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mcbain

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www.flightradar24.com 4mo ago

Air Canada CRJ collides with fire fighting truck on landing in New York

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www.theguardian.com 4mo ago

Molecule in Python blood could pave way for new obesity drugs

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rachelbythebay.com 1y ago

Why I no longer have an old-school cert on my HTTPS site

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www.wired.com 2y ago

The Titan Submersible Disaster. The Inside Story Is More Disturbing

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www.themandarin.com.au 2y ago

NSW Digital Licence core is a 1980s green screen Solaris rig

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support.apple.com 3y ago

About the security content of iOS 16.3.1 and iPadOS 16.3.1

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www.abc.net.au 3y ago

Satoshi Island Project

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mysupport.shangri-la.com 3y ago

Notice of a Data Security Incident

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aws.amazon.com 4y ago

Amazon RDS now supports IPv6

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aws.amazon.com 5y ago

Helping to secure internet routing

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aws.amazon.com 6y ago

AWS Fargate switches from Docker Engine to containerd

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venturebeat.com 8y ago

Why Renee James is challenging Intel with ARM-based server chips

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www.tbray.org 8y ago

Working at Amazon

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aws.amazon.com 8y ago

AWS WAF Now Supports Regular Expressions

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aws.amazon.com 10y ago

Summary of the AWS Service Event in the Sydney Region

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lwn.net 11y ago

Adding Processor Trace Support to Linux

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www.fastcoexist.com 12y ago

Starting Now, All Intel Microprocessors Are Conflict-Free

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www.smh.com.au 12y ago

SnappyCam disappears from App Store without a trace

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lkml.org 15y ago

Linux 3.0-rc1 bikeshed painting begins

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www.flinklabs.com 15y ago

Map of Sydney Buses in real time

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shiftyjelly.wordpress.com 15y ago

Apple's iAds still not working outside of the US & UK?

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www.smh.com.au 15y ago

Lars Rasmussen: Why I quit Google to join Facebook

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161pts118

Spot on. And dealing with false positives sucks.

One caveat is that regular PET isn't so good in the brain - there is so much metabolic activity that everything glows. So I get an MRI Brain to go with my regular full body PET/CT (cancer 5 years ago with recurrence 18 months later, currently NED).

No chemo. The entire idea of this regime is to hit the tumour with immuno to get the reaction. They want lots of tumour cells and for it to be "treatment naive" - Richard hadn't even had corticosteroids, which dampens immune.

Once they primed his system they excised as much as possible and kept the immuno going while doing a course of radiation.

Profs Long and Scolyer work with melanoma where chemo is rarely used these days.

It's easy for (say) AWS to terminate your EC2 instances. Do they also delete your DB backups? Delete your S3 buckets?

All of these incur costs. How hard a cap do you want?

There's a bunch of different immuno types for melanoma (and other cancers). That one is a combo of nivolumab (aka Opdivo) and relatlimab.

Nivo is used a lot for melanoma, also commonly in combo with ipi (ipilimumab, yervoy). Pembro (keytruda) is the other common one.

Anyway, any of these can have adverse effects so patients are closely monitored.

For me, my thyroid didn't like nivo much but recovered. But we stopped after a couple of cycles of ipi+nivo because I was starting to develop colitis. And more importantly it wasn't slowing development of my melanomas.

I get an MRI Brain every three months. I usually opt out of the piped music - mostly because it's either a bad choice by the radiology techs or tuned to a generically awful radio station - but the headphones lock into the head cradle so I use them with earplugs underneath. I close my eyes and tune out and try to not sleep (and twitch so they have to restart the capture).

Some of the pulse sequences are rhythmic and I find the entire thing somewhat meditative, but there are many other places I'd rather be.

That wasn't my experience

Then stop talking like you understand cancer treatment or clinical trials, because it is exactly how it works for thousands of people every year.

Too bad

Pardon me? "Too bad" that I had recurrence of cancer and that immunotherapy was starting to cause colitis? Immunotherapy which turned out was never going to work because of the genetics of my cancer, the sequencing of which was completed thanks to one of the multiple clinical trials I'm on.

I'm sorry about your mother, but spreading your ignorance does not help other people.

No, immuno isn't always a second line treatment.

No you don't need to have failed other treatments before being added to a clinical trial. Quite the opposite in many cases - they have entry criteria so that they can be sure any effects (good or bad) can be linked to the trial and not from something else.

No if you got colitis from immuno, chemo won't "reset" it, but strong doses of steroids might. (We discontinued my immuno before I got to that point.)

There is no "most effective" treatment because cancer isn't one thing.

Chemo is effective for a few cancers but not for others. Immuno might be the most effective for those. Or chemo followed by immuno. Maybe it is CRT (chemoradio).

Or maybe there is no systemic treatment and all we can use is surgery and then maybe RT.

I'm not sure if they've said publicly what immunotherapy they used. I have seen it referred to as a combo, so I would guess ipi/nivo - that is Nivolumab (Opdivo) + Ipilimumab (Yervoy). They've been trialling those as neoadjuvant for melanoma: https://melanoma.org.au/paper/neo-adjuvant-immunotherapy-eme...

Nivo is generally well tolerated, ipi less so. I only got to my 2nd cycle of ipi/nivo before we discontinued it. (I'd already had more cycles of nivo on a trial.) It can have neurological effects and encephalitis in rare cases, so maybe that's what they are referring to. I wouldn't say "poison" though.

As it happens, Prof Long is my medonc. We don't sit around chatting about Richard though, she's a bit busy on clinic days!