Podcast Episodes NEJM This Week - July 13, Featuring articles on clonal hematopoiesis and coronary heart disease, pertuzumab plus trastuzumab in HER2-positive breast cancer, long-term results of the PIVOT prostate-cancer trial, diet and total and cause-specific mortality, Crimean—Congo hemorrhagic fever in Spain, and the march of science; a review article on amyotrophic lateral sclerosis; a case report of a pregnant woman with endocervical carcinoma; and Perspective articles on targeting unconscionable prescription-drug prices, on the economics of indication-based drug pricing, and on the chair grant. Download Episode NEJM This Week - July 6, Featuring articles on the effect of overweight and obesity in countries, endometriosis-associated pain management with elagolix, the declining risk of sudden death in heart failure, CD55 and protein-losing enteropathy, and the macrophage and the heart; a review article on master protocols; a Clinical Problem-Solving article describing beating, fast and slow; and Perspective articles on undermining genetic privacy, on home-to-home time, on patient-reported outcomes, and on preserving the Fogarty International Center. Senate, on FDA approval of valbenazine for tardive dyskinesia, on machine learning and prediction in medicine, and on decision aids and elective joint replacement.
Background[ edit ] Lewis Thomas was a physician, immunology researcher, dean, poet, etymologist, and essayist. He was a research fellow at the Thorndike Memorial laboratories, and a researcher at Tulane University and University of Minnesota. He was the head of the pathology department at New York University Medical School for fifteen years as well as the chair for the Department of Medicine at Bellevue Hospital.
Lewis Thomas published multiple books throughout his career, the first being The Lives of a Cell: Notes of a Biology Watcher. In he published The Medusa and the Snail: More Notes of a Biology Watcher.
He wrote an autobiographical book inThe Youngest Science: Notes of a Medicine-Watcher. Thomas argues that even our own bodies are not solely ours since the mitochondria and other organelles are descended from other organisms. He creates a metaphor of the Earth as a giant cell itself with humans just as one part of a vast system.
Thoughts for a Countdown Astronauts must be decontaminated before they are allowed to interact on Earth. All organisms on Earth are interdependent and a stray virus or bacteria from the moon will not be adapted to harm us since it is not part of this connection.
Bacteria are interconnected to the point where some cannot survive without others and some even live within others. We must recognize how interconnected even the smallest organisms are on Earth; especially if we must interact with life outside our planet.
On Societies as Organisms Thomas introduces one of his key metaphors of humans behaving like ants. He suggests that this metaphor is not used because humans do not like to be compared to insects that, as a society, can function as an organism.
There are many examples of animals acting as a large organism when in large groups from termites and slime molds to birds and fish. Thomas argues that the communication of results in science puts humans in the same model as these other species.
As all scientists communicate and build on each other's work in order to explore that which we do not know. A Fear of Pheromones Humans fear pheromones because we believe we have gone above the basic secretion of chemicals in our communication.
However, there are signs that point to humans relying on pheromones as well as our most technological forms of communication. Thomas shows pheromones in the animal world with examples of moths and fish.
He then goes on to explain what impact pheromones in humans could have on the future such as in the perfume industry and finding histocompatible donors.
The Music of This Sphere Music is the only form of communication that saves us from an overwhelming amount of small talk. This is not only a human phenomenon, but happens throughout the animal world. Thomas makes examples of animals from termites and earthworms to gorillas and alligators that perform some sort of rhythmic noise making that can be interpreted as music if we had full range of hearing.
From the vast number of animals that participate in music it is clear that the need to make music is a fundamental characteristic of biology.
Thomas proposes that the animal world is continuing a musical memory that has been going since the beginning of time. An Earnest Proposal Thomas argues that even though we have the technological advancements to destroy the Earth that we do not know near enough about the world in which we live.
To solve this problem he suggests that we should not be able to fire nuclear weapons without being able to explain one living thing fully.Save time and stay informed with summaries by our physician-editors of the most important journal articles in general medicine and nine specialties.
NEJM Journal Watch is produced by the publishers of the New England Journal of Medicine. Thomas's enthusiasm for research and the scientific advancement of medicine is embedded in a wider vision of human accomplishment and man's place in the universe.
Some of his social commentary is dated (physicians tend to be male and the sole breadwinner for the family), but his erudition and range of thinking are well represented . Our editors' selection of 15 personal essays with insights, implications, and considerations for physicians in clinical, research, and educational settings.
For Clinicians: Caring for Ms. L – Overcoming My Fear of Treating Opioid Use Disorder, . See your practice from a new perspective. Download our exclusive collection of physician-authored Perspective articles on the evolving landscape of clinical medicine and health care.
Physicians and others interested in this field will find this book an engaging introduction to the theoretical and practical challenges pertaining to social justice and healt care."--New England Journal of MedicineReviews: 1.
NEJM This Week - Audio Summaries The New England Journal of Medicine.