211–220 of 220 posts
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You can imagine how that system, like most, is actually getting its medical advancements from the US.
This implies the US is subsidizing the world's healthcare system and sacrificing it's own citizens for the benefit of every non-American. You're ok with that?
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You can imagine how that system, like most, is actually getting its medical advancements from the US.
This doesn't make any sense. If you make a thing, the price you set for selling that thing in a country has little to do with where you happen to be living when you made that thing.
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Not just "write my own string lib", but "write my own string lib in assembly"! Wow.
it's not as hard as you seem to think. plenty of people have implemented strcpy(), strlen(), etc for embedded-like platforms.
A little late, but man this sucks, cancer sucks. Rebecca was not only an amazing programmer, but a true hacker from the get go. From what I understand she managed to achieve what she did without even a high school diploma -- a real natural talent. I first really learned of her from the ANTIC podcast [1] in 2015 and was just kind of blown away by this cool, intelligent, creative and humble human being. I'm personally…
Thank you so much for linking to the (ten year old now?!?!) podcast.
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> Do you have any evidence that the cancer is a type that would have been caught by a screening regime currently in place in other countries which is not in place in the US? Do you have any evidence that it wasn't? I honestly don't know if earlier detection was possible, or would have helped her out or not. What I can tell you is that given the state of health care in this country, you can bet that my default assumpt…
> Do you have any evidence that it wasn't? Most types of cancers are not routinely screened for. The post says that the cancer was in her liver and lungs, and neither liver cancer nor lung cancer are routinely screened for (lung cancer screenings are recommended for people with a history of heavy smoking). > What I can tell you is that given the state of health care in this country, you can bet that my default assump…
If you have got cancer in your liver and lung then those are probably metastases, and most often the original cancer is in the colon.
> the evidence for invasive and expensive colonoscopies (standard US practice) over fecal matter tests (standard European practice) for colon cancer screening [is extremely dubious].
Fecal matter tests will tell if you have got a tumour and that tumour is bleeding. But not all colon tumours bleed. Colon cancer can be a silent killer, that often goes without symptoms for years until it has metastasised and become terminal.
A colonoscopy will tell if you if you have got a polyp — an early pre-stage of cancer. And a polyp can be removed right then and there during the procedure with a tiny wire-loop or claw at the end of the instrument — and then you're safe.
I recommend everyone who is 45 y/o or older to get a colonoscopy every ten years. That is how long a polyp takes to develop into a tumour .. for normal people. Myself, I have Lynch syndrome, so I have had to start earlier and get a colonoscopy every year. I had my fourteenth two days ago.
A COLONOSCOPY IS NO BIG DEAL. It is not invasive, it is not sexual, it is not demeaning. Everyone is professional, interested in your intestine, not your butt. It does usually not hurt, and if it does it is because of gas, as there are no other types of sensory nerves in the colon. If you are otherwise healthy, it is not dangerous. You can get it done it medicated, or even sedated if you want. I usually do it without any such drugs. The worst part is not the procedure but the prep — because laxatives taste bad. But if you are healthy and ask for it, a doctor could give you a stronger laxative that you don't have to drink as much of.
Screening is good. Do it!
Huge loss to the community. She was, by all accounts, an amazing programmer. I remember when she uploaded the source code of her Doom 3DO port she indicated that she had to write her own string lib because the base one sucked: > I had to write my own string.h ANSI C library because the one 3DO supplied with their compiler had bugs! string.h??? How can you screw that up!?!?! They did! I spent a day writing all of the…
condolenses to her family and closest friends.
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> Do you have any evidence that it wasn't? Most types of cancers are not routinely screened for. The post says that the cancer was in her liver and lungs, and neither liver cancer nor lung cancer are routinely screened for (lung cancer screenings are recommended for people with a history of heavy smoking). > What I can tell you is that given the state of health care in this country, you can bet that my default assump…
> The post says that the cancer was in her liver and lungs, and neither liver cancer nor lung cancer are routinely screened for ... If you have got cancer in your liver and lung then those are probably metastases, and most often the original cancer is in the colon. > the evidence for invasive and expensive colonoscopies (standard US practice) over fecal matter tests (standard European practice) for colon cancer scree…
> An invasive procedure is one where purposeful/deliberate access to the body is gained via an incision, percutaneous puncture, where instrumentation is used in addition to the puncture needle, or instrumentation via a natural orifice. It begins when entry to the body is gained and ends when the instrument is removed, and/or the skin is closed. Invasive procedures are performed by trained healthcare professionals using instruments, which include, but are not limited to, endoscopes, catheters, scalpels, scissors, devices and tubes.
[1], emphasis added.
> A medical procedure that invades (enters) the body, usually by cutting or puncturing the skin or by inserting instruments into the body.
[2], emphasis added
> An invasive procedure is one in which the body is "invaded", or entered by a needle, tube, device, or scope.
[3], emphasis added
Is it a big deal? Maybe not to you, maybe to other people. Is it better than a much cheaper (and not invasive) FOBT? Questionable.
NordICC [4] found an 18% reduction in colon cancer incidence after 10 years with a colonoscopy screening program, but no statistically significant reduction in mortality (either colon cancer or all-cause). Hardcastle et al. [5] found no reduction in colon cancer incidence but a 15% reduction in colon cancer mortality after 7.8 years with a FOBT screening program.
Everyone's gungho about evidence-based medicine until the evidence fails to support their preferred procedures.
[1] https://pmc.ncbi.nlm.nih.gov/articles/PMC6678000/
[2] https://www.cancer.gov/publications/dictionaries/cancer-term...
[3] https://medlineplus.gov/ency/article/002384.htm
Pop-up when pressing back on mobile that stopped returning to HN. Sheesh, the mobile web is really predatory. Good that I don’t use it much.