“I learned that the Centers for Medicare and Medicaid Services (CMS) had previously allowed codes for “adult failure to thrive” to qualify people for hospice and that in states that had legalized physician-assisted dying less recently than New Jersey had, those codes had been used to confer eligibility. But CMS recently removed those codes from hospice eligibility, and in any event, I could not find a New Jersey physician willing or sufficiently experienced to provide this service. I described another option to Grandpa: he could voluntarily stop eating and drinking. He’d never considered this possibility (which reminded me again how … Read More
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“Though studies of resilience could fill a library, researchers have identified a shortlist of pillars and processes common to people who have overcome a difficult start in life and are able to cope when life becomes challenging. Among the factors most relevant to personal resilience are four pillars (awareness and self-reflection; personal skills that strengthen one’s identity; control over one’s life and fair treatment by others; and physical and mental health that results from physical activity, proper nutrition and good sleep hygiene) and three processes (living in diverse communities with abundant social support; experiencing safe spaces and leisure activities; and … Read More
“[physician and health reporter James] Hamblin’s new book, Clean: The New Science of Skin, is a documentary survey of this pre-dawn moment in our understanding of the skin microbiome. [Emily Vaughn] Your book sets out to challenge some cultural norms about hygiene. What types of cleansing do you think are overdue for reexamination, and which are critical? [James Hamblin] There’s a distinction between “hygiene” and “cleansing rituals” that’s especially important in this moment. “Hygiene” is the more scientific or public health term, where you’re really talking about disease avoidance or disease prevention behaviors. Removal of mucus, vomit, blood feces … … Read More