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jerryking : symptoms   7

Why Can’t We Stop Pancreatic Cancer?
Sept. 23, 2019 | The New York Times | By Jane E. Brody.

Although pancreatic cancer is a relatively uncommon malignancy, accounting for only 3 percent of life-threatening cancers over all, it is one of medicine’s most challenging. Aside from avoiding smoking, obesity and Type 2 diabetes, there is little a person can do to prevent it, and there is nothing comparable to mammography or colonoscopy to screen for it in seemingly healthy individuals when it is most amenable to cure.

Among the small minority of patients — like Justice Ruth Bader Ginsburg — who are cured of this disease, it is nearly always discovered accidentally at a very early symptom-free stage during an unrelated medical procedure. By the time this cancer produces symptoms, it has nearly always spread beyond the pancreas. In fact, surgery is a treatment option in relatively few patients because the cancer is usually already too advanced at diagnosis for surgery to have survival value......A large part of the problem with early detection lies with the location and size of this vital organ. The pancreas is a source of enzymes that facilitate digestion and of the hormone insulin that regulates blood sugar, making it available to tissues for energy. It is a mere six inches long sitting deep in the abdomen behind the stomach and surrounded by the spleen, liver and small intestine.

Therefore, you’d be unlikely to feel the presence of a small pancreatic tumor, and any early symptoms that might result from one, such as loss of appetite, are easily attributed to something far less ominous. Nor would you or an examining doctor be able to notice a premalignant lesion, as can happen with cancers of the cervix, colon and skin.........Further complicating early detection is the speed at which pancreatic cancer seems to progress. According to Dr. Lennon and coauthors, recent study findings “suggest that early stage pancreatic cancers often invade the veins, which drain directly to the liver and result in early metastatic spread,” which may explain why only 10 percent of patients have localized disease at diagnosis.......Meanwhile, it may help extend survival in some people if they recognize symptoms of pancreatic cancer and act on them without delay. Possible symptoms include loss of appetite, abdominal pain that radiates to the back, new-onset diabetes in someone over 50, jaundice, itchy skin, a change in how alcohol tastes, and pale odd-smelling feces that float.
cancers  risks  diabetes  howto  pancreas  risk_factors  symptoms 
september 2019 by jerryking
Opinion | Luke Perry Had a Stroke and Died. I Had One and Lived.
March 5, 2019 | The New York Times | By Kara Swisher, Contributing Opinion Writer.

Kara Swisher was 49 years old, healthy and had none of the conditions--symptoms--like high blood pressure that might predict a stroke...yet she had one after arriving in Hong Kong after a long flight...not hydrating or walking around enough on the long flight to Hong Kong, created what the doctor, who immediately started the treatment of anticoagulant drugs and others, called a “hole in one.”.....The idea of death — the absolute nearness of it — has been ever-present for Kara Swisher. Since her dad died, she's lived her life as if she had no time at all or very little, making the kinds of choices of someone who knew that tomorrow might indeed be her last.

[Stanford University in 2005 by the Apple founder and tech visionary Steve Jobs:

For the past 33 years, I have looked in the mirror every morning and asked myself: “If today were the last day of my life, would I want to do what I am about to do today?” And whenever the answer has been no for too many days in a row, I know I need to change something.

Remembering that I’ll be dead soon is the most important tool I’ve ever encountered to help me make the big choices in life. Because almost everything — all external expectations, all pride, all fear of embarrassment or failure — these things just fall away in the face of death, leaving only what is truly important. Remembering that you are going to die is the best way I know to avoid the trap of thinking you have something to lose. You are already naked. There is no reason not to follow your heart.]

.....Sometimes {Steve Jobs'] urgency manifested itself in inspiration, sometimes in meanness, sometimes in humor, sometimes in seriousness. But it was always urgent.......[recast in my words...I have both the privilege to live more days on earth and the awareness that those days are limited.

Be tough-minded going forward--Basically, I don’t have the time to be so careless in what I do and I don’t have the time to not to ask the same of you.].........You get this kind of nudge again and again from death. It is, as the Buddhist teacher Frank Ostaseski noted, “a secret teacher hiding in plain sight.” Luke Perry’s death was yet another lesson from that teacher. ....... Mr. Perry’s Dylan McKay, who was given to saying things like, “The only person you can trust in this world is yourself.”
'90s  actors  hydration  Kara_Swisher  Luke_Perry  midlife  mini-stroke  mybestlife  op-ed  tips  speeches  Stanford  Steve_Jobs  strokes  symptoms  television  travel  It's_up_to_me  urgency  long-haul  deaths 
march 2019 by jerryking
The End of the Impulse Shopper - WSJ
Nov. 25, 2014 | WSJ |By SHELLY BANJO and SARA GERMANO.

An endangered species in the retail landscape is the ''impulse buy''...grocery shoppers are becoming more intentional and this is paving the way for more innovation in physical and digital merchandising.....Many Americans have the money and the will to spend. But they are time-pressed and deal savvy, visiting stores only when they run out of items like cereal or toilet paper and after doing extensive research on purchases online and with friends. They buy what they came for—and then leave. Those habits threaten more than just gum sales at checkout. Impulse is why stores offer deep discounts on loss leaders, why they put the milk in the back corner and why marketers spend heavily to pile up products in displays at the ends of the aisles. If shoppers just target the deals and don’t let their eyes wander, long cherished models for boosting sales fall apart...the symptoms of the industry’s malaise are clear enough: extended declines in shopper traffic, weak sales growth, and a discount-driven race to the bottom that is sapping pricing power.
impulse_purchasing  bricks-and-mortar  retailers  grocery  supermarkets  habits  discounting  shopping  shopping_experience  Turnstyle  intentionality  discretionary_spending  loss_leaders  foot_traffic  merchandising  frugality  decline  symptoms  endangered  time-strapped 
january 2015 by jerryking
Introduction to the Case Method
(1) Define the central problem. (Problems vs. symptoms, sequence, linkages)
(2) Formulate the alternatives. (3 or 4 are usually sufficient. Include maintenance of the status quo).
(3) Analyze the alternatives. (Uncover the nature, proportion, function, and underlying relationships among a set of variables). Lay out assumptions. Review assumptions to see how dependent conclusions are on the assumptions made. Contingency plans in the case that assumptions don't hold. Opposing arguments addressed? Pros/cons of each alternative.
(4) Recommend a solution. (Make it clear cut. Avoid qualifications)
(5) Specify a plan of action. (Potential reactions)
(6) Prepare contingency plans.
case_studies  business_schools  symptoms  howto  frameworks  problem_framing  problem_solving  linkages  marketing_math  critical_thinking  action_plans  contingency_planning  alternatives  assumptions  argumentation  sequencing 
july 2012 by jerryking
Prolonged bouts of sitting increase cancer risk - The Globe and Mail
LESLIE BECK | Columnist profile | E-mail
From Wednesday's Globe and Mail
Published Tuesday, Nov. 08, 2011
cancers  Leslie_Beck  symptoms  predictors 
november 2011 by jerryking
Informed Patient - WSJ.com
OCTOBER 31, 2007 | WSJ | By LAURA LANDRO.

Talking Points: Making the Most Of Doctor Visits

* What going on? What ails you? What else could it be?
* Could two things be going on at once?" and "Are there any findings (from the physical exam, blood tests, x rays, etc.) that don't add up?"
* Is that the root problem or is that a symptom?

* Probabilistic reasoning is especially important in medical decision-making. Imagine, for example, your doctor tells you that you need to take a cholesterol-lowering drug. Most people would likely assent based on their physician’s recommendation, he says. But if you were to weigh the odds of that drug having a positive effect against the odds of experiencing side effects, you might find it wiser to decide otherwise.

“What I advocate is a more active role in medical care where you would say to the doctor, ‘Well, what are the chances that I’ll benefit from it? How many people take this medication with no benefit?’” Levitin says. Although doctors tend to be trained to think in terms of diagnosing and treating illnesses, they are not typically trained to think probabilistically, he adds. This becomes problematic when faced with the latest treatment options with questionable odds of a cure. “The way medical care is going in this country and in other countries, I think we need to become more proactive about knowing which questions to ask and working through the answers.”

Questions when you're concerned that you're facing a misdiagnosis (cbc Dr. Danielle Martin)
* OK....then in your opinion, what should be the normal progression of the diseases from this point onwards?
* What signs should we look for that tell us that it's time to return to the emergency room?
* Q: when should we come back.....if the flu how should case typically progress ? What are the signs that something is wrong and you should come back to the emergency room?
* what is the most likely course, when should we come back if there is a deviation?
*
medical  physicians  appointments  visits  Communicating_&_Connecting  tips  advice  Laura_Landro  doctors  doctor's_visits  questions  root_cause  symptoms  probabilities  simultaneity  investigative_workups  multiple_stressors  dual-consciousness  medical_communication  misdiagnosis  warning_signs 
november 2011 by jerryking
Final Stage Lung Cancer - What to Expect in the Final Stages of Lung Cancer
Updated March 25, 2010 | About.com | By Lynne Eldridge MD, About.com Guide
symptoms  cancers 
june 2010 by jerryking

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