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...Tuesday, after he had been fired from his job as a counselor at a Bavarian spa town, the priest at the center of the German Catholic Church scandal paid a visit to the man who had been his therapist in Munich when the troubles began back in the 1980s. Dr. Werner Huth describes his former patient as now being a "broken old man and very depressed." But, he says, "the priest still sees himself as a victim...
This week, I'm down in Hayneville, Alabama - between Selma and Montgomery - on an Alternative Spring Break trip. My students and I are here to help rebuild a black church that was burned in an arson attack a few years ago. I am taking this opportunity to re-read Dr. Martin Luther King Jr.'s classic book, Where Do We Go From Here: Chaos or Community? This was King's final book, written the year before his assassination, at a time of profound transition—not only for the black freedom struggle he helped to lead, but also...
...final word on the tested treatments. In the blood-fats arm of the ACCORD study, for instance, about 40% of the volunteers had already had a previous heart event and the remainder had risk factors, other than diabetes, that put them at high risk for heart disease, notes Dr. Om Ganda, director of the lipid clinic at Joslin Diabetes Center in Boston. That means the trial was not truly a primary-prevention study designed to test whether aggressive drug treatment could prevent a first heart attack in newly diagnosed diabetes patients...
...their blood pressure, cholesterol and blood sugar levels - a trend that may have been lost in the noise of the current studies, which included patients who were up to 79 years old. "I tend to be far more tuned in to getting normal targets in my younger patients," says Dr. Daniel Einhorn, medical director of the Scripps Whittier Diabetes Institute, who is a co-author on one of the NEJM studies. "Without question, now I am more conservative in my treatment of older, sicker patients, because they don't benefit, and these studies just confirm that...
...primary lesson that clinicians can take away from the new findings is that the blind push to lower all risk factors such as blood pressure or cholesterol isn't necessarily healthy, says Dr. Christopher Saudek, director of the diabetes center at Johns Hopkins University. That may even mean resisting the commonsense urge to reduce these measures to recommended or normal range in diabetics patients. "To me, it's a matter of having reasonable and patient-oriented individual targets," he says, "rather than trying to push and push and push just to get lower and lower glucose or blood pressure...