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🔢 Key Takeaways

  1. Rushing commuters resort to breaking emergency doors due to inefficient turnstile design, causing safety concerns. Listening to music may lessen the annoyance but may have negative ramifications in the future.
  2. Prioritizing personal convenience over safety rules and consideration for others can have unexpected and potentially harmful consequences. It is important to consider the impact of our actions on society as a whole.
  3. Using a cell phone while driving can increase the risk of motor vehicle crashes by four-fold. Patient's memory of pain during a procedure affects their willingness to return for follow-up care, emphasizing the importance of early detection for colon cancer.
  4. Patients will remember the worst and final moments of medical procedures. Practitioners should slow down towards the end to create a positive experience and memory for patients.
  5. Adding a few extra minutes of mild discomfort to a prolonged colonoscopy procedure can result in improved patient adherence rates for potentially life-saving procedures. This may be a practical solution to motivate patients to return for subsequent procedures.
  6. While blocking shots may not necessarily lead to success, hockey players are willing to risk injury to secure a spot on their team. In a competitive sport, players do whatever it takes to earn their chance to play in the NHL.
  7. When communicating tough budget decisions, politicians should avoid negative words like 'painful.' Instead, using euphemisms can reduce the psychological impact on people and prevent unnecessary stress. Focusing on positive outcomes can also help ease feelings of pain.

📝 Podcast Notes

Commuting Woes in Urban Cities and Flawed Turnstile Design

The daily commute in crowded, urban cities like New York can be a frustrating experience, with people resorting to breaking emergency doors to speed up their travel. The design of turnstiles has not taken into account the needs of commuters who are in a hurry to be aboveground. Despite this, the first person to break through the emergency doors suffers the least and continues on their way. The Revenue Equipment Maintainer of the Metropolitan Transportation Authority, Pete Foley, accepts that the design may not be in favor of commuters. Furthermore, commuters who listen to music on their headphones suffer less from the screeching alarm than those who do not. However, such a practice is likely to cause significant safety issues in the future.

The Consequences of Ignoring Safety Rules in Transit Stations

Despite the clear warning signs and the possibility of penalty, people continue to push through emergency exits, in pursuit of a few seconds of saved time. The lack of enforcement has created a sense of entitlement among commuters who prioritize their own time over the safety and rules of the station. While the inconvenience of waiting for a turnstile may be frustrating, it is important to follow rules and consider the impact of our actions on others. The true cost of ignoring the rules may not show up immediately, but it is a reminder that our choices have consequences and can affect others in unexpected ways. It is important to view experiences not just through the lens of personal convenience, but consider the bigger picture and the impact our actions may have on others and society as a whole.

The Non-biological Aspects of Medicine: Insights from Dr. Donald Redelmeier

Donald Redelmeier is a doctor and professor at the University of Toronto, where he conducts research on the non-biological aspects of medicine with a focus on the determinants of health. One of his most notable studies found a four-fold increase in the risk of motor vehicle crashes when a driver used a cell phone. Redelmeier's interest in pain led him to collaborate with Nobel Prize-winning psychologist Daniel Kahneman. They studied how a patient's memory of pain during a procedure might influence their return for follow-up care. This has important implications for procedures like colonoscopies, which are necessary but unpleasant. Redelmeier emphasizes the importance of early detection for colon cancer, one of the leading causes of cancer deaths in North America.

The Impact of Worst and Final Moments on Patients' Memory of Medical Procedures

Patients' memories of medical procedures are strongly influenced by the worst moment and the final moments of the procedure. The duration of the procedure has little effect on their memory. Therefore, medical practitioners should focus on making the worst and final moments as positive as possible. They can slow down towards the end of procedures to give patients a sense of mildness during the last one to two minutes, which will leave a positive memory of the whole experience.

Prolonged Colonoscopy Procedure and Patient Adherence

A prolonged colonoscopy procedure that includes a few extra minutes of mild discomfort at the end can result in a 10-15% improvement in the patient's final impression of the experience. This can translate into a 22% gain in subsequent adherence rates for return visits for potentially life-saving procedures. The effect is not enormous, but it is achieved at no financial cost to the healthcare system or medical risk to the patient. Professional hockey players, who are used to enduring pain, provide insight into what motivates patients to return for subsequent procedures. Trickery, such as the mildly extended colonoscopy, may be a practical solution to improve adherence rates for patients.

The Risks and Rewards of Blocking Shots in Hockey

Blocking shots in hockey is a painful and risky strategy that may not necessarily lead to success. While the New York Islanders are good at blocking shots, they haven't finished in the top 10 in points or won a playoff series in decades. However, players are willing to sacrifice their bodies to stand out and secure a spot on the team. Injuries are almost forgettable to these players, and their main focus is on the recovery and getting back on the ice. In a competitive and parity-filled sport, players are doing whatever it takes to stay in the game and earn their chance to play in the NHL.

The Impact of Words on People's Perception of Budget Cuts.

In times of budget cuts, politicians have to find ways to communicate tough choices without using negative words like 'pain' or 'painful'. This is because such words can have a psychological impact on people and make them feel the pain in advance. Doctors have observed that individuals have different thresholds of pain, with hockey players discarding the memories of painful hits in a bid to keep moving forward. Mental health experts suggest that people can ease their pain by focusing on the last impression of a painful event. Politicians therefore should use euphemisms to communicate budget pain, rather than using direct language that may stress out people.