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The medical student and artist changing medical illustration

August 22, 2023
Reporter, Morning Rounds Writer
Good morning. Can you believe it's time for presidential debates again? Our D.C. team looks at who else won't be at tomorrow's GOP event.

politics

Do Republicans love RFK Jr. as more than a spoiler?

Donald Trump won't be joining his rivals for the GOP presidential nomination at the first debate tomorrow night, but there's another increasingly popular contender who might crowd the room — and shed some light on the party's heath platforms for 2024. That's RFK Jr., the Democrat who's seen a surge in popularity among conservatives and Covid-19 conspiracy theorists who subscribe to his anti-vaccine views. Certainly a longshot, he's won praise from Republican candidates Ron DeSantis, Vivek Ramaswamy, and Trump

The cynical view says "promoting Kennedy is under the guise of anything that's bad for Biden is good for Republicans," said GOP strategist Brian Seitchik. There may be more to his appeal, said Harvard's Robert Blendon, who tracks voter sentiment on health care and other policies. "He has a hostility towards experts, towards scientists, people in federal government agencies, and that captures a share of where Republicans are." Read more from STAT's Sarah Owermohle.


gene editing

Intellia downplays concerns about accidental germline transmission in CRISPR trial

helix hands

Adobe

Like gene therapy before it, CRISPR editing has inspired fears of accidentally transmitting genetic changes intended to correct a disease or condition into sperm or eggs, with unintended and unknown consequences. Last weekend Intellia, one of the leading companies developing in vivo gene editing therapies, reassured scientists at a Cold Spring Harbor conference that its studies show "there's no evidence of vertical germline transmission of those edits," Jonathan Phillips, Intellia's head of pharmacology and toxicology, said.

Phillips was talking about a mid-stage CRISPR trial for hereditary angioedema that the company halted after the FDA requested more data to support including female patients of childbearing potential. A NEJM study of a different transthyretin amyloidosis therapy noted that in three out of 12 female monkeys, there was gene editing in the animals' ovaries, but it was unclear whether that was in cells that would become eggs or in cells around them. Later experiments in mice show "it's not due to germline transmission," Phillips said. STAT's Megan Molteni has more.


health tech

FDA panel to debate a new — and contentious — treatment for high blood pressure

Renal denervation is a one-time surgical procedure to reduce blood pressure. The need is clear, but the data supporting its use are not. Today an FDA advisory panel will hear from two companies seeking approval for their surgical systems to treat hypertension: Recor Medical, a startup owned by Otsuka Medical Devices, and device giant Medtronic. An analysis of three randomized clinical trials of Recor's device showed a modest decrease in blood pressure and a late-stage trial showed Medtronic's system reduced blood pressure measured in the doctor's office, but not at home, which is considered more accurate.

"The real questions are, how much uncertainty is there in this assessment of benefit?" said interventional cardiologist Robert Yeh, a member of the panel. "How do we weigh that against both the potential harms of the device, as well as the need to address this really important public health problem?" STAT's Lizzy Lawrence has more.



Closer Look

A medical student and artist from Nigeria changes the world of medical illustration

Illustration: Hyacinth Empinado/STAT; Photos: Courtesy Chidiebere Ibe

The medical illustration of a pregnant Black woman and her fetus shouldn't have been groundbreaking when it went viral in 2021, but it was. That's because only 4.5% of the images in medical textbooks feature darker skin tones, which can be dangerous if it leads to misdiagnosis. The image was by Chidiebere Ibe (above), a Nigerian medical student and self-taught medical illustrator. He talked recently with STAT's Annalisa Merelli:

When you started doing medical illustrations, did you intend to add diversity?

No. It's through the process of learning that I realized they didn't represent people of color or Black people.

Do future African doctors learn medical symptoms from images of white people? 

I took a course in pathology and realized that all the slides used in lecturing were skin diseases on white people. And I keep asking myself: How does [the same disease] look on Black people?

Read the full interview.


Health equity

How the first Native Hawaiian psychiatrist inspired diversity in medicine

When Benjamin Young started his residency at the John A. Burns School of Medicine University of Hawaii in 1972, he was surprised to learn he was one of fewer than 10 Native Hawaiian trained physicians. Then the dean asked Young, who became the first Native Hawaiian psychiatrist, to launch the novel Imi Ho'ola program. Since then, it's helped raise that number of doctors to hundreds in Hawaii and hundreds more from other underrepresented groups throughout the country.  

While the eyes of the world are now trained on Maui and its devastating fires, there is a documentary in the works about the Imi Ho'ola program. STAT's Ambar Castillo asked Young, who turns 85 this week, about encouraging students to believe they could be doctors. "That's the story of Hawaii. You have the children of the plantation, descendants of immigrants, people who were in poverty, those who thought they could never do it." Read how he — and those he inspired — did it.


health communication

Most Americans aren't sure what's misinformation

Call it the uncertainty principle. While few people believe examples of widespread misinformation, such as vaccines causing infertility (3%) or armed crossing guards stopping school shootings (18%), more people weren't so sure, a new KFF poll reports. About half to three-quarters of the Americans are uncertain whether each false claim is true — picking "probably true" or "probably false." That hints in two directions: They may be susceptible to false health claims or they may accept truthful claims from trusted sources, like their doctors.

Local TV news, national broadcast network news, and local newspapers are among the most trusted sources. People who rely on Newsmax, OANN, Fox News, or social media are more likely to have heard the false Covid claims tested in the survey. "The public's uncertainty leaves them vulnerable to misinformation but is also the opportunity to combat it," KFF President and CEO Drew Altman said in a statement.


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What we're reading

  • Eli Lilly CEO donates big to Mike Pence presidential super PAC, STAT
  • FDA approves Pfizer's RSV vaccine designed to protect newborns by immunizing parent, STAT
  • Tribal health workers aren't paid like their peers. See why Nevada changed that, KFF Health News
  • Nuclear war could end the world, but what if it's all in our heads? New York Times
  • The booming business of American anxiety, Wall Street Journal

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