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Imagine knowing you have pancreatic cancer and your doctor is unwilling to tell you how bad it is because they’re uncomfortable.That’s the situation Dr. Ron Naito, a now-retired physician, found himself in this past August.“It’s never an easy task to tell someone they have a terminal illness. How can it be?” Naito says, sitting on a couch in his home in Portland, Oregon. “I mean it brings your own mortality into the picture for one thing.”Naito has stage 4 pancreatic cancer, and as a doctor himself, he knows full well what that means. It can mean a person only has months to live.“Of all the major cancers, the one with most dire of all prognoses is probably pancreatic,” Naito explains. “Particularly what I have, which is stage 4. And I don’t think he felt comfortable telling me or discussing it.”Not only was one specialist unwilling to discuss the severity of his illness, but Naito found out about the size of his tumor from a second specialist in a less than optimal way, as well. He overheard the doctor talking to a medical student just outside his open exam room door.“They were walking this way and they said, ‘5 centimeters.’ He told the medical student. Then, they were walking the other way,” he recalls. “And I heard the words, ‘very bad,’ and I knew it was me, obviously. I know that pancreatic cancer if they exceed 3 centimeters, it’s a negative sign.”The doctor never did talk to him face to face about the precise size of his tumor.Naito says he didn’t think it was “very professional,” but even so, he has no anger toward his doctors. Instead he says it highlights how easy it is for a doctor to be careless.“They’re not uncaring. It’s just that they don’t have any experience or training. Nobody’s there to guide them,” Naito says. “And there’s no book on this. I mean you can’t go to the medical school library and check out a book on how can you deliver a dire diagnosis to patients. That book does not exist. I don’t think.”That’s why Naito not only choosing to speak out in the months he has left--despite his weakness--but it’s also why he’s given Oregon Health and Science University’s Center for Ethics in Healthcare a grant so people like Dr. Katie Stowers can teach the next generation how to better deliver news to someone who’s dying.“Unfortunately, Dr. Naito’s experience is not an anomaly,” Stowers says.Stowers is the inaugural “Ronald Naito Director of Serious Illness Education” at OHSU. Medical students under Stowers’ guidance must now pass a unique final exam, delivering grim news in mock scenarios.“It’s not that doctors don’t want to do better. It’s not that doctors are bad or inhumane, it’s that they just haven’t been taught how to do this the right way,” Stowers says.Naito, who has outlived his prognosis but estimates he may only have about six months left, says doing it the right way all comes down to one thing.“When you’re talking to your patient that has terminal illness, you have to realize your doctor and patient roles become a little bit blurred,” he says, fighting back tear. “Because, basically, you’re just two souls. You’re two human beings meeting at a very deep level. You’re in charge with giving this other person the most devastating news they will receive in their lifetime potentially.”It’s a very crucial moment, Naito says. 3314

Justice Ruth Bader Ginsburg had two cancerous nodules removed from her left lung Friday at a New York hospital, the Supreme Court announced.There is no evidence of any remaining disease, says a court spokesperson, nor is there evidence of disease elsewhere in the body.The 85-year-old justice was hospitalized last month after a fall in her office, in which she fractured three ribs.In 1999, Ginsburg underwent surgery for colorectal cancer, and 10 years later she was treated for early stages of pancreatic cancer.The senior-most liberal justice, Ginsburg has said that she'll continue to serve on the Supreme Court as long as she's able to do the job."I said I will do this job as long as I can do it full steam," Ginsburg said Sunday during an interview following a New York City screening of "On the Basis of Sex," a feature film about her years as a young lawyer.Read the full statement from the court:Justice Ruth Bader Ginsburg underwent a pulmonary lobectomy today at Memorial Sloan Kettering Cancer Center in New York City. Two nodules in the lower lobe of her left lung were discovered incidentally during tests performed at George Washington University Hospital to diagnose and treat rib fractures sustained in a fall on November 7. According to the thoracic surgeon, Valerie W. Rusch, MD, FACS, both nodules removed during surgery were found to be malignant on initial pathology evaluation. Post-surgery, there was no evidence of any remaining disease. Scans performed before surgery indicated no evidence of disease elsewhere in the body. Currently, no further treatment is planned. Justice Ginsburg is resting comfortably and is expected to remain in the hospital for a few days. Updates will be provided as they become available.This story is breaking and will be updated. 1799

LAS VEGAS — Las Vegas police have released the shocking video of a woman pushing an elderly man off a bus. The incident occurred March 21. The elderly man initially refused medical treatment but went to the hospital later that day. On May 3, police were notified that the man had died from his injuries.Homicide detectives took over the investigation and determined a woman had been arguing with people on the bus. When the bus stopped, the victim and woman began arguing and she then pushed him out of the bus.Currently, the Regional Transportation Commission of Southern Nevada invests more than million each year in contracted security services, accounting for 177 security officers.The transit authority said it allocates resources to areas of concern as situations arise. This situation remains under investigation and homicide detectives are looking for witnesses to the incident.Cadesha Bishop, 25, was identified as the suspect and was arrested. She is facing an open murder charge.The victim was identified as 74-year-old Serge Fournier. Anyone with any information was urged to contact the homicide section of the Las Vegas Metropolitan Police Department by phone at 702-828-3521, or Crime Stoppers at 702-385-5555. 1240

It took a few hours for the news to be released, but by all indications, Ryan Newman is okay. NASCAR officials said Newman had non life-threatening injuries following a horrific crash at the end of the Daytona 500 on Monday.Newman is in serious condition after being transported to the hospital. As Newman approached the finish line of the Daytona 500 on Monday, he was set to win his first Daytona 500 in 12 years. But a nudge from behind sent Newman into the wall as his competitors crossed the finish line. The crash allowed Denny Hamlin to win his second straight Daytona 500. As Hamlin celebrated the win, attention quickly turned to Newman, whose car spun out of control and burst into flames. After Newman's car struck the wall and flipped, it was then struck at full speed by Corey LaJoie's vehicle, causing Newman's car to flip again. Emergency crews raced to rescue Newman following the stunning crash.The celebration for Hamlin was subdued following the race."I think we take for granted sometimes how safe the cars are," Hamlin said. "But No. 1, we're praying for Ryan. Worked really well with Ryan through this whole race, and obviously he got turned right there."Ryan Blaney, who came in second place, described his view of the incident. "We pushed Newman there to the lead, and then we got a push from the 11 (Danny Hamlin's car), and I made a move off 4 (Kevin Harvick's car) on Newman and he blocked it and I kind of went low and he blocked that, so then I was committed to just pushing him to the win and trying to have a Ford win it, and I don't know, we just got bumpers hooked up wrong and turned him," Blaney said. "I hope he's all right. Looked pretty good. Definitely was trying to push him to a win. I don't want to say those things happen. I feel really bad about it."The Daytona 500 was pushed to Monday after rain forced the postponement of the race on Sunday.Watch video below of the race's finish:Here is the final lap of the Daytona 500 in which Ryan Newman's car was flipped at the line. We will continue to keep you updated on his status as we learn more. 2101

Justice Ruth Bader Ginsburg will not be at the Supreme Court Monday morning as it meets for its first day of oral arguments in the new year.The court's public information officer said Ginsburg, who is still recovering from surgery last month to remove two cancerous nodules from her lung, would still be able to vote on the cases by reviewing the transcripts of oral arguments.Ginsburg, 85, has survived other bouts of cancer which never caused her to miss oral arguments.Ginsburg 493