The untimely death of Steve Jobs from pancreatic cancer at the age of 56 in October 2011 was highly publicized (Kane and Fowler, 2011; Markoff, 2011). Jobs was one of two founders of Apple computers and is credited for revolutionizing personal computing. At the time of his diagnosis in 2003, Jobs did what most cancer patients do: he made a decision on how to approach his treatment based on the best evidence available to him at the time. Jobs was diagnosed with a rare form of pancreatic cancer, called an islet cell tumor or gasteroenteropancreatic neuroendocrine tumor (GEP-NET), which is a different form of pancreatic cancer than the highly aggressive and often rapidly fatal pancreatic adenocarcinoma. GEP-NETs are slow growing tumors that have the potential to be cured surgically if the tumor is removed prior to metastasis. There are limited clinical trial data on GEP-NETs and highly effective chemotherapy agents to treat GEP-NETs have not been identified. In the face of medical uncertainty at the time of his diagnosis, Jobs still had to make a decision on how to proceed.
Many journalists mentioned and even focused on Jobs’ initial decision to forego conventional treatments and instead use complementary and alternative medical (CAM) therapies, including acupuncture, botanicals, and dietary changes (Grady, 2011). This was chronicled in his biography and corroborated via interviews with his friends and colleagues (Isaacson, 2011). However, what many journalists failed to note is that the evidence supporting any specific conventional treatment approach (surgery, chemotherapy, radiation therapy) for GEP-NETs comprises a slim literature, and the evidence base for use of CAM therapeutic approaches for GEP-NETs is virtually non-existent. After a delay of nine months after diagnosis, in 2004, Jobs opted for surgery. He died 7 years later.
There has been widespread speculation about whether Jobs’ decision to use CAM approaches hastened his death by postponing initiation of potentially life-prolonging conventional treatments (Grady, 2011). However, the details of Jobs’ diagnosis and specific treatments received, both conventional and unconventional, have not been made public. Therefore, we cannot comment on whether or not he made the best decisions on his cancer treatment, nor can we comment on whether he would have had different outcomes had he chosen a different treatment approach. It is unknown whether Jobs’ outcomes would have been different if he had pursued surgery at the time of his diagnosis, or if had followed a specific chemotherapy protocol. And it is unknown how effective any of his acupuncture, botanical and dietary approaches may have been before or after his surgery.
So, what can we learn from Steve Jobs about CAM? Jobs was a highly intelligent, extremely wealthy, and very well-connected man. He had access to the world’s best and brightest medical advisors and had no financial barriers to receiving any treatment. It can be assumed that Jobs and his physicians sought out the best available medical evidence to guide the management of his disease. Jobs, just like anyone else with his diagnosis, would have benefited from more rigorous basic science, more clinical trials with the option of participating in a trial, and more observational research examining the effects of both conventional and CAM therapies on cancer outcomes, such as studying the effects of radical dietary changes. If Jobs and his clinicians had had more information to guide his treatment, perhaps he would have made different decisions along the way that could have influenced his outcomes. Indeed, Jobs is not alone is his use of CAM therapies after a cancer diagnosis. An estimated 43–67% of US cancer patients use CAM therapies after a cancer diagnosis and the effects of many of these therapies are poorly understood (Mao et al., 2011). Individuals use CAM therapies after a cancer diagnosis for a variety of reasons: to treat cancer without the use of con
Steven Paul Jobs (February 24, 1955 – October 5, 2011) was an American businessman, inventor, and investor. A pioneer of the personal computer revolution of the 1970s and 1980s, Jobs co-founded Apple Inc. with his early business partner Steve Wozniak as Apple Computer Company in 1976. After the company's board of directors fired him in 1985, he founded NeXT the same year and purchased Pixar in 19
Jobs died at his home in Palo Alto, California on October 5, 2011, due to complications from a relapse of his previously treated islet-cell pancreatic neuroendocrine tumor, which resulted in respiratory arrest. He had lost consciousness the day before and died with his wife, children, and sisters at his side. His sister, Mona Simpson, described his death thus: "Steve's final words, hours earlier, were monosyllables, repeated three times. Before embarking, he'd looked at his sister Patty, then for a long time at his children, then at his life's partner, Laurene, and then over their shoulders past them. Steve's final words were: 'Oh wow. Oh wow. Oh wow.' " He then lost consciousness and died several hours later. A small private funeral was held on October 7, 2011, the details of which, out of respect for Jobs's family, were not made public.
Both Apple and Pixar issued announcements of his death. Apple announced on the same day that they had no plans for a public service, but were encouraging "well-wishers" to send their remembrance messages to an email address created to receive such messages. Apple and Microsoft both flew their flags at half-staff throughout their respective headquarters and campuses.
Bob Iger ordered all Disney properties, including Walt Disney World and Disneyland, to fly their flags at half-staff from October 6 to 12, 2011. For two weeks following his death, Apple displayed on its corporate website a simple page that showed Jobs's name and lifespan next to his portrait in grayscale. On October 19, 2011, Apple employees held a private memorial service for Jobs on the Apple campus in Cupertino. It was attended by Jobs's widow, Laurene, and by Tim Cook, Bill Campbell, Norah Jones, Al Gore, and Coldplay. Some of Apple's retail stores closed briefly so employees could attend the memorial. A video of the service was uploaded to Apple's website.
California Governor Jerry Brown declared Sunday, October 16, 2011, to be "Steve Jobs Day". On that day, an invitation-only memorial was held at Stanford University. Those in attendance included Apple and other tech company executives, members of the media, celebrities, politicians, and family and close…
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Steve Jobs, one of the founders of the Apple company, died this morning in the United States. I was sick with cancer. Jobs and his ideas have changed the lives of millions of people. We explained to you why it was so important and why you chose an apple as your company logo.
Steve Jobs, the co-founder of Apple, has died. Considered a genius and a revolutionary in the consumption of new technologies, he was 56 years old and could not overcome cancer. We speak to the news, when we also go live to the Mutua de Terrassa, affected by an ERO.
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