Because of the COVID pandemic, the name Tony Fauci has become incredibly politicized. To some, he is a villain who took over the country through a pandemic. They cynically blame him for all of America’s woes from the coronavirus. To others, he’s a hero for speaking life-conveying truth in a public-health crisis when most others equivocated. I’m in the latter camp, and this book, a memoir mixed with an apologia, certainly explains his perspective on…
In psychiatry, “serious mental illness” is substitute language for bipolar disorder and schizophrenia. These two difficult diseases account for much of the homelessness that American cities see. Thus, these two diseases also account for much of where tax dollars go. The utterly tragic part, however, is that decent biomedical treatments exist for these diseases; in America, the infrastructure to treat them does not. Why? And what can be improved? This book, originally published in 1988…
This book is nearly forty years old, and like any forty-year-old history, it deserves an update. But like any good forty-year-old history, the stories that are told still transmit knowledge and wisdom. As a Vanderbilt Medical Center employee, I found the history of the medical center’s refounding in 1925 enlightening as it set a direction that continues to this day. Before the era of government-funded biomedical research, most research was funded by private endowments from…
“What’s past is prologue; what’s to come, in yours and my discharge,” wrote Shakespeare centuries ago in The Tempest. For the most part, women have been excluded from the enterprise of biomedical research throughout history. However, that practice has been changing in recent decades, and the trend will likely continue in coming decades. The challenge is mostly obvious: How can a woman balance a career demanding high performance with a fulfilling personal life, often with…
Soon after Emancipation, large efforts were required to meet the needs of formerly enslaved people. A medical college was founded in Nashville as a department of Central Tennessee College to train black doctors to address the needs of the underserved blacks across the country. Now called Meharry Medical College almost 150 years later, the school continues to educate healthcare professionals and advance “the worship of God through service to man.” This book chronicles its history…
Stories about HIV and AIDS fascinate me. They speak of our common humanity and our tragically all-too-common inhumanity towards each other. In fear, so many in power sought to sweep this disease and its victims under the rug, yet it pervaded to impact human life in almost every sphere. When AZT first showed promise and HAART later showed effectiveness, many breathed sighs of collective relief. Today, we live in an era of PEPFAR, where the…
Recent research has made it clear that mentorship plays an incredibly strong role in launching careers in STEMM. However, much of education remains organized around traditional missional axes of teaching, research, and service. Mentorship plays a determining factor in all three aspects. It accelerates and perpetuates careers. The National Academies, filled with the most outstanding scholars in America, supplied this consensus statement about the research around this topic. Based on evidence, they summarize findings and…
Artificial Intelligence is changing the way information is handled worldwide. The advances pose particular opportunities for medicine, where descriptive texts are the norm, research expands knowledge exponentially, and paperwork is a main product. Of course, new dangers uncover themselves, too. Will AI merely exacerbate existing health inequities, or will it provide better quality care for anyone with a smartphone worldwide? These subjects need to be thought through in order to secure positive outcomes. These authors,…
Along with the brain, sleep remains as one of the frontiers of biomedical science. Over a century ago, Sigmund Freud attempted to explore the nature of dreams, but his first attempts seem generally off mark to modern science. Current work has much more evidence to inform it, but few have the time to learn about it. Fortunately, Matthew Walker, a research scientist (notably not a physician), presents a summary of contemporary scientific insights about sleep.…
In the 1980s, a young Hmong child – whose people fought for the Americans during the Vietnam War – had epilepsy after her parents were relocated to California as refugees. Tragically, her parents never adapted to the American medical system, and equally tragically, the American medical system never adapted to them either. The child Lia Lee’s case resulted in a negative outcome, and the Lee family’s difficulty appears utterly humane upon further investigation. In this…