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Our Top 5 Longreads of the Week—featuring The New York Times Magazine, Washington Monthly, The New Yorker, Spirit Magazine, Stanford Medicine Magazine, plus fiction and a guest pick by TIME’s Kate Pickert.
Our Top 5 Longreads of the Week—featuring The New York Times Magazine, Washington Monthly, The New Yorker, Spirit Magazine, Stanford Medicine Magazine, plus fiction and a guest pick by TIME’s Kate Pickert.
A group of young doctors from the Clinical Excellence Research Center at the Stanford School of Medicine are looking for new models to make health care better and more affordable:
Patel was second up in the presentation, a little nervous and barely tall enough to be seen behind the podium. She stated the problem in her target area: Cancer is the second-leading cause of death in the United States, with costs estimated to be $173 billion by 2020. These rising costs are unsustainable.
And what do many poor-prognosis cancer patients get for all the money spent? ‘Horrible treatment,’ she said, citing a statistic that silenced the room: Seventy-three percent of terminal cancer patients never have an end-of-life discussion with their oncologists. ‘Many patients are rushed off to chemotherapy without understanding the big picture. And when predictable treatment side effects happen at night and on weekends, patients who are unable to reach their oncologist end up in misery in emergency rooms and hospitals. Later in their illness, many die painfully in intensive-care facilities that bankrupt their families emotionally – and sometimes financially.’
During her presentation, Patel’s eyes became dark pools that threatened to overflow. A few people in the audience wept silently, perhaps remembering loved ones who had similarly suffered.
‘Overall, these added services improve the quality of life of patients, giving them what they need and want without delay,’ she added after describing her model. ‘And best of all, we lower health insurance costs … simply by doing the right thing.’
Can you make a firearm using 3D-printed parts? People are trying:
“In May 2011, a year before Defense Distributed began, a mechanical engineer and amateur gunsmith named Michael Guslick successfully fabricated the lower receiver of an AR-15 rifle (the same weapon that was purchased legally by the Aurora, Colorado shooter) with the help of an industrial Stratasys FDM1600 printer that he bought on the secondary market. The receiver is the element of the gun that houses the trigger mechanism and magazine, without which it wouldn’t function. As such, the receiver alone is officially classified as a firearm under U.S. law and is strictly controlled. The part usually holds the weapon’s serial number, which Guslick’s certainly lacked.
“Guslick, whose mild voice and intensely technical internet persona is far more suited to a father tinkering in his garage than a terrorist, assembled the full rifle with parts that can be purchased online and fired it on July 1, 2012. The resulting shooting session was likely the first time a DIY gun with 3D-printed elements was successfully fired. Blogger Turomar at Ambulatory Armament Depot posted this video of a shooting session using his own AR-15 with a 3D-printed lower receiver in August.”
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SUBMISSION GUIDELINES
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This week, we’re excited to share a Longreads Exclusive from Orion, a publication that has been featured on Longreads in the past, with pieces from Charles C. Mann, Belle Boggs and Sy Montgomery.
“The Creature Beyond the Mountains,” by Brian Doyle, is a story about the giant sturgeon in the Pacific Northwest—one, named Herman, weighs nearly 500 pounds—and about our relationship with them. Doyle is editor of Portland Magazine and writes frequently for Orion’s print edition and blog. His piece won the John Burroughs Award and was listed as “Notable” by both Best Science and Nature Writing 2012 and Best American Essays 2012. See an excerpt here.
p.s. You can support Longreads—and get more exclusives like this—by becoming a member for just $3 per month.
(Illustration by Kjell Reigstad)
(Subscribe to Longreads to receive this and other weekly exclusives.) A look at the giant sturgeon in the Pacific Northwest—one, named Herman, weighs nearly 500 pounds—and about our relationship with them. Doyle is editor of Portland Magazine and writes frequently for Orion‘s print edition and blog. His piece won the John Burroughs Award and was listed as “Notable” by both Best Science and Nature Writing 2012 and Best American Essays 2012.
“There are fish in the rivers of Cascadia that are bigger and heavier than the biggest bears. To haul these fish out of the Columbia River, men once used horses and oxen. These creatures are so enormous and so protected by bony armor that no one picks on them, so they grow to be more than a hundred years old, maybe two hundred years old; no one knows. Sometimes in winter they gather in immense roiling balls in the river, maybe for heat, maybe for town meetings, maybe for wild sex; no one knows. A ball of more than sixty thousand of them recently rolled up against the bottom of a dam in the Columbia, causing a nervous United States Army Corps of Engineers to send a small submarine down to check on the dam. They eat fish, clams, rocks, fishing reels, shoes, snails, beer bottles, lamprey, eggs, insects, fishing lures, cannonballs, cats, ducks, crabs, basketballs, squirrels, and many younger members of their species; essentially they eat whatever they want. People have fished for them using whole chickens as bait, with hooks the size of your hand.”
Top 5 Longreads of the Week: Financial Times, Grantland, Rany Jazayerli, The Baffler Magazine, The New Yorker, fiction from The Guardian, and a guest pick from Mark Berman.
Inside the life and work of Oliver Sacks, whose newest book is Hallucinations:
“He has been in psychoanalysis, continuously and with the same Freudian interlocutor, for 46 years—remarkable for a materialist neurologist. ‘We were both young men, and now we’re old men. There’s a longitudinal study for you,’ he says. The two remain on formal terms: ‘He’s still Dr. Shengold, and I am still Dr. Sacks,’ he says. ‘I think that a patient can become a friend, but that one shouldn’t be a doctor to a friend—there is a distance, which paradoxically allows closeness, as I feel with my own patients.'”
“Sacks says his shyness simply ‘doesn’t occur’ in those interactions, which may be one reason he is so good with his patients and another reason he so loves them. In his work as a physician, the social landscape is unusually even-planed, for him and for them, and he has an uncanny ability to put his patients at ease—with sustained attention; curiosity and empathy; and a physician’s bag, stuffed with balls, a reflex hammer, and magazines, that could serve a clown. ‘Among other things, I’m a good and sometimes involuntary imitator,’ Sacks says a little mischievously.”
A profile of Rhonda Roby, a forensic scientist who has identified the bodies of victims of 9/11, victims of serial killer John Wayne Gacy, Vietnam and Korean War MIAs, bodies of the Romanov family, victims buried in Chilean mass graves, and more:
Standing there in the middle of the smoking apocalypse of the Twin Towers, she pushed aside emotion and forced the scientist part of her brain to click. ‘I kept thinking, “These people are walking on my crime scene.”’ She checks herself. “’Well, not my crime scene, but the crime scene. Of course, I wanted to identify as many remains as possible.’
While firemen and policemen all around her desperately searched for signs of life, Roby was doing math. At the time, she was the forensic manager for Applied Biosystems, a private biotech company. She stepped into the scene at 9/11 as one of the world’s leading experts in mitochondrial DNA, with hard-core experience identifying victims of mass disasters from tiny fragments of bone. There were thousands of dead. It would be necessary to sequence about 1,000 bases of DNA information on each sample of human remains, the painstaking process required to order the building blocks of a person’s unique DNA.
In the end, Roby led a team that processed 21,000 DNA samples dug from the rubble of the World Trade Center. She will go down in history as one of the scientists who rushed to Ground Zero, including superstar biologist Craig Venter, famous for his work deciphering the human genetic code. Venter, instrumental in tapping her expertise for 9/11, became a friend through the experience.
“Naming the Dead at Ground Zero.” — Julia Heaberlin, D Magazine
Our Top 5 Longreads of the Week—featuring stories from Orion Magazine, Harper’s, Atlanta Magazine, Fortune Magazine and The Rumpus, plus fiction from Electric Literature and a guest pick from N.V. Binder.
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