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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."

19 of 436 comments (clear)

  1. Re:How much by ionix5891 · · Score: 5, Funny

    theres was probably a line of apple fanboys queuing to give their livers to steve

  2. 2 Months is very fast by wjsteele · · Score: 5, Informative

    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!
    1. Re:2 Months is very fast by WarwickRyan · · Score: 5, Insightful

      It's hard to compare to 'normal' people, because someone like Steve Jobs would have had an team of the very best surgeons working on him, and generally the best medical care that money could buy..

    2. Re:2 Months is very fast by D-Cypell · · Score: 5, Insightful

      "So, is it bad if he uses that money to get the kind of treatment you and I can't afford?"

      Always an interesting question. I would say yes, it is a bad thing. Not for Steve of course, but for what it represents.

      Steve Jobs has large wads of cash as that is what we give people who prove themselves to be great assets to the economic system. No doubt, Steve Jobs is exactly that, but should your value to the economic system be the primary factor behind the level of medical care you receive? I would say no. Steve Jobs has no more right to the best standard of care than does somebody who has been in the police force, or a teacher (for example) their entire lives. In fact, I would say that anybody who has lived a moral, decent life should receive the same level of medical care, and that should be the highest available at the time. The only people that I would say might not deserve this are serious/career criminals.

      It is easy to get confused in this matter because we are talking about Steve Jobs, who seems a pretty smart and decent guy anyway. How about if we replace Steve with Ken Lay, should 'Kenny Boy' receive a much higher level of medical care than somebody who choose to be a librarian rather than a 'business tycoon'?

      You can probably guess I one of those evil socialist types ;o), but I come from a country where we have socialised medicine. It is certainly not perfect, but I don't believe that is a fault with the system, but a fault with the people running it.

    3. Re:2 Months is very fast by roman_mir · · Score: 5, Interesting

      Living in Canada (where are you located), I disagree. The system does not provide best care and there should be a legal way to get extra care above what they normally provide if you pay the money.

      Think about this: if a public hospital allows a person to stay only for a few days after a surgery, why shouldn't a person with means be able to leave that place and go to a private hospital that does not depend on the public resources and stay there for any amount of time that it takes this person to recover fully or until he even simply feels like it as long as he pays? In Ontario this is generally illegal, however what would be the difference between that and simply hiring a bunch of nurses/doctors to take care of you personally in your house even (except that doing it would be so expensive that only the richest people, someone exactly like Jobs could afford it?)

      How is it even legal to prevent a professional to provide his/her services for the best payment if he wants that extra money? I am a software developer working on contracts, generally speaking I always search for the best deal I can get. Why should a doctor be denied opportunity to get the most money his abilities would allow him?

      So the only argument against a fully private system would be this: if the government subsidizes education of some doctors, then it could demand that those, who were subsidized give back at least some of their time to the public system (say 30% minimum of their time would go to public system) Of-course there is a larger problem with government subsidizing any education system - it drives the education costs up, because universities know that government is there to provide loans, so whatever the costs of education are, anyone can just get this 'mortgage' to pay for it, so there is no incentive to make education any cheaper.

      If the government stayed away from subsidizing education, the prices for it would go down and more people would be able to afford it in the first place. More doctors would graduate and that would drive their prices down so even a private health system could be affordable.

      You can probably guess I one of those evil socialist types

      - and I am not, as you can probably guess, I believe on economy my position is logical and yours is not. You would have a system that would be regulated, taxed and subsidized and would eventually collapse under its own bureaucratic cost.

    4. Re:2 Months is very fast by MrKaos · · Score: 5, Insightful

      I tend to go even further: Even criminals, who in your opinion don't deserve that, should enjoy equal medical treatment.

      The true measure of a society is not how they treat the most valued, but how they treat the most despised.

      --
      My ism, it's full of beliefs.
    5. Re:2 Months is very fast by babblefrog · · Score: 5, Insightful
      Given that the very best medical care is expensive, and resources are limited, what you are really saying is that if everybody can't have it, nobody should get it, right?

      Is it just medical care that gets this treatment, or do you extend this to all goods and services?

    6. Re:2 Months is very fast by Achromatic1978 · · Score: 5, Interesting
      Yup. Go to a chiro, with insurance. Have a look at your hourly bill: $160. Go without insurance: $40.

      How does that work? (Bear in mind, I work in the healthcare insurance industry, so I know of what I speak). What amazes me is that people somehow think their insurance is this magical creature that makes money and pays these excesses/is a charity covering that cost.

      That money is still coming out of you, you're just put on an indirect payment plan!

      Imagine a more direct method of the same: "Well, your bill is $40. Or you can pay me $40/month for the next four months."

      Some would have you believe that the latter is a good deal, because it means, in theory, if you're not denied coverage, rescinded for some real or implied reason, etc, etc, that when you go to the emergency room for a couple of days and come home with a bill equal to many people's annual salary, you reap the benefits of insurance, forgetting that without the implied acceptance of such high rates, your hospital stay wouldn't have cost anywhere near as much in the first place.

      I used to work for a corporate law firm in Australia. They charged up to $600/hr for legal work, more when they went into court. Companies happily paid this, because legal expenses are tax deductible. The company knows they get to write it off, so the law firms can make a mint. When was the last time you heard of a law firm going bankrupt?

      Doctors are being advised to invest in MRI, LASIK. Leaving aside the interesting side effect that doctors who own or own shares in an MRI machine/practice are up to 10% more likely to refer you for an MRI, this is a fantastic investment, because of people like you and me on insurance. You can pay $1, 1.5M for an MRI machine, and see your investment paid off within a year, quite easily, and then anything beyond that is a nice skim of upwards of $500,000 a year in profit. Why? Because we, the working stiff, are paying upwards of $1,800 for an hours worth of diagnostic procedure (and again, remember, "insurance" isn't paying it. You are. Insurance is just giving you a nice payment plan).

    7. Re:2 Months is very fast by osu-neko · · Score: 5, Insightful

      Money is pissed away by DOD like you wouldn't believe. I shudder sometimes at the huge amounts of money I see foolishly wasted...with no repercussions to the people who made the bad decisions. In fact often the most ineffective managers get the most promotions and awards.

      I've seen the same kind of inefficiency, waste, and idiotic management... in large corporations. What you're talking about is not a feature of public vs. private sector, it's a feature of large vs. small. The exact same kind of bureaucracy, inefficiency, etc. infects any organization once is surpasses a certain size.

      --
      "Convictions are more dangerous enemies of truth than lies."
  3. Who the hell cares? by Anonymous Coward · · Score: 5, Insightful

    Aren't we supposed to care about the technical side of things and his ideas, but by no means about his private life?

  4. Re:How much by curmudgeous · · Score: 5, Funny

    He's just practicing that ol' "Buy American!" bit instead of running off to China like the rest of the rich and abusive.

  5. Questionable standards for reporting by WSJ by Apocalyptic+Grouch · · Score: 5, Interesting

    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.

  6. Re:can Americans tell me.. by sjf · · Score: 5, Insightful

    Show me an HMO that doesn't ration health care.

  7. Re:Proof / Evidence by bkaul · · Score: 5, Informative

    Running the article doesn't violate anything. It's the doctors/hospital who are restricted by HIPPA, not the press.

  8. Zombie Steve Jobs has system upgrade by David+Gerard · · Score: 5, Funny

    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
  9. Speaking as a doctor by Anonymous Coward · · Score: 5, Informative

    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.

  10. The Timing of Steve Jobsâ(TM)s Liver Transpla by c4t3y3 · · Score: 5, Informative
    The following is taken from Daring Fireball, one of the few reliable sources of Apple info on the Internet.

    The Timing of Steve Jobs's Liver Transplant I'm curious about the reported timing. The Journal story says "about two months ago", but I heard from a bunch of sources last week at WWDC that Jobs had been seen on campus the week before - i.e. about two weeks ago. I mean, he was there walking around, giving people hell like usual. Regarding recuperating time, the Journal story has this sentence:

    Recovery from a liver transplant is relatively fast, said William Chapman, a specialist at Washington University who has no direct knowledge of Mr. Jobsâ(TM)s case.

    But six weeks doesn't sound "relatively" fast, to me. It sounds crazy fast. I don't know how authoritative it is, but here's what health-cares.net says regarding liver transplant patients:

    After discharge from the hospital, patients are seen every week (for approximately three weeks) in the outpatient clinic for an examination and monitoring of blood tests. During this time, medications are adjusted based on the levels found in your blood. After approximately one month, patients are usually seen only two to three times during the first year. Also beginning at one month, blood is checked every other week; eventually, it is checked only once a month. Most patients are encouraged to resume physical activity, including work, after three to six months, depending on their recovery. Patients may resume heavy activity, including workouts, at six months.

    So I'm thinking that if Steve Jobs had a liver transplant, it was more than "about two months" ago.

  11. Re:How much by strstrep · · Score: 5, Informative

    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.

  12. Process of getting a liver transplant by Ilyon · · Score: 5, Interesting
    Getting a liver transplant is a long, involved, and lengthy process.

    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