Posts Tagged ‘medical school’
“Long life is welcome, agreeable, pleasant, and hard to obtain in the world”*…
… maybe, as recent research from Saul Justin Newman explains, even harder than we thought…
The observation of individuals attaining remarkable ages, and their concentration into geographic sub-regions or ‘blue zones’, has generated considerable scientific interest. Proposed drivers of remarkable longevity include high vegetable intake, strong social connections, and genetic markers. Here, we reveal new predictors of remarkable longevity and ‘supercentenarian’ status. In the United States supercentenarian status is predicted by the absence of vital registration. In the UK, Italy, Japan, and France remarkable longevity is instead predicted by regional poverty, old-age poverty, material deprivation, low incomes, high crime rates, a remote region of birth, worse health, and fewer 90+ year old people. In addition, supercentenarian birthdates are concentrated on the first of the month and days divisible by five: patterns indicative of widespread fraud and error. As such, relative poverty and missing vital documents constitute unexpected predictors of centenarian and supercentenarian status, and support a primary role of fraud and error in generating remarkable human age records…
The paper in full: “Supercentenarian and remarkable age records exhibit patterns indicative of clerical errors and pension fraud,” at @biorxivpreprint.
(Image above: source)
* Buddha
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As we long for longevity, we might send healthy birthday greetings to William H. Welch; he was born on this date in 1850. A physician, pathologist, bacteriologist, and medical educator, He was one of the “Big Four” founding professors at the Johns Hopkins Hospital, the first dean of the Johns Hopkins School of Medicine, and the founder of the Johns Hopkins School of Hygiene and Public Health, the first school of public health in the country.
Welch revolutionized American medicine by demanding of its students a rigorous study of physical sciences and an active involvement in clinical duties and laboratory work. His students included Walter Reed, James Carroll and Simon Flexner.
“I just saw some idiot at the gym put a water bottle in the Pringles holder on the treadmill”*…
Like millions of other people, I put a fair amount of effort into “being healthy.” I don’t smoke, try to eat a reasonable diet, and so forth. I do all of this with the backing of a strong scientific consensus that such behaviors are likely to be very good for my health and longevity. None of this makes me special in any way; I am trying to follow what one might call the medical truth of health.
What I want to suggest here is that there is a dark underside to all that healthy behavior. The underside is that the healthy behavior encourages the view that individuals are largely responsible for their own health outcomes, and that if people end up unhealthy or diseased, it’s their fault for not having engaged in sufficiently healthy behaviors. Call this a “social truth” of health. This social truth has real consequences. On the one hand, if individuals are to blame for their poor health, then they should bear a lot of the cost of their disease. After all, there is a sense in which they “chose” to be sick because of their unhealthy lifestyle. On the other hand, policies designed to create healthier environments or at reducing structural factors associated with poor health outcomes, like poverty, start to seem less important.
“Healthism,” as a prescient article from 1980 called it, has been a growing part of the American social landscape since the 1970’s, when jogging emerged as a fitness trend. The rise of healthism coincides with the rise of neoliberalism, a loosely-grouped set of policies that aim at analyzing all parts of society in economic terms, expanding the reach of actual markets, encouraging competitive behavior between individuals, and encouraging people to view their lives in entrepreneurial terms (for example, treating education as an investment the value of which is measured in terms of its probable future returns in the form of higher income). Because of the focus on individuals and market behaviors, neoliberal governance tends not to see systemic or public problems except insofar as they can be reduced to the problems of individuals…
It is in this context that we need to see our healthy lifestyles and the dilemma they pose. It is obvious that those who have the good fortune and the means can and should want to be healthy, for its own sake. On the other hand, the effort to be healthy directly feeds a narrative that says that poor health is the product of poor management, in the way that poor returns on financial investments might be. No one is ever simply “healthy;” even health today may hide illness to come, future illness that must be detected and prevented.
The problem is that the wellness narrative causes us to over-estimate the degree to which it is fair to blame individuals for their health outcomes…
The importance of separating what is an individually-healthy behavior from good health policy: “Is Your Healthy Lifestyle Bad For You?“
* meme
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As we emphasize empathy, we might recall that it was on this date in 1850 that the first classes were held at The Female Medical College of Pennsylvania, the second medical school in the U.S. exclusively for women. (The New England Female Medical College had been established two years earlier.) It soon changed its name to The Woman’s Medical College of Pennsylvania, then much later was renamed as The Medical College of Pennsylvania after opening its doors to men in 1970.

The school’s first building
I’m looking through you…
It is perhaps a sign of the times? In any case, Eizo (more specifically, the German medical imaging subsidiary of the Japanese company) has issued a pin-up calendar that cuts right to the bone:
Miss September
See them all at Advertolog. (TotH to UFUNK)
As we think again about responding to the X-Ray Specs ad in the back of that comic book, we might recall that on this date in 1768, the first commencement of a U.S. medical college was held at the College of Philadelphia (now, The University of Pennsylvania.) With the establishment of a the Department of Medicine in 1765, CoP had become the first medical school in the U.S.
The institution granted ten Bachelor of Medicine degrees at this first commencement. Being alphabetically at the head of the list, John Archer became the first doctor in the U.S. to receive such a degree. Four of these ten also received a Doctor of Medicine degree from the college three years later, in 1771. (The first Doctor of Medicine degree was granted in 1770 at King’s College– now Columbia University– in New York.)
The University of Pennsylvania Medical School (Originally, instruction took place in a wooden building, Surgeon’s Hall)
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