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Get Your Digital Accounts Ready In Case of Death - The New York Times
By Melanie Pinola
Ms. Pinola is a staff writer at Wirecutter, a product recommendation site owned by The New York Times Company.

Oct. 3, 2019
october 2019 by jerryking
Opinion | The Trick to Life Is to Keep Moving - The New York Times
By Devi Lockwood
Ms. Lockwood is a fellow in the Times Opinion section.

Sept. 7, 2019
dying  friendships  howto 
september 2019 by jerryking
No, Night Owls Aren’t Doomed to Die Early
May 23, 2019 | The New York Times | By Bryan Clark.

Dr. Knutson, an associate professor at Northwestern University who studies neurology and sleep medicine, told The Los Angeles Times that issues arise for night owls who try to live in a morning lark world, staying up late while adding to their sleep debt each morning.

Dr. Knutson’s study noted a number of other behaviors that could contribute to increased health risks, mostly relating to diet and exercise. While 24-hour gyms exist, opportunities to take part in classes or athletics are practically unheard-of late at night and overnight. Food options for those who eat while others are typically sleeping are often limited to fast food and greasy-spoon fare.

These factors suggest there is more to consider than just sleep.

None of the experts we spoke with suggested that people with owl schedules who get restful sleep each night, eat a healthy diet, exercise, form meaningful social connections and get some sunlight each day were at significant risk of an overall decline in their general health, or an early death, based solely on their sleep schedule.
dying  health_risks  mens'_health  sleep 
may 2019 by jerryking
Opinion | What Is Death? - The New York Times
By Sandeep Jauhar
Dr. Jauhar is a cardiologist.

Feb. 16, 2019
definitions  dying 
february 2019 by jerryking
Opinion | How Cancer Changes Hope
Dec. 28, 2018 | The New York Times | By Kate Bowler. Ms. Bowler is the author of “Everything Happens for a Reason: And Other Lies I’ve Loved.”

“That was Lucius Seneca, the ancient philosopher of Stoicism,” he said, laughing. “Look, it takes great courage to live as if each day counts. That was a fundamental insight of Stoicism. But we Christians are a people who must live into the future.”
books  cancers  dying  faith  hope  living_in_the_moment  op-ed  Stoics 
january 2019 by jerryking
How to Prepare, Just in Case You Die Young - WSJ
By Chana R. Schoenberger
March 4, 2018

“If you’re worried about passing suddenly or becoming suddenly incapacitated, the legal documents you should have are some sort of health-care advance directive and a living will,” Mr. Kaplan says. A health-care proxy appoints one person, older than age 18, to act on your behalf when making medical decisions. If you don’t have this document signed and something happens to you, your spouse will have the right to make these decisions for you, followed by your adult children and your parents. Make sure to designate a first- and second-choice person to be your proxy, Mr. Kaplan says.

You’ll also want to sign a living will, which lays out your intentions for end-of-life care, such as when to withhold treatment if doctors determine you’re not going to recover, and whether you wish to be an organ donor.
checklists  insurance  estate_planning  howto  dying  end-of-life  unthinkable  wills 
march 2018 by jerryking
Red Meat Increases Risk of Dying From 8 Diseases
MAY 15, 2017 | The New York Times | By NICHOLAS BAKALAR.

The more red meat you eat, the greater your risk of dying from one of eight diseases, according to a new report.

Researchers studied more than 536,000 men and women ages 50 to 71, tracking their diet and health for an average of 16 years. They recorded intake of total meat, processed and unprocessed red meat (beef, lamb and pork), and white meat (poultry and fish).

Compared with the one-fifth of people who ate the least red meat, the one-fifth who ate the most had a 26 percent increased risk of death from various causes. High red meat consumption increased the rate of dying from cancer, heart disease, respiratory disease, stroke, diabetes, infections, kidney disease and liver disease. The study is in BMJ.

White meat, on the other hand, may be good for you. The researchers found that those who ate the highest proportion of white meat had a 25 percent reduced risk of dying from various causes compared with those who ate the least white meat.
meat  pork  lamb  dying  cured_and_smoked  chicken  dish  diets  disease  cancers 
august 2017 by jerryking
This Is How I Want to Be Dead - The New York Times
Richard Conniff JULY 7, 2017
Continue reading the main storyShare This Page
dying  end-of-life 
july 2017 by jerryking
Sorry, we’re closed: The decline of established American retailing threatens jobs | The Economist
May 13th 2017 | New York

Therein lies the problem for America’s retailers. Not every mall or shop is dying. For now, store-occupancy rates are healthy. Nor have consumers stopped shopping. But they are spending money in new ways to the benefit of other businesses, such as restaurants, hotels and e-retailers, in particular Amazon. As a result, a giant established industry is descending into crisis.

Last year about 4,000 shops closed their doors for good. In 2017 more than twice that number may shut, says Credit Suisse, a bank. Consumer confidence is strong and unemployment is at its lowest level in a decade, yet S&P Global Ratings expects retailing defaults this year to surpass those in 2009 when the economy was in the depths of a recession.

The most important question is how far and how fast the industry might sink. This has implications not only for retailers and retail-property companies but also the financial firms that have given them money, from banks to life-insurance companies.
Amazon  decline  e-commerce  shopping_malls  retailers  dying  reboot  commercial_real_estate  store_closings 
may 2017 by jerryking
Looking Death in the Face -
DEC. 26, 2016 | The New York Times | by John Kaag and Clancy Martin.

Shelley’s poem, “Ozymandias,”, tells us, nothing remains of this pharaoh's works or of him, despite his status as the king of kings. All that remains is sand.

The poem’s message is perennial: All of this will be over soon, faster than you think. Fame has a shadow — inevitable decline. The year 2016 has delivered a string of deaths that serve as bracing reminders of this inevitability: Prince, Nancy Reagan, David Bowie, Elie Wiesel, Bill Cunningham, Muhammad Ali, Gordie Howe, Merle Haggard, Patty Duke, John Glenn....The year’s end is a time to take account of kingdoms built, but also the sheer rapidity of their destruction. It is a chance to come to terms with the existential fragility that is overlooked in most of our waking hours and that must be faced even by the greatest among us....the scariest thing about death: coming to die only to discover, in Thoreau’s words, that we haven’t lived....Dying, of course, corresponds exactly with what we prefer to call living. This is what Samuel Beckett meant when he observed that we “give birth astride the grave.” It is an existential realization that may seem to be the province of the very sick or very old. The elderly get to watch the young and oblivious squander their days, time that they now recognize as incredibly precious....The trick to dying for something is picking the right something, day after week after precious year. And this is incredibly hard and decidedly not inevitable....
dying  howto  Egyptian_Empire  history  worthiness  discernment  overlooked  perennial  timeless  poems  decline  mybestlife  deaths 
december 2016 by jerryking
Want to go out with a bang? Startup records end-of-life wishes
Each week, we seek expert advice to help a small or medium-sized business overcome a key issue.For Andrew Smith, a six-day stay in hospital got him thinking about life and death.Granted, he was only
end-of-life  dying  start_ups 
april 2016 by jerryking
Grief: Don’t let your anger out by the death bed - The Globe and Mail
Special to The Globe and Mail
Published Thursday, Feb. 19 2015
dying  grief 
february 2015 by jerryking
What to expect when your parent is dying - The Globe and Mail
Special to The Globe and Mail
Published Thursday, Jan. 01 2015
dying  expectations  parenting 
january 2015 by jerryking
Dr. Thérèse Vanier taught lessons in dying and healing - The Globe and Mail
Special to The Globe and Mail
Published Sunday, Jul. 27 2014
obituaries  dying  palliative_care 
july 2014 by jerryking
Physician and cancer survivor shares what cancer patients really want to hear - The Globe and Mail
The Globe and Mail
Published Sunday, Jul. 27 2014

It was a scary and uncertain time for the St. John’s resident, but rather than wallow in self-pity as he underwent aggressive chemotherapy, he blogged about his cancer experience (which later became a CBC Radio miniseries). In March, he published The End of Suffering, a book of personal musings, to give hope to other cancer patients.... people dealing with cancer aren't looking for any pity or sympathy. They want normalcy and they want laughter.

What did cancer teach you about life, love and being a doctor?

Cancer taught me to be happy. Every day you stay miserable is a day wasted.

I think you find out who loves you most when the chips are down. It’s easy to love people when everything is going well, but the real enduring, beautiful love persists in the space of adversity.

As a doctor, it taught me that patients suffer and that suffering is what they want you, as a doctor, to remove. They don’t want you to give them a fancy diagnosis or an expensive drug.

What things should you not say to someone with cancer?

“What’s your prognosis?” Or more bluntly, are you going to live or die? I had someone ask me if I was going to die. I just kind of smiled at him and said, “Why, do you want my stereo?”

Healthy people should never give cancer patients health advice. There’s nothing worse than being sick and getting advice from the healthy, because it’s almost like insinuating you did something to make this happen to you.

Finally, don’t say, “Everything is going to be fine.” I don’t know I’m going to be fine. You don’t know I’m going to be fine. My doctor doesn’t know I’m going to be fine.

They mean well by saying that, but what they should say is, “I care about you and I want you to do well.”
bouncing_back  cancers  doctors  blogs  lessons_learned  advice  dying  conversations  stressful 
july 2014 by jerryking
How Not to Die
APR 24 2013 | The Atlantic | JONATHAN RAUCH.

What should have taken place was what is known in the medical profession as The Conversation. The momentum of medical maximalism should have slowed long enough for a doctor or a social worker to sit down with him and me to explain, patiently and in plain English, his condition and his treatment options, to learn what his goals were for the time he had left, and to establish how much and what kind of treatment he really desired. Alas, evidence shows that The Conversation happens much less regularly than it should, and that, when it does happen, information is typically presented in a brisk, jargony way that patients and families don’t really understand. Many doctors don’t make time for The Conversation, or aren’t good at conducting it (they’re not trained or rewarded for doing so), or worry their patients can’t handle it.

This is a problem, because the assumption that doctors know what their patients want turns out to be wrong: when doctors try to predict the goals and preferences of their patients, they are “highly inaccurate,” according to one summary of the research, published by Benjamin Moulton and Jaime S. King in The Journal of Law, Medicine & Ethics. Patients are “routinely asked to make decisions about treatment choices in the face of what can only be described as avoidable ignorance,” Moulton and King write. “In the absence of complete information, individuals frequently opt for procedures they would not otherwise choose.”
end-of-life  medicine  dying  palliative_care  Communicating_&_Connecting  conversations  plain_English  clarity  doctor's_visits  medical_communication 
may 2014 by jerryking
How Doctors Die - Showing Others the Way -
November 19, 2013 |NYT| By DAN GORENSTEIN

Patients and families often pay a high price for difficult and unscripted deaths, psychologically and economically. The Dartmouth Atlas Project, which gathers and analyzes health care data, found that 17 percent of Medicare’s $550 billion annual budget is spent on patients’ last six months of life.... “As a doctor you know how to ask for things,” he said. But as a patient, Dr. Billings said he had learned how difficult it can be to push for all the information needed. “It’s hard to ask those questions,” he said. “It’s hard to get answers.”

There is a reason for that. In his book “Death Foretold,” Nicholas A. Christakis, a Yale sociologist, writes that few physicians even offer patients a prognosis, and when they do, they do not do a great job. Predictions, he argues, are often overly optimistic, with doctors being accurate just 20 percent of the time.
hospice  dying  palliative_care  conversations  books  end-of-life  overoptimism 
november 2013 by jerryking
Your say: Globe readers react to Quebec’s proposal on assisted suicide - The Globe and Mail
I am against assisted suicide because I don’t think I am the author of my life. I didn’t choose to come into this world – I wasn’t consulted – and I don’t believe I should choose to exit.
dying  end-of-life  suicide 
august 2013 by jerryking
You Are Going to Die -
January 20, 2013 |NYT |By TIM KREIDER
january 2013 by jerryking
Die the Way You Want To
January-February 2012 | Harvard Business Review |by Ellen Goodman.

Taking charge of your last days eases everyone’s burden.
dying  hospice  palliative_care  end-of-life 
may 2012 by jerryking
Healthy Reader
April 3, 2012 | WSJ | By LAURA LANDRO

Exit Strategies In his new book, "The Best Care Possible," Ira Byock, a professor at Dartmouth Medical School and an expert on palliative care, is nothing if not blunt: "Americans are scared to death of dying. And with good reason," he writes. "We make dying a lot harder than it has to be." This remarkable book, subtitled "A Physician's Quest to Transform Care Through the End of Life," begins by explaining why our current methods of caring for people with advanced illnesses are "dysfunctional" and "neglectful." (Among the biggest problems: Busy clinicians tend to give short shrift to communicating fully with patients, treating pain or coordinating tests and office visits.) Then, through a series of exchanges with patients and their families, Dr. Byock illustrates how the medical community and society can "make the best of what is often the very worst time of life." An absorbing read.

To learn more visit
dying  book_reviews  Laura_Landro  wellness  hospice  palliative_care  books  end-of-life 
may 2012 by jerryking
Stephens: A Lesson Before Dying -
December 13, 2011 | WSJ | By BRET STEPHENS.

A Lesson Before Dying
To bemoan illness after a good life seemed ungrateful.

"The good death has increasingly become a myth," wrote the Yale surgeon and bioethicist Sherwin Nuland in his 1993 prize-winning book "How We Die." Dying, in Dr. Nuland's eloquent telling, amounts to "a series of destructive events that involve by their very nature the disintegration of the dying person's humanity." Who can—who would dare—judge a man's worth when his mind and body are being picked bare by disease?...Cancer is a heist culminating in murder....To grow up is to understand that the confidence a parent radiates around his children is rarely the confidence the parent feels. I knew my father well enough to know his various fears and insecurities...All this meant that the diagnosis should have been devastating to him. Yet he never betrayed the slightest sign of fear...Yet my father maintained his usual sangfroid even when it became clear that there would be no getting well. There were no five stages of grief, no bouts of denial, anger, bargaining and depression....Throughout his life my father taught me many lessons: about language, history and philosophy; about ethics, loyalty and love. In the end, he taught me that death cannot destroy the dignity of a dignified man.

Charles J. Stephens, 1937-2011. May his memory be for a blessing.
dying  deaths  hospice  lessons_learned  cancers  Bret_Stephens  fatherhood  grief  palliative_care  end-of-life  books  dignity 
april 2012 by jerryking
Hospice medical care for dying patients
August 2, 2010 | The New Yorker | Atul Gawande

In 2008, the national Coping with Cancer project published a study showing that terminally ill cancer patients who were put on a mechanical ventilator, given electrical defibrillation or chest compressions, or admitted, near death, to intensive care had a substantially worse quality of life in their last week than those who received no such interventions. ...And, six months after their death, their caregivers were three times as likely to suffer major depression. Spending one’s final days in an I.C.U. because of terminal illness is for most people a kind of failure. You lie on a ventilator, your every organ shutting down, your mind teetering on delirium and permanently beyond realizing that you will never leave this borrowed, fluorescent place. The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.”

People have concerns besides simply prolonging their lives. Surveys of patients with terminal illness find that their top priorities include, in addition to avoiding suffering, being with family, having the touch of others, being mentally aware, and not becoming a burden to others.
Atul_Gawande  cancers  caregivers  dying  end-of-life  healthcare  hospice  medical  palliative_care  quality_of_life 
august 2010 by jerryking

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