And while it was something of a publicity stunt to put a sophisticated and specialized IBM computer in people’s living rooms, the fact remains that Watson is, well, a pretty sophisticated and specialized computer.

Since schooling humanity at “Jeopardy” — which was the subject of a book — Watson went on to get a real job working for the health insurance company Wellpoint.

Now IBM has decided it is ready to tackle something a little more involved. Watson is about to go to medical school, and will even study a specialty: Oncology. Sometime this year, after studying and even taking exams to prove what it has learned, Watson will be assigned to assist human physicians in the treatment of breast, lung and colon cancer.

If this seems like kind of a big deal, it is. Watson won’t be the first computer to serve as a reference tool, helping doctors do their jobs. But then there has never been a computer quite like Watson, which can learn so readily from natural language — and play TV game shows and win.

Last week, I talked with Manoj Saxena, general manager of the Watson program at IBM, to talk about what Watson will — and won’t — be doing in helping doctors treat humans with cancer, and what that might mean for the future of medicine.

My first question was about what Watson has been doing since its big win:

AllThingsD: So, Manoj, last I knew, Watson had been working for Wellpoint, which is a large health insurer. What exactly has it been doing?

Saxena: Let me bring you up to speed. In August, we announced the first commercial relationship of Watson with Wellpoint, one of the nation’s largest health insurers. They have 35 million customers in 14 different states. One out of nine Americans are covered by them. The first area was around utilization or approval. Let’s say you or I call up a clinic or hospital saying we have flu-like symptoms. Where Watson would come in is on the approval process, saying we’re covered. Then Watson looks at the history that the hospital has in its records. It might say that it’s early December, and I come in at this time every year saying the same thing; and the last two times it was a ragweed allergy, not the flu. And the medical journals say there’s a connection between ragweed and fever that looks like the flu. And by the way, the newspaper says there was an outbreak of ragweed in Central Texas. And then, in addition to treating for flu, also look for allergies. So Watson is considering the medical record; the patient history that the insurance company has; and third, the medical journal and news information about what may be causing a certain thing. So that’s what it’s doing with Wellpoint so far.

How then do you make the pivot to working with cancer?

We’ve installed another adviser — these solutions are called Watson Advisers. This one is called Watson Oncology Adviser, and this is a big one. As you may remember, medical information is doubling every five years. Doctors tell us that they are spending only five hours per month going through new information in medical literature. On one hand, you have all this medical information coming out. We’ve decided to focus first on breast, lung and colon cancers as the three to apply Watson to. And Cedars-Sinai has partnered with Wellpoint to help come up with the right cancer solutions. And the point is to build the expertise within Watson to help treat cancer.

So Watson won’t be directly involved with the treatment, but rather to build up its own knowledge base?

Watson doesn’t make the decisions. It’s a physician’s assistant. But before it becomes that, it has a lot to learn. Out of the box, Watson has the knowledge of a first-year medical resident. That is where it’s at today. With Cedars-Sinai and Wellpoint, we’re going to teach it all about cancer during the next six months. We’re going to show it actual cases that were solved in the past. And over time, we’ll tweak and teach it, using things we already know.

Is there a human analog to this process?

A good human analog is how we learn. As children, our teachers and parents sit with us and ask questions to understand how well we learned from what we read. And then, later, we learn by doing. This will address the first two phases. Watson will read on its own, and then oncologists are going to ask questions of Watson to understand how well he has learned and then understood. And then once we feel comfortable that it has learned enough, then we will let it begin working as a physician’s assistant, and then it will go from there.

Since, in the end, there are humans being treated, do you have to get any kind of regulatory approval to do this?

No. It’s very similar to how doctors refer to medical journals. Doctors might turn to Google or something like that to look up info from their medical journals. That doesn’t require any approvals. Someone else asked me what happens if Watson suggests a particular treatment, the doctor accepts it, and the patient dies. Or what happens when Watson suggests something and the doctor doesn’t take his advice. Our view is that it’s the same as looking up textbooks and information. The physician is the one who makes the final decision.

And that will always be the case?

That will always be the case, yes. We are far, far away from computers doing medical treatments. I don’t even see it in the forseeable future.

How do you actually go about feeding information to Watson? How does it learn?

It’s a good question. There are four different types of information that’s fed into Watson. At the base of the pyramid, it’s general information like Wikipedia and Google and general information like that. And a lot of that is general knowledge; and a lot of that is already in place, because we needed that to play Jeopardy! Then the second layer is the medical textbooks and medical journals and vocabularies, and those are fed in as natural-language information. It can be any scanned information or text information because Watson understands natural language. So that information is the second part. It can process text and tables, but it can’t process pictures and videos, but we’re working on that. And then there’s the actual test cases, the information on people with 30 years of cancer treatment history. We feed that into what are called “answer keys.” The fourth layer are new domain-specific information models that are specific protocols and procedures that the health insurance companies will want to feed into Watson.

Where do you draw the line? There is an accepted mainstream body of knowledge and accepted treatments for different cancers, and then there are newer things that may be controversial for some reason.

The way we approach it is in two parts. One is the body of knowledge that is already known. But it does not get applied and in context, and often doctors don’t have access to it in context. There are things like cancer treatment guidelines and well-understood things about radiation and effects on different cancers. Call them the known treatment pathways. The second are the emerging treatment pathways, particularly in the area of genomics. That is the one that can get added on. It’s the one our partners are looking at. In about a decade, most cancer treatments are going to shift to genomics-based treatments, rather than chemotherapy-based treatments. There’s a deluge of information about converting the knowledge about DNA into biological knowledge, and then converting that into treatment knowledge. That is the second part of what we’ll be doing.

Do you have other diseases that you think Watson can help treat in the future?

Yes. Diabetes and cardiology, heart problems are next on the horizon. We’ll also be applying Watson in financial services.

As Steve Jobs famously said to rival Bill Gates of Microsoft in a joint interview with Walt Mossberg and me in 2007, “You and I have memories longer than the road that stretches out ahead.” And perhaps what is most amazing about Jobs was his longevity.

Not in life, of course, which was cut tragically short at 56 years, with his last years focused a lot on the cancer that would ultimately defeat him.

Actually, by longevity, I mean how the iconic entrepreneur continued, until the very end, to have an enormous impact over all of technology and especially in Silicon Valley.

It is easy to see that Jobs has been the single consistent tech tastemaker and true-north icon — even in the frantically changing, what’s-new-is-best atmosphere that too often prevails in the industry.

The list of tech and media arenas he changed via innovative thinking and, more importantly, action, is long — from graphics to design to touchscreens to smartphones to tablets to animation to ease of use to apps to quality to, well, you get the idea.

The hits seemed nonstop: The Macintosh. The iPod. And iTunes. The MacBook. The iPhone. The iPad.

And it is no stretch to say that even the brightest lights in tech and media always watched what he did and were influenced by him, reacted to him, changed because he changed.

In many ways, it was because Jobs never seemed to waver.

Let’s be clear, this is not an easy thing to do, to keep sailing on your own course, often against the prevailing winds, and not be swayed.

Perhaps that is the thing that Jobs most exemplified — a stubborn unwillingness to adjust who he was, maintaining an integrity of purpose and vision when others could not.

It is certainly what has made him — and by extension, Apple — so special. Of course, it is not that he was not difficult, capricious and cutting at times. But even that he owned.

So who and what does tech look to now for that kind of inspiration?

Certainly, at this moment, there is no one leader to fill Jobs’s outsized shoes.

The founders of Google, Larry Page and Sergey Brin? Quirky, curious, arrogant, but so, so prosaic.

Facebook’s Mark Zuckerberg? Still forming, so awkward and not yet the leader he might become.

Jeff Bezos of Amazon? Certainly creative and bold, but utterly lacking in the moxie and style of Steve.

I could go on and not get to anyone even slightly close — there’s no one with the kind of charisma that makes it impossible to look away.

It’s called inspiration, a quality so lacking in all parts of this world, making it hard to imagine any replacement for Jobs.

And, in a way, why should we try to find one?

As Jobs himself said in his memorable “Stay hungry. Stay foolish” speech at Stanford University, right after he recovered from his first bout with cancer:

When I was 17, I read a quote that went something like “If you live each day as if it was your last, someday you’ll most certainly be right.” It made an impression on me, and since then, for the past 33 years, I have looked in the mirror every morning and asked myself, “If today were the last day of my life, would I want to do what I am about to do today?” And whenever the answer has been “no” for too many days in a row, I know I need to change something.

Remembering that I’ll be dead soon is the most important thing I’ve ever encountered to help me make the big choices in life, because almost everything — all external expectations, all pride, all fear of embarrassment or failure — these things just fall away in the face of death, leaving only what is truly important. Remembering that you are going to die is the best way I know to avoid the trap of thinking you have something to lose. You are already naked. There is no reason not to follow your heart.

No reason at all. So, as we all wish Jobs could have done, let’s live on.

And so will Steve Jobs. As AllThingsD Web guru Adam Tow said about the innovative Siri voice control feature in the latest iPhone 4 — introduced earlier this week without Jobs being there to present — perhaps Siri stands for: Steve is right inside.

Yes, indeed. Because his DNA lives in all of Apple. And, of course, in Silicon Valley and in tech, forever and always.

But we move on, too, so here is a video I did yesterday with WSJ.com on what impact Jobs’s death may have on Apple and whether the company will remain an innovator and market leader:

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Steve Jobs Full Coverage »

]]> http://allthingsd.com/20111006/now-what-the-post-jobs-era-in-tech/feed/ 0 http://allthingsd.com/20110201/microsoft-and-the-big-thinking-heads-at-farsight-2011-beyond-the-search-box/ http://allthingsd.com/20110201/microsoft-and-the-big-thinking-heads-at-farsight-2011-beyond-the-search-box/#comments Tue, 01 Feb 2011 16:15:47 +0000 Kara Swisher http://kara.allthingsd.com/?p=40038

Oh dear, BoomTown is still jetlagged from my recent trip to China and now Microsoft Bing is offering up a head-requiring event later this morning in San Francisco to explore the future of search.

There better be donuts.

A lot and with sprinkles, since speakers include the lugubrious investor and hedge fund philosophizer Peter Thiel and skunk-at-a-Web-garden-party author Malcolm Gladwell.

Here’s Microsoft Bing exec Satya Nadella’s blog post on the event, as well as one pre-video of what to expect from the sessions.

In it, Gladwell, noting the richness in search has yet to cure cancer, has a good point, which should be interesting with the backdrop of the protests going on in Egypt and elsewhere.

As in: If governments can block search, does it really matter?

I will be posting if someone comes up with a good answer to that one.

Bing and Big Think present Farsight 2011: “Beyond the Search Box” Event and Webcast

In the past ten years, search has transformed the way we experience the web even as the web itself has changed. New user interfaces, mobile devices, and interactive services are evolving beyond text pages intertwining the ‘web’ into all aspects of our lives and thus we expect to be able to do more online with less friction. Along with the innovation has come an explosion of information and services that are compounding at an exponential rate. Trying to get things done on the web is becoming more complex and fragmented every day. In short, unlike many consumer products, the problems facing the search industry are getting harder–not easier.

In order for us to truly realize the science-fiction dream of so many of us kids, of that ubiquitous intelligent agent, we want to elevate the discussion in search beyond next quarter’s technology. To begin to do that Bing has teamed with Big Think to bring the best minds from inside and outside the industry together for a series of spirited conversations, panels, and demos examining the “Future of Search.”

The group we’ve assembled includes Hedge Fund Manager and PayPal co-founder Peter Thiel, Recorded Future co-founder and CEO Chris Ahlberg, journalist entrepreneur Esther Dyson, contrarian journalist and “Tipping Point” author Malcolm Gladwell among others.

In addition, Farsight 2011 will include a search industry roundtable featuring Matt Cutts from Google, Rich Skrenta from Blekko and our very own Harry Shum from Bing. The panel and much of the day will be moderated by the entrepreneur and technologist, Vivek Wadhwa.

You are invited to take part in the discussion, by submitting your questions for the experts in advance at BigThink.com. Then return on February 1 to watch the conference streaming LIVE from 10:00am to 2:00pm PST on Big Think.com.

I encourage you to tune and be a part of the conversation to help all of us realize the potential that this most powerful technology can bring.

Satya Nadella–Senior Vice President, Online Services

]]> http://allthingsd.com/20110201/microsoft-and-the-big-thinking-heads-at-farsight-2011-beyond-the-search-box/feed/ 0 http://allthingsd.com/20110131/remembering-rajiv-dutta-veteran-of-ebay-and-elevation/ http://allthingsd.com/20110131/remembering-rajiv-dutta-veteran-of-ebay-and-elevation/#comments Tue, 01 Feb 2011 04:11:10 +0000 Nick Wingfield http://voices.allthingsd.com/?p=35767 Rajiv Dutta, a veteran Silicon Valley executive and investor, died Monday morning after battling a recurrence of cancer.

Dutta, 49 years old, was eBay’s chief financial officer during its headiest growth period and later ran its PayPal and Skype divisions. He was most recently a partner at the private equity firm Elevation Partners. Dutta died at a Stanford University hospital after checking into the facility last week.

Read the rest of this post on the original site »

]]> http://allthingsd.com/20110131/remembering-rajiv-dutta-veteran-of-ebay-and-elevation/feed/ 0 http://allthingsd.com/20100818/viral-video-the-big-c-is-also-a-big-d-as-in-digital/ http://allthingsd.com/20100818/viral-video-the-big-c-is-also-a-big-d-as-in-digital/#comments Wed, 18 Aug 2010 07:15:18 +0000 Kara Swisher http://kara.allthingsd.com/?p=32355

Showtime’s newest original series, “The Big C”–starring the superb Laura Linney, a tightly wound woman who reacts to a cancer diagnosis by living it up–premiered on the pay cable channel this week with almost 1.58 million viewers.

That makes it a hit for a program on cable television, but what’s interesting to BoomTown is that the first episode’s online version, which has been available for weeks to gin up interest, has grabbed about that many views, too.

In fact, that’s where I watched it–on YouTube, although it is available in several locations online–and where I am guessing many more than ever will too, if more shows get posted.

We’ll see about that, but until then here’s the video of the “The Big C” trailer, as well as the entire premiere show below it:

]]> http://allthingsd.com/20100818/viral-video-the-big-c-is-also-a-big-d-as-in-digital/feed/ 0 http://allthingsd.com/20091029/kara-visits-tedmed-featuring-synthetic-skin-and-heart-scanning-iphones/ http://allthingsd.com/20091029/kara-visits-tedmed-featuring-synthetic-skin-and-heart-scanning-iphones/#comments Thu, 29 Oct 2009 09:05:11 +0000 Kara Swisher http://kara.allthingsd.com/?p=20071

Can your cellphone check your blood sugar? What does a wireless BandAid do? Is my pill networked? Can a videogame cure cancer? Will a robot care for my mom? Can an Apple (AAPL) iPhone save my life?

And, of course, does synthetic skin feel gross?

The answer to the last question is yes, but it is also pretty astonishing to touch, as noted in one of the many tech-heavy talks at TEDMED, the medical and health-care conference, which has returned after a five-year hiatus, to Hotel Coronado near San Diego.

The four-day gathering is being helmed by RIchard Saul Wurman, the legendary creator of the original Techonology, Entertainment and Design conference. After he sold it, Wurman struck a deal to license the name for this independent event from TED.

Speakers include famed inventor Dean Kamen, pioneering genomic scientist J. Craig Venter, 23andMe co-founder Anne Wojcicki, CNN Chief Medical Correspondent Sanjay Gupta and Qualcomm (QCOM) CEO Paul Jacobs.

Here’s a video I did, which includes interviews with Wurman, as well as his new conference partner, Marc Hodosh, and clips from presentations by Intel (INTC) Fellow Eric Dishman comparing mainframe computers to hospitals, and actress Goldie Hawn, who talked about the benefits of a happier classroom:

]]> http://allthingsd.com/20091029/kara-visits-tedmed-featuring-synthetic-skin-and-heart-scanning-iphones/feed/ 0 http://allthingsd.com/20090626/farrah-fawcett-also-remembered-on-the-web/ http://allthingsd.com/20090626/farrah-fawcett-also-remembered-on-the-web/#comments Fri, 26 Jun 2009 08:22:30 +0000 Kara Swisher http://kara.allthingsd.com/?p=15118

While she had almost nothing to do with the Internet, the Web still has a lot to do with Farrah Fawcett, especially today after the iconic Hollywood actress and model died after a long and well-documented battle with cancer.

Still, the massive online reaction to a more sudden and unexpected celebrity death yesterday–pop legend Michael Jackson, who was 50–pretty much drowned out Fawcett’s passing at 62 years old.

That’s too bad, since she was a genuine cultural phenom–from her famous poster to her feathered hairstyle to her always glamorous declarations of “Freeze!” on the television show, “Charlie’s Angels.”

Thus, here’s my favorite of the many tributes to Fawcett from the Web, to remember her by:

]]> http://allthingsd.com/20090626/farrah-fawcett-also-remembered-on-the-web/feed/ 3 http://allthingsd.com/20090115/when-steve-jobs-said-stay-hungry-stay-foolish-he-did-not-mean-this-foolish/ http://allthingsd.com/20090115/when-steve-jobs-said-stay-hungry-stay-foolish-he-did-not-mean-this-foolish/#comments Thu, 15 Jan 2009 10:53:21 +0000 Kara Swisher http://kara.allthingsd.com/?p=8627

The restless frenzy is what is perhaps most disturbing of all about the never-ending obsessive death watch that has centered on Apple CEO Steve Jobs.

What doesn’t make your skin crawl about it?

The media and blogosphere pitifully arguing, as if it was the most important issue to face mankind ever, over who was right and who was a shill?

Apple (AAPL) being frustratingly opaque and making the bad situation worse–first by saying nothing when Jobs appeared looking disturbingly gaunt, to now releasing a series of confusing statements that don’t jibe, even if health diagnosis is always a moving target?

The rumors and innuendo about Jobs’s fate and health status swirling everywhere, pretty much all of which is pure speculation and all probably wrong?

The emotional dives in the stock, because of skittish investors, who should know by now that this is an uncertain situation–Jobs had cancer, for goodness sake–and therefore should probably tread very carefully?

And, most of all, the needless tarnishing of the reputation of a man who is one of the technology industry’s greatest icons–if not the greatest–having positively impacted the whole culture with a style and elegance that is unmatched?

That it comes at a time when he is sickly and trying to recover makes it even worse and quite sad.

That’s why BoomTown thinks it is time to listen to the wise words Jobs delivered at a now legendary Stanford University commencement address in 2005.

It was full of a lot of wonderful stories, including about his first bout with cancer. And the speech ended with some words Jobs saw on the back of “The Whole Earth Catalog” when he was young, which impacted him greatly.

They were: “Stay Hungry. Stay Foolish.”

I think right about now, that foolish part has gone way too far for Jobs and the rest of us.

So let’s slow things down, shall we, and get some much-needed perspective this speech surely has (in other words, the inevitable finger-pointing and shareholder lawsuits can wait).

Here’s a video of the Jobs speech, as well as the full text after the jump.

The 2005 Jobs Stanford Commencement Address:

I am honored to be with you today at your commencement from one of the finest universities in the world. I never graduated from college. Truth be told, this is the closest I’ve ever gotten to a college graduation. Today I want to tell you three stories from my life. That’s it. No big deal. Just three stories.

The first story is about connecting the dots.

I dropped out of Reed College after the first six months, but then stayed around as a drop-in for another 18 months or so before I really quit. So why did I drop out?

It started before I was born. My biological mother was a young, unwed college graduate student, and she decided to put me up for adoption. She felt very strongly that I should be adopted by college graduates, so everything was all set for me to be adopted at birth by a lawyer and his wife. Except that when I popped out they decided at the last minute that they really wanted a girl. So my parents, who were on a waiting list, got a call in the middle of the night asking: “We have an unexpected baby boy; do you want him?” They said: “Of course.” My biological mother later found out that my mother had never graduated from college and that my father had never graduated from high school. She refused to sign the final adoption papers. She only relented a few months later when my parents promised that I would someday go to college.

And 17 years later I did go to college. But I naively chose a college that was almost as expensive as Stanford, and all of my working-class parents’ savings were being spent on my college tuition. After six months, I couldn’t see the value in it. I had no idea what I wanted to do with my life and no idea how college was going to help me figure it out. And here I was spending all of the money my parents had saved their entire life. So I decided to drop out and trust that it would all work out okay. It was pretty scary at the time, but looking back it was one of the best decisions I ever made. The minute I dropped out I could stop taking the required classes that didn’t interest me, and begin dropping in on the ones that looked interesting.

It wasn’t all romantic. I didn’t have a dorm room, so I slept on the floor in friends’ rooms, I returned Coke bottles for the 5-cent deposits to buy food with, and I would walk the seven miles across town every Sunday night to get one good meal a week at the Hare Krishna temple. I loved it. And much of what I stumbled into by following my curiosity and intuition turned out to be priceless later on. Let me give you one example:

Reed College at that time offered perhaps the best calligraphy instruction in the country. Throughout the campus every poster, every label on every drawer, was beautifully hand calligraphed. Because I had dropped out and didn’t have to take the normal classes, I decided to take a calligraphy class to learn how to do this. I learned about serif and san serif typefaces, about varying the amount of space between different letter combinations, about what makes great typography great. It was beautiful, historical, artistically subtle in a way that science can’t capture, and I found it fascinating.

None of this had even a hope of any practical application in my life. But 10 years later, when we were designing the first Macintosh computer, it all came back to me. And we designed it all into the Mac. It was the first computer with beautiful typography. If I had never dropped in on that single course in college, the Mac would have never had multiple typefaces or proportionally spaced fonts. And since Windows just copied the Mac, its likely that no personal computer would have them. If I had never dropped out, I would have never dropped in on this calligraphy class, and personal computers might not have the wonderful typography that they do. Of course it was impossible to connect the dots looking forward when I was in college. But it was very, very clear looking backwards 10 years later.

Again, you can’t connect the dots looking forward; you can only connect them looking backwards. So you have to trust that the dots will somehow connect in your future. You have to trust in something–your gut, destiny, life, karma, whatever. This approach has never let me down, and it has made all the difference in my life.

My second story is about love and loss.

I was lucky–I found what I loved to do early in life. Woz and I started Apple in my parents garage when I was 20. We worked hard, and in 10 years Apple had grown from just the two of us in a garage into a $2 billion company with over 4000 employees. We had just released our finest creation–the Macintosh–a year earlier, and I had just turned 30. And then I got fired. How can you get fired from a company you started? Well, as Apple grew we hired someone who I thought was very talented to run the company with me, and for the first year or so things went well. But then our visions of the future began to diverge and eventually we had a falling out. When we did, our Board of Directors sided with him. So at 30, I was out. And very publicly out. What had been the focus of my entire adult life was gone, and it was devastating.

I really didn’t know what to do for a few months. I felt that I had let the previous generation of entrepreneurs down–that I had dropped the baton as it was being passed to me. I met with David Packard and Bob Noyce and tried to apologize for screwing up so badly. I was a very public failure, and I even thought about running away from the Valley. But something slowly began to dawn on me–I still loved what I did. The turn of events at Apple had not changed that one bit. I had been rejected, but I was still in love. And so I decided to start over.

I didn’t see it then, but it turned out that getting fired from Apple was the best thing that could have ever happened to me. The heaviness of being successful was replaced by the lightness of being a beginner again, less sure about everything. It freed me to enter one of the most creative periods of my life.

During the next five years, I started a company named NeXT, another company named Pixar, and fell in love with an amazing woman who would become my wife. Pixar went on to create the worlds first computer animated feature film, “Toy Story,” and is now the most successful animation studio in the world. In a remarkable turn of events, Apple bought NeXT, I returned to Apple, and the technology we developed at NeXT is at the heart of Apple’s current renaissance. And Laurene and I have a wonderful family together.

I’m pretty sure none of this would have happened if I hadn’t been fired from Apple. It was awful tasting medicine, but I guess the patient needed it. Sometimes life hits you in the head with a brick. Don’t lose faith. I’m convinced that the only thing that kept me going was that I loved what I did. You’ve got to find what you love. And that is as true for your work as it is for your lovers. Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do. If you haven’t found it yet, keep looking. Don’t settle. As with all matters of the heart, you’ll know when you find it. And, like any great relationship, it just gets better and better as the years roll on. So keep looking until you find it. Don’t settle.

My third story is about death.

When I was 17, I read a quote that went something like: “If you live each day as if it was your last, someday you’ll most certainly be right.” It made an impression on me, and since then, for the past 33 years, I have looked in the mirror every morning and asked myself: “If today were the last day of my life, would I want to do what I am about to do today?” And whenever the answer has been “No” for too many days in a row, I know I need to change something.

Remembering that I’ll be dead soon is the most important tool I’ve ever encountered to help me make the big choices in life. Because almost everything–all external expectations, all pride, all fear of embarrassment or failure–these things just fall away in the face of death, leaving only what is truly important. Remembering that you are going to die is the best way I know to avoid the trap of thinking you have something to lose. You are already naked. There is no reason not to follow your heart.

About a year ago I was diagnosed with cancer. I had a scan at 7:30 in the morning, and it clearly showed a tumor on my pancreas. I didn’t even know what a pancreas was. The doctors told me this was almost certainly a type of cancer that is incurable, and that I should expect to live no longer than three to six months. My doctor advised me to go home and get my affairs in order, which is doctor’s code for prepare to die. It means to try to tell your kids everything you thought you’d have the next 10 years to tell them in just a few months. It means to make sure everything is buttoned up, so that it will be as easy as possible for your family. It means to say your goodbyes.

I lived with that diagnosis all day. Later that evening I had a biopsy, where they stuck an endoscope down my throat, through my stomach and into my intestines, put a needle into my pancreas and got a few cells from the tumor. I was sedated, but my wife, who was there, told me that when they viewed the cells under a microscope the doctors started crying, because it turned out to be a very rare form of pancreatic cancer that is curable with surgery. I had the surgery and I’m fine now.

This was the closest I’ve been to facing death, and I hope its the closest I get for a few more decades. Having lived through it, I can now say this to you with a bit more certainty than when death was a useful but purely intellectual concept:

No one wants to die. Even people who want to go to heaven don’t want to die to get there. And yet death is the destination we all share. No one has ever escaped it. And that is as it should be, because death is very likely the single best invention of Life. It is life’s change agent. It clears out the old to make way for the new. Right now the new is you, but someday not too long from now, you will gradually become the old and be cleared away. Sorry to be so dramatic, but it is quite true.

Your time is limited, so don’t waste it living someone else’s life. Don’t be trapped by dogma–which is living with the results of other people’s thinking. Don’t let the noise of others’ opinions drown out your own inner voice. And most important, have the courage to follow your heart and intuition. They somehow already know what you truly want to become. Everything else is secondary.

When I was young, there was an amazing publication called “The Whole Earth Catalog,” which was one of the bibles of my generation. It was created by a fellow named Stewart Brand not far from here in Menlo Park, and he brought it to life with his poetic touch. This was in the late 1960′s, before personal computers and desktop publishing, so it was all made with typewriters, scissors, and polaroid cameras. It was sort of like Google in paperback form, 35 years before Google came along: It was idealistic, and overflowing with neat tools and great notions.

Stewart and his team put out several issues of “The Whole Earth Catalog,” and then when it had run its course, they put out a final issue. It was the mid-1970s, and I was your age. On the back cover of their final issue was a photograph of an early morning country road, the kind you might find yourself hitchhiking on if you were so adventurous. Beneath it were the words: “Stay Hungry. Stay Foolish.” It was their farewell message as they signed off. Stay Hungry. Stay Foolish. And I have always wished that for myself. And now, as you graduate to begin anew, I wish that for you.

Stay Hungry. Stay Foolish.

Thank you all very much.

]]> http://allthingsd.com/20090115/when-steve-jobs-said-stay-hungry-stay-foolish-he-did-not-mean-this-foolish/feed/ 6 http://allthingsd.com/20090105/steve-jobss-health-chalk-it-up-to-hormones/ http://allthingsd.com/20090105/steve-jobss-health-chalk-it-up-to-hormones/#comments Mon, 05 Jan 2009 18:34:52 +0000 John Paczkowski http://digitaldaily.allthingsd.com/?p=10594

[ See post to watch video ]

]]> http://allthingsd.com/20090105/steve-jobss-health-chalk-it-up-to-hormones/feed/ 0 http://allthingsd.com/20090105/steve-jobss-health-chalk-it-up-to-hormones-2/ http://allthingsd.com/20090105/steve-jobss-health-chalk-it-up-to-hormones-2/#comments Mon, 05 Jan 2009 18:34:52 +0000 John Paczkowski http://digitaldaily.allthingsd.com/?p=10594

[ See post to watch video ]

]]> http://allthingsd.com/20090105/steve-jobss-health-chalk-it-up-to-hormones-2/feed/ 0 http://allthingsd.com/20080728/aint-nobodys-business-if-jobs-is-or-isnt/ http://allthingsd.com/20080728/aint-nobodys-business-if-jobs-is-or-isnt/#comments Tue, 29 Jul 2008 00:33:01 +0000 Kara Swisher http://kara.allthingsd.com/?p=2443

So, I have been standing by, trying to make sense of the debate that has swirled around Apple CEO, Co-Founder and font-of-all, Steve Jobs, with regard to his health or, more specifically, the lack thereof.

And after listening to all of the debate about it–mostly indignant declarations by the media, making their case mostly by wheedling milder indignant declarations from stock analysts and corporate tsk-tsk outfits–I have concluded that what is ailing Jobs is exactly no one’s business.

Even if his every breath is critical to the ongoing operations of Apple, the reason most use as their main argument for Jobs to tell all, it goes double.

Why?

Well, any Apple (AAPL) investor has to know by now that Jobs suffered from a rather serious bout with a curable version of pancreatic cancer some years ago and that recovery includes inevitable complications.

That was on display when he took to the stage of Apple’s most recent Worldwide Developers Conference in mid-June and looked really gaunt and unhealthy. It was obviously hard to look away.

People immediately reacted like it was the end of the world–which is no surprise given Apple’s rabid following–and began to suddenly acquire instant medical degrees and diagnose Jobs on the spot.

In its typically secretive style, Apple did not help matters by throwing out a thin gruel of information and noting it was only a common bug.

Of course, that felt like a bigger whopper than usual–even if he did, in fact, also have a cold, it kind of begged the question of what accounted for the rest of his haggard appearance.

In any case, the chatter went on and on, right up until the most recent quarterly earnings call when Apple’s CFO said, when asked that Jobs’s health, that it was a “private matter.”

Immediately, that sent the debate into a frenzy, as armchair word detectives went into overdrive about exactly what that meant. (Personally, I think it meant that Apple was saying Jobs’s health was a private matter.)

This weekend, the noise level reached a quantum level after Jobs made a can’t-make-this-up statement to New York Times columnist Joe Nocera, who was inquiring as to Jobs’s well-being:

“This is Steve Jobs. You think I’m an arrogant [expletive] who thinks he’s above the law, and I think you’re a slime bucket who gets most of his facts wrong.”

Now that just cracked me up, given all that had gone on before, although some were once again indignant over the gall of a major company CEO making such a statement.

Obviously, they have never met or heard Jobs, who is well known for doing such things pretty much all the time.

And that’s the problem here and my main argument for leaving him be:

1) As I said, Apple investors who have not figured Jobs’s precarious health–after a round with any kind of cancer–into their investment strategies about Apple going forward need some serious reality medication themselves.

Guess what? Jobs has been really sick and it means he is going to have a harder time with any kind of infection or complication for the rest of his life, and he will likely be more delicate than someone who has not had cancer.

By the way, the take-away from the Nocera article and an earlier one last week in the New York Times was that Jobs had been quite ill, but not life-threateningly ill. Which was Jobs’s way of getting out the news.

2) Jobs is one of the most important CEOs, in relation to his company, around. (Warren Buffett, who did choose to reveal all when he was sick, is the other.) And that’s another thing investors should be figuring into their calculations on the worth of the stock.

As Jobs himself said in a famous commencement speech to Stanford University: “No one wants to die. And yet death is the destination we all share. No one has ever escaped it.”

You don’t have to get as dramatic as all that to know that when you are talking about such a charismatic and critical CEO as Jobs, any lack of involvement by him–like say going on a year-long yoga retreat–is going to be a problem that investors are buying when they buy the stock.

Of course, there are other Apple employees making things work at the company, although it sometimes feels as if Jobs is crafting every iPhone that goes out.

But it’s obviously the Steve Jobs Show, and investors risk that when they buy such a ticket–kind of like anyone who bought a ticket to Celine Dion’s recent show in Las Vegas and hoped she would not get, like, a common cold!

3) And, of course, we get to the secretive Apple culture story line in every single story, which is trotted out like it is a surprise and we should all be so angry about it and demand change.

Again, have we not been paying attention all these many years? When has Apple not been secretive, except when it suits itself?

Here are a few more shockers for those still stewing about Apple’s secretiveness: Sen. Barack Obama is African-American and Sen. John McCain is old and some people in the country are racist and ageist and may hold those things against them in the upcoming Presidential election!

All kidding aside, it’s the same media that wait in eager anticipation when Jobs doles out the often-disingenuous tidbits about various Apple products coming and then hype them to the high heavens for him when he deigns to unveil them.

In other words, the Steve Jobs you are getting right now is the Steve Jobs you have always gotten–on his terms, what he wants to say and when and how.

So don’t be surprised when he does just that.

Meanwhile, Jobs has come to our D: All Things Digital conference many times and chatted up a storm. Here he is in a highlights reel of the historic joint interview with Microsoft CEO and Founder Bill Gates in 2007.

In it, Jobs is quite voluble about their longtime rivalry and also reveals their secret relationship that dares not speak its name (he is kidding):

[ See post to watch video ]

]]> http://allthingsd.com/20080728/aint-nobodys-business-if-jobs-is-or-isnt/feed/ 13 http://allthingsd.com/20080612/apple-has-no-comment-on-steve-jobs-health-rumors/ http://allthingsd.com/20080612/apple-has-no-comment-on-steve-jobs-health-rumors/#comments Thu, 12 Jun 2008 22:35:23 +0000 Eric Savitz http://voices.allthingsd.com/20080612/apple-has-no-comment-on-steve-jobs-health-rumors/ A spokeswoman for Apple (AAPL) today said the company was not going to respond to rumors and speculation about the health of CEO Steve Jobs. Four years ago, Jobs had surgery for pancreatic cancer. The spokeswoman would not discuss speculation that he may have had a recurrence.

Concerns about Jobs cropped up on Monday following his keynote address at the company’s Worldwide Developers Conference in San Francisco. As I noted in a post on Tuesday, Jobs looked to some observers to be unusually thin.

Read the rest of this post

]]> http://allthingsd.com/20080612/apple-has-no-comment-on-steve-jobs-health-rumors/feed/ 0 http://allthingsd.com/20070907/steve-kirschs-tough-battle/ http://allthingsd.com/20070907/steve-kirschs-tough-battle/#comments Fri, 07 Sep 2007 07:45:23 +0000 Kara Swisher http://kara.allthingsd.com/20070907/steve-kirschs-tough-battle/

For those who might not know, longtime Internet and tech figure Steve Kirsch (pictured here) wrote a blog a few weeks ago about a recent and tragic diagnosis for him: incurable blood cancer. This is terrible news, especially given that he and his wife have three young daughters.

Kirsch wrote in a post on his Web site on Aug. 11:

On Aug. 10, I inquired as to the result of the bone marrow biopsy test and they faxed me all my test results. The biopsy confirmed Coutre’s diagnosis with a 10% involvement of lymphoplasmacytic lymphoma. In other words, I’m going to die soon. Today, [Waldenstrom's macroglobulinemia] is basically an incurable death sentence. According to the medical literature, which is somewhat dated, half the people die within five or six years from first diagnosis. 80% are dead within 10 years. It is very serious stuff.”

I covered Kirsch closely for a long time during the last dot-com boom, when he founded the Infoseek Web portal, which was sold to Disney. The always colorful tech entrepreneur and inventor had a strong personality and opinions that never failed to be interesting. I have not been in touch for a while, as Kirsch has been actively involved in climate-change issues.

He has another focus now:

Statistically, it is possible that I’ll be unable to see my youngest daughter graduate from high school. It’s possible that I won’t even be around even to see her graduate from elementary school. This is a great disappointment for me. But what really hits home for me is thinking that my youngest daughter may not have a dad who is around long enough to see her graduate from elementary school and that my second youngest daughter will have a father who might be dead before her high school graduation. And that I will be leaving my wonderful wife Michele with a family of three kids to raise solo. All those wonderful plans we had about how we were going to spend the rest of our lives together…those plans have…well, shall we say…changed.”

(Update: Another figure from that time, former Netscape exec Mike Homer, also still struggles to battle his severe illness, Creutzfeldt-Jakob disease, which I posted on here.)

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