A Tumor Is No Clearer in Hindsight

Denise Grady in The New York Times:

Was Steve Jobs a smart guy who made a stupid decision when it came to his health?

It might seem so, from the broad outlines of what he did in 2003 when a CT scan and other tests found a cancerous tumor in his pancreas. Doctors urged him to have an operation to remove the tumor, but Mr. Jobs put it off and instead tried a vegan diet, juices, herbs, acupuncture and other alternative remedies. Nine months later, the tumor had grown. Only then did he agree to surgery, during which his doctors found that the cancer had spread to his liver, according to the new biography by Walter Isaacson. Cancer eventually killed him. The sequence of events has given rise to news articles and blogs based on 20/20 hindsight, speculating that if only Mr. Jobs had had the surgery right away, doctors could have caught the cancer early, before it spread, and saved him. But there is no way in this life to know what might have been — not in politics, baseball, romance or the stock market, and certainly not in sickness and health. Mr. Jobs’s wish to avoid or delay surgery was not unusual. And given the type of tumor he had and the way it was found, his decision to wait may not have been as ill considered as it seems at first blush. His wife, Laurene Powell Jobs, declined requests for an interview and for permission to speak to Mr. Jobs’s doctors. But she did allow one of them to comment briefly: Dr. Dean Ornish, a friend of Mr. Jobs who is also a well-known advocate for using diet and lifestyle changes to treat and prevent heart disease.

Dr. Ornish said that when the diagnosis was first made, he advised Mr. Jobs to have the surgery. But in an e-mail message, he added: “Steve was a very thoughtful person. In deciding whether or not to have major surgery, and when, he spent a few months consulting with a number of physicians and scientists worldwide as well as his team of superb physicians. It was his decision to do this.

More here.