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Month: January 2017

WHO SHOULD OWN IN-THE-BODY MEDICAL DATA IN THE AGE OF EHEALTH

Within the next decade, reactive medical practices will evolve into what has been popularly coined “P4” medicine – predictive, preventive, personalized, and participatory – where examinations will take place at home, where devices connected to the body, externally and internally, will send medical data into the cloud, where expert systems will analyze and determine wellness and disease, as well as tweak, in real time, personalized electronic prescriptions for medical treatment and anatomical enhancement. Patients should own this data, and here is why.

THE MUSIC LESSON

My granddaughter sat next to me at the piano waiting to start her first lesson. On the rack in front of us, the music for “Some Enchanted Evening,” stared back, which, but for Amy’s question, “Poppie, when did you learn to play the piano?” would have been unremarkable. When I didn’t respond, she insisted, “Poppie, who . . .?” “My aunt played and she showed me. Now, you know your alphabet, so let’s start there.” Amy wasn’t finished. “Does she still play?” “I don’t think so….” “Why?” “Well, I don’t know.” Sometimes we hide the truth because, as in this case, my student needed to hear the harmonies, not the dissonance of a woman once musically possessed. But, as the time passed, Amy’s question kept putting me back on Maple Street.

APPOINTMENT OF THE PLANET’S NEXT POLICY CUSTODIAN

Scott Pruitt, President-elect Trump’s selection to run the Environmental Protection Agency by all accounts believes that global warming doesn’t involve human activity, such as coal burning, driving or deforestation. We should admire his skepticism. After all, for centuries scientists have proposed countless theories, widely accepted at the time, but later proven false. Perhaps he knows some newly discovered facts or explanations that would lead to a plausible theory that humankind isn’t the driving factor behind global warming. I look forward to his upcoming congressional confirmation hearings so he might enlighten us.