Good morning, here is question for your: I was reading this article on the lack 
of coverage of dementia situations in advance directives, 
https://www.nytimes.com/2018/04/30/well/live/an-advance-directive-for-patients-with-dementia.html
 (an interesting read in its own right) when I came upon the following quote:  
“People should at least understand what the normal process of advanced dementia 
is about,” Dr. Schwarz said. “Feeding tubes are not the issue — they’re not 
done when dementia is terminal. Instead, a caregiver will stand patiently at 
the bedside and spoon food into your mouth as long as you open it. Opening your 
mouth when a spoon approaches is a primitive reflex that persists long after 
you’ve lost the ability to swallow and know what to do with what’s put in your 
mouth.”  My question: Is Schwarz referring to the rooting reflex? If so, isn't 
touching the cheek necessary for the reflex to be triggered and, if that is the 
case then, isn't what he is describing a learned behavior, even if its strength 
lies in it being grounded on an earlier reflex or something to that effect?  I 
would appreciate any clarification on this.

And now a comment or, really, a heads-up that is unrelated to the above 
question and perhaps not even real news to most of us: It concerns an article 
and a documentary about the high price of academic publishing. The article by 
Richard Smith, former editor of the BMJ is freely available from the latest 
issue of the Lancet, though you need to register to get it, 
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32353-5/fulltext.
 The article is based, in part on the documentary "Paywall". The video is over 
an hour long, but just the first 10 minutes will likely outrage even those who 
are already aware of the current state of academic publishing. You can check it 
out for free at: https://paywallthemovie.com/.

Miguel

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