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...Then there is the matter of having the right strains of virus in the vaccine should a human pandemic ever occur. The virus used to make the Sanofi Aventis vaccine came from a Vietnamese patient who was infected with H5N1 in 2004. The viruses from that sample are part of a group that scientists call clade 1. But the viruses that have recently spread so rapidly among birds from Asia to Europe and Africa are part of a new group called clade 2. Preliminary evidence suggests that there?s not a lot of cross-reactivity between the two clades. That...
Egan is a pediatrician in Jacksonville, Florida. Some names in this column have been changed to protect patient privacy...
...indeed, I am the doctor - and given their body language, I was clearly not serving my patient or his family. I did a quick scan of my notes, performed a quick mental review of my history and physical and felt confident that I wasn?t missing anything - except of course, what was worrying Seth?s family. I scanned their faces slowly, but each one in turn looked away until I met eyes with the grandmother. She licked her lips, "My cousin?s grandson had a fever and then a nosebleed and he died of leukemia...
...Scott Haig is an Assistant Clinical Professor of Orthopedic Surgery at Columbia University College of Physicians and Surgeons, who has a private practice in the New York City area. Some names in this essay have been changed to protect patient privacy...
...very mature and patient about fielding editorial comments,” Muchnick told FM in an e-mail, “but she never let herself be intimidated by them, and she was confident about telling me when she disagreed —and she was often right...