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Patient's
genetic information will be routinely an essential components
of overall health care. For
example, when patients check into a hospital for care of myocardial
infarction, physicians will rapidly establish their genetic
profile for blood coagulation and lipid disorders as well
as their pharmacogenetic profile, or check this information
from the gene card carried in their cellular phone. This information
will be critical to the planning of any operations or prescriptions.
Researchers
will have identified the genes causing predisposition for
many common diseases, and characterize the "genetic risk
profiles." For many common conditions like coronary artery
disease or depression, we will know the specific significance
of genes, and the additional impact of the environment or
lifestyle factors. We will know how to prevent many of these
diseases, since genetically predisposed individuals can be
treated before they develop symptoms. Monitoring and medication
will be "individualized" to match each patient's
personal biology.
At
present, gene therapy is a routine cure for a few diseases;
this will change dramatically. Genetic medicine will be the
most prestigious specialty in the future; even now, medical
students are competing for training slots in medical schools
now offering this training.
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