I participated in panel discussions about end of life care, mental health issues, and reporting risks as well as benefits associated with medical interventions.
Many one on one discussions would end up along the water. We walked along the sea listening to each other's stories, motivation for attending, or lingering barriers to critical thinking in a healthcare framework that may or may not have the provider or patient's best interest top of mind.
I recall a discussion about how Alzheimer's Disease was captured on a death certificate. A mid-career physician treating many patients with dementia admitted the criteria was not clear. Yes we have many patients with dementia--what we don't have is a lot of patients dying from dementia.
The Misconception: You make rational decisions based on the future value of objects, investments and experiences.
The Truth: Your decisions are tainted by the emotional investments you accumulate, and the more you invest in something the harder it becomes to abandon it.--David McRaney, You Are Not So Smart
Some people see a focus on basic research as insistence on wastefully pursuing knowledge for its own sake. That assessment is false. Basic research provides the underpinnings for any understanding of disease, so we need to reassess how we spend our precious funds for development of therapies.
The wisest investment in many cases may be to understand disease biology first and move into clinical trials second, only after we have conceived a rational plan for how to treat a disease. Otherwise, clinical trials risk continuing to be shots in the dark, costly and frustrating not only for scientists but also for patients who badly need new treatments.--Thomas C. Südhof professor of neurosurgery, psychiatry, neurology, and molecular and cellular physiology at Stanford University. He received the 2013 Nobel Prize in medicine.