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...person and on the page, Theroux displays his biases as proudly as his passport stamps. It is places, not people, that always seem to resonate for him more deeply - as in A Dead Hand, where "the stew of Calcutta," as he puts it, overpowers all other subjects. "The cracks showing through the peeling paint, the dirty shutters, the windows opaque with dust, the dead bulbs, the flickering neon, the wobbling rickshaws and beat-up taxis, all like a dream of failure, reflected just how I felt about myself," he writes, in a vintage Theroux description that doesn't quite seem...
Among the changes my patients seem to believe in, in this twilight of our crazy decade, is a newfound need to talk about the bigger health care picture with their orthopedic surgeon. They love talking about the government plan, insurance companies, overseas surgery outfits, electronic medical records. Often, I enjoy it too. It can slow down office hours but it beats droning on about glucosamine. From many hours of chat with many patients like Tony and Ira has emerged one strong theme: "Get it while you still...
...very well-to-do still show little concern for the future availability of care or what it will cost. But this group generally means business anyway; they've looked me up and are usually ready for an operation when they first come. The lawyers and teachers, similarly, don't seem too worried about losing access to my services anytime soon. And some fraction of patients always seems clueless about the world beyond the tips of their noses: they don't worry about insurance or anything else as far as I can tell. (See the top 10 medical breakthroughs...
...those patients in the middle - Medicare patients like Ira and Tony, the younger HMO types doing well but working harder and harder, the aging professionals dealing with their first serious pains - they seem to be of a new mind lately. So do the unemployed who foresee the day their COBRA benefits will end, and the still fully employed whose company plans in 2010 entail higher deductibles, higher copays and reduced benefits. Whatever their situation, these patients are less interested in therapy and anti-inflammatories, or in just waiting to see if the pain stops by itself. (Quite often it does...
Further research revealed that the same proteins also help cells resist illnesses such as West Nile virus, dengue fever, and yellow fever. But the proteins did not seem to be effective in defending cells from HIV or hepatitis...