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Ask HN: I Have Cancer. What Should I Do?

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Re: Ask HN: I Have Cancer. What Should I Do?

#51
My brother has survived having B Cell Non-Hodgkin's Lymphoma twice throughout his mid teens and early 20s. The kind he had was pretty rare/aggressive as well. He's going on 30 this year and has been clean since. The diagnosis probably hit you and your family like a ton of bricks, but your chances of getting through it are likely good and I know treatments have improved quite a bit in the past 10 years.

If you do happen to have one of the aggressive forms, start treatment ASAP after having proper consultation. I know my brother started the day after he was diagnosed, but his was aggressive and already advanced. If yours is not, it may not need to be so rushed, but I'm not a doctor, so don't take anything I say as proper medical advice please.

If there's anything I can answer about the experience my family went through with my brother, just drop me an email (can be found at my github account linked in my hn profile).

Re: Ask HN: I Have Cancer. What Should I Do?

#52
post #33

Update: thanks for all the encouragement. Looks like this was caught early so I am fairly optimistic about the outlook, just wish it didn't need to affect others around me as I face it. I should note that I haven't actually signed up for insurance at my new employer yet, as that's typically done after the first day. And my old employers' coverage ends on the 31st. I'm going to check out Cobra to tide me over. Does an…

No, do not do the COBRA thing. Opt in to your employer's group coverage. COBRA expires. You are not responsible for optimizing your employer's health insurance premiums and will probably have far less of an impact on them than you're worrying about.

Don't listen to this. Don't let yourself have any gap in coverage and if the new plan isn't as generous with the coverage then it may pay to cover the COBRA premiums and use your old insurance as the primary.

There will be a gap between quitting and getting the paperwork and mailing in your premium. They will reactivate your old insurance retroactive but that's something to be aware of.

Re: Ask HN: I Have Cancer. What Should I Do?

#54
post #24

Earlier quoted context omitted.

Even if it's a large amount of money tell them to go stuff themselves.

Well what if this person was unemployed or unable to work? I think that maybe having health care depend on your employer is a bad idea.

Then it would suck to be them.

The healthcare system in the USA has many problems, but this thread isn't about that.

Re: Ask HN: I Have Cancer. What Should I Do?

#55
Well, other people have said it all... but I think I should emphasize their words.

What were/are your symptoms?

I had Hodgkin's lymphoma some years ago, and I can tell you this: Don't panic. Not all cancers are the same, and the earlier the discovery and treatment, the better. I suggest to read as much as possible about your specific illness. There are lots of resources online, and many support/help forums. Also, seriously, don't blame yourself because it is not your fault, you don't control it. And finally: you should care about yourself first, forget money or other people's little problems.

Keeping yourself active is the best thing you could do. You have to care a bit, though, and try not to get sick. You probably won't be able to work for a few days after chemo (this depends on the treatment, though), and it may affect you in many different ways.

I don't know much about insurance and related things in the US.

Just ignore "alternative" medicine, it's just a waste of time and money.

Make sure to eat well, but also make sure that the food won't affect you.

My best wishes to you. Hope this helps.

Re: Ask HN: I Have Cancer. What Should I Do?

#56

I got diagnosed with a lymphoma (Hodgkin's) in my early thirties. Otherwise healthy also. With your age and lumps in the armpit, it sounds like lymphoma. Luckily, lymphoma treatment has a pretty good success rate. A few things I would recommend. Get a biopsy. Getting cut open sucks, but until they take a tissue sample, they really can only guess. Get it as soon as possible. If you decide to take 'normal' western trea…

> If you decide to take 'normal' western treatments (chemo/radiation), before you start, bank sperm or eggs, depending on your sex. I had a difficult time beating mine, and the chemos I eventually took left me sterile.

I'd file this under good advice OP, regardless of where your head is at right now.

Re: Ask HN: I Have Cancer. What Should I Do?

#57

Imagine you didn't have cancer, but I told you that if you killed yourself, I'd give everyone at your startup an extra $200/month for a couple years (or however long you would've worked there). That's it. That's the entire deal. Would you take it? I imagine not, but that's essentially what you're proposing. Everyone will want you to survive, and anyone who begrudges you for being human because it cost them a trivial…

This is a phenomenal comment.

What it ignores though is the interesting part, if the hiring manager knows of his illness.

I'm quite right wing, but that's why imho medical costs should be socialized. But of course, there are many problems that come along with that.

Re: Ask HN: I Have Cancer. What Should I Do?

#58
The only change I'd make is to ensure you prioritize your overall health more than you might otherwise, while working at your new job. If that means working efficiently 40-45 hours/week vs. being less-efficient for 50-60 hours/week, shouldn't be a big deal.

I don't think an 18 employee company is self insuring the risk, so it will be a very small impact.

I would probably not do a founding role at a startup while dealing with cancer or other serious medical or family issue, but an 18 person employer isn't a big deal.

Re: Ask HN: I Have Cancer. What Should I Do?

#59
post #42

The fact that this thread exists makes me want to move back to Europe. It's really hard, for someone who grew up with state-provided healthcare, to understand how dealing with an illness involves decisions about employment. To the OP: the system is deeply unfair, and you shouldn't feel bad for obtaining what in the rest of the civilized world is an unalienable right.

I expect that there are people reading this thread for whom it is the last straw that makes them move back to Europe or Canada. And there are some Americans for whom this thread convinces them to emigrate for good.

The Internet is making the world a much smaller place where people know what life is like in other places. Over time, this forces everyone to raise their game. The old ideas of independent nation states are fading and being replaced by the global village in which we are all family.

Re: Ask HN: I Have Cancer. What Should I Do?

#60
Don't do anything rash. Be prudent sure, e.g. move assets around before a big surgery. But don't retire early, don't upset your daily existence any more than you have to.

Collect as much clinical data as you can. My oncologists encourage me to troll the internet, and give me URLs to check out. Be data-driven. Don't sweat the unpleasant possibilities so much, and deal with what is.

You may have more than one oncologist: I've got a surgeon, a radiation oncologist, and a GI oncologist. Keep them all informed of what the other is doing; you shouldn't count on them to touch base with each other regularly.

I went totally open-book with my friends and family and employer. Anything they want to know, I deliver in clinical detail. Some folks don't want to know and that's okay. I've gotten tremendous support from everybody.

Keep a positive attitude. That's key. Better for you and better for your loved ones. Tell jokes. Co-worker: "How are you doing?" Me: "I'm glad to be at work! You can't wipe this smile off my face. How weird is that?"

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