Archive for the ‘Rectum cancer’ Category
Posted by jpluimers on 2025/05/01
Oops, I thought this had been published a long time ago, but oh well: it is never too late to publish reflections on a C# programming language improvement.
After recovering from my rectum cancer treatments and finally upgrading most of my projects to recent enough C# versions, it was time to catch up on useful little C# language features released during my treatments.
This one is really nice: [Wayback/Archive] File scoped namespaces – C# 10.0 draft specifications | Microsoft Learn.
I wish it had been released much earlier, as it so much reminds me of the unit keyword in Delphi which influenced C# a lot. Well, actually the unit actually started in UCSD Pascal and Turbo Pascal; UCSD Pascal ran on the UCSD p-Machine (more on that in a future blog post), which influenced the Java Virtual Machine, which was based on Java bytecode and a Just-in-time compiler in turn influenced the .NET Common Language Runtime.
There are many examples from other languages, paradigms and frameworks: I love how C# and .NET bring so much programming history together.
In Delphi it is easy: a source file can contain at maximum one unit (and apart from files included in that source file, no other source files can contribute to that unit) and the filename needs to match the unitname, so the unit is a self contained namespace.
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Posted in .NET, About, C#, C# 10, Cancer, Delphi, Development, Java, Java Platform, Jon Skeet, Pascal, Personal, Rectum cancer, Rider from JetBrains, Software Development, Turbo Pascal, UCSD Pascal, Visual Studio and tools, vscode Visual Studio Code | Tagged: 1509, 35690, 36566, 44201, msbuild, region | Leave a Comment »
Posted by jpluimers on 2024/07/08
Eerst eveven een inleiding: waarom gebruik ik Macrogol en waarom deze post juist nu?
De TL;DR: ik heb ontlastingsklachten na veel ingrepen vanwege uitgezaaide endeldarmkanker. Macrogol helpt de ontlasting beter van consistentie te krijgen.
In 2023 testte ik 4 verschillende fabrikanten vanwege een beleidswijziging van de verzekeraar (wat hen veel geld kostte en mij veel tijd), wat achteraf goed was omdat een maand terug ineens het middel van de fabrikant die mijn lichaam het beste verdraagt niet leverbaar was.
Gelukkig heb ik van eerdere problemen met medcijnlevering (hallo allopurinol en hallo crisis in 2023 [Wayback/Archive] Dit is waarom we in Nederland zoveel medicijnen tekortkomen – EenVandaag!)
Een stukje geschiedenis
Na alle behandelingen van eind 2019 tot en met halverwege 2022 rondom mijn uitgezaaide endeldarmkanker blijf ik met LAR-syndroom, wat kort is voor low anterior resection syndrome. De Low Anterior Resection was bij mij onderdeel was van een Total Mesorectal Excision: een methode waarbij relatief veel omliggend weefsel rond de endeldarm wordt weggenomen om zo de kans op relatief lokale uitzaaiingen te verminderen.
Dit was het alternatief voor een permanent colostoma: een stoma van de dikke darm. Bij dit alternatief hoort een – vooraf door mij geaccepteerd risico – op TME post operatieve klachten. De operatie is een forse ingreep laag in het kleine bekken waar weinig ruimte is en bij vrouwen meer doorheen loopt (vagina en baarmoeder) dan bij mannen (prostaat), naast uiteraard blaas, plasbuis en de endeldarm.
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Posted in About, Cancer, Health, LifeHacker, Personal, Power User, Rectum cancer | Leave a Comment »
Posted by jpluimers on 2024/04/12
Below are some Dutch messages around bereavement and grief that take place before someone dies: it is important to be aware that adverse life changing events are also reasons for those emotions. Besides patients and their close ones, also medical professionals and care takers can grief as they too need to find a way to adjust to the new situation.
[Wayback/Archive] Rob Bruntink on Twitter: “Ik sprak met Manu Keirse over de vraag wat zorgverleners kunnen betekenen voor rouwenden. Mooi aan zijn antwoord is oa dat hij rouw niet uitsluitend koppelt aan de periode ná een overlijden. ‘Rouw begint direct bij het slechtnieuwsgesprek’.”
[Wayback/Archive] Manu Keirse: ‘De zorgverlener rouwt mee’ – Dutch Health Hub
A related English post is [Wayback/Archive] How Survivors Can Cope With Grief After Cancer | Cancer.Net
When you first learned of your cancer diagnosis, grief may have been one of the many feelings you experienced. It is natural to grieve when we go through loss or change—whether it is the loss of who you were before your diagnosis or the loss of physical body parts. And since cancer often results in many losses—expected and unexpected—grief is naturally part of the experience.
--jeroen
Posted in About, Awareness, Cancer, LifeHacker, Personal, Power User, Rectum cancer | Leave a Comment »
Posted by jpluimers on 2023/11/17
Back when I had chemo in 2020 because of recum cancer metastases in the liver, the below Hepatic Arterial Infusion Pump (HAIP) alternative was not available yet. It means that current generations of Dutch patients have an improved method of treatment that hopefully helps increase their chances of survival.
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Posted in About, Cancer, Health, LifeHacker, Personal, Power User, Rectum cancer | Leave a Comment »
Posted by jpluimers on 2022/06/27
Disclaimer: only change your diet after consulting with your doctor!
Various cancer patients I know have switched to a ketogenic diet for quite a few years already.
So I did a bit of digging to see if it helps, or more importantly: if it doesn’t make it worse.
My start was the first hits on [Wayback/Archive.is] ketogenic cancer – Google Scholar:
Some more specific links are at [Wayback] ketogenic colorectal cancer – Google Scholar.
For now, I’m with these conclusions on the Wikipedia articles on Ketosis and Ketogenic diet:
- Cancer: Preclinical studies have indicated ketosis may have anti-tumor effects, although clinical trials have been limited by small sample sizes and have not shown conclusive benefit.[21]
- Because some cancer cells are inefficient in processing ketone bodies for energy, the ketogenic diet has also been suggested as a treatment for cancer.[61][62] A 2018 review looked at the evidence from preclinical and clinical studies of ketogenic diets in cancer therapy. The clinical studies in humans are typically very small, with some providing weak evidence for an anti-tumour effect, particularly for glioblastoma, but in other cancers and studies, no anti-tumour effect was seen. Taken together, results from preclinical studies, albeit sometimes contradictory, tend to support an anti-tumor effect rather than a pro-tumor effect of the KD for most solid cancers.[63]
–jeroen
Posted in About, Cancer, Personal, Rectum cancer | Leave a Comment »
Posted by jpluimers on 2022/06/24
I finally found some great illustrations having to do with my lower anterior resection.
They are from [Wayback/Archive] https://www.uvmhealth.org/healthwise/topic/zm6206 (Bowel resection for colorectal cancer)
The most important for me is this one (as I have end-to-side where “end” is on the very tiny bit of rectum left and “side” is on the descending colon):
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Posted in About, Cancer, Health, LifeHacker, Personal, Power User, Rectum cancer | 1 Comment »
Posted by jpluimers on 2022/06/10
Ik heb niet alleen prikangst, maar ook onderzoek in ziekenhuizen vind ik eng, dus voorbereiding hierop is voor is belangrijk, want uiteraard ga ik wel (en ben ik de rest van de dag uitgeteld vanwege de propofol).
Deze folders van het LUMC hielpen me de afgelopen dagen met voorbereiding:
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Posted in About, Cancer, Health, LifeHacker, Personal, Power User, Rectum cancer | Leave a Comment »
Posted by jpluimers on 2022/05/06
As a follow up of Some links on removing colon tissue with Endoscopic Full Thickness Resection (EFTR), it looks like I might participate in the TRIASSIC-study to help compare TAMIS versus ESD for resection of non-pedunculated rectal lesions.
The reason I document is my earlier Tweet: [Wayback/Archive] Jeroen Wiert Pluimers on Twitter: “Meh result of the colonoscopy: – 2 polyps of ~1cm size removed – 1 polyp of ~2.5cm could not be removed now: it is in an odd place (grows over the LAR-resection seam) and needs team-discussion on what to do in a future procedure (hopefully colonoscopy, maybe larpscopy) 1/”
So I archived most links from searching for EDS and TAMIS (further below) plus the whole content of the [Wayback/Archive] TRIASSIC-study:
A multicentre, randomised controlled trial comparing TRansanal minimal InvAsive Surgery (TAMIS) and endoscopic Submucosal dIsseCtion (ESD) for resection of non-pedunculated rectal lesions.
Links (English and Dutch)
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Posted in About, Cancer, Health, LifeHacker, Personal, Power User, Rectum cancer | Leave a Comment »
Posted by jpluimers on 2022/04/29
Today is my birthday. I am turning 53 today. But when writing this I’m not sure I am what we Dutch call “schoon”. It is a Dutch euphemism that I dislike, but still accidentally use. The thing is that one never knows for sure to be really clean from he signs of cancer metastases.
While writing this post, I’m in a melancholic mood during a period of depression/burnout after all the treatments. I am reflecting on if and how I survived the metastasised rectum cancer and lived through all other stressful things that started somewhere early 2017.
So I was glad to find the tweet below on the edge of spring that inspired me, I originally made me draft this post as being titled
“Surviving cancer is not a fight or a battle, it is about having luck or misfortune”
It was a (now by posting this link) pointer back to Having cancer is not a fight or a battle, it is about having luck or misfortune.
But it doesn’t do the artwork of Désirée Hairwassers justice, so here is her tweet:
[Wayback/Archive] Dees on Twitter: “Het lijkt mij ook een gepast moment om jullie mijn boek te presenteren. In het Engels, want gericht op de hele wereld. Dun boek. Dat moet een bestseller worden….. “
Translated: “I also think it is an appropriate time to present my book to you. In English, because aimed at the whole world. Thin book. That should be a bestseller”
And her video about “How to survive cancer: The inspirational journey of Désirée Hairwassers” showing the book. A very focused book (if it does not show, click on her above tweet to see it):
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Posted in About, Awareness, Cancer, LifeHacker, Personal, Power User, Rectum cancer | Tagged: borstkanker | Leave a Comment »
The Wiert Corner - irregular stream of stuff 