[HN Gopher] I've been battling cancer last 2 years, but now only...
       ___________________________________________________________________
        
       I've been battling cancer last 2 years, but now only have a few
       days left
        
       Author : donsupreme
       Score  : 291 points
       Date   : 2022-12-18 15:33 UTC (7 hours ago)
        
 (HTM) web link (twitter.com)
 (TXT) w3m dump (twitter.com)
        
       | brendabug wrote:
       | I pray for you and your family and that the diagnosis is not
       | true. Praying your work continues and that there will be
       | breakthroughs from your work. Pray your passage brings you into
       | the arms of long lost loved ones to comfort you.
        
       | bigwavedave wrote:
       | Once upon a time, I was diagnosed with a brain tumor that would
       | kill me within a year. Eight years later and it hasn't yet. I'm
       | sorry you had this happen- I hope your pain is gone soon,
       | brother.
       | 
       | Fuck cancer.
        
         | jacquesm wrote:
         | You are so lucky. I know quite a few cases where it was the
         | opposite. "Oh, you've got years left". And then a funeral three
         | months or so later. Cancer _really_ sucks.
        
           | chriscappuccio wrote:
           | GBM? Standard of care?
        
           | ReptileMan wrote:
           | There are two types of cancer. One that you will die with,
           | the other you will die from. Unfortunately you never know
           | which is which until it is too late. I hope that some immune
           | treatments will be approved soon. Seem to be promising
        
             | JoeAltmaier wrote:
             | Yes! New treatments at the UofIowa are sending patients
             | home cured. Not in remission. Only very specific cancers,
             | and at great cost. But there may be light at the end of the
             | tunnel.
        
               | jacquesm wrote:
               | That is incredibly good news, let's hope they manage to
               | expand this kind of treatment.
        
               | adamredwoods wrote:
               | There currently is no "cure" for cancer. Patients can get
               | to the NED (no evidence of disease) stage, but cancer
               | comes back unless resected early enough.
               | 
               | This may be referring to immunology, which is promising,
               | but only keeps it at bay and needs continuing therapy. It
               | becomes a chronic disease, which is preferable to a
               | uncontrollable disease.
        
               | [deleted]
        
               | seanmcdirmid wrote:
               | There isn't just one kind of cancer. So even if a good
               | fix is found for one kind it is highly likely not very
               | transferable to another kind.
        
             | bigwavedave wrote:
             | > There are two types of cancer. One that you will die
             | with, the other you will die from. Unfortunately you never
             | know which is which until it is too late.
             | 
             | Spot on.
        
           | bigwavedave wrote:
           | No joke :/. My cousin recently passed from Hodgkin's
           | Lymphoma- they told her that the vast majority of patients
           | have at least five years, many of whom have at least ten.
           | That was a little over two years ago.
        
             | jacquesm wrote:
             | Gah that sucks. The randomness of it all is maddening.
             | 
             | I buried an uncle a few months ago, he had a very nasty
             | case of cancer and was in so much pain that we were all so
             | grateful that at least here in NL there was the option to
             | throw in the towel. He was a super nice man and I regret
             | not having more contact with him in my life (my family is
             | rather fragmented). But so much suffering is just too much
             | to inflict on anybody. I can't seem to get through six
             | months right now without a funeral and given the age of my
             | extended family members that trend is likely not going to
             | change for a long time to come.
        
               | bane wrote:
               | I'm really sorry to hear it. :(
               | 
               | The past few years seem to have been really hard on
               | people, even those without COVID. It seems the number of
               | deaths in my circle too has accelerated -- especially
               | among the "old but still should have some life left in
               | 'em" cohort.
        
               | jacquesm wrote:
               | I'm sort of mentally bracing myself for the next couple
               | of years. In my family I'm give or take a week the oldest
               | in my generation and pretty soon everybody above me will
               | be gone. It will be a strange phase in my life, one where
               | there is no more living tie to the past.
        
               | vogt wrote:
               | Randomness is definitely true. My cousin was diagnosed
               | with an inoperable brain tumor at two years old. Two! The
               | prognosis was that at absolute best, she would live to 16
               | years of age.
               | 
               | However! Happily, she is alive, well, and living every
               | day like it's her last at ~31 now. Been in remission for
               | at least 10-15 years or something, I'm not sure the exact
               | specifics.
               | 
               | But what a horrible, arbitrary curse to put on a 2 year
               | old child. Her family lived with ours for a number of
               | years and I vividly remember her beautiful curly red hair
               | falling out repeatedly. I also remember the "fuse import"
               | (no clue if that's the actual name) buried in her chest.
               | And all of this happening while she's learning to walk,
               | talk, and progress through elementary school.
        
               | jacquesm wrote:
               | A friend of mine works in the cancer ward of a childrens
               | hospital in Amsterdam (Emma Kinderziekenhuis), she's the
               | strongest person that I know. I couldn't face that kind
               | of hardship in others.
        
               | abraae wrote:
               | My brother in law died slowly and painfully from motor
               | neurone disease. The worst way to go.
               | 
               | He was a real fighter, and had several goals - to see his
               | son turn 21, to get to some big rowing champs, etc.
               | 
               | He achieved some of those goals, and missed out on
               | others. But as his disease wore on, he became so disabled
               | and in so much pain that life was a true misery. Not just
               | for him but for his loved ones, who were also his carers.
               | 
               | His last few months were not good for anyone and both my
               | wife and I decided we would rather shuffle off than
               | extend our lives in a similar situation.
        
               | jacquesm wrote:
               | There are some other stories playing out in my family
               | right now that are very close analogies to yours and I
               | hope that you managed to eventually heal and deal with
               | the stress. I can see all kinds of stress fractures
               | running through my family because of the enormous
               | pressure exerted by caring for people in the final days
               | of their lives. It's very painful to see people cause all
               | kinds of damage to each other and themselves with the
               | best of intentions.
        
               | abraae wrote:
               | Good luck to you and your family. Time heals all wounds,
               | as it did for us, though scars of course remain.
        
               | jacquesm wrote:
               | Thank you. Likewise!
        
               | JamesSwift wrote:
               | Yep. The randomness. And the helplessness of others
               | (speaking as the relative of the cancer patient). Its
               | just a terrible feeling all around.
        
               | jacquesm wrote:
               | Yes, the helplessness is terrible. It's one of the things
               | I've really had to face up close recently and there is no
               | really good way to deal with it.
        
               | JamesSwift wrote:
               | If it helps you feel better, I have no idea either : )
               | 
               | Cancer sucks.
        
               | bigwavedave wrote:
               | Dang I'm sorry, that's awful :'(. I know that a common
               | theme in literature is that everyone dies alone, but I'm
               | glad that your uncle wasn't alone when he was finally
               | freed from pain. You're right, that's too much suffering
               | to inflict on anybody, and the randomness... It feels
               | almost cruel sometimes. To me, that is.
        
       | greenthrow wrote:
       | I recently had a cancer scare (turned out to be benign) and have
       | a friend currently battling. I don't know Mark but I know cancer
       | sucks.
        
         | [deleted]
        
       | rektide wrote:
        
         | braingenious wrote:
         | This is the funniest post.
        
         | pyuser583 wrote:
         | I have a relative who joined Facebook in the early days, and
         | then passed away shortly after.
         | 
         | Her account is still up, and FB talks about her like she's
         | alive.
         | 
         | There's no way for me to inform FB that the inevitable has
         | become actual.
         | 
         | FB has a "memorial archive" feature, but distant relatives have
         | to way of initiating it. The people closest to her don't have a
         | Facebook recognized connection.
         | 
         | She's been gone over a decade.
        
           | trhr wrote:
           | Pretty sure all you need is a death certificate, which should
           | be on file at her local courthouse.
        
             | tintor wrote:
             | And to prove that person on the certificate is the owner of
             | FB account.
        
         | jacquesm wrote:
         | Yahoo! did the same with Geocities when they couldn't make a
         | buck on it. Still mad about that one.
        
         | martindbp wrote:
         | The important thing is we make this about Musk.
        
           | rektide wrote:
           | I'd try more like, the important thing is what we leave
           | behind, what comes in our wake.
        
       | tomrod wrote:
       | Fuck cancer.
       | 
       | Be at peace, Mark.[0]
       | 
       | [0] https://www.neuroscience.ox.ac.uk/research-directory/mark-
       | st...
        
         | tomrod wrote:
         | 10 Simple Rules for a Supportive Lab Environment:
         | https://direct.mit.edu/jocn/article/35/1/44/113591/10-Simple...
         | 
         | > These rules were written and voted on collaboratively, by the
         | students and mentees of Professor Mark Stokes, who inspired
         | this piece.
        
           | tomrod wrote:
           | These are rules that are good for any team, not just for
           | academic labs.
           | 
           | 1. Encourage Critique But Not Competition
           | 
           | 2. Model "Failure" and Celebrate Honesty
           | 
           | 3. Be Approachable
           | 
           | 4. Facilitate Communication and Ensure There Are Minimal
           | Barriers to Asking Questions
           | 
           | 5. A Supportive Lab Is a Social Lab
           | 
           | 6. Give Timely (and Constructive) Feedback
           | 
           | 7. Respect Others' Time and Expertise
           | 
           | 8. Have Career Conversations That Cover Both Academic and
           | Nonacademic Paths, Prioritizing Individuals' Career Goals and
           | Aspirations
           | 
           | 9. Keep Track of, Suggest, and Create (Tailored)
           | Opportunities for Trainees
           | 
           | 10. Be An Advocate
        
             | bane wrote:
             | There's a lot of wonderful empathy encoded here.
        
             | fuzzfactor wrote:
             | This will live on forever.
             | 
             | I'll be doing my part.
        
       | terran57 wrote:
       | Two very personal experiences to relate. --- My father died 7
       | weeks after he was diagnosed with liver cancer - 11 days past his
       | 62nd birthday. Prior to the diagnosis, he was going to take early
       | retirement at 62 and travel with my mother. He had lots of other
       | plans for post-retirement that he never got to realize. --- A
       | close friend of mine died of heart cancer (well, technically, he
       | died from complications of having an artificial heart - but
       | cancer ruined his natural heart). He had thought he'd beaten
       | cancer before (in the leg) and after repeated clean-bills of
       | health, he finally thought it was safe to marry his fiance and
       | have a couple of children. But instead, cancer re-emerged and
       | claimed his life. He left behind his fiance', grieving parents,
       | sisters and left a large hole in the community.
       | 
       | So yeah - fuck cancer.
        
         | ethics13 wrote:
         | Did your dad drink? I ask because my dad died of the same
         | (although they never did find the origin other than liver) and
         | he was not a drinker.
        
           | mythhouse wrote:
           | I think > 30% of fatty liver disease comes from insulin
           | resistance
        
       | endorphine wrote:
       | Anyone else feeling anxious over their own mortality after
       | reading this?
        
         | didgetmaster wrote:
         | When I was in my 30s and had two small children, my appendix
         | burst. It turned into a fairly routine procedure to remove it
         | and get me back on my feet; but I realized that if I had lived
         | even 100 years ago it probably would have been fatal.
         | 
         | Near death experiences can change your whole perspective. When
         | I was young and single, I did all kinds of crazy things that
         | could easily have ended me. Once I got married and had
         | children, I definitely became much more conservative in the
         | personal risks I was willing to take because it wasn't just
         | about me anymore.
         | 
         | Tomorrow is promised to no one, but each of us can do things to
         | minimize risk.
        
           | NaturalPhallacy wrote:
           | >When I was in my 30s and had two small children, my appendix
           | burst. It turned into a fairly routine procedure to remove it
           | and get me back on my feet; but I realized that if I had
           | lived even 100 years ago it probably would have been fatal.*
           | 
           | I've lost count of how many "ordinary" infections I've lived
           | through thanks to antibiotics. One would have for sure killed
           | me. A puncture wound on the bottom of my foot in a dirty
           | river in the south.
           | 
           | We're not even 100 years into having antibiotics. A species
           | just getting started tbh. I wonder what will come next that
           | is similarly "magical" to antibiotics.
        
           | jacquesm wrote:
           | Most people older than 40 are living on borrowed time given
           | the medical progress of the last 100 years. I would have been
           | dead twice without now.
        
         | CyanBird wrote:
         | Vos qui transitis nostri memores rogo sitis Quod sumus hoc
         | eritis Fuimus aliquando quod estis
         | 
         | Heu quantus est noster dolor
        
           | jacquesm wrote:
           | My high school Latin has faded to the point that I resorted
           | to Google translate, here is what it says:
           | 
           | "You who remember our passing, I beg you to be what we are,
           | you will be. We were once what you are
           | 
           | Alas, how great is our grief"
        
             | zuno wrote:
             | "The origin of the saying of the dead, which emphasises the
             | nothingness of earthly life, is attributed to Arabic
             | poetry. Thus the Arab poet 'Adi b. Zayd, as he rode past
             | graves with the king of Hira (c. 580 CE), has the dead
             | exclaim to the king:
             | 
             | "We were what you are; But the time will come, And it will
             | come to you swiftly, when ye shall be what we are."
             | 
             | Like the dance of death and the triumph of death, the motif
             | is emblematic of the medieval admonition memento mori.
             | Simultaneous depiction of the topoi is common, for example
             | in Francesco Traini's mid-fourteenth-century fresco Triumph
             | of Death, which depicts the three living and the three
             | dead. The legend was also integrated in the Dance of Death
             | by Kientzheim.
             | 
             | A fresco from the Isefjord workshop in the church of Tuse
             | (Denmark) from the 15th century shows three mounted kings
             | on the hunt, who are met by three dead kings from whom
             | maggots and worms escape. Each of them is assigned a
             | banner. On the first dead man's banner is written: "Vos qui
             | transitis n(os)t(r)i me(m)ores rogo sitis" (You who are
             | passing by, I beg you: Remember us), on the second: "Quod
             | sumus hoc eritis" (What we are now, you shall become one
             | day) and on the third: "Fuimus aliquando quod estis" (We
             | were once what you are now). Above their heads one reads:
             | "Heu qua(n)tus est noster dolor" (Oh, how great is our
             | pain)."
             | 
             | https://old.reddit.com/r/latin/comments/n8dzuo/quod_sumus_h
             | o...
        
         | Beaver117 wrote:
         | "Why should I fear death? If I am, then death is not. If Death
         | is, then I am not." - Epicurious
        
           | damontal wrote:
           | I was in the hospital with a blood clot and was told by the
           | ER doctor that I could die at any moment.
           | 
           | Quotes like the above, ideas, feelings about meaning,
           | thoughts about my wife and kids all were completely absent. I
           | just felt blank and completely alone. No words or concepts or
           | language could penetrate that feeling.
        
           | jacquesm wrote:
           | It's 'Epicurus' (auto correct strikes again?), and for all of
           | his wisdom I think the detachment is not one that I subscribe
           | to because fear of death can well come from the fear of no
           | longer being there to support those that are dependent on
           | you. If you limit your universe to yourself then it obviously
           | gets a lot easier.
        
         | godzillabrennus wrote:
         | I always live and love like I'm dying so not really. My
         | girlfriend recently asked me what I dream about and I replied
         | honestly saying "I don't dream, I live my dreams."
         | 
         | Then again, I am in the line of work best described as
         | willingly agreeing to put an airplane together as I fall out of
         | the sky. Not a whole lot of downtime in my days.
        
           | fuzzfactor wrote:
           | Accurate terminology.
           | 
           | The main reason I've been servicing airplane engines in
           | flight for my employer is because on my own I already had "to
           | put an airplane together as I fall out of the sky."
        
           | no_wizard wrote:
           | If this is inappropriate I apologize
           | 
           | Whet line of work are you in exactly, if you don't mind
           | sharing?
        
         | weberer wrote:
         | Not really. It was inevitable before, and its still inevitable
         | now.
        
           | brookst wrote:
           | Yep. All that changes is information about the shape of the
           | probability curve for how many days are left.
        
         | sh4rks wrote:
         | That's why you meditate on your death everyday
        
           | leetrout wrote:
           | Bingo. Memento mori.
           | 
           | https://dailystoic.com/memento-mori/
           | 
           | And other "bad things" with negative visualization.
           | 
           | https://en.wikipedia.org/wiki/Negative_visualization
        
             | CRWW wrote:
             | I've been looking for a meaningful challenge-coin like
             | something to keep on my person, and coincidentally been
             | wanting to look into stoicism more. Thanks for the link.
        
         | drowsspa wrote:
         | I actually envy people who have such a drive to live to the
         | point of battling cancer for so long. If I got diagnosed I
         | definitely would just give up.
        
           | 2-718-281-828 wrote:
           | same ... chemo with all its uncertainties and pain. can't see
           | myself go through that. but you only really know when you're
           | there. survival instinct can just kick in when death is
           | around the corner.
        
             | qorrect wrote:
             | Agreed on all points. Thinking about developing a crippling
             | disease is the only time I've been thankful that you can
             | buy a pistol in any walmart.
        
           | paulcole wrote:
           | Same. I'm 40 w/ a chronic illness already. I'd _really_ have
           | to be talked into chemotherapy if it came to that -- and I'm
           | pretty sure I'd still decline.
        
           | zetazzed wrote:
           | Just as one datapoint, I had stage 4 cancer in my 40s. They
           | described the chemo as one of the most intense courses they
           | can give. Took seven months or so. It sucked but was very
           | doable - you just get up, show up, feel sick, then do it
           | again. Don't think too hard about it. Obviously ymmv, but I
           | would not advise thinking of heavy chemo as a guaranteed
           | torture chamber.
        
             | altdataseller wrote:
             | How old are you now and how long have you had stage 4?
        
         | noufalibrahim wrote:
         | Contemplation of one's own mortality and limited time on earth
         | is a daily practice in most traditional religions for a long
         | time.
        
         | lr4444lr wrote:
         | Once you have kids (my apologies assuming you don't if you do,
         | but perhaps other readers should be aware), you start to feel
         | that every day - not only worrying how they'll be cared for
         | materially, but also how they'd cope with the loss
         | developmentally.
        
           | tartoran wrote:
           | Yes, having children complicates things quite a bit. I
           | personally don't care much about my own demise but the
           | thought of leaving my child without support is giving me
           | great anxiety. My biggest hope in life is surviving until my
           | child is a young adult.
        
           | jacquesm wrote:
           | Spot on. This is pretty much the driving force in my life
           | right now. I haven't been particularly kind to this body and
           | the damage is starting to add up to the point that I wonder
           | how much longer it will work and posts like these ram that
           | home in ways that are impossible to ignore.
        
             | CamelRocketFish wrote:
             | How haven't you been kind to your body?
        
               | jacquesm wrote:
               | Bike accident (utterly self inflicted), 1000's of all-
               | nighters, too little exercise (which I guess you can
               | always point at, I bike a lot but that's not balanced
               | exercise), diet, overstressed joints/muscles by doing too
               | much physical work beyond my ability (usually when
               | remodeling houses or constructing stuff). Coupled with a
               | nice assortment of genetic heritage and some regular
               | diseases (COVID, kidneys, gall bladder, bad lung) and it
               | starts to really add up, the comparison between when I
               | turned 50 and today is really harsh, it's not so much a
               | gradual descent as it is a drop off a cliff.
        
               | wayeq wrote:
               | I'm similar. You might try swimming if it is practical
               | for you, it has made a world of difference for me. It is
               | close to a perfectly balanced exercise, involving nearly
               | all muscles, low impact, cardio and breath control, and
               | above all it is fun (at least for me and a significant
               | percentage of people).
        
               | jacquesm wrote:
               | I'm a super bad swimmer and my skin is hypersensitive to
               | chlorine but this sounds like it is worth investigating
               | anyway, thank you!
        
               | bitwidget wrote:
               | See if there are any saltwater pools next to you, they
               | still need chlorine, but it looks like the chlorine
               | effect is gentler.
        
               | jacquesm wrote:
               | Thank you very much, that might be just the thing for me.
               | I really need a way to balance all this out and it has to
               | be something that I can do on a schedule and indoors so
               | it isn't weather dependent. The best so far was a trainer
               | bike on a stand.
               | 
               | Of course I will need to become a better swimmer.
        
               | subharmonicon wrote:
               | For me 47 to 52 has been like a steep drop as well. I
               | have neither been great or awful in taking care of
               | myself, but it has clearly added up.
               | 
               | Now facing open-heart surgery with all its risks and
               | complications sometime soon. I knew that was always a
               | possibility due to a congenital heart defect but five
               | years ago it seemed unlikely and suddenly in the last 18
               | months it became a clear eventuality.
               | 
               | Trying to reframe that in the most positive way possible
               | in my mind and also stop blaming myself for not taking
               | better care of myself. It's hard.
        
               | jacquesm wrote:
               | Wow, here's to hoping that that surgery works out and
               | that there are no complications. Makes my stuff look like
               | a mere nuisance. Best of luck there!
        
               | ronyeh wrote:
               | Sorry to hear.... I'm a fan of your work and your
               | writing. Hope you can put as much focus into improving
               | your health (sleep, diet, mobility) as you do your work.
               | (I have had the same tendencies so I know...)
        
               | jacquesm wrote:
               | Trying...
        
           | imdsm wrote:
           | I couldn't say this any better. Once you have kids,
           | everything changes. The impact of getting ill is no longer
           | how it affects you, if you've done enough with your time, but
           | how it will affect them. It's like a dark cloud that follows,
           | in the back of your mind every day. Ultimately, it helps you
           | realise what really matters, and what doesn't.
        
             | mrits wrote:
             | I doubt you actually mean this is the case for everyone.
             | Obviously there are a lot of parents that don't feel this
             | way. I have a recent example where a few years ago my
             | friends dad (friend is ~35,dad is ~75) wanted the son to
             | give up a kidney even though he had other health concerns
             | and most likely wouldn't last a few more years regardless.
             | That doesn't sound like love as I wouldn't even ask that of
             | a good friend.
        
               | jacquesm wrote:
               | There are of course always exceptions. It's funny, I'm on
               | the reverse of that, I'm the dad, have pretty bad kidneys
               | (30 years of kidney stones will do a lot of damage) but
               | there isn't a hair on my head that would think of
               | accepting a kidney from one of my children so that I can
               | live longer.
        
             | xedrac wrote:
             | I consider this one of life's greatest privileges. The
             | responsibility of it all can be overwhelming, but I have
             | perspective in droves!
        
             | jacquesm wrote:
             | Indeed, nothing to help focus the mind like having kids.
             | Until I held my firstborn life was all fun and games.
        
               | tasuki wrote:
               | Is it a bad thing for life to be fun and games?
        
               | jacquesm wrote:
               | No, absolutely not. But it is somewhat incompatible with
               | having the responsibility for one or more children. I'm
               | sure it can be done but most people that I know that have
               | children see them as their first responsibility.
        
             | martinko wrote:
             | Ive just had my first child, shes 7 months old. Tbh the
             | responsibility (coupled with the fact that im a bit of a
             | hypochondriac) can sometimes feel overwhelming. Im blessed
             | that i have her, but damn.
        
               | jacquesm wrote:
               | Those first few months are extra hard but cherish them
               | anyway, soon enough she'll be asking you for the car
               | keys. Time flies. And congratulations!
        
           | jjtheblunt wrote:
           | that even generalizes to having "adopted" rescue animals, i
           | confess and know innumerable others would too: one adopts
           | them because they're good earthlings too, and while not
           | genetic offspring, adopters feel they join a family which you
           | don't want to have disrupted by horrid illness.
        
         | scarface74 wrote:
         | I've been anxious about my mortality since Covid hit. Not
         | because I was necessarily afraid of dying, I was afraid of
         | dying with regret and not living life to the fullest.
         | 
         | So my wife and I decided to just be "hybrid digital nomads"
         | flying across the US with a few weeks in Mexico and Canada so
         | we could be in US time zones. We will be living in Florida from
         | September through mid March and traveling the other six months
         | while our place is professionally managed by a property
         | manager.
         | 
         | We sold our cars, threw almost everything we owned away that
         | wouldn't fit in three suitcases and rented our house out. We
         | will sell it mid 2024.
        
           | jacquesm wrote:
           | Wow, that's pretty brave! Congratulations for actually acting
           | on it. I have a similar impulse but I'm completely tied down
           | by responsibilities and family so no way to act on it.
           | Especially having kids is an enormous factor in things like
           | this and dealing with their future and how to best prepare
           | them for it.
        
             | scarface74 wrote:
             | My younger (step)son is 20. I wanted to ease him into
             | taking responsibility. We rented the house to him and two
             | of his best friends who we have known forever and we know
             | their parents at a discount. Their rent just covers
             | interest and taxes and the three non fixed utility bills.
             | We still cover the internet, yard, HOA, pest, trash, etc.
             | 
             | We were going to do that at least two years. But, I was
             | using my stock vests to offset the costs and well you know
             | how stock is doing these days.
             | 
             | Next year we will add a set fee to partially offset some of
             | those expenses like a real apartment does.
        
               | jacquesm wrote:
               | I sincerely hope that you can make it work for the future
               | as well, it sounds like a dream life to me.
        
         | no_time wrote:
         | I just feel that in general. Lying in bed on most nights I can
         | "feel" my body disintegrating. Forever, irreversibly as I drift
         | into cold nothingness.
         | 
         | To end on a positive note, I still find it less terrifying than
         | the alternative, which is living forever.
        
           | umvi wrote:
           | > To end on a positive note
           | 
           | As a religious person this is actually like the most negative
           | note imaginable for me. I mean, sure, I'll grant you life
           | after death is "terrifying" in a "fear of the unknown" sense,
           | but I would definitely prefer seeing deceased loved ones
           | again and continuing to learn and progress after death vs.
           | ceasing to exist.
        
             | Sirened wrote:
             | I don't know, I've heard so many stories of people that,
             | after 90+ years, are just bored of life. It's unimaginable
             | to me now but I've only been an adult for a small fraction
             | of the time they've been and so maybe you can really just
             | run out of things to do.
        
               | umvi wrote:
               | > I don't know, I've heard so many stories of people
               | that, after 90+ years, are just bored of life.
               | 
               | Would they still feel that way if they had youthful
               | energy and a more elastic mind, I wonder? Hard to tell. I
               | myself hope I'm more like Donald Knuth in my old age -
               | still curious and learning and progressing.
        
         | MrGilbert wrote:
         | Ever since I lost my parents to cancer and sarcoidosis, I'm
         | more aware of life. However, as I'm currently struggling
         | financially, I'm afraid of every day I spent thinking about my
         | finances and not my life.
         | 
         | I think it takes a lot of courage to face your last tweet...
        
           | jacquesm wrote:
           | Drop me a line please, can't find your email address.
        
             | MrGilbert wrote:
             | I dropped a christmas line to the email address I found on
             | your about page. :)
        
               | jacquesm wrote:
               | Ty!
        
         | grrandalf wrote:
         | Yes. But I think I would be more anxious if I had not read
         | these two books.
         | 
         | * book "Staring into the Sun" * book "How we Die"
         | 
         | Eliding my 2c on these books -- it's _your_ 2c that matters.
         | 
         | LLAP
        
         | PartiallyTyped wrote:
         | I had seriously contemplated suicide multiple times in my life
         | (about 6 so far), and every time I managed to escape the
         | intrusive thoughts. I have a heart condition and I may just
         | drop dead, thus living alone means that there is nobody to
         | regurgitate me.
         | 
         | The way I have reconciled this is through accepting that I have
         | already died, thus every day is a gift.
        
           | jacquesm wrote:
           | That's probably the most powerful 'life hack' that I've ever
           | heard of.
        
           | PartiallyTyped wrote:
           | Oops.
           | 
           | This was supposed to write resuscitate.
        
         | solardev wrote:
         | I can only hope to be lucky enough to know when I'm going to
         | for. Having a few days or months to say goodbye etc. would be
         | great.
        
           | robofanatic wrote:
           | But that just elongates the pain for everyone involved
           | (apologies for my English) I prefer to go in a snap.
        
             | solardev wrote:
             | That's a good point though.
        
       | bane wrote:
       | Almost exactly 18 months ago, my then 87 year old father, after
       | feeling unwell and having some fluid problems with his lungs was
       | diagnosed with stage-4 lung cancer. He turned down treatment and
       | died at home a couple days before Christmas last year.
       | 
       | I've come away from the experience very unhappy with the medical
       | system. There's a long list, things that in any other industry
       | would be prosecuted. The medical and hospice systems are as near
       | to worthless as any amount of money can buy -- at most times an
       | absolute farce.
       | 
       | These _were_ people who went out of their way to make things a
       | little less worse, but they all worked on the periphery of the
       | system: drivers, suppliers, and so on.
       | 
       | Fuck cancer, but also fuck the American medical system, and
       | anybody who's gotten in the way of making it more sane and
       | compassionate.
       | 
       | I miss my Dad.
        
         | mythhouse wrote:
         | > Fuck cancer, but also fuck the American medical system, and
         | anybody who's gotten in the way of making it more sane and
         | compassionate.
         | 
         | We are about enter this system for my dad for end stage
         | Prostate cancer. Wondering whats in store for us :|, curious to
         | hear any specific we should watch out for.
        
         | AdamJacobMuller wrote:
         | I went through this with my then 94-year-old grandfather a
         | couple of years ago.
         | 
         | I ultimately came away from the situation realizing that things
         | only got done when you actively threaten people and force them
         | take action.
         | 
         | Doctor doesn't want to properly follow up on a stage-iv foot
         | ulcer and home wound care misses scheduled appointments? Ok,
         | we're going to the ER and telling them that the doctor doesn't
         | respond to his service and home care didn't show up. Had to do
         | that several times but eventually doctors and home care got
         | tired of getting yelled at (by me and by whomever at the
         | hospital system they reported too, because, ER staff was
         | unhappy) that home care and doctors visits were much more
         | regular.
         | 
         | Sadly 94 with a foot ulcer only ends one way and in the
         | hospital post-amputation doctors were deflecting responsibility
         | for his ongoing care and basically leaving him on a post-op
         | ward with minimal PT/OT and extremely limited interaction due
         | to COVID restrictions. A JACO complaint resulted in a meeting
         | at the hospital with about 16 doctors in attendance. I started
         | the conversation by telling them "Your inaction is killing my
         | grandfather and before we leave here today we will find a
         | solution because I will not allow you to murder him". My aunt
         | (who was there) described me as "a bit much" but within 24
         | hours he was moved home with appropriate support, multiple
         | PT/OT daily, 24-hour home care, nursing visits, etc.
         | 
         | Sadly 94 with an amputation only ends one way and within 6
         | months he reached a point where we knew the end was near. We
         | enrolled in a home hospice program but the end came quickly.
         | Hospice, despite promising 24/7 coverage and promising quick
         | response times, failed in the end and despite repeated calls
         | over his final day nobody showed up. Eventually, only
         | threatening to call 911 (because we were desperate) and saying
         | we would tell 911 that hospice care was non-responsive resulted
         | in a nursing dispatch, but, it was too late.
         | 
         | The American health care system seems to require one to stand
         | up and scream sometimes to get help. Doctors, nurses, etc are
         | individually great people but they all have their own myopic
         | opinions of the situation which my grandfather was not the
         | center of. Getting things done requires reorienting them and
         | making them realize you will not settle and that medical
         | opinion is both only an opinion but also only one part of a
         | large equation. (Yes, perhaps, PT/OT techs in Dr X's experience
         | are better in sub-acute rehab facility X, definitely they will
         | do 3x daily instead of 2x daily, but being completely isolated
         | (no family visits due to COVID) is a completely dominating
         | concern and not even a medical one.)
         | 
         | Every regret I have from that year is from not pushing people
         | harder, everything I'm proud of is from when I did.
        
           | throwaway6734 wrote:
           | The problem is cost. You're a good grandson for fighting for
           | your grandpa, but there's no way we can afford the level of
           | care you're demanding for every person close to end of life.
           | It's inherently a futile battle.
        
         | agumonkey wrote:
         | Sorry for you. And sadly it's not an uncommon experience. Lots
         | of people leave cancer care with a sour taste due to way too
         | many mishaps.
         | 
         | And the recent era is not pretty (diminishing healthcare in
         | lots of places .. saying that as a French, covid wiping a lot
         | of professional out of the field).
         | 
         | We can do a lot better, focus and resources must pour where
         | it's important.
        
         | ethics13 wrote:
         | My experience of the hospice system is the opposite of yours.
         | My dad was 73, passed away from cancer that took him way too
         | soon as he was more active than people half his age. He swam,
         | ran, worked out everyday. Was one of the most positive people
         | in the world.
         | 
         | The hospice people were absolute angels as to how they handled
         | him and his last months. Truly the most compassionate people
         | work in these places and it was good to have at least that in
         | his dying days.
         | 
         | I am sorry for your loss and the experience you've had with
         | your dad.
        
           | bane wrote:
           | Thanks, I appreciate it, and am happy to hear that your own
           | experience was far more positive than our own.
           | 
           | I take comfort that my father's wishes were to spend his
           | final few months at home and die there. It took a herculean
           | effort on behalf of all of us to pull it off, pulling 24 hour
           | bedside shifts for months took a toll. But we all have zero
           | regrets about it, and despite the grief, was a very beautiful
           | way to honor and support him.
        
         | onphonenow wrote:
         | A big issue medical system side are basically absent family who
         | only show up for end of life. A lot of folks threatening
         | lawsuits etc. Few folks willing to pay much to make anything
         | better - lots of asset transfer games. It's usually but not
         | always the most absent family members who get the most upset at
         | those who are helping toilet someone etc. This has nothing to
         | do with OPs point except there is frustration on both sides ,
         | and folks living far from family and/or being heavily into the
         | rat race may be a contributor as the med system try's
         | substituting for large tight knit family and social structures
         | that have been diminished
        
         | fdhfdjkfhdkj wrote:
        
         | burritas wrote:
         | I'd rather not go into personal detail but I share a similar
         | experience. The thing that really drove it home for me was when
         | I got back home and was telling my own doctor about my
         | experience dealing with family in the medical system and she
         | said I was mistaken or there was a misunderstanding because
         | that kind of thing doesn't happen. I asked why she was siding
         | with a doctor she'd never met before instead of listening to
         | her patient, which got her pretty flustered. I don't see her
         | anymore.
        
           | inamberclad wrote:
           | It's a common theme - doctors just don't listen to their
           | patients at all.
        
             | mythhouse wrote:
             | Its a problem worldwide. Number of oncologists are nowhere
             | near the amount of thoughtful care that is needed.
        
           | jacquesm wrote:
           | The one thing that every doctor should have happen to them is
           | to go through the medical system as well for something non-
           | trivial. That usually gives them a lot more perspective on
           | the reality of being on the receiving side.
        
             | speakfreely wrote:
             | I don't think they can have the same experience as they are
             | "insiders" to the system. Doctors and their families don't
             | wait for appointments for months, aren't the last ones
             | checked by the nurses in the hospitals, and get a variety
             | of preferential treatment that makes their experience
             | completely removed from the reality that the average person
             | experiences.
        
               | david-gpu wrote:
               | My father was a doctor. You are correct: as patients they
               | get preferential treatment. As often do their immediate
               | family members. It's something I'm ashamed about when I
               | look back at my own childhood.
        
             | toomuchtodo wrote:
             | Some doctors have a more healthy relationship with death
             | than others.
             | 
             | https://www.huffpost.com/entry/doctors-death_b_1500871
             | 
             | https://www.theguardian.com/society/2012/feb/08/how-
             | doctors-...
        
         | jacquesm wrote:
         | So many stories like yours. They are one of the reasons living
         | in the United States never appealed to me.
         | 
         | With Christmas coming up this must be a very hard time for you,
         | hang in there.
        
           | mythhouse wrote:
           | I've lived in India, UK and USA for atleast 5 years in each.
           | 
           | I would take USA in a heartbeat if I can have good insurance
           | 
           | You are getting cutting edge care in USA. For example, My
           | father has prostate cancer and latest NCNN guidelines
           | recommend 'triplet therapy' [1] at diagnosis and is the
           | standard in USA. But in UK they you only get chemo and ADT
           | via NHS. They also have major delays (years) in getting
           | latest medical innovations, eg: Daraloutamide isn't available
           | via NHS for PC so you are out of luck if you cannot tolerate
           | the only available option there ( enzalutamide).
           | 
           | There are also a wide variety of clinical trail options in
           | USA compared to UK when you run out of SOC options. I
           | personally know family in UK who have Cardio Vascular events
           | on Enzalutamide but can't access Darolutamide because it
           | isn't available via NHS.
           | 
           | I urge you to do major research your options because its
           | literally life and death. Seek out experts who can make this
           | decision for you based on available options. Imagine losing
           | years of your life because you made a country decision based
           | on generic internet comments :/ .
           | 
           | 1. https://www.frontiersin.org/articles/10.3389/fphar.2022.95
           | 59...
        
         | tootie wrote:
         | I'm not clear how that relates to the post or what exactly the
         | medical people did wrong from your post? I have a had a few
         | elderly relatives go through long bouts of treatment and they
         | got good diagnoses and care all the way across. The worst was
         | my grandmother's chemo was pharmaceutical and the pills were
         | $2000 a dose and not covered by Medicare at the time.
        
         | CalChris wrote:
         | I won't agree about the American medical system but I'd say
         | that our hospice system is pretty much _Soylent Green_.
        
           | rightbyte wrote:
           | I get it is bad but isn't Soylent Green where they turn old
           | non-sick people into food with a nature documentary in color
           | as payment?
        
             | Retric wrote:
             | I think it was meant differently, the dying are food for
             | the hospice industry.
             | 
             | This sets it in conflict with other approaches like dying
             | at home or euthanasia.
        
           | enraged_camel wrote:
           | The American medical system is an absolute travesty. To be
           | fair to you though, this only really becomes obvious when one
           | experiences functioning medical systems in other countries.
        
             | orangepurple wrote:
             | How else would health insurance executives, hospital
             | executives, and doctors afford their third million dollar
             | home? The system is working just fine for them.
        
               | zikduruqe wrote:
               | Except for me; they didn't get any yacht payments from
               | me. When we had a medical disaster, I filed for
               | bankruptcy once the bills came in, and this is with good
               | insurance. It really didn't affect my credit score, and
               | we bought a house and car 18 months afterwards.
               | 
               | Sometimes bad things happen to good people, through no
               | fault of their own.
               | 
               | I mean, rich fat cats get debt forgiveness when things
               | don't work out for them.
        
               | orangepurple wrote:
               | I'm guessing your assets were wiped out but you were able
               | to qualify for house and car later due to cash flow.
               | Anything I'm missing? Thanks for sharing btw
        
               | lofatdairy wrote:
               | Health insurance -> definitely a racket
               | 
               | Hospital execs -> a racket, but hospitals are being
               | bought up by PE firms rn so I'd say you probably want to
               | include portfolio managers
               | 
               | Doctors -> in general probably not. I've met some
               | physicians that have made me feel sour about them in
               | general, but even with FFS they're not benefiting nearly
               | as much as hospital suppliers and insurance companies.
               | Specialists definitely receive a boost, but this is like
               | saying L7+ at FAANG is representative of SWEs as a whole.
               | Factor in med school, residencies, and fellowships
               | required to enter specialties, and there are also a lot
               | of earning years lost. We should really be encouraging
               | more students to go into medicine in spite of this, which
               | would improve care by reducing the number of pts each
               | physician needs to serve[^1].
               | 
               | [^1]: Additional context.
               | https://www.theatlantic.com/ideas/archive/2022/02/why-
               | does-t...
        
       | tobr wrote:
       | Just today I learned that Nick Berry of https://datagenetics.com/
       | passed away recently. I guess that is slightly off topic but I
       | wanted to share, I've been following his excellent blog for many
       | years.
        
       | brendabug wrote:
       | Pray this diagnosis is not true and by some miracle you can be
       | here longer. Pray your work leads to breakthroughs so your name
       | is never forgotten. I pray if your passage is inevitable that
       | your long lost loved ones will help you with safe and comforting
       | passage, like I prayed someone was with my child.
        
       | nick__m wrote:
       | My wife has one metastasis on her spine , it was detected 33 day
       | ago, I fear that moment where she will be suffering enough that
       | she will qualify for medically assisted death. According to the
       | paper accompanying her incredibly expensive drugs (5700$/month)
       | she has between twelve and eighty-eight months left ... I hope
       | that she will cost money to my insurance for a long time!
       | 
       | According to her oncologist we cannot know as the stats are
       | always made in the past and they don't reflect recent medical
       | advances like the to be scheduled next week xray scalpel surgery.
       | 
       | fuck cancer.
        
         | imdsm wrote:
         | Fuck cancer. I wish you the longest possible time.
        
         | NaturalPhallacy wrote:
         | > _(5700$ /month)_
         | 
         | How is this not profiteering?
        
         | adamredwoods wrote:
         | Sorry to hear. My mother had cancer in her spine for many years
         | (10+) before she passed.
         | 
         | I hate cancer. Instead of building weapons of war, we should be
         | building tools to help completely control it, for all cancers,
         | for all people, so it is no longer this UNKNOWN thing that
         | keeps us up through the night, wondering, worrying when our
         | time will be.
        
           | thefounder wrote:
           | That's hard to do. We "can't" even agree to ban the stuff
           | that brings us most of the cancers (i.e food poisoning, air
           | polution etc). We are lab rats.
        
         | tomrod wrote:
         | Fuck cancer.
         | 
         | All the best to you and your wife.
        
           | melling wrote:
           | I really wish people would stop saying "F cancer"
           | 
           | As a society, we have the option of greatly reducing cancer
           | deaths whenever we so choose. Let's do that rather than
           | raging against something that feels nothing.
           | 
           | It has been over 15 years since the Last Lecture and we still
           | have done little for pancreatic cancer, for example.
           | 
           | https://youtu.be/ji5_MqicxSo
           | 
           | According to Craig Venter, early detection is what we need to
           | eliminate cancer: https://youtu.be/iUqgTYbkHP8?t=15m37s
           | 
           | No one is saying it's going to be easy but we're going to
           | make a lot of progress over the next 25 years. Let's decide
           | to do more sooner.
        
             | adamredwoods wrote:
             | Hopefully TCR therapy will move us forward against these
             | types of cancer:
             | 
             | https://www.statnews.com/2022/06/01/novel-genetic-
             | experiment...
        
             | Waterluvian wrote:
             | "Fuck cancer" is more than a _scause for a cause._ It
             | translates to,  "you are not alone."
             | 
             | Certainly, I agree that we can be doing more.
        
               | justin_oaks wrote:
               | As someone who lost a sibling to cancer, thanks for the
               | translation.
               | 
               | I wish people would use "You are not alone" or "We also
               | have suffered due to cancer. It is awful. You have our
               | empathy and we offer our condolences." or something else
               | instead of the shorthand "Fuck cancer". But I'll accept
               | "Fuck cancer" too.
        
               | Waterluvian wrote:
               | I generally agree. I used to be so angry when someone
               | said it. Fuck cancer? Fuck you. What do you know about
               | how I'm feeling?
               | 
               | I learned two things over the years : 1. everyone "knows
               | something" about cancer. 2. I can't control culture and
               | language.
               | 
               | To be honest though, many years later... I still haven't
               | found a single phrase anyone can say that doesn't make me
               | think, "I wish we could just not be having this
               | conversation." I remind myself that there are no words
               | but people are still _trying._
        
             | DubiousPusher wrote:
             | https://allpoetry.com/do-not-go-gentle-into-that-good-night
        
             | tomrod wrote:
             | "Fuck Cancer" is what I feel and what I will share.
             | 
             | When we cure cancer, I'll back down. Until then, in memory
             | of the folks I have lost and with empathy to those
             | experiencing it or watching loved ones experience it, fuck
             | cancer.
        
             | bulbosaur123 wrote:
             | Referring to early screening, this seems like the right way
             | to go: https://grail.com/
        
               | jghn wrote:
               | Sort of.
               | 
               | The issue with current early detection methods is that
               | they tend to cause more harm than good at population
               | scale. Between getting dosed with radiation in the
               | process, false positives causing at best psychological
               | trauma if not unnecessary treatment, and it's hard to
               | tell if you just detected a cancer you'll die _with_
               | instead of dying _of_ - and thus another form of
               | unnecessary treatment.
               | 
               | The blood tests remove some, but not all of that. Yes,
               | for any arbitrary person it might be lifesaving, just
               | like current methods. But at population scale it's not a
               | panacea.
        
             | pifm_guy wrote:
             | We also have a lot of data on ways to reduce cancer before
             | it happens. Reduce obesity. Reduce pollution. Etc.
             | 
             | Yet we really aren't doing an awful lot about those things.
             | 
             | Imagine for example if we had an obesity tax - everyone
             | obese must pay 30% of their earnings into a Medicare fund.
             | Sure it would be unpopular, but obesity would very quickly
             | be solved, and cancer rates would plummet.
        
               | scriptproof wrote:
               | You are surely aware of the campaign "Eat Five Servings
               | of Fruits & Vegetables Per Day". People just don't care.
        
               | melling wrote:
               | Interesting enough, the person on Twitter seems fit and
               | not very old.
               | 
               | 15 years ago Randy Pausch was also fit a year before he
               | died.
               | 
               | So, instead of blaming people for poor choices imagine if
               | 16 years ago, when the US National Debt was a mere $9
               | trillion, if enough people were inspired that on our way
               | to $31 trillion in debt, we spent a few trillion of that
               | on cancer research.
        
               | hombre_fatal wrote:
               | That will probably do nothing for obesity rates except
               | fleece obese people. I'd be more interested in seeing
               | appetite drugs like semaglutide become cheap and easy to
               | get, something that helps instead of buying into punitive
               | measures for absolutely everything.
        
               | fuzzfactor wrote:
               | Exactly. There needs to be a reward system for healthy
               | initiatives, not a punitive approach for unsuccessful
               | accomplishments.
        
               | adamredwoods wrote:
               | I know we want to believe it was somehow a blame or fault
               | of someone who develops cancer. The reality is I've seen
               | unhealthy people never get cancer and healthy people,
               | children even, who get cancer.
               | 
               | No one is to blame for getting cancer.
        
               | pifm_guy wrote:
               | Many of those cancers might be caused by pollution... For
               | example, UV in sunlight is thought to be the main cause
               | of skin cancer. UV is far higher today than 100 years ago
               | because we destroyed most of the ozone layer. But we
               | don't actually know how thick the ozone layer used to be
               | or how much UV used to reach ground level because we
               | never measured it before destroying it. So possibly skin
               | cancer was very rare 100 years ago.
               | 
               | The same for cancer's from nitrous oxides from car
               | exhausts. The same for particulate pollution. Same for
               | microplastics. The same for all the kinds of pollution we
               | don't yet know about or measure.
        
               | jghn wrote:
               | You're conflating trends within aggregated data and
               | individual data points. Moving towards a healthier
               | population would reduce cancer rates across the total
               | population. It would not remove cancer entirely. Likewise
               | any arbitrary person might be in complete health & get
               | cancer and vice versa as you say. The two are not
               | contradictory.
               | 
               | A similar example is with early detection. The data show
               | that at population scale a lot of early detection efforts
               | cause more harm than good. The problem is that any
               | arbitrary person might have their life saved by said
               | early detection. It's impossible to know who those
               | arbitrary people will be.
        
               | vorpalhex wrote:
               | That would overwhelmingly be a tax on the poor and low
               | income. It would probably not fix obesity anymore than
               | taxing cancer patients would fix cancer.
        
               | DoreenMichele wrote:
               | Those approaches -- reducing pollution, etc -- aren't
               | popular in part because humans are terrible about not
               | knowing how to count the deaths that didn't happen.
        
               | jodrellblank wrote:
               | > " _Imagine for example if we had an obesity tax -
               | everyone obese must pay 30% of their earnings into a
               | Medicare fund._ "
               | 
               | Imagine for example if we taxed the shareholders of
               | CocaCola instead, they're the ones who got wealthy from
               | obesity. And before you say "it was the consumer's
               | choice", what was CocaCola's $4b/year advertising spend
               | for, then?
        
               | pifm_guy wrote:
               | I'd totally be up for fining companies retrospectively
               | for harming people's health even before the harm was well
               | understood.
               | 
               | That gives the companies an incentive to do the research
               | ahead of time to minimize damages.
        
               | cj wrote:
               | "Fine company" will just turn into higher costs for
               | consumers.
               | 
               | If raising the price of Coke is the goal, I believe there
               | are already proposals for a sugar tax in various
               | jurisdictions.
               | 
               | Let's tax the hell out of processed foods so they become
               | at least on par with the price of healthy food.
               | 
               | It's very tricky since taxes like that will hurt low
               | income households the most.
               | 
               | Another option: ban advertising of heavily processed
               | food, and while we're at it let's also ban advertising
               | prescription drugs (as is the case already in Canada)
        
               | rightbyte wrote:
               | > Let's tax the hell out of processed foods so they
               | become at least on par with the price of healthy food.
               | 
               | Isn't processed food already more expensive than
               | "healthy"? E.g. precut fries vs potatoes. Etc.
               | 
               | What is cheaper to buy processed?
        
               | cj wrote:
               | Honestly you may be right.
               | 
               | But walking into a typical US grocery store feels like a
               | place where cheap, quick, processed foods are the focus
               | with healthy food being secondary (perhaps because
               | they're optimizing their store layouts in response to
               | consumer demand for sh*t food). Rarely is healthy food
               | promoted on isle endcaps.
               | 
               | I do 100% of my day to day shopping at a (very expensive)
               | health food store for this sole reason. At the health
               | food store, they don't stock soda, chips, etc (or if they
               | do it's locally made, organic, etc... "healthy" junk
               | food). You can't buy things like Oreos or Coke because
               | they simply don't carry it.
               | 
               | For me, removing unhealthy options when grocery shopping
               | led to 40+ lbs of weight loss - with no other lifestyle
               | changes and no additional exercise over 2 years.
               | 
               | When I make the occasional visit to a normal grocery
               | store, I'm always in awe at how much real estate "bad"
               | food gets. It's the majority of the store.
               | 
               | All of this is to say, another place to look at are
               | grocery stores themselves and the food they decide to
               | carry and promote in their stores, including the layout
               | of the stores, % real estate given to crap food vs.
               | healthy food, etc.
        
               | RazvanS wrote:
               | Obesity is caused by lack of access to quality food,
               | being too scarce or too expensive. Sugar and fats are
               | cheap, so most of the pre-made foods are just that. So
               | increase the quality of the food available to the masses
               | and do proper education regarding nutrition and healthy
               | living, and the obesity rate will decrease.
               | 
               | Most of the obese people are like that not because they
               | choose, but because they cannot do better.
        
               | DeWilde wrote:
               | In some cases yes, but hardly in all cases.
               | 
               | Anecdotally, I know people with the same wealth as me or
               | even wealthier who eat copious amounts of sweets in all
               | forms and are also obese. Some people just don't have
               | control.
               | 
               | But yes, proper education regarding nutrition is
               | something that is sorely needed as most people are
               | unaware of the dangers of eating sugar rich and calorie
               | rich foods in large amounts.
        
               | philliphaydon wrote:
               | There is nothing wrong with fat.
               | 
               | People were cooking with lard for 1000s of years until
               | the US decided fat is bad and people started substituting
               | fat with sugar because when you remove fat, you remove
               | flavour.
        
               | Retric wrote:
               | Don't forget people also died much earlier for thousands
               | of years.
               | 
               | There is a great deal wrong with very high fat diets, the
               | issue is there's also a lot wrong with very high carb
               | diets.
        
               | philliphaydon wrote:
               | > Don't forget people also died much earlier for
               | thousands of years.
               | 
               | Funnily enough not from obesity or heart disease.
               | 
               | They died from violence, starvation, infections, plagues,
               | travel, etc.
               | 
               | Fats were not a cause.
        
               | Retric wrote:
               | Do some actual research. People regularly got heart
               | attacks throughout recorded history even if dying earlier
               | from other things was common.
               | 
               |  _The history of coronary syndromes and sudden death, and
               | apoplexy or stroke, goes back to antiquity and has been
               | thoroughly treated by historians and experts from many
               | disciplines. By the beginning of the twentieth century, a
               | heart attack with myocardial infarction was well known to
               | cause death, but comprehension of it as a syndrome that
               | one might survive was much delayed.
               | 
               | ...
               | 
               | Part of the historical delay and confusion in recognizing
               | heart attacks apparently lay in the Greek word,
               | kardialgia, which could mean either abdominal or
               | precordial pain. Biblical and Talmudic references abound,
               | however, about chest pain of a life-threatening nature,
               | and Hippocrates mentions sudden death related to an
               | episode of chest distress (Leibowitz 1970).
               | 
               | Leibowitz points out that the great Italian anatomist
               | Morgagni failed to tie it all together, but nevertheless
               | clearly described in 1761 the late pathology found in
               | survivors of myocardial infarction in his well-known
               | dictum: "The force of the heart decreases so much more in
               | proportion as the greater number of its parts becomes
               | tendonous instead of being fleshy" (ibid., 4)._
               | http://www.epi.umn.edu/cvdepi/essay/history-of-heart-
               | attack-...
        
               | shanebellone wrote:
               | This is a ridiculous point. If you halved today's average
               | lifespan, you'd see a dramatic reduction in cancer.
        
               | anon291 wrote:
               | No they didn't. Death rates from now treatable diseases
               | were higher in the past. But if you managed to escape
               | those and not die in a tragic physical accident, you
               | lived basically as long as anyone else.
        
               | Retric wrote:
               | Go back 1,000+ years and people did occasionally live to
               | be say 70, the difference was they where also less likely
               | to live to be 71. And at 71 they where less likely to
               | live to be 72 etc.
               | 
               | Given a large enough population you would still see very
               | very rare cases of extreme age but you are something like
               | 1,000 times more likely to live to 115 today than you
               | where back in 1,000 AD. Combined with a smaller
               | population and it's likely nobody live to 115 until quite
               | recently.
        
               | mozman wrote:
               | What about a tax where you pay 30% of your earnings for
               | homeless?
        
               | rafaelero wrote:
               | It's crazy how we are still not screening everyone for
               | genetic susceptability to diseases and pairing them
               | together with good early detection tests. A lot of missed
               | opportunities here to decrease so much suffering.
        
               | FpUser wrote:
               | Imagine if we had an idiot tax. Suddenly all world
               | problems would go away.
        
         | rubicon33 wrote:
         | I'm so sorry man. Losing my wife is my greatest fear. FUCK
         | cancer.
        
       | jacquesm wrote:
       | For some background on who this is:
       | 
       | https://www.neuroscience.ox.ac.uk/research-directory/mark-st...
        
       | dusing wrote:
       | Really puts "I'm leaving twitter" and 7 day suspensions into
       | perspective.
        
       | INTPenis wrote:
       | Cancer is just so unfair.
        
       | bulbosaur123 wrote:
       | Really hope these breakthrough AI discoveries will dramatically
       | accelerate cure for cancer (all types).
        
         | orangepurple wrote:
         | They will accelerate cheap screening before treatments
        
       | [deleted]
        
       | kahon65 wrote:
       | I feel very sad and Bad. I Hope there will me a miracle for this
       | man. If he reads my comment, i want him to know i give him a lot
       | of love, to this dad of children and to his children and all of
       | his family, and that I want to cry.
       | 
       | Hope a miracle will be, really.
       | 
       | From a French young computer scientist.
        
         | bckr wrote:
         | It's natural to feel this way.
         | 
         | Also consider that all creatures before us went away in this
         | way as well, and all will. Even if we attain superhuman
         | lifespans, one day something will put an end to our lives.
         | 
         | Finally, consider being curious about death itself. There are
         | many strange and interesting features of the death of a sapient
         | being.
        
           | beebeepka wrote:
           | I am curious about your last paragraph. What does it mean?
        
             | bckr wrote:
             | Death is something people in my culture try not to think
             | about much. It is considered that the dead are totally dead
             | and gone, never to be spoken to again and spoken of with
             | sadness and distance.
             | 
             | People of other cultures think differently about death.
             | Death is welcomed into the day to day life. Consciousness
             | of death is invited, even celebrated. The dead are spoken
             | to.
             | 
             | This second group of people don't believe in the finality
             | of death. They believe and live towards life after death,
             | believing in either some sort of continuum of consciousness
             | or of their own consciousness as the process of an
             | immaterial soul that will live after the body stops.
             | 
             | Stories of death and near-death are full of the unexplained
             | and perhaps unexplainable.
             | 
             | From a western materialist perspective alone, death is
             | fascinating if you look at it. Where does our consciousness
             | arise from? It must be from the brain, right? And it is a
             | sort of illusion, since we don't have individual souls. The
             | perception of consciousness is a labyrinth of mirrors, self
             | references.
             | 
             | Yet, the same machinery for perceiving ourselves is also
             | used to perceive others. We are constantly simulating and
             | imitating one another. We're even working to modify and
             | live up to others' images of us.
             | 
             | So the patterns of the consciousness of any individual are
             | actually distributed, holographically, through a community
             | of brains.
             | 
             | This being known.... Who or what died when one brain
             | dropped off the grid? (For more in this direction, read
             | Hofstadter).
             | 
             | Even more simply, what changes take place in a dying
             | person? What is the difference between a person who
             | embraces death and a person who dies in fear? Is it
             | possible to be happy while dying? What would it take to
             | live a life that ends happily?
             | 
             | This is what I mean when I say that death is worth being
             | curious about.
        
               | jemmyw wrote:
               | The processes in your brain and body that are your
               | consciousness stop and you cease to be forever. After
               | that point nothing that happens or happened matters to
               | you because you no longer exist.
               | 
               | Various cultures, religions, spiritual people want to
               | deny this. They're probably happier for it, but I can
               | only accept the dull explanation that we just stop and
               | it's not very interesting.
        
       | t-writescode wrote:
       | My mom had a cough that wouldn't go away and covid 3 or 4 times
       | during the last 2 years.
       | 
       | Turns out those symptoms were hiding breast cancer, which
       | metasticized in 2 years, the chemo symptoms because too bad and
       | so she had to stop, and now she's gone.
       | 
       | She was 59.
       | 
       | When I went to her house to tend to her dogs, she had been
       | looking at retirement and hospice care for her "live out my last
       | days" cancer life basically next door to me (she lives in a
       | different state).
       | 
       | Fuck cancer.
        
         | jcims wrote:
         | The cough that wouldn't go away was a bellwether to my wife's
         | ovarian cancer.
         | 
         | She was incredibly stubborn when it came to medical issues and
         | had been experiencing some pain in her side that I had been
         | stressing for her to get seen for. She went to urgent care and
         | they did nothing, bolstering her opinion that it was worthless
         | being seen for it.
         | 
         | The cough was a dry cough that was not very frequent but the
         | older women in her periphery were very concerned about it. I
         | didn't think much of it, just a dry cough. The women in the
         | other hand would say things like 'I really don't like that
         | cough' with a concerned face. I don't know if they had an
         | internalized correlation or it was just a sense of something
         | wrong. It turns out that this is a fairly common symptom.
        
         | bane wrote:
         | Argh, too young! I'm so sorry to hear about this. Covid has
         | really messed up the system badly.
         | 
         | The medical treatment funnel gets very myopic treating the most
         | present thing first, and often misses other problems going on
         | at the same time. With my Dad we think the doctors were very
         | focused on some other health issues that were complications
         | from a knee replacement he had done about 5 years before.
         | 
         | The "you can only come in for a visit for one problem at a
         | time" broken insurance system would have had him coming in all
         | day, every day for visits, so he just went for what bothered
         | him the most. Turns out his lung cancer wasn't his worst
         | problem until it was.
        
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