Patients Know Their Condition and Should Be Listened to by Physicians

The article quoted below gives evidence that on average the patients of female physicians have slightly better health outcomes than the patients of male physicians, and speculates that the reason is that on average, female physicians are somewhat better at listening than are male physicians. The article does not highlight an important implication of this speculation: that what the patient is saying is worth listening to, i.e., it has merit, often providing true and useful knowledge about their own condition. Patients actually know something. If so, this goes against the popular views that physicians should be paternalistic, and that the only actionable source of health knowledge is a randomized double-blind clinical trial.

(p. D4) Whether your doctor is male or female could be a matter of life or death, a new study suggests. The study, of more than 580,000 heart patients admitted over two decades to emergency rooms in Florida, found that mortality rates for both women and men were lower when the treating physician was female. And women who were treated by male doctors were the least likely to survive.

Earlier research supports the findings. In 2016, a Harvard study of more than 1.5 million hospitalized Medicare patients found that when patients were treated by female physicians, they were less likely to die or be readmitted to the hospital over a 30-day period than those cared for by male doctors. The difference in mortality was slight — about half a percentage point — but when applied to the entire Medicare population, it translates to 32,000 fewer deaths.

Other studies have also found meaningful differences in how women and men practice medicine. Researchers at Johns Hopkins Bloomberg School of Public Health analyzed a number of studies that focused on how doctors communicate. They found that female primary care doctors simply spent more time listening to patients than did their male colleagues. But listening comes with a cost. Doctors who were women spent, on average, two extra minutes, or about 10 percent more time per visit, creating scheduling delays and putting them an hour or more behind their male colleagues by the end of the day.

Dr. Nieca Goldberg, a cardiologist whose book “Women Are Not Small Men” helped start a national conversation about heart disease in women, said the research should not be used to disparage male doctors, but should instead empower patients to find doctors who listen.

. . .

Edna Haber, a retired mortgage company owner who lives in Westchester County in New York, said she has had wonderful male and female doctors, but her worst experiences have all involved male doctors.  . . .

Recently she decided to see Dr. Goldberg to discuss heart palpitations and feeling lightheaded. But a series of medical tests during the office visit found that her heart was normal. “I do believe that had I been with a male doctor, I think he just would have put his arm around me and said, ‘Listen, go home, relax, meditate, maybe take a tranquilizer,’ and that would have been the end of it.”

But Dr. Goldberg knew the patient had been concerned enough to see a doctor, so she suggested that she wear a heart monitor for a few days. Several days later, the technicians monitoring the feed noticed a pattern that ultimately showed Ms. Haber needed a pacemaker.

“She paid attention and treated me as if I was credible,” said Ms. Haber. “I wish all the women I know could understand how important it is to have a doctor who pays attention to them, whatever part of the body they are looking at. I think a lot of women are getting short shrift.”

For the full story see:

Tara Parker-Pope. “Should You Choose a Female Doctor?” The New York Times (Tuesday, August 21, 2018 [sic]): D4.

(Note: ellipses added.)

(Note: the online version of the story has the date Aug. 14, 2018 [sic], and has the same title as the print version.)

The “new” study mentioned above is:

Greenwood, Brad N., Seth Carnahanb, and Laura Huang. “Patient–Physician Gender Concordance and Increased Mortality among Female Heart Attack Patients.” PNAS 115, no. 34 (Aug. 21, 2018): 8569–74.

Dogs Can Alert Owners to Epileptic or Diabetic Emergencies

(p. B1) Rosebud is a service dog trained at a nonprofit called Canine Partners for Life in Cochraneville, Pa. The dog can detect when Ms. Vible will have a seizure about 15 minutes before it happens. She lets Ms. Vible know with a whine or a bark and then lies down with her owner until the seizure is over.

Seizure-alert dogs are part of a growing class of service animals that can detect warning signs of epileptic seizures and diabetic emergencies and identify other medical conditions. Demand has surged, according to trainers and training centers—some of which now have long wait lists—as recent scientific studies have started to confirm the dogs’ efficacy in helping their owners.

. . .

Their acute sense of smell helps the dogs detect low and high blood-sugar levels and epileptic seizures before they happen. Researchers haven’t yet identified the specific compounds that the dogs are smelling. But once the dogs recognize the smell, they are trained to respond with a specific action such as barking or pawing at their owners. Depending on the owner’s state and the animal’s training, some dogs also might alert another adult, bring a juice box or press a button that sends a phone text to a caregiver.

The University of Bristol in England this year produced a study of dogs’ ability to detect hypoglycemia, which occurs when a diabetic’s blood sugar drops dangerously. If left untreated, this can lead to unconsciousness or death. In assessing the effectiveness of 27 glycemia-alert dogs, the Bristol study found that the dogs alerted their owners to 83% of hypoglycemic episodes in more than 4,000 hypo- and hyperglycemic episodes.

The findings of another study released this year showed promise for people suffering from epilepsy. Researchers from the University of Rennes in Normandy, France, presented dogs with samples of breath and sweat odors obtained from epileptic patients having seizures, not having seizures and exercising (to determine whether the dogs were just detecting sweat). All of the dogs succeeded in identifying the epileptic-seizure-odor sample, and the dogs spent about 23 seconds investigating the seizure smell, compared with about five seconds spent on the other samples.

The lead researcher of the study, Amelie Catala, a Ph.D. candidate at the University of Rennes, says the research could help in the development of electronic noses, devices that can detect and analyze odors and flavors.

“If there is an organic compound related to these diseases that we can detect and identify, it could help develop electronic noses,” she says.

Medical-alert dogs are being trained by for-profit and nonprofit centers, by individual trainers and at times by individual pet owners themselves. In addition to those skills already mentioned, some have been trained to warn patients about abnormal heart rhythms, and to detect allergens. Dogs also have been trained to help identify certain cancers in laboratory settings.

For the full story, see:

Aili McConnon. “Dogs That Can Read Warning Signs Progress Before Explosion.” The Wall Street Journal (Monday, Sept. 16, 2019 [sic]): R9.

(Note: ellipsis added.)

(Note: the online version of the story has the date Sept. 12, 2019 [sic], and has the title “A Growing Role for Medical-Alert Dogs.” The last four paragraphs quoted above appear in the online, but not in the print, version of the article.)

The University of Bristol academic paper mentioned above is:

Rooney, Nicola J., Claire M. Guest, Lydia C. M. Swanson, and Steve V. Morant. “How Effective Are Trained Dogs at Alerting Their Owners to Changes in Blood Glycaemic Levels?: Variations in Performance of Glycaemia Alert Dogs.” PLOS ONE 14, no. 1 (2019): e0210092.

The University of Rennes academic paper mentioned above is:

Catala, Amélie, Marine Grandgeorge, Jean-Luc Schaff, Hugo Cousillas, Martine Hausberger, and Jennifer Cattet. “Dogs Demonstrate the Existence of an Epileptic Seizure Odour in Humans.” Scientific Reports 9, no. 1 (2019): article #4103.

Edgar Allen Poe Said Intuitive Leaps Should Be Added to Deduction and Induction as Paths to Knowledge

(p. C7) In an 1848 lecture, Edgar Allan Poe—the “Raven” guy, the progenitor of detective stories and spooky science fiction, who married his 13-year-old cousin, and died after being found insensibly drunk and wearing (somehow the most unsettling detail of all) another man’s clothes—this ink-stained wretch described a startling number of what would turn out to be prominent features of modern cosmology, including the big bang, the big crunch and the unity of space-time.

. . .

Where Poe sent audiences winging around the universe (or multiverse, another concept he seems to have anticipated), Mr. Tresch keeps to a steady course. He approaches Poe’s uncanny lecture—and its published version, the prose poem “Eureka”—not as a crazy fever dream, but as an inspired series of leaps from a firm grounding in fact.

. . .

In his lecture on the universe, Poe turned this method upside down: Here he used fiction in the service of science. He began by citing a letter, purportedly written in 2848, that mocked the primitive methods of 1848, when overconfident scientists believed that deduction and induction were the only paths to knowledge. Intuitive leaps, Poe insisted, could yield insights of their own. One such “soul-reverie” led him to argue that the universe began when “a primordial Particle” erupted outward in every direction. Everything that has happened since then is the result of the interplay of “the two Principles Proper, Attraction and Repulsion.” So far, so reasonable, by the lights of 21st-century cosmology. Still, plenty of what Poe went on to assert is either flatly wrong, ludicrously wrong, or outside the realm of cosmology properly defined, e.g., his suggestion that if there are multiple universes, each might have its own god.

“The Raven,” “The Tell-Tale Heart,” “The Pit and the Pendulum”: As far as Poe was concerned, these gloomy triumphs of his imagination—all the poems and short stories that have made him immortal—counted for less than his cosmic speculations, which he considered the pinnacle of his career. “I could accomplish nothing more since I have written Eureka,” he told his mother-in-law/aunt. So imagine his dismay when, after requesting a print run of 50,000 copies, his publisher granted him only 500, and even these didn’t sell. A year later, Poe would spend a calamitous day and night in Baltimore, drinking himself to oblivion. He died at 40.

Had he lived, he would have found it ever more difficult to “revolutionize the world of Physical & Metaphysical Science.” Mr. Tresch, who teaches at the Warburg Institute at the University of London and has previously written about Romanticism and science in 19th-century France, shows that the last years of Poe’s life coincided with increased regimentation in American thought. New organizations such as the American Association for the Advancement of Science began applying rigorous standards to scientific discourse. “Eureka” was “precisely the kind of publicly oriented, freewheeling, generalizing, idiosyncratic, and unlicensed speculation that the AAAS was created to exclude,” he writes.

For the full review, see:

Jeremy McCarter. “Mystery, Science, Theater.” The Wall Street Journal (Saturday, June 12, 2021 [sic]): C7.

(Note: ellipses added.)

(Note: the online version of the review was updated June 11, 2021 [sic], and has the title “‘The Reason for the Darkness of the Night’ Review: Poe’s Eureka Moment.” In the online and print versions, the words “Attraction,” “Repulsion,” and “Eureka” in Poe quotes appear in italics.)

The book under review is:

Tresch, John. The Reason for the Darkness of the Night: Edgar Allan Poe and the Forging of American Science. New York: Farrar, Straus and Giroux, 2021.

Isaacson Reprises His Themes of “Science, Genius, Experiment, Code, Thinking Different” in Book on CRISPR

(p. 12) The landmark research that brought Doudna and Charpentier to the pinnacle of global acclaim has the potential to control future pandemics — either by outwitting the next viral plague through better screening and treatment or by engineering human beings with better disease resistance programmed into their cells. The technique of gene editing that they patented, which goes by the unwieldy acronym of CRISPR-Cas9, makes it possible to selectively snip and alter bits of DNA as though they were so many hems to take up or waistbands to let out. The method is based on defenses pioneered by bacteria in their ages-old battle against viruses.

. . .

The CRISPR history holds obvious appeal for Walter Isaacson, a biographer of Albert Einstein, Benjamin Franklin, Steve Jobs and Leonardo da Vinci. In “The Code Breaker” he reprises several of his previous themes — science, genius, experiment, code, thinking different — and devotes a full length book to a female subject for the first time.

. . .

Isaacson keeps a firm, experienced hand on the scientific explanations, which he mastered through extensive readings and interviews, all of which are footnoted.

For the full review, see:

Dava Sobel. “Deus Ex Machina.” The New York Times Book Review (Sunday, March 21, 2021 [sic]): 12.

(Note: ellipses added.)

(Note: the online version of the review has the date March 8, 2021 [sic], and has the title “A Biography of the Woman Who Will Re-Engineer Humans.”)

The book under review is:

Isaacson, Walter. The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race. New York: Simon & Schuster, 2021.

Citizen Archeologists “Are Increasingly Making Important Discoveries”

(p. 11) The long, thin piece of metal looked like a scaffolding pole when Trevor Penny saw it on the banks of an English river last November [2023].

. . .

But his find that day was much more dramatic: a rusty Viking sword that had been there for more than 1,000 years.

. . .

When Mr. Penny, 52, realized what he had found, he contacted a local official responsible for identifying the public’s archaeological finds.

The discovery was “one further puzzle piece that can cast light on our shared heritage,” said that official, Edward Caswell, who documents Oxfordshire finds for the Portable Antiquities Scheme run by the British Museum.  . . .

“We do find Viking weapons, including swords, deposited in rivers in England,” said Jane Kershaw, an associate professor of archaeology at the University of Oxford.

Many such weapons have been found in the north and east of the country, Dr. Kershaw said. She called the sword a “rare example” of viking activity in the area.

“It is outside the normal find zone for these weapons,” she said. “But the Vikings, they were active in that area. There is a lot that we don’t know about their activities.”

Hobbyists are increasingly making important discoveries, and Dr. Kershaw said it was critical that they report their finds. “It’s hugely valuable information,” she said. “As long as they are recording it, this is having archaeology that otherwise would be lost.”

For the full story, see:

Isabella Kwai. “Treasure Hunter Finds Viking Sword.” The New York Times, First Section (Sunday, March 17, 2024): 11.

(Note: ellipses, and bracketed year, added.)

(Note: the online version of the story has the date March 15, 2024, and has the title “This Treasure Hunter’s Latest Find? A 1,000-Year-Old Viking Sword.”)

Good Scientific Questions Can Be Answered With Empirical Experiments: “In Science, Reality Rules”

(p. A17) . . . I hit it off with the legendary Columbia University physics professor and Nobel Prize winner I.I. Rabi, who discovered the basis for magnetic resonance imaging, among other techniques through which we access and harness the quantum world.

. . .

Naturally, our conversations often wandered across physics. I was full of theoretical ideas and quasi-philosophical speculations. Rabi pressed me—gently, with a twinkle in his eye, yet relentlessly—to describe their concrete meaning. In the process we often discovered that there wasn’t any!

But not always—and the questions that survived those dialogues were leaner and stronger. I internalized this experience, and since then my inner Rabi (he died in 1988) has been a wise, inspiring companion.

. . .

Fully worked-out answers to good scientific questions should include solid experimental prospects.

That is a surprisingly controversial view today, as some prominent philosophers of science promote a “post-empirical physics” that doesn’t require proof, or evidence. And there’s no doubt that physically inspired mathematics, or for that matter pure mathematics, can bring people great joy. But I lean toward Rabi’s attitude: In science, reality rules.

. . .

Another characteristic of most good questions is that the answer is just a little bit out of reach. It should not be too obvious, but it should not be utterly inaccessible either.

. . .

The foolproof way to find good questions is to come up with a lot of them and then throw out the ones that are too vague, too easy, too hard or too inconsequential.

For the full commentary, see:

Frank Wilczek. “WILCZEK’S UNIVERSE; Sifting for the Right Questions in Science.” The Wall Street Journal (Saturday, July 29, 2023): C4.

(Note: ellipses added.)

(Note: the online version of the commentary has the date July 28, 2023, and has the same title as the print version.)

All Conclusions in Science Are Open to Further Inquiry

(p. C3) Victory is often temporary. In December 2014, a nurse named Nina Pham contracted Ebola from a patient in Dallas. She was transferred to the National Institutes of Health in Bethesda, Md., and treated by a team led by Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

When Ms. Pham was discharged, the cameras captured an indelible moment: Together with NIH Director Francis Collins, Dr. Fauci, dressed in a crisp white lab coat, walked her out with his arm draped over her shoulder. This conveyed a critical message at a time when public fear about the disease was widespread. “We would not be releasing Ms. Pham if we were not completely confident in the knowledge that she has fully recovered, is virus free and poses no public health threat,” an NIH statement read.

But scientific certainty often carries an asterisk. Six months later, doctors in Atlanta discovered that in some patients who survive, the Ebola virus could still be found hidden away in parts of the body. This did not indicate that they could transmit the disease, but it meant that they could no longer be declared “virus-free” with certainty. This episode demonstrated how quickly our knowledge about public health threats can alter. What we once thought was true for the Ebola virus had changed, and no doubt will continue to evolve.

For the full commentary, see:

Jeremy Brown. “What Past Crises Tell Us About the Coronavirus.” The Wall Street Journal (Saturday, Feb. 1, 2020 [sic]): C3.

(Note: the online version of the commentary was updated Jan. 31, 2020 [sic], and has the same title as the print version. In both the online and print versions, the first sentence quoted above is in bold font.)

“Linguistic Diversity Is Precious” Because Languages Are “Natural Experiments” in “Ways of Seeing, Understanding, and Living”

(p. A13) Linguistic variety is “often seen as a problem, the curse of Babel,” but for a linguist, New York City is a riotous collection of living specimens—a “greenhouse, not a graveyard.”  . . .  Mr. Perlin, who has a doctorate in linguistics, helps run the Endangered Language Alliance, which works to document such minority tongues.  . . .

The heart of “Language City” is portraits of individual New York-based speakers. Mr. Perlin writes about their work as well as his, capturing the grind of immigrant life with empathy, balance and wit.  (. . .)  “If the country was rich we would never leave,” says Husniya, a Wakhi speaker from bleak post-Soviet Tajikistan. But she savors the city’s entrepreneurial energy: “New York opened my eyes. It shapes you to be a human being, not dividing based on religion, face, or race, or anything.”

. . .

Wonderfully rich, “Language City” is in part an introduction to the diverse ways different languages work. Seke and other “evidential” languages, for example, have different grammatical forms to indicate how the speaker knows what she’s asserting—whether from observation or inference, hearsay or hunch. Other languages syntactically “tag the speaker’s surprise at unexpected information” or have a special temporal marking “just for things happening today.”

. . .

Yet linguistic diversity is precious, Mr. Perlin stresses, and should be celebrated, not just tolerated.  . . .  . . ., languages “represent thousands of natural experiments” that encode wildly different “ways of seeing, understanding, and living.” Constructed by generations of collective effort, they are invisible cathedrals bigger and more democratic than any building.

For the full review see:

Timothy Farrington. “BOOKSHELF; The Words On the Street.” The Wall Street Journal (Friday, Feb. 23, 2024): A13.

(Note: ellipses added.)

(Note: the online version of the review has the date February 22, 2024, and has the title “BOOKSHELF; ‘Language City’ Review: The Words on the Street.”)

The book under review is:

Perlin, Ross. Language City: The Fight to Preserve Endangered Mother Tongues in New York. Washington, D.C.: Atlantic Monthly Press, 2024.

“Adoption of Singular ‘Gold Standard’ Models” Closes “Off Other Important Avenues of Inquiry”

(p. A15) Ubiquitous and persuasive, models . . . drive decisions—one reason why, in Ms. Thompson’s view, they require our urgent attention. She tells us that, as a graduate student studying North Atlantic storms, she noticed how different models predicted different overall effects and produced contradictory results.

. . .

The problem is that Model Land is easy to enter but difficult to escape. Having built “a beautiful internally consistent model,” Ms. Thompson writes, it can be “emotionally difficult to acknowledge that the initial assumptions on which the whole thing is built are literally not true.”

There are all sorts of ways that models can lead us astray. A small measurement error on an input can lead to wildly inaccurate forecasts—a phenomenon known as the Butterfly Effect. Fortunately, this type of uncertainty is often manageable. Far more problematic are what Ms. Thompson calls “unquantifiable unknowns”—things that are left out of a model’s calculation because they can’t be anticipated, such as the unexpected arrival of a transformative technology or the abrupt collapse of a robust market. It is not always true, she observes, that the data we have now will be relevant to the future—as traders discovered in the stock-market crash of 1987, when their models catastrophically failed.

. . .  We may be inclined to regard models as objective expressions of truth, yet they are deliberately constructed interpretations, imbued with the values and viewpoints of the modelers—primarily, as Ms. Thompson notes, well-educated, middle-class individuals. During the pandemic, models “took more account of harms to some groups of people than others,” resulting in a “moral case” for lockdowns that was “partial and biased.” Modelers who worked from home—while others maintained the supply chain—often overlooked “all of the possible harms” of the actions their models were suggesting.  . . .

The promise and peril of models, Ms. Thompson recognizes, has deep resonance in biomedicine, where so-called model organisms, like yeast and zebrafish, have led to foundational insights and accelerated the development of therapeutics. At the same time, treatments that work brilliantly in Model Land often fail in people, devastating patients and disappointing drug developers. The search for improved disease models can be complicated when proponents of one model suppress research into alternative approaches, as the late journalist Sharon Begley documented in a powerful 2019 report. Ms. Thompson perceptively critiques the adoption of singular “gold standard” models, noting that the “solidification” of one set of assumptions can lock us into one way of thinking and close off other important avenues of inquiry.

For the full review see:

David A. Shaywitz. “BOOKSHELF; Seduced By Numbers.” The Wall Street Journal (Wednesday, Dec. 28, 2022): A15.

(Note: ellipses added.)

(Note: the online version of the review has the date December 27, 2022, and has the title “BOOKSHELF; ‘Escape From Model Land’ Review: Seduced by Numbers.”)

The book under review is:

Thompson, Erica. Escape from Model Land: How Mathematical Models Can Lead Us Astray and What We Can Do About It. New York: Basic Books, 2022.

Sharon Begley’s “powerful” 2019 report, mentioned above, is:

Begley, Sharon. “The Maddening Saga of How an Alzheimer’s ‘Cabal’ Thwarted Progress toward a Cure for Decades.” STAT; Reporting from the Frontiers of Health and Medicine, Posted June 25, 2019. Available from https://www.statnews.com/2019/06/25/alzheimers-cabal-thwarted-progress-toward-cure/.

Economists’ Models of Growth and Inflation Predicted a Recession That Has Not Happened; So “Economists Can Learn a Huge, Healthy Dose of Humility”

(p. B1) Many economists spent early 2023 predicting a painful downturn, a view so widely held that some commentators started to treat it as a given. Inflation had spiked to the highest level in decades, and a range of forecasters thought that it would take a drop in demand and a prolonged jump in unemployment to wrestle it down.

Instead, the economy grew 3.1 percent last year, up from less than 1 percent in 2022 and faster than the average for the five years leading up to the pandemic.

. . .

(p. B3) . . . what is clear is that old models of how growth and inflation relate did not serve as accurate guides.

. . .

“It’s not like we understood the macro economy perfectly before, and this was a pretty unique time,” said Jason Furman, a Harvard economist and former Obama administration economic official who thought that lowering inflation would require higher unemployment. “Economists can learn a huge, healthy dose of humility.”

. . .

Many economists previously thought that a more marked slowdown was likely to be necessary to fully stamp out rapid inflation. Mr. Summers, for instance, predicted that it would take years of joblessness above 5 percent to wrestle price increases back under control.

“I was of the view that soft landings” were “the triumph of hope over experience,” Mr. Summers said. “This is looking like a case where hope has triumphed over experience.”

. . .

“I would have thought that it was an iron law that disinflation is painful,” said Laurence M. Ball, a Johns Hopkins economist who was an author of an influential 2022 paper that argued bringing down inflation would probably require driving up unemployment. “The broad lesson, which we never seem to completely learn, is that it’s very hard to forecast things and we shouldn’t be too confident, and especially when there’s a very weird, historic event like Covid.”

For the full story, see:

Jeanna Smialek and Ben Casselman. “How Experts Got It Wrong On Economy.” The New York Times (Saturday, January 27, 2024): B1 & B3.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the story has the date Jan. 26, 2024, and has the title “Economists Predicted a Recession. So Far They’ve Been Wrong.”)

Cleaning Pigeon Poop Off Their Antenna to Rule Out a Cause of Static

(p. B11) Arno A. Penzias, whose astronomical probes yielded incontrovertible evidence of a dynamic, evolving universe with a clear point of origin, confirming what became known as the Big Bang theory, died on Monday [January 22, 2024] in San Francisco.

. . .

In 1964, while preparing the antenna to measure the properties of the Milky Way galaxy, Dr. Penzias and Dr. Wilson, another young radio astronomer who was new to Bell Labs, encountered a persistent, unexplained hiss of radio waves that seemed to come from everywhere in the sky, detected no matter which way the antenna was pointed. Perplexed, they considered various sources of the noise. They thought they might be picking up radar, or noise from New York City, or radiation from a nuclear explosion. Or might pigeon droppings be the culprit?

Examining the antenna, Dr. Penzias and Dr. Wilson “subjected its electric circuits to scrutiny comparable to that used in preparing a manned spacecraft,” Walter Sullivan wrote in The New York Times in 1965. Yet the mysterious hiss remained.

The cosmological underpinnings of the noise were finally explained with help from physicists at Princeton University, who had predicted that there might be radiation coming from all directions left over from the Big Bang. The buzzing, it turned out, was just that: a cosmic echo. It confirmed that the universe wasn’t infinitely old and static but rather had begun as a primordial fireball that left the universe bathed in background radiation.

. . .

. . . Dr. Penzias’s path to stumbling onto the answer to one of humanity’s most central questions started . . ., when he joined Bell Laboratories as a member of its radio research group in Holmdel.

There, he saw the potential of AT&T’s new satellite communications antenna, a giant radio telescope known as the Holmdel Horn, as a tool for cosmological observation. In teaming up with Dr. Wilson in 1964 to use the antenna, Dr. Wilson said in a recent interview, one of their goals was to advance the nascent field of radio astronomy by accurately measuring several bright celestial sources.

Soon after they started their measurements, however, they heard the hiss. They spent months ruling out possible causes, including pigeons.

“The pigeons would go and roost at the small end of the horn, and they deposited what Arno called a white dielectric material,” Dr. Wilson said. “And we didn’t know if the pigeon poop might have produced some radiation.” So the men climbed up and cleaned it out. The noise persisted.

It was finally Dr. Penzias’s fondness for chatting on the telephone that led to a fortuitous breakthrough. (“It was a good thing he worked for the phone company, because he liked to use their instrument,” Dr. Wilson said. “He talked to a lot of people.”)

In January 1965, Dr. Penzias dialed Bernard Burke, a fellow radio astronomer, and in the course of their conversation he mentioned the puzzling hiss. Dr. Burke suggested that Dr. Penzias call a physicist at Princeton who had been trying to prove that the Big Bang had left traces of cosmological radiation. He did.

Intrigued, scientists from Princeton visited Dr. Penzias and Dr. Wilson, and together they made the connection to the Big Bang. Theory and observation were then brought together in a pair of papers published in 1965.

For the full obituary, see:

Katie Hafner. “Arno A. Penzias Is Dead at 90; Confirmed the Big Bang Theory.” The New York Times (Thursday, January 25, 2024): B11.

(Note: ellipses, and bracketed date, added.)

(Note: the online version of the obituary has the date Jan. 22, 2024, and has the title “Arno A. Penzias, 90, Dies; Nobel Physicist Confirmed Big Bang Theory.”)