The Pulse

When someone wrongs us, getting revenge can feel like the only right move — the only way for us to balance the scales, to set the world right again. But the consequences can be disastrous, especially when payback becomes an all-consuming obsession. On this encore episode, we talk with lawyer-turned-researcher James Kimmel about his book, “The Science of Revenge: Understanding the World’s Deadliest Addiction — and How to Overcome It.” We discuss the evolutionary roots of revenge, the neuroscience behind why it feels so good, and how Kimmel eventually traded vengeance for forgiveness. We also find out what caused a murder of crows to target an unsuspecting woman, and what was behind their years-long grudge.

Artificial Intelligence is already guiding surgeons in operating rooms; it’s used to read image scans or take notes during your doctor’s visit. And the pace of AI integration is only getting faster. So what will health care look like in the next 10 to 20 years? Will we consult with an AI-powered doctor before we see our primary care physician or a specialist? Will it give more patients access to cutting-edge care? On this episode; a conversation with physician Robert Wachter on the future of medicine. He’s the chair of the Department of Medicine at the University of California, San Francisco and author of “A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future."

For those deep in the dating trenches, love and attraction can feel like uncrackable riddles. How do I make myself attractive to others? How do you know if someone’s into you? What should I look for in a partner — and how do I know if I’ve found “the one”? On this episode, we train a scientific lens on the mysteries of love. We talk with psychologist Paul Eastwick about the latest research on attraction, relationships, and finding love; learn about how dating apps are transforming the courting process; and hear about two couples who found love in unexpected places. Paul EastwickBonded by Evolution: The New Science of Love and ConnectionWhy Nobody Understands Quantum Physics: The Story of the Science That Shapes Our World

When it comes to serious health issues like obesity, heart disease, and cancer, Black Americans have higher rates and worse outcomes than most other groups in the U.S. It’s a problem that’s gained growing attention over the past few decades, as public health experts have worked to untangle the causes of these disparities, and to find ways of mitigating their effects. Now those efforts face serious headwinds, with federal funding cuts and pressure against DEI measures threatening to roll back progress. But in the face of these challenges, providers are doubling down on offering care that builds trust and delivers better outcomes. On this special production of The Pulse, we find out what that work looks like on the ground. From becoming an ally to patients to mentoring the next generation of Black physicians, we’ll hear how providers are expanding access to quality care. We’ll also explore how the birth of Medicare led to the desegregation of hospitals.

At the best of times, alcohol makes us feel great — relaxed and gregarious, warm and fuzzy, happy and confident. But at the worst of times, it can morph into a serious problem, damaging our relationships, our health, and our lives as a whole. As we close out Dry January, a popular movement to abstain from drinking for a month, we explore our relationship with alcohol. Why we consume it, how it affects us, and when it’s time to quit. We talk with surgeon and recovering alcoholic Charles Knowles about how booze affects our brains and health, and what finally pushed him to go sober for good; we hear about a trend known as “California sober,” and why so many people are embracing it; and we find out how zero-proof cocktail bars are helping some people socialize while sober. Why We Drink Too Much: The Impact of Alcohol on Our Bodies and CultureCalifornia soberresearchers have to sayBar Palmina

On January 28, 1986, a frigid cold day with an icy blue sky, the Space Shuttle Challenger exploded just 73 seconds after launching from Cape Canaveral, Florida. The accident killed all seven crew members aboard and was the first fatal in-flight spacecraft disaster in NASA's history. For many, the explosion came as an absolute shock. Millions of people were watching live, including school children who were especially eager to catch a glimpse of Christa McAuliffe, a teacher from New Hampshire and the first civilian in space. On this episode, we remember the Challenger tragedy with author Adam Higginbotham who details what went wrong and the aftermath in his book, “Challenger: A True Story of Heroism and Disaster on the Edge of Space.”

Space exploration relies heavily on the interest of the public — the voters, and taxpayers, who are ultimately footing the bill. But that support and excitement can be fickle. When space missions go well, and deliver new insights, the payoff is cheering crowds and increased support. But when they don’t, the result can be reduced funding, canceled missions — and even deaths. That means, with each mission, the pressure is on to push boundaries, break new ground, and get everything right. Even a small mistake or malfunction could potentially lead to absolute disaster. On this episode, we look back at three historic NASA missions and how they shaped the course of space exploration. From the awe-inspiring triumph of the first unmanned spacecraft landing on Mars in 1976, to a devastating national tragedy in 1986, to the long-game Pluto mission launched in 2006. Adam HigginbothamChallenger: A True Story of Heroism and Disaster on the Edge of Space

If you go by pop culture depictions, menopause seems like no big deal — a few hot flashes, some comical bouts of hormone-fueled rage, and the “big change,” as it was once called, is over. But for many of the 2 million American women who enter menopause each year, the symptoms can be a lot more serious and long-lasting, ranging from vertigo and joint pain to brain fog and heart problems. On this episode, we take a deep dive into perimenopause and menopause – what’s going on biologically? What can be done to ease symptoms? And why do so many women struggle to receive help from their doctors? We talk with menopause experts about hormone replacement therapy, and why it was demonized for many years; find out what researchers have discovered about the causes of brain fog; and hear about new efforts to deal with medically induced menopause. Watch the full discussion here.explore what their options are

Capsule wardrobes have become a popular way to streamline and organize your closet — basically, paring it down to a few staple pieces that you can combine in multiple ways, and freshen up with seasonal accessories. Registered Dietitian Jenn Salib Huber says this is how women should think about nutrition during perimenopause and menopause. Rather than obsessing over calorie counts and macronutrients, they should focus on staples like soy and fish that are not only delicious but can also alleviate symptoms like hot flashes or brain fog. Huber joins us to discuss her new cookbook, “Eat to Thrive During Menopause.” She offers advice for getting the most out of your meals, tells us which ingredients are “must-haves” during menopause, and shares some of her favorite recipes.

Think about the last time you were really happy — where were you? What were you doing? Who were you with? And, most importantly, how can you recreate that feeling? Happiness can feel like lightning in a bottle — beautiful in the moment, but hard to find and harder yet to sustain. So what is it that makes for a happy life? And how do we engineer our lives for greater contentment, fulfillment, and joy? On this episode: the science of happiness and how we can experience more of it every day. We talk with psychologist Eric Zillmer about why certain places bring us joy, and how to engineer happiness in our lives. We hear about one reporter’s experiment to bring more moments of serendipity in her life. And, writer Daniel Coyle explains why community is at the heart of what it means to flourish. Eric Zillmerhappiness map Daniel CoyleFlourish: The Art of Building Meaning, Joy, and Fulfillment

For a lot of us, noise is a constant factor — an inescapable soundtrack playing on loop in the background. Kids screaming, sirens blaring, the roar of traffic, the sounds of music, lawn mowers, construction, and so much more. We ignore it when we can, or wear headphones to block out the racket. But all that noise can actually damage our hearing and, subsequently, our overall health. On this encore episode, we explore what researchers are learning about the connections between noise, hearing loss, and our well-being. We find out whether constant headphone listening could put our hearing at risk, and why live concerts are so loud, along with how to protect your ears. Also, why stigma remains around hearing aids, even though so many people need them. SHOW NOTES:

Twenty-five years ago, President Bill Clinton stood before a podium in the East Room of the White House, and, in front of an all-star lineup of researchers and dignitaries, made a historic announcement: After years of painstaking work, scientists had created “the most important, most wondrous map ever produced by humankind” — the first-ever survey of the human genome. In his remarks, Clinton compared the achievement to the maps created by Lewis and Clark’s expedition into the American West — but maybe a comparison to the space race would have been more accurate. Because, behind the scenes, the journey leading up to that day’s announcement had been defined by nerve-wracking, cut-throat competition — a competition where every minute counted, and the future of scientific inquiry was at stake. On this encore episode, we look back at how what started as a scientific collaboration fractured into a bitter race to finish decoding the human genome. On one side was the federally funded Human Genome Project; on the other, a private start-up called Celera; and, in between, a raucous mashup of conflicting personalities, values, and ideas that would eventually help to transform science and medicine.

As patients, we often wonder what our role should be when it comes to getting better. Should we research options, get second opinions, and ask lots of questions? Or should we sit back, and let the health care professionals take charge? When does it make sense to push, and when is it best to do less? On this episode, we examine our role as patients, the choices we make, and charting our path toward better health. A reporter gets a wake-up call while looking into diabetes rates among Latinos in Oklahoma, we hear about one woman’s choice to forgo cancer treatment — and how her family and doctors responded, and we explore a controversial proposed diagnosis for severe, long-term anorexia. SHOW NOTES: Juliet WayneJoy Lisi Rankinessay about her mother at Stat News

In 1973, Stanford psychologist David Rosenhan published a bombshell paper called “On Being Sane in Insane Places.” In the paper, Rosenhan described faking symptoms to be admitted to a psychiatric hospital, and recruiting several other pseudo patients to do the same. Could staff tell they were faking? What was it like to be a patient in an institution? The “Rosenhan experiment,” as it came to be known, created a major stir, sparking public debates over the validity of psychiatric diagnoses and contributing to a shift away from institutionalization. Decades later, when journalist Susannah Cahalan began looking into the experiment, she made a startling discovery about Rosenhan’s famous research; he had made up most of it. On this episode, we explore what happens when long-held narratives are upended. For the first time, we hear the voices of the pseudo patients who participated in the famous study, and find out why Cahalan was so passionate about finding them. We’ll also hear a story about one woman’s decades-long search to investigate the Oklahoma City bombing that killed her two grandsons. SHOW NOTES: Snap JudgmentReporter Grant Hill talks with Sanders

Over the course of 20 years, writer Neil Shea explored the awe-inspiring landscape of the Arctic. He saw narwhals poking their tusks above the water, herds of caribou moving across the tundra, and majestic white wolves raising their young. He documents this fragile beauty in his new book, “Frostlines.” We talk to Shea about his adventures, and how climate change is transforming the region.

So often, our relationships take a backseat to everything else on our to-do lists — but new research shows that nurturing personal connections plays a central role in our health and well-being. On this episode, we explore the science of connection, from why it’s important, to how we can make it a priority in our lives.

Ahead of Thanksgiving, we do a deep dive into what we actually know about diet, and what we should and shouldn’t be eating. We talk with a nutrition and metabolism scientist about recent diet trends and how they affect our health, hear from several chefs about how they balance nutrition and taste, and find out how the avian flu outbreak could be affecting this year’s turkeys.

How do our dreams connect to health, and how could “dream engineering” help people get over nightmares? Researcher Michelle Carr writes about that in her new book “Nightmare Obscura: A Dream Engineer's Guide Through the Sleeping Mind.” We talk with Carr about why we dream, the benefits of lucid dreaming, and what she’s learning about our ability to “engineer” our dreams.

Chatbots don’t have feelings of their own, but they’ve been stirring plenty of emotions in us humans. On this episode, we explore how AI is making us feel, and what those feelings say about us. We hear about using ChatGPT for DIY therapy, what kinds of personalities we prefer in our chatbots, and how both the market and online culture is responding to the spike in AI-generated content.

On this Veterans Day episode, we explore the invisible wounds of war — and the different paths veterans take to heal them. We talk with a Marine Corps vet about how ceramics helped him reconnect with civilian life, a retired Navy SEAL about his experience with psychedelic-assisted therapy, and a Vietnam vet who, decades after the war, found peace in an unexpected place.