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Speaking from a physician's point of view, this makes very little sense. Some aspect of what was said before or this new story is false. I've taken care of a number of people on transplant lists. Qualifying for a liver transplant is extremely difficult. You have to be near death's door to qualify, and with good reason. The surgery is a complete mayhem. Your liver is responsible for making coagulation factors, among its many duties. So shortly after the old liver is taken out, everything starts bleeding. If you make it through the surgery, there is acute rejection to get through, along with the opportunistic infections, medication toxicities, etc. Transplanting patients with cancer is extremely controversial, as usually the cancer has spread beyond just the liver, even if you can't see it on any scans. And all of this doesn't fit in with what Steve said in his letter. Steve did not have the appearance of someone with chronic liver disease. It would be unusual to come back to work so soon after this kind of procedure as well.

Of course, Steve's health information is private and his own. But when he sends a letter, if that letter is deliberately deceptive, all bets are off and shareholders have a right to be angry if they've been misled.

Dave

It doesn't look like he has chronic liver disease like cirrhosis. Cancer makes sense because he is obviously cachectic. I agree that it doesn't make sense to do a liver transplant on someone with metastatic pancreatic cancer unless there is something we don't know.
 
Forstall, for instance, has remarked that: "I actually have a photographer's loupe that I use to make sure every pixel is right," he told Time. "We will argue over literally a single pixel." THAT is the kind of thinking and language that seems to suggest that not all is lost if Jobs should, by natural causes or otherwise, become completely uninvolved with Apple.

I, for one, think Bertrand Serlet strikes an extremely interesting figure . . .

Also, don't forget Jony Ive.

Apple has been doing quite well while SJ has been gone, but I'm sure that all the stuff they've released lately has been planned out months before...when Jobs was still there.



Thanks, nice find.
 
Also, don't forget Jony Ive.

Apple has been doing quite well while SJ has been gone, but I'm sure that all the stuff they've released lately has been planned out months before...when Jobs was still there.

Well, there seems to be some murkiness about how "gone" he actually was. Did he contribute ideas, make suggestions, draw up some diagrams from the comfort of his home, conference calls, etc.?

Steve Jobs being alive but with drastically scaled back duties is quite different from . . . total uninvolvement.
 
Speaking from a physician's point of view, this makes very little sense. Some aspect of what was said before or this new story is false. I've taken care of a number of people on transplant lists. Qualifying for a liver transplant is extremely difficult. You have to be near death's door to qualify, and with good reason. The surgery is a complete mayhem. Your liver is responsible for making coagulation factors, among its many duties. So shortly after the old liver is taken out, everything starts bleeding. If you make it through the surgery, there is acute rejection to get through, along with the opportunistic infections, medication toxicities, etc. Transplanting patients with cancer is extremely controversial, as usually the cancer has spread beyond just the liver, even if you can't see it on any scans. And all of this doesn't fit in with what Steve said in his letter. Steve did not have the appearance of someone with chronic liver disease. It would be unusual to come back to work so soon after this kind of procedure as well.

Of course, Steve's health information is private and his own. But when he sends a letter, if that letter is deliberately deceptive, all bets are off and shareholders have a right to be angry if they've been misled.

Dave

Thanks for the great post -- one of the best I've read in this thread so far.

Perhaps Apple is waiting til the end of June to announce that he WON'T be returning so soon? Or maybe the liver transplant story is false.
 
I hope he's recovering comfortably in a brightly-lit hospital room, whilst working on one if his uber-glossy MBPs, and realizes how nice a matte screen would be :)
 
Are you a doctor

Yes, but the CAUSE of this liver transplant (metastatic pancreatic cancer) has an extremely poor prognosis even with a pancreaticoduodenectomy (5 year all-cause mortality >95%). In the case of metastatic disease, I would expect that mortality would be even greater. Pancreatic cancer is hard to find, difficult to treat and aggressive. I wish him the best.

The story being told was that they opened him up and found that he had the much less serious kind, not "metastatic pancreatic cancer."
 
I hate to quote entire messages, but I couldn't agree with you more. The demise of many large companies is loss of vision, too many people doing too many things. I too fear for the long term success once he's gone (hence my anger if the facts are being hidden from investors).

I so hope that he is healing and well, but I so doubt that is the case.

The "lack of gaming support" is simply due to the fact that DirectX, a proprietary imaging system used by MS, gets the majority of support from gaming companies. Jobs introduced Open GL, and now, with the Intel transition, has made dual launches quite easy. On the other hand, the popularity of the Windows platform also makes it a huge bull's-eye for worms, viruses and malware in general.

On the other hand, the iPhone is a great mobile platform, and is proving extremely popular with gaming developers. That's fine with me.
 
So, uh, two things:

A. This confirms that he lied to everyone--most importantly shareholders--6 months ago.
B. This confirms that he, like Mickey Mantle before him, officially thinks he is better than everyone else on the waiting list for livers.

So he is a liar and a narcissist. Not a big shock considering we're talking about the Steve Jobs.

This confirms that Wall Street is out after him, because they don't like any company that is too independent on them. They're looking at Apple's cash reserves, and they want them to be given to shareholders. They could care less about Jobs' health, or how popular the machines are getting with the public. Everyone complains about the price of Apple gear, but at least it makes Apple not answerable to the droogs of Wall Street.

** droogs = Clockwork Orange's word for hoodlums.
 
You can read it differently

It's obvious that Steve's people leaked this story. Its timing is perfect:

1. Its the weekend (so it can't hurt the stock price and won't slam the newswires)
2. Its right after a major product launch (allowing the iphone to steal news time from this story)
3. Its the week before he's going to return (so now he doesn't have to explain much)

I wonder if he owns the Gulfstream jet he used for these trips or if its company property (if its company property Apple might have some legal problems...connect the use of the jet to the company "knowing" and "assisting" in covering up the health problems of a major executive.

Someone should find Al Gore and thank him for the hook-up (he's on the board and I think he pulled a few strings here for Steve).

It's obvious where your ideological biases are. Equally possible is that this is more or less a fabrication, timed to be released to induce a down reaction in Apple stock. Pump, dump, why not? They've been doing it for years. Why, now they call it the 'divine hand' of the market, don't you? What a great cover for making a speculative fortune! Synthetic facts for fake outrage while Wall Street makes a killing on the downside!
 
I consider myself very lucky and again urge everyone who has taken the time to post to this forum, to take the time to register as an organ donor.




Thanks for the great info and advice.
One small point. It is not enough to register as an organ donor on your driver's license. No matter what your license says, unless your next of kin give permission for organ donation, you will not be a donor. So even more important than clicking the donation box on your license, is making sure your family knows your wishes should the unthinkable occur.

So click the box AND tell your family today.
 
One small point. It is not enough to register as an organ donor on your driver's license. No matter what your license says, unless your next of kin give permission for organ donation, you will not be a donor. So even more important than clicking the donation box on your license, is making sure your family knows your wishes should the unthinkable occur.
I wouldn't call that a small point. It's a huge one, and one that I'd say the great majority of people aren't aware of. There is protocol involved with organ donation such that many people who would've wanted to donate don't get the chance. What it says on your drivers license has very little bearing on whether you get to donate.

In my training, when we were faced with a situation where a patient had no hope of recovery but had viable organs, we were never permitted to approach the family about organ donation. The family had to be the ones to bring the subject up. Even if the person had clearly marked on their drivers' license "Organ Donor" you were not allowed to mention that fact.

The best way to insure that you are considered for organ donation is to select a person you trust to act as your durable medical power of attorney, and tell that person that if you are ever in a seemingly hopeless situation, you want them to bring up the subject of organ donation with the attending physician.

Dave
 
The story being told was that they opened him up and found that he had the much less serious kind, not "metastatic pancreatic cancer."

That would be great if it were true, but speaking as a physician, the simplest explanation is often the correct one (Occam's Razor). In someone who has had pancreatic cancer, it's much more likely that they have a secondary met to the liver rather than a completely new hepatic primary. I can see why PR would spin this as "less serious cancer" and some unrelated liver problems, but it really doesn't make much sense.
 
Insanely Great Recovery

Steve will prevail. As to getting ahead of the line - at least he didn't drink his way into needing a new liver like David Crosby, Larry Hagman and Mickey Mantle who all got new livers real quick with out going to Tennessee. I applaud Steve for going to a state with an obvious short list instead of jumping line like the others, and the Mick's did not help him.
Again - hurry back Steve Job, it just doesn't feel the same without you.
 
No wonder he took some time off. Get well soon! Just a friendly gesture from one human too another of course ;)
 
That study was for a specific form of liver cancer. People receive transplants for a variety of reasons and the long-term survival rates vary widely based on age and reason for transplant.

I wouldn't call that a small point. It's a huge one, and one that I'd say the great majority of people aren't aware of. There is protocol involved with organ donation such that many people who would've wanted to donate don't get the chance. What it says on your drivers license has very little bearing on whether you get to donate.

In my training, when we were faced with a situation where a patient had no hope of recovery but had viable organs, we were never permitted to approach the family about organ donation. The family had to be the ones to bring the subject up. Even if the person had clearly marked on their drivers' license "Organ Donor" you were not allowed to mention that fact.

The best way to insure that you are considered for organ donation is to select a person you trust to act as your durable medical power of attorney, and tell that person that if you are ever in a seemingly hopeless situation, you want them to bring up the subject of organ donation with the attending physician.

Dave

Alternatively, you can have an advanced directive created (living will) that dictates you are an organ donor. Of course, this only really helps if the hospital you are at has this on file. I actually did this before my transplant in case the surgery went bad. In the end, the most important thing is that your family knows your intentions.
 
didnt Mr. Jobs try "alternative therapies" for months prior to his whipple procedure in 2004? Mets probably occurred, and who knows where else they are....
 
Survival Stats on Liver Transplant for NE Tumors

Rather than engaging in needless speculation, here's some survival numbers from a recent review article on this subject. The reference is also noted below:

Table 5. Liver transplantation results for neuroendocrine (NE) tumours.
(Source Hoti and Adams Transplant Int’l 2008; 21(12):1107–1117)

Author Year (Number) 1-yr 3-yr 5-yr Survival(%)

Alessiani et al. 1995(14)64 64 64
Routley et al. 1995(11) 82 57 28
Le Treut et al. 1997(31) 58 47 36
Lang et al. 1997(12) 82 82 82
Olausson et al. 2002(9) 89 – –
Rosenau et al. 2002(19) 89 – 80
Florman et al. 2004(11) 73 – 36
ELTR Report (Other NE tumours)
2007 (120 ) 81 65 53
ELTR Report(Carcinoid) 2007(159) 88 – 52
Le Treut et al. 2007(85) – – 68
 
You are unbelievably out of touch with reality.

Were you looking into a mirror when you said that? :D

EVERYTHING that is Apple, from the **** mouse to the great industrial designs, from the complete lack of gaming support to great strong focus on music... EVERYTHING from A to Z is Steve Jobs and Steve Jobs alone.

It's a bird! It's a plane! No! It's Steve Jobs!!!! LOL. Maybe he invented the Internet too? Oh wait. That was Al Gore! :rolleyes:

Apple is a big company. They have a LOT of designers, tech people and engineers. Steve is a business man. He is involved in the idea process, but to say Steve did everything himself is beyond ludicrous. Besides, Apple has had 2-3x as many stupid ideas as good ones. I'm not sure Steve would want to take credit for those as well.

Steve Jobs has an hypnotic-like charisma that is nearly unequaled in the business world and when he goes for good, so will Apple. Within a few years
it will lose focus again and become another generic tech company, but unlike

Gee, you have a really high opinion of everyone else that works at Apple don't you? :rolleyes:

Personally, I think we'd all be better off if they brought in Woz to replace Steve. Woz is a people person. He cares about the customers and wants open useful technology. We would have had cut & paste two years ago if Woz was in charge.

Apple is missing out on the gaming market. Instead of licensing Exchange for OS X, they SHOULD have licensed Direct X. That would make converting PC titles to OS X so much simpler and with much better performance than converting everything to OpenGL. Cider is a nice technology, but it still slows things down and Mac hardware is wimpy enough in terms of GPU power as it is. Frankly, I think Apple has a big chance to leap FORWARD when Steve leaves (for whatever reason). Get those switchers over here with reasonable priced competitive hardware like a mid-range tower in the $1200-1500 range. Get SLI support in OS X already. Blu-ray should be in Leopard. It's not even going to be in Snow Leopard for goodness sake! Apple's attempt to control media markets by simply not supporting the competition to iTunes is really limiting the potential of their operating system. They have so much vertical integration that they are often cutting their own throats just to try and force customers to buy OTHER PRODUCTS by Apple. If their product is so good (e.g. iTunes) it will sell well regardless and OS X won't look stupid for not having things like Blu-Ray support several years after its release. It's no longer expensive or complicated to license so those excuses no longer fly and it's obvious now that they never did. So quite frankly, IF that's is all Steve's doing, then all I can say is don't let the door hit you on the way out, Steve!
 
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