[HN Gopher] Founder of GitLab battles cancer by founding companies
       ___________________________________________________________________
        
       Founder of GitLab battles cancer by founding companies
        
       Author : bob_theslob646
       Score  : 550 points
       Date   : 2026-03-28 17:39 UTC (5 hours ago)
        
 (HTM) web link (sytse.com)
 (TXT) w3m dump (sytse.com)
        
       | anderber wrote:
       | That's pretty amazing. I believe he's also a founder/investor in
       | Kilo Code which I use and really like.
        
       | twostorytower wrote:
       | Really awesome that he was able to do this and give back, but
       | none of this would have been possible without his unfathomable
       | wealth and access.
        
         | yieldcrv wrote:
         | Feeling inspired?
        
           | croes wrote:
           | It's more like I hope more bad things happen to rich and
           | powerful people so they start doing something against it. As
           | long as it happens to ordinary people most of then hardly
           | care.
           | 
           | Reminds me of the GOP who was against stem cell treatments
           | until Reagan got Alzheimer's
        
         | rvz wrote:
         | > ...but none of this would have been possible without his
         | unfathomable wealth and access.
         | 
         | ?
         | 
         | What's that supposed to mean? Is that bad?
         | 
         | You can do the same thing as he did, what's stopping you?
        
           | croes wrote:
           | Wealth is mostly based on either luck and more often
           | heritage.
        
             | rvz wrote:
             | Not only Sid didn't come from any of those backgrounds,
             | neither did the founder of Freshworks who literally started
             | his company based on reading a hacker news comment. [0]
             | 
             | So I only see more excuses here.
             | 
             | [0] https://news.ycombinator.com/item?id=28336815
        
               | croes wrote:
               | So it was luck
        
               | rvz wrote:
               | Nope. He applied to YC and took that risk and already
               | knew how to make money.
               | 
               | You miss 100% of the shots if you do. not. try.
        
               | croes wrote:
               | But you don't hit 100% if you try. That's where the luck
               | part comes into play.
               | 
               | Right time, right place
        
           | TobTobXX wrote:
           | wealth and access that is merely fathomable
        
             | rvz wrote:
             | You can _literally_ apply to YC, just like Sid and now you
             | are reading his story.
             | 
             | He did not come from any of those backgrounds.
        
         | Noumenon72 wrote:
         | That's not a "but". _Because_ he developed wealth and access,
         | this is possible for one person when before it wasn 't possible
         | for anyone. This is how societies developed everything from
         | refined sugar to rockets, as they passed various thresholds
         | where individuals could afford to try things out.
        
         | perch56 wrote:
         | According to some online sources his total wealth is under $3B.
         | Hardly 'unfathomable wealth' IMO. Sure, billionaire territory
         | but nowhere near the ultra-wealthy.
        
           | amazingamazing wrote:
           | 3 billion is ultra wealthy, you can't be serious.
        
             | perch56 wrote:
             | It's entry-level billionaires club. The top 10 each hold
             | $100B-$300B+, so the wealth distribution is extraordinarily
             | skewed even within billionaires themselves. Musk is
             | hundreds of times richer. Hardly obscenely rich.
        
               | amazingamazing wrote:
               | I must be talking to AI
        
               | perch56 wrote:
               | This AI recommends you visualize inequality at scale and
               | see the difference between 1B vs 300B.
               | https://youtu.be/c7sr46hxVM4
        
               | amazingamazing wrote:
               | The percentile ranking increase is greater between median
               | human and 1B compared to 1B and 300B. Bad AI
        
               | tock wrote:
               | It's entry-level obscenely rich club.
        
           | chaps wrote:
           | Friend, $3B is unfathomable wealth for an individual.
        
             | perch56 wrote:
             | I can fathom 3B, I can't fathom 300B
        
               | orf wrote:
               | Yes, big number better, everyone gets it.
               | 
               | The point is that you're deluding yourself if you think
               | that there is any difference in terms of relative
               | "unfathomability" between 3 billion and 300 billion.
               | 
               | 3 billion generates more in interest per day than 99.99%
               | of people make in a year. That's unfathomable volumes of
               | wealth for even the very rich.
        
               | crote wrote:
               | Quick, without doing any kind of Googling or calculation:
               | if I asked you to count 3B grains of rice by hand, how
               | long would that take you? How big would that pile of rice
               | be? How long would it take you to _eat_ it?
               | 
               | A billion is already unfathomably large. If you think it
               | isn't, you just haven't tried imagining what a billion of
               | _anything_ would be like.
        
           | dudul wrote:
           | This comment left me speechless... There are just a bit over
           | 3000 billionaires in the world, 900 in the USA. If $3B isn't
           | "unfathomable wealth" I don't know what is.
        
         | peyton wrote:
         | There are grad students babying organoids right now. Saturday
         | morning. If you can work a pipette you can do this.
        
         | esafak wrote:
         | This is an excellent use of his wealth and skills. Much better
         | than Steve Jobs' response.
         | 
         | I remember reading a similar article about a (cancer?) patient
         | who used 3D printing for his personalized cure.
        
         | fragmede wrote:
         | And all of a sudden, I was bestowed with the greed to acquire
         | more money than I can spend in a single lifetime. If I get
         | cancer, I'd rather be rich and be able to do stuff like that,
         | rather than die quietly.
        
       | Axoncode wrote:
       | I hope he will feel better.
        
       | ashwinnair99 wrote:
       | Most people slow down when something like this hits. Starting
       | companies is a very specific way of refusing to.
        
       | asim wrote:
       | Kudos to Sid for trying it and hopefully it benefits others in
       | the long run. Not everyone has the money, will or commitment to
       | do this. My own father died with a battle of myeloma, a blood and
       | bone marrow cancer, after 2 years, it wasn't the disease
       | specifically that got him, it was the secondary conditions that
       | caused irregular heart rhythm and eventually one day it stopped
       | and no one was there to help. 2 stem cell transplants, rounds of
       | chemo, almost full failure of kidneys. The cancer did its job.
       | Ultimately what I'm saying, the medicine gives us time, but no
       | one beats death. Maybe the treatment gives us time to come to
       | terms with that, hopefully my dad did. I was in total denial.
       | Anyway good luck to you Sid.
       | 
       | All the best to all the cancer survivors out there, and to the
       | loved ones who lost them.
        
       | grokcodec wrote:
       | https://time.com/7213490/why-are-young-people-getting-cancer...
        
       | storus wrote:
       | Maybe it's time for him to give the metabolic cancer theory a go
       | and try to bump up his mitochondrial function as much as
       | possible? It's practically untestable due to science testing all
       | compounds in isolation instead of a cocktail over longer period
       | of time that can't be properly controlled even if it might be
       | true. Every single cancer cell has a damaged mitochondria and
       | often switching it properly on leads to cancer cell's apoptosis.
       | He should also take desloratadine as some Swedish hospital
       | observational study showed a significantly increased
       | survivability on all tumor types with it. Some people had success
       | with the combination of DCA, R-ALA, B1 HCl megadoses >2g, CoQ10 +
       | PQQ, glucosidic astaxanthin,
       | nattokinase/serrapeptase/lumbrokinase, low-dose aspirin,
       | pancreatic enzymes and lactoferrin, with complete removal of
       | fructose from the diet (as the cancer explosion can be correlated
       | with years when fructose started getting introduced into diet in
       | large quantities).
        
         | azinman2 wrote:
         | You said it's untestable but then said a Swedish hospital did a
         | study on it? I don't see why things can't be tested over a long
         | term. There are many such studies.
        
           | storus wrote:
           | Swedish hospital study was about desloratidine:
           | 
           | https://pubmed.ncbi.nlm.nih.gov/33550204/
           | 
           | Metabolic theory of cancer is untestable in practice as you
           | can't control all variables over long time.
        
       | menno-dot-ai wrote:
       | There's a crazy story in here where Sytse invested in a click
       | chemistry cancer research startup (Shasqi) in 2017 and ends up
       | becoming a customer six years later.
       | 
       | I sincerely hope it works out for him.
        
         | bob_theslob646 wrote:
         | It's mentioned in the slide deck on the url linked. I highly
         | recommend clicking through all the slides. It's absolutely one
         | of the most fascinating decks I've come across. His sheer will
         | to want live is impressive and inspiring.
        
         | HorizonXP wrote:
         | Also helps we were all batchmates in W15, so the serendipity is
         | even higher.
        
           | sytse wrote:
           | Yes, it felt like the universe provided in this case. I
           | invest in my batch mate. We end up becoming best friends, our
           | wifes become best friends. Biotech VCs are afraid click
           | chemistry isn't hot enough. I lead multiple rounds and become
           | the biggest investor and it becomes my biggest investment.
           | The year I get cancer click-chemistry wins a Nobel prize. And
           | I become a patient. Unbelievable.
        
         | swyx wrote:
         | karma is real, guys
        
       | fumeux_fume wrote:
       | The linked post about his treatment is basically a vanity
       | article; low in useful information, but high in vague assertions
       | and platitudes. There's also a link to a post griping about the
       | red tape someone experienced while trying to self-treat their
       | dog's cancer that's weird. I clearly live in a different world
       | than these people.
        
         | bob_theslob646 wrote:
         | Here is a video if you want more detail.
         | 
         | https://forum.openai.com/public/videos/event-replay-from-ter...
         | 
         | "Event Replay: From Terminal to Turnaround: How GitLab's Co-
         | Founder Leveraged ChatGPT in His Cancer Fight"
        
         | dekhn wrote:
         | This is a common trope in the tech field- successful tech
         | person who is good at tech gets disease and wants to help cure
         | it. It's easy to generate a lot of data these days (whole
         | genome sequencing, various tests) but the reality is that
         | turning that data into actionable knowledge is remarkably
         | difficult.
         | 
         | Much of the red tape exists to help people avoid making common
         | mistakes that aren't obvious until you've been through the
         | process a number of times (other red tape just exists to
         | gatekeep unnecessarily).
        
         | dasil003 wrote:
         | It's wild to me to hear this being spun as vanity, like it's
         | some influencer clickbait or linkedin slop. You could argue
         | anyone posting anything online is driven by vanity, but in this
         | case we're talking about someone who took agency in his own
         | medical outcome, and essentially experimented on himself. Sure
         | it was selfish in the sense that he didn't want to die and he
         | bent all his effort and resources to it, so what? I don't see
         | exercising ones will-to-live in this way being a huge moral
         | gray area. Other commenters are saying why don't we fund more
         | research? Well sure we should do that too, but it's important
         | to recognize that the type of approach he took here only works
         | because it was one individual willing to combine a significant
         | amount of personal effort with his own moral authority to try
         | out risky things on himself. Even with orders of magnitude more
         | funding, you can't ethically do this kind of thing without the
         | consent of the patients, and there's not enough data on these
         | types of approaches to adequately describe the risks to
         | patients if they aren't specifically motivated to lean into the
         | details like this guy did.
        
       | dsign wrote:
       | When it comes to cancer, there is an awful lot of legacy thinking
       | and "way things are done" taking lives. Starting with the so
       | called "standard of care", which makes patient lose precious
       | treatment windows while they wait for a possible miracle from
       | "first-line drugs" from thirty and forty years ago which frankly
       | are not that good. But it's hard to reform because the fraction
       | of people who ever think about cancer as a problem to be solved
       | is quite small; and it ought to be far larger, given that cancer
       | is the second or even first leading cause of death across much of
       | the world. I wish Elliot Hershberg every success.
        
         | SoftTalker wrote:
         | I'm pretty much a pessimest when it comes to fighting cancer. I
         | think it's just one of the bugs in our genetic code that
         | evolution didn't shake out. I say that not as a biologist or
         | anyone who has done any work in the field. But I've seen people
         | close to me die of cancer and it seems like the treatement is
         | almost worse than the disease. I agree that the standard first
         | attacks are very crude and have broad systemic side effects and
         | the attitude seems to be "you'll die without this so that
         | doesn't matter."
         | 
         | I read some stuff about mRNA treatment a while ago that seemed
         | like it might be promising.
        
           | pavas wrote:
           | > I think it's just one of the bugs in our genetic code that
           | evolution didn't shake out. I say that not as a biologist or
           | anyone who has done any work in the field.
           | 
           | I'm just curious, do you know what the opinions about this
           | stuff are from people that work in these fields, or that have
           | dedicated their lives to it?
        
             | bashkiddie wrote:
             | I am guessing: There is an evolutionary "shadow". Genes for
             | getting old and healthy are not selected for, because you
             | get old after having children. Evolution optimizes for the
             | survival of your children.
             | 
             | Might be that cancer hits after creating offspring.
        
             | bglazer wrote:
             | I work in this field. It's more or less correct but kind of
             | lacking in detail. Cancer is a property of all
             | multicellular life. I think it's best understood as the
             | behavior of a dynamical system that loses the feedback
             | control that keeps cell growth under control.
             | 
             | Check out this paper from the Lander lab:
             | https://elifesciences.org/articles/61026
             | 
             | It's a bit jargon heavy but it's a nice case study in how
             | tumor growth is controlled through all the same mechanisms
             | that normal tissue growth uses. Even cells with an outright
             | cancerous gene mutation are basically still just doing
             | normal growth and development.
        
           | testaccount28 wrote:
           | i'm pretty much a pessimest [sic] when it comes to fighting
           | smallpox. i think it just exploits one of the bugs in our
           | genetic code that evolution didn't shake out.
        
           | NitpickLawyer wrote:
           | > seems like the treatement is almost worse than the disease.
           | 
           | I think that's what the poster above you was saying.
           | "Oldschool" chemo is basically poison, and the hope is that
           | it kills off the cancer before the patient. But there are
           | newer drugs that are extremely effective with way way way
           | less side effects out there, depending on which type of
           | cancer one has. Things like immunotherapy are really
           | effective if you happen to match their targeted types of
           | cancer, and some have basically 0 side effects, leading to a
           | QoL improvement if they happen to work. People have gotten
           | nobel prizes for some of these discoveries, it's really
           | insane how far we've come in the last 30-40 years.
        
           | com2kid wrote:
           | I read a theory that we actually evolved cancer to ensure
           | that something kills us.
           | 
           | Mortality is a feature when it comes to species level
           | fitness. Sucks for the individual though.
        
       | dominotw wrote:
       | so many of these now. it is so sad and scary.
       | 
       | been thinking about prenuvo all the time now but not sure if
       | thats going to help or make me more paranoid.
        
         | TaupeRanger wrote:
         | Not really. Osteosarcoma rates have remained very stable for
         | decades. Some young people are getting diagnosed with
         | colon/breast cancer at increasing rates, but most of that comes
         | down to better diagnostics and imagining, catching things at
         | earlier ages.
        
           | moooo99 wrote:
           | But isn't colon cancer in young people primarily an example
           | of rates actually increasing, because young people
           | specifically often get easily dismissed based on their age.
        
       | nextos wrote:
       | Previous discussion:
       | https://news.ycombinator.com/item?id=47550016
        
       | appstorelottery wrote:
       | This is the most supremely motivating post I've seen in a long
       | time. I know what it is to be diagnosed with cancer, being rushed
       | to surgery - it's amazing how quickly the medical-industrial
       | complex can move once you've got a diagnosis (at least in
       | Australia). I had a short period of contemplating terminally,
       | because cancer claimed the life of most of my family. Thankfully,
       | after surgery it was gone.
       | 
       | To see Sid use his motivation and resources to solve his own
       | problem is the core message (IMHO) of the hacker community.
       | 
       | It makes me look at my own problem (Peyronies) in a different
       | light; a disease which has affected my life in ways which cannot
       | be overstated. Yet, all the money in the world right now can't
       | fix Peyronies - yet in reading his journey my mind has been
       | changed about this.
       | 
       | His slide title: "I'll talk to anyone, I'll go anywhere, and I
       | can be there anytime" is certainly the mindset!
       | 
       | Thanks for posting this - I'm inspired to take similar action for
       | Peyronie's. Anything is possible.
        
         | elric wrote:
         | I commend you for speaking openly about Peyronie's, I imagine
         | that isn't always an easy thing to do (or to deal with). Best
         | of luck, and I hope you manage to make progress with it.
         | Effective treatment wouldn't get as much airtime as effectice
         | cancer treatments, but it would certainly have a positive
         | effect on the lives of millions of men.
        
           | appstorelottery wrote:
           | You are right on the mark. What triggered me was the slide in
           | Sid's presentation: "Assessing Fibroblast Content of Tumor".
           | Peyronie's is all about Fibroblasts. I actually typed my
           | reply quite a few times, deleting mention of Peyronies and
           | retyping it. It's a shameful condition for me, and I realize
           | that I have to get over this. Peyronie's affects 1% to 20% of
           | men, primarily because it's (if you're anything like me) - is
           | impossible to talk about.
           | 
           | Again, you're completely right. Talking about the disease is
           | the first step.
        
             | girvo wrote:
             | It's not quite the same, but I had a frenulectomy done due
             | to severe phimosis leading to pain and bleeding. It was
             | absolutely horrible, and I was shocked at how hush hush we
             | all treat conditions like this.
             | 
             | Thankfully there's a straightforward surgical treatment for
             | it, and I hope that you're successful on your quest around
             | Peyronie's!
        
               | appstorelottery wrote:
               | I had to google your condition to empathize, but wow -
               | terrible. I'm truly happy for you that you could solve
               | it! Thanks for your best wishes!
        
               | emerongi wrote:
               | This reminded me of my own story, when I was 15 and had
               | phimosis. I was embarrassed to talk about it with anyone,
               | so in my desperation I posted about it on a forum that
               | claimed to help kids in need of help. Someone responded
               | and gave me instructions that they claimed had a high
               | success rate at treating the condition.
               | 
               | I followed the instructions for a few months and it fixed
               | it. I went back and sent the biggest thanks to the
               | responder. I did not expect to get any help from a random
               | forum.
               | 
               | There has to be swathes of kids struggling with
               | "embarrassing" (in quotes, because they actually aren't
               | embarrassing at all) issues like this. I hope today's
               | internet can provide help to the ones that have nobody to
               | discuss them with.
        
         | MindTwister wrote:
         | Several years ago I was doing advertising websites, one of our
         | customers was (Pfizer? Bayer? both were customers) they had
         | developed a drug against Dupuytren's contracture[1] and
         | apparently found it effective enough against Peyronie's that we
         | were asked to create a website describing this (possibly off
         | label) use of that drug.
         | 
         | Honestly I have no idea if it was effective or not, nor do I
         | know anything about the side effects, but just in case you were
         | unaware of that particular option I want to put it out there.
         | 
         | From what I can find, doing an online search along that path it
         | might have been Xiaflex/Xiapex by Pfizer.
         | 
         | (Not paid by anyone in this particular business anymore, just
         | remembered it when I read your comment).
         | 
         | [1]https://en.wikipedia.org/wiki/Dupuytren%27s_contracture
        
           | appstorelottery wrote:
           | Thanks for your comment. I'm aware of Xiaflex, and it's been
           | clinically proven to work against early-stage Peyronies. When
           | the disease has reached the chronic phase (and calcified) -
           | Xiaflex hasn't been clinically proven. Xiaflex is now on-
           | label for treating Peyronies.
           | 
           | My mistake wasn't acting earlier, because I had no idea what
           | was happening. But thank you again for your comment. Thank
           | you!
        
         | gen_1 wrote:
         | Fellow Australian with Peyronie's here. Do you know about Dr C
         | Love? I have just had a PIG surgery with him. It is too early
         | to make a definite statement on the result yet, but things are
         | looking a lot better than before.
        
           | appstorelottery wrote:
           | I live in the EU at present, I haven't heard of Dr C. I've
           | seen a little Doctor Worship on Reddit, but no doctor who can
           | deal with Chronic conditions. In the NL the only option was
           | Tunica albuginea plication (TAP) which results in a loss of
           | length. I've read that PIG in 44% of cases fixes this,
           | however... ugh... surgery. From the bottom of my heart I wish
           | you success in this, and I'd love to stay in contact and hear
           | of your recovery - but how on HN?
        
             | gen_1 wrote:
             | ---
        
               | appstorelottery wrote:
               | @ aol... so retro ;-) - sent you an email.
        
         | sytse wrote:
         | Thanks for you kinds words, glad to hear you recovered from
         | Peyronies.
        
           | appstorelottery wrote:
           | I have not recovered, I took the opposite path to you - when
           | "standard care" wasn't an option - I gave up. But your post
           | has motivated me, and shown me a roadmap of what is possible.
           | Eternally grateful.
           | 
           | p.s. "I'll talk to anyone, I'll go anywhere, and I can be
           | there anytime" - for me, unfortunately $ is the problem for
           | going anywhere, anytime. Perhaps you can help? I've sent you
           | an email - I'm motivated. ;-)
        
         | SilentM68 wrote:
         | "Anything is possible," is the correct mindset when it comes to
         | chronic or incurable diseases.
        
         | idopmstuff wrote:
         | I am watching DTF St. Louis (which is not a terrible reality
         | show about a third tier city like the title implies, actually a
         | Jason Bateman kind of dark comedy/whodunit), and Peyronie's
         | features in the story. The show also has the first commercials
         | I've ever seen for a Peyronie's treatment, and apparently it's
         | an official ad partner of the show. I wonder if some
         | enterprising show exec decided to go pitch the perfect
         | sponsorship or if the company making a treatment commissioned a
         | show...
        
           | appstorelottery wrote:
           | A cure for Peronies which is non invasive, works on
           | chronic/non-chronics is worth countless billions.
        
       | parsimo2010 wrote:
       | (slightly sarcastic) So we should give rich people diseases so
       | they are incentivized to fund medical research?
       | 
       | Sid seems like a decent person. I'm glad that he's able to push
       | cancer research forward on his own. Hopefully his work will make
       | things better for everyone else with bone cancer. Seems like that
       | is well under way. (and I guess I should recognize that he funded
       | a cancer treatment company years before he knew he had cancer
       | further reinforcing that he's not purely self-interested)
       | 
       | I'm a little melancholy that my aunt, who was a millionaire just
       | not a mega-millionaire, didn't have the resources to do this
       | before she died of cancer. She was able to pay for a high
       | standard of care, but couldn't single-handedly fund teams of
       | scientists to work on her case. I know she would have done so if
       | she could, her biggest regret was not being around longer to see
       | her grandkids grow up and she was very driven to watch over her
       | family.
       | 
       | It is a little sad that the world's medical research apparatuses
       | couldn't seem to fund this on their own. Not just the US medical
       | system, but Europe and China also don't have better treatments
       | until a rich guy came along. It seems that it's not for a lack of
       | ideas, just that some of these ideas couldn't be funded. Is it
       | that this type of bone cancer is super rare and the cost just
       | isn't worth it? Or are we just under-funding at the level that
       | several ideas with a likely positive ROI aren't able to get
       | funded?
        
         | melling wrote:
         | Why can't we just ask our governments to spend more on
         | research? Want some rich person to donate $100 billion on
         | cancer research?
         | 
         | The US government and European governments could find that
         | amount of money every year.
        
           | declan_roberts wrote:
           | The United States and world spend huge amounts of money on
           | this, not even to mention the enormous amounts of private
           | research.
           | 
           | The takeaway here is getting money into the hands of smarter
           | and more motivated people.
        
             | light_hue_1 wrote:
             | No we absolutely don't. The US hardly spends anything on
             | research.
             | 
             | The entire yearly budget for the National Cancer Institute
             | is $7 billion dollars. To put this in perspective, that's 3
             | days of funding the DoD. For cancer. That kills well over
             | half a million Americans per year.
             | 
             | The takeaway is that we should invest in research rather
             | than letting people die.
        
             | miki123211 wrote:
             | It's a problem of incentives.
             | 
             | Governments have a limited (although large) budget, and no
             | incentive to spend it well[1]. You don't get promoted as a
             | government administrator if you approve a Nobel-prize-
             | winning grannt.
             | 
             | If you don't get rewarded for good work but may get
             | punished for taking risks, you optimize for risk
             | minimization, even if this means a lot of potentially-good
             | work not getting done.
             | 
             | Nobody blames the FDA when millions of people die from the-
             | medicine-hasn't-been-invented-yet-itis, everybody blames
             | the FDA when ten or so people die from a side effect nobody
             | saw. This impacts FDA policy.
             | 
             | This person has the best incentive there is in the world,
             | the incentive to live. He didn't care whether the people
             | getting his money correctly filled form 437-F, or whether
             | they have the relevant paperwork that verifies their
             | legitimacy in a way which can be described by legal rules.
             | 
             | [1] Incidentally, finance has (had?) the opposite problem.
             | If your bonus is calculated as min(0, percentage *
             | profit_generated), you will maximize risk, optimizing for
             | bets that give you great returns most of the time, but wipe
             | you out completely some of the time, as your losses are
             | clamped to 0.
        
               | kelnos wrote:
               | > _If your bonus is calculated as min(0, percentage_
               | profit_generated)*
               | 
               | I assume you meant `max(...)`? Otherwise you will at best
               | get zero dollars in bonus, and at worst owe your employer
               | money. ;)
               | 
               | (I get min/max backward all the time too.)
        
           | BobbyJo wrote:
           | You can't compare the output of small teams driven by a
           | fanatic with a single output metric with government funded
           | research. NIH invests about 40 billion in research a year in
           | the US as it is I believe.
        
             | melling wrote:
             | I asked Gemini AI and it says the NIH spent $7.3 billion
             | last year.
             | 
             | Would it be a big deal to double that?
        
           | VectorLock wrote:
           | In another timeline they're doing a "Cancer Moonshot" right
           | now.
        
           | PowerElectronix wrote:
           | We are not the bosses of the people in the government, so
           | asking does very little.
        
           | georgemcbay wrote:
           | > The US government [...] could find that amount of money
           | every year.
           | 
           | Sorry, that money is already earmarked for killing Iranian
           | school girls and funding a gestapo to terrorize immigrants
           | and American citizens. Ain't got enough left over after we
           | cover those essentials.
        
         | light_hue_1 wrote:
         | >Not just the US medical system, but Europe and China also
         | don't have better treatments until a rich guy came along. It
         | seems that it's not for a lack of ideas, just that some of
         | these ideas couldn't be funded. Is it that this type of bone
         | cancer is super rare and the cost just isn't worth it? Or are
         | we just under-funding at the level that several ideas with a
         | likely positive ROI aren't able to get funded?
         | 
         | Cancer research, and all research in general, is massively
         | underfunded. The US spends $7 billion dollars per year on the
         | National Cancer Institute. The EU spends about as much as well.
         | That's $14 billion per year for all cancer, never mind bone
         | cancer. This just isn't a lot of money. That's like 6 days of
         | running the US DoD. For cancer.
        
         | wyager wrote:
         | The bottleneck isn't research funding, it's getting past the
         | FDA
        
         | Fordec wrote:
         | In individualistic societies, the cultural motivation isn't
         | going to come in the name of collective action. In the era of
         | how much state funding of state driven science in the US is
         | being pulled, you're 100% correct that all that will be funded
         | will be rich people looking to cure themselves. But just
         | because it's factually correct, doesn't mean it's not an
         | indictment of the society we've built.
         | 
         | mRNA research, first discovered in the 1960s, couldn't get much
         | funding for years/decades and had to scrimp through what they
         | had. And then it got a burst in funding and was publicly
         | available in a year.
        
         | stuffn wrote:
         | There are so many diseases that can be solved if money isn't an
         | issue. The problem is even if this wealthy guy cures his own
         | cancer the treatment will never be available to us. We still do
         | not have cheap genetic targeting and immunotherapy. The average
         | person will be bankrupt just from the discovery.
         | 
         | I'm of the opinion most types of cancer can be targeted and
         | cured. There's just not enough money in it to produce the cure.
         | The entire industry is locked behind a paywall.
        
       | moralestapia wrote:
       | "maximum diagnostics"
       | 
       | Love this! This is the way! And he proved it correct.
       | 
       | I remember one time I mentioned this in a casual conversation
       | only to get back very low IQ responses with some fatuous
       | arguments that the tests caused the disease or something.
       | 
       | There was this one guy Tomas something (can't remember the last
       | name, a weird one), doesn't matter, what I do remember is how he
       | was desperately trying to explain how more tests led to more
       | diagnoses and that was ... somehow bad? Lmao.
       | 
       | Something I've observed, I've lived in Canada/US and Latin
       | America, in the former you have to wait months for a CT scan, in
       | the latter you can get it the same day you need it. If the
       | "third-world" can do it, there's no excuse.
        
         | universa1 wrote:
         | I am fully on your side, but tests are not 100%: False
         | positives and false negatives.
         | 
         | The way out is obviously better tests and not less tests :-)
        
         | jwardbond wrote:
         | Could Tomas something have been referring to some of the risks
         | mentioned here [1]? Particularly the overdiagnosis bullet.
         | 
         | [1] https://en.wikipedia.org/wiki/Cancer_screening#Risks
        
       | bfbsoundetch wrote:
       | A very motivating post. What he said "It became my own job to
       | keep myself alive. Nobody else was going to do it for me at this
       | point" really stayed with me. It's powerful to see someone take
       | that level of responsibility in such a difficult situation. I
       | also appreciate how his ability to fund his own treatment can end
       | up benefiting the broader community. Wishing him the best. Cancer
       | is awful, and it just took one of my professor life just a few
       | months ago.
        
       | kaapipo wrote:
       | Had the pleasure of meeting him a little over a year ago. A super
       | cool and down-to-earth dude.
       | 
       | I hope him all the best.
        
       | vldszn wrote:
       | Wishing him a speed recovery
        
       | goatlove wrote:
       | I found another story of using AI for a new vaccine the other day
       | . https://x.com/paul_conyngham/status/2036940410363535823. Its
       | interesting and motivating to see how people are using new
       | technology to save lives regardless of their totally professional
       | background and how informations are useful if you use it the
       | right way. I wish him the best.
        
       | 101008 wrote:
       | This is wonderful but I feel bad for all the people who doesnt
       | have the resources to go through the same. For 99.9% of the
       | population, a diagnostic like his means a really different
       | outcome. I know he is trying to fix this with his investments and
       | companies, but sharing this story could be seen as "boasting"...
       | "I went through this and I survived, while your loved ones
       | wouldn't"
        
         | necovek wrote:
         | While that is just a natural reaction to "unfair" world where
         | not everyone gets the same level of access to the best level of
         | care, I'd also say that it's a reminder that money can't and
         | won't solve all problems people are hit with in their lifetimes
         | (or he'd not be facing cancer diagnosis in the first place).
         | 
         | This story is of someone with resources putting them to good
         | use to save themselves, but also have that benefit others:
         | medical research is expensive and for good reason restricted,
         | and just like lots of open source was driven by individual's
         | need, so lots of good stuff can come out of this. I suggest to
         | see it that way.
        
         | ares623 wrote:
         | I agree. It would've been so easy to address that too. Just
         | acknowledge it and be vocal about supporting policies that make
         | it better for others.
        
       | allpratik wrote:
       | Wish the best for Sid! My father was unlucky with his TP53
       | mutation which resulted in AEL and he passed away suddenly. 100%
       | fit to vanishing away straight in 8 months. It was pretty rough
       | for me especially to see how these doctors (most of them but bot
       | all) are so non-experimental in their attitude.
       | 
       | Sid is right, Staying alive is our own job and definitely what he
       | is doing will give him and his loved ones enough hope to get
       | through this and sometimes he eventually he will get through.
        
         | manmal wrote:
         | I guess experiments will get a doctor sued.
        
           | sytse wrote:
           | Certainly hospitals are in the business of minimizing
           | liability while patients would prefer maximum survivability.
           | Those are very different goals.
        
       | jnpnj wrote:
       | I remember steve yegge complaining about using brain and
       | computing so sell clicks. I wonder how many people would do the
       | same as Sid these days.
        
       | hubrix wrote:
       | This story and the guy curing his dogs cancer leads me to believe
       | what's missing is a jurisdiction that allows people with money to
       | do whatever experiments they want/need to move medicine forward.
        
         | ares623 wrote:
         | Jesus fucking Christ we are so fucked.
        
         | nitwit005 wrote:
         | Do you really expect people to let you possibly kill people
         | with medical experiments without even having to file some
         | paperwork?
         | 
         | Countries are already trying to attract clinical trials, and
         | that includes streamlining approvals.
        
       | sytse wrote:
       | Thanks for posting this. Happy to answer questions!
        
         | rvwaveren wrote:
         | How are you now?
        
           | sytse wrote:
           | Doing well. We've not seen the cancer for 10 months (not for
           | lack of trying) and I'm enjoying an international trip for
           | pleasure!
        
         | silentsea90 wrote:
         | How do you deal with setbacks both in work and life, and show
         | resilience and belief you can find a solution? Is this innate
         | or something you worked on? Also, are there things you think
         | are impossible for you to do?
        
           | sytse wrote:
           | I have a stoic mindset, I try to not care about things that
           | are outside my sphere of influence. While the cancer was
           | unfortunate it was out of my control. Having my YCW15
           | batchmate step up for me during my initial set of treatments
           | to get me Shasqi opened my eyes that I could help create and
           | take new medicines. It was within my sphere of influence.
           | When I reached the end of standard of care I stepped down
           | from the CEO role of GitLab and pushed to do this for me.
           | While it was hard it was easier than I expected and I created
           | companies to help other patients in the same way (maximum
           | diagnostics and single patient IND pathway).
        
         | swyx wrote:
         | how do you handle GitLab + Kilo + all this personal work? what
         | system have you figured out? sorry if you've written about this
         | somewhere, i think there's a meta lesson you have that we all
         | can use.
        
           | sytse wrote:
           | All of these companies (including the Even One Ventures and
           | Open Core Ventures ones) have CEOs who run them day to day. I
           | try to help with positioning and setting ambitious goals. Y
           | Combinator really opened my eyes to how helpful setting clear
           | and hard to reach goals is.
        
         | nextos wrote:
         | This is very impressive, top labs doing research often don't
         | have experimental designs that are this elaborate. Was the TCR
         | and BCR-seq you conducted helpful to design cell therapies,
         | neoantigen vaccines, and monitor progress?
         | 
         | Given that you carry the HLA-B*27:05 allele, you might have
         | been blessed by being predisposed to a better response. But
         | probably you want to keep an eye on future autoimmunity issues.
         | Talking from experience...
        
           | sytse wrote:
           | Thanks for the warning, I hope that it wasn't a personal
           | experience for you.
           | 
           | Thanks for the compliment about the elaborate design. I think
           | that when you make something for one or a few patients it is
           | easier to be more elaborate, even with the same knowledge and
           | equipment.
           | 
           | Maybe the TCR and BCR-seq was most helpful for mRNA design
           | and effectiveness monitoring, but hopefully someone else on
           | my team will answer that better.
        
             | jacobjstern wrote:
             | The TCR sequencing has been helpful for downselecting TCRs
             | for a TCR based cell therapy, and for monitoring response
             | to various immune therapies (including the vaccines)
        
               | nextos wrote:
               | Interesting, thanks for your replies.
               | 
               | You should consider publishing a patient case report
               | somewhere, as I believe there are lots of valuable
               | conclusions to be extracted from your work.
        
         | DEDLINE wrote:
         | I have worked as an architect in HCLS technology for 10 years
         | with Google and AWS.
         | 
         | Listening to you stitch all the technology and innovation
         | together, moving from the information world to the physical
         | world, as a patient, almost brought me to tears.
         | 
         | You said this will be the standard of care in 30-years, but the
         | capability is here today. Listening to your recording is a
         | profound moment in my life.
         | 
         | Thank you for sharing your journey.
        
           | sytse wrote:
           | Really appreciate it. I agree the capability is here today.
           | I'm trying to get it to more people so that the learning
           | effects and economies of scale can bring the costs down.
        
         | appstorelottery wrote:
         | Thanks for the inspiration! Is there anything new you've
         | learned about fibrosis in your journey?
        
           | sytse wrote:
           | I'm not knowledgable able fibrosis except that my tumor
           | expresses a lot of FAP and it is a workable target for radio
           | and immune drugs.
        
             | appstorelottery wrote:
             | I have sent you an email - any help you can provide in this
             | area.
        
         | bob_theslob646 wrote:
         | My pleasure! How does someone support someone going through
         | cancer? I would especially like to know how to best support
         | someone upon initial diagnosis. It seems like you have an
         | amazing support system and I would like to be that for someone.
        
           | sytse wrote:
           | Of course it depends on what they need but please email
           | cancer@sytse.com with a screenshot of this message and we can
           | discuss.
        
         | robomartin wrote:
         | Just a few notes:
         | 
         | Fasting (1 to n weeks) is said to provide potential benefits
         | for certain types of cancer treatments. Pre-cancer, it is said
         | to potentially prevent cancer onset. This is potentially
         | powerful for those of us with a family history with cancer.
         | 
         | I have been fasting for a couple of years. My longest fast was
         | 21 days last year. I am on track for a four week fast right
         | now.
         | 
         | Note that there seems to be research indicating that prolonged
         | fasting with cancer might not be good, fasting around treatment
         | is a different story.
         | 
         | https://www.youtube.com/shorts/EGUtr9w_HtE
         | 
         | https://www.youtube.com/watch?v=jDG1m_b5Ih0
         | 
         | Sunlight exposure is also said to be critical with treatment of
         | disease. It isn't just about vitamin D.
         | 
         | Here's a Huberman episode with Dr. Roger Seheult on the
         | subject:
         | 
         | https://www.youtube.com/watch?v=N5DAW8mkJ6Y
        
         | zie1ony wrote:
         | Have you just "ordered the cancer vaccine" or this is not yet
         | that easy?
        
       | markphip wrote:
       | It was hard to tell how he is doing and whether any of these
       | treatments are working, but I sincerely hope for a good outcome
       | for him. He has always seen like a genuinely good person. Cancer
       | sucks.
        
         | sytse wrote:
         | Thank you! I've been cancer free for 10 months now. If you're
         | curious please see https://osteosarc.com/timeline/ > MRD >
         | Personalis.
        
       | dangus wrote:
       | Sounds like some lame ass tech founder bullshit if I'll be
       | honest.
       | 
       | If I had cancer the last think I'd be thinking would be to make a
       | slide deck about it.
       | 
       | Can these robot people come back down to earth and have a genuine
       | human experience for a chance? Not everything has to be framed in
       | the view of a startup company or a data analysis exercise.
       | 
       | Maybe focus on spending time with your family and friends? If
       | they still like you after years of being an insufferable tech
       | bro.
        
         | justin wrote:
         | Who hurt you?
        
       | SilentM68 wrote:
       | He is lucky to have the resources and determination to start his
       | own companies and tackle the problem himself. I wish the majority
       | of tech bros would act in a similar fashion.
       | 
       | The sad truth is, that in most countries, health systems do not
       | allocate sufficient resources or financial support to doctors to
       | correctly diagnose medical conditions accurately as it is not in
       | their economic, interest to do so.
        
       | CommenterPerson wrote:
       | Hmmm .. where have we heard this story before? Tech bro tries
       | alternative treatments for cancer .. somebody at Apple?
       | 
       | I wish him all the best and good luck. Maybe in 50, 100 years
       | we'll have more definitive cures for cancer. Till then it's
       | mostly slash, burn and poison, unfortunately.
        
       | plasma wrote:
       | I think you'd find Dr. Richard Scolyer's story really relatable.
       | He's an Australian cancer expert who, along with his colleague,
       | is using himself as "patient zero" for a world-first treatment
       | for his own brain cancer. They're basically doing the research
       | and the treatment in parallel to find a new way forward:
       | https://www.abc.net.au/news/2025-10-30/dr-richard-scolyer-sp...
        
       | JohnTHaller wrote:
       | Love seeing Sid posting about this and taking the initiative he
       | has. I wish I'd had the resources and time (and abilities of Sid)
       | when my Dad got ALS considering the relatively poor state of ALS
       | treatments.
        
       | andybak wrote:
       | Took me a while to parse the title
        
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