Lisa Rosenbaum.

We measure many things that have no worth to patients, while a lot of what sufferers do worth, including our attention, remains unmeasurable. Why, Wachter asks, perform we do nothing similar in health care? In a moving passage, Wachter speaks with a famous surgeon who once spent his evenings before surgery reading his notes on another day’s patients. No longer. His notes have been rendered uselessly homogeneous by the tyranny of clicks and auto-populated fields. I cannot even picture their faces. The blanks on our displays can be filled with words, but the process of understanding can’t be auto-populated. Lifestyle without the EHR will soon be unimaginable Perhaps. But the technology will support and improve medical care only when it evolves in ways that help, rather than hinder, us in synthesizing, analyzing, thinking critically, and telling the stories of our patients..On the other hand, they statement, the nef gene of HIV-1 and a subset of closely related SIVs failed to limit T cell activation and loss of life. ‘Intriguingly, this lack of Nef-mediated suppression of T cell activation appears to have occurred twice, once in the ancestor of several infections infecting Cercopithecus monkeys, as soon as in SIVcpz, the ancestor of HIV-1 which infects chimpanzees,’ noted study coauthor Paul Sharp, of the University of Nottingham, who is a leading expert in HIV and SIV development. ‘What these viruses have as a common factor is usually a vpu gene, not within other SIVs, and so it’s tempting to speculate that the current presence of vpu is usually somehow causally linked to the change in Nef function,’ Sharp added.