Word: stillness
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Dates: during 2000-2009
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...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...
...expectations of America's medical future are now the rule in my patient population. Not with all the patients; the 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...
...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.) They are signing...
...unique characteristics of various species within a given ecosystem. Some species may have more tolerance for climate changes than others, and may not need to move as quickly; some species may be intolerant of change but unable to move. Other species may be sensitive to changes in rainfall, while still others responsive only to temperature - and changes in these weather patterns may not happen at the same rate. "The complexity is daunting," says Ackerly...
Nevertheless, while the climate-velocity concept is still crude, it's promising enough that Ackerly is collaborating with an organization called the Bay Area Open Space Council on habitat conservation strategies in central California. The new research informs one of the key challenges conservationists face: having only limited funds to buy up land, and, thus, having to spend wisely. "What we bring," says Ackerly, "is the ability to think about how topography might affect those decisions...