Search Results for: Italy

Communiqué from an Exurban Satellite Clinic of a Cancer Pavilion Named after a Financier

Mannequins modeling a wig and a cooling accessory to be worn under a wig by someone undergoing chemotherapy. (FABRICE COFFRINI/AFP/Getty Images)

Anne Boyer | an excerpt adapted from The Undying| Farrar, Straus and Giroux | September 2019 | 14 minutes (3,665 words)

 

Pull your hair out by the handfuls in socially distressing locations: Sephora, family court, Bank of America, in whatever location where you do your paid work, while in conversation with the landlord, at Leavenworth prison, however in the gaze of men. Negotiate for what you need because you will need it now more than ever. If these negotiations fail, yank your hair out of your head in front of who would deny you, leave clumps of your hair in the woods, on the prairies, in QuikTrip parking lots, in front of every bar at which your conventionally feminine appearance earned you and your friends pitchers of domestic beer.

Put your head out the window of the car and let the wind blow the hair off your head. Let your friends harvest locks of your hair to give to other friends to leave in socially distressing locations: to scatter at ports, at national monuments, inside the architecture built to make ordinary people feel small and stupid, to throw against harassers on the streets.

Pull your pubic hair out in clumps from the root and send it in unmarked envelopes to technocrats. Leave your armpit hair at the Superfund site you once lived near, your nose hairs for any human resources officer who denies you leave. Read more…

It’s Getting Hot in Here, So Take Off All Your Constructs

Bone Collector / Juicy J, Photo by Elsa / Getty, Photo illustration by Longreads

Soraya Roberts | Longreads | August 2019 |  7 minutes (1,984 words)

 

The album art for Megan Thee Stallion’s “Hot Girl Summer” has her riding a bottle of Hennessy like a bronco, with Nicki Minaj strapped in behind her. Both rappers have their arms up, their boobs out, their hair down. The flames around them are redundant. Before it was a song, Hot Girl Summer was a meme, with the 24-year-old freestyle genius dropping the mixtape Fever a month ahead of the summer solstice. That art is even better, a throwback to the flyest of fly blaxploitation: “She’s thee hot girl and she’s bringing thee heat” (more redundant flames surround her). Named Stallion for her statuesque beauty and with fans known as Hotties, Megan rebranded the aestival months as Hot Girl Summer. In the August issue of Paper magazine, she calls it a movement. The rapper told The Root that being a hot girl is not about being a certain type of sexy — it’s about “women, and men, just being unapologetically them.” But there are clear parameters here, which encompass a look — 5’11’’, hourglass — and a personality: “You definitely have to be a person that could be like the life of the party, and, you know, just a bad bitch.” Hot Girl Summer isn’t Taraji P. Henson in spectacles quietly doing actual rocket science, it’s Halle Berry in an orange bikini popping up out of the surf as Bond gawks. While Hot Girl Summer rejects the idea that a woman, notably a black woman, has to be answerable to anyone — a poignant reminder in a climate of rampant misogyny — the movement still implies a sexy young object of someone else’s desire. Read more…

An Ocean Away From the Sanctuary of Manhattan, Signs of Peaceful Coexistence

Photo by Jon Tyson, Photo Illustration by Homestead

Candy Schulman | Longreads | July 2019 | 10 minutes (2,622 words)

I could practically see Morocco from Frigiliana, where I was feasting on tapas in an Andalusian hill town known as a Pueblo Blanco. I was puzzled by the label on a bottle of La Axarca Malagueña, a locally crafted beer. Aligned in one row was a Jewish star, a Christian cross, and a Muslim crescent.

I asked the owner of this tiny restaurant, an expat from the Netherlands who taught kundalini yoga on a nearby beach, to translate the label’s contents.

“Every August we host the Festival de las Tres Culturas, she explained. “We celebrate the coexistence of all three cultures and traditions.” She boasted that Frigiliana’s population of 3,000 swells to 35,000, with food, music, and dancing.

I wondered if Spanish festivals celebrating peaceful coexistence were rooted in guilt for the past, or hope for the future. As a native New Yorker, I strolled through one of the largest melting pots in the world every time I left my apartment. Three cultures and traditions? That was nothing compared to the range of skin colors and mellifluous languages on just one E train subway car from Manhattan to Queens; one-third of the borough’s residents were born outside of the United States, hailing from Haiti, the Dominican Republic, India, China, Jamaica, Mexico, Italy, and other countries.
Read more…

On Keeping a Notebook: A Reading List

“I can feel my brain changing.” Those were the first words I wrote in what would eventually become a continuous journal spanning thousands of pages and dozens of notebooks.

It was the middle of the night, and after I jotted the thought down, I added, “Is it permanent?”

I felt as if a tuning fork had been struck, its echo reverberating in my head. We were living in Atlanta then, and our house had one of those oversized master suites, inherited from the previous owner, so once out of bed, I was standing in a small sitting room that adjoined the bedroom. Next to me, a lamp I’d spirited away from my grandfather’s house cast a small glow, easing the insomnia I was experiencing. I kept repeating a phrase to myself, “The rough places made smooth.” I wasn’t sure if it was a biblical quote, or whether I had combined two different sayings (Atlanta is the birthplace of Martin Luther King, Jr., and I had the vague idea that Dr. King had said something to that effect). I only knew I felt relief at committing some of my inner turmoil to paper.

The next night, awake again at 3 a.m., I wrote about what I called “adventures in mind-expansion.” The journaling struck me as unusual. I was a reporter at an NPR station at the time and had been a news journalist for more than a decade. But this was different — akin to the writing I’d done when I was 9 and my teachers predicted I would be a writer.

I can partly chalk it up to something that happened a week later — my son’s birth. When I went into labor and headed off to the hospital that warm July day, I packed a notebook, a practice I’d abandoned years before when my expat days in Italy had concluded. One of the first photos I have with my newborn shows me writing in the maternity ward while nursing him. From there, a notebook became my constant companion. Some days in early motherhood, I couldn’t stop writing. I’d fill notebook pages at different intervals of the day, like an ongoing Twitter thread.

I was preparing for motherhood to change my life; it was the transformation I’d trained my eyes on entirely. But instead a parallel transformation involving writing also emerged.

Writing anchored me through my first year as a working mom. I’d pull off the road to write on my way home from work, or jot a few lines in the daycare parking lot. I found the twister of passing buildings, pedestrians, music on the radio, and the sounds of my son floating up from the backseat inspired me to experience new joys or simply savor old ones from a new vantage point. Sometimes I would even write while leaning the journal against the steering wheel, my eye moving between the page and the road.

Motherhood had reunited me with writing, which once again became my confidant, my forever friend. Another event could have been the trigger — a death, a divorce, a relocation. But either way, the pivotal instrument was a notebook — not a computer, not a tablet, not a phone.

Once I began writing again in earnest, I created computer files to record my ideas at greater length. But I wanted to be writing all the time, and one cannot write on a laptop all the time with a baby. A notebook is the solution. You can always write in a notebook — on a plane, in the car, even while out on a lake in a canoe. It’s almost never a breach of etiquette to pull out a notebook. I now teach, and I’ll often write in my notebook if I’ve arrived early for class. A notebook also never loses power and never has a glitch.

I keep lots of notebooks, but perhaps the most important is the small one I stash in my purse. It’s a baby notebook used for appointments and reminders that doubles as a “bits journal,” to steal a phrase from poet David Kirby, since I use it to record any image, phrase, or event that strikes my fancy and could contribute to a piece of writing later. I look at it obsessively throughout the day, re-reading my to-do list or jotting down ideas for stories, articles, poems, or gifts for my son. A typical day reads something like this:

Follow up on sleep pitch.
1 p.m. haircut.
Add “intimacy junkie” to the Di Lascia translation pitch cover letter.
Pick up birthday cake.
Finish book review for the Kenyon Review.
What about a piece called something like, “In Defense of Sleeplessness?”

On my way out of the house, I instinctively grab this daily notebook since I never know when I will think of lines I want to add to a piece in progress.

What’s more, it has given me a constant vocation that doesn’t allow much time for obsessing about other concerns. I’ll get a new phone if I lose the one I have but if my daily notebook goes missing? I’d lose my mind. In fact, it has such power — and provides such security — that I fear (somewhat ridiculously) for its safety.

I now take a notebook with me on every trip, which is fortuitous because I began writing the piece you’re reading while vacationing on a small, remote island in Vermont. The following longreads explore the joys of keeping a notebook and the art of writing longhand.

1. Are We Different Writers When We Move From Longhand to a Screen? (James Draney, August 2017, Literary Hub)

Like an intellectual historian, James Draney brings us a survey of how different authors and thinkers viewed developments in writing — specifically the instruments we use to write instead of writing longhand. He laments that “alas, the page that once contained the essence of the human voice has given way to a simulation of itself on the digital screen.” A simulation. Oh, that’s good. I feel as though I should call the fire brigade or yell, “Stop the presses!”

Draney cites a wide list of authors, including the philosopher Martin Heidegger, who viewed the typewriter as something “charged with an unthinkable crime.” Draney writes:

For him, this writing machine was no benign piece of secretarial equipment: it was actually destroying the very essence of the human, click by mechanical click.

Draney weighs the impact of “tapping out a word, perhaps backspacing, deleting, highlighting, copying and pasting,” asking, “how do these mechanical ways of writing change the way we think?”

It’s interesting to note that unlike the other authors or subjects of the links here, Draney is not necessarily pro-longhand. That’s because writing in longhand isn’t a skill he acquired long before learning to type on a computer.

It’s odd to think that writers born today will not have any paper in their archives. It’s even funnier to think that these future writers may never actually learn to write. This was what it was like for me, born in 1990. I learned to write by hand at the very same time I learned to type. But rather than focus on my penmanship, I learned to process words on a machine for which writing, typing and processing were one and the same functions. Before the swirl of the pen, there was the plastic click of the keyboard. Not one continuous movement but thousands of discrete ones: arachnid fingers on a plastic pad.

2. Woke Up This Morning (Louis Menard, December 2007, The New Yorker)

There are many ways to use a notebook: anything from journaling, brainstorming, note-taking, and writing in one’s diary. Louis Menand focuses on that last substratum of notebook use, probably the most common form until recently. He is appropriately skeptical about the average person’s ability to remain faithful to a diary, largely because it requires that one input all thoughts, not just the pretty ones or the ones that sound good. “Most people don’t confess; they repress,” he writes.

“Never discriminate, never omit” is one of the unstated rules of diary-keeping. The rule is perverse, because all writing is about control, and writing a diary is a way to control the day—to have, as it were, the last word. But diaries are composed under the fiction that the day is in control, that you are simply a passive recorder of circumstance, and so everything has to go in whether it mattered or not—as though deciding when it didn’t were somehow not your business.

He adds that if the journal in question doesn’t contain a lot of unimportant drivel (“dross”), it’s not a diary. “It’s something else — a journal, or a writer’s notebook, or a blog (blather is not the same as dross).”

3. Mostly True (Sarah Manguso, February 2015, T: The New York Times Style Magazine)

One of the more noted diarists of recent years is writer Sarah Manguso who, unlike Anaïs Nin, didn’t publish her diary but rather published a book about it called Ongoingness: The End of a Diary. Manguso kept her diary for several decades. In this article from the New York TimesT Magazine, she tells us about the impetus of her diary and its contents, but perhaps one of the most interesting snippets to my mind is that she does not fetishize the actual container of the diary, which is to say the “little black books” she’s used.

In my late teens, overburdened by an excess of life, I built a storage facility for it: a diary. After I wrote things down I could safely forget them. It was the only relief I ever found, and I kept at it. I don’t keep a routine, but the diary gets written daily — usually several times daily, even in transit, in hospitals and at parties. In little black books and, as of this year, on my phone. Since 1992 I’ve created a new text file on my computer every New Year’s Day. Whatever I have written gets transcribed into the file and I throw the draft away. A little black book is a beautiful object, but I don’t care about the objects; I care only about the words in them.

4. 8 Writing Tips from Jeff Vandemeer (Jeff Vandemeer, March 2018, Chicago Review of Books)

The impetus for this article was a single word buried amid some writing tips from blockbuster science fiction author Jeff Vandemeer. Specifically, the word “luddite.” It appears in a tip about recording bits of inspiration whenever they come to you. He writes:

There is an immediacy to writing it on paper that appeals to me, too. This doesn’t strike me as a luddite thing, but a thing about the human brain.

As a journeyman writer, I gained all kinds of useful info on his writing process and the story behind the huge success of his “Annihilation” series of books from the piece, but the killer line for me is the one about being (or not being, as the case may be) a luddite. He seems almost apologetic about suggesting that the offline, old-school technology world might be all right, too. Which is too bad because his ideas are fantastic.

I carry a pen and a small notebook or loose notecards with me at all times. I also keep them on the nightstand next to the bed. I have pieces of paper in the kitchen, too. Over the past twenty years especially, I have not lost or forgotten a single idea or scene fragment or character observation or bit of dialogue because I have always written it down immediately, no matter what situation I’m in (this includes when I had a day job).

Over time, my subconscious has rewarded me more and more for taking It seriously. If your subconscious brain “knows” you are going to write it all down and use what it gives you, a loop is created where, at times, and depending on other factors, the problem isn’t lack of ideas but having too many ideas.

Like Vandemeer, I feel as though similar accusations are coming my way when I think about how a notebook’s “technology” is actually superior to a phone or computer. I open it and voilà, my dear ones, my notebook is ON. Close it, then open it again, and I’ve “rebooted” it. When I want to transcribe a thought, an idea for a project or the next line of this piece, I want to do it instantaneously and a notebook is the only instrument that can meet that demand (excluding, of course, writing on my hand). If I were Vandemeer and had written multiple best-selling novels, I hope I wouldn’t be shy about saying what to me is obvious.

5. Messy Attics of the Mind: What’s Inside a Writer’s Notebook? (Philip Horne, Paul Theroux, Susie Boyt, and Amit Chaudhuri; April 2018; The Guardian)

The way the writers featured in this piece describe their notebooks, I know they are besotted with the practice. They are kindred spirits, and they write beautifully about it. This is especially so with Susie Boyt, who calls her notebooks “messy little attics of the mind.” It’s such a lovely, original description that I almost find it aspirational — do my notebooks really look like messy little attics of the mind? If not, I’ll be working on that today. The expression appears in an extended description of her notebook history:

I have always kept notebooks — messy little attics of the mind, an odd assortment of shapes and colours stuffed into drawers next to defunct phones and balls of string. They feel private and tender, a bit like night clothes; or embarrassing, like over-eager little sisters.

I admire writers who operate their notebooks rigorously, with mathematical co-ordinates of character and plot, in the fashion of the Euston Road School painters, but mine are filled with a jumble of poetry, prose and criticism, lists, plans, with occasional personal anecdotes in which I often emerge the slightee.

6. Joyce Carol Oates: The Art of Fiction, No. 72 (Robert Phillips, Fall-Winter 1978; The Paris Review)

OK, so many writers and artists keep notebooks — this we know. But some actually compose their first versions of their work in a notebook. In other words, they write longhand. In this wonderful interview from the Paris Review, prolific author Joyce Carol Oates includes a brief mention about writing longhand and how typing on a typewriter is now “an alien thing.” Arguably I could have just written “Joyce Carol Oates” and any argument about the potential virtues of writing longhand would cease. Joyce Carol Oates does it. Need I say more? It’s especially so since she has written about five dozen books. And she isn’t just using a notebook — she is composing entirely in longhand before ever touching a computer file. (I assume the practice began after Them, her 1969 novel, which won the National Book Award and runs 500 pages, but still).

“Childwold needed to be written in longhand, of course. And now everything finds its initial expression in longhand and the typewriter has become a rather alien thing—a thing of formality and impersonality. My first novels were all written on a typewriter: first draft straight through, then revisions, then final draft. But I can’t do that any longer.

The thought of dictating into a machine doesn’t appeal to me at all. Henry James’s later works would have been better had he resisted that curious sort of self-indulgence, dictating to a secretary. The roaming garrulousness of ordinary speech is usually corrected when it’s transcribed into written prose.

I love the way she says that “now everything finds its initial expression in longhand.” On a par with the way you might have changed your morning routine once you learned about coffee, or the way you might structure your life once you’ve understood the vagaries of unbridled love.

7. Mary Gordon on the Joy of Notebooks and How Writing By Hand Catalyzes Creativity (Maria Popova, February 2013; Brainpickings)

Mary Gordon, a novelist and memoirist from New York, is a true acolyte of writing longhand. And her essay on the topic, “Putting Pen to Paper, but Not Just Any Pen to Just Any Paper,” is excerpted generously in this piece from Brainpickings about a book of essays by writers on their writing processes. We learn about Gordon’s writing process, how she reads and listens to music before composing anything herself. We also see her deftly locate the essence of notebook use:

For related reading, here’s a piece from BookRiot on the finer points of writing in pencil.

Writing by hand is laborious, and that is why typewriters were invented. But I believe that the labor has virtue, because of its very physicality. For one thing it involves flesh, blood and the thingness of pen and paper, those anchors that remind us that, however thoroughly we lose ourselves in the vortex of our invention, we inhabit a corporeal world.

8. Why I’m Obsessed With Reading Books About Writing in Notebooks (Josephine Wolff, February 2019; The Washington Post)

There is an adjacent topic to writing in a notebook and that’s the publishing industry sector that’s grown up around the practice (or aspirational practice) of writing in a notebook (this is still America, after all). A delightful look into this phenomenon comes to us here by way of a professor not of writing but of cybersecurity. Here, we find notebook devotees — professional notebookers, you could say — trying to indoctrinate everyone by selling specific types of notebooks.

One reason I’m so transfixed by notebook experts is that their systems bring together free-form, individualized artistic expression and the structured formatting and rigid rules of computer science. This may be key to the appeal of notebooking: In an increasingly algorithmic world, these systems let us crack open the black boxes of our lives, allowing us to develop systems of our own and helping us figure out what matters to us along the way.

Selfishly, I’ll add that for me the best line in the piece is where it becomes clear she is truly as obsessed with notebooks as I am. She writes that at any moment, she keeps “one for daily to-do lists and appointments, one for notes and ideas, [and] one for teaching.” If she added a sleep diary (which I began keeping this year), we’d be about even.

* * *

Jeanne Bonner is a writer, editor, and literary translator whose work has been published by the New York Times, Catapult, Marketplace, and CNN Travel. She won the 2018 PEN Grant for the English Translation of Italian Literature for her translation-in-progress of Mariateresa Di Lascia’s Passaggio in Ombra. She will be a short-term fellow at the New York Public Library in 2020.

Editor: Cheri Lucas Rowlands

The Ugly History of Beautiful Things: Mirrors

Illustration by Jacob Stead

Katy Kelleher | Longreads | July 2019 | 21 minutes (5,409 words)

In The Ugly History of Beautiful Things, Katy Kelleher lays bare the dark underbellies of the objects and substances we adorn ourselves with.

Previously: the grisly sides of perfume, angora, and pearls.

* * *

Eight thousand years ago, a craftsperson sat inside their mud-brick house in Turkey and rubbed a piece of obsidian with their hands, smoothing the surface carefully, polishing the stone until it shone darkly in the hot sun, burning a piece of volcanic rock into something miraculous. In this piece of black stone, they could see their reflection, surrounded by the walls of their dwelling, built on the bones of their ancestors, the painted plaster walls rendered colorless by the obsidian’s deep gloss. But they weren’t done. They took white plaster and applied it to one side of this stone disk in a conical shape. Eventually this stone came to rest in a grave, alongside a woman from the early agricultural society. There it stayed until archeologists found it in the 1960s. It is, as far as we know, one of humankind’s first mirrors.

According to archeologist Ian Hodder, who oversees the hilly, 34-acre archeological site at Çatalhöyük in central Turkey, there have been “five or six” obsidian mirrors found there, all located in the northeast corners of tombs belonging to women. “They are beautiful things,” he says of the Neolithic mirrors. “Nobody really expected there would be things like mirrors in those early days. These are the first sort of settlements after people have been living as hunters and gathers. In many ways, these were quite simple societies, so it is odd.” Yet these early proto-urban people clearly wanted to look at themselves — or at something. It’s possible they were used in rituals by shamans or other religious figures. “One of the most commonly suggested for the time period is that they’re something to do with predicting the future or understanding the spirit world through reading images in the mirrors,” says Hodder. We just don’t know. We’ll probably never know.

With a name taken from the Latin mirare and mirari (“to look at” and “to wonder at, admire,” respectively), a mirror can be any reflective surface created for the purpose of seeing oneself. They can be made of stone, metal, glass, plastic, or even water. Throughout history, we’ve constructed mirrors from all those substances, to a varying degree of efficacy, for various reasons. Some were used as ceremonial items, others were used to repel malevolent spirits, and still others were used for the simple pleasure of examining one’s countenance.

But no matter what they’re made of, mirrors are objects of mystery, obsession, and fear. They’re simple yet complex. They’ve been used for purposes both sacred and profane. We love them, yet we’re loath to admit it. Even their creation has been shrouded in secrecy and aided by willful ignorance and sometimes outright violence; mirror making was once a toxic affair, and its secrets were guarded by laws and punishable by death. Long reserved for the wealthy few, we now walk around with compact mirrors in our pockets, and even if you left yours at home, there’s always a cell phone screen that can function, if you want it to, if the light is right, as a mirror.

Often, when objects become mundane, they lose some of their luster. But mirrors retain their ability to hold our attention, and they retain a certain amount of power over us. We’re still interested in seeing our reflections, and we still want to know what the future holds. Yet we’ve lost the reverence we once had for them. We no longer bury our dead with hand mirrors, and we don’t often speak of the control a mirror can exert over a person. Instead, we allow this force to alter our perceptions, to diminish our happiness, while denying its power. Looking in a mirror is just something you do — just something women do. We’re so used to seeing this impulse as vanity that most of us have forgotten the innate sense of awe that comes with looking. We’ve forgotten how to face our reflections not with judgment or fear, but with a sense of joyful discovery, a sense of hope. We can see our reflections anywhere, yet still face the mirror with a certain amount of suspicion, as though desiring knowledge of how the world sees you is somehow wrong. Read more…

We Could Have Had Electric Cars from the Very Beginning

An advertisement depicts a Baker Electric automobile, the Baker Queen Victoria, driven by a young woman, 1909. (Stock Montage/Getty Images)

Dan Albert | An excerpt adapted from Are We There Yet? : The American Automobile Past, Present, and Driverless | W. W. Norton & Co. | June 2019 | 25 minutes (6,750 words)

Most people reasonably expect the story of the evolution of the automobile to begin with the invention of the automobile itself. I’ve disappointed enough people in my life already, so I give you the Jesuit Rat Car of 1672. In that year, missionary Ferdinand Verbiest created a steam wagon to bring the Emperor of China to Jesus, but the car was only big enough to carry a rat.

If you don’t like the Jesuit Rat Car as an automotive first, you might consider Nicolas-Joseph Cugnot’s cannon hauler of 1769. A product of the French army’s skunk works, it was canceled in beta testing. In 1790, Nathan Read got the first American patent for a steam-powered wagon, a remarkable feat because the US Patent Office itself had yet to be invented. Perhaps that counts. In London, Richard Trevithick set a Georgian coach body atop a steam boiler and eight-foot wheels, creating the first giraffe-less carriage. In 1805, American Oliver Evans drove his harbor dredge, the Orukter Amphibolos, down the streets of Philadelphia in hopes of enticing investors for a car business. Philadelphia cobblestone street paving gave horses purchase but shook the Orukter so violently that the wheels broke. Let’s call his the first amphibious car. Read more…

How Refugees Die

AP Photo/Petros Giannakouris

John Psaropoulos | The Sewanee Review | Spring 2019 | 17 minutes (3.361 words)

 

This essay first appeared in The Sewanee Review, the oldest continuously published literary quarterly in the country, which you can subscribe to here. Our thanks to the author and The Sewanee Review staff for allowing us to reprint this essay at Longreads

* * *

I met Doa Shukrizan at the harbormaster’s office in the port of Chania, in western Crete. She sat with her back to a balcony overlooking the street, and the strong morning light enveloped her delicate figure, so that there appeared to be even less of her than there was after her ordeal with the sea. Doa’s face had peeled from extreme sunburn; she spoke softly. Between the cavernous ceiling and polished concrete floor, the only furnishings were tables, chairs, and ring binders, so that voices, however slender, resounded. There were no secrets in this room. During the hour that we spoke, three coast guard officers sat at their desks not doing any work, transfixed by what she said.

Doa and her fiancé had been among some five hundred people who boarded a fishing trawler at the port of Damietta in the Nile Delta on September 6, 2014. Many, like Doa, were Syrian. Others were Palestinian or Sudanese. All were fleeing war and had paid smugglers to ferry them, illegally, to Italy.

Read more…

Take Two Stem Cell Injections and Don’t Call Me Until After I Cash Your $10,000 Cheque

Stem cell. Getty Images

Getting older? Feeling the aches and pains that come naturally as we age? If someone suggests that stem cells will ease your ills, ask to see some science, and maybe a valid medical license. Stem cell purveyors are popping up all over the United States in a new, “largely unregulated” industry — and they’re charging $5,000 to $10,000 for a single injection.

As Caroline Chen reports as part of a joint investigation by ProPublica and The New Yorker, “Unscientific methods, deceptive marketing, price gouging and disregard for patients’ well-being were rampant across the amniotic stem cell therapy industry.” The investigation “found disgraced doctors who were recast as salespeople, manufacturers that cloaked themselves in pseudoscience and had few scientists on staff, and clinics that offer to treat conditions like multiple sclerosis or kidney disease without specialized training.”

These clinics are multiplying in the United States. According to a tally by Leigh Turner, an associate professor of bioethics at the University of Minnesota, there were 12 such clinics advertising to consumers in 2009; in 2017, there were more than 700. Unproven cellular therapies are a $2 billion global business, according to a recent paper co-authored by Massimo Dominici, the lead investigator at the cellular therapy lab at the University of Modena and Reggio Emilia, in Italy.

They were there to see a presentation by Dr. David Greene, who was introduced as a “retired orthopedic surgeon.” Atlas Medical Center, a local clinic that specializes in pain treatment, hosted the event. Greene, a short, trim man with his hair slicked up, ignored the stage and microphone and stood close to his audience. After warming up the crowd with a joke about his inept golf skills, Greene launched into his sales pitch. A tiny vial no larger than the palm of his hand, he told the group, contains roughly 10 million live stem cells, harvested from the placenta, amniotic fluid, umbilical cord or amnion, the membrane that surrounds the fetus in the womb. Injected into a joint or spine, or delivered intravenously into the bloodstream, Greene told his listeners, those cells could ease whatever ailed them.

On a screen behind him, Greene displayed a densely printed slide with a “small list” of conditions his stem cell product could treat: arthritis, tendinitis, psoriasis, lupus, hair loss, facial wrinkles, scarring, erectile dysfunction, heart failure, cardiomyopathy, chronic obstructive pulmonary disease, asthma, emphysema, stroke, Alzheimer’s disease, multiple sclerosis, ALS, neuropathy, pelvic pain, diabetes, dry eye, macular degeneration, kidney failure. And that was just a sample. “I need to add a couple more slides,” Greene said with a laugh.

Soni told Longo that three more injections were required for him to feel a significant difference, but, by early May, Longo had decided not to seek further treatment, saying that his left knee hadn’t improved any more. “I don’t think the regenerative properties were happening,” Longo said.

Earlier this year, Soni’s Web site displayed the names and faces of a team of clinicians, including a cardiologist, a cosmetologist, a neurologist, and a urologist. None of them were listed on New York State’s license look-up page, and their photos were traced back to stock photo websites.

When initially asked about these specialists, Soni said, “They are all seeing patients for me” and changed the subject. After ProPublica and The New Yorker expressed doubts about the clinicians’ existence to Soni, the names and photos vanished from the website.

Read the story

Game of Crones

Illustration by Homestead

Laura Lippman | Longreads | May 2019 | 16 minutes (4,090 words)

[1]

My daughter was 10 days old the first time I was asked if I were her grandmother.

It was the second week of an unseasonably early Baltimore heat wave and I had managed to maneuver her stroller across my neighborhood’s bumpy, narrow sidewalks to my favorite coffee shop. Almost nine years later, I still remember the one spot on our street where the juxtaposition of a tree planter and a set of rowhouse steps made it physically impossible to push a stroller through at any angle. One either had to lift the stroller a foot in the air or bump it over the curb into the street, a solution I figured out only after much grunting and angling. By the time I arrived at the coffee shop, I was sweaty and unkempt.

A young man peered into the stroller, then glanced at my face: “Oh, are you her grandmother?” Only three days earlier, a woman had seen me boarding a plane with my newborn, eyed me approvingly and whispered: “You look amazing!” An unearned compliment — my daughter didn’t come out of my body and my body’s not that great, anyway — but I had been happy to take it. I’m not dumb. I knew the grandmother question would be asked again and again, and that compliments would be rare.

I tried out a simple, direct reply, the one I use to this day: “No, I’m her mother, but I am old enough to be her grandmother, so it’s understandable that you would ask.”

I thought my answer generous. But in the years since my daughter was born, I have discovered that people who ask rude questions feel terribly affronted if you say anything that implies they have just asked a rude question.

“But I’ve seen that baby with a young couple,” the man said. “Out and about in the neighborhood.”

“I don’t think so.”

“No, I absolutely have,” he insisted. “She’s been going around with a young couple.”

I let it go. I live in a city that, year in and year out, has a startlingly high teenage pregnancy rate, and consequently a high number of young grandmothers, some of whom end up raising their grandchildren. I’d be proud to be one of those women. But I am not. I’m just an old mom and I’m cool with that. Say a word or a phrase often enough, and it loses its power. I’m an old mom. I’m 60. I’m a 60-year-old woman with a third-grader. I am old. I am 60. I am old. I am old. I am old.

“You don’t look old to me,” my daughter has said on more than one occasion. “You could be in your 40s, your 30s, you could be in college, you could be in high school.”

Uber drivers say something similar, but at least I know why they’re blowing smoke up my ass. I’m not sure what my daughter wants, but she’s been eyeing the American Girl Doll spaceship, which lists at $449.99 on eBay. Good luck with that, honey. Mama’s got money, but she’s not crazy.

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The Age of Forever Crises

The Chernobyl nuclear power plant in Ukraine. Efrem Lukatsky / AP, Illustration by Homestead

Linda Kinstler | Longreads | May 2019 | 10 minutes (2,527 words)

How does one recognize catastrophe, when it comes? What does it look like, how does it sound and smell? If it is an invisible catastrophe, how can you know when you are near it, and when you are far away? And what if it is an everlasting catastrophe, a disaster with a long half-life, so no matter how much time passes, it never quite goes away, and in some places, it only grows stronger? And when a decision from on high announces that it is time to try to move past it, to lay a wreath and get on with life, how does one mark the anniversary of a disaster still in motion, a crisis without end?

Last week marked yet another anniversary of the explosion of the Vladimir I. Lenin Nuclear Power Station’s Reactor No. 4. Thirty-three years ago, in the early hours of the morning on April 26, 1986, an ill-fated safety test unleashed an explosion equivalent to sixty tons of TNT, obliterating the reactor and sending the contents of its core — uranium fuel, graphite, zirconium, and a noxious mixture of radioactive gases — into the surrounding air, water, and earth. Read more…