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Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

nytimes.com

141–150 of 171 posts

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#142

> Over all, though, about 25 percent of cancer in women and 33 percent in men was potentially preventable. This article is a rather optimistic spin on these numbers. I'd have said "a large majority of cancer cases--75% in women and 67% in men--were not preventable"

Perhaps more importantly, a huge fraction of those "preventable" cancers are lung cancers that could only be prevented by giving up smoking.

> Lung cancer is by far the leading cause of cancer death among both men and women; about 1 out of 4 cancer deaths are from lung cancer.

http://www.cancer.org/cancer/lungcancer-non-smallcell/detail...

and from the article:

> About 82 percent of women and 78 percent of men who got lung cancer might have prevented it through healthy behaviors.

Back of the envelope: ~20 percent of all cancer deaths are lung cancer deaths that wouldn't have happened without smoking. That leaves just 5-15% of cancer deaths being "potentially preventable" once you've given up smoking. (Here, I'm not distinguishing between cancer cases and cancer deaths; please point to better data if you have it.)

I'd wager less than 5% of cancer deaths are preventable if you neither smoke nor are overweight.

I think this article, and especially its headline, is highly misleading.

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#143
post #121
post #107

Earlier quoted context omitted.

I guess the point I was trying to make wasn't to brag that it was so great and easy for me to do, it's to say that maybe we have culturally made it seem harder than it is. The more press it gets the more the belief is reinforced. We have tobacco companies still cranking out the same garbage, almost with the attitude that they are forced to keep making this horrific product because people are hooked on it. They keep t…

You can't generalize from personal experience. I smoked less than 3 packs of cigarettes in my life, stopped 15 years ago, and I still get cravings. Alcohol on the other hand has zero pull for me.

> stopped 15 years ago, and I still get cravings.

I stopped 6 years ago and have zero cravings. But I am curious how you define "cravings". Is it a physical sensation? Is it a mental "pull" when you see someone light one up?

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#144

Interesting article. I don't know that I'd take too much to heart given some of the obvious caveats the author has been nice enough to make explicit, but it sounds like I'd be hard pressed to argue the suggestions contained within. For the tl;dr crowd: - written by a physician - people often think that heart disease is controllable by our actions whereas they feel that cancer is not - > people can’t change many risk…

> BMI is such a shit and antiquated metric BMI combined with body fat percentage is still useful, and likely every single doctor knows when to ignore BMI. This idea that there are doctors looking at bodybuilders and saying, "well this number here says you're obese, so you're obese!" is absurd.

It's not doctors who provide the most trouble, it's rules and regs coming from your health insurance or your job. There are plenty of stories about guys in the Army who can meet all their physical requirements but are getting dinged for having a BMI a smidge too high. Or if your job gives you a discount on health insurance for meeting certain standards, you may not qualify if your BMI is a bit high -- even if you're a champion athlete.

When I last went through a health screening with a qualified professional, I was congratulated on my great health and great cholesterol levels. However, on some online screening I had to do for health insurance around the same time, I was warned that my BMI is a smidge high and my cholesterol is 1 point higher than desired. The online screening did not take into account activity level, functional health, or the differences between HDL and LDL. When health or financing decisions are made algorithmically there are some real traps.

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#145
95 per cent of the targeted cancer cells die within two hours with new treatment that involves injecting a chemical compound, nitrobenzaldehyde, into the tumour and allowing it to diffuse into the tissue; http://sakshipost.com/index.php/lifestyle/editor-s-picks/840...

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#146

Earlier quoted context omitted.

By that logic, no individual is responsible for anything they ever do because just about everything is "addictive" or "habit forming" in some way. Your suggestion is terrible for a number of reasons, but primarily due to the shirking of personal responsibility that it promotes. Should Hershey be required to pay medical costs for morbidly obese individuals because they eat a dozen chocolate bars a day? Sugar is a high…

Ugh, what a nasty little, finger-pointing, stone-casting society you seem to desire. Is there anything that you'd blame on society/industry/government, or is it always 100% the individual's fault?

Who said anything about throwing stones, or pointing fingers? Nothing in my post indicates that help should be refused to individuals who make poor decisions and then try to recover from them, just that, in a free society, the onus should not be solely on the head of "a higher authority" (govt, industry, etc) to be responsible for doing so.

The world you seem to desire would make cellphone manufacturers and service providers fully liable for accidents that happen when an idiot is using their phone and gets in a car wreck.

The individual chose to get into a car, and drive somewhere, and use a cellphone, all at the same time. This despite the fact that it is made abundantly clear that doing so impairs driving ability much like alcohol would, via advertisement and public notice and safety publications, in the news, and even by state law in some cases. You cannot prevent people from doing stupid things. You can, however, make them bear the repercussions of those stupid decisions.

The world you seem to desire is one where every device and tool is covered in thick layers of bubble wrap and warning labels and dozen-pages-thick usage contracts to indemnify the manufacturer.

The world you seem to desire is one where no criminal is punished for their actions because they were just "a victim of their environment and don't know how to do anything else".

And that is something that I cannot and will not agree with, ever, on a fundamental level. Personal freedom comes with personal responsibility.

If there's a tool designed in such a way that using it in an accidentally-slightly-incorrect manner will electrocute the person using it - sure, hold the manufacturer responsible.

But if there's a tool that does exactly what it's designed to do, but someone uses it for a completely different purpose in a completely different way than it was designed to do, and it electrocutes them - that's on the user's head.

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#147

Earlier quoted context omitted.

By that logic, no individual is responsible for anything they ever do because just about everything is "addictive" or "habit forming" in some way. Your suggestion is terrible for a number of reasons, but primarily due to the shirking of personal responsibility that it promotes. Should Hershey be required to pay medical costs for morbidly obese individuals because they eat a dozen chocolate bars a day? Sugar is a high…

That personal responsibility thing works out great doesn't it. https://www.niddk.nih.gov/health-information/health-statisti... I think it would be a great start if we started to differentiate- some humans are capeable of this, but others are not. To just leave them to there suffering because they had a "choosing-chance" is just wrong. No pr-opaganda can explain the facts on the ground away, sorry.

Right and wrong are not objective units of measure, please don't be insulting by trying to state "facts" regarding something being "right" or "wrong".

As far as "leaving them to suffer" goes, there are plenty of ways for people to get help with just about every health condition and disorder that's lifestyle related. They simply require that the individual actually take responsibility for their own existence and reach out.

Who makes the decision that someone is "not capable" of caring for themselves, and at what level? Do you force them into a special program? Do you take away all of their other individual rights at the same time? Who decides what aspects of personal responsibility apply to which people? That's a very slippery, dangerous slope to tread. Smarter people than you, or I, haven't been able to come up with "the right" answer.

I'll err on the side of personal agency, thanks.

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#148
post #120

Earlier quoted context omitted.

It's not my experience that cities have bad raw veggies and fruit (I've lived near Boston and in NYC). Be that as it may, if you cannot find raw produce, you may want to look for the frozen stuff. http://www.webmd.com/food-recipes/frozen-vegetables-are-hot "Nutritionally speaking, frozen veggies are similar to -- and sometimes better than -- fresh ones. This makes sense, considering that these veggies are usually fla…

Never heard of this, gonna give it a look. Maybe I live in a bad neighborhood, but the amount of barely edible oranges, apples, carrots .. It's like eating plastic. I take comfort in thinking that at least there's no additives.

You might want to look into a CSA (Community Supported Agriculture)

http://www.localharvest.org/csa/

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#149

I recently wrote an article discussing how increased fruits and vegetables can prevent mortality from cardiovascular diseases , yet not cancer.[1] My conclusion was that cancer is best prevented by removing negatives from life, not necessarily adding positives. ie avoid anything from stress to pollution to sunburn to obviously smoking. Interestingly, organic food doesn't seem to matter in the cancer equation, given t…

Well, eating fruits and vegetables is in a way removing the negatives of lacking certain nutrients, and consuming excesses of others such as sugar.

Re: Helpless to Prevent Cancer? Actually, Quite a Bit Is in Your Control

#150

A lot of cancer is self-inflicted such as smoking cigarettes. Even though they know smoking is bad for them and they've had relatives that have died from tobacco, teens continue to use it and become addicted to smoking. In NYC, cigarettes cost $12-$14 per pack it is against the law to buy cigarettes until age 21. Countries that have universal healthcare such as Canada, UK, France all have tobacco taxes that exceed $5…

I was thinking the other day you don't see very many or any smokers or obese people in old age homes do you?

The majority of my family on my father's side who are smokers have died of heart disease, strokes, lung damage.

Even at my workplace 9 of 10 people who died were smokers. I think the buddy system where they need to smoke in groups just enforces their denial.

I've seen the "scared straight" situation many times where a middle aged smoker suddenly decides to quit only to be diagnosed a month later with cancer. Only now it's e-cigarettes instead of quitting so they can still be addicted to nicotine but quit cigarettes.

I like to tell them there are worse things than cancer which has a possibility of a cure or surgery. My dad has IPF a scarring of lung tissue and there is no chemo or surgery to cut it out or slow it down. It occurs from many years of small amounts of lung damage in my dad's situation it was blue collar work welding, paint fumes, wood dust, grinding dust etc.

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