CHICAGO The old man couldn't control his diabetes, no matter how closely he followed his doctor's instructions. A nurse visited him to find out why the insulin wasn't working, only to watch the nearly blind man inadvertently inject himself with a syringe filled with nothing but air.
It sounds simple to track a patient outside of office visits. But the Chicago-based John D. and Catherine T. MacArthur Foundation found the idea genius.
Jeffrey Brenner, a doctor and founder of the organization that dispatches medical professionals to the doors of the desperately poor residents of Camden, N.J., was named Wednesday as one of 24 to receive a $625,000 "genius grant" from the foundation.
"This is an acknowledgment that we are headed in the right direction," Brenner said.
The 44-year-old created the Camden Coalition of Healthcare Providers as a means to find and track the poorest patients with the most complex medical issues. Those patients are visited wherever they are - at home, in shelters - and escorted to doctor's appointments.
"We cut, scan, zap and hospitalize (patients)," said Brenner, whose group is now working with 10 communities to develop similar systems. "But we forget we need to take care of them."
The eclectic group of grant recipients includes scientists, artists, historians, writers, a lawyer, a statistician and a photographer. They can spend the money however they like, for seeing things others haven't, asking questions others haven't asked and finding new solutions to old problems.
The awards, given annually since 1981, are doled out over a five-year period. This year's class brings the number of recipients to nearly 900, and also will be given the largest amount ever - $125,000 more than last year. Shrouded in secrecy, the selection process involves anonymous nominators and selectors who make final recommendations to the foundation's Board of Directors.
A National Public Radio report about the Library of Congress worrying about damaging old recordings just by playing them sparked the imagination of Carl Haber, a 54-year-old experimental physicist at Lawrence Berkeley National Laboratory in California.
He began to think how one could use precision optical measuring techniques employed in particle research to try to pull sounds from fragile or crumbling cylinders as well as discs and tinfoil.
"Using scientific cameras and measurement tools that just use light, we create essentially a picture ... and then write a program where the computer analyzes the image and calculates mathematically how the needle would move rather than use the needle," he said.
The result: Bringing alive the voices of the dead, from Alexander Graham Bell's voice from the 1800s to a Native American language that fell silent with the last of its possessors. The thousands of recordings from bygone eras around the world are of "great value to anthropologists, the study of folklore, national culture," he said.
But there's more to it, as Haber found out when he heard Bell respond to a small mistake made during the recording.
"To hear someone caught off guard, you are actually seeing the humanity of these people," Haber said.
Robin Fleming's work has been to show the humanity of nations passed over in history books. A medieval historian at Boston College, she has focused on Great Britain after the fall of the Roman Empire, starting in the 5th century, by analyzing things like coins, pots and even tooth enamel found in settlements and cemeteries to create a picture of their lives.
What she discovered was the people of the time were so determined to carry on the ways of those who came before, they went to cemeteries to dig up artifacts that would help them do that - including containers that held cremated remains.
"They knock(ed) the ash out, give them a wash and put them on the table," Fleming, 57, said.
With an eye to a more contemporary, but just as forgotten, issue, attorney Margaret Stock focuses on military personnel and their families who she says are victimized by the nation's immigration laws.
After Sept. 11, as politicians asked the nation to take care of those fighting for their country, Stock was getting call after call, hearing things like a soldier begging her to stop immigration officials from deporting his wife to Mexico.
"He's on the tarmac ... about to be deployed and says his wife took a wrong turn into a construction zone, was picked up by immigration, they had her in jail and were trying to deport her," said Stock, who lives in Anchorage, Alaska. "The pain that's being caused right now is tremendous."
To help, Stock created the American Immigration Lawyers Association Military Assistance Program, which puts volunteer attorneys across the nation with military families that need help.
Recipients of the grants say the money will only aid their work, giving them time to research and time off from figuring out how to pay for it.
Fiction writer Karen Russell worked at a veterinarian clinic part-time while writing the acclaimed novel "Swamplandia." Her grant money buys her time.
"Just the idea of having a stretch of time where you can commit your time wholeheartedly to a project, nobody gets that," the New York City resident said.
For Stock, her thousands of dollars will mean one thing: People will be seeing more of her.
"This is going to let me advocate more," she said.
Complete list of the 2013 "genius grant" recipients, with links to their biographies
- Kyle Abraham, 36, New York City. Choreographer and dancer who explores the confluence of personal history and identity.
- Donald Antrim, 55, New York City. Teaches writing at Columbia University and is being recognized for his fiction and nonfiction.
- Phil Baran, 36, La Jolla, Calif. Organic chemist at Scripps Research Institute who invents ways to recreate natural products with potential pharmaceutical uses.
- C. Kevin Boyce, 39, Stanford, Calif. Paleobotanist at Stanford University who looks at links between ancient plants and today's ecosystems.
- Jeffrey Brenner, 44, Camden, N.J. The physician founded a health care delivery model that finds, tracks and serves the city's poorest and sickest residents.
- Colin Camerer, 53, Pasadena, Calif. Behavioral economist at the California Institute of Technology whose pioneering research has challenged assumptions in traditional economic models.
- Jeremy Denk, 43, New York City. Writer and concert pianist who combines his skills to help readers and listeners to better appreciate classical music.
- Angela Duckworth, 43, Philadelphia. Research psychologist at the University of Pennsylvania helping to transform understanding of just what roles self-control and grit play in educational achievement.
- Craig Fennie, 40, Ithaca, N.Y. Materials scientist at Cornell University has designed new materials with electrical, optical and magnetic properties needed for electronics and communication technology.
- Robin Fleming, 57, Chestnut Hill, Mass. A medieval historian at Boston College who's written extensively on the lives of common people in Britain in the years after the fall of the Roman Empire.
- Carl Haber, 54, Berkeley, Calif. Taking insights from his work on imaging subatomic particle tracks, the experimental physicist at Lawrence Berkeley National Laboratory developed new technologies to preserve rare, damaged and old sound recordings.
- Vijay Iyer, 41, New York City. Jazz pianist, composer and bandleader and writer reconceptualizing the genre through compositions for his ensembles, as well as cross-disciplinary collaborations and scholarly writing.
- Dina Katabi, 42, Cambridge, Mass. A computer scientist at the Massachusetts Institute of Technology who has worked at interfacing computer science and electrical engineering to improve the speed and security of data exchange.
- Julie Livingston, 46, New Brunswick, N.J. Medical historian at Rutgers University interested in the care of chronically ill patients in Botswana who exposed the unlikelihood that technology will fix health issues in Africa or the rest of the world.
- David Lobell, 34, Stanford, Calif. Agricultural ecologist at Stanford University who has investigated the impact of climate change on crop production and food security around the world.
- Tarell McCraney, 32, Chicago. Playwright at Steppenwolf Theater Company who examines the diversity of African-American experiences.
- Susan Murphy, 55, Ann Arbor, Mich. A statistician at the University of Michigan, she has translated statistical theory into tools that can be used to evaluate and customize treatment regimens for people with chronic or relapsing disorders.
- Sheila Nirenberg, New York City. Neuroscientist at Weill Cornell Medical College exploring the nervous system and creating new prosthetic devices and robots.
- Alexei Ratmansky, 45, New York City. Choreographer and artist-in-residence at the American Ballet Theatre revitalizing classical ballet with interpretations of traditional works and original pieces.
- Ana Maria Rey, 36, Boulder, Colo. Theoretical physicist at the University of Colorado working on how to control states of matter through conceptual research on ultra-cold atoms.
- Karen Russell, 32, New York City. A fiction writer and author of the novel "Swamplandia!" whose work blends fantastical elements with psychological realism.
- Sara Seager, 42, Cambridge, Mass. Astrophysicist at the Massachusetts Institute of Technology creating a theoretical framework for determining the characteristics of planets outside our solar system.
- Margaret Stock, 51, Anchorage, Alaska. Immigration attorney who founded a program that pairs volunteer attorneys around the country with military families in need of legal assistance with the deportation of loved ones and other immigration issues.
- Carrie Mae Weems, 60, Syracuse, N.Y. Photographer and video artist who examines African-American identity, class and culture in the United States.