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Millions of dollars later, medicine still hasn’t mastered muscular dystrophy

February 20th, 2008

Failure to help the ‘lost boys’

From the New York Times, with video:

After more than four decades of Jerry Lewis telethons that raised many millions of dollars in search of a “cure,” the prospects for people with Duchenne muscular dystrophy are still bleak. Thousands of boys are still paralyzed by this muscle-wasting condition, and many do not live past their 20s.

It is a stark reminder of how American medicine — with its focus on breakthrough treatments — can sometimes fail a complex, rare and stubbornly uncurable disease. Single-minded in their pursuit of a cure, doctors and researchers for years all but ignored the necessary and unglamorous work of managing Duchenne (pronounced doo-SHEN) as a chronic condition.

The approach is changing at a few medical centers, which are focused on making better use of available therapies to eke out longer lives for their patients. Rather than concentrate only on a cure, some researchers are now intent on developing drugs that may alleviate the effects of the disease.

But, absent a cure, too many doctors around the country still assume there is little or nothing that can be done for the muscle-wasting condition, parents and specialists say.

“We’re in a stone age with Duchenne,” said Dr. Linda H. Cripe, a pediatric cardiologist at the Cincinnati Children’s Hospital Medical Center. She describes Duchenne patients as “a group of kids that pediatric medicine had forgotten, a group of lost boys.”

See related posts here and here and here.

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More than 50 million people in the United States have disabilities, a number that is growing rapidly as the population ages. Experts say disability will soon affect the lives of most Americans. This blog attempts to explore what we know about disability, and to chronicle the efforts of people who are seeking new ways to address familiar challenges.

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