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Dave Goldberg, CEO of SurveyMonkey, has died

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Re: Dave Goldberg, CEO of SurveyMonkey, has died

#62
post #16

I will take this time to write something I wrote on Steve Jobs death: go get a comprehensive health check today. In our community, we are data driven about everything, except our health and body. I will copy what I wrote 1304 days ago, https://news.ycombinator.com/item?id=3080327 In January 2009 I was Stage 5 chronic kidney disease, in July 2009 I had a kidney transplant. Looking back there were so many telltale sign…

My spouse -- an md -- cringed a bit when I read your post. And not because it's not well meaning, or important, but because without qualifying what "comprehensive health check" means, that check could very well do you more harm than good. So, yes. Please find a good primary care physician you trust and visit on an annual basis. Make sure you update that phsyician with what's going on in your life. That includes any f…

Short-term point sampling can do you more harm than good—this is as true in medicine as it is in investing.

There's nothing wrong with getting an MRI every year if you aren't actually looking at it on its own, but rather diffing it in a time-series, and extracting chartable statistics from it, to see if anything in your body is getting progressively [adjective]er each year.

This approach won't actually tell you if you've got six months to live, but it's not supposed to. It's to show you that your liver has been getting 10% more scarred over with each visit, so—with evidence!—you'd better lay off the booze already. Or to find something like arteriosclerosis before it presents clinically.

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#63
post #50

It is at these times we must confront our own mortality.

My thought are with Dave's family. It's a morbid coincidence that I was sitting here, filling out my will using http://getyourshittogether.org/ when I came across this HN post. I had been avoiding filling it out for months because it never felt important enough to do. Finally last night I decided that I was going to fill it all out today. Just as I started to fill it out, I thought "Oh let me just check HN and reddit…

Thanks for posting this site, I hadn't heard of it before and intend to use it...

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#64
post #16

I will take this time to write something I wrote on Steve Jobs death: go get a comprehensive health check today. In our community, we are data driven about everything, except our health and body. I will copy what I wrote 1304 days ago, https://news.ycombinator.com/item?id=3080327 In January 2009 I was Stage 5 chronic kidney disease, in July 2009 I had a kidney transplant. Looking back there were so many telltale sign…

My spouse -- an md -- cringed a bit when I read your post. And not because it's not well meaning, or important, but because without qualifying what "comprehensive health check" means, that check could very well do you more harm than good. So, yes. Please find a good primary care physician you trust and visit on an annual basis. Make sure you update that phsyician with what's going on in your life. That includes any f…

[deleted]

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#65
post #57

Earlier quoted context omitted.

My spouse -- an md -- cringed a bit when I read your post. And not because it's not well meaning, or important, but because without qualifying what "comprehensive health check" means, that check could very well do you more harm than good. So, yes. Please find a good primary care physician you trust and visit on an annual basis. Make sure you update that phsyician with what's going on in your life. That includes any f…

We could argue about what comprehensive means, but if you see my post below, the test I recommended has blood work for internal organs health check, chest xray, abdomen ultrasound and (pap smear/mamogram etc depending on gender/age). This requires one single blood draw, and no significant levels of radiation. Most tests do have some degree of false positives, but there a number of defensive diagnostic tests which are…

It would be great to have a Hackers Guide to Healthcare. What's important, what the numbers mean, etc. I understand that certain tests (e.g. PSA) have false positives, but if we ever want to crawl out of the Dark Ages, we need to make some forward progress. Wearables, "tricorders", and early detection blood tests should be able to offer us something better in our lifetimes.

http://www.bloomberg.com/bw/articles/2014-07-03/star-treks-t...

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#66
post #16

I will take this time to write something I wrote on Steve Jobs death: go get a comprehensive health check today. In our community, we are data driven about everything, except our health and body. I will copy what I wrote 1304 days ago, https://news.ycombinator.com/item?id=3080327 In January 2009 I was Stage 5 chronic kidney disease, in July 2009 I had a kidney transplant. Looking back there were so many telltale sign…

My spouse -- an md -- cringed a bit when I read your post. And not because it's not well meaning, or important, but because without qualifying what "comprehensive health check" means, that check could very well do you more harm than good. So, yes. Please find a good primary care physician you trust and visit on an annual basis. Make sure you update that phsyician with what's going on in your life. That includes any f…

I learnt something related to this from a brain surgeon relating to actual positives.

Say that a random scan uncovers that you have a minor brain aneurysm. The aneurysm's size and location implies it has a chance of rupture of around 0.2% per year. The operation to resolve the aneurysm, however, may have a 5% risk of death.

Weighing up the decision to have an operation is incredibly difficult, since most would be rather distracted by the idea of a ticking timebomb going off in their head at any time, yet the risk of the operation is more immediately significant. If undetected, the aneurysm may never rupture, or it may grow to a size where it causes other symptoms and can then be operated on.

(Or, of course, as in the case of a young friend of mine in his then early 20s, pretty much anyone can keel over at any time due to an undetected aneurysm anyway.. it's totally pot luck.)

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#67
post #53

Earlier quoted context omitted.

He looked otherwise healthy I wonder if it was something related to sleep apnea. Ryan Davis from Giantbomb also died suddenly while on his honeymoon. http://www.giantbomb.com/ryan-davis/3040-93335/forums/ryan-d...

Way too many people dismiss sleep apnea. Folks, it can kill you - or cause other serious problems. In addition to narcolepsy, your general metabolism can get messed up too. I spent 4+ years not getting any REM sleep and my metabolism STILL suffers as a result - even 14 years after starting on CPAP and using it EVERY night since then. It's too long to go into here - but I did a writeup years ago about my "journey", al…

Another good question, do you wake up to urinate in the night? That was one of my indicators of my sleep disorder, as I sleep through the night now.

I was diagnosed with sleep hypopnea, which is not as severe as sleep apnea. The difference between the two is how low your pulse ox falls while you have stopped breathing. I think my diagnosis was an artifact of the sleep study however because they didn't really let me sleep very much during the study.

I am using a CPAP and my health has greatly improved. Lower blood pressure, feeling like I got real rest during the night, improved cognitive function. Still dealing with some metabolic issues, which I am trying to resolve with diet, eating habits and exercise.

PS I knew I snored. I never imagined I had sleep apnea until I got married and my wife observed that I would stop breathing in the middle of the night.

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#68
post #14

Dave was an excellent CEO and the nicest guy - everyone at SurveyMonkey liked him and liked working for him. This is just devastating news. I saw someone say on Twitter "Dave defined the word 'mensch'" - very true.

>"Dave defined the word 'mensch'" FWIW, mech4bg is probably referring to Yiddish for "human being" and not a reference to the terrible ex MP (UK) Louise Mensch.

In German it means human being, in Yiddish it's taken to be "a person of integrity and honor" - http://en.wikipedia.org/wiki/Mensch

Re: Dave Goldberg, CEO of SurveyMonkey, has died

#69
post #55
post #38

Earlier quoted context omitted.

How does that help you test for early stage cancer markers? That tests usually isn't in the batch of regular (and it's quite expensive), but it does make a difference between death an survival.

The assumption that "it does make a difference between death an survival" in not necessarily born out by the data. There has been a big push back recently against using an improvement in 5 year survival rate as an indication of success in the war on cancer. For example, if a new diagnostic test lets you find out you have cancer earlier, but you still end up dying at the same age you would anyway, the 5 year survival…

I'm not sure I understand your point - are you arguing that finding cancer earlier does not increases chances of treatment and survival? Do you have any reliable data on that?
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