July 9th, 2024

The Silence Doctors Are Keeping About Millennial Deaths

Physicians avoid discussing mortality with young cancer patients, impacting care quality. Challenges include fertility, finances, and missed opportunities. Open, compassionate conversations are crucial for patient-centered decision-making, emphasizing values and preferences.

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The Silence Doctors Are Keeping About Millennial Deaths

Physicians caring for younger cancer patients are often avoiding necessary but difficult conversations about mortality, as highlighted by a palliative-care doctor's experiences. The article discusses the challenges faced by younger adults diagnosed with cancer, including unique stressors like concerns about fertility, financial stability, and missed life opportunities. The reluctance of medical teams to have open discussions with younger patients about their prognosis and end-of-life care can lead to overtreatment, unnecessary suffering, and limited choices. The narrative emphasizes the importance of honest and compassionate conversations with patients of all ages to ensure their preferences and values guide their medical decisions. By sharing personal anecdotes, the author underscores the significance of addressing the emotional and practical needs of young patients facing terminal illnesses. Ultimately, the article advocates for healthcare providers to engage in meaningful discussions with patients to help them make choices that align with their individual values and humanity, regardless of age or diagnosis.

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By @alan-hn - 3 months
By @id34 - 3 months
I've wondered if the rise in friends and colleagues with sudden late stage cancers has just been a fluke of my circle or a symptom of a wider problem of an unknown cause.

My father died of esophageal cancer not long ago - as a man in his early 60s he followed a path similar to the first patient in the article. Two friends are currently battling similar cancers and headed down the path of more and more agressive or experimental treatment. A large part of that choice seems intrinsic. When my dad was told he was stage 4, he smiled and reflected on the life he had lived - at peace with his mortality. When my close friend was told the same, he was distraught that he'd never had the opportunity for children. I understand how those unstated biases about a life well lived enter the medical field - an important reminder that a life is not simply measured in years.

By @hirvi74 - 3 months
Such an absolute tragedy. I hope modern medicine can make large advancements, but I am not holding my breath for any miracles in my lifetime.

Still, I couldn't help but be reminded of the final installment of a blog from a woman in a similar situation a few years back:

Van Life (Cancer Edition) Finale

https://imgur.com/gallery/van-life-cancer-edition-finale-prU...

I honestly have read the finale once or twice a year since it was posted in order to try and sort of reground/reassess my life's direction.

After reading about the woman in the article or the woman in the blog I posted, I can't help but get this feeling. A feeling of struggle. Struggling to rationalize the life that I have been conditioned to believe that I am "supposed" to live. After all, that very well could be me one day.

It further spurs this almost sick to my stomach feeling that if I were in either one of these women's shoes, then I would probably have quite a few regrets about how I chose to live my life so far into my early 30s. All the countless hours of hard work, all the frugality, all the stress, the lack of taking risks, etc.. What has it all truly been worth? The stability and security has brought sustainability and placation but the contentment such a life has bred is equally ensnaring. I can't shake the feeling that there is more to life, but alas, what is it then?

By @anthk - 3 months
Stop putting corn syrup everywhere. Also, sliced bread it's just yeast with tons of sugar.

Eat whole fruits, not just the juice in a glass, which in the end it's sugar, too.

Also, Americans need to build cities around sidewalks and not cars.

By @brandon272 - 3 months
> Millennials born in 1990—at the peak of the generation—are twice as likely to develop colon cancer as Baby Boomers born in 1950.

I understand this is not necessarily the point of the article, but how is this not considered a massive crisis? I have heard this stat mentioned before but never with much urgency or impetus to determine the cause of what appears to be a massive health crisis introduced in fairly young generation.

Is it our diet? It's hard to imagine that millennial diets are that much different than what was/is eaten by older generations. Certainly older generations also had their own major carcinogenic lifestyle factors to contend with in terms of smoking and chemical exposure.

By @TurkishPoptart - 3 months
I can't say I'm not surprised that there's zero speculation about the massive rollout of mRNA jabs that were pressured on otherwise healthy people to take... I think it's really the elephant in the room.
By @hooverd - 3 months
Eat your damn fiber.