Jeff, diagnosed with stage 4 stomach cancer (gastric adenocarcinoma), reflects on his battle with a rare form of stomach cancer that was discovered incidentally during his attempt to donate a kidney in 2022. As a molecular biologist, he finds himself in a unique position of understanding the scientific aspects of cancer and personally enduring its effects. Although initially symptom-free, Jeff’s cancer was particularly challenging to detect due to a previous gastric bypass surgery. The cancer, a diffuse tumor type, spread silently and avoided detection through routine tests like gastroscopy and CT scans.

During his medical evaluation, a kidney tumor was also identified, leading to surgery that removed the kidney and the stomach tumors. Initially, there was hope that surgery alone might suffice, but when the true nature of his cancer was discovered, the treatment plan shifted. Jeff underwent chemotherapy with oxaliplatin and capecitabine, followed by radiation therapy. Despite these efforts, the cancer persisted, leading to a prognosis where the focus is now on palliative care rather than curative treatment.

Jeff candidly discusses the physical and emotional toll of his treatments. Radiation caused severe fatigue and potential long-term complications, while chemotherapy led to painful neuropathy, making even everyday tasks challenging. Despite these hardships, Jeff remains focused on living purposefully, continuing his work, and cherishing time with his family.

Jeff also warns against the lure of unproven alternative treatments, urging fellow patients to rely on evidence-based medicine. His outlook is grounded in realism, acknowledging the limitations of current treatments while still finding value in the time they can offer.

Mentally, Jeff struggles with the uncertainty of his condition but tries to find meaning in the time he has left. He emphasizes the importance of kindness, especially as he reflects on his legacy and the message he wants to leave for his children. His story is not just about fighting cancer but about living a meaningful life despite its challenges.