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The Oncology Underground

Hans Casteels

Welcome to Dispatch from the Oncology Underground. Prostate cancer, medical absurdity, and the slow-motion collapse of dignity, served with a side of dark humour and the occasional tofu recipe.

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Substack
PricingOnly free issuesPublishesDaily
Issues582Founded2 years agoLast Issue7 days ago
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Latest Issues

New To The Cancer Club? Before You Let Anyone Do Anything Irreversible....

I have written several essays about what I would tell someone newly diagnosed with cancer, mostly because the official literature tends to combine frightening information with the warmth of an appliance manual. Since many people are new to...

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The Speed of Time Depends on Which Way You Are Looking

On Sunday morning, Sharon and I were walking Isabel past the local elementary school. The sun was out, the school was empty, and the lawn had that tidy, rested appearance schools enjoy only when there are no children on them. At the far end...

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Congratulations. Welcome To Our Hospital. We May Heal You, But Dammit, You Better Pay For That Parking.

There is something almost admirable about the efficiency with which a hospital parking machine can locate the last remaining pocket of dignity in a sick person and charge it by the hour. You arrive frightened, exhausted, possibly bleeding,...

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The Decline of the Proper Insult

By Hans Casteels, who was raised in Antwerp, where profanity was treated as a branch of the performing arts

These days, when we want to insult somebody, we reach immediately for “fuck you.” It is the adjustable wrench of human hostility. I...

11 days ago
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The Refrigerator Door as Family Archive

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  • Hans Casteels

    Survived cancer, marriage, and the healthcare system. Barely. Now I write about life’s side effects: insomnia, irony, and misplaced optimism. It’s not inspirational; it’s just what happens when sarcasm outlives shame.

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