind that is inquisitive," he says...
Each room the doctors visit is a living lesson in modern medicine. In 7213 the heart of a 71-year-old woman is pumping a dangerously low volume of blood. "What is the right therapy?" asks Ohman. They agree that a drug is required to slow the beat, giving the woman's heart more time to fill. Right, pronounces Ohman. Which drug? They stumble with answers until Ohman says it's Esmolol. That surprises one of the young physicians. Esmolol, he notes, could cost as much as $200 a day, while alternatives can be had for $1.50 a pill. Ohman...
...their Socratic discourse: if the patient starts to have problems, Esmolol can be stopped and, within minutes, so will its chemical effect. Cheaper drugs can't be turned off so quickly. "It will cost more, but that's O.K.," says Gary Dunham, the pharmacologist who is sharing rounds with Ohman. If the woman gets in trouble with one of the cheaper drugs, he says, her health-care costs will soar. Dunham lectures again in the language of cost-based pharmacotherapy: "It's the most effective drug at the least societal cost...