Steve Jobs Had a Liver Transplant Two Months Ago
evw writes "The Wall Street Journal reports that Steve Jobs had a liver transplant two months ago (subscription required, alternative coverage is available based on the WSJ's report). He is on track to return to work at the end of June. 'William Hawkins, a doctor specializing in pancreatic and gastrointestinal surgery at Washington University in St. Louis, Mo., said that the type of slow-growing pancreatic tumor Mr. Jobs had will commonly metastasize in another organ during a patient's lifetime, and that the organ is usually the liver. ... Having the procedure done in Tennessee makes sense because its list of patients waiting for transplants is shorter than in many other states.' There are no residency requirements for transplants."
theres was probably a line of apple fanboys queuing to give their livers to steve
for a recovery. My Dad's liver transplant had him out for almost 6 months. In fact, right after his surgery, he was in isolation for 30 days, then in ICU for another 30. I'd be real suprised if he actually was able to "return to work" this month. Even "part time," physical therapy and all the tweaking they need to do with the medications (anti rejection, etc.) to get his chemical balances back is a big thing.
I wish him well... my Dad was able to go to Oshkosh (AirVenture) with me 1 year after his surgery. A trip I will never forget.
Bill
It's my Sig and you can't have it. Mine! All Mine!
Aren't we supposed to care about the technical side of things and his ideas, but by no means about his private life?
He's just practicing that ol' "Buy American!" bit instead of running off to China like the rest of the rich and abusive.
The Wall Street Journal articles have problems with lack of attribution and stated lack of verification of this info. If the story true (and I think it probably is), the authors of the articles need to elaborate.
Immediately after the article was posted on their site, I wrote the writers and editors the following email:
Date: Sat, Jun 20, 2009 at 01:23
Subject: Questionable standards for reporting by Wall Street Journal journalists Kane, Lublin, and Meckler
To: Yukari Iwatani Kane , "Joann S. Lublin" , Laura Meckler
Cc: "Robert J. Thomson" , New York Times News Department
Dear Journalists of The Wall Street Journal,
The two articles referred to below, published June 20, 2009 on the website of The Wall Street Journal, state controversially without attribution that Apple Inc. CEO Steve Jobs received a liver transplant in Tennessee approximately two months ago:
Reported June 20, 2009 by Yukari Iwatani Kane and Joann S. Lublin, "Jobs Had Liver Transplant",
http://online.wsj.com/article/SB124546193182433491.html
Reported June 20, 2009 by Laura Meckler, "Jobs's Transplant Highlights Differing Wait Times",
http://online.wsj.com/article/SB124546226305633529.html
As journalists you are expected to seek reliable sources and to accompany reports of controversial facts with attribution. However, as Yukari Iwatani Kane and Joann S. Lublin state in the first article, "The specifics of Mr. Jobs's surgery couldn't be established." They further state explicit lack of verification of Job's putative surgery by spokespeople for each of the three hospitals in Tennessee designated as liver-transplant centers.
As of ten minutes ago I could find only the following two other online articles reporting on this topic. As their sources these articles cite only The Wall Street Journal, and at that as a secondary source:
Reported June 19, 2009 by MG Siegler, "Not Only Was Steve Jobs Sick. He Had A Liver Transplant",
http://www.techcrunch.com/2009/06/19/not-only-was-steve-jobs-sick-he-had-a-liver-transplant/
Reported June 19, 2009 by Peter Kavka, "Report: Steve Jobs Is Recovering From Liver Transplant, Still Coming Back to Apple",
http://mediamemo.allthingsd.com/20090619/report-steve-jobs-is-recovering-from-liver-transplant-still-coming-back-to-apple/
Do you have primary sources of this information? Have you checked and cross checked this information? If you have evidence, have you validated its authenticity? Do you have corroboration?
If so, please elaborate in your articles.
Show me an HMO that doesn't ration health care.
Running the article doesn't violate anything. It's the doctors/hospital who are restricted by HIPPA, not the press.
Steve Jobs, visionary leader of Apple Computer, has died -- and come back, better and stronger.
"They don't call it the Jesus Phone for nothing," Jobs laughed with reporters, before eating their tasty, tasty brains.
Jobs' new cyborg arsenal includes wifi, 3G, laser cannons, a flame thrower and a can opener, all running on Mac OS X Robosteve. Bundled applications include an enhanced hypnotic force field based on the one he uses at MacWorld keynotes. "I can't wait to try it on Bill," he said.
Disney, in which Jobs is the single largest shareholder, remained unaffected. "Steve's just working with the way we do things here," said the disembodied computer-hosted soul of Walt Disney, who was decanted to a computer in 1966 to avoid being declared legally dead, so that copyright in his works would never, ever run out.
http://rocknerd.co.uk
Organ transplants are, with a few exceptions, usually contraindicated in cancer patients - especially when the cause of the failure of the organ is metastasis. But I guess if you're Steve Jobs, money truly CAN buy anything. The rest of us mortals however would be allowed to die quicker.
From TFA, Tennessee has a shorter wait time than most states: 48 days, instead of 306 nationally. That would be my guess as to why Tennessee.
First, you need to have good medical care and good insurance. If your doctor has been carefully monitoring your liver with CT scans every six months because he realizes you're at risk (perhaps because you have Hep B), you will have a good chance at early detection of liver cancer. If you have no such proactive care, good luck!
Next, your doctor has to present you the option, you have to recognize its urgency, and you have to ask for the transplant, aggressively. If your doctor says, "This is not yet urgent", or "We can wait and monitor this", or if you say, "Can we just wait and see?", it might be too late by the time you recognize the danger (much like climate change and peak oil). That's because...
It takes 6 months to process a liver transplant application, then months to years to actually receive the transplant.
The application process has two parts: medical evaluation and financial means. The medical evaluation is a comprehensive evaluation to determine that you're a good candidate for transplant, that the cancer has not spread beyond the liver, and that you're psychologically fit for the transplant. The financial means evaluation... well, if you don't have the financial means, you do NOT get listed on the transplant list. Period. The only way to get a liver transplant without financial means is if you're an emergency case with sudden liver failure. Oh, you also need to have a designated caregiver who commits to taking time off work to take care if you, if/when necessary.
Once the application process starts, it can take 5 months to actually get on the transplant list. If the winter holidays occur fall in this time period, make that 6 months. If they accidentally list you on the non-cancer waiting list (with lower priority than the cancer waiting list), it might be another month (total 7 months) by the time somebody catches this mistake and it gets corrected. Most likely it will be YOU who catches the mistake, because nobody else is paying attention. If YOU fail to catch this error, the patient may be on the wrong (lower priority) waiting list indefinitely.
Once you're listed, it could take weeks to years to get the transplant. For non-cancer patients, the priority is determined strictly by a function of three blood test results: bilirubin, creatinine, and INR. As these levels go up, you develop ascites (fluid in abdomen), encephalopathy (cloudy mind), and then it gets worse. The problem is, you typically lose weight as you get sicker, and as you lose weight, the creatinine level goes DOWN, so your priority gets lower, initially! If you're lucky enough to be in Oregon or Florida, with no motorcycle helmet laws, you might get your transplant in a few months. If you're in Southern California or New York, you might be waiting a year or longer, progress to extreme illness and hospitalization, and be on the verge of death before getting the transplant. These are the patients who take 6 months to recover from the transplant. Often it takes days to weeks for the transplanted liver to start functioning. These patient have been IV fed for so long that the digestive tract is initially dysfunctional. They have to start with limited plain-cracker diets. Because their gut microbes have been ravaged, their gastric emissions are horrendous foul smelling.
If you're a liver cancer patient (like Jobs) the good thing is, you'll probably get your transplant sooner than the non-cancer patients, because liver cancer transplant priority goes up strictly by time on waiting list. "Sooner" is relative to when you got listed. If you trusted your Kaiser doctor and didn't sense any urgency, you probably didn't apply for the transplant until it was almost too late (there are limits are tumor size for transplant). If you are well-informed and proactively asked for a transplant application, you might get your transplant before you start to feel any symptoms of a dysfunctional liver. This is probably wha