Search Results for: Medicine

The Case for Believing Women Who Are In Pain

If there’s only one important takeaway from the backlash to Gwyneth Paltrow’s Goop, it’s that women seek alternative medicine — and therefore the “wellness” movement — because traditional doctors have never taken them seriously.

As Annaliese Griffin pointed out for Quartz, the American healthcare system, while undeniably terrible for nearly everyone, damages women to an extreme. Their “experience of pain is routinely minimized by health practitioners,” resulting in longer wait times, misdiagnoses and even an increased chance of death from things as common as heart attacks.

When Maxwell Williams learned a female friend of his was incapable of having sex without feeling excruciating pain but struggled to find a doctor who would take her pain seriously, he decided to investigate what was really causing the stabbing sensation that doctors kept telling his friend was all in her head. (Never mind that the head is part of the body, indeed controls all of the body, so it makes little sense to discount it.)

For his piece for GOOD Magazine, Williams spoke with about a dozen women who shared his friend’s experience, including one whose marriage unraveled because of it, and he learned of vulvodynia, a Latin medical term that roughly translates to “vulva pain.” The condition plagues far more than the dozen women he spoke with — as much as 16 percent of the female population, or 14 million women, markedly more than those who experience endometriosis or breast cancer. So why don’t we know about it? And why are treatment options so scarce?

“If you were a woman and you were asked, ‘In your last sexual encounter or your last series of sexual encounters, did you experience pain?’ what would you think the answer would be?” he says. “It’s a little over a third. That’s a freaking epidemic. One third of women in our environment are having pain during sex. That’s an unnecessary, bothersome, distressing issue. We need a lot more effort in understanding it.”

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My Mongolian Spot

Photo-Illustration by David Herbick

Jennifer Hope Choi | The American Scholar | August 2017 | 17 minutes (4,250 words)

 

First you should know: I was born with a blue butt.

So was my mother.

Thirty-two years and many thousands of miles of land, sky, and sea separated her creation from mine, yet we emerged the same: wailing, mad for first breaths, 10-fingered, 10-toed, chick-like tufts of black hair nested atop our soft skulls, and, incredibly, a wavy-bordered blue spot not unlike that of Rorschach’s inkblots, blooming across our tiny bums—blue like ice-cold lips, blue like the ocean at midnight, Picasso’s most melancholic bluest of blues.

By the time I learned about my blue butt, it was gone. Like a spy’s secret message written in vanishing ink, the spot disappeared sometime after my fourth birthday. The timing seems strange—to think that as soon as I could form my earliest memories, my blueness had already left me. In one such memory, I recall taking a shower with my mother. The water beat down on my shoulders thunderously. I’d misbehaved (perhaps, refused to wash my hair), and as I slid open the mottled glass door to escape, my mother smacked my bottom. Because this is my earliest butt-related memory, I mined it recently, hoping to uncover any clues of my former blue self. I remember wailing in the showy way children do when they’re old enough to know better, then peering behind me for proof: the fierce, fiery outline of my mother’s hand. But I can recall nothing but plain tush. I was neither red nor blue. We stood as nude as newborns, un-shy in our nakedness, water cascading across my mother’s towering body as she fumed and I wept in her shadow. Read more…

‘You Wouldn’t Think the Ashes of a Man Would Be So Heavy’: Remembering Sam Shepard

Broadway World reports today that Oscar-nominated actor and Pulitzer-winning playwright Sam Shepard has died at 73 of complications from ALS, AKA Lou Gherig’s disease.

In recent years, Shepard was best known as an actor, in the last few years appearing as the Rayburn family patriarch in the Netflix drama Bloodline. But he was a prolific, ground-breaking playwright, and a key player in the Off-Broadway movement of the ’60s and ’70s. According to The New York Times, Shepard won a Pulitzer in 1979 for The Curse of the Starving Class, and received nominations for two others, True West, and Fool for Love.

His work examined toxic masculinity at a time when that was rare. The son of an alcoholic farmer, he explored male aggression as it is often passed down from fathers to sons. In 2010, critic John Lahr touched on this in a profile of Shepard in The New Yorker, as part of a review of Ages of the Moon, Shepard’s most recent play at the time — his 40th of 42 — which was being staged at the Atlantic Theater in Manhattan.

Shepard attributes part of his father’s downfall to postwar trauma. “My dad came from an extremely rural farm community . . . and the next thing he knows he’s flying B-24s over the South Pacific, over Romania, dropping bombs and killing people he couldn’t even see,” he said. “These men returned from this heroic victory . . . and were devastated in some basic way . . . that’s mysterious still. . . . The medicine was booze.” The booze often led to abuse. “Those Midwestern women of the forties suffered an incredible psychological assault,” Shepard recalled. “While growing up, I saw that assault over and over again, and not only in my own family.” In 1984, Rogers was hit by a car, after a drunken quarrel with a girlfriend in a New Mexico bar. “You either die like a dog or you die like a man. And if you die like a dog you just go back to dust,” Shepard, who had his father cremated, said later. After the ceremony, Shepard picked up the leather container holding the ashes. “It was so heavy,” he said. “You wouldn’t think the ashes of a man would be so heavy.”

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A Transgender-Military Reading List

Transgender former US Navy Seal Senior Chief Kristin Beck. (Credit: NICHOLAS KAMM/AFP/Getty Images)

On Wednesday, President Donald Trump announced, via Twitter, a ban on transgender people serving in the United States military.

His tweeted justification was that “our military must be focused on decisive and overwhelming victory and cannot be burdened with the tremendous medical costs and disruption that transgender in the military [sic] would entail.”

It was, several Twitter users noted, an odd way to mark the 69th anniversary of President Harry Truman signing an executive order that ended racial discrimination in the military. There are currently thousands of transgender people serving in the nation’s all-volunteer military.

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I’ve Found Her

Illustration by Kjell Reigstad

Martha Baillie | Brick | Summer 2017 | 17 minutes (4,882 words)

This essay first appeared in Brick, the beloved biannual print journal of nonfiction based in Canada and read throughout the world. Our thanks to Martha Baillie and the staff at Brick for allowing us to reprint this essay at Longreads.

* * *

1.

“I have found her,” announced the email sent to me by a close friend, H, who was working in Paris. The attached photograph showed a person I recognized—an elderly woman standing on a street corner and clutching a notepad. Her abundant white hair was gathered into a loose knot at the back of her head; she had a fine nose, an open face lost in thought, and on her feet flat shoes. Her white dress, more coat than dress, I could picture a shopkeeper wearing half a century ago or a modern lab technician. A large, unadorned purse hung from her wrist. To the right of her, the glass wall of a bus shelter exhibited a map of the immediate neighborhood, the Fifteenth District, portions of which became legible when I enlarged the image by sliding my fingertips over it. Across the street behind the woman the name of a café could now be read: Le Puit. Read more…

Twelve Truths About My Life With Bell’s Palsy

Illustration by Hannah Perry

Pam Moore | Longreads | July 2017 | 16 minutes (4,065 words)

 

1. My face—and my life—split in half ten days after my second daughter was born.

In the grainy iPhone photos taken immediately after Lucy’s birth, I am looking at the ceiling, not at her. The gray-gold glow of dusk peeks through the blinds and I feel as if it’s four in the morning, as if I’ve been laboring all day.

In fact, I’d felt the first twinge of labor around lunchtime. I put my toddler down for a nap and was halfway through an episode of Breaking Bad when I realized this was it. I made my two-year-old a peanut butter and jelly sandwich and packed her overnight bag between contractions. At three o’clock my in-laws came for her and I waddled to the sidewalk to thank them while my husband buckled her into their car. The midwives came about an hour later, and our baby was born as the summer sun dipped behind the Rocky Mountains.

In those pictures she grows pinker with every breath and all I can think is, Holy shit. Not Holy shit, she’s gorgeous or Holy shit, I am in love with her, but Holy shit, it is finally over. As in Holy shit, that was hard.

I didn’t know the hardest part was yet to come. I had no idea the next 365 days would find me depleted, sad, and anxious. I would spend the year vacillating between dreaming of a fast forward button to catapult me through time, and berating myself for squandering my daughter’s babyhood. But that would come later.

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My Grandfather’s Fateful Goodbye, Reimagined

Illustration by Joe Gough

Karissa Chen | Longreads | July 2017 | 23 minutes (5,772 words)

 

This is how I always imagine my grandfather’s departure from Shanghai: him, a lanky boy of 19, wearing khakis and a pressed shirt, standing near the docks with a small brown suitcase in hand. I imagine the shirt to be white with intersecting gray lines, a series of chess-sized squares on his body. Maybe he’s wearing a matching beige jacket too, or a hat of some sort. I assume that going overseas was probably a big deal at the time, an occasion you were supposed to dress up for.

For some reason, in this scene, I don’t see the man traveling with my grandfather—a friend of my great-grandparents he might have called Uncle. Instead, I see my great-grandmother, small and slightly bent over, her lined face rearranging its features as she struggles not to cry. I see her gazing up at her tall boy, adjusting his shirt, touching his lapel, fussing the way mothers do. I see her pressing a sack of oranges into his palms, worried he’ll be hungry on the boat. Now he’s brushing her fingers away, annoyed, impatient. He’ll only be gone for a few weeks, he reminds her, three months at the most. She tells him not to do anything rash out there. She tells him to listen to Uncle. I can see him barely registering her words. I can see his eyes lingering on the boat and the ocean and the tiny island of Taiwan he can’t yet make out. I can see that his mind is already gone from his childhood home and she can see it too. She takes a deep breath and smiles. She tries to be happy for him, to be proud of her youngest son. She tries to remember that boys his age are fighting wars in the north, and that she is lucky, so lucky, that all he wants is to explore the world. She tries to be happy that her boy will not only be well-educated, but also well-traveled, but he is her baby boy and she is his mother and he’s never traveled so far from home before.

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Reunification Will Have to Bridge the DMZ and Massive Technological Gaps

Part of the demilitarized zone between North and South Korea (photo by Korean Culture and Information Service, CC BY-SA 2.0).

Some physicians in South Korea are working to understand the differences in healthcare across the DMZ and health issues North Korean defectors face, in preparation for eventual reunification — not easy when the medical tools Northern Korean physicians have are so drastically outdated and when support for reunification is dropping in the South. At Undark, Sara Talpos talks to the doctors trying to bridge these gaps.

The practice of medicine is sharply different in the two countries. In North Korea, the focus is on infectious disease and physical trauma, often caused by coal-mining injuries. Doctors learn only the basics of other diseases because specialized medicines and equipment — chemotherapy for cancer, for example — simply aren’t available.

Ko laughs when I tell him I’ve heard North Korean X-ray images are so poor that a South Korean doctor wouldn’t be able to understand them. “Yes, that’s true,” he says, sipping a cup of coffee. We’re meeting at Steff Hotdog, a fast-food restaurant located, somewhat improbably, inside Anam Hospital. “That’s because they don’t have X-ray film.” Instead, the doctor takes the patient into a dark room, where the patient stands between the X-ray machine and a translucent screen. Ko borrows my pen to illustrate. His doctor sits hunched over on a stool like Rodin’s “The Thinker.”

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The Best of City And Regional Magazines: A Reading List

Last month, the City and Regional Magazine Association, a membership-based body of local magazines and alt-weeklies, announced the winners of its annual awards. This year, Texas Monthly, Portland Monthlyand Sarasota Magazine won overall excellence awards in their respective categories.

Local and regional periodicals fill an important space in the media ecosystem; voices rooted in the sights and sounds of a place can reveal the complexity of what’s really happening in an area. We all know by now that our time is one where the press is imperiled and the pursuit of truth is threatened. There is commercial pressure on journalists due to a fragmented marketplace, and mergers, acquisitions, and consolidations that have shorn staff sizes and budgets.  As we have said before, it is important to support their work.

In honor of the awards, we compiled a few local and regional deep cuts, including some of the winning pieces from CRMA publications. What do they have in common? A rigorous approach to the truth, a convergence of the of the personal and political, implicit — and some explicit — calls to action, and excellent writing.

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Poor, Gay, Black, and Southern: America’s Hidden H.I.V. Crisis

Cover, New York Times Magazine

Ground zero in the AIDS crisis happened on June 5th, 1981, when the C.D.C.’s Morbidity and Mortality Weekly Report identified five cases of pneumocystis pneumonia (PCP) in previously healthy white men in Los Angeles. The sixth case — a gay African-American man who had contracted PCP and cytomegalovirus — went undocumented. That critical omission has had a horrific ripple effect in the southern United States where the “Centers for Disease Control and Prevention…predicted that if current rates continue, one in two African-American gay and bisexual men will be infected with the virus.”

In this in-depth report at The New York Times Magazine, Linda Villarosa follows Cedric Sturdevant, who overcame his own despair over H.I.V. to help young black men in some of the poorest counties in the South manage their H.I.V. diagnoses so that they might live healthy, productive lives.

As he stepped into Jordon’s stuffy bedroom, Sturdevant’s eyes scanned from a wheelchair leaning against the wall to a can of Ensure on the bedside table before settling on the young man. He was rubbing his feet, wincing from H.I.V.-related neuropathy that caused what he described as “ungodly pain.” Jordon’s round, hooded eyes were sunk deep into his face. Gray sweatpants pooled around his stick-thin legs, so fragile they looked as if you could snap them in two. His arms were marked with scars from hospital visits and IVs. Over six feet tall, he weighed barely 100 pounds. He smiled slightly when he saw Sturdevant, dimples folding into his hollow cheeks. “Hey, Mr. Ced,” he said, his voice raspy.

“Are you taking your medicine?” Sturdevant asked. For many young men, the H.I.V. diagnosis and the illness are so overwhelming that maintaining a new and unfamiliar regimen of medication can be difficult. Jordon looked down. “Not as often as I should.” When he saw Sturdevant’s glare, he continued, sounding like a little boy. “I hate taking medicine; I hate it. I have to take six pills, now seven, eight, plus a shot —”

Sturdevant cut him off. “We all have to do this, Jordon. Don’t you want to get better?”

Jordon let his head fall back on the pillow. “I know I can get better, Mr. Ced,” he said, massaging his feet. “I just don’t know how everything got so bad.”

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