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I have something called isolated left ventricular non compaction. The prognosis for this condition is fairly grim so far I have beat the odds and so far I would still do the heart transplant but I do not know how much farther I would go with that.
I think that's totally different than say throwing everything at a malignant brain tumor that has metastasized. It's always a choice, even then, but the stats given about how many doctors refuse life-extending treatments seem to suggest that they know the grim realities of that.
Heart transplants and other treatments for congenital abnormalities like noncompaction cardiomyopathy are a different animal. IMO, those are reasonably treatable with relatively high rates of long-term survivability. Many cancers are survivable as well. I know someone who had esophageal cancer twenty years ago who is still alive today, for example. I also work with two people who are living fifteen years after prostate cancer. Both are healthy as horses and well into their late 70's--but that might be due to the fact that they still work and love it.