Word: sickest
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...physician noticed that some of those TB patients, many of whom were H.I.V.-positive, were not getting any better, despite being on anti-TB medications. Nothing he provided them seemed to control the tubercle bacillus flourishing in their bodies. Of the 53 who were sickest, 52 died, most within a month of entering the hospital...
Officials in Africa's Lesotho, where 10% of the population is infected with MDR and 30% is H.I.V.-positive, are relying on a collaboration between the government and Partners in Health, which provides private funding, to address another challenge in TB care: the need to isolate the sickest patients to prevent them from spreading the disease. Lesotho now boasts its first 10-to-15-room facility equipped with negative airflow, which contains and filters air circulating through TB wards. A single such center is hardly enough, but it is a start. "It shows you it is possible," says Raviglione...
...have malaria or diarrhea - and then get enough good food, which the hospital can provide. (St. Kizito is funded mostly by grants and donations from U.N. agencies and private citizens, plus the Ugandan government.) Still, the fight against malnutrition is not as simple as handing out food to the sickest, as Lemukol, 34, who is a native of the region, is well aware...
...Stanford researchers caution that if Medicare fully adopted a cost-benefit analysis model, too many patients could be denied life-saving treatment. They return to the example of dialysis patients. Their study showed that for the sickest patients, the average cost of an additional quality-of-life year was much higher - $488,000. "It is difficult to justify the burden and expense of dialysis when persons have other serious health conditions such as, for example, advanced dementia or cancer," says co-author Glenn Chertow, a nephrology professor at the Stanford School of Medicine. "In these settings, dialysis is unlikely...