Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

The Promise of Molecular Medicine

Philip Seo, MD, MHS  |  Issue: September 2018  |  September 19, 2018

amiak / shutterstock.com

amiak / shutterstock.com

Honestly, I’m not sure why I bothered to listen.

I was in my kitchen, early on a Saturday morning, with the radio keeping me company. It started with the news and the usual litany of tragedies, both major and minor, that comprise such programs. The news gradually faded into other programming, which I can no longer recall; honestly, I was using the radio for background noise, like elevator music for the tone deaf.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

Then it hit me: I was listening to a story on sperm donation.

I normally would have just turned off the radio—I’m not a prude, I just tend to avoid listening to stories about medical topics. It’s too much like work. Worse, it is difficult to turn the doctor part of my brain off, so I create a running critique, as if the reporter were a medical student in one of my classes, and I was grading his report.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

But my hands were full, and I was distracted, so the story gradually crept into the outer boundaries of my conscience, like an earworm or the latest summer hit, until I was hooked.

He started to donate when he was in college. Outside the pocket change he earned, he thought of it as a civic duty. To each, according to their need; from each, according to their ability.

Decades later, he started to learn how successful his contributions were. At last count, he has met 14 of his progeny. Men are apparently more reluctant to reach out than women, so he is expecting a second wave of children to emerge at some point.

He notes there was no instantaneous connection when he met his progeny. Of course, there were physical similarities; for example, he noticed that many of his offspring had the same flecks of color in their eyes. More surprising to me was another observation: They could all sing.

The father relates a story of how he met his daughter: Not knowing anything about her, he decided to take her to a karaoke bar, which he thought represented neutral territory. While he was singing, he noticed his daughter starting to cry. She later explained that she was raised in a tone-deaf family. Her ability and love of singing had made her feel out of place her entire life.

At first, this doesn’t seem any more remarkable than passing along the color of his eyes. It seems to make sense that the ability to sing might also be genetic. But take a moment to think about how complex this trait must be—the ability to hear a melody, internalize the notes and rhythm, and then reproduce both, must be as complicated as learning a language. That said, everyone speaks some language; not everyone can sing.

Siblings & Other Forms of Torture

“Only if you have an older brother who tortured you when you were a kid,” is my standard reply.

Page: 1 2 3 4 5 6 | Single Page
Share: 

Filed under:OpinionRheuminationsSpeak Out Rheum Tagged with:Genesgenetics

Related Articles
    How HLA-B27 Research Landmarks, Advances Relate to Ankylosing Spondylitis Pathogenesis

    How HLA-B27 Research Landmarks, Advances Relate to Ankylosing Spondylitis Pathogenesis

    July 13, 2016

    The mechanistic link between human leukocyte antigen B27 (HLA-B27) and ankylosing spondylitis (AS) is one of the great enigmas in rheumatology. The introduction of biological therapies that target tumor necrosis factor (TNF) or the interleukin (IL) 23/IL-17A axis has had a major impact on the quality of life for many patients with AS, and one…

    Figure 2: Renal Biopsy

    The Classification & Diagnosis of Granulomatosis with Polyangiitis

    August 16, 2018

    Based on the classification system developed by the Chapel Hill Consensus Conference, anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis is defined as a necrotizing vasculitis involving small vessels that is associated with myeloperoxidase (MPO) ANCA or proteinase 3 (PR3) ANCA and displays minimal immune deposits. The mechanism behind the pathogenesis of ANCA-associated vasculitis is not fully…

    Figure 1. A nasal biopsy shows intimal infiltration of the small blood vessels (black arrow).

    Case Illustrates the Difficulty Diagnosing Granulomatosis with Polyangiitis

    June 21, 2018

    Granulomatosis with polyangiitis (GPA) was first described in the British Medical Journal in 1897 by Scottish otolaryngologist Peter McBride.1 GPA is a relatively rare, systemic necrotizing vasculitis that can make diagnosis challenging. The incidence has been estimated anywhere between two and 12 cases per million.2 GPA mainly affects adults between the ages of 45 and…

    Experts Discuss the Latest Precision Medicine Research

    February 18, 2018

    SAN DIEGO—In just two decades, precision medicine has gone from futuristic concept to realistic toolbox for clinical physicians. At the 2017 ACR Clinical Research Conference on Nov. 3, the Precision Medicine in Rheumatic Diseases: Hopes and Challenges lecture featured rheumatologists and experts on genetics, genomics, pharmaco­genetics and big data who spoke about the latest research…

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences