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The Dreams That Matter; ‘Crisis Standards of Care’

  • “When my diagnosis of advanced kidney cancer came in 2018, it changed how I viewed what I wanted to get out of this life and what I could give back to it,” Adam Philip Stern, MD, writes. Stern explores the uncertainty he now faces and the dreams that matter most to him ~ The Secret About Achieving Your Dreams (JAMA)
  • Markian Hawryluk details the “crisis standards of care” developed 10 years ago to ensure the U.S. never faces a disaster scenario like it did after Hurricane Katrina. But will this type of strategy work for the coronavirus? ~ During A Pandemic, States’ Patchwork Of Crisis Strategies Could Mean Uneven Care (Kaiser Health News)
  • “The 4-year-old’s perception of the doctor’s job wasn’t to examine the throat with a tongue depressor, use a stethoscope to examine the heart and lungs, or touch the abdomen with his hands; it was to peck at a keyboard,” writes Vincent Quagliarello, MD, describing how people’s views of medicine have shifted ~ Meaning at the Fingertips (Annals of Internal Medicine)
  • If a public option plan couldn’t survive one state, what are the chances a national plan will succeed? Shefali Luthra looks at the fall of a public health insurance option in Connecticut ~ Insurers Sank Connecticut’s ‘Public Option.’ Would A National Version Survive? (Kaiser Health News)
  • Amy Goldstein looks at factors that may impede the U.S.’s attempts to contain the spread of the coronavirus ~ Worries about medical bills and lost pay may hamper coronavirus efforts in the United States (The Washington Post)
  • “At 35, Mr. J. was dying of an invasive pelvic sarcoma,” writes Leah B. Rosenberg, MD, who reflects on the challenges that patients and physicians encounter in the remaining days of a person’s life ~ What Are Two Days Worth? Facing Dilemmas Together at the End of Life (New England Journal of Medicine)

Fred N. Pelzman, MD, of Weill Cornell Internal Medicine Associates and weekly blogger for MedPage Today, follows what’s going on in the world of primary care medicine. Pelzman’s Picks is a compilation of links to blogs, articles, tweets, journal studies, opinion pieces, and news briefs related to primary care that caught his eye.