School of Medicine in the news

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Don Cheadle says Detroit 'absolutely a character' after filming 'No Sudden Move'

There are important themes embedded in “No Sudden Move” — things like corporate greed and racism — that don’t necessarily make for a slick, diverting thriller. But Don Cheadle says what he loves about the movie is that weighty matters are “part and parcel” of the dangerous schemes that unfold in this engrossing crime saga set in 1954 Detroit and shot last year in the Motor City during the COVID-19 pandemic. Before filming, Director Steven Soderbergh consulted with experts like Larry Brilliant, a renowned epidemiologist and native Detroiter and Wayne State University medical school alum who had advised him on “Contagion,” the 2011 thriller about a deadly virus that eerily presaged the pandemic. The movie also hired Wayne State's Dr. Phillip Levy, who was involved in COVID-19 testing programs for Wayne Health, a 300-doctor group practice. Medical staffers from Wayne Health handled the regularly required testing for cast and crew members, using mobile testing units to reach various locations. To show his appreciation to Detroit, Soderbergh made a personal donation to Wayne Health of two new mobile labs. "It seems honestly like a really good way to contribute to the community, so that we weren’t just coming here and sort of extracting something without giving anything in return,” the director told the Free Press in November. 
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There’s a neurological reason you say "um" when you think of a word

Eishi Asano's latest work sheds light on those seemingly pesky words that litter our speech: uhs and ums. As a neurologist at Wayne State University, Asano works on mapping human abilities to brain regions. One such important ability is the ability to use language. Neuroscientists have discovered that, like many little cogs in a wheel, a wide network of brain regions all work together to produce language. Certainly, the ability to communicate with others affects all aspects of life. Thus, protecting these brain regions during brain surgery is of high priority. Asano has an opportunity few have: to study the brain in action. During a pre-surgical procedure called an electrocorticography (ECoG), an incision is made in a research participant's skull, and electrodes are placed directly on the exposed surface of their brain. He then presents them with photographs of complex scenes and asks them to describe it. When they ran this study, Asano and his team were originally interested in deciphering which regions of the brain were responsible for describing what was in the picture, what they were doing, where and when. But, as his team rummaged through transcripts, what transpired between these words – the uhs – caught their attention.

Senate Republicans pass bill to block minors from COVID vaccine requirements

The Michigan Senate is getting in the middle of the COVID vaccine debate and working to put laws on the books to keep kids out of it. Tuesday, state senators voted to block minors from COVID-19 vaccine requirements. Wayne State University Infectious Disease Professor Dr. Teena Chopra says the data proves the safety and effectiveness of the vaccine for both adults and children. The researcher and medical doctor also states it’s the only way to reach herd immunity. “We are looking forward and hoping that throughout the summer the vaccination rates keep going up; and in the fall when we have school starting and also the fact that in fall, we usually see a surge in viral infections. We want at least 70 to 80 percent of our population fully vaccinated,” said Chopra. Currently students are required to follow state vaccine laws for diseases like polio and the measles to attend school. But Dr. Chopra says the same mandate should not be ordered for COVID vaccines since health care providers only have an emergency use authorization. “We need a full approval on this vaccination and also because we want to give the freedom to parents to find out more about the vaccine, to ask questions and then make an informed decision,” said Chopra.
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An end in sight? Michigan experts say COVID finally ‘winding down’

Maybe — probably, but not definitely — the COVID-19 pandemic is finally coming to a close, according to those on the front lines of Michigan’s greatest public health battle in more than a century. In Ingham County health officer Linda Vail’s view, the virus linked to 18,815 deaths in Michigan and more than 3.4 million worldwide or more appears to be “winding down.” Effective vaccines have brought about an early end to the pandemic, said Dr. Teena Chopra, an infectious disease doctor in Detroit. She was in “utter disbelief” at the third wave that hit the state earlier this year, and it’s only been in recent weeks that she has felt able to breathe again, she said. “You know, it depends how we define an end” to the pandemic, Chopra said. “I define the end as the uncoupling of case rates and the mortality rates.” In other words, both deaths and case rates are falling as vaccine coverage increases. But death rates are on a far steeper decline — indicating that “break-through” cases among the vaccinated are far less severe. “I think we can hope now, because the vaccines are so very, very effective,” she said. Chopra and other medical professionals have repeatedly noted in recent weeks that the lion’s share of hospitalized patients are those who have not been vaccinated. That the vaccines “work like a charm” has brought around a quicker end to the pandemic, she said.
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West Michigan experiencing spike in fentanyl-related overdoses

There has been a spike in fentanyl-related overdoses in two counties on the west side of the state, according to the Michigan Poison Center at Wayne State University. Cass and Van Buren counties are experiencing more overdoses related to the drug that is 100 times more potent than morphine and 50 times more potent than heroin. So far, Southwest Michigan has had five overdoses this year, which is more than last year. Dr. Varun Vohra, a clinical toxicologist with the poison center, said Southeast Michigan, especially the Detroit area, has seen a lot of fentanyl in cocaine and heroin. "People are being exposed to potentially especially lethal concentrations of drugs, specifically fentanyl, which can be coproduced or co-formulated with other opioids or other drugs unbeknownst to the users," Vohra said. "If they get this highly potent spike of fentanyl in there it causes them to stop breathing and die." Vohra said that while all people cannot be stopped from using drugs, people who are using them should make sure they have a drug reversal medication, such as Narcan, nearby. "We know people will use these products and illicit recreational drugs, and they need to know the risks associated with that and have an antidote on hand or with them," Vohra said. "It would be a huge boom to mitigate these overdoses."
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Mask mandate over for vaccinated in Michigan. Confusion for everyone else?

Gov. Gretchen Whitmer’s administration on Friday dropped Michigan’s mask mandate for fully vaccinated people, easing a restriction that could have remained well into summer but creating a host of questions in the process. The order, which takes effect Saturday at 9 a.m., came one day after the U.S. Centers for Disease Control and Prevention issued new guidance saying fully vaccinated people could safely go indoors without masks. That made mask mandates nationwide almost impossible to enforce, and many states have already dropped them since the CDC announcement. The new CDC guidance shows the national vaccination effort has been successful so far and could encourage other residents to seek inoculation, said Dr. Teena Chopra, an infectious disease specialist with Wayne Health and Wayne State University. "We are seeing the light at the end of the tunnel," said Chopra, who works in Detroit. "I see a lot of hesitancy here, and I hope this will incentivize Detroiters to get vaccinated."
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Wayne State researchers find statins might help COVID-19 patients live

Wayne State University researchers have found that hospitalized COVID-19 patients who took statins regularly before they got sick were less likely to die from the disease or have severe infections. Statins, such as Lipitor, are most commonly prescribed to treat high cholesterol. But they have other roles, too. “They have anti-inflammatory properties and control the immune system at various levels,” said Dr. Prateek Lohia, an assistant professor of internal medicine at Wayne State. Lohia says clinicians had very little knowledge about COVID-19 when patients started filling hospitals in 2020, or how to treat it. He began reading scientific literature to see if any medications might help treat the novel coronavirus. He says studies had already been done on how statins might help people with other viral infections. “We found some observational studies that noted a significant decrease in mortality from influenza and community-acquired pneumonia,” Lohia says. The Wayne State team began its own observational study to see how statins might help COVID-19 patients in Detroit. They observed more than 1,000 patients at Detroit Receiving and Harper University hospitals. Lohia says about 45% of those observed had been taking statins at home. Their mean age was 65, most were Black and many had comorbidities known to increase the risk of severe infection and death from COVID-19. The researchers noticed that those who had been taking statins at home before they were admitted had a lower mortality rate and were less likely to suffer severe infections than those who had not. Lohia says dosage also made a difference. “Moderate and high doses did have an effect compared to patients who are taking low doses,” he says. The early results of the study are promising, but Lohia warns that more research is needed. “Ours was just an observational study, which shows association but does not point toward causation,” he says. “What is needed is a randomized controlled trial to provide the next level of evidence.”
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COVID is fading, but racial gap in deaths is back with force in Michigan

African Americans again are dying at a disproportionate rate from COVID-19 in Michigan, as the gap widens between Black and white residents who have been vaccinated. In the past four weeks, African-American residents have comprised 19 percent — 295 of 1,560 deaths — of all COVID-19 deaths, despite making up 13.8 percent of the state population. The uptick comes as demand for the vaccines decreases. Statewide, some 27 percent of African Americans have at least one dose of the vaccine, compared to 40 percent for white residents, according to state data. And Detroit, where 78 percent of residents are African American, has one of the lowest vaccination rates in the state: About 33 percent among adults compared to 55 percent statewide. Experts say the return of the death disparities underscores that the vaccine saves lives. Detroit has gone to senior housing apartments and run clinics at churches and neighborhood centers in an attempt to get as many people as possible vaccinated. “If you make it easy for people they’re more likely to do what is needed to keep them healthy,” said Phillip Levy, an emergency room physician who heads the Population Health Outcomes and Information Exchange (Phoenix) program at Wayne State University. As a physician at Detroit Receiving Hospital, Levy said he saw the rising number of COVID-19 cases pour into the emergency room in recent months. “It’s very worrisome,” said Levy, who is also chief innovation officer for Wayne Health. And he’s aware of the low vaccination rate in Detroit. “That’s really scary. We’ve got to continue to press and press hard.” To help, Levy’s group has been taking its mobile health unit across the region, to neighborhoods in Detroit, Eastpointe and Pontiac and elsewhere to bring basic care as well as vaccines to areas where “social vulnerability” — higher poverty, more seniors, less health care access — is highest. He lauded efforts at local churches to bring the vaccines closer to where people live, to have it offered in settings where people may be more comfortable.
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Mort Harris, philanthropist and American Axle co-founder, dies at 101

Mort Harris, who co-founded auto industry supplier American Axle & Manufacturing Inc. and earned renown for his philanthropy, has died at 101. Born April 11, 1920, in Detroit, Harris started attending Wayne State University in 1939. During World War II, he was a fighter pilot, flying a B17 bomber on 33 runs over Germany and France, including two on D-Day. After the war, he attended Wayne State University but didn't finish, Harris told The News in 2019.  "I wish I could start all over and get a bachelor's degree in business," he said at the time. Harris eventually turned to industry, joining his uncle's industrial slag company, then buying a metallurgical products firm. After American Axle went public in 1999, he told The News, "I thought, 'OK, now what am I going to do?' I chose philanthropy." He had already frequently contributed to institutions such as the Detroit Symphony Orchestra, Detroit Institute of Arts and Michigan Science Center. His name now graces a recreation and fitness Center at Wayne State. In 2017, he gave $10 million to help Wayne Med-Direct, a Wayne State University program that aids admission to an undergraduate honors college and creates a pipeline to medical school.  Harris also had been among the school's top five donors, having also contributed to social work and literacy programs. In 1970, he established the Edith Harris Memorial Scholarship in the School of Social Work in honor of his first wife, joining the Anthony Wayne Society, the university’s highest donor recognition group, as an inaugural member, officials said. With his second wife, Brigitte, he continued to support a lecture series in the School of Social Work and scholarships for students in the College of Engineering, along with the Damon J. Keith Collection at the Law School and other university initiatives. In 2012, they established the Mort Harris Endowed Scholarship Fund in the School of Medicine and the Mort Harris Office for Adult Literacy Endowment Fund with a $5 million gift. Harris also supported many community organizations, including the Boys and Girls Clubs of Southeastern Michigan, Focus: HOPE, and Detroit Public Television, Wayne State said. In a statement Friday, WSU President M. Roy Wilson described Harris as a humble giver. "Anyone who has reached his incredibly high levels of success could be justifiably proud, but that wasn’t Mort," Wilson said. "Despite his financial success and his many military and civilian honors, Mort was humble and kind, and he would happily opt for a sandwich over a five-star meal because it was the people he was with that mattered most. "Wayne State was the fortunate beneficiary of Mort’s thoughtful generosity, and his substantial gifts were often in support of students in need."
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Detroit's infant mortality rate made a historic drop. Here's why

Detroit's infant mortality rate — once highest in the nation, exceeding many Third World countries — achieved a historic drop in 2019, helping Michigan achieve its lowest infant mortality rate in more than 100 years, according to state health officials. Detroit Mayor Mike Duggan noted programs, such as Make Your Date, a collaboration between the city and Wayne State University, and prenatal programs run by Henry Ford Health Center and Ascension St. John Hospital as well as community organizations such as the Black Mothers Breast Feeding Association. Infant mortality is considered the death of an infant before reaching the age of 1. Causes of infant mortality included birth defects, preterm or premature birth, maternal pregnancy complications, Sudden Infant Death Syndrome and injuries like suffocation. The greatest cause of infant mortality is premature birth, said Dr. Sonia Hassan, a professor of obstetrics and gynecology and maternal-fetal medicine who co-founded Wayne State University's Make Your Date program with Duggan in 2014. "It's amazing and great news," said Hassan of Detroit's reduction in infant mortality. "The reduction was for 2018 to 2019, but for years before that, there was a real big focus in the city by many groups on infant mortality — and it really made a difference. "Our program had high volume enrollment and others did too during that time. We were able to partner with the city on the transportation piece. So we were able to get a lot of people to services that they needed." Make Your Date, Henry Ford Health System, Ascension Health, the March of Dimes and numerous other partners focused on moving the needle, she said. "All of those people collectively as a group really were focused on infant mortality," she said. 
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MDMA may help treat PTSD – but beware of claims that Ecstasy is a magic bullet

Dr. Arash Javanbakht, associate professor of psychiatry, wrote an article for The Conversation. “Recent clinical trials, including one soon to be published in Nature Medicine, have suggested that MDMA combined with psychotherapy may help treat post-traumatic stress disorder, or PTSD. The news generated considerable optimism and excitement in the media, and some in the scientific community. As a psychiatrist and an expert in neurobiology and treatment of PTSD, I think these developments may be important – but not the major breakthrough that some people are suggesting. This approach is not a new magic bullet.
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AHA News: Is all exercise equal? How to balance workouts to create the ideal fitness plan

While any regular physical activity can benefit your health, the ideal fitness plan requires the right balance. The American Heart Association recommends adults get at least 150 minutes of moderate-intensity aerobic exercise a week or 75 minutes of vigorous activity, or a combination of both; plus muscle-strengthening activity, such as resistance training, at least two days per week. "Aerobic exercise should be the foundation of any exercise program," said Barry Franklin, director of preventive cardiology and cardiac rehabilitation at William Beaumont Hospital in Royal Oak, Michigan, and professor of physiology at the Wayne State University School of Medicine. Doctors may suggest a medically supervised treadmill test to evaluate how a person's heart rate, blood pressure and heart rhythm respond to progressive levels of exercise, as well as their level of heart-lung fitness expressed as metabolic equivalents, or METs. Franklin calls METs the "currency of exercise." They are used to quantify one's aerobic fitness in order to recommend the appropriate level of activity.
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COVID-19 pandemic causing increase in nursing & medical school applicants

We’ve spent more than a year battling the COVID-19 pandemic, and doctors and nurses are among the heroes on the front line every day. The U.S. will need nearly 140,000 doctors by 2033 and around 500,000 nurses by 2030. Thankfully, the determination we’ve seen during the pandemic is inspiring an explosion of interest and applications for nursing schools and medical schools across the country and right here in metro Detroit. That sense of commitment and desire to help others is what schools are looking for in future doctors, nurses and other healthcare workers. "I think most people are good at heart and they want to make a difference," Wayne State School of Medicine Dean Dr. Mark Schweitzer said. He said you can make that difference with these professions but you also get a reward. "To have a profession where you go home every night and you said that I helped patients X, Y and Z today is a righteous thing to do," he added. Wayne State’s medical school received 1,000 additional applications - up 10%. But the school can only increase the size of the class by 3%. The size of medical schools is regulated by their accrediting body, and there are only so many clinical spots for med school students and nursing students. Schweitzer says it would be easy to fill up an incoming med school with people with perfect GPAs and from the right zip codes. He says Wayne State’s mission is to train people who might not be able to get that training elsewhere.
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100 days without Trump on Twitter: A nation scrolls more calmly

Seth Norrholm, an associate professor of psychiatry at the Wayne State University School of Medicine and an expert on post-traumatic stress, said that Twitter had offered Mr. Trump a round-the-clock forum to express his contempt and anger, a direct channel from his id to the internet. Every time he used all-caps, Professor Norrholm said, it was as if “an abuser was shouting demeaning statements” at the American people. Although “out of sight, out of mind really works well for a lot of people in helping them to move forward,” he continued, Mr. Trump has refused to go away quietly. Indeed, he has set up a sort of presidential office in exile at Mar-a-Lago, his Florida resort, emerging intermittently to issue statements on quasi-presidential letterhead and to heap derision on Republicans he deems insufficiently loyal. “It’s as if you’re in a new relationship with the current administration, but every now and then the ex-partner pops up to remind you that ‘I’m still here’ — that he hasn’t disappeared entirely and is living in the basement,” Professor Norrholm said. “What’s going to happen over the next couple of years is that you will hear rumbles from the basement. We don’t know whether he’ll emerge or not, or whether it’s just some guy in the basement making some noise.”
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Spotlight on the News: Michigan's COVID-19 surge; what do top medical experts think?

Spotlight on the News examined Michigan's recent surge in COVID-19 cases through the eyes of two of the state's most experienced infectious disease medical experts. Guests included Professor Marcus Zervos, MD, Assistant Dean, Global Affairs, Wayne State Medical School & Division Head, Infectious Diseases, Henry Ford Health System; and Associate Professor Paul E. Kilgore, MPH, MD, FACP, Pharmacy, Family Medicine & Public Health, Wayne St. University & Senior Investigator, Global Health Initiative, Henry Ford Health System. What do they think is behind Michigan being the nation's latest coronavirus hot spot?
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COVID vaccine and kids: What does the future hold for parents concerned about their children's health?

Dr. Eric McGrath didn’t need to think hard about getting the vaccine. "For me it was a no-brainer to get the vaccine as soon as it was available and the same for my wife who’s a nurse," said the Associate Professor of Pediatrics at Wayne State University School of Medicine. "But with kids," he continued. "I think there’s a lot of caution, concern." Since early April all Michiganders 16 and older have been able to sign up for a vaccination slot for a dose of Pfizer (Johnson & Johnson and Moderna are still limited to those 18+). But as the sprint to end the pandemic continues, the question of children and immunity has come to the forefront. It is seen as a critical, but also contentious, necessity in the return to "normal. I think I would like to give it to my children," McGrath continued, "it’s just a matter of sort of getting information when it finally gets released, and then you know sorting through it."