99 quotes found
"My agenda, pre-Trump, is the same agenda post-Trump. I am so glad that we have a president in the White House who wants to accomplish the things that the people of the state of Arizona, and people around this country, want to accomplish, I will be focused on things like border security, stopping illegal immigration, stopping rewarding people who came here illegally, and repealing Obamacare. I will be making sure the tax code is corrected, fair, and stimulates the economy’s growth — as well as making sure that America is energy independent. Those are things I have been fighting for since the first time I ran for the Arizona State Senate, trying to affect those things at the state level, and they are things that have been consistent even in my pre-political life."
"I had the time to try things, to stop others [referring to medications]. And what impressed me was how efficient it was and how much money I saved by having that extra time. And I will give an example. Most of the patients I met for the first time were very sick for a long time, and most of them, on average were on between 15 and 26 medications. Most of them only needed three or four of these medicines but no other doctor had the time to go through and find out, try this or take them off."
"Patients are not consumers, but sick, scared, vulnerable. Doctors and nurses are practicing a calling, a vocation, a craft and an art."
"[Regarding the saying "the secret of caring for the patient is caring for the patient"] The way we talk about patient care in our society is almost the opposite of what's actually happening. It's almost like the less we care in any way for the patient the more people talk about the patient, the "consumer" of health care. What was actually meant by that saying was that caring meant doing little things for them; it's the little things that establish the relationship between you and the patient, not some abstract "love for your neighbor." It's doing something actual and physical for this neighbor."
"Every time a new drug comes out, I read what the side effects are and how many people really get better, and I add in the side effects and the adverse reactions. When you do that, and subtract out the placebo effect, not many new medications make a difference."
"...when you're on your pilgrimage, you don't even need to know where you're going. You just have to know when you're off your path."
"What I discovered was that the two ways of looking at the body—the modern and the premodern, the Fast and the Slow, as a machine to be repaired and as a plant to be tended—are both effective when they are applied to the right patient at the right time. For illnesses that come on suddenly—an inflamed appendix, a rip-roaring infection, a car accident, a heart attack—it is best to think like a mechanic—boldly, reductively. What is broken? What should I do to fix it? Desperate illnesses require desperate remedies. But not-desperate illnesses do better with not-desperate remedies. Diseases that come on slowly—chronic infections, complex medical conditions, the aftermath of the appendectomy, the heart attack, the chemotherapy—are best approached like a gardener, asking myself as Hildegard would have done, not what is broken but what is working? What are my patient's strengths and how can I support them? What can I do to nurture viriditas, the natural power of healing?"
"The essence of Medicine is story-- finding the right story, understanding the true story, being unsatisfied with a story that does not make sense. Healthcare, on the other hand, deconstructs story into thousands of tiny pieces-- pages of boxes and check marks for which no one is responsible."
"We don't need to remake our health-care system or rebuild it from the ground up. We don't need to do very much. It's pretty simple, quite attainable. Just an added perspective and a change of pace."
"...I learned a Slow Medicine lesson: how individual medicine was. It wasn't true that one size fits all, that everyone or no one should have that treatment or this pill. Rather, the right answer had to do with style, with who you were, who the patient was."
"[In likening Slow Medicine to Slow Food:] Slow Food was not really about fast or slow in time. Rather it was about privileging the basics-- the ingredients, which do take time: farmers' time and gardeners' time, and also their skill, experience, and knowledge. It was about accepting what is-- the seasons, weather, climate-- and flowing with it, not against it. It was about removing what is in the way of a plant being the healthiest, the most fertile, the happiest it could be, and doing so by little actions, by fussing and fiddling. That was how it was "slow.""
"We can allow for Slow Medicine beds in our hospitals so that doctors have enough time to find out what is really wrong with a patient, and patients have enough time to heal."
"Everything looked so good in the computer, and yet what Father had gotten was not Medicine but Health Care-- Medicine without a soul. What do I mean by "soul"? I mean what Father did not get. Presence. Attention. Judgment. Kindness. Above all, responsibility."
"Sweet realizes that her job, as "gardener-physician", is to realize that her patient has a "natural ability to heal." Her own viriditas [vigor] will heal her, if it is not obstructed."
"Sweet's goal came to be to ask of her patients, "Is anything interfering with viriditas [vigor]? What can I do to remove it?""
"Sweet's argument is that what the people who come to her hospital need above all is "sanctuary, a safe place." She realizes that even to her hopeless patients she has a gift to give, friendship."
"It's hard to listen to a story that's not told well. That's a terrible thing to say, but we all feel this. You know, when we're at the dinner table and Uncle Dave is telling a long, windy story, what you're really thinking is, "Where is this going? What is the bottom line?" That kind of impatience is not just limited to the dinner table; that's often how doctors feel. When you didn't have any other [diagnostic] tools except that story, you just buckled down and listened. But now that we have other [high-tech] tools, we feel like, "O.K., I'm out of here.""
"In response to the question "One of the recurring themes in the book [Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis] is the fact that too few doctors sit down and hear out the patient's story. Why is that?""
"Girls who wear thongs may have the potential for bacteria from the rectal area to be dragged up towards the vagina or the urethra, increasing the chance of infection. Bare skin doesn't cause VPLs (visible panty line) either, so going commando can be a good alternative to wearing a tight thong."
"The myth really is true: urinate before and after sex. It's very, very helpful. Doing that naturally flushes the bacteria from the urethra. That way, when you're thrusting, there isn't bacteria to colonize in your urethra."
"Thongs aren't any worse than full-coverage underwear as far as promoting or decreasing the chance of infection or irritation—as with other styles, it's ultimately the materials that matter. Still, if you opt for a thong, go for one that fits properly and has a cotton crotch panel, as a too-tight thong can lead to chafing, particularly if it's a G-string style."
"The right thong with a cotton crotch and non-chafing G-string that fits well is not a problem for those who prefer (to wear) them (as underwear)."
"Cotton underwear, going commando or thong underwear with a cotton crotch are probably your best bets. Often, if someone is prone to infection, I'll tell them to sleep without underwear to aerate the area. I'll also tell them to put a hair dryer on cool when they come out of the shower and blow-dry their bottom to get rid of excess moisture."
"Plenty of people have been wearing underwear to bed their whole lives and have never had a problem with itching or inflammation. If that's you, there's really no health-related reason to change your habits."
"It may feel like an odd sensation but, done correctly, anal sex should not be painful."
"We are now teaching tolerance to something as vile as homosexuality – even to our grade-school children. This demon has been released to infect our generation. No matter what is said or claimed, most homosexuals are not happy, because there is something programmed in us by Jehovah God himself that makes us inherently know good from evil. This demon will not give peace, that’s why there is so much drug addiction and suicide in the gay community. It’s an antiGod, anti-procreation agenda of the Devil, and we have glamorized it. Now when we do evil, we find a way to make it acceptable. So, the majority have been pushed in the closet while we put up with the blatant display of perverted, vile behavior that is being taught to our children. Instead of the church gathering fire to help these poor souls get delivered, they have been accepted and given free rein in the church. The infestation is increasing because these people release these spirits in the church and in our schools to infect others. You cannot love, counsel or drug a demon. We have been caged!"
"Thank you CNN and let me know when y'all need some of them demons cast out of you. I will gladly oblige. You will feel a lot better. Keep up the good work."
"Big Tech is censoring Experts and suppressing the CURE. I will not be silenced."
"I thought she was very impressive in the sense that from where she came, I don't know which country she comes from, but she's said that she's had tremendous success with hundreds of patients, and I thought her voice was an important voice, but I know nothing about her."
"What is true for my family is not true for the family next door or down the street. We get nowhere venting our frustrations through talk of blame. So when we don’t see people masking, when we don’t see people doing what we think they should be doing, let’s just really be thoughtful about how we engage people and have healthy conversations to get our communities where we’d like to see them."
"And my primary focus across all of those priorities, whether it's with my staff, with COVID, and with other health care conditions, is equity. Making sure that I lead with equity, that I center equity, and that I do everything with a lens for equity."
"Hlatshwayo Davis said her interest in public health was shaped by the death of her father, who was diagnosed with cancer and diabetes."
"At 39 years, she has made history as the first black woman health director of St. Louis."
"With her impressive background and extensive experience as an infectious disease expert, I am confident in Dr Hlatshwayo Davis’ ability to lead our Covid-19 response as well as our efforts to improve health outcomes across the city"
"Time was when woman worked in the home, with her weaving, her sewing, her candle making. All that has been changed, and she can no longer regulate her own conditions and her own hours of labor. She has been driven in o the market, with no voice in the laws, and powerless to defend herself."
"There is no death for such as she. There are no last words of love. The ages to come will revere her name. Unnumbered generations of the children of men shall rise up to call her blessed. Her words, her work, and her character will go on to brighten the pathway and bless the lives of all peoples. That which seems death to our unseeing eyes is to her translation. Her work will not be finished, nor will her last word be spoken while there remains a wrong to be righted, or a fettered life to be freed in all the earth...We have followed her leadership until we stand upon the mount of vision where she today leaves us. The promised land lies just before us. It is for us to go forward and take possession...Already the call to advance is heard along the line, and one devoted young follower writes: “There are hundreds of us now, her followers, who will try to keep up the work she so nobly began and brought so nearly to completion. We will work the harder to try to compensate the world for her loss.”"
"If a democracy is a government by the people, and if a republic is a representative democracy, then there is no such thing in our country except in the four states where both men and women elect their representatives. In all the other states government is by an aristocracy of sex, for there can be neither republic nor democracy where one fraction of the people governs another fraction."
"The value of the movement does not depend upon whether it is voted up or voted down; its importance depends on whether it is fundamentally right or not, and the heart of the human race is bound to be ultimately fundamentally right."
"To the frequent objection that women are not fitted for the suffrage, I answer that they are better fitted for it than any class of men in this country have been at the time that the suffrage was given to them. The negro, the laboring man, the Revolutionary soldiers at the time of their enfranchisement showed only a small proportion who could read and write."
"A democracy does not rest on force. It never did and it never will. Rather does it rest on the education of its people for righteousness, which Carlyle declared was a democracy’s only hope."
"Democracy stands for three things: the right of every human being to earn an honest living, the right of the individual to reach his highest development, and the right of the individual to serve the community in citizenship. Woman should have her chance at each one of these aspects of democracy, and the ballot will gain the chance for her. If a thousand years without the ballot has made her only the “lovely, incapable” creature that she is declared to be, then by all means let us see what the ballot can do for her. Doing creates fitness."
"The ideals of democracy of to-morrow will apply the principles of democracy of to-day, and to-morrow there is bound to come the true representative democracy wherein every member of society has his and her part."
"By some objectors women are supposed to be unfit to vote because they are hysterical and emotional and of course men would not like to have emotion enter into a political campaign. They want to cut out all emotion and so they would like to cut us out. I had heard so much about our emotionalism that I went to the last Democratic national convention, held at Baltimore, to observe the calm repose of the male politicians. I saw some men take a picture of one gentleman whom they wanted elected and it was so big they had to walk sidewise as they carried it forward; they were followed by hundreds of other men screaming and yelling, shouting and singing the “Houn’ Dawg”; then, when there was a lull, another set of men would start forward under another man’s picture, not to be outdone by the “Houn’ Dawg” melody, whooping and howling still louder. I saw men jump up on the seats and throw their hats in the air and shout: “What’s the matter with Champ Clark?” Then, when those hats came down, other men would kick them back into the air, shouting at the top of their voices: “He’s all right!!” Then I heard others howling for “Underwood, Underwood, first, last and all the time!!” No hysteria about it — just patriotic loyalty, splendid manly devotion to principle. And so they went on and on until 5 o’clock in the morning — the whole night long. I saw men jump up on their seats and jump down again and run around in a ring. I saw two men run towards another man to hug him both at once and they split his coat up the middle of his back and sent him spinning around like a wheel. All this with the perfect poise of the legal male mind in politics!"
"I have been to many women’s conventions in my day but I never saw a woman leap up on a chair and take off her bonnet and toss it up in the air and shout: “What’s the matter with” somebody. I never saw a woman knock another woman’s bonnet off her head as she screamed: “She’s all right!” I never heard a body of women whooping and yelling for five minutes when somebody’s name was mentioned in the convention. But we are willing to admit that we are emotional. I have actually seen women stand up and wave their handkerchiefs. I have even seen them take hold of hands and sing, “Blest be the tie that binds.” Nobody denies that women are excitable. Still, when I hear how emotional and how excitable we are, I cannot help seeing in my mind’s eye the fine repose and dignity of this Baltimore and other political conventions I have attended!"
"as Dr. Anna Howard Shaw said of Sacagawea at the National American Woman's Suffrage Association in 1905: "Forerunner of civilization, great leader of men, patient and motherly woman, we bow our hearts to do you honor!... May we the daughters of an alien race... learn the lessons of calm endurance, of patient persistence and unfaltering courage exemplified in your life, in our efforts to lead men through the Pass of justice, which goes over the mountains of prejudice and conservatism to the broad land of the perfect freedom of a true republic; one in which men and women together shall in perfect equality solve the problems of a nation that knows no caste, no race, no sex in opportunity, in responsibility or in justice! May 'the eternal womanly' ever lead us on!"
"Brave women like Elizabeth Cady Stanton and Susan B. Anthony had been the early pioneers, facing abuse and ridicule, violence and even arrests for attempting to vote. Later, women like Dr. Anna Howard Shaw and Carrie Chapman Catt headed the National American Women's Suffrage Association, which struggled against "the lethargy of women and the opposition of men." But by 1916 a younger, bolder and more militant group emerged, which was dissatisfied with the slower process of winning suffrage, state by state, and fought for a constitutional amendment."
"Interestingly, Anna Howard Shaw, a much more conservative woman's rights leader than Stanton and a Protestant minister, echoed Elizabeth Cady Stanton's attack on interpreting the Bible as literal truth."
"(Was it true, as some historians of the movement maintain, that the National American’s president, Dr. Anna Shaw, was “suspicious” of unusual activity in the ranks?) AP: No, I don’t think she was. She came down to Washington frequently and spoke at our meetings, and she walked at the head of our 1913 procession. But I think we did make the mistake perhaps of spending too much time and energy just on the campaign. We didn’t take enough time, probably, to go and explain to all the leaders why we thought [the federal amendment] was something that could be accomplished. You see, the National American took the position—not Miss Anthony, but the later people—that suffrage was something that didn’t exist anywhere in the world, and therefore we would have to go more slowly and have endless state referendums to indoctrinate the men of the country."
"For seventy years, the women leaders of this country have been asking the government to recognize this possibility. Every great woman who stands out in our history-Susan B. Anthony, Elizabeth Cady Stanton, Clara Barton, Mary Livermore, Harriet Beecher Stowe, Frances Willard, Lucy Stone, Jane Addams, Ella Flagg Young, Alice Stone Blackwell, Anna Howard Shaw, Mrs. Carrie Chapman Catt-all have asked the government to permit women to serve more effectively the national welfare. All have felt that the energy, the thought, and the suffering that was spent in trying to obtain permission to serve directly should as quickly as possible be turned to the actual service."
"She was so able, so zealous, so utterly given to her cause that I had always had genuine admiration for her. Now I found her a most warm-hearted and human person, as well as delightfully salty in her bristling against men and their ways."
""I hate a lukewarm person," she declared when I persisted in balancing arguments. She did; she had never known for a moment in her life the frustration, the perplexities of lukewarmness."
"I learned that kids live in the community and that pediatricians need to be involved in the community in order for children to develop healthy habits and succeed in life."
"Separating children from their parents contradicts everything we stand for as pediatricians — protecting and promoting children's health ..."
"... I went to medical school before I became a mother. I had my oldest son as a fourth-year medical student. And so, when I was an intern, he was a baby. I had my daughter in the middle of my residency. And then my youngest son in my first year of private practice. And throughout my career, what I decided to do had everything to do with my own kids ... because the surprising thing that I learned is that what you do with children as a pediatrician is just a little bit in your office. What you really need to do is change the world around where they live day-to-day ... if you're going to improve their health."
"Over a span of two weeks, AAP President Colleen A. Kraft, M.D., M.B.A., FAAP, and other pediatrician experts were featured in more than 60 national and regional news outlets covering the crisis at the border. They had a consistent message: Family separation causes irreparable harm to child health, and detention is no place for a child. Amid advocacy and outcry from pediatricians, advocates and the public, President Donald Trump issued an executive order in June that sought to end the administration’s policy of separating children and parents at the border."
"Over the waiting congregation rolled the burdened tones of the great , and the sweet voices of the boy-choristers alternated with the monotonous chanting of the s. Three times through the s defiled the long procession, with the sacred images, and the , and the bags of money for the poor. The donned his wealthiest robes in acknowledgment of the presence of the ; the more stately s paraded their purple coats and their gold-studded canes, and quickened the circulation of the inquisitive crowd stopping to gaze at the crimson dais. Finally a great hush breathed into the room of the music and the chanting; a thousand eyes turned toward the pulpit that faced the oaken , and—as if evoked by the spell of their expectancy—the preacher arose in his place and announced his theme."
"The modern position of women was inaugurated by the . The overthrew the doctrine of the . The dissolved the doctrine of the necessary and lawful supremacy of es. The Revolution of 1848 asserted the of the individual."
"A predominantly masculine type to the external genitals, and even the presence of s, is compatible with a feminine habitus of body or with entirely feminine feelings and instincts, or with both. Thus was brought up as a girl until the age of 22, when she was pronounced a male by a court of law because possessed of a complete male genital apparatus—, though small and ; with a testicle in the right lobe, the left testicle resting in the and apparently in fatty degeneration; distended by sperm, which, however, contained no spermatozoids; rudimentary . The misinterpretation of sex had been due to presence of a central cleft in the scrotum, simulating a and terminating in a cul-de-sac six and a half centimetres deep. The rectification of this mistake filled the subject with such despair that he committed suicide."
"Dr. Jacobi died in 1906. In recognition of her manifold services to humanity, a memorial meeting was held shortly after, at which tributes were paid to her memory by Dr. , Dr. , , Mrs. , Dr. , Dr. , Dr. , and Sara King Wiley."
"Just a woman proving that devotion to family, hard work and the love of mankind are more than just catchy phrases."
"Her legacy is one of dedication that demands respect, admiration and most of all, emulation for generations to come"
"Dr. Bonsack managed to balance a fulfilling career path, a full family life, and the demands wrought on a public servant."
"She was very committed to the concept of a Catholic education where she felt discipline was necessary for a good education."
"Dr. Bonsack lived a full and accomplished life, and family was always most important to her."
"She enjoyed cooking Lebanese food, dancing the dabke, watching tennis, playing cards, and travelling."
"She was happiest when hosting birthday parties and crab feasts for her friends and family. Dr. Bonsack’s love of meeting and greeting new people was rooted in her upbringing while her family ran the family store, the House of Bargains in Havre De Grace."
"The language of medicine and science is being used to drive people to suicide. The mantle of concern for children is being claimed to destroy children's lives. We have to take a firmer stand on behalf of those who are being hurt."
"I started my pediatric residency program at Mount Sinai Hospital in New York City in 1983,"That was before the HiB vaccine came out, which protects against a bacteria called Haemophilus Influenzae Type B. "We used to see so many children with very serious bacterial infections due to this bacteria — pneumonia, meningitis, sepsis. And after the vaccines came out and had been given for a number of years, we really no longer see those infections."
"It's impossible for me to say what happens after the inauguration," she says. "This campaign has been planned for more than a year; it's coming out now."
"My project looks both at the context of advanced countries with strong health systems as well as countries where their health systems aren’t as strong. My goal is that my findings will help advance learning, awareness, and advocacy around women’s leadership in health, especially in a time of crisis when effective leadership is needed most."
"The health workers on the frontlines – particularly the community-based workers, many of whom are women – are the backbone of all of these efforts. They operate under incredible circumstances to ensure that their communities have access to life-saving health services"
"The places that are likely to have variants or spikes in cases are also the same places where the systems to deal with them are also very weak."
"Rapidly changing information led to a complex cycle of responses but at the center of this conversation is the recognition that the intersection between public health leadership and political leadership holds the key to getting ahead of the disease."
"I think we must be very intentional in focusing on women’s health. Women have borne the brunt of COVID-19 in terms of job loss, their overall wellbeing, gender-based violence, the unpaid care burden, and the list goes on. Women have suffered disproportionately from the pandemic. So, we need to be intentional in recognizing this and also taking action to reverse this situation."
"Another critical question is what type of leadership is needed to get through such an unprecedented crisis? New Zealand presents an effective leadership model not only through their rapid and aggressive response, but also a strong adaptive leadership in that complex intersection of politics, health and economics."
"Successful vaccination not only entails managing logistics of vaccine delivery, but also building widespread trust in vaccination, including among the health personnel prioritized for vaccination and tasked with providing the service."
"I’m a Nigerian-American, and I grew up for the first nine years of my life in Nigeria. I have seen firsthand what the impact of polio, measles, and all of that have on populations, specifically kids. To me, getting vaccines was something that had to do with social status and the economic capabilities of your parents to take you to the hospital way back then. But now, thanks to UNICEF and the United Nations, it’s made that so much easier to give children access to vaccinations."
"Surgeons deserve all the necessary resources to do the work we love. As passionate as we were in 2022, the ACS will be even more vocal in 2023 in advocating and lobbying for fair and equitable funding for our profession, and we will propose new ways to assess the value of a surgeon that reflect our contributions to the healthcare system."
"Graduating was not just my accomplishment but ours."
"What will help you thrive are your relationships with the people who love and support you, who, without exception, want what is best for you,"
"My hero was my mother, Ethel Taylor, who had unwavering faith in me and taught me that I could achieve my professional goals despite obstacles and inequities."
"An understanding and appreciation of the humanities is critically important in dermatology and in medicine in general. The humanities provide a framework for understanding mankind through disciplines including literature, religion, art, and music and helps us understand the innate characteristics of mankind including sympathy, kindness, good, and evil."
"The greatest political danger for the board-certified dermatologist is related to scope of practice. In multiple states, legislation has been introduced to expand the scope of practice of mid level physician assistant providers that would eliminate the formal supervisory relationship between dermatologists and physician assistants."
"This was completely unheard of, because women represent such a small population of orthopaedic residents in the country. The fact that 50 percent of our class were women that’s beyond unusual."
"We had such a rich environment because we had each other’s support. So we started thinking, how many women are actually going into orthopaedics? Why aren’t we going into academic surgery? And when we are in academics, are we actually growing within the field."
"The data was initially really dishearteningWe always talk about how it seems like there’s not enough women in orthopaedic surgery, but this study really put it into perspective."
"We were able to see the daily environment and how inclusive it was, and I think that’s why we had so many women want to match here that year. When you interviewed at most other orthopaedic programs you had a sense that it was a boy’s club. I can’t tell you the number of programs that asked me Why aren’t you going into pediatrics or OB/GYN?’ Northwestern never asked me that. They asked me and the other women in my class, What do you hope to accomplish in orthopaedic surgery?’ So we had a sense of belonging from the beginning."
"I reach out to female medical students to come shadow me in clinic and in my operating room. The job description of hip and knee replacement surgery can be pretty physical, which is why I think women can be discouraged from going into it. But I’m 5’8’’. I’m not a large individual. And I want female medical students to see that if I can do the surgery, they can do the surgery, too."
"That a malady so widely disseminated and so unmanageable as the tubercular variety of phthisis pulmonalis, or what is popular known as consumption, must, in its beginnings, be microscopic in character, has for years been suspected by students of medicine. That the patient and persistent labors of one individual, , should at last have at last revealed it, may be almost, but is not quite, beyond belief. The fullness of time for such a discovery had been indicate by the great amount of research, in regard to both the and of the disease."
"A , with a broken leg past mending, was kept in our house in a cage about a year and a half, fed, bathed, otherwise cared for and occasionally allowed the freedom of a room. A happier, merrier fellow, I never saw. He sang early and late, nearly the year round, moped a few dayss and died. The said he was much wasted in flesh, and had lived as long as he could. He was kept as comfortable as possible, and his song seemed purely an expression of happiness."
"In 1874, Mary Moody became the first female student at the . ... Moody graduated from medical school in 1876 and worked as a physician in for approximately nine years. While in Buffalo, she advocated for preventative medicine, lectured at the Women’s Gymnasium, and participated in the establishment of the Dispensary for Women and Children. ... The also is significant. It is an exuberant expression of the style of the late Victorian period and one of the few surviving buildings dating from this period in this section of ."
"Lindsay S. Hannah,"
"On April 20, 1988, throughout the United States and Canada, the first certification examination in will be administered. Those who pass will be awarded a certificate "of recognition of added competence" in geriatrics. This is a landmark event, for several diverse reasons. has emerged as a well-defined field of expertise. Since the now almost legendary committee, chaired by , issued its report in 1979,1 stating that there was clearly a distinct area of geriatric medicine that could be identified by its special body of knowledge and approach to patient care, there has been growing acceptance of that assertion. While at first many in academic medicine and community practice were skeptical, saying "I have been taking care of old people for years already," there is an increasing understanding of better ways to evaluate patients, establish the goals of treatment, and achieve those goals."
"The science of has advanced dramatically. As recently as 20 years ago, theories of the were just beginning to emerge and were largely theoretical. ... In the last 2 decades, advances in genetics and have led to extraordinary new understandings in how cells age, how programs cells to die, and how plays a role in the lifespan of organisms. ... The dual challenges for the 21st century are to link progress in basic science and clinical research to effective clinical care, and to create a health care system with properly trained physicians to provide evidence-based care for the growing numbers of older people."
"The landscape of the US continues to undergo change. As market forces are invoked to drive lower cost, better access, and improved quality, the entities in the health care market continue to diversify. For instance, (with personal electronic health records), // (with the promise of an affordable nonprofit employer health care system), / (combining a health plan with s), emerging -- relationships, and (in discussion to acquire ) represent major relatively recent developments. CVS/Aetna is the most well-developed of these changes. Nearly 6 years ago, the growth of retail clinics was described as a potentially positive disruptor, especially in the expansion of access and convenience.1 Many clinicians were concerned about lack of continuity and delegation of care to nonphysicians, yet these clinics seemed to offer a more accessible and less costly point of care compared with emergency department visits or even physicians’ office visits. If retail clinics could overcome the limits of legacy electronic health records to connect to other components of patients’ care, this model could even create a virtual comprehensive “system” as a point of connectivity and care coordination."
"Sadly for all of us, our culture does little to encourage boys to become great men. Television depicts men as stupid, or as sex addicts, and almost always intellectually and emotionally shallow. Men don't seem to care about these depictions, merely laughing them off. But I care about them, because our sons need good role models and given the amount of time boys spend with electronic media they need good role models on television. And of course, there is a bigger cultural fallout from the depreciation of masculinity and fatherhood, which is lower marriage rates, higher divorce rates, and the reality that many boys grow up in fatherless homes.This is a national tragedy, because boys need healthy encouragement from their fathers more than they need it from anyone else. In a boy's eyes, his father's words are sacred. They hold enormous power. His words can crush a boy or piece him back together after a fall. If a father is not there at all, there is a huge void in a boy's life — and as the depressing statistics remind us, boys who grow up without fathers are at a dramatically greater risk of drug abuse, alcohol abuse, sexually transmitted diseases, and ending up in prison.Encouragement from a father changes a boy's life. His words can ignite furious passion in a boy that will help him achieve any goal he sets out to accomplish. To a son, a dad's words are the final truth. If they are positive, a boy feels that he cannot be beaten; if they are negative, however, a son feels that he could never win. If you are a son reading this, you know exactly what I mean."
"Every boy needs schooling in virtues in order to become a great man. And any parent can school him because at the heart of virtue is masculine intuition. Parents don't have to construct the virtues and then pour then into the heart of their son. The virtues are there, but in small fragments that must be cleaned, shaped, and polished.The great burden for parents is finding time. Haste is the enemy of virtue, because it gives us no time to discuss, think, wonder, or pray; it forces us to push our boys to perform when we should be working with them. Give time back to your son. Give him time to dream. Encourage him to question and to think. Boys must have time to think upon virtues before they embrace them. Otherwise, virtues become nothing more than a disposable outer layer of clothing. A man can put them on or off, depending on his mood. But real virtues are not so disposable — they become part of the boy."
"Boys will search for virtue, just as they will search for truth and self-worth, because in the heart of a developing boy is the desire to know the truth, to know what is good, and to know that he has some reason to do the right thing. This is why boys are famous for setting out rules, standards of conduct for themselves. They derive their moral code from those they admire (usually their parents). Once a boy sets out his rules, he holds them as the best and highest way a boy (himself) should behave. If a boy succeeds in following his code of conduct, he's able to respect himself, and he believes others will respect him as well. Respect and honor are important to boys (and men)."
"At the top of most lists of good behavior is honesty. Boys are keenly attuned to honesty in those around them. And they feel it immediately when people around them sway from it. If a boy has a strong conscience, his eyebrows, nostrils, hairline, and mouth will all betray him if he tries to lie, because he will know he is breaking the code of conduct. Boys consider honesty a masculine quality, so to betray it is to be less of a man. Heroes, in a boy's eyes, are deserving of honor because they stand for what is right and just, and what is right and just is honesty.Living honestly feels better to boys than living with deception, even if that deception is meant to get them what they want. Boys like feeling strong and courageous, and telling the truth demands strength and honesty. Lying feels grungy. Lying makes boys fearful because they know it is a weakness. The liar is someone who is afraid of the truth.This is why boys are so open to being trained to tell the truth. They know that if you teach them to be truth tellers, you're teaching them to be strong. They know good boys, internally strong boys, tell the truth; wishy-washy boys lie. No one needs to tell them this; they know it. So in teaching honesty you have a ready audience. Don't blow it by encouraging your son to tell white lies — even if they're well intentioned. Young boys think in black-and-white terms. A statement is either true or it is false. The younger the boy, the less gray he feels in his thinking. When a parent coaxes him to tell "white lies" he is confused. The term is an oxymoron. In order to accommodate his parents' wishes, he puts lies into the pool of acceptable speech. Beginning such ambiguous training so early on in life leads boys down a slippery path."