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.
Happy Halloween! Some treats as well as tricks today- and an article about binging on candy corn!
New England Journal of Medicine
– Oct 29, 2019, 8:31 AM
As we argue in Why We Revolt, careful and kind care makes the health care system responsive and responsible to patients and clinicians. Within unhurried conversations, patients and clinicians work together to advance the problematic human situation…
Jeff CohnLove the framework of unhurried- it's like a Goldilocks conversation- not too slow, not too fast- it's just right for the ground needing to be covered in that encounter. What does this have to do with seeing a patient every 11 minutes??? Nothing!!!
– Oct 28, 2019, 6:12 PM
A Twin Cities nonprofit is hoping that financial management can address one of the sad realities of modern cancer care — that the latest treatments are savings lives, but leaving survivors without money to live. Eligible cancer patients will…
Jeff CohnA nice idea in theory, though I fear it's a drop in the bucket c/w the enormity of expenses many people experience- which is why this should be paid for by insurance, not the individual
The Washington Post
– Oct 29, 2019, 1:56 PM
It cost about $20 an hour for the in-home care services. And when my father-in-law was diagnosed with Stage 4 lung cancer and placed under hospice care, we kept the one aide he liked and significantly increased her hours because he was in so much…
Jeff CohnCosts for services aimed at allowing people to live out their lives in their home are rising- and if that $ goes to the saints providing the care, that's great news, as they are in great need of higher wages and benefits...
Mayo Clinic - Mayo Clinic
– Feb 1, 2016
It was two weeks before Christmas and just days before both our birthdays. We had been married only four months, and it would be our very first birthday and holiday celebration together. I had been thinking about my life as a wife – married…
Jeff CohnLovely piece about living with a chronic, sometimes disabling condition- it this case, it's epilepsy. Being able to look at that experience through a lens of 'finding gems in the rubble' likely makes life more joyful and fulfilling, I'd think...
Americans are rightly furious about the high and unsustainable price of cancer drugs, which now routinely cost more than $100,000 per year of therapy. Those prices are made worse by the fact that most cancer drugs offer only modest benefits…
Jeff CohnWell put, Dr. Prasad- while not the primary driver of high medication costs, the large amounts of $ some physicians get paid by Big Pharma certainly add to costs, and clearly help Big Pharma sell more of their meds...
Nashville Public Radio
– Feb 8, 2019
The booming hospice industry is changing what it looks like to die in the U.S. Rather than under the care of doctors and nurses in a hospital, more Americans than not now spend their final days in familiar surroundings, often at home, being cared…
Jeff CohnImportant information here, especially at the end of the article. I recall visiting a dying patient @ home- she was in a comfortable bed, beautiful music was playing, everything seemed as good as it could be- and then her loving husband said, 'This sucks'
The New York Times
– Oct 28, 2019, 4:55 PM
ERIE, Pa. — T.J. Abraham is a block of a man with a tree-trunk neck and a lantern jaw. He played football at a top Catholic high school outside Pittsburgh and then traveled downtown to Duquesne University, where he played another three…
Jeff CohnAs much as I'm a football fan, I'm hoping that the game goes the route of chariot races, jousting, other brutal recreational activities of the past...
The recipe for succeeding in any given field is hardly a mystery: good ideas, hard work, discipline, imagination, perseverance and maybe a little luck. Oh, and let's not forget failure, which Dashun Wang and his colleagues at Northwestern…
Jeff CohnThe takeaway? “Every winner begins as a loser,”
The Washington Post
– Oct 29, 2019, 1:20 PM
Just one wouldn't hurt, says the sweet tooth. It's been 10 months since I began a whole food, plant-based diet. I thought giving up meat would be tough. It wasn't. I thought I'd miss milk and eggs. I don't. It's the sweet tooth that's giving me…
Jeff CohnI know some people who go nuts over candy corn- me not so much...now Reese's PB cups, on the other hand...