Word: performancy
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...larger lesson may be more humbling: after all the post-9/11 vows, are we still not well enough armed for the next big one? Humans are not very good at understanding risk, and in this country, they perform worst when it costs a lot to prevent or prepare for a disaster--especially when the people who would otherwise suffer the most are poor...
Medical groups are racing to keep up with these changes. In July, the American College of Cardiology and the American Heart Association published their first guidelines on how to train doctors to perform the new cardiac scans. Three studies have shown that cardiac CT is 90% accurate at picking up blockages like Fackelmann's. But no standards have been written yet for determining under what conditions using the new scans makes the most sense, and for which patients. More definitive answers may be forthcoming at the annual American Heart Association meeting in November, when several research groups are expected...
Meanwhile, no one has given up on more tried-and-true scanning techniques. According to the IMV Medical Information Division of Des Plaines, Ill., doctors perform annually at least 11.5 million echocardiograms, which use sound waves to produce pictures of the internal structures of the heart, and more than 9 million nuclear perfusion scans, which use mildly radioactive tracer molecules to measure how well the cardiac muscle is nourished. Improvements in computer processing power and software have made these tests more reliable and more conclusive than ever before. Stress tests, which help doctors detect ischemia, or lack of blood flow...
Meanwhile, there is still an issue of professional turf left to resolve. High-tech imaging--particularly CT scanning--has long been the purview of radiologists, many of whom don't take kindly to cardiologists encroaching on their territory. After all, it has happened before. Radiologists used to perform lots of cardiac catheterizations but have pretty much given up that technique to heart specialists, in large part because they were simply outnumbered. As for who is best at reading cardiac CT scans, cardiologists argue that they have a better understanding of the heart's anatomy and function, while radiologists point...
...FRIENDS WITH EVERYONE FROM DICK CHENEY TO TERESA HEINZ KERRY AND MARRIED TO A GUY WHO GETS CALLED THE SECOND MOST POWERFUL MAN IN THE US. DOESN'T THAT COMPROMISE YOUR COVERAGE? I don't think so. It is a balancing act that many people in Washington perform. And my husband and I very carefully don't discuss his work. At times, it can be really frustrating. I'm a reporter. I want to know. Once, he came down to Little Rock to meet with the newly elected [President] Bill Clinton, and I was assigned to cover the transition there...