The Silence Doctors Are Keeping About Millennial Deaths

Link: https://www.theatlantic.com/health/archive/2024/07/millennials-cancer-death/678896/

Excerpt:

Several years ago, in my work as a palliative-care doctor, I cared for a man in his 60s who had been mostly healthy before he was diagnosed with stomach cancer. After three different treatments had failed him, his oncologist and I told him that a fourth treatment might buy him a few weeks at best. “Send me back to Boston,” he said immediately. He wanted to smell the Atlantic, see his childhood home. He made it there, dying a week later.

My patient died on his own terms: He was comfortable, fully informed about his worsening cancer, and able to decide where he wanted to die, whom he wanted to be with. This is the type of proverbial “good death” that our medical system is slowly learning to strive for—but not necessarily for younger people.

In the hospital room next to this man was a young mother who, like me, was in her 30s. We bonded over our love of ’90s music and the Southern California beaches where we’d built sandcastles as children and stayed out late as teenagers. She, too, was dying of Stage 4 stomach cancer; I first met her when her oncology team asked if I could help manage her pain and nausea. She would rest her hands on her protruding belly, swollen with fluid and gas because cancer blocked her bowels; she couldn’t eat, so medications and liquid nutrition dripped through a large catheter threaded up a blood vessel in her arm and into her heart.

Author(s): Sunita Puri

Publication Date: 5 July 2024

Publication Site: The Atlantic

America’s Coronavirus Catastrophe Began With Data

Link: https://www.defenseone.com/ideas/2021/03/americas-coronavirus-catastrophe-began-data/172686/

Excerpt:

The consequences of this testing shortage, we realized, could be cataclysmic. A few days later, we founded the COVID Tracking Project at The Atlantic with Erin Kissane, an editor, and Jeff Hammerbacher, a data scientist. Every day last spring, the project’s volunteers collected coronavirus data for every U.S. state and territory. We assumed that the government had these data, and we hoped a small amount of reporting might prod it into publishing them.

Not until early May, when the CDC published its own deeply inadequate data dashboard, did we realize the depth of its ignorance. And when the White House reproduced one of our charts, it confirmed our fears: The government was using our data. For months, the American government had no idea how many people were sick with COVID-19, how many were lying in hospitals, or how many had died. And the COVID Tracking Project at The Atlantic, started as a temporary volunteer effort, had become a de facto source of pandemic data for the United States.

Author(s): ROBINSON MEYER and ALEXIS C. MADRIGAL, THE ATLANTIC

Publication Date: 15 March 2021

Publication Site: Defense One

5 Pandemic Mistakes We Keep Repeating

Link: https://www.theatlantic.com/ideas/archive/2021/02/how-public-health-messaging-backfired/618147/?mc_cid=0edceb332a&mc_eid=983bcf5922

Excerpt:

Five key fallacies and pitfalls have affected public-health messaging, as well as media coverage, and have played an outsize role in derailing an effective pandemic response. These problems were deepened by the ways that we—the public—developed to cope with a dreadful situation under great uncertainty. And now, even as vaccines offer brilliant hope, and even though, at least in the United States, we no longer have to deal with the problem of a misinformer in chief, some officials and media outlets are repeating many of the same mistakes in handling the vaccine rollout.

….

Amidst all the mistrust and the scolding, a crucial public-health concept fell by the wayside. Harm reduction is the recognition that if there is an unmet and yet crucial human need, we cannot simply wish it away; we need to advise people on how to do what they seek to do more safely. Risk can never be completely eliminated; life requires more than futile attempts to bring risk down to zero. Pretending we can will away complexities and trade-offs with absolutism is counterproductive. Consider abstinence-only education: Not letting teenagers know about ways to have safer sex results in more of them having sex with no protections.

Author(s): Zeynep Tufekci

Publication Date: 26 February 2021

Publication Site: The Atlantic