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The future of palliative care - Issue #4

I'm still recovering from cognitive overload (AAHPM, I love you but...). So today, a bit of mental re

The future of palliative care

March 18 · Issue #4 · View online
In many respects, we've arrived. Yet what we know now won't get us to the next level. So I'm looking for signals from the future, & I'm curating them here.

I’m still recovering from cognitive overload (AAHPM, I love you but…). So today, a bit of mental respite!

Thomas Jackson photographs emergent self-organizing systems
Thomas Jackson photographs emergent self-organizing systems
1. "Fresh interpretations of everyday things..."
Jackson is a SF-based photographer who works of visual equivalents of complexity and emergence. I loved this photo essay–if we’re going to envision the future, we need to see beyond our habitual boxes–to new stories, new messages, new images.
Emergent Behavior By Thomas Jackson |
2. "I got what i wanted despite not being offered it."
At Endwell SF, our own Torrie Fields offers her own experience as a new kind of illness narrative. It’s sobering: the beginning was a ‘medical conveyor belt’ that betrayed her career dream & her marriage. But she ends with a new kind of dream: not a dream of a heroic doctor, but of 'creating a system that responds to my needs.’ This is the new frontier.
Torrie Fields, It’s Personal - YouTube
End Well Symposium | Design for the End of Life Experience | SF
3. Why reputation is more important than ever.
From information philosopher Gloria Origgi in Aeon: “the vastly increased access to information and knowledge we have today does not empower us or make us more cognitively autonomous. Rather, it renders us more dependent on other people’s judgments and evaluations of the information with which we are faced.” The disruption we are in now is, in many ways, about sourcing.
Say goodbye to the information age: it's all about reputation now | Aeon Ideas
4. Technology won't save us.
Tristan Harris, who left Google to start the Center for Humane Technology, talks to Ezra Klein of Vox about why he left. We’re being hijacked by technology–we just don’t realize it. There is a powerful parallel here between how we use Facebook and how we default to asking the medical system to ‘do everything’: it’s the breakdown of consumerism. A fantastic longform listen.
Tristan Harris on how Facebook and Twitter bring out the worst in us - Vox
5. What i'm cooking tonight, & why you should care.
My new infatuation, although sadly she has no idea, is Alison Roman. Her new book, Dining In, is practical, personal, fun. When i started the VitalTalk video blog, i realized that the new gen of instructional everything had changed: it’s not about degrees, or gravitas, or ‘you must’–it’s about the people. There is some brilliant video out there, and we need to figure out how to use it. 
Alison Roman's Skillet Chicken with Crushed Olives and Sumac - A Dining In Cookbook Video - YouTube
6. Just how do you build a new culture?
Antonio Damasio, the eminent neuroscientist & author, lays it out in his new book The Strange Order of Things. If you’ve been following the fascinating work on how emotions are constructed by your brain & body, you’ll see how Damasio takes these ideas to the next level by connecting them to an expanded notion of homeostasis. His big point: our feelings–not our intelligence–are at the center. My interpretation: medical care will need to be turned inside out to take advantage of his insights. From where we are now, it’s a tall order. Instead of technicians, we need what Robert Reich calls “The Common Good.” Not an easy read, but so worth it.
The Strange Order of Things: Life, Feeling, and the Making of Cultures: 9780307908759: Medicine & Health Science Books @
The John A. Hartford Foundation makes this newsletter possible. But the views, opinions, & recommendations are mine alone. 
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