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From hacker to hospice in seven weeks

benjamincburns.com

121–130 of 234 posts

Re: From hacker to hospice in seven weeks

#121
post #41

I am so sorry to hear this and also so glad you posted it here, Ben. Thank you. We all get so busy in our daily details, it's nice to be reminded what's really important. Just some quick, well intentioned feedback from someone who has lost almost every important loved one... Please don't be angry. That may seem like a natural response, but it is wasted output, serving as input into no productive process. Life is not…

Mostly through a long grieving process, I would give slightly different advice, or perhaps the same advice said differently: don't feed anger. Don't hold it.

In my youth, I thought emotions were things to be controlled, suppressed. That was terrible for me. Three years ago a lot of bad things happened more or less at once, and my hyperrationalist suppression of emotion failed me. It was sand castles against a tidal wave.

Now I try to treat emotions like weather. I don't get to pick them; I just get to pick how to respond when they happen. So if somebody is feeling angry, I think that's ok. I'd hate for them to justify it, to sustain it, to make it a habit. There's no sense in nursing a grudge against the world, and I certainly wouldn't want them to let the anger spill over onto those around them. That is definitely a waste. When they feel it, they should feel it. But when it passes, they should let it go.

Re: From hacker to hospice in seven weeks

#122

I don't have a brain tumour, but I have had, and am still having, an experience which has made me think seriously about my mortality. I'm 31. About three years ago I started having three/four day long bouts of total delirium, roasting fever, extreme nausea, can't even keep sips of water down when it happens - by day three or four, I'm usually too weak to move, totally dehydrated. Two years on, my GP is still going "c…

First, I'd like to say thank you for writing this. I'd also like to add a little for others who may be in a similar situation.

Just to set the background, I'm in my mid-40's, was a responsible adult, and had a house and family, and worked as a programmer for 15 years. I was fairly typical as a programmer -- a bit overfocused, had an excellent memory, strong reading skills, etc... I wouldn't say I was a great programmer, but I was a solid, competent programmer at the senior-ish/lead level.

Initially I was diagnosed with sleep apnea. Once I was on a CPAP machine I had periods where I'd sleep more-or-less normally, but I'd still go for periods or three to six months without normal sleep. This went on for three years or so. During periods of extreme fatigue my immune system would collapse and I'd get sick at the drop of a hat, and normally small things would make me really sick. Well, that was pertty horrible, but not too bad, really. I could get through it and, once the CPAP was set up correctly I'd eventually come back to normal after a few months.

I'm not really sure, but I think that sometime in that period I picked up a disease like chronic fatigue syndrome or mono or something that made it so that fatigue and confusion cause real trouble in my life. My memory is crap, and is simply gone most of the time. I have an extremely hard time getting focused and oriented. It's destroyed me financially, emotionaly, and caused a whole bunch of damage in my life. I'm just barely getting by and living in my van.

Sometime I'm better than others, but I go through these periods of extreme fatigue, where I mentally "fade out". My memory gets extremely bad and I forget things within seconds or minutes. I have trouble recognizing faces, names, etc... as well as just getting myself organized and functioning like an adult. There are periods where I come around and my brain starts working sort-of normally again, but it doesn't seem to last for very long.

I've seen seven or eight different doctors, ending three years ago when I lost my job and ran out of money. I didn't had any luck getting any of them to take my condition seriously. I'd tell them that something other than sleep apnea is going on, but they can't find anything, at least nothing obvious, so they don't believe anything is really happening, that it's "just psychological". But I know my self better -- for example I Know I had a college level reading ability in the sixth grade. Now I have trouble remembering the title of a book I read a week ago.

I'm solidly in the "darkest fears made manifest" stage of this thing. Part of me knows I'll survive this, that this will pass and that everyone deals with sickness, old age, and death. It has been (very) slowly getting better. I still have bad periods, but they aren't quite as often or as long, or as bad, as they were several years ago. Even still, when I'm in the middle of one of these periods of fatigue and confusion I'm convinced that it'll kill me.

So, and here's the real point of this, I'm still committed to being a force for good in the world. I'm there for my kids, regularly volunteer, and stay involved with helping other people. Like you say, mortality is the ticking timer that keeps you alive.

Re: From hacker to hospice in seven weeks

#123
I didnt directly experience a death until my 40s. When I've talked about I've run into even older people that have not directly experienced a death. We live in age-stratified communities where death happens infrequently to young adults. And we have a modern health system which has made death rare among younger people. I had to be a care-giver for a few months. I learned a lot about peole and medicine and dont regret it a bit.

Re: From hacker to hospice in seven weeks

#124
post #81

Earlier quoted context omitted.

tldr?

I only skimmed the piece, but it has a self-contained TL;DR at the bottom ("morals"). If I were to make my own abridged TL;DR, it would be "aging is a human tragedy that we can and should fix"

I worry that a victory over aging would be opening a pandora's box on humanity's progress on social change.

It is my personal opinion that a person's opinions of social norms, cultures, and traditions are largely fixed throughout one's lifetimes, and it is death (and birth!) that allows a society to shift its morals.

Re: From hacker to hospice in seven weeks

#125
post #39

Earlier quoted context omitted.

> If people donate nothing towards ameliorating diseases of ageing[0], then what's to be expected? The unfortunate chap lauded in the OP has been afflicted with a cancer of the cerebellum, not specifically a disease of aging. Cancer research has an immense amount of funding, certainly in comparison to many other widely prevalent diseases.

Diseases of ageing include cancers. Healthy ageing == dramatically reduced incidences of cancer.

Depends how strictly you classify it. Although age is an important risk factor for most types of cancer, there are many childhood cancers as well. Whereas dementias are almost always seen in adulthood, and especially prevalent in old age.

Certainly, dementia research receives considerably less funding then cancer research, so I agree with you that these prominent diseases of ageing are underfunded in terms of figuring out a cure.

Re: From hacker to hospice in seven weeks

#126
post #25

Earlier quoted context omitted.

If you worry that much about a false positive, I'm sorry for you, but you have no idea how much worse things may get. Many people don't get to complain about a false positive! Stressing and worrying are both several orders of magnitude better than suffering and dying. Source: My case wasn't a false positive.

People aren't worrying over a false positive. They don't know it's a false positive. In that moment their worry is just as genuine as yours is.

Of course you're right, but there's a misunderstanding there.

My point is people who went through the experience of having test results compatible with cancer and then discover it is just a false positive (which technically it's not even true, there's no cancer diagnosis before a biopsy, it just can't be excluded), well, these very people seem to speak out against screening, or adopting more extensive screening policies, because they had a "false positive", and "it's stressful".

I am pretty sure all the people whose lives were saved by screening find that pretty selfish.

Re: From hacker to hospice in seven weeks

#127
post #14

How long until a daily brain scan and body scan is a part of everyone's routine, the same way brushing your teeth is? Problems like these are untreatable if left for too long, but if caught early, there's sometimes hope. The solution seems to be to develop as many types of passive scanners as possible. The problem is false positives. But wasting a month needlessly visiting the doctor doesn't seem that bad.

False positives aren't inherently a problem. If you have accurate understanding of the sensitivity and specificity of a test, then you can take action to maximise the utility of the expected outcome. This means, for example, not necessarily performing a biopsy just because something is there (but it's probably benign). The cost of invasive procedures such as biopsies, and risk-increasing tests such as CT scans has to…

> False positives aren't inherently a problem. If you have accurate understanding of the sensitivity and specificity of a test, then you can take action to maximise the utility of the expected outcome.

In many cases, the optimal action is not to test in the first place. "Overdiagnosed" is an interesting book on the subject by Dr. H. Gilbert Welch. A recent piece by him in the NYT gives an idea of his thesis: http://www.nytimes.com/2014/11/06/opinion/an-epidemic-of-thy...

Re: From hacker to hospice in seven weeks

#128

I don't have a brain tumour, but I have had, and am still having, an experience which has made me think seriously about my mortality. I'm 31. About three years ago I started having three/four day long bouts of total delirium, roasting fever, extreme nausea, can't even keep sips of water down when it happens - by day three or four, I'm usually too weak to move, totally dehydrated. Two years on, my GP is still going "c…

I had the same experience. I was about the same age when I felt bad a lot. I had developed food allergies and suffered from nausea after I've eaten something along with a slight chest pain. It was going on for weeks before I went to my doctor and got diagnosed with a single gallstone and a lot of slug right away. In those weeks before, I was terrified that it could something more serious. But I told myself, that it was just the stress of the current project and the traveling (each week). After the diagnose, I went to the hospital three times when it was really worse, but denied further actions because of my project. The last time I went was on the last day of my project. I was in a really bad shape. I was operated a month later and today I am fine.

What I learned: See a doctor ASAP and do not delay treatment, even when working on one of the best projects.

Re: From hacker to hospice in seven weeks

#129

Earlier quoted context omitted.

The ineptitude of doctors never ceases to amaze me. One particularly idiotic fellow proudly announced to me and the entire office that he'd discovered I have diabetes. Even if that has been true, the manner in which he announced his pleasure at the epiphany made me want to punch him in the balls. hard. After a confused and sad ride home it only took a short talk with my extremely unqualified wife to convince me that…

> The ineptitude of doctors never ceases to amaze me Yeah there are stupid people in all professions but doctors in general are overworked and there's only so much specialized knowledge that generalists can hold in their heads. Who knows. Maybe this will help? http://www.businessinsider.com/ibms-watson-may-soon-be-the-b...

The managerial ineptitude of limiting doctor supply so they are overworked is even more medical system idiocy.

Re: From hacker to hospice in seven weeks

#130

I don't have a brain tumour, but I have had, and am still having, an experience which has made me think seriously about my mortality. I'm 31. About three years ago I started having three/four day long bouts of total delirium, roasting fever, extreme nausea, can't even keep sips of water down when it happens - by day three or four, I'm usually too weak to move, totally dehydrated. Two years on, my GP is still going "c…

The ineptitude of doctors never ceases to amaze me. One particularly idiotic fellow proudly announced to me and the entire office that he'd discovered I have diabetes. Even if that has been true, the manner in which he announced his pleasure at the epiphany made me want to punch him in the balls. hard. After a confused and sad ride home it only took a short talk with my extremely unqualified wife to convince me that…

As the joke goes:

Q: What do you call someone who finishes bottom of their class in medical school?

A: Doctor.

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