You may recall hearing about the SETI@Home volunteer computing project back in 1999.

The idea was to collect a metric fuckton of data from the Arecibo radio telescope, split the raw data into digestible chunks, then farm the chunks out to thousands of volunteers, letting their home computers sift through the data looking for potential signals from extraterrestrial sources.

WCG screen saver

WCG screen saver

The sifting software ran in a low-priority background task as a screen saver. When you weren’t using your computer, its spare cycles could be used to perform useful scientific research. And *your* laptop might detect the first signal from intelligent life outside our solar system!

As an engineer, I’ve always had both work and home machines, plus older computers lying around gathering dust, so I installed the software and started processing chunks of data (“work units” in their lingo).

After running that for several years, in 2004 I switched to a different volunteer computing project: United Devices’ grid.org Cancer Research Project, which tried to find useful matches between ligands and key proteins. By that time I was a committed Pan-Mass Challenge rider, and contributing to cancer research was more important to me than looking for aliens.

I ran the grid.org software for another three years before they shut it down. During that time I processed 4,500 work units, volunteering 5.25 years of CPU time. When it finished, I wrote up a blogpost about my experience.

Then I migrated over to IBM’s new World Community Grid, which hosted numerous volunteer computing projects. Eleven years later, it’s still running… and so are my laptop, our printer server, and even my Android tablet!

For WCG, I’ve volunteered 34 years worth of CPU time from 12 different computers. I’m in their top one percent of users, having processed 70,000 work units for 19 different research projects that focus on topics as diverse as AIDS, Zika, Ebola, Malaria, clean energy, clean water, and more productive rice crops.

But as you might expect, my most sizable and rewarding contribution has been toward defeating cancer. Between the grid.org and WCG platforms, I’ve contributed 34 CPU years to a half dozen cancer research projects.

With the recent rise in cloud computing, the idea of farming large computing tasks out to home computers seems antiquated. But as long as the work units keep coming, I’ll keep crunching them, doing whatever I can to further the cause of eradicating cancer… while I sleep!

How does one find the words to eulogize a true hero: a dear friend, a tireless mentor, a great benefactor, and a true inspiration?

When I did my first Pan-Mass Challenge charity ride back in 2001, my coworker Jeremy—who was doing the AIDS Ride—told me about a group training ride starting at Quad Cycles in Arlington. “It’s run by this guy named Bobby Mac… You have to meet him!”

So one weekend I went out and rode with them. Bobby was a charismatic older guy who was the obvious center of the group. He’d bark out endless advice about how to ride, always interjecting a characteristic bit of self-deprecating humor or belting out snippets of songs from the 60s and 70s. He’d shamelessly (but harmlessly) flirt with the ladies, who all adored him. On the road, he always stayed with the slower riders, mentoring them and offering helpful advice for how to both survive and enjoy whatever charity rides they were training for.

Bobby Mac made riding fun.

Bobby Mac
Bobby Mac with Johnny H
Bobby Mac at Ferns during the Tour de Mac
Bobby Mac
Ornoth with Bobby Mac
Bobby Mac

Like so many other neophyte riders, I started out wearing canvas cargo shorts and a tee shirt, riding a heavy, flat-handlebar “hybrid” bike. Over the course of thirteen years with him, Bobby sculpted me into a spandex-clad veteran roadie who rides 10,000 kilometers a year on his carbon-fiber road bike and has raised over $100,000 for cancer research.

But I am just one person out of hundreds and hundreds of riders whom Bobby has encouraged over the years. Himself an inveterate charity rider, he and his team of “Quaddies” were often top fundraisers and volunteer crewmembers for several of the largest charity rides in the area. If you added up all the good works performed by Bobby Mac and the legions of riders he has encouraged, the sum total would be staggering.

As you can imagine, Bobby Mac was a huge part of the local community. He recorded several PSAs on behalf of charity rides and local cycling advocacy. No matter where we went, we’d always run into people who knew him. Whether you were a cyclist or not, it seemed everyone was friends with Bobby Mac. No matter who you were, he made it very easy to feel like you were his best friend.

We also loved Bobby for his idiosyncrasies. It was a mark of seniority if you could say that you’d seen him ingest anything other than Cytomax sports drink. Back when the ride stopped at Kimball Farm, Bobby proved that his popularity extended even to barnyard animals, as “Buff the Powerbar-Eating Goat” would run up to the fence to greet him and receive a treat.

As he aged, Bobby suffered from macular degeneration which gradually eroded his eyesight. I once watched him nearly ride straight into a sawhorse barrier that a road crew had put up when one of our regular roads was temporarily closed. It was a mark of real trust if Bobby let you lead him through a charity ride on unfamiliar roads he hadn’t already memorized.

Due to his worsening eyesight, we all feared that Bobby would eventually be unable to ride. Knowing that his time was limited, in 2006 we organized the first Tour de Mac, a special ride in his honor, complete with tee shirts, rubber wristbands, and an award presentation for the guest of honor. In 2009 we held another ride to celebrate his 60th birthday, which I recorded with an emotional writeup and video. Everyone loved Bobby, but despite repeated operations to maintain his vision, we all harbored silent fears about how much longer he would be able to ride.

However, Bobby wasn’t destined to live long enough for his eyesight to fail him. Three weeks ago, Bobby went into the hospital, suffering from pancreatic cancer that had metastasized. It was terminal, and last night he passed away in his sleep at home.

When his diagnosis first became public knowledge, the hospital’s staff very quickly learned how special Bobby Mac was. They weren't prepared for the hundreds of his friends who came to visit his bedside. The nurses put up signs, limited the duration of visits, and still more people kept coming, sometimes queueing up in shifts of ten at a time outside his hospital room.

The first time I visited him in the hospital, I had something special I wanted to share with him. When a rider surpasses $100,000 in fundraising, the Pan-Mass Challenge gives them a silver pin with the PMC logo as a lifetime achievement award. I had received mine six weeks before Bobby went into the hospital, after 13 years of riding and raising money for the Dana-Farber Cancer Institute.

I wanted Bobby to know about that accomplishment, and how it was due in large part to his inspiration. And that if I was only one of hundreds of riders he’d encouraged, then he’d achieved a whole lot of good in this world. His characteristically self-effacing response was to shrug off his role and emphasize mine, saying that I had long been the most dedicated of his charity riders.

It’s bitter irony to me that the man who was my hero and inspired me to ride the Pan-Mass Challenge was taken from us by the very disease I’ve raised so much money to combat. It goes without saying that this year—my final PMC ride—will be dedicated to the memory of my hero: Bobby Mac. It will be a very emotional ending when I reach the Provincetown finish line for the final time and lift my bike over my head, consciously copying Bobby’s signature victory salute.

With his innate charisma and his natural role as the center of a circle of people, Bobby reminded me a lot of my father, or what he might have been, if my father had been motivated by kindness and generosity. In that way, Bobby has been a role model for me, an inspiring example of what a fatherly male figure could be—and could accomplish—in this jaded, selfish world.

There’s one particular exercise in Buddhist meditation called “Brahmavihara practice”, wherein we use visualization to cultivate our capacity for friendliness, compassion, and joy in others’ happiness. Typically, we start by directing compassion toward someone whom it’s easy to feel affection for, then slowly work our way to people we feel ambivalent about, and then challenge ourselves to work with people we find difficult or hateful. But we start with someone who is often referred to as our “benefactor”.

Years ago, when I started that practice and was asked to identify someone whom I felt unalloyed affection for—someone whom I considered my benefactor—one person’s name immediately jumped to mind: Bobby Mac. Bobby was my exemplar of friendliness, affection, compassion, and generosity. In my opinion, Bobby was the absolute embodiment of the concept of a “benefactor”.

Bobby’s presence and personality made everyone’s world feel much more friendly, much more optimistic. He put a whole lot of love and goodness into the world.

And he took a whole lot of love and goodness with him when he left: both the love of his many friends which was directed toward him in his final years, and also the love and goodness that have gone out of this world with his passing. For everyone who knew Bobby Mac, the world feels a little colder and more lonely without his energetic encouragement and his incorrigible smile.

Here’s to you, my friend, my mentor, my benefactor, my inspiration, and my hero. As you enjoined us at the start of every ride, we will do our best to “ride with love in our hearts and smiles on our faces”, thanks to you, Bobby Mac.

I won’t belabor the ask, but if you wish to make a donation to fight cancer in Bobby’s memory and sponsor my PMC ride, you can do so here.

So someone finally wrote a book about the Pan-Mass Challenge.

If you are one of my friends who care about (or are just curious about) the event, you might be interested in picking it up. It’s short—just 150 pages—with a handful of greyscale photos. It’s inexpensive too—just $9 at Amazon!—and the author is giving 75 percent of the profits back to the PMC.

Front cover

The writing is first-person and informal. While that makes it readable, the author rambles around each chapter, covering diverse topics with no real focal point, yielding a book that also has no coherent theme other than the experience.

But to be fair, the PMC—the event—is all about that experience. The entire weekend is intensely emotionally charged, and that’s something that is nearly impossible to convey in words. This is astutely summarized in a quote from one teen rider, “When you explain it to a friend they sort of know what it is, but until they’re there, they don’t really know.”

Sure, there’s the obligatory nod to the event’s long history, including how the idea came to the founder during a ride in Boston’s Arnold Arboretum, how he ran the event for fifteen years from his father’s dining room, how everyone reacted to the first rider fatality, finally getting permission to use the campus of the Massachusetts Maritime Academy as an overnight stop, and the event’s phenomenal growth.

And there’s plenty of interesting factoids. On PMC weekend, riders will pedal a collective three-quarters of a million miles. 70 percent of riders return to the event each year, and scores of PMC kids rides serve as a farm club for the main event, iculcating future generations into a culture of philanthropy and caring about others.

Combine all the other single-event athletic fundraisers in the nation, then multiply that by 3.5—that’s what the PMC raises every year. Having passed 100 percent of rider-raised money through to the charity, the PMC constitutes 60 percent of the Jimmy Fund’s revenue and—at 20 percent of the Dana-Farber Cancer Institute’s entire budget—is DFCI’s largest single source of funding.

All this enables Dana-Farber to conduct over 700 clinical trials and 350,000 outpatient visits per year. But more importantly, the PMC gives Dana-Farber the power and security to do the impossible. The PMC has directly underwritten research that led to treatments and cures for rare pediatric cancers that threaten the lives of a thousand kids per year, a hundred kids per year, even just 32 kids per year.

The book tells the stories of a number of these kids, including the PMC’s poster boy: Jack O’Riordan, who at one year of age was cured of Wilms Tumor, which only six children had at that time. And how, after cheering on PMC riders for 14 years, he finally was old enough to do the ride himself (despite a broken leg).

The book also includes stories from the more than a hundred Dana-Farber staffmembers who ride, and gives a pointedly realistic assessment of Lance Armstrong’s single visit to the event in 2011, shortly before his confession as a doper and resignation from his own cancer-related charity.

Many of the people in the book provide quotes that further illustrate the attitude and atmosphere the event creates.

“There are widows and there are orphans, but no word exists for a parent who loses a child.” -One 17-year rider’s fundaising email

“At first when I get the call my heart goes out for the family; it’s so hard. But then my heart soars because they’ve found the right place, the right team.” -A pediatric oncologist who rides

“To the world you may be just one person, but to one person you just may be the world.” -One of hundreds of signs lining the route

“You’re never done, you’re never done with the event.” -A 25-year volunteer

For me as a 13-year rider, the book left me with mixed feelings. I so want to be able to share with others what the PMC experience is like. Although the book relates a handful of very emotional narratives, it’s simply impossible to capture all the amazing and heart-wrenching and grace-laden stories in an event that spans hundreds of miles with 5,500 participants, 3,000 volunteers, countless roadside spectators, and a quarter million sponsors over 33 years.

Back cover

One of the difficult things to capture about the PMC is the emotional impact. All weekend long, you’re primed, because you never know when you’ll see something that instantly moves you to tears, whether it be to the heights of inspiration or the depths of despair. Will it be the kid holding an “I’m alive thanks to you!” sign? Riding next to a Red Sox or Patriots player? Or exchanging greetings with an 80 year-old rider, or an amputee riding with only one leg?

Will it be hearing the story of someone who has raised a quarter million dollars, or a rider with a loved one’s photo or dozens of ribbons with names pinned to their jersey? The tandem bike with an empty seat, representing a lost loved one?

Will it be the sincerity and passion with which hundreds of people lining the route thank you for riding? Or watching the tens of thousands of people—riders, volunteers, sponsors, supporters, patients and their families, doctors, and nurses—who have come together to make a real, meaningful difference in each others’ lives this often impersonal and uncaring world?

As a longtime writer myself, I don’t envy anyone who tries to capture and communicate the PMC experience, in whatever medium. So I won’t criticize the author for falling short of 100 percent success. But I’m very glad he did it, and I think it’s well worth the $9 for anyone who has ever felt attachment to this singular and irreproduceable event.

And, of course, if you have yet to sponsor my upcoming 13th PMC ride, now’s the time!

COPOK

May. 22nd, 2013 09:40 pm

I spent last weekend in Pittsburgh for my BFF Inna’s milestone birthday. First time I’d been there in a couple years.

As always, the main activity in da Burgh was eating. I had an interesting jalapeno steak & cheese at Fat Head in Southside; basil-laden slices from Aiello’s; fajitas at Mad Mex in Shadyside; and a bisonburger and a Nestle Crunch & Nutella frappe at Burgatory, which is in the Aspinwall Waterworks strip mall.

Non-food activities included a trip to the Regent Square Yard Sale, where I picked up a copy of the excellent Immortal Life of Henrietta Lacks for a dollar at the Wilkins School Community Center book sale.

I helped Inna find the Homestead Labyrinth, we visited her friends Jay & Amy, and stopped in at her mom’s to say hi, pet her cats Theo and Pumpy, and play Dominion (I won, despite it being my first time playing the game). And we got a galloping greeting from an orange tabby at the Shadyside Plaza pet store.

Of course, the main reason for the visit was to celebrate Inna’s birthday. I also finally got a tour of her new apartment, and we had some great conversations that covered topics like meditation practice, our interaction patterns, and how habits work.

But of more interest to you are probably the two running gags we christened. The first came about thanks to Inna’s habit of continually scanning the area around her for dogs. While crawling through Regent Square traffic she exclaimed, “Puppy!!! Uhh… no… WHAT?!?” as she did a double-take at the man walking his beagle-sized black pig on a leash in the park. That was pretty priceless.

Equally amusing was my expression of frustration at a sign advertising “fresh corn” in May. Obviously it wasn’t local, “It probably had to be flown in from some place like Iguanastan.” Aside from the awesome new place-name I’d coined, the joke was immortalized moments later when we passed a native Iguanastani woman in a hijab walking nearby.

All told, a pretty good visit, and it was great seeing Inna—and da Burgh—again, especially since it wasn’t in frozen February!

The following is a letter from the President of the Dana-Farber Cancer Institute to the PMC organization.

I have chosen to share it with you and my sponsors to give you a better idea exactly how the money we raise is spent, and how vitally important it is to their lifesaving mission. And, of course, so you too can receive the thanks you deserve for your support of my ride.


Dear Fellow PMC Members:

First, thank you from the bottom of my heart. Thank you on behalf of so many who work so hard to conquer cancer, and even more people who count on us to do just that, and on behalf of everyone at Dana-Farber and all of the people who depend on us. You, individually and collectively, have been absolutely phenomenal. The financial support that you have provided has enabled groundbreaking research that has saved lives and will ensure that we will be able to save more lives in the future. Of equal importance, is the extraordinary spirit and positivity that you bring to your effort. This is enormously uplifting, motivating, and sustaining to all of us who work on the frontline of trying to conquer cancer.  You are right there with us, and that is enormously heartening. I thought it would be a good time to update you about what is going on in the world of cancer research and what your incredible support is doing to allow cancer research to move forward at Dana-Farber despite one of the worst external environments in the history of medical research.

Among the most important things unrestricted funds supports is our ability to recruit and retain the world's most incredible faculty of cancer care givers and researchers. You have met many of them; Nadler, Demetri, Winer, Partridge and more. Nearly all of them are here because we were able to use the unrestricted support that you provided to invest in their recruitment and to support their early work, work at the cutting edge, before it was a "sure enough bet" to be funded by the National Institutes of Health or other agencies. Indeed, these faculty members have become so important and prominent that they are the target of enormously attractive recruitment packages from many other institutes. Because of the PMC's record breaking support last year, I was able to use these funds to support retention programs that kept them here to continue their work. PMC support helps convince them that we can commit the resources they need to make the maximum impact on cancer outcomes on now and in the future at Dana-Farber.

PMC funds support work for ground-breaking, out of the box projects by our investigators in their own research programs; other funds allowed us to invest in key equipment such as state of the art sequencing and imaging facilities. One of the world's first small imager Cyclotrons, a multimillion dollar piece of equipment needed for the imaging capabilities at the frontiers in research, is being used on more mouse models in cancer. It was partly funded by the PMC. To get the remaining funding, we were able to leverage your support to obtain matching funds from the Commonwealth of Massachusetts. We now have the finest animal imaging facility in the country used to study mouse models of cancer, and we will make it available to collaborators within Harvard, and outside to the biotech and pharmaceutical world.

This past Friday, I had the honor of presenting the Osler Young Investigator Award to Dr. Kimberly Stegmaier, one of our rising faculty stars who was supported in her early work by the funds that you raised. She is now a world class developer of novel agents for the treatment of childhood leukemias and neuroblastoma using innovative genomic technologies that we used PMC funds to support. PMC funds allowed us to purchase equipment and collaborative services both at Dana-Farber and the Broad Institute. This has sustained a unique collaboration between two world-class institutions in the conquest of cancer.

This past spring, Drs. Ken Anderson and Paul Richardson and their collaborators from the Medical School and the pharmaceutical industry received the highly prestigious Warren Alpert Award from Harvard for their work in developing novel therapies at record speed. These have been the driving advances resulting in the tripling of survival time for patients with multiple myeloma. A significant amount of the funds that made this work possible came from PMC teams that have ridden in support of Drs. Anderson and Richardson. Perhaps even more importantly, some of the very earliest work of this group, working before its value was apparent, was supported by unrestricted funds that were generated by the PMC.

These are just a few of many examples that provide tangible proof that you are allowing us to forge ahead in very difficult times. In virtually every one of our disease centers and our departments, there are young investigators whose careers were launched by funds raised by the PMC. In every one of our cores and centers, equipment, expert scientists, computational capabilities, expensive supplies and expert personnel are there because we are able to support them with PMC funds. Every one of our clinics and clinical trials are supported by your funds.

You truly are marching with us on the front lines in the war to conquer cancer. It seems almost impossible to do even more than you are doing. However, if ever there was a time for even more effort and generosity, it is now. The federal government allowed "sequestration" to happen, this has resulted in a cataclysmic cut in the NIH budget. Cancer research is disproportionately affected. In addition, Massachusetts and federal healthcare and payment reform are reducing clinical reimbursements.  And, in this time of highly constrained resources, competition from many other worthy causes for traditional forms of philanthropy is more intense than ever.  It is only through the PMC that we can hope to remain aggressive and optimistic about making a difference in the lives of patients with cancer and saving even more lives in the future. Thank you as always for the incredible work that you do on our behalf.

Sincerely,

Edward J. Benz, Jr., M.D.

Sometimes you’re fortunate enough to know when something historic is about to happen. When I heard that there was going to be a formal dedication of the PMC Plaza at the Dana-Farber Cancer Insitute’s new building, I had to be there.

Think about it: Dana-Farber—the place where chemotherapy was invented—hasn’t opened a new clinical building in 36 years. At that rate, it’s an incredibly rare honor to have the building’s main entrance named for your organization. It is a very concrete, tangible method of recognizing how important the Pan-Mass Challenge is to the Dana-Farber’s mission of curing and eradicating cancer.

PMC logo in light
DFCI President Benz & PMC President Starr
PMC Plaza
PMC's Billy Starr speaking
PMC Plaza ribbon cutting
Full Photoset

Leading up to the dedication, details were difficult to come by. I knew the date, and was tipped off to the time earlier that day. Although I hadn’t planned it out, I left work early so that I could swing by my place and grab my camera.

I wasn’t even sure the event was going to happen. Most of New England was under a thunderstorm and tornado watch. The sky was ashen, with a fierce wind blowing debris around the streets of Boston. As I descended the stairs to catch the subway from Copley to Longwood, a deafening thunderclap rattled the headhouse and the lights flickered. If the ceremony hadn’t been canceled, at least there’d be a dramatic backdrop for it!

Arriving at Longwood, I saw that the celebrants were gathering inside the lobby of the new Yawkey Center for Cancer Care building. Uninvited and underdressed, I pulled my camera out and made like I was supposed to be there. I later learned that due to space constraints, only 20-year-plus PMC riders had been invited, due to space constraints. But no one challenged the guy behind the camera, a mere 10-year rider, and I wasn’t about to let such a historic moment pass me by. My one nod to propriety was that at least I didn’t eat any of the hors d’oeuvres!

So I played photographer, and got a few good pictures out of the deal. I even got a bit of photographer-level access to the bigwigs, which amused me.

The sense of being on observer of history was reinforced during the speechifying. This recognition was arguably the most important moment in the entire history of the Pan-Mass Challenge, and it was a moment of deepest pride for me, standing there in a new building that the PMC’s donation was the lead gift for. In his remarks, Dana-Farber president Dr. Ed Benz articulated for the first time the astounding next milestone in the PMC’s fundraising road: a third of a billion dollars.

I won’t say much about the plaza itself. There are three granite planters/benches with “Pan-Mass Challenge Plaza” engraved that separate it from Brookline Avenue. There are dozens of granite pavers in a long line, each one representing one of the towns that the PMC route passes through. There’s two standing arcs of granite that comprise a sculpture called “Tandem”. And a plaque, which reads:

PMC PLAZA
This plaza is dedicated to the Pan-Massachusetts Challenge (PMC): to its cyclists, volunteers, and donors whose life-affirming efforts through the decades have provided critical support for cancer research and patient care at Dana-Farber Cancer Institute. Tandem is a tribute to the indelible bond between the PMC and Dana-Farber and reflects the extraordinary impact when two vital organizations work in tandem.

Yeah. Being part of an organization with that kind of power to do good: that’s something to take pride in. And as the inscription says, it’s not just about the riders. It’s the partnership between the riders, the thousands of volunteers, and a quarter million people a year like you who sponsor riders. And that’s just the PMC’s side of its partnership with Dana-Farber, its doctors and researchers, support staff, and cancer patients and their families.

I’m deeply proud to be one part of that extended family.

The Emperor of All Maladies

I also recently plowed through Siddhartha Mukherjee’s “The Emperor of All Maladies: A Biography of Cancer”.

This is an imposing book. The text runs to 470 pages, and there are no less than 60 pages of back-notes. It’s quite a lengthy read.

On the other hand, the reviews I’d read were all effusively positive, calling it touchingly personal, citing its approachability, and even using the phrase “page-turner”.

I generally agree with that assessment. It’s very engaging and readable, deftly melding the author’s first-person experiences in his oncology residency with interesting stories of man’s early history with this disease. It goes on to add more depth to cancer’s more familiar recent narrative and solid insight into the current state of the art. Although the later chapters tend to rely a bit more on technical jargon, Mukherjee keeps things moving so that the reader doesn’t lose interest.

Part of the reason why he undertook this work was because as a neophyte oncologist, he was so buried in the tactical concerns of fighting the disease that he was unable to answer his patients’ more strategic-level questions about where we are in the overall battle and whether the increased attention of recent years has translated to improvements in prevention, treatment, and outcomes.

Throughout its long course, the book hits on most major forms of cancer—lung, breast, leukemia, Hodgkin’s Disease—and several obscure ones. For a time it follows the search for a single root cause, touching on carcinogenic chemicals like Asbestos and cigarette smoke as well as the cancers precipitated by viral infections like HPV.

But if I had to single out the primary theme of the book, however, it would have to be the hubris of physicians throughout the ages in misunderstanding and underestimating cancer, as well as overestimating their ability to cure it with a single, massive intervention.

In Rome, Claudius Galen attributed the disease to an overabundance of an unknown and unobserved liquid called “black bile”, setting our understanding of cancer on a wrong track for the following 1500 years.

Next up were the surgeons, whose simplistic answer to recurrent breast cancer was to cut deeper and deeper, until the standard preventative practice was to remove the entire breast, the lymph nodes, the muscles of the chest, the clavicle, several ribs, and part of the lung. Better to cut too much than too little, right?

As surgery began to give way to chemotherapy in the 1950s, the next group of oncologists fell for the same old “more is better” fallacy, prescribing massive doses of multiple drugs, eventually concluding that the best policy was to completely destroy the patient’s ability to generate new blood cells, then rebuild it by transplanting new stem cells (either one’s own, harvested before treatment, or transfused from a donor).

Even today, with the mapping of the human genome and gene therapy providing an historical breakthrough in cancer treatment, geneticists have once again fallen into the same mental trap as Galen did 2000 years ago, of thinking that this new technology would spell the end of cancer. Cancer is an incredibly deft, diverse, adaptive, and opportunistic disease, and its defeat is just not going to be that simple.

Despite all these unfortunate missteps, each generation of treatment has produced significant improvements in outcomes. Surgery, chemotherapy, radiation, gene therapy, targeted drugs, and combinations of these can each be the right treatment for the right patient.

And Mukherjee’s book does do a wonderful job depicting some of the fortuitous coincidences that led to the discovery of these new treatments. For example, who knew that a humble jar of Marmite was the key that unlocked the broad spectrum of chemotherapy drugs that have saved so many lives?

Aside from the knowledge that cancer was the result of uncontrolled growth, it wasn’t until the past twenty years that we actually began to understand exactly how and why cancer works at a cellular and genetic level. Before 1970, oncologists could only develop treatments by trial and error. But armed with our new understanding of what cancer is, researchers can now identify cancer’s specific biochemical vulnerabilities and start developing therapies such as Herceptin that precisely target those weaknesses.

In the end, the reader comes away from the book with a much better understanding of why cancer is so difficult to combat, and that each person’s instance of cancer is so unique that it requires an entirely individual treatment.

As a Pan-Mass Challenge rider, I was proud to discover how central Sidney Farber, the Dana-Farber Cancer Institute, and the Jimmy Fund have been. They take center stage in much of Mukherjee’s narrative, as does Mass General, MIT, and the American Cancer Society.

Before I picked up the book, I saw Dr. Mukherjee at an author talk he gave at the BPL. I took the opportunity to ask him whether the recent discovery that the human genome is not identical in every cell had any implications for gene therapy.

Between his response and my readings, it was clear that it isn’t the human genome that matters so much as the characteristic modifications cancer makes to it. By designing drugs that recognize and respond to the unique cancerous fingerprint of a particular genetic alteration, it is possible to starve tumors or at least deactivate their growth. The challenge right now is to catalog those fingerprints and discover drugs that match them.

It’s probably true that you need some curiosity about cancer or medicine to get through this book. But those with sufficient interest will find it informative, entertaining, and very readable.

I recently read this article which cites a study by the Women’s Philanthropy Institute at Indiana University that reported finding a significant gender bias in philanthropic giving.

Actually, the article’s tone was a little more strident than that, loudly proclaiming that “Women are the conduit for change on the planet,” and backing that claim up with further observations that “Women across nearly every income level gave significantly more to charity than men, nearly twice as much in some cases,” and “Women gave more often than men and […] they also give more in total dollars.”

Now although I care about sexism, I’m also sensitive to reverse sexism, and this article raised my hackles from the start. Even if there is a statistically significant difference in philanthropy by gender, what is the value of reporting it in this manner, other than to reinforce tired stereotypes of women as nurturers and men as competitive and selfish? Gee, that’s progressive!

Of course, my indignation wouldn’t have justified a blog post were the issues of gender and philanthropy not personal, exacerbated by my predilection for numerical analysis. So…

As you well know, I’ve spent the last ten years fundraising for the Dana-Farber Cancer Institute, and off the top of my head I hadn’t noticed any gender bias (one way or the other) in the donations I’ve received.

But that got my curiosity up, so I went and ran the numbers. While I can’t speak for national trends, here’s my real-world results.

chart

First, I looked at the gender breakdown of the people who have sponsored my Pan-Mass Challenge ride since 2001, throwing out four donations that explicitly came from couples. I came up with 105 women and 134 men.

Contrary to the study’s findings, I have 30 percent more male sponsors than female. Huh. Interesting.

chart

Second, I looked not just at people, but at the total number of donations they made. Although I had fewer female sponsors, perhaps they actually donated more frequently.

No, that wasn’t the case either. I have received a total of 226 donations from women, and 339 from men.

Again bucking the study’s findings, the men who sponsor me have given 50 percent more donations than the women. Wow! I hadn’t noticed that.

chart

My third measurement was designed to account for any possible gender bias in the makeup of my donor list. After all, I am a guy, and I might have a proportionally larger number of guy friends, right?

So I divided the number of donations by the number of people making them, which told me the average number of donations made per person. If that article was right, surely the average lady would donate more frequently than the average man.

No. As a group, the women who have sponsored me have done so an average of 2.15 times, while the guys have averaged 2.53 donations per person.

That did close the gap a bit, but the men have still made 20 percent more donations per person than the women.

Nothing I’ve described so far validates the article’s claims. In fact (and to my surprise), it’s actually the opposite; if we go by number of donations, the men have been 20 to 50 percent more forthcoming in support of my PMC ride than the ladies.

Surely that can’t be right, tho. Let’s look further…

So far I’ve only focused on how many donations people made. Remember that the article also claimed that women give significantly more (dollar-wise) to charity than men, sometimes twice as much. Okay, let’s start looking at my numbers in terms of dollars and (perhaps) sense.

chart

Chart number four shows how much money I have received from each group. Note that I have explicitly excluded all funds received from anyone’s employer matching gift programs; this is purely individual donations.

Again, the boys have the edge, contributing nearly $32,000, while the women account for only $16,000.

Yes, those numbers are correct. While the study claims that women often donate twice as much to charity as men, over the past decade they’ve only given half as much as the men gave to my Pan-Mass Challenge ride.

In this case, the article’s assessment that “women are the conduit for change on the planet” must be reversed, because my male friends have given twice as much as women in the effort to stop cancer.

chart

Again, since there are more men in my sample than women, we have to correct for that. This chart shows what happens when we look at those numbers on a per capita basis.

As you can see, each woman who has sponsored me has given, on average, $155. That’s not per donation; that’s each person’s sum total of all their donations since 2001. At the same time, each man has given, on average, $237.

So extrapolating all that out, over ten years the average male sponsor has given me $80 more than the average female sponsor. It’s not twice as much as his female counterpart gave, but it’s still over 50 percent more.

chart

Finally, let’s forget the ten-year tally and boil it down to one final number. Just how big is the average donation? Girls versus boys!

Sorry, girls. The trend still holds true.

The average donation I receive from a woman is $72.25, while the average donation from a man… $93.65.

On average, every donation I get from a man is 20 dollars more than what I would get from a woman. In the final tally, men have given me 30 percent larger donations than women.

Of course, those are just averages, and there are tons of people of both genders who give much more or much less. The point isn’t to make anyone feel self-conscious about how much they give. I’m not challenging anyone or any group of people to increase their giving. I’m just describing how things have gone down, because I was curious and maybe you are, too.

I’d actually also be interested to hear what others’ fundraising stats are like. More is always better when it comes to data!

To summarize all that: the analysis of my Pan-Mass Challenge fundraising shows that I have 30 percent more male sponsors. As a group they have made 50 percent more donations, and they average 20 percent more donations per person than women. Men have given twice as much total money as women, 50 percent more money per person, and their average donation size is 30 percent larger than those given by women. It’s a surprising result, made doubly so by how consistently the results reinforce one another.

All this is starkly contradicts the conclusions in the news article I first mentioned.

Even if it doesn’t jibe with my firsthand experience, it’s still possible that the study behind that article was done with scientific rigor and its claims are valid.

On the other hand, the news article was written by a woman reporter, quoting the woman director of a woman’s philanthropy institute that, together with a women’s advocacy organization (Fenton), conducted a gender-based study whose conclusion (unsurprisingly) made women look better than men and depicted women as “the conduit of change on the planet”. Doesn’t sound like a recipe for objectivity to me.

That degree of built-in gender bias in the underlying study’s genesis, sponsorship, execution, conclusions, and reporting really bring its validity and its conclusions into question.

But who knows? Maybe women do give more money to charity more often than men. But it won’t be proven by this study conducted by the Women’s Philanthropy Institute.

Those of you who have sponsored me on previous Pan-Mass Challenge charity rides have my profound thanks once again.

On the other hand, if you have not sponsored my ride, this year’s 2010 Pan-Mass Challenge would be the perfect time to start. Why? Read on…

This year, you can both sponsor my ride and not spend a lot of money doing it, because I really need your help. This year I’m trying to get 100 people to sponsor me, so even a $5 donation will help me reach my goal. If you can afford a five dollar donation, please consider it, because it will really help me out.

As you probably know, the PMC is a two-day, 200-mile bike ride across Massachusetts that raises money for life-saving cancer research and treatment via the Jimmy Fund and the Dana-Farber Cancer Institute. Over 5000 people ride, over 3000 people volunteer, and a quarter million people sponsor riders each year, and 100 percent of every dollar goes directly to the Jimmy Fund, which has earned 9 consecutive 4-star ratings from Charity Navigator.

Since I began riding the PMC in 2001, outpatient visits and infusions at Dana-Farber have more than doubled, and the number of clinical trials available to their patients have increased by 80 percent. Thanks to the help of people who sponsor riders, the PMC provided the single largest donation in Dana-Farber’s 7-year, “Mission Possible” campaign, enabling them to reach their billion-dollar fundraising goal a year early. Construction is well under way on Dana-Farber’s new, 14-story Yawkey Center for Cancer Care, which will open next year. These are all the direct results of the quarter billion dollars raised by PMC riders.

On top of that, 2010 marks a big milestone for me: this will be my tenth Pan-Mass Challenge. I hope you’ll help me celebrate a decade of cycling -- and raising over $60,000 for cancer research—by sponsoring me this year.

Finally, in order to put the “challenge” back into the Pan-Mass Challenge, this year I’m going to do a true “pan-Massachusetts” ride for the first time. While the PMC covers 200 miles over two days, it only goes two-thirds of the way across the state. So in order to ride all the way across Massachusetts, I’ll be biking an extra hundred miles through the Berkshire hills on the day before the PMC kicks off, making it an arduous three-day, 300-mile expedition.

You can see me talk a little more about these goals in the video that follows at the end of this post.

I hope those are enough reasons for you to consider putting five bucks in my hat.

Remember, with my 100-sponsor goal in mind, even a tiny donation will make a meaningful contribution to my goal. Please make a donation to the Jimmy Fund at this web page:
 
       http://ornoth.PMCrider.com/

And if you want to read about this year’s training or look through my writeups, photos, and videos from previous years, those can all be found via http://www.ornoth.com/bicycling/

Please help out. And thanks!

Jothy Rosenberg is one of the most recognizable people who rides the Pan-Mass Challenge. There aren’t many one-legged cyclists on the road, after all.

Just recently, he published an autobiography, entitled “Who Says I Can’t: A two-time cancer-surviving amputee and entrepreneur who fought back, survived and thrived”.

Thirty-five years ago, Jothy lost his right leg to bone cancer when he was 16 years old. Three years later, the cancer had metastasized in one of his lungs, which also was removed. At that time, he was told that no one with his condition survived, but he agreed to undergo experimental chemotherapy that saved his life.

However, the amputation put him in a class of people called “disabled”, which he loathed. He compensated by becoming obsessed with undertaking every challenge anyone laid before him. In the process, he has achieved an incredible number of athletic victories that would be impressive on any able-bodied person’s palmares.

Cancer and Amputation

Who Says I Can't

The book contains a number of amusing and informative anecdotes about how he and others have related to his amputation, from scaring a coworker by shooting an automatic staple gun into his “leg”, to his volunteering to have his “leg” chopped off in a haunted house act.

But he also relates the many and sometimes unexpected complexities of life as an amputee. A simple question like, “How much do you weigh?” requires an evaluation of whether to disclose his actual physical body weight, whether he should add the weight of his prosthesis or not, or whether he should come up with some extrapolated weight as if his artificial leg were made of flesh and bone.

Another thing you wouldn’t think about is how incredibly fatiguing something like simply standing around at parties is for him. While most people alternate putting their weight on one leg and then another, unconsciously resting each leg in turn, Jothy cannot.

Jothy also tells us how difficult it can be to carry anything while walking with crutches, although that might not seem like such a big feat after you read his description of ascending a ladder—one-legged, of course—while carrying an adult golden retriever!

I learned two noteworthy things about cancer from Jothy’s description of his treatment. His cancer metastasized in his lung, which apparently is the most common place for it to spread, since the lungs are the first place venous blood goes after returning to the heart.

The other deals with how traumatic chemotherapy treatment can be, even as saves one’s life. Jothy’s psychological and physiological reaction was so intense that merely seeing a rug with the same pattern as that in his treatment clinic would cause him to start vomiting. Although we’ve come a long way in being able to treat cancer, the treatments can still be extremely traumatic, and more targeted therapies need to be developed.

Cycling and the PMC

Although Jothy’s athletic accomplishments are many and diverse, my interest in his book was largely due to his cycling and his participation in the Pan-Mass Challenge, so let me talk about those for a moment.

Jothy came to cycling fairly late in his recovery, so it is not a major part of the book. His participation in the PMC gets about half a chapter toward the end of the book. Despite that, the book’s full-bleed front cover photo shows him riding a bike in his 2003 PMC jersey. The cyclist in me chuckled at the photo, however, because I noticed that the quick-release on his front brake is wide open.

Jothy relates all the basic facts of the Pan-Mass Challenge, along with numerous memorable moments, passing very briefly over his speaking at the inspirational pre-ride kickoff show one year.

I was especially amused when he described something right out of my own second-year ride report: his dismay when the 192-mile route came within blocks of its Provincetown destination, then made a hard right turn out to the sand dunes of Race Point. That last-second detour adds a hilly five miles to the PMC route as it circles Provincetown before finishing on the opposite side of town.

In terms of cycling with one leg, Jothy faces two major complications. Starting and stopping are both challenging as they require careful balancing and timing. And he cannot stand on hills, a technique that two-legged riders use to increase their pedaling force when the road pitches up. Remember that last part, as I’ll return to it again in a bit.

Mortality

One of the themes I looked for was how cancer—or more generally the threat of mortality—changed him. I’ve observed that in the face of death, people usually do not become depressed or resigned, but are transformed by the realization of how wondrous and truly precious each moment of life is. Jothy seemed to confirm this when he described his response to his cancer diagnosis:

It’s not as if I was obsessing over the prospect of dying. I really didn’t dwell on it. I didn’t bemoan my fate, lash out, or become frozen in either fear or self-pity. It moved to the background, but it underlined everything I did. […] I felt a sense of urgency about everything. “Hurry up and live” could have been my motto.

The knowledge and acceptance of the reality of death, whether it comes as a result of a cancer diagnosis or mere philosophical soul-searching, has the power to transform us by giving direction to our daily lives. While I wouldn’t wish a cancer diagnosis on anyone, Jothy illustrates how beneficial it can be to come to terms with death when he writes, “I was able to see [that] my diagnosis was actually the beginning of a journey toward the meaning and purpose of my life.”

Tone

There are a pair of opposing pitfalls that face a disabled person in writing their autobiography: if you emphasize the disability, you run the risk of the book appearing like a solicitation for pity; or if you emphasize your accomplishments, you run the risk of bragging and appearing arrogant.

There’s little question where Jothy falls on this scale. His book is focused firmly on his prodigious athletic, educational, and entrepreneurial achievements, and less on his diagnosis and disability. There is a thin line between celebrating his genuine and noteworthy accomplishments and self-aggrandizement, and Jothy has to dance around that line to get his message across.

Knowing this, I wonder how critical the description of his entrepreneurial success is to the book’s message. While his athletic accomplishments represent obvious and inspiring victories over his physical limitations, his career as a founder and executive at several technology start-ups is much less directly affected by his amputation. Although it does further illustrate his characteristic response of rising to meet all challenges, it left me wondering how much of his risk-taking is rooted in his own innate personality trait, rather than something he developed as a reaction to his physical disability.

For those reasons, I found one anecdote particularly interesting. He describes riding a bike on a dirt road down a long hill into a valley and finding himself stuck. Without enough traction in the road’s loose gravel, he couldn’t ride forward over the next hill or back the way he came. He had to face the prospect of breaking his rule of always riding to the top of any hill he started, no matter what:

Calling someone to get me out of this situation would just feel too embarrassing. I had only one option. I was going to have to do what I said must never happen: hop [one-legged] up that hill.

Because Jothy spends so much time writing about his victories, I’m curious about how he related to this failure, but all he tells us is that he misjudged that particular ride. Describing what he learned—or even why he chose to include that story—would have been a nice way to balance out the tone of the book, to keep it from sounding too preoccupied with his successes.

Rising to Challenges

I’ve already alluded to the most recurring theme in the book: Jothy’s need to prove himself by overcoming every challenge he could find. In the book, he introduces this by describing how demeaning it is to be offered a compliment, such as “You’re a great skier…”, then have that praise undercut with the caveat “… considering you only have one leg”. To a disabled person, this seems like a diminishment of their abilities, and that perception is what drove Jothy to spend most of his adult life trying to excel at swimming, cycling, volleyball, hiking, skiing, water skiing, sailing, whitewater rafting, and other sports.

For Jothy, that word “considering” is an insult which led him to believe that

The disabled person needs a constant outlet where they can excel, where they can overcompensate, where they can leave the temporarily able-bodied people in the dust.

and

The most gratifying moment in the recovery and rehabilitation of a person inflicted [sic] by a disability is when someone able-bodied says they cannot compete with that person.

In describing his philosophy, Jothy defines a “level playing field” as the ability “to excel beyond those who are not disabled”. To me, that characteristic striving to be “super-normal” sounds like an overreaction, a psychological overcompensation for his disability.

One of the pivotal questions unanswered by the book is whether others would respond to a similar disability by also taking every single dare or challenge they could find. A willful youth even before his initial diagnosis and amputation, Jothy would have naturally responded in this way, but is that true for others? Was that merely his particular way of responding to his disability, or is it a common experience for most people who suffer some form of disability?

I also wonder whether the amputee’s age plays into one’s response to such an immense challenge. Teenagers usually rail against anyone or anything that implies that they cannot do something. Is this kind of overcompensation a typical adolescent response? Do adult amputees respond differently?

Or is the amputee’s gender a contributing factor? Do girls who suffer the same experience respond in the same externally-focused way? To what degree does the psychological need to prove oneself physically normal, competent, and strong correlate with gender?

This raises another interesting question. Did Jothy’s disability help him in the long run by channeling his rebellious teen anger in a practical direction: toward overcoming his disability and pushing his physical limitations, rather than challenging his parents and pushing the behavioral limitations they would have imposed upon him?

The book offers some limited evidence that Jothy’s reaction may be normal. In one passage, he cites a study which uses the term “post-disability syndrome” to describe his response. It quotes one polio survivor as saying:

Don’t let anyone tell you that we just want to be “normal” like everyone else. We have to be better than everyone else just to break even… and that may not be enough.

Unfortunately, the age and gender of this individual are not reported, but this compulsive need to be better-than-normal doesn’t seem to be atypical. Whether this reaction is usual or not, and whether that’s attributable to age or gender or basic personality makeup remains unknown.

But if this is a common reaction, I think there’s a double-standard being applied. On one hand, disabled persons expect and demand that society treat them just like anyone else. On the other hand, they may not view themselves as ordinary, and overcompensate for this by holding themselves to a superhuman standard. They expect everyone else to treat them as normal, but are unable to see themselves or treat themselves as normal.

This disconnect was most apparent to me in one passage where Jothy talks about his “super-aggressive drive to perform at a higher level”, his need to “overcompensate and prevent that dreaded pity reaction”, and the “constant attacks on [his] self-confidence”. In contrast to such exaggerated perceptions, his very next sentence describes these feelings as “a healthy voyage of self-discovery”. Perhaps those feelings are common and unavoidable, but they don’t sound like a mature response to me.

Letting Go

Still referring to the faint praise of being excellent at something “considering one’s disability”, Jothy makes the following insightful observation:

Everyone gets hit with the “considering” epithet in some way for some thing. It stings, whether it’s because you are too Black, too Asian, too female, too old, too young, or too disabled to perform in the manner in which some people think you are supposed to perform.

I find this interesting because it shows that we all have to come to terms with being perceived by others as disabled—and subject to their lowered expectations—at some point in our lives, even if only as a result of the natural aging process.

If someone told Jothy that he was too old and infirm to do something, I would expect him to react strongly and undertake that challenge just to spite the person. However, later in the book he surprised me by turning around and saying of himself:

Perhaps now it is okay to say, “He’s fast considering… he’s getting old!”

One of life’s great lessons is that we all eventually have to come to terms with our own reduced capabilities. I find it interesting that, at 50, Jothy can be philosophical and accept the reduced abilities that come with aging, whereas as a young adult, he put so much physical, mental, and emotional energy into denying the changes in his physical abilities that came with his amputation. I wonder whether that reversal in attitude is a sign of Jothy’s maturation, or the natural result of the confidence that came after repeatedly proving himself, or whether such a common disability as aging is simply more acceptable to him.

Turnabout

In closing, I want to take a moment to turn the tables. While Jothy spent his life battling against people making assumptions about his abilities, there’s one point in the book where I was surprised to find him making the same kind of assertion about what able-bodied riders can do.

In talking about the disadvantage he has when climbing hills with one leg, he says of the rest of us:

Even serious riders who try one-legged riding don’t sustain it for very long and would never try a hill that way.

Jothy, when people expressed disdain about your abilities, you invariably took it as a personal challenge and proved them all wrong. After reading your expressed skepticism of able-bodied riders’ abilities, I have every intention of responding as you would: by taking up the challenge implied in your comment. This spring, in preparation for my tenth PMC, you can expect to find me riding hills one-legged. After all the comments you took as personal challenges, turnabout is fair play, after all!

Those of you who have sponsored me on previous Pan-Mass Challenge charity rides have my profound thanks once again.

On the other hand, if you have not sponsored my ride, but have the means, this would be the perfect time to start. With the economy forcing many former sponsors to tighten their budgets, it would really, really help if I could get a few new sponsors to make up for some of this year’s shortfall.

On August 1st, I will line up for my ninth Pan-Mass Challenge. However, I’m doing something a little different this time. Instead of sending you yet another long email with the same familiar talking points, this year I’ve put together a video that will hopefully communicate how important the PMC is. Here it is:

Last year the PMC donated a total of $35 million to the Jimmy Fund, and I raised a record $12,000. In this, the Pan-Mass Challenge’s 30th year, the sour economy has forced me to reduce my goal to simply surpassing the $6,700 Heavy Hitter level. If I raise that much, I will also exceed $50,000 in lifetime fundraising, which is an achievement I’ll take great pride in.

Regardless of whether the economy is good or bad, hundreds of thousands of Americans continue to die of cancer each year. I hope you will support my fight against cancer by making a donation to the Jimmy Fund at this Web page:

http://ornoth.pmcrider.com/

And if you’d like to look through my writeups, photos, and videos from previous years, or keep updated on this year’s training, those can all be found on Orny’s Cycling Page.

Thanks for reading, and I hope to hear from you soon!

With summer here, it’s once again time for my annual posting to ask you to sponsor my Pan-Mass Challenge ride.

Apologies to those of you who have seen this already. Bear with me; I’m afraid there’s quite a bit of overlap in many of my communities.

And since most of you here have already heard plenty about the PMC in previous years, I’ll limit myself to the highlights.

Ornoth's 2007 PMC

You already know that the 200-mile, 2-day ride raises money for life-saving cancer research and treatment via the Jimmy Fund and Boston’s Dana-Farber Cancer Institute, and that the PMC is the Jimmy Fund’s largest single contributor, generating half of their annual revenue and enabling many kinds of research that wouldn’t otherwise be possible.

The PMC is also the most effective athletic fundraiser in the world. Most fundraisers devote as much as 30% of contributions to the administrative cost of running their event. In contrast, the PMC is a model of efficiency, running a bike ride that spans two days, seven different routes, sixteen water stops, and supports over five thousand riders passing through forty-six towns—in addition to running twenty-two smaller kids’ rides—without taking a single penny of the funds raised by our riders.

Last year, I was able to play a bigger part in that awesome achievement than ever before. Thanks to many of your help, I raised over $10,000 for cancer research, treatment, and prevention, and I have now raised over $37,000 during my eight years as a PMC rider. This year’s minimum is $4,000, and my goal is to once again surpass the Heavy Hitter level, which is $6,700.

Last year I rode in honor of my friends Ken and Christine. Ken was diagnosed with Stage IV Hodgkin’s Lymphoma in early 2005, and spent that summer enduring an intense chemotherapy regimen. In 2006, shortly after his first anniversary post-treatment, Ken’s cancer had fully returned, and he spent the winter of 2006-2007 in another six months of chemo.

At the time of last year’s ride, Ken had made it through that treatment regimen, and he and Christine were looking forward to a planned wedding in May of 2008.

But Ken’s cancer returned just before Christmas, and he went through his third series of chemotherapy this past January. Afterward, Ken’s doctors told him that there was little they could do to achieve a permanent cure short of a bone marrow stem cell transplant.

A month or so ago, just before the stem cell transplant, a PET scan showed that Ken has new tumors in his spine, spleen, and armpit. He immediately began his first radiation treatment, which will be followed by a fourth round of chemo, and possibly the removal of his spleen.

All this occurred just days before the original date of Ken and Christine’s wedding, which they had to put off for another year.

Because they’ve had such a difficult time of it, this year I am once again riding in Ken’s honor.

Cancer is both pernicious and pervasive. One in three Americans will contract cancer during our lifetimes, and one in four deaths is attributable to cancer. It is imperative that we devote the manpower and money necessary to better understand, treat, and prevent this deadly family of diseases.

Each year, I make a concrete contribution in the fight against cancer. It gives me an incredible sense of accomplishment, satisfaction, and hope. It’s a feeling I hope you’ll share if you choose to sponsor my ride by making a donation to the Jimmy Fund at this Web page:

http://ornoth.pmcrider.com/

As I did last year, this year I am also offering a special bonus for anyone who contributes $200 or more. This year’s gift is a Pan-Mass Challenge logo refrigerator magnet, such as can be seen here:

http://ornoth.com/pmc_magnet.jpg

And if you’d like to look through my writeups, photos, and videos from previous years, or keep updated on this year’s training, those can all be found at:

http://www.ornoth.com/bicycling/

Thanks for reading, and I hope to hear from you soon!

Last week I went to a talk and book signing by Dr. David G. Nathan, who has written a book called “The Cancer Treatment Revolution: How Smart Drugs and Other New Therapies are Renewing Our Hope and Changing the Face of Medicine”.

The Cancer Treatment Revolution

Of particular note for anyone involved in the Pan-Mass Challenge, Dr. Nathan is the former president of our beneficiary, the Dana-Farber Cancer Institute. He is the predecessor of Dr. Edward Benz, whom you should recognize from his regular appearances in support of the PMC. Dr. Nathan is also one of DFCI founder Sidney Farber’s contemporaries. So he’s unquestionably one of the most authoritative sources to speak on the topic, and his talk was very inspiring.

The book recounts the technical details of the amazing progress made against all forms of cancer during his fifty years in oncological research, and the equally amazing and heartening prospects for the future, thanks to the ongoing development of improved methods of detection and less toxic smart chemotherapy drugs, which more specifically target the cells which cause the unchecked growth of cancer.

He does this through the actual stories of three typical patients: an infant with a variety of leukemia that until recently was considered untreatable, an older woman who beat a very aggressive form of breast cancer, and a man who turned to very early clinical trials of emerging smart drugs to treat a rare and almost certainly fatal intestinal tumor that had burst.

Having spent much of his professional life working with or for the DFCI, the book has a lot of specific detail about the work which the Dana-Farber has done in the fight against cancer: work which has been made possible largely due to the nearly two hundred million dollars brought in by people who have donated to DFCI through the Pan-Mass Challenge.

Dr. Nathan’s successor, Dr. Benz, was also on hand at the reading, and I was gladly able to speak with both of them briefly and offer my thanks for their work. I consider it a great honor that my copy of the book is signed by both the former and current presidents of the Dana-Farber, for whom I have raised over $25,000. These are men who have presided over a tremendous transformation in what we know about cancer and how it can be prevented, treated, and, yes: in many cases cured.

As a way to thank my most generous sponsors and spread the word about how far we’ve come in the treatment of cancer thanks to the work done at Dana-Farber and elsewhere, I plan to offer a free copy of the book to every person who makes a contribution of $200 or more* in support of my ride this year.

If you’re desperate to get your copy of the book ASAP, you can sponsor my PMC ride here. However, I’m planning on getting started on my fundraising in the next couple weeks, and I’ll be sharing a lot more news in my fundraising letter, which will also be posted here shortly.

 
* That’s before any employer match

a ligand

After seven years, Grid.org has shut down.

So, what’s that? Grid.org is like SETI@home, one of those “grid computing” projects that uses the spare cycles when your computer is idle to perform massive research projects. If you’ve seen any of my machines lately, it’s the screen saver that looks like it’s doing some sort of chemistry with molecules and stuff.

Unlike SETI, which grinds through telescope data, most of Grid.org’s projects have focused on human health, including an Oxford-based study of how various sets of molecules called ligands interact with key protein molecules in the development of cancer.

I’ve run data for the cancer research project on multiple machines for the past two and a half years, analyzing 4500 proteins and around a million ligands since 2004. In that time, I’ve donated five and a quarter years worth of CPU-hours and accumulated over a million “points”. I climbed to third on the “Where’s George” team of users in terms of CPU time, points, and results returned.

I’ve returned 1500 results from my ThinkPad at home, 1150 from my machine at my former job, 875 from my old personal Vaio, 550 more from my current work machine, 300 from a loaner machine from a former client’s client, and a few hundred from various other machines.

The good news is that grid computing is more widespread than ever before, and there’s no lack of meaningful philanthropic projects an individual can contribute to. Since cancer remains my biggest cause, I will probably move on to IBM’s World Community Grid’s Help Defeat Cancer project. One of several places to look for information about grid computing in general is EnterTheGrid.

I’ve experienced some synchronicity regarding waterfalls and Buddhism recently, and I thought both of the following images were strong enough to warrant mentioning here. Both, of course, deal with our ignoring the fact of our own mortality, and what it means for how we live our brief lives.

The first is a poem by Kay Ryan. It goes as follows:

As though the river were a floor,
we position our table and chairs upon it,
eat, sit, and have conversation.
As it moves along we notice, as calmly
as though dining room paintings were being replaced,
the changing scenes along the shore.
We know—we do know—that this is the Niagara River,
but it’s hard to remember what that means.

She wrote it when her partner was diagnosed with cancer, and I think it captures perfectly the illusion most people live under: the ludicrous denial that we will all die, and not too long from now, either.

To most people, that will sound morbid and depressing, but I can’t think of any more valuable thing to hear. It’s the same message that people who are diagnosed with cancer hear, and often it’s the most liberating, life-changing message they’ve ever heard. Life is brief; there’s no escaping that fact, so don’t squander this precious treasure you’ve been given.

One of the ways philosophers have attempted to define intelligence is the knowledge of one’s own mortality. I think in many ways the measure of intelligence is in how one lives one’s life in response to that knowledge.

The second waterfall is something similar, an image described by Suzuki Roshi, the influential Soto Zen priest who founded the San Francisco Zen Center, in his “Zen Mind, Beginner’s Mind”. When he visited Yosemite National Park, he observed several high waterfalls. He reflected on how the water was unified in one stream until it got to the precipice, and then as it fell, the water separated into millions of tiny droplets. How long and difficult the journey must be for those droplets, falling thirteen hundred feet onto the rocks below! He compares the droplets to our many separate lives, returning eventually to the oneness of all life.

Now, I’m not really bought into the universal oneness of all life, but the waterfall metaphor is still a valuable and stirring one. It illustrates how ephemeral our lives are, and how separate and individual we think we are, despite the fact that we are all traveling the same, well-worn and inescapable path into the abyss of death. All the commotion we make, pretending death doesn’t exist or at least won’t come for Me, seems a bit silly as we plummet headlong through our brief existence.

The question is: how would you live your life, if you knew it were going to end?

And more importantly: what is stopping you from living that way, since you know full well that your life is going to end?

Hey, folks. It’s once again time for me to check in with you and ask you to sponsor my sixth Pan-Mass Challenge ride in support of cancer research, treatment, and prevention at the Dana-Farber Cancer Institute.

Most of you know that I train year-round for the PMC, which is the most important event of my year. The PMC is by far the biggest athletic fundraiser in the nation, and generates half of the Jimmy Fund’s annual revenue. On top of that, there are a couple things that are different this year, and I’d like to share them with you.

1. Last year, the PMC donated 99% of the money raised by riders.

Athletic fundraisers usually donate as little as 60-70% of their contributions to the charity they’re supposed to support. The PMC is required by its charter to donate at least 91%. Two years ago, the PMC astounded everyone with a 97% pass-through rate, and last year increased that to an unsurpassed 99%, which we are justifiably proud of. So you can rest assured that your donations are going straight to the charity, not to the people who run the ride.

2. This year, I hope to exceed $20,000 lifetime fundraising.

I’ve never raised $4,000 in one year, but that’s my current goal, so I can reach the $20,000 plateau in this, my sixth year as a rider. I really need your help to get there. And if your employer has a matching gift program, please take advantage of it. You can double your contribution at no cost to you other than filling out a simple form!

3. This year, it’s personal.

For the past five years, I’ve been lucky: no one I knew was undergoing treatment for cancer. This year is different. This year I’m riding for my good friend and former co-worker [livejournal.com profile] rubyred660, who has had to face this disease again and again over the past five years.

Her mother fought a brain tumor for seven years before succumbing just a week before [livejournal.com profile] rubyred660’s wedding day. A year or two later, she and her father both received precancerous diagnoses that required removal of their colons. After another couple years, she lost one ovary during the removal of a football-sized benign cyst. Unfortunately, it recurred a month later, and her remaining ovary was removed. As another kick in the teeth, the doctors discovered some ovarian cancer cells, which meant five months of preventative chemotherapy, which she has just completed. After subjecting her body to all that chemo, [livejournal.com profile] rubyred660’s prognosis is good and she’s doing well, but after all that trauma, she’s also learned to be cautious when thinking about the future.

Imagine if you had gone through all that in the past five years. No one -- certainly no 28 year-old—should have to endure such an unbelievable amount of pain, fear, and loss. So this year, I’m riding to honor her, and the tremendous spirit she’s shown in fighting such a terrible disease.

I’m once again asking you to help me do that. I hope you are in a position where you’re able to financially support this incredibly important cause this year. It means a huge amount to me, and to the researchers and doctors at the Dana-Farber.

My page on the PMC site is at:
http://www.pmc.org/mypmc/profiles.asp?Section=story&eGiftID=OL0003

and you can go directly to the online donation form here:
https://www.pmc.org/egifts/MakeADonation.asp?eGiftID=OL0003

and you can always check out my cycling journal, [livejournal.com profile] ornoth_cycling, here:
http://ornoth_cycling.livejournal.com/

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