The good: How an ‘Impossible’ Idea Led to a Pancreatic Cancer Breakthrough by Gina Kolata and Rebecca Robbins for The New York Times. The breakthrough discussed is the real deal, and they manage to do it in a measured tone which correctly identifies daraxonrasib as a stepping stone and not a miracle cure. It has this important note up top and not buried down at the end:
The pills, three taken daily, are not a cure — eventually, daraxonrasib stops working. Many patients do not respond. And it has side effects that can be harsh, including rash, diarrhea, fatigue, nausea and raw, split fingertips.
How refreshing — I hope Derek Thompson takes note.
The bad: The Human Body’s Hidden Pathways by Dr. Avraham Z. Cooper, who is a pulmonary/critical care physician at the Ohio State University, for The New York Times Magazine. For the life of me I can not figure out the point of this post-modern journalistic exercise.
Nominally it is about a peer-reviewed research article which came out in 2021 under the title “Evidence for continuity of interstitial spaces across tissue and organ boundaries in humans”. The NYT Magazine staff did not deem it worthy of being linked to, but here it is in its entirety. In it, the authors showed small fragments of tattoo pigment migrating into tissues — skin and colon — deeper than they expected. We are not talking about ink being injected into a bicep and showing up in someone’s rectum here, but rather a series of biopsies of tattooed skin or the lining of the colon where there is a lot of pigment up top, and much less and in smaller pieces down at the bottom of the slide, deeper in the tissue.
Let me pull out my rarely used master’s degree in histology and note that this is hardly surprising. Connections between cells are not exactly air-tight — other than maybe in the brain and the testes — so of course there is some gel-like fluid circulating in the space. Or did the original article’s authors not realize why people tend to rub their feet when they get swollen?
But that is only the introduction. The meat of the article is Dr. Cooper’s theoretizing that this has something to do with — drumroll, please — acupuncture. With no evidence, mind you, but a tingling sensation in the back of his neck or somesuch. By the time the 30th single-sentence screen scrolls by we are firmly in bullshit territory, in the formal sense of the word. Caveat lector.
The ugly: Longevity Medicine - An evidence based guide by Dr. Vinay Prasad who is out of the FDA and back making YouTube videos. And oh my, the contrast between the most recent thumbnail and the one posted just before he joined the FDA is striking. Has it only been a year? No wonder that his first topic back as an influencer is about longevity.
A sidenote here which I will put at the end: the increased interest of Silicon Valley types with longevity, and I am not thinking only about Bryan Johnson’s delusions here, reminds me of the recently quoted speech Charlie Chaplin gave at the end of The Great Dictator, the relevant quote being that “so long as men die, liberty will never perish.” Good for us that snake oil salesmen are still the longevity field’s most prevalent phenotype.
Seen this morning on a walk down Rock Creek and the Potomac. DC is closer to nature than most people imagine.
Dave Winer posted an important piece of text yesterday under the title Transcript of AOC’s answer. This is the American politician and congresswoman from New York Alexandria Ocasio-Cortez’s response to an interviewer’s question of whether she would run for president in 2028. [Note: Not yet being a US citizen I will refrain from commenting on her politics. Though, provided the federal government is still functioning, 2028 may be the year I actually get to vote! ] It is short and to the point and you should read or listen to the whole thing, but here is the meat of it:
So the elite think: if you want this job, you just stepped out of line. And we want you to know where the real power is. And it’s in the modern-day barons who own the Post and own the algorithms. And we’re gonna — we’ll make an example out of you.
And what’s funny about that is that they assume that my ambition is positional. They assume that my ambition is a title or a seat. But my ambition is way bigger than that. My ambition is to change this country.
“Positional ambition” is the perfect way to describe much of the American — and indeed the world’s — malaise. Many heads of various institutions, from state to corporate, are there because they imagined themselves at some point sitting in the chair, or being in the room, or having some letters next to their name, without much thought of what they would do once they reached the position except whatever it took to keep it. In fact, I can think of only a single US president in living memory whose ambition wasn’t primarily positional — and he was kicked out after 4 years in a landslide. But of course that is by design: the system is made to produce the exact results that it does (see also: the American business).
So that is an important lesson for any young person, to think in terms of actions not positions. It is a spectrum, sure, and you cannot completely separate what you want to do from what it would take to do it and how to get there, but you shouldn’t dream about having a rock star lifestyle unless you also want to make music. And if we dialed down our collective positional ambition I suspect there wouldn’t be as many aspiring influencers around, most “influencers” being all about the position and without even a pretense of substance.
Happy Mother’s Day to all who celebrate! This is what we’re watching tonight.
Another Mother’s Day treat: a 40-minute video essay about “The Giving Tree”. Before watching, “The Giving Tree” was one of my least favorite children’s books — hate may not be too strong of a word to describe how I felt about it — but it is in fact nuanced, intentionally sad, and perfect starting material for some serious conversations.
The author, Shel Silverstein, seems to have been quite the character and I would now very much like to get his book of children’s poetry which has some fascinating illustrations. He also wrote the words for “A Boy Named Sue” and was an accomplished musician himself, though from the brief soundbite I heard his voice is an acquired taste.
JTR gave me a kick in the rear I needed to update my Blogroll page. There has been way too much cruft accumulated, with some recommendations not having posted in years. It is still a work in progress — only the first two lists are done — but better than nothing! For a (nearly) up-to-date list of every feed I follow, check out Feedland.
To those who can hear me, I say - do not despair. The misery that is now upon us is but the passing of greed - the bitterness of men who fear the way of human progress. The hate of men will pass, and dictators die, and the power they took from the people will return to the people. And so long as men die, liberty will never perish…
Soldiers! don’t give yourselves to brutes - men who despise you - enslave you - who regiment your lives - tell you what to do - what to think and what to feel! Who drill you - diet you - treat you like cattle, use you as cannon fodder. Don’t give yourselves to these unnatural men - machine men with machine minds and machine hearts! You are not machines! You are not cattle! You are men! You have the love of humanity in your hearts! You don’t hate! Only the unloved hate - the unloved and the unnatural! Soldiers! Don’t fight for slavery! Fight for liberty!
Amen.
What possessed me to type x.com into the address bar I can tell you not, but there I was, staring for the first time in weeks at the “For you” tab. And there it was, in all capital letters: “THIS IS HOW WE CURE PANCREATIC CANCER”, staring back.
That was the X-crement of one Derek Thompson, writer for The Atlantic, podcaster, abundance enthusiast. It was promoting his most recent blog post which, being on Substack rather than X, had a more subdued name: “How AI Could Help Cure Pancreatic Cancer”. It is, supposedly, an interview with a co-author of a paper with an ever-less-so boastful name: “Next-generation AI for visually occult pancreatic cancer detection in a low-prevalence setting with longitudinal stability and multi-institutional generalisability”. Most of the interview, however, is behind a paywall which I shall not climb.
Above the fold is Thompson’s exuberant, hyperoptimistic speculation. He approaches the problem from the perspective of the three recent developments — one from above, the other two previously discussed — but presents the areas which they are “solving”, targeting KRAS mutations, pancreatic cancer’s immune evasiveness, difficulties with early detection, as the sole reasons why the disease is so difficult to treat.
But that is disingenuous. There are so many more reasons why it is hard: the uniquely hostile, acidic, high-pressure environment of the tumor that makes drug delivery to it nigh-impossible. It’s propensity to metastasize — spread to distant organs — no matter what size the original tumor is. A biochemical storm it stirs up in the body leading to rapid weight loss, blood clots and horrendous pain which are distinct even among other cancers. Why not highlight those three as the “3 broad reasons why pancreatic cancer is so hard to treat”, to use Thompson’s terminology? Well, no recent high-profile studies for those, are there?
I understand that he has some personal reasons to be interested in pancreatic cancer, and I am sure it is coming from the best of intentions, but please.
This letter to Ted Turner from his dad on the choice of college major could be the best thing you will read today. Horribly misguided and against everything I stand for, but oh how much fun. This is how it starts:
My dear son,
I am appalled, even horrified, that you have adopted Classics as a Major. As a matter of fact, I almost puked on the way home today.
And it gets better! (ᔥNY Times Pitchbot on Bluesky)