10/25/11

Steve Jobs: A difficult patient

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Steve Jobs: A difficult patient

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thechart.blogs.cnn.com/2011/10/25/steve-jobs-a-difficult-patient/?hpt=hp_c2

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Steve Jobs: A difficult patient

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u never know..RT @CarpeNutella: @sanjayguptaCNN & @Snoo Updated: 1:53 am UTC, October 21 2011 enjoyed the ideas! RT @bbrrnnxx123: @sanjayguptaCNN thanks Updated: 10:55 pm UTC, October 16 2011 Twitter | Sanjay Gupta MD | ALL Posts

Elizabeth Cohen CDC committee says boys should get HPV vaccine as early as ag Updated: 4:08 pm UTC, October 25 2011 CDC committee says boys should get HPV vaccine as early as ag Updated: 3:39 pm UTC, October 25 2011 Talking with @brookebcnn about decreasing the number of babie Rec e d 130 Updated: 5:15 pm UTC, October 24 2011 2 Pregnant moms: here's how to avoid BPA, now linked to possible Updated: 4:49 pm UTC, October 24 2011 When pregnant moms ingest high levels of BPA, their daughters a Updated: 1:02 pm UTC, October 24 2011 Twitter | Empowered Patient All those vague statements about his health that Steve Jobs put out in the last few About this blog years caused endless speculation, as the world tried to read into what could really be going on. Get a behind-the-scenes look at the latest stories from CNN Chie They'll share news and views on health and medical trends - info But now, with the biography "Steve Jobs" with Walter Isaacson, we know that behind many of those optimistic statements was a cancer that was spreading fromRecent Posts pancreas to liver, and finally to bones and elsewhere in the body. One of the biggest surprises is that while he received state of the art medical care, he went Steve Jobs: A difficult patient against doctors' orders many times. Human Factor: Applying diet lessons to all of life TEDMED: A whole bunch of genius When his pancreatic neuroendocrine tumor was first discovered in October Is it OK to take antidepressants while breast-feeding? 2003, doctors said he was lucky that it had been detected so early, and it could Labeling tantrums a mental illness doesn't help be removed before definitely spreading. But, in Jobs' own words, "I really didn't Educating new parents cuts shaken baby syndrome want them to open up my body, so I tried to see if a few other things would BPA in pregnant women may cause behavior problems in gi work." Those "other things" included a strict vegan diet, acupuncture, herbal Quiz: Antidepressants, sodium overload, baby crib safety an remedies, and other alternative techniques even consulting a psychic. Why this 10-year-old is a vegetarian What the Yuck: Ugly varicose veins His family pleaded with him, but it wasn't until June 2004, when a CAT scan revealed that the tumor had grown and perhaps spread, that he had to realize he Recent Comments couldn't successfully will his own cancer treatment. nickaholic23 on Steve Jobs: A difficult patien The surgery in July 2004 involved a modified Whipple procedure, removing part Dewey B on Steve Jobs: A difficult patien of the pancreas. But it wasn't a cure: Doctors found cancer spread to three spots on his liver during the operation. It's impossible to know whether having the surgery sooner would have removed the cancer before it had spread. Yet Jobs LGBradley on Steve Jobs: A difficult patien told everyone he had been "cured." In his famous 2005 Stanford Commencement speech, a rare moment of being forthcoming about his cancer to the public, he LGBradley on Steve Jobs: A difficult patien said "I had the surgery and I'm fine now."

S e e Job : A diffic l pa ien

Jobs also went against doctors' orders with his eating habits. Since he was a teenager, Jobs had practiced strange routines involving fasting, and would go on obsessive diets.

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1 2 That's a problem because, the stomach needs enzymes to digest food and absorb nutrients, making it harder for patients who've had pancreas surgery to get enough 3 4 5 6 7 8 9 protein. The standard of care is to have frequent meals and a diet with a variety 10 11 12 13 14 15 16 of proteins from meats, fish and milk. But, as Isaacson points out, "Jobs had 17 18 19 20 21 22 23 never done this, and he never would." 24 25 26 27 28 29 30 31 Flash forward to 2008, when Jobs and his doctors knew the cancer was spreading. Besides being in pain, Jobs was losing a lot of weight. This was Sep partly a result of the partial Whipple procedure, partly because his appetite was Health Resources from inHealth reduced because of cancer and morphine, and also because he insisted on the same restrictive diets and fasts he'd practiced since his teenage years. Sometimes Tight blood sugar control risky? he would spend weeks only eating something like apples, or a carrot salad with Exercises for restless legs syndrome lemon, and then abruptly denounce that food. How to cope with speech challenges

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Steve Jobs: A difficult patient

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lemon, and then abruptly denounce that food. Isaacson writes: Beginning in early 2008 Jobs' eating disorders got worse. On some nights he would stare at the floor and ignore all of the dishes set out on the long kitchen table. When others were halfway through their meal, he would abruptly get up and leave, saying nothing. It was stressful for his family. They watched him lose forty pounds during the spring of 2008. In a public statement he attributed his weight loss to "a hormone imbalance that has been robbing me of the proteins my body needs to be healthy. Sophisticated blood tests have confirmed this diagnosis. The remedy for this nutritional problem is relatively simple." We all had speculations, but what that actually meant was: Jobs had a hormone imbalance because his cancer had spread to his liver. He underwent a liver transplant in 2009, when his health was declining rapidly. It was successful, but doctors found that there were tumors throughout the organ, meaning the cancer had probably spread elsewhere. They also found spots on the thin membrane surrounding internal organs. Jobs again went against doctors when he insisted that they not pump out his stomach when they needed to perform a routine procedure. That led to pneumonia, and he might have died. But he survived, and didn't lose his stubbornness, even while deeply sedated. He thought the oxygen monitor on his finger was "ugly and too complex," and offered ideas for making the design simpler. His health and spirits appeared to improve after the transplant, but in November 2010 he experienced another downturn. He was a mere 115 pounds at Christmas. Doctors saw evidence of new tumors. "Every inch of his body felt like it had been punched, he told friends," Isaacson writes. And his dietary finickiness continued. The family had a part-time cook who made him a variety of healthy options, but he would refuse them after merely touching one or two to his tongue. Cancer curbs appetite, but Isaacson suggests Jobs had a deeper complication from his psychological attitude toward food. He took a third medical leave in January 2011. Jobs was among the first 20 people in the world to have a complete sequencing of all of the genes of his cancer tumor, and of his normal DNA. In this way, his medical team could choose specific drugs targeted at the molecular pathways that were promoting the abnormal growth of cancer cells. "I'm either going to be one of the first to be able to outrun a cancer like this, or I'm going to be one of the last to die from it," Jobs told Isaacson. In July 2011, however, doctors had trouble pushing back against the cancer even with targeted drugs. Jobs had stopped going to work; he was in pain, couldn't eat most solid food, and passed many days watching TV. When Jobs announced his resignation as Apple's CEO at the board meeting on August 24, the cancer had spread to his bones and other body parts. "I've had a very lucky career, a very lucky life," he told Isaacson. "I've done all that I can do."
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1. Glades2 I've been called "non-compliant" by at least one nurse when it comes to my doing what the Doctor requires of me over the past 7 months but they forget that patients are not only ill, but they are afraid, and fear does make people become hard to deal with when it comes to endless invasive procedures. Though not cancer, my own situation is difficult to treat and my future uncertain and it angers me that people just say, "It could always be worse!" I KNOW THAT, but, to a patient their current state IS worse, and though Steve Jobs made his share of errors in this life, despite his wealth when it came to illness he was like the rest of us afraid of what could happen, and struggling to deal with the illness and what it requires of a patient... October 25, 2011 at 14:29 | Report abuse | Reply 2. tro wow. the media has been calling him a genius but i can't tell, after reading this article, whether he was supremely arrogant or just plain stupid? October 25, 2011 at 14:29 | Report abuse | Reply JAD He wasn't stupid, he was afraid but the world, his industry and stubborn pride wouldn't let him show it. Those words apply to Steve Jobs and other rare cancer cases like mine. At the end of the day doctors don't know everything they practice hoping to get better when the next case presents itself. At the end of the day all he wanted to do was live and to me that is VERY smart. Rest in Peace. October 25, 2011 at 14:45 | Report abuse | 3. fran drake As a nurse of 30 years, all I have to say it that when patients who want to do something other than what the medical establishment wants them to do is labeled "difficult", we have reached an all new low. It's their body, it's their choice. Period. October 25, 2011 at 14:32 | Report abuse | Reply JAD Well said.
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October 25, 2011 at 14:47 | Report abuse |

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Steve Jobs: A difficult patient

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October 25, 2011 at 14:47 Report abuse Pamela N Amen to that October 25, 2011 at 14:47 Report abuse USmotomom Amen Fran Drake! October 25, 2011 at 14:49 Report abuse nickaholic23 II agree with you. He didn't have to do what they told him to do. It was his body. I know of someone who cured or postponed her death from pancreatic cancer by almost ten years by going to a Traditional Chinese Medicine practioner and following his diet and herbal treatments to the letter. Her oncologist had told her her condition was untreatable, and she needed to prepare for the end. He was quite surprised when she called him a year later for a follow-up. He said it was a case of unexplained spontaneous remission that had nothing to do with the Chinese Medicine. October 25, 2011 at 14:56 Report abuse 4. Kristal its hard 2 believe that human's can be soooooooooo ignorant if You go 2 court 2 prove some1 did something wrong u need prove yes prove theres no Prove ever that any god let alone the god u believe in ever walked this planet or 4 that matter any planet look at the world always fighting and killing what god of any religion would tolerate such a world no god would lies and more lies fed to moron idiot fool human's October 25, 2011 at 14:33 Report abuse Reply Puta You need to look into some ESL classes. Whew! October 25, 2011 at 14:46 Report abuse tsnootch what the heck are you talking about? October 25, 2011 at 14:49 Report abuse Dewe B Funny that the sole purpose of your post is to basically call people stupid, all the while your writing is equivalent to that of third grader. Best part, you don't use any punctuation throughout your ignorant rant until the end when you incorrectly throw in an apostrophe. October 25, 2011 at 14:56 Report abuse 5. Lawrence Lowe It tells one that no matter how much of a "genius" one is perceived...you can still be an idiot. October 25, 2011 at 14:35 Report abuse Reply 6. Gort01 Les be honest,,,If Mr Jobs had started apologizing to people he was a complete a-whole to, he'd never have gotten anything done. Hopefully he did try to apologize to at least his family, mainly his daughter....but if he didnt, then she's not surprised Im sure.
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October 25, 2011 at 14:35 Report abuse Reply

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Steve Jobs: A difficult patient

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October 25, 2011 at 14:35 | Report abuse | Reply Jake Not all bosses are complete jerks....but Jobs was a difficult boss.....very greedy. October 25, 2011 at 14:40 | Report abuse | 7. Kristal Jesus now is a different Story he acturally walked this Earth and he was never the son of god because he was the son of a Man. end of Story soooooooooo prove me wrong u bunch of human Fool'sssssssssssssssssssss. October 25, 2011 at 14:36 | Report abuse | Reply 8. Bill Jobs So we can now all try the new Jobs diet? It should be called the iDiet which then leads to the iDie. October 25, 2011 at 14:37 | Report abuse | Reply 9. Mits No matter how much money, power, or fame one has, but it will NOT buy us peace, happiness, or health. It's god given, therefore, should learn to be humble and learn to band our self mentally even in front of those who are insignificant to us. By doing this, even if you are so insignificant, you will feel fountain of joy in your heart. Yogiji Maharaj October 25, 2011 at 14:38 | Report abuse | Reply 10. Jake He sounds stupid, arrogant and difficult...I believe it. His diets sound ridiculous and unfounded. October 25, 2011 at 14:38 | Report abuse | Reply 11. Jeff So he chose to experiment with health care modalities that didn't work..so what? Standard allopathic health care didn't work either, did it? Before everyone rushes to defend allopathic medicine and before everyone starts blaming his experiments with alternative treatment modalities as the cause of his death...take a look at allopathic medicine's kill rate. Google "iatrogenic" (illness caused by medical examination or treatment). Iatrogenic illness is now officially a pandemic in the U.S., according to the CDC (U.S. Center for Disease Control). All you docs and nurses chastising Mr. Jobs for owning his own body don't really want us to know about iatrogenic illness. They try to hide this information from consumers of medical services. October 25, 2011 at 14:43 | Report abuse | Reply 12. Pamela N Clearly, this man lived life on his own terms. He made his choices. He died on his own terms. Isn't this what makes living in America so great? October 25, 2011 at 14:44 | Report abuse | Reply 13. Sarvan Oh, Steve, I was afraid I would hear just that! The world profited from your stubbornness, but you paid with your life! Rest in peace, wherever you are. October 25, 2011 at 14:44 | Report abuse | Reply 14. Op t
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Brilliant people are some of the most cruel on Earth. But why should that

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Brilliant people are some of the most cruel on Earth. But why should that surprise anyone? They're not trying to get along, they're aiming for perfection.

Steve Jobs: A difficult patient

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October 25, 2011 at 14:44 Report abuse Reply 15. Kathster I gotta say that thees snippets they're publishing of his bio make Steve Jobs look like not so nice a guy. October 25, 2011 at 14:44 Report abuse Reply 16. Rich Dunn He should of taken Fish Oil to cure his cancer. October 25, 2011 at 14:45 Report abuse Reply 17. Anne Wonder how he received the liver transplant. By then he was diagnosed with metastatic cancer, a terminal illness. Don't understand how a healthy liver would be transplanted into someone who we believe already has microscopic cancer cells circulating in their body? This is a real question, so please don't response with comments about this money or privilege. Thanks. October 25, 2011 at 14:49 Report abuse Reply 18. Lisa Why was he allowed to get a liver transplant with the cancer he had? ( I know-he was rich). What a waste of an organ I am sorry to say. And his non-compliant behavior. Just too smart for his own good. Sad. October 25, 2011 at 14:50 Report abuse Reply 19. Give him a break He did what he thought was best for him. You would do same if you were in his shoes. Doctor's are not GOD. Who knows what could have been if he took their advice. May his sould rest in peace. October 25, 2011 at 14:51 Report abuse Reply 20. joe I knew a guy by the name of Herman Cain. He onced battled colon cancer because his regular diet included italian pizza with colored greens. What a combo! October 25, 2011 at 14:52 Report abuse Reply 21. Ton Enough about this guy already! Isick if it. October 25, 2011 at 14:53 Report abuse Reply LGBradle Then why are you still reading about it? October 25, 2011 at 14:55 Report abuse 22. terr His body, his life, his choice. So why are his decisions considered "arrogant" and "stupid"? Who are we to judgement? October 25, 2011 at 14:53 Report abuse Reply 23. LGBradle Everyone is so quick to label Steve Jobs as arrogant, stupid and stubborn
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Everyone is so quick to label Steve Jobs as arrogant, stupid and stubborn regarding his health. It was his life, his choice as in his professional life he went against the grain and tried other methods. He took a chance with his health and had it been successful you would instead still consider him a genius. Let him rest in peace.

Steve Jobs: A difficult patient

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October 25, 2011 at 14:55 | Report abuse | Reply 24. K i al your a mean person. October 25, 2011 at 14:37 | Report abuse | Reply Previous 1 2
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