The Latest Cancer News

As I’ve said before, I signed up for a study of the effectiveness of prophylactic radiation to keep the cancer out of the brain.

I got a call this morning saying that I’d been randomized into the control group, so I won’t be getting the radiation; but I’ll do all the rest of it:  CT and MRI scans, some blood tests, and some tests of my cognitive abilities (I hope more interesting than the test that Trump bragged about passing, but we’ll see).  The various tests will happen (IIRC) every three months for two years.

With any luck, I’ll be able to do all the tests at an outpatient facility that’s just a ten minute drive from where I live; but it’s unclear whether some special requirements of the study mean that I have to get the scans at the hospital, a 35 minute drive at the best of times.  I hope to find out more about that tomorrow morning.

I’ve had the first scans already, and I’ll get the lab work done and the first cognitive tests tomorrow morning at the hospital (but I don’t have to show up until 10:30, so that’s after the rush hour).

Update, 2024-01-07:  the test of my cognitive abilities that I took on the 4th was indeed more interesting than the one that Trump bragged about passing, but still nothing to brag about. 😎

More on Trump and Colorado

I seem to be getting all my news on this from Mike the Mad Biologist.

A comment reports that the Supreme Court has denied certiorari (they won’t be hearing the case), which means that the Colorado decision stands; but a comment on my previous post suggests that the Colorado ruling includes a stay that’s permanent if the case is appealed.

It’s about half an hour until my Monday-Friday TV news routine begins.  We’ll see whether DW News, BBC World News America, my local news, NBC Nightly News or PBS Newshour confirms the certiorari denial and whether that means that the Colorado decision is permanently stayed or is in effect since the appeal failed.

In any event, the ruling affects the primary election, not the general election; and I read somewhere else (I can’t remember where) that Colorado Republicans are already talking about having a caucus instead of an election so there won’t be a ballot for Trump to be kept off of.

I’m making a trip to the grocery store tomorrow.  I’ll definitely be buying some popcorn.

05:30 UTC−6:  oops, it turns out that I totally misunderstood.  The question that SCOTUS declined to weigh in on was whether POTUS has immunity from prosecution on the insurrection charge, so an appeals court will decide that first.  This was reported as a minor victory for Trump because that other case could go on for quite a while.

We don’t know anything more about Colorado after all.  (I’m in the mood for some popcorn anyway.)

Trump Off the Ballot in Colorado (for now)

I just heard that the Colorado Supreme Court has ruled that Trump will not be allowed on the ballot because of the 14th Ammendment.

Now on to the U.S. Supreme Court.  There’s an outside chance that the Colorado decision might be upheld, but I’m not at all confident about that.  In any event, it’ll be fun to see what sort of hoops the Republican justices jump through to overturn Colorado.

Update 2023-12-20:  Mike the Mad Biologist has some thoughts on this.

I’m Still Here

Not much has been happening with me lately.

I had MRI and CT scans on Tuesday and both turned out OK, so on Wednesday I signed up for the study of whether prophylactic radiation is actually effective in keeping small cell cancer out of the brain.  The study is randomized but not blind, and I’ll find out on the 3rd or 4th whether I’ll be getting the radiation.

I’ve been a bit lackadaisical about finishing my C++ rational number library.  I think it’s ready to go, but I still have a bit more testing to do.  If anybody would like to suggest a change in the design, please do.

A Database Access Library

I’ve been yakking about how I’m working on a database access library, so maybe I should show you my current design to prove it. 😎  This should be the last of the dorky programming posts for a while.

The C++ standard library has nothing like the java.sql.stuff.  There are some third-party libraries out there, but they seem kind of klunky to me, and I suspect that they don’t scale up to real world use cases.  This makes C++ a really bad choice for use in the good old “business data processing” domain.*

I wanted a design that more closely matches common C++ idioms (container/iterator for example) so that coders wouldn’t have to learn a whole new way of thinking.  It’s by no means an exact match (cursors are not really iterators, for example); but I think it’s the same general idea.

I’m not ready to share any code yet.  Indeed, some of it might embarrass me. 😎  For a variety of reasons, it’s been a couple of years since I’ve worked on it; and I need to review some ODBC ugliness that I’ve forgotten to finish the SQL/CLI implementation.  I haven’t even started on the Web client business which needs to be part of the proof of concept since I claim that I can make it work.

If there’s anybody out there who thinks this is basically a good design and would like to run with it themselves, I’ll happily share what I’ve got so far (probably about 1500 lines of code, not really a big deal yet).  I’m currently stuck on conversions between C++ and SQL types, which is central to making cursors work and depends on some ODBC stuff that I can’t remember.

My goal of getting WG21 to publish this in a TS will probably never be realized, but I think it’s worth doing anyway.  I’ll implement the rational number that I mentioned in the previous post first just to have some fun and get back in the groove; then I’ll see whether I can restart the work on the database library.**

*Business data processing will probably never be more than a niche market for C++, but that’s where the bulk of my experience is and so it’s what I know most about.

**My local PBS affiliate is starting up its quarterly pledge fortnight, so I shouldn’t have much TV to watch for a couple of weeks. 😎

Rational Math

Back when I was a C++ newbie, I decided to write a rational number class because I thought it would be a good exercise.  I revised it and added features over the years as I learned new stuff (I/O manipulators, for example).  I looked around my computer for it this morning and found a version that I wrote over a decade ago when I still didn’t have even a C++11 compiler to work with.

About 11 or 12 years ago, WG21’s numerics study group was thinking about publishing a Technical Specification (TS, a kind of warning about possible future standardization) that would propose some new number types (fixed-point types, an unbounded integer, things like that).  I confidently raised my hand and said that I had a rational number that I could add and proposed what would eventually morph into this*.  That “Numbers TS” is no longer in the works, so my rational number died.

I think I’ll revisit that to bring it at least to the C++20 level and implement it using the bigint class that I mentioned in the last post to avoid overflow.  I also want to put the I/O manipulators back just because I think they’re Really Cool. 😎

That should keep my brain working for a little while longer.

*Starting with the “[rational.math] Rational math” section, that’s what much of the C++ standard reads like.  It’s most definitely not a tutorial. 😎

Big Numbers

The code that I’ve posted about so far has been pretty light-weight.  Here are a couple of open-source classes that I hope could be useful in actual production code.

I have an unbounded integer and a big decimal that are intended to be C++ equivalents of SQL’s NUMERIC and DECIMAL types for use in a database access library that I’m working on.  They’re basically for storing big numbers and maybe doing a little bit of arithmetic.  The efficiency of my implementation might not be good enough for serious numerical work.

That’s particularly true for division.  I’m not as competent as I’d like to be in numerics; and when I tried to read about multi-word division in Knuth Vol. 2*, my eyes glazed over; and I had to revert to the good old “long division” routine that I learned in fourth grade.  I get a first trial divisor for each new digit of the quotient reasonably quickly; but if I guess wrong, which is likely, it takes linear time to get from that point to the right value.  If there’s a numerics expert out there who knows of a good way to do multi-word division, and if it turns out that I can comprehend it, I’d love to hear about it.

The two documentation papers, all the source code for both classes, and the open-source license are zipped up here.

*Knuth, Donald E., The Art of Computer Programming, Volume 2: Seminumerical Algorithms, Third Edition

The Amtrak-Related Code

Here’s the post about the three programs I mentioned the other day about Amtrak timetables and on-time performance.  They’re programs I wrote mostly for myself to use, not to create pretty output, but to be quick and dirty ways to get me information for planning trips.

All are pretty clunky.  You first have to load raw data from the Web into your browser, then save the data in a file on your machine, then use that file as the input to a program that you run from a command line.

Most folks reading this blog probably aren’t programmers; so if they’re interested in this at all, they probably don’t want to have to compile the code for themselves.  I’ve compiled them for both Linux and Windows; the Linux version should run on a Mac.

The timetable generator

Before you worry about my code at all, check out Christopher Juckins’ timetables.  He has both current and historical timetables that are pretty PDF files of the sort that Amtrak used to publish and might be much more to your liking.

My code generates timetables that look like (but bigger):

29-30 timetable

or:

2150 timetable

One advantage is that you can create timetables with different trains for each leg of a round trip:

321-302 timetable

but that takes a bit more work on your part.  Also with a bit more work, you can create timetables for trains 421 & 422, the Texas Eagle through cars to Los Angeles, and for the Portland section of the Empire Builder or the Boston section of the Lake Shore Limited, where Dixieland Software doesn’t provide the raw data in a single file.

The documentation is here; the open-source code, if you want to play with it, is here.

If you want to just run the program, the two executables are here.  The file without any extension on the filename is for Linux; the one that ends in “.exe” is for Windows.  Just unzip the one that you want and stick it in some directory on your hard drive that’s in your PATH environment variable; then in the documentation, click on “Instructions for use” in the table of contents.

The raw data for this comes from Dixieland Software.  If you’re only creating one or two timetables, it’s probably easier to just type the URL in your browser; if you might want to generate timetables for lots of trains, I’ve put my little HTML form at https://www.cstdbill.com/train/atksked.html so that you can just load that once into your browser and bookmark it.  (Dixieland Software uses just HTTP, not HTTPS, but you’re not transmitting any secrets, so I wouldn’t worry about it.)

Two on-time performance analyzers

This is actually a library that generates an HTML table showing minimum, maximum, median, mean and standard deviation of late times for particular trains at particular stations, or the likelihood of making connections between two trains.  (This is what finally goosed me to write the trivial statistics library that I mentioned in the previous post.)  The two programs I’m talking about here are extra added attractions.

The documentation is here.  If you’re a programmer who wants to play with the open-source code, there’s a link to a zip archive in the introduction.

Most of the documentation is geeky programming stuff; so if you just want to run the programs, go straight to “Two Programs that Use the Library” in the table of contents.  You’ll find links to the executables there.

A simple SQL database

Here are some musings about a possible design for an Amtrak-related database.  Although this is intended for testing the database access library that I’m working on, I’ll include it here because it’s about Amtrak.

My current design is here.

If anybody can think of anything else I should add to it, I’d love to hear about it; although it’s not about making reservations and shouldn’t have any PII in it.

Also, I currently have no clue where to get the data to load the consists table.  If anybody knows where I might find that on the Web, please let me know.  If it’s a secret that you don’t want to disclose in a comment, you can contact me privately at [email protected].

A Trivial Statics Library

A while back I wrote that I’d have some posts about some C++ code that I was working on, but then cancer got in the way.

I’ll begin with an open-source library of abecedarian statistics functions, just the minimum, maximum, median, mean, variance and standard deviation of data points that are strongly ordered.  I started with just standard containers of built-in numeric types, but quickly went over the top trying to make the library as generic as possible while keeping it simple for the built-in types.  I was basically just having fun with that.

[user documentation — doc., code and license]

I’ll have the next couple of weeks free, so I’ll try to get more examples ready for posting.  I’ve written:

– A program for generating Amtrak timetables.

– A program for analyzing on-time performance of Amtrak trains.

– A program for guessing the likelihood of making connections between Amtrak trains.

And in support of a database access library that I’m writing:

– An unbounded integer type.

– A big decimal type.

– A preliminary design for an SQL database of Amtrak trains to test it.

The database access library is nowhere near being ready for prime time yet, but I have some preliminary user documentation for the current design.

If there’s any interest, I might stick it all out on github Real Soon Now.

On the Cancer Front

The only chemotherapy symptoms I’ve had are hair loss, but that’s ongoing for this old fart anyway, just happening a little quicker; and constipation, but that generally clears itself up in two or three days and so is just an annoyance.  One serious side effect that had no overt symptom associated with it was a dangerously low white blood cell count resulting in an increased danger of infection.  To guard against that, starting after the second round of three days of chemo, they stuck something on my abdomen called a “Neulasta”, a small boxy thing that gives me a very slow drip of some drug that gooses my bone marrow.  Blood work shows that the white cells are under control.

My last drip in the hospital was yesterday morning; I had a couple of pills to take at home after breakfast this morning; and I took the Neulasta off at 4:00 pm today as instructed.  I am now officially done with the chemo.

The next step, which will happen on the 12th of next month, is an MRI to see whether the cancer wants to reassert itself in my brain, and a head-to-hip CT scan to look for any other occurrances.  Depending on how the scans look, it’s possible that I’ll qualify for a study of whether the usual treatment of prophylactic low-level radiation to keep the cancer out of the brain is actually as effective as some 40-year-old study suggests.  IIUC, the radiation carries with it a small but non-negligible risk of a bit of short-term memory loss.  I hope I made it clear that I’ll happily accept the small risk in exchange for the opportunity to help increase human knowledge in my small way.

The new study, IIUC, is specifically about small-cell lung cancer caught early, which is rare so that, in the earlier study, n was small, and so the data wasn’t all that good for my particular disease.  The study will be randomized but not blind, so I’ll know whether I’m in the experimental group or the control group right from the get-go.  Double-blind would be better of course; but when I asked the radiation oncologist about that, he said that there would be no “sham radiation”; and that choice of words suggested to me that there might be some ethical limitation on that.  (He didn’t say that specifically, so the “ethical” bit is just a wild guess on my part.)

I’ll be meeting with both the chemo and radiation oncologists on the day after the scans when I’ll find out whether I qualify for the study.  If I do, I will definitely sign up.  (I’m guessing that both Utilitarians and Kantian ethicists would approve of that decision, so it’s an easy one that’s not at all confusing.)

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After I got home yesterday, I took a short nap and dreamt that the chemotherapy guy asked whether I’d like to switch to his next-door neighbor who just got her “chemo license” and was looking for “nice patients” to start out with.  I sometimes flatter myself in my dreams. 😎
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