Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

Overall, the colorectal cancer story is encouraging

hankgreen.com

Post reply on HN
Print view View original

151–160 of 161 posts

Re: Overall, the colorectal cancer story is encouraging

#151

Post by jobs_throwaway »

sevensor wrote: post #45
hyperbovine wrote: post #38

Earlier quoted context omitted.

It’s more like, millennials got older and started drinking less (as happens), and Gen Z drinks different things like hard seltzer, and also drinks a bit less overall. Plus there were just way too many craft brewers making hoppy ipa to begin with.

Unfortunately, hoppy IPA seems to constitute the majority of the survivors. I have no interest personally in suffering through another hazy sour grapefruit triple ipa, but that seems to be about 90% of craft brewery output these days.

Interesting, where I live in Brooklyn it seems this is no longer an issue. Tons of non-hoppy craft options like pilsners, stouts, lagers, etc at ~every craft brewery or gastropub.

Re: Overall, the colorectal cancer story is encouraging

#152

Post by mitchal »

weird-eye-issue wrote: post #112
mitchal wrote: post #76

Earlier quoted context omitted.

I was diagnosed at 35 seven years ago with no history. Getting a colonoscopy never crossed my mind, much less being suggested by my general practitioner. The trigger for me was blood in my stool. It was the slightest amount but I pursued it because that didn’t seem right. Turns out I had hemorrhoids which brought up something I feel hits others - I was embarrassed. Fortunately the doctor that performed a banding proc…

Was it a consistent blood in stools or just a one time thing? I've had what I think that is once or twice and then take the approach to just see if it recoccurs a second time before going to a doctor, not sure if that's the correct approach or if a single instance should be alarming enough.

For me it was small amount consistently. But I cannot stress enough that it was the diagnosis of hemorrhoids coupled with a very proactive doctor that led to me being diagnosed with cancer. It was a lucky circumstance that it was staged early because the additionally suggested screening was not standard protocol for my age.

If you have any abnormalities in your bowel movements (blood, ribboning, etc.) and you have the ability to get it checked then it could offer peace of mind. And yes, there are small chances of intestinal perforations with a colonoscopy.

Re: Overall, the colorectal cancer story is encouraging

#153

Post by [deleted] »

caminante wrote: post #47
rybosworld wrote: post #22

Earlier quoted context omitted.

Not to be rude but, google is free: https://www.google.com/search?q=are+millenials+heavy+drinker...

Well, your first Google result is a blog post that makes my point. > For example, baby boomers are the generation with the most dramatic increase in harmful alcohol abuse. In contrast, Gen Z prefers the sober lifestyle as they are known to consume alcohol much less than any of their older counterparts, including millennials.

[deleted]

Re: Overall, the colorectal cancer story is encouraging

#154

Post by dpc050505 »

Calavar wrote: post #135
lotsofpulp wrote: post #59

Earlier quoted context omitted.

> but their hands are tied by the insurance company. Doctors' ability to prescribe or refer is never restricted by an insurance company. If they think a patient should get whatever healthcare, they are free to say it.

The average American says US healthcare spending, which is 3x to 20x that of other OECD countries on a per capita basis, is way too high. The average American also thinks they should be provided testing and procedures that their insurance deems medically unnecessary. Try to reconcile these two beliefs. (Hint: It's impossible)

Maybe there's a bunch of inflated profit margins and people getting filthy rich off a poorly regulated market.

Re: Overall, the colorectal cancer story is encouraging

#155

Post by epistasis »

bill_from_tampa wrote: post #114

The encouragement is that the rate of "death from colorectal carcinoma" seems to be reduced in studies of screening. This is a 'disease specific' mortality statistic. Most of us don't care why we die, or what is ultimately written upon our death certificates, we would simply rather still be alive! So reduction in "total mortality" would be a more convincing endpoint. If a study of some screening test for a dread dise…

When studies are designed a key parameter is the statistical power that the size of the stud provides: how big of a difference in the key stat can it find?

I would expect that the design of a study will be able to find differences in the key readout: did screening reduce death in the types of cancer it could find.

Colon cancer deaths are only a small fraction of total mortality, and statistically, finding a small change in a ratio close to zero is far easier to see than a that same change in a ratio that's further away from zero.

So I would not expect a study to be powered to be able to find changes in total mortality from all causes. That would take a far larger number of people and generally be considered a waste of resources that would be better spent investigating other things.

So I wouldn't take the lack of statistical significance in total mortality as evidence of anything, unless total mortality was a primary outcome that was being tested.

Pretty much all the good interventions for reducing mortality will not have much impact on total mortality because there are so many things causing total mortality. But add up all the small ones and it starts to make differences in total mortality.

Re: Overall, the colorectal cancer story is encouraging

#156

Post by bored_student »

ALittleLight wrote: post #136
bored_student wrote: post #129

Earlier quoted context omitted.

Well, unfortunately the current administration has blocked a bill that would have prohibited medical debt from reflecting on your credit score.

If someone is dying of colorectal cancer, trying to get them to worry about their credit score is not only not helpful, it's actively harmful. Messing up your credit for a few years is in the category of "inconvenience" and it's not the kind of thing that you need to worry about when surviving cancer.

You’re right. I am just bitter and angry because I have to get my endoscopy done and I owe my life to my doctoral program that gives me excellent health insurance.

Re: Overall, the colorectal cancer story is encouraging

#157

Post by liveoneggs »

dkural wrote: post #149
liveoneggs wrote: post #56

Earlier quoted context omitted.

Food delivery is now an "essential" for more people than it ever was before. Doordash/Uber Eats is how a weirdly large amount of people eat in general. The rate of increase in childhood obesity went up during covid.

You realize that is far too recent to show up in cancer death rates for under-40 year olds right? It takes 10-15 years for a change-in-behavior to show up in incidence and even longer for deaths. As a classic example, see the shift (i.e. the delay) in curve of reduced smoking and reduced lung cancer.

your reply is better two layers up

Re: Overall, the colorectal cancer story is encouraging

#158

Post by andreareina »

tayo42 wrote: post #141
AstroBen wrote: post #128

Earlier quoted context omitted.

My breakfast: 80g oats, 2tbsp chia seeds, 1tbsp ground flax, a shitload of frozen berries, 50g of mixed nuts (walnuts, almonds, whatever), raisins or other dried fruit Delicious and has more than the recommended fiber in one meal. I didn't like oats much until I learnt how to make them taste good

How do you make them taste good? I need to put sugar on oatmeal... Lol

So put sugar.

Re: Overall, the colorectal cancer story is encouraging

#159

Post by porknubbins »

AstroBen wrote: post #128
porknubbins wrote: post #123

Earlier quoted context omitted.

Fiber is so inconvenient to get in adequate quantity. We cook all our meals using tons of vegetables and none of it has much fiber if I remember. Occasionally I’ll try to start eating oatmeal but get burned out after a week or two.

My breakfast: 80g oats, 2tbsp chia seeds, 1tbsp ground flax, a shitload of frozen berries, 50g of mixed nuts (walnuts, almonds, whatever), raisins or other dried fruit Delicious and has more than the recommended fiber in one meal. I didn't like oats much until I learnt how to make them taste good

Sounds good how is this prepared?
Post reply on HN