Thursday,  May 9, 2013 • Vol. 14--No. 293 • 8 of 32 •  Other Editions

The moth into the flame

• Why does the US have the most expensive health care system in the world?
• What is inflammation? New ways to turn off Inflammation have revolutionized the treatment of arthritis and other illnesses, which begs the question.

• Coming from the Latin words "into the flame," like what bonfire sitters observe the moth doing on a summer night, inflammation is a natural phenomenon that can be harmful and almost evil. But there is much more to this story.
• During the summers of my first four years of medical school, I was honored to spend time with the doctors of the Bartron Clinic in Watertown, where they generously provided an educational experience for me. I realize now at that level of training, how little help I was to any of them, but how much help their wisdom would eventually be to me.
• One highlight on inflammation and the history of medicine came from pediatritian Dr. Ebehardt Heinrichs. While we were examining a young child with acute arthritis, he pointed out on her hands the four physical findings famously described by Celsus, a Roman who lived at the time of Jesus. "These are the cardinal signs of inflammation: "rubor" (redness,) "tumor" (swelling,) "calor" (heat,) and "dolor" (pain,)" he said.

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