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INFORMAMI 3.2020 ANNO LXXIII Bollettino Dell’Omceomi

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INFORMAMI 3.2020 ANNO LXXIII Bollettino Dell’Omceomi INFORMAMI 3.2020 ANNO LXXIII Bollettino dell’OMCeOMI PROFESSIONE Vitamina D e nota 96, regole per ridurre la spesa pag. 15 SANITÀ Merendine, quali rischi per la salute? pag. 25 DA VEDERE La relazione terapeutica nel cinema pag. 45 360°Intelligenza artificiale L’evoluzione della medicina tra robotica e machine learning pag. 5 3. 2020 A www.omceomi.it Collegati con l’Ordine Ricordiamo che, ai sensi dell’art. 16 comma 7 D.P.R. 185/2008, sei tenuto a comunicarci il tuo indirizzo di Posta Elettronica Certificata (PEC). Se non lo hai già fatto, segnalalo inviandolo a: [email protected] Grazie. I telefoni dell’Ordine Direzione Ufficio iscrizioni, Aggiornamento professionale ECM Dott. Marco CAVALLO cancellazioni, certificati Dott.ssa Sarah BALLARÈ tel. 02.86471.1 Alessandra GUALTIERI tel. 02.86471401 tel. 02.86471402 Dott.ssa Mariantonia FARINA Segreteria del Presidente Giusy PECORARO Cinzia PARLANTI tel. 02.86471449 tel. 02.86471410 tel. 02.86471400 Dott.ssa Irene PISANI Maria FLORIS tel. 02.86471.427 Segreteria consigliere medicina generale tel. 02.86471417 Cinzia PARLANTI Segreteria commissione odontoiatri tel. 02.86471400 Marina ZAFFARONI Silvana BALLAN tel. 02.86471448 tel. 02.86471423 Segreteria del vice presidente Silvana BALLAN Front office Stefania PARROTTA Ufficio Rapporti con ENPAM, tel. 02.86471423 Cinzia PARLANTI (Stampa) tel.02.86471428 modalità di ricevimento tel. 02.86471400 Pubblicità sanitaria e psicoterapeuti Segreteria del consigliere segretario Ricevimento telefonico: Lorena COLOMBO Laura CAZZOLI Maria FLORIS lunedì e mercoledì h 14:00-16:00 tel. 02.86471420 tel. 02.86471413 tel. 02.86471417 martedì e giovedì h 10:00-12:00 CED Segreteria commissioni Amministrazione e contabilità Ricevimento in sede Lucrezia CANTONI Maria FLORIS Dott.ssa Paola LANINI (su appuntamento) tel. 02.86471424 tel. 02.86471417 tel. 02.86471407 lunedì e mercoledì h 10:00-12:00 Loris GASLINI martedì e giovedì h 14:00-16:00 Area giuridica amministrativa Contabilità - visti d’equità tel. 02.86471412 Avv. Mariateresa GARBARINI Gabriella BANFI Per prenotare il proprio tel. 02.86471414 tel. 02.86471409 Centralino appuntamento, chiamare il numero Rossana RAVASIO Fabio SORA di telefono: Segreterie organi collegiali tel. 02.86471419 tel. 02.864711 02.86471404 Ufficio deontologia procedimenti disciplinari Sofia CAPPELLARO Ufficio Rapporti con ENPAM Una segreteria telefonica è sempre Dott.ssa Daniela MORANDO tel. 02.86471411 Katia COSTA attiva per lasciare eventuali messaggi; il referente d’ufficio tel. 02.86471405 tel. 02.86471404 Ufficio Stampa - sito istituzionale provvederà a rispondere appena Dott. Gabriele AVANZINI Dott.ssa Mariantonia FARINA possibile. tel. 02.86471426 tel. 02.86471449 B INFORMAMI SOMMARIO EDITORIALE 3 Più tutele e meno eroismo INTELLIGENZA ARTIFICIALE 360° L’evoluzione della medicina tra robotica e machine learning 5 Se le macchine vengono in aiuto dei medici (senza sostituirli) 8 Più tecnologia, più umana: ecco la medicina 3.0 10 In equilibrio tra nuove opportunità e potenziali rischi 11 IA e medicina a Milano: una storia che viene da lontano 12 Sistemi intelligenti per la lotta a COVID-19 PROFESSIONE 15 Vitamina D, quanto mi costi? 18 Raccontarsi per stare meglio 21 Tutti displipidemici, “quasi” nessuno escluso 24 Che fine ha fatto il principio di precauzione? SANITÀ 25 Merendine e bevande zuccherate: i rischi per la salute 29 Avastin-Lucentis: tutto risolto? 32 Gli aggiornamenti sui danni da svapo CLINICOMMEDIA IERI E OGGI 34 Vita grama con la sindrome 36 Sindrome o malattia? Il quesito clinico è sempre lo stesso STORIA E STORIE 38 1972: l’anno della follia 41 La peste di Milano e il Lazzaretto DA VEDERE E DA LEGGERE 44 Da vedere 45 Rapporto medico-paziente: la relazione terapeutica nel cinema 48 Da leggere SMARTFAD I Gli interventi assistiti con gli animali: una terapia di supporto II Sarà ma non ci credo” IV Ci pensa Gilda VII Ritrovare il sorriso esercitando i muscoli INFORMAMI 3.2020 ANNO LXXIII Bollettino dell’OMCeOMI PROFESSIONE Vitamina D e nota 96, regole per ridurre la spesa pag. 15 SANITÀ Merendine, quali rischi per la salute? pag. 25 DA VEDERE La relazione terapeutica nel cinema pag. 43 360°Intelligenza artifi ciale L’evoluzione della medicina tra robotica e machine learning pag. 5 2. 2020 A Registrazione al Tribunale di Milano Dati generali relativi all’Ordine n° 366 del 14 agosto 1948 Iscritta al Registro degli operatori Consiglio Direttivo di comunicazione (ROC) al n. 20573 Presidente (delibera AGCOM n. 666/08/CONS del Roberto Carlo Rossi 26 novembre 2008). Vice Presidente Direttore Responsabile Andrea Senna Roberto Carlo Rossi Segretario Comitato di Redazione Ugo Giovanni Tamborini Andrea Senna, Ugo Giovanni Tesoriere Tamborini, Martino Trapani, Luciana Martino Trapani Bovone, Geltrude Consalvo, Costanzo Presidente Onorario Gala, Ugo Garbarini, Dalila Greco, Ugo Garbarini Maria Grazia Manfredi, Danilo Mazzacane, Claudio Procopio, Consiglieri Sandro Siervo Andrea Senna, Ugo Giovanni Tamborini, Martino Trapani, Sara Redazione e realizzazione Andreani, Luciana Bovone, Giovanni Zadig Srl Campolongo, Giovanni Canto, via Ampère 59, 20131 Milano Giuseppe Antonio Deleo, Luigi Di tel. 02 7526131 - fax 02 76113040 Caprio, Costanzo Gala, Maria Grazia [email protected] Manfredi, Jason Franco Ronald Motta www.zadig.it Jones, Claudio Giovanni Pagliani, Direttore: Pietro Dri Massimo Parise, Giordano Pietro Pochintesta, Stefano Rusconi, Sandro Redazione: Nicoletta Scarpa, Maria Siervo, Maria Teresa Zocchi Rosa Valetto (coordinamento) Grafica:Luisa Goglio Commissione Albo odontoiatri Autori degli articoli di questo numero: Presidente Maura Arosio, Paolo Cattorini, Sergio Andrea Senna Cima, Elena D’Alessandro, Alberto Componenti Donzelli, Valeria Esposito, Ugo Jason Franco Ronald Motta Jones, Garbarini, Angelica Giambelluca, Claudio Giovanni Pagliani, Francesca Memini, Stefano Menna, Claudio Procopio, Sandro Siervo Simonetta Pagliani, Nicoletta Scarpa, Debora Serra, Cinzia Tromba Collegio Revisori dei conti Segreteria Presidente Mariantonia Farina Danilo Renato Mazzacane Via Lanzone 31, 20123 Milano Revisori tel. 02 86471449 Geltrude Consalvo, [email protected] Mariapaola Seveso Stampa Revisore Supplente Cartostampa Chiandetti Srl, Donatella Gambera Stamperia a Reana del Rojale, Italia Trimestrale Spedizione a cura di Nexive SpA Nota per gli autori Via Fantoli 6/3, 20138 Milano Gli articoli e la relativa iconografia impegnano esclusivamente la responsabilità degli autori. I materiali inviati non verranno restituiti. Il Comitato di Redazione si riserva il diritto di apportare modifiche a titoli, testi e immagini degli articoli pubblicati. I testi dovranno pervenire in redazione in formato word, le illustrazioni su supporto elettronico dovranno essere separate dal testo in formato TIFF, EPS o JPG, con risoluzione non inferiore a 300 dpi. 2 INFORMAMI EDITORIALE ROBERTO CARLO ROSSI Più tutele e meno eroismo QUANDO SENTO DIRE che i medici sono degli eroi, mi viene sempre in mente quella ballata di Bob Dylan (Hero Blues) in cui la sua ragazza vorrebbe che lui partisse per la guerra per andare a vantarsi con le amiche di avere un compagno “eroe”. Ma lui, saggiamente, osserva: “You need a different kind of man, babe; You need Napoleon Boneeparte; Well, when I’m dead; No more good times will I crave; You can stand and shout hero; All over my lonesome grave” [Hai bisogno di un differente tipo di uomo, ragazza, hai bisogno di Napoleone Bonaparte. Bè, quando sarò morto non desidererò più tempi migliori. Tu starai in piedi sulla mia tomba solitaria a gridare “eroe”]. Già dalla primavera, quando tutti ci chiamavano “eroi”, ho messo in evidenza alcuni problemi importanti che si sarebbero verificati di lì a poco. Uno di questi, prevedevo, sarebbe stato il problema della responsabilità medica. Ora siamo in autunno e ho già avuto notizia di diverse accuse (di solito ingiuste) di malpractice dirette contro medici ospedalieri o del territorio, in merito all’assistenza data a pazienti che si sono ammalati e/o sono deceduti per COVID-19. Perciò, anche in questo campo, la tempesta è annunciata e non vorrei mai profferire la celeberrima frase attribuita a Socrate: “Tanto tuonò che piovve”. È vero: in un mondo ideale, già i vigenti articoli del Codice Civile proteggono (parzialmente) il professionista quando si trova di fronte a un problema di “speciale difficoltà” come quello rappresentato dalla COVID-19. Tuttavia, sono Hero Blues Bob Dylan Yes, the gal I got She wants me to walk out running I swear she’s the screaming end She wants me to crawl back dead She wants me to be a hero So she can tell all her friends You need a different kinda man, babe One that can grab and hold your heart Well, she begged, she cried Need a different kind of man, babe She pleaded with me all last night One that can hold and grab your heart Well, she begged, she cried You need a different kind of man, babe She pleaded with me all last night You need Napoleon Boneeparte She wants me to go out And find somebody to fight Well, when I’m dead No more good times will I crave She reads too many books When I’m dead She got new movies inside her head No more good times will I crave She reads too many books You can stand and shout hero She got movies inside her head All over my lonesome grave 3. 2020 3 EDITORIALE del parere che sia necessario qualcosa di più specifico. Per non stare con le mani in mano, l’Ordine meneghino ha sottoscritto un protocollo con AMLA (la prestigiosa Associazione Medico-Legale Ambrosiana) già dalla scorsa primavera. In tale scritto, si dice chiaramente che non saranno tollerati pareri campati per aria in favore di presunti danneggiati dall’operato dei sanitari nell’ambito dell’assistenza prestata a pazienti affetti da malattia da coronavirus. Inoltre, abbiamo messo a disposizione le nostre professionalità per realizzare un disegno di Legge protettivo per i medici e gli odontoiatri che si fossero trovati a curare la COVID-19. Finora, però, dal lato parlamentare si sono viste delle proposte di Legge addirittura dannose per i professionisti, poiché mettevano sotto protezione solo le strutture sanitarie e non i medici.
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