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Hunting Down My Son's Killer

matt.might.net

281–290 of 339 posts

Re: Hunting Down My Son's Killer

#281
I just saw this thread. If you are a computer scientist interested in making a difference on problems like this, consider joining Counsyl:

https://www.counsyl.com/about/jobs

http://goo.gl/45yBz

There are a lot of Hacker News people working here. And while it's sadly not in time for Matt and his son, we are launching a version 2.0 assay soon that should save couples in the future from ever going through something like this again.

Re: Hunting Down My Son's Killer

#282

Earlier quoted context omitted.

I don't like your tone. I have no horse in the race and am not a doctor, but doctors aren't Gods. They learn certain foundational things (names of bones and muscles; organic chemistry) then they learn thing related to the practice that doesn't necessarily rely on any of that stuff. (Diseases; drugs) For diseases, you should try reading through the Merck manual (available online). Everything from gynecology, oncology,…

I think an analogy would be with the 9-11 "truthers" who trot out various facts and conclude that the towers were brought down by demolition charges rather than the plane strike. Their facts are not wrong, they are just misapplied and someone with a more general understanding of physics knows that. One of the facts quoted is that jet fuel doesn't burn hot enough to melt steel. By itself, that is true. But the tempera…

I thought there were a bunch of "experts" (architects, organic chemists) who actually say that planes would not be able to bring down such towers ?

I believe there is no wide consensus on that point, in a scientific point of view.

Re: Hunting Down My Son's Killer

#283
post #120

Earlier quoted context omitted.

To be fair to (most) doctors, especially your primary physician, have to diagonose a huge range of conditions. The edge cases are rare and so they are not as well versed on them. System specialists are an order of magnitude better. I.e. going to an Ear, Nose & Throat doctor if you have Asthma. Disease specialists are the pinacle. Sometimes these are researchers rather than normal doctors.

I have a genetic disease that shows up in 4/100k people, so rare, but not that rare. Any sizable town has at least a few dozen people with my disease. In my experience, "an order of magnitude better" in specialists means they've at least heard of it, but know nothing about it. Every time I move, I have to spend some time educating my new specialist on the disease. I know damn well that every time one of them excuses…

> I have a genetic disease that shows up in 4/100k people, so rare, but not that rare. Any sizable town has at least a few dozen people with my disease.

If one in 25k people has the disease, you need a 1 million+ population for city to have a 40 (a lowball "few dozen") incidences of the disease, assuming random distribution. There's only 10 cities in the United States that fit that description* and only London is big enough in the UK. There will be only 100 or so the medium sized states of say Utah or Nevada

Takes a lot more than a medium sized town and that sounds extremely rare condition to me.

I come from a medium sized town. Given your numbers, there's a good chance there is no one in the town has this disease and i wouldn't expect any of the doctors to be knowledgeable about it.

https://en.wikipedia.org/wiki/List_of_United_States_cities_b...

https://en.wikipedia.org/wiki/List_of_largest_United_Kingdom...

Re: Hunting Down My Son's Killer

#284

Thanks so much for the fascinating and emotionally stirring article. I will definitely be passing this on to others I know. The thing I kept thinking during the article is, "Is there something that I, as a programmer, can do to help people like Bertrand?" Is there some way that we programmers could use our talent to augment or advance existing technology in this area? I realize that the science involved here is non-t…

waffle_ss: Counsyl is a group of computer scientists working on literally this exact problem. We've already put a big dent in the issue with our v1 assay. We are now working on our v2, which is optimized for detecting mutations of the kind that Prof. Might and his wife carried. Take a look at the job description here for more info:

http://goo.gl/kMrxk

Tell me what you think.

Re: Hunting Down My Son's Killer

#285

Earlier quoted context omitted.

I think an analogy would be with the 9-11 "truthers" who trot out various facts and conclude that the towers were brought down by demolition charges rather than the plane strike. Their facts are not wrong, they are just misapplied and someone with a more general understanding of physics knows that. One of the facts quoted is that jet fuel doesn't burn hot enough to melt steel. By itself, that is true. But the tempera…

I thought there were a bunch of "experts" (architects, organic chemists) who actually say that planes would not be able to bring down such towers ? I believe there is no wide consensus on that point, in a scientific point of view.

You can immediately dismiss any "experts" who assert that jet fuel doesn't burn hot enough to weaken steel. That would include all the ones I've seen write web pages about it.

Re: Hunting Down My Son's Killer

#286

Earlier quoted context omitted.

Yep, it's also disheartening to see them holding a printout of one of the few articles available online, which I already know is pretty out-of-date and down-right wrong in places.

Why don't you just tell them that you're pretty well-versed? Doctors are pretty smart. I wouldn't presume to say this is always appropriate, but depending on the rapport they might listen attentively to what you know from your own research (though they would probably check before acting on it.) Doctors know very well that a person with a specific rare disease has a lot more incentive to have spent in-depth research o…

> I mean, these days there are whole forums dedicatd to a specific disease. If you told the doctor, "You know, I ran across a forum for people like me, a lot of people have said they had very bad results with (x) despite the clinical trials, so I would prefer (y)"...you don't think they would listen to you?

Forums can be full of people who are deluded or wrong or who just have weird ideas. See, for examples, morgellons[1] or anti-vaccine campaigners or etc.

There are problems with medical research. The good results get reported, the results that fail to confirm do not get reported. But still, properly conducted research is very much better than a bunch of anecdote.

Re: Hunting Down My Son's Killer

#287
post #193

Earlier quoted context omitted.

"Cristina and I each carried a different mutant NGLY1 gene." NGLY1 is also the name of the enzyme.

Um, it's possible I am just stupid and I am still trying to look up info on this. But that doesn't help me adequately understand it. This piece is interesting to me because I have a form of cystic fibrosis, which is a genetic disorder. Long QT waves -- the heart problem the child had from an antibiotic -- can be caused by a magnesium deficiency. Magnesium supplementation helps a lot of people with CF. Also, they ment…

Enzymes are proteins that function as catalysts. That seems to be the key bit you're missing.

Re: Hunting Down My Son's Killer

#288
Matt,

I hope you are able to take at least some comfort from actually knowing the cause of your son's illness. Some people aren't so lucky.

I had my own medical struggle while in the middle of grad school. Mid October a few years ago, I contracted a rather nasty respiratory infection. Among other things, I was severely fatigued and needed to sleep for extended amounts of time (think 12+ hours a day). The excessive sleeping didn't worry me while I was busy hacking and coughing, but when the respiratory symptoms had gone away a couple weeks later, I was still left with the extreme fatigue and hypersomnia.

Normally, I'm not one to run to a doctor at the slightest sign of any illness, but I began to get worried a week or so after the acute infection passed and I was still sleeping a minimum of 12+ hours a day. (I should emphasize, too, this really was a minimum, not an average -- I'd typically wake up around 8 am, go to class and do other things until around 2 or 3, come home and fall asleep around 4 PM and wake up and do it again the next day. One weekend, I think I was awake for a total of about 8 hours over the two days.)

I went through the usual struggle anyone who has anything that's at least mildly rare goes through, and, after visiting a sleep neurologist, I got my diagnosis: post-infectious idiopathic hypersomnia. I then knew this was a problem that was going to take months or years to resolve, and, for a while, I thought my life was effectively over.

But, the real kick in the teeth was that word, "idiopathic." There's a great line on an episode of House where one of the fellows suggests a diagnosis of idiopathic something-or-other, and House responds "'idiopathic,' from the Latin meaning we're idiots because we can't figure it out." So, there I was, with a diagnosis that amounted to "you sleep a lot and we don't know why," and the only treatment available was basically stimulants to treat the symptoms (which didn't work well at all -- I slept less, but I was walking around like a zombie by early afternoon every day).

Looking back, I consider myself lucky that it happened while I was in school, since I could have easily found myself unemployed and broke if I were in less flexible circumstances at the time. I'm also quite lucky that it resolved itself within about 9 months. I effectively lost a semester of grad school that I had to make up later, but I recovered, and it should never recur.

I don't know if what I had is what would be considered a "rare" disease by the strict definition, but it's rare enough that your average primary care physician might not ever see a case in his or her life, and a sleep specialist might see a handful. It's rare enough that there don't seem to be any studies or research available on the condition, on top of the obvious difficulties of studying people who effectively have to sleep 1/2-3/4 of the day.

So, back to my original point: my best wishes to you and your son, of course, but please take comfort in the fact you know exactly what is wrong.

Re: Hunting Down My Son's Killer

#289
Every time I watch an episode of House or read a story like this I think "Why isn't there an expert system for diagnostics". The notion of a person being able to manage such vasts amount of knowledge seems ridiculous and cost-ineffective.

If you could enter a bunch of positive and negative statements together with various medical records, and have the computer being able to ask additional queries, it seems a good system would be able to narrow down a list substantially. It would also side-step a lot of cognitive problems we humans face.

Now, I'm sure there are systems like this but they probably just aren't sophisticated , widespread enough or don't have large enough database. Or have they simply not yet reached widespread use because they cost too much, what's holding them back?

* Found this article on the topic: http://www.informationweek.com/news/healthcare/clinical-syst...

Re: Hunting Down My Son's Killer

#290
post #89

Earlier quoted context omitted.

It is not necessary or helpful to be uncivil about this. altrego99 is expressing a considered personal view with which you disagree, not insulting you or the mass of humanity. You are entitled to your personal view as well. But you could recognize consideration of the issue as a good thing and the disagreement as normal and healthy. Instead, you are calling people terrible names and picking on grammar, without provoc…

> But the implication that no one with kids could ever disagree with you is not correct It is impossible to speak about any subject intelligently unless you have experience with it. That's just how reality works. If that offends your sensibilities, may I suggest you're a tad too sensitive?

It's impossible for anyone to speak intelligently about living on the moon, because no one has ever lived on the moon?

It's impossible to speak intelligently about parachuting when you've never parachuted?

It's impossible to speak intelligently about being deaf when you're not deaf?

Hence my downvote.

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