Hello and welcome to my Nuzzel newsletter!
I'm a retired oncologist- I now coach two groups of people: physicians, especially those moving into roles beyond 100% clinical; and people with cancer/their families, focusing on decision-making.
If you only read one article today make it the last one about better arguments. Lots of other good ones too.
– Oct 24, 2019, 4:24 PM
I would like to tell you an all-too-familiar story. It begins with a long-term care home resident, Laura, who has multiple chronic conditions and gets an infection that doesn't get any better. Her health has been declining for months, but no one…
Jeff CohnAs reported here, many people actually have relief by having these conversations before a crisis- and having the conversation increases the likelihood that death is 'with dignity and in peace and, most importantly, in keeping with his own wishes.'
The Washington Post
– Oct 27, 2019, 6:00 AM
In reality, he had declined significantly since his diagnosis of ALS two years prior. First, he lost his speech, then his mobility, and very quickly breathing became a struggle. But any talk of decline came with an acceptance that his life was…
Jeff CohnI wonder from this article what their conversations were about- was it about hopes but not fears? Both are needed, IMO
A doctor's subtle facial cues — an encouraging smile, or perhaps a wince — can influence a patient's own beliefs about whether a treatment will work and can even help induce a placebo effect, a new study suggests. The study, published…
Jeff CohnProbably we need a better term than 'the placebo effect'- since what this is likely about is some way that one's belief interacts with genes epigenetically in a favorable way...
WASHINGTON — Democratic lawmakers in recent weeks have begun to advance an argument long seen as something of a third rail in U.S. politics: that slightly less biomedical innovation might be worth a dramatic reduction in drug prices. The…
Jeff CohnI think I can get behind this, especially if the fewer meds reduces the # of 'new' meds that are just slight tweaks of existing ones (tablets instead of capsules, 20 mg size instead of 2 10mg pills, etc.)
The Philadelphia Inquirer
– Oct 28, 2019, 3:00 AM
Sharon Kelly had always been healthy and never used her insurance plan much. That all changed in 2016, when a routine mammogram showed a lump in her left breast. Kelly, a self-employed psychologist in West Chester, was swept up in a whirlwind of…
Jeff CohnThis is very real- and I hope the decisions the person in this article are making aren't putting her at preventable risk...
Three years ago, artificial intelligence pioneer Geoffrey Hinton said, “We should stop training radiologists now. It's just completely obvious that within five years, deep learning is going to do better than radiologists.” Today…
Jeff CohnInstead of replacing radiologists, it's much more likely that, for now, 'our models can be used to not substitute but assist radiologists with their work, leading to better outcomes for patients.”
The New York Times
– Oct 24, 2019, 4:02 AM
In the United States and other Western countries, diet and nutrition researchers face an urgent imperative: Figure out how to solve the crisis of obesity. About 40 percent of the adults and 19 percent of the children and adolescents in the United…
Jeff Cohn'you really have to be thinking about biology and behavior and society and culture and policy all at the same time. Because if you miss any one of those pieces, your intervention or your diet — it’s less likely to actually work.”
I had about 30 minutes to kill on the ride to the train station. I nestled into my seat, opened my phone, and saw that Representative Elijah Cummings had passed away. I gasped and covered my mouth. The driver peeked at me in his rear-view mirror.
Jeff CohnAs pointed out in this article, what's been kind of lost in remembering Elijah Cummings is that he was only 68- dying at that age is much more likely for an urban African-American than a white person...
We're living in an era of deep divisions. Cable television, social media feeds, and fraying personal relationships all reflect the same troubling pattern: Differences of opinion quickly escalate into attacks, mistrust, and civic stalemates. In this…
Jeff CohnI love these recommendations, especially 'taking winning off the table' and 'embracing vulnerability'