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healthaffairsWithholding surgery: How gaps in policy fail people who inject drugs A recent New York Times article described a harrowing situation faced by some people who inject drugs and develop endocarditis, a life-threatening infection caused by bacteria that enter the bloodstream and settle in the heart. The article described doctors in Tennessee deciding whether to perform repeat costly heart surgeries on patients who were re-infected with endocarditis as a result of ongoing illicit drug use—and at times declining to operate. There are policy failures that are to blame, too, for how and why resources are allocated this way. This looks at those failures and how our bias influences both the policies and how they are applied.
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New York TimesInjecting Drugs can ruin a heart - how many second chances should a user get? A life-threatening heart infection afflicts a growing number of people who inject opioids or meth. Costly surgery can fix it, but the addiction often goes unaddressed.
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RadioLabThe Fix (whole episode - 43min) This episode we take a sober look at the throbbing, aching, craving desire states that return people (again and again) to the object of their addiction … and the pills that just might set them free.
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A birth plan for dying Hanna Neuschwander grapples with ending a wanted pregnancy, and finds that “right” or “wrong” fail to describe the moral reckoning.
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TED_light_200x200Dying Well Is there a way to talk about death candidly, without fear ... and even with humor? How can we best prepare for it with those we love? This hour, TED speakers explore the beauty of life ... and death. When you click on the link, you can see all the little segments or listen to the whole thing. It's lovely.
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tedmed_wh_rgbConfront harm and prevent medical casualties (~10min) - LtGen Horoho Patricia Horoho, retired Lieutenant General in the U.S. Army and the first woman and first nurse to serve as the Army’s Surgeon General, reveals how healthcare can cause harm by sins of commission and omission.
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Why Perfectionism is a 20-ton shield (~3min) Why we are driven by 'what people think'?
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Shame, guilt, and the medical learner Shame and guilt are subjective emotional responses that occur in response to negative events such as the making of mistakes or an experience of mistreatment, and have been studied extensively in the field of psychology. Despite their potentially damaging effects and ubiquitous presence in everyday life, very little has been written about the impact of shame and guilt in medical education.
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huffpostEverything you know about obesity is wrong 15min read - A description of obesity, weight bias, fat shaming, and a bunch of the consequences from it. A popular article, not a research article, but a comprehensive look at the topic.
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