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Starting Hospice

jakeseliger.com

71–80 of 162 posts

Re: Starting Hospice

#71

Earlier quoted context omitted.

Gandalf also said, "End? No, the journey doesn't end here. Death is just another path, one that we all must take. The grey rain-curtain of this world rolls back, and all turns to silver glass, and then you see it."

He did? I'm surprised to find a quote I'm not familiar with. On what page of which edition did he say this?

Gandalf says this in the movies, not in the book. However the descriptive language is drawn from Frodo's dream in the barrow downs and his experience sailing into west at the end of LOTR.

> And then it seemed to him that as in his dream in the house of Bombadil, the grey rain-curtain turned all to silver glass and was rolled back, and he beheld white shores and beyond them a far green country under a swift sunrise.

Re: Starting Hospice

#72
post #2

Hacker News, thank you for all the links and all the great reading. Now I have to say goodbye. I’m with my wife Bess ( https://bessstillman.substack.com/ ) and my brother Sam, and crying, but it is okay. At the end of Lord of the Rings Gandalf says to the hobbits, "Go in peace! I will not say: do not weep; for not all tears are an evil.” And that is how I feel now. Ending prematurely hurts, but all things must end, a…

You have been such an inspiration in how to make something impossible almost bearable. You are doing the hardest of hard things so well. Thank you for sharing and hope you find peace

Re: Starting Hospice

#73
post #2

Hacker News, thank you for all the links and all the great reading. Now I have to say goodbye. I’m with my wife Bess ( https://bessstillman.substack.com/ ) and my brother Sam, and crying, but it is okay. At the end of Lord of the Rings Gandalf says to the hobbits, "Go in peace! I will not say: do not weep; for not all tears are an evil.” And that is how I feel now. Ending prematurely hurts, but all things must end, a…

Thank you for your writing - its taught me a lot about a lot of things. One concrete highlight is how important patient agency is in the patient-doctor relationship - which you've written about a few times.

I'm truly deeply sorry about this whole situation. Thank you for sharing all your knowledge.

Re: Starting Hospice

#76
My partner died of an internal SCC in their early 40s during the COVID-19 pandemic lockdowns, over a course of 9 months.

After the tumor board of the only cancer treatment center both covered by our insurance and willing to take us on refused to pursue anything but standard ovarian chemotherapy (which didn't work at all on ovarian SCC, which we already knew). Because of travel restrictions and the total lack of vaccines at the time, we couldn't travel to seek more aggressive treatment, so we pursued clinical trials.

My partner qualified for a trial only after chemotherapy started doing nerve damage, and was approved only after being judged too ill by the oncologist to take the drugs when they finally arrived. The courier showed up with $20,000 of useless drugs two days before hospice started. After my partner's death, I was told to dump them, unopened, after begging the oncologist and company to find someone else who could use them.

Bess' advocacy for access to trials for terminal and near-terminal patients is invaluable. If there's anything people can try to do, it's to help in this effort long before you or a loved one become too sick to benefit from it.

Jake has a hard road ahead, and so does Bess. All we can do is push to make sure nobody else has to fight as hard for, or be outright refused, the ability to fight for even potentially effective treatment.

Re: Starting Hospice

#78

[flagged]

Low-hanging fruit of dodgy medical claims aside: why would you post this as a response to someone announcing that they are shortly going to die from cancer? Is the intent to make the point that this person's current situation could likely have been avoided if they had simply followed a particular diet regimen? Or perhaps as a PSA to others who may currently be facing cancer themselves?

Irrespective of the value or veracity of the specific advice offered, to comment something like this here is supremely tone-deaf. Read the room.

Re: Starting Hospice

#79
I hope this is an appropriate place to ask.

Say I am eating well, exercising consistently, getting enough sleep.

For a male in his 40s, what are the best bang-for-the-buck ways to detect cancer before it becomes life-threatening?

Re: Starting Hospice

#80

I hope this is an appropriate place to ask. Say I am eating well, exercising consistently, getting enough sleep. For a male in his 40s, what are the best bang-for-the-buck ways to detect cancer before it becomes life-threatening?

Talk to your doctor, and ask to be screened for all common cancers. A colonoscopy is in your future (I just had one). Also ask for a Prostate-Specific Antigen (PSA) Test. Also look into the HPV vaccine.
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