I thought he was crazy. I thought you had to have super talent to win. But year after year it is clear in the NFL that teams who block and tackle better...win. You know this to be true in all sports.
So here at the Gene Sherpa, I am going back to the basics. I have been getting away from that and being a little preachy and in fact turning into a tabloid...While it does generate alot of blog hits.....Searches for Navigenics has sent my hit rate rocketing on FeedBurner....I think we need to report on how we are doing in our progression to Genomic Medicine.
So when I open this month's edition of Internal Medicine News "The Leading Independant Newspaper for the Internist-Since 1968" it is nice to see several headlines involving genetics. But it is sad to see the front page reading "Help Wanted: Internists Needed"
Yes it is true, there is a lack of primary care providers and it is only getting worse. They are suffering from the same problem as the medical geneticist. Not enough pay for the value of services provide....
But there is some good news, Primary Prevention works. We are already seeing the benefits of the HPV vaccine reducing the incidents of abnormal pap smears. HPV is a virus which causes cervical cancer. The first signs of an abnormal cervix are found on a Pap smear. In fact a reduction in cervical biposy of 22% is a very big sign we are headed in the right direction. Imagine that....Vaccines work.
In addition to all of the Genetic/Genomic Centered articles there is a subsection which I had mentioned in prior posts called "Genetics in Your Practice". In this section the cover connective tissue disorders like Marfan Syndrome. This is especially timely after the lawsuit involving John Ritter's death. Aortic Aneurysms are genetic and familial. In fact we have seen patients with such conditions. Timely detection by ultrasound can avert sudden death. It is important to pick up the subtle clues by taking a family history. Often a referral to a Medical Geneticist may aid in the diagnosis and treatment.
This is not to say we always get it right. We were wrong about the intitial pathogenesis of Marfan Syndrome....but now we know "better".