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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

Is anybody home? Astronomers have pinpointed two planets orbiting a nearby star that meet pretty much every requirement for supporting life. They're almost exactly the same mass as the Earth, they are billions of years old (which means life could have had time to evolve), and they're orbiting their star at a distance that would support things like water flow and habitable temperatures.The two planets orbit Teegarden's star, an ancient star that is only 12-light-years away from the Earth. ("Only" is relative -- 12 light-years is equal to 70,540,000,000,000 miles.) Research on the planets and their sun, 621

Kroger is tapping Microsoft to help create grocery stores of the future, and keep up with Amazon and Walmart.The two companies announced a partnership on Monday that will bring digital shelves, price tags, and advertisements to two pilot stores in Ohio and Washington State, near each company's headquarters.The stores are designed to make it easier for customers and workers to navigate the stores, saving shoppers time and Kroger money.Kroger has been partnering with companies such as Nuro, Ocado, and Walgreens as it aims to speed up grocery delivery and pickup, and experiment with digital tools to support its network of physical stores.The grocery chain is trying to give shoppers — who are increasingly browsing and buying everything from consumer electronics to breakfast cereal online — more reasons to visit physical stores.Under the latest partnership, customers first build a shopping list using Kroger's Scan, Bag, Go self-checkout app.Then, the app works with cloud-based software and sensors in the store to guide them around as they check off items on their list. For example, if a customer is looking for pasta, the app will direct the customer to the correct aisle. As the customer nears the aisle and approaches the type of pasta they chose, a personal avatar — like a banana or an avocado —will light up that directs them to the right one. They'll scan the item to check out, and the system will route the customer to the next item on their list."The notion of Kroger having to figure out what digital looks like in store for a grocery shopper is super important," said Jason Goldberg, head of the commerce practice at digital agency SapientRazorfish. He believes the tech could appeal to customers who want more information about the food they're buying, where it comes from, and how to store it in their homes.Shelves at the two tech-enhanced stores will also look much different than traditional stores.Instead of paper tags for prices and promotions, they will be digital. That creates room for Kroger to sell advertising space to brands, which could provide a new profit stream in the low-margin grocery business.Switching will help Kroger quickly change prices on products and create deals, instead of an employee manually making the changes. Kroger said it will boost workers' productivity, since employees will be able to quickly locate products for customers' curbside grocery pickup orders.Kroger's ( 2443

In an interview with Charles Benson, a reporter for Scripps affiliate TMJ-TV in Wisconsin, President Donald Trump stressed the importance of ratification of a new free trade agreement between the US, Mexico and Canada. This comes after Trump scrapped a previous agreement known as NAFTA. "This is going to open up the playing field," Trump said about the USMCA agreement. "I came to Wisconsin two years ago about specialty milk. And that was the straw the broke the camel's back because Canada treated you unfairly."But Democrats have not been so keen on approving the USMCA. House Speaker Pelosi said she would like to see the agreement include provisions over labor and the environment. To see the full interview, watch below. 740

It's become a solemn and sacred ritual in the United States each September 11 -- pausing for part of the day to remember the victims of the 9/11 terror attacks.While the attacks happened at the Twin Towers in lower Manhattan, the Pentagon across the Potomac River from Washington and a lonely field outside Shanksville, Pennsylvania, the entire nation -- and indeed the world -- absorbed the horror of airliners being turned into weapons.Demonstrating the enduring legacy of that day in 2001, here are some of the places holding observances around the United States on the 18th anniversary of 9/11.Watch live as President Donald Trump participates in a ceremony at the Pentagon.National September 11 Memorial & MuseumThe most shocking images and loss of life came at the World Trade Center complex -- and the site became holy ground for many Americans.The National September 11 Memorial & Museum opened in 2014 in the same location and today is the main national gathering site documenting the events of 9/11.Starting at 8:40 a.m. ET Wednesday, the memorial and museum will host its 1103

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