Pancreatic Cancer Death Quotes

The salicylic acid content in plants may help explain why traditional, plant-based diets were so protective. For instance, before their diets were Westernized, animal products made up only about 5 percent of the average Japanese diet.72 During this period in the 1950s, age-adjusted death rates from colon, prostate, breast, and ovarian cancers were five to ten times lower in Japan than in the United States, while incidences of pancreatic cancer, leukemia, and lymphoma were three to four times lower. This phenomenon was not unique to the Japanese. As we’ve seen throughout this book, Western rates of cancers and heart disease have been found to be dramatically lower among populations whose diets are centered around plant foods.73

Don’t fuck with an old lady, you shitty kid,” I yelled. “I have a lifetime of asshole tricks up my sleeve. They’re all right behind my Kleenex and my emergency Advil.” Mind you, I was doing all this in no bra, sweatpants, and leather slippers with shearling lining. “Sara,” I asked, “when we all get together for dinner in a restaurant, do you think other people see a group of old people having dinner instead of—us?” “Yeah,” she said after she thought for a moment. “Yeah, I think they see old people.” And that’s a trip, because when I look at Sara, I still see Sara. I see Sara as she was at twenty-seven. She hasn’t changed to me. Most of my friends haven’t changed, in my opinion. Jim lost his hair, but so what? Lots of guys shave their heads. Sandra has a couple of gray hairs in her long, jet-black hair. And yet, some of our friend group has died. From heart attacks. Pancreatitis. Liver failure. Drug overdoses. Suicides. Cancer. Aneurysms. We were stunned by each of those deaths. Honestly, drug overdoses and suicides are almost easier to take than pancreatitis and heart attacks, because those diseases rarely happen to kids our age. And then one day, your body stops working. It can be sudden, like throwing out your back while shaving your legs, and it just never goes back to normal. You live the rest of your days with a “bad back.” Then there’s the opposite; there’s the creep. In your thirties, a nerve pings in your hand, like someone has plucked a rubber band inside it. It’s startling and odd. In another five years, your hands start to tingle a little bit when you’re typing, and you buy a pair of hand braces to wear at night. In the next five years, you can’t open a jar, and in the five years after that, they suddenly fall asleep and you have to elicit a hearty round of applause to no one to wake them back up and make them functional again. And no one prepared me for that. I noticed that my nana’s fingers were oddly formed, racked with arthritis, but she never explained that they hadn’t always been like that. She never told me that once, a long time ago, she had hands just like mine, until she felt that first ping. And that’s the weird thing. As a young person, you assume all old people were just always that way—unfortunate. They came like that. And, as an old person, you think that young people surely understand that yesterday, you were just like them.

Every year pancreatic cancer kills more than 35,000 people in America—it’s the fourth leading cause of cancer death.

For specific causes of death, compared with regular meat eaters, low meat eaters had ~30–45% lower mortality from pancreatic cancer, respiratory disease, and all other causes of death, fish eaters had ~20% lower mortality from malignant cancer and ~20% higher circulatory disease mortality, and vegetarians and vegans had ~50% lower mortality from pancreatic cancer and cancers of the lymphatic/ hematopoietic tissue. These findings were essentially unchanged on further adjustment for BMI, and generally were robust across categories of sex, smoking, and BMI for the 6 most common causes of death.

Like many other people, I had believed that hospice care hastens death, because patients forgo hospital treatments and are allowed high-dose narcotics to combat pain. But multiple studies find otherwise. In one, researchers followed 4,493 Medicare patients with either terminal cancer or end-stage congestive heart failure. For the patients with breast cancer, prostate cancer, or colon cancer, the researchers found no difference in survival time between those who went into hospice and those who didn’t. And curiously, for some conditions, hospice care seemed to extend survival. Those with pancreatic cancer gained an average of three weeks, those with lung cancer gained six weeks, and those with congestive heart failure gained three months.

Like many other people, I had believed that hospice care hastens death, because patients forgo hospital treatments and are allowed high-dose narcotics to combat pain. But multiple studies find otherwise. In one, researchers followed 4,493 Medicare patients with either terminal cancer or end-stage congestive heart failure. For the patients with breast cancer, prostate cancer, or colon cancer, the researchers found no difference in survival time between those who went into hospice and those who didn’t. And curiously, for some conditions, hospice care seemed to extend survival. Those with pancreatic cancer gained an average of three weeks, those with lung cancer gained six weeks, and those with congestive heart failure gained three months. The lesson seems almost Zen: you live longer only when you stop trying to live longer.

In 2003, epidemiologists from the Centers for Disease Control, led by Eugenia Calle, published an analysis in The New England Journal of Medicine reporting that cancer mortality in the United States was clearly associated with obesity and overweight. The heaviest men and women, they reported, were 50 and 60 percent more likely, respectively, to die from cancer than the lean. This increased risk of death held true for a host of common cancers—esophageal, colorectal, liver, gallbladder, pancreatic, and kidney cancers, as well as, in women, cancers of the breast, uterus, cervix, and ovary. In 2004, the CDC followed up with an analysis linking cancer to diabetes, particularly pancreatic, colorectal, liver, bladder, and breast cancers. Cancer researchers trying to make sense of this association would later say that something about cancer seems to thrive on the metabolic environment of the obese and the diabetic. One conspicuous clue as to what that something might be was that the same association was seen with people who weren’t obese and diabetic (or at least not yet) but suffered only from metabolic syndrome and thus were insulin-resistant. The higher their levels of circulating insulin, and that of a related hormone known as insulin-like growth factor, the greater the likelihood that they would get cancer.

Did I develop my own set of random assumptions by utilizing the very little information available to me? For example, Leo Vodnik had held a magazine titled Construction Engineering Australia. Men are ten times more likely than women to die at work. Is that all it took for me to predict a “workplace accident” as his cause of death? Ethan Chang had his arm in a cast. Was it his injury that made me choose “assault,” together with the fact that injury and violence is a leading cause of death for young adult men? I know I watched Kayla Halfpenny at the airport and saw her knock over her drink and then her phone. Was it my observation of the sweet girl’s clumsiness together with the fact that road traffic injuries are one of the leading causes of death among young adults that led me to say “car accident”? Did I simply make random choices? Is that what led me to pancreatic cancer, the most feared cancer, for the vibrant woman who reminded me of my friend Jill, and breast cancer for the pregnant woman? Did I temporarily believe I was Madame Mae? I must have been thinking of my mother, because I kept saying “fate won’t be fought.” Had I somehow become a strange alchemy of the two of us? Both of us, after all, specialized in predictions.

Did I develop my own set of random assumptions by utilizing the very little information available to me? For example, Leo Vodnik had held a magazine titled Construction Engineering Australia. Men are ten times more likely than women to die at work. Is that all it took for me to predict a “workplace accident” as his cause of death? Ethan Chang had his arm in a cast. Was it his injury that made me choose “assault,” together with the fact that injury and violence is a leading cause of death for young adult men? I know I watched Kayla Halfpenny at the airport and saw her knock over her drink and then her phone. Was it my observation of the sweet girl’s clumsiness together with the fact that road traffic injuries are one of the leading causes of death among young adults that led me to say “car accident”? Did I simply make random choices? Is that what led me to pancreatic cancer, the most feared cancer, for the vibrant woman who reminded me of my friend Jill, and breast cancer for the pregnant woman? Did I temporarily believe I was Madame Mae? I must have been thinking of my mother, because I kept saying “fate won’t be fought.” Had I somehow become a strange alchemy of the two of us? Both of us, after all, specialized in predictions. There are certain events in my life that I believe may have had a profound effect on me. For example: the little boy who drowned at the blowhole when I was a child. I have never forgotten the sound of his mother screaming. That boy had brown eyes and dark hair. When I saw that dear little brown-eyed, dark-haired baby, did I think of that poor boy and therefore predict the baby would drown at the same age? Did I look at the young bride, Eve, and remember the charming woman who came to my mother for readings, who was so excited about her forthcoming wedding, the first wedding I ever attended? Did I think of the time I saw her at the shops, her inner light snuffed out, and remember how she died in a fire believed to have been lit by her husband? Why did I choose self-harm for Allegra, the beautiful flight attendant? Was it simply that I saw repressed pain in her eyes from the back injury I now know she suffered on that flight? Was it because I knew the rate of suicide in young females has been steadily increasing over recent years? Was I thinking of death as I boarded the plane and contemplating the fact that everyone on that plane would one day die, and wondering what their causes of death would ultimately be? Well. That’s the only one of my questions I can answer with certainty. Of course I was thinking of death. I had my husband’s ashes in my carry-on bag. I was missing my two best friends. I was thinking of every person I had ever lost throughout my life.