Search Results for: Medicine

An Atlas of the Cosmos

Illustration by Glenn Harvey

Shannon Stirone | Longreads | October 2020 | 16 minutes (4,288 words)

When I was 8, I noticed an atlas on the bookshelf in my room. I had just started amassing large art books from family museum trips but this was the first abnormally sized book in my posession — it was so oddly shaped its pages spilled over the edge of the shelf. One day I used all my strength to wiggle it down off the bookcase. I sprawled on my bedroom floor and began sifting through the long pages. It must have been from the ’50s or ’60s. It smelled old but it was clearly a book that had been cared for over the years. Its pages were a mix of pastels so dizzying and complex; in how pinks separated from light green and the skinniest blue rivers cut across the pages. Once I was old enough to read, my grandpa started ceremoniously gifting me books from his shelves.

One by one, every time I saw him, a piece of his library became mine. He had travelled all over the world and knew how much it could change a person. And whenever I’d visit him, I’d browse the books on the lower shelves and run my fingers along the spines like a car’s wheels over speedbumps, each cover sort of yellowed from years of his cigarette smoke and constant reading. Once this book and I were formally introduced, I began having regular dates with the atlas. Each day I would lay on my stomach and then sit cross-legged hunched over the pages, running my fingers down the rivers in Africa — the Nile, Limpopo, I’d take a trip to France or Chile. I would attempt to pronounce Czechoslovakia and many other long words that threw me into a joyous tizzy. Every mountain range, every body of water, every large city I would look at longingly wondering one day when I got older, how many of these mysterious places I would see with my own eyes. My wanderlust grew as I grew. There was so much to be explored, there was so much space that existed around my little home in Los Angeles. There was so much I didn’t know.

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Inside the Chaos of Immigration Court

Photo collage: Wikimedia Commons (CC BY-SA 3.0) / Cheri Lucas Rowlands

Gabriel Thompson | Longreads | September 2020 | 6,849 words (24 minutes)

 

The Equitable Life Building, at 100 Montgomery Street, sits in the heart of San Francisco’s Financial District. Named after an insurance company, it was the first skyscraper built in the city after the Depression, a symbol of optimism rising 25 stories high with marble walls that sparkled in the sun. Today, it is home to all sorts of buzzy Bay Area companies, from Spruce Capital Partners (“investors and thought leaders in the Life Sciences industry”) to the OutCast Agency (“strategists and creatives” with “a hyper-growth mindset”). To get away from the hectic pace of investing, strategizing, and creating, tenants can burn off calories inside the building’s private gym or take their lunch break atop a luxurious rooftop deck. 

The Equitable Life Building is also home to the San Francisco Immigration Court, though it’s easy to miss. On my first visit last winter, the only hint that a court lay within was the scores of families in the lobby, clutching summonses and looking confused. The court is above, occupying the fourth, eighth, and ninth floors. Up here, the elevators opened into a slightly off-kilter dimension: A security line snaked into a cramped waiting room, which led to a winding and windowless hallway, from which one entered identical windowless courtrooms. It was deeply disorienting. I often encountered people fumbling around in the hallway, not sure how the hell to get out.    Read more…

The Top 5 Longreads of the Week

Central American migrants heading in a caravan to the US- cross the Suchiate River from Tecun Uman, Guatemala, to Ciudad Hidalgo, Chiapas State, Mexico, on January 23, 2020. (Photo by ALFREDO ESTRELLA/AFP via Getty Images)

This week, we’re sharing stories from Abrahm Lustgarten, Michele Harper, Laura Paskus, Samiya Bashir, and Raven Leilani.

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1. Where Will Everyone Go?

Abrahm Lustgarten | ProPublica | July 23, 2020 | 38 minutes (9,536 words)

As temperatures and sea levels rise, populations flee from regions that are no longer livable, and the United States and other nations choose to build walls and keep migrants out, where will the world’s climate refugees go?

2. The Police Tried to Make Me Medically Examine a Man Against His Will

Michele Harper | Zora | July 6, 2020 | 18 minutes (4,611 words)

On racism in medicine, body autonomy, and one Black doctor’s experience in the ER.

3. Memory of a River

Laura Paskus | Santa Fe Reporter | July 13, 2020 | 9 minutes (2,360 words)

The adorable eucalyptus-eaters are on the front lines of research for a chlamydia vaccine.

4. Letter from Exile

Samiya Bashir | LitHub | July 23, 2020 | 7 minutes (1,809 words)

“In another hot year, we fail the Rio Grande.”

5. The Void Witch

Raven Leilani | Aquifer: The Florida Review Online | June 10, 2020 | 17 minutes (4,488 words)

“She was in pursuit of what all black girls were supposed to be born with—a jovial, ironclad self-esteem, a sense of rhythm, and a witchy finesse with jojoba and coconut oils. She was in pursuit of that inalienable right to say whether or not someone was, in fact, down.”

The Police Tried to Make Me Medically Examine a Man Against His Will

Longreads Pick
Source: Zora
Published: Jul 6, 2020
Length: 18 minutes (4,611 words)

Let the Unexpected Expand the Landscape of the Possible

Jia Tolentino and founder and Billie Whitehouse at The New Yorker TechFest in 2016, back when we were allowed to leave our homes and gather in large groups indoors. (Photo by Craig Barritt/Getty Images for The New Yorker)

For Interview, Christopher Bollen talks with Jia Tolentino about the decade and a half that has been 2020: COVID-19, the capitalist death cult, melting permafrost, white supremacy, political protest, Danny DeVito. You know, the usual.

I hope ego death becomes a more commonplace experience. I hope the absence of stability and predictability revives our political imagination, helps more of us inhabit the original position when we consider the kind of world that would make us excited and proud to live in.

I always tend toward the idea that discomfort is productive—it is for me—but racial discomfort curdles if it remains centered on whiteness. I’ve wondered if the unproductive idea of colorblindness is shifting to an unproductive idea of white self-analysis. Like, I think there’s some portion of white people who are going from awkwardly saying “African-American” to awkwardly saying “BIPOC,” people who were “taught to treat everyone equally” and are now being taught to verbally negotiate their own whiteness better—but who are still enmeshed in white communities, their affective habits altered a little but their enacted priorities still the same.

I’m also suspicious of the way that Not Being Racist is a project that people seem to be approaching like boot camp. To deepen your understanding of race, of this country, should make you feel like the world is opening up, like you’re dissolving into the immensity of history and the present rather than being more uncomfortably visible to yourself. Reading more Black writers isn’t like taking medicine. People ought to seek out the genuine pleasure of decentering themselves, and read fiction and history alongside these popular anti-racist manuals, and not feel like they need to calibrate their precise degree of guilt and goodness all the time.

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In Absentia

Getty Images

Matthew Bremner | Longreads | July 2020 | 12 minutes (3,429 words)

Clementina doesn’t know who she is. She doesn’t know her nine children, her grandchildren, or the names of her mother and father. She doesn’t know where she lives, where she has lived, or where she is now. People she has never met tell her that they love her. They say they are her daughter or her son. They assure her they used to play cards together — make wine in the bodega across from her house and chorizo on the patio after the local matanzas (pig slaughters). But Clementina doesn’t trust these people; she doesn’t know what they are talking about.

She didn’t trust me either when I first met her seven years ago. I was at my girlfriend’s family home in Villaveta, a dusty hamlet of dilapidated houses in the hinterland of Castilla y León, Spain. We were preparing lunch for the whole family. Clementina sat at the head of the table next to me. She was hunched by her 93 years, and her skin was wrinkled like a date. “Who are you my boy? she asked, squinting through creamy cataracts.

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Smoking: A Legal Weed Reading List

AP Photo/Richard Vogel

It’s always 420 somewhere, especially here in Portland, Oregon, where a cannabis dispensary seems to stand on every other corner. I smell weed while biking with my daughter through quiet residential neighborhoods. I smell weed while driving with my windows closed. I smell it at the food carts and on the clothes of college students whose papers I used to help revise at Portland State University. Last year I was skating a park around 8 am one morning, and I smelled weed. No one was walking a dog. No one was playing Frisbee golf. I swear the squirrels must have been blazing in the trees. It’s easy to feel like I’m part of a small minority of Portlanders who don’t get stoned. But legal cannabis is more than easy stoner jokes and giggly good times. Legalization is decriminalization, and that’s a very important distinction in a nation that both disproportionately incarcerates people of color for minor offences and clings to an ineffective, military battle approach to the social and health challenge of addiction. Weed is far less harmful than heroin and alcohol, but it can still be harmful when habitual. And arrests have ended too many lives.

In 2016, to celebrate Pennsylvania becoming the 24th US state to legalize medical marijuana, Longreads editor Cheri Lucas Rowlands compiled a marijuana reading list, called Weed Reeds. This list is an extension of that, featuring stories that have come out since other states decriminalized recreational and medical cannabis, and since advocates have started reframing marijuana as cannabis. Still, as serious as legalization is, people still puff, puff, puff on porches, pass the pipe at picnics, and drop tincture in their beers to lighten backyard parties. Legal weed ain’t all science and medicine. It’s a huge lucrative industry, and that makes for dramatic stories, personalities, and trouble.

* * *

Grow Industry” (Nicholas Hune-Brown, The Walrus, March 12, 2013)

In 2013, when two U.S. states had legalized recreational marijuana, there were signs that Canada would end its nine-decade-long marijuana prohibition. People were wondering how to capitalize on this historic opportunity, to become, as The Walrus put it, ”the Seagrams of weed.”

There are certainly parallels. Like the marijuana ban today, the prohibition against alcohol—much stricter in the US than in Canada—did not eliminate the drug. It just created a grey market with shortcuts and loopholes, easily exploited if you were someone like Samuel Bronfman, a canny Canadian businessman who wasn’t afraid to get his hands dirty. The Bronfmans were hustlers, Russian Jewish immigrants who set up a string of “boozariums” along the Saskatchewan–North Dakota border, ferried alcohol across the Detroit River, and shipped it into the US aboard schooners. In 1928, they expanded their empire by purchasing Seagrams, the Montreal-based maker of such popular brands as Seven Crown. When Prohibition ended, they were in the perfect position to solidify their hold on the market, and Seagrams became the largest distilling business in the world.

Lavish Parties, Greedy Pols and Panic Rooms: How the ‘Apple of Pot’ Collapsed” (Ben Schreckinger and Mona Zhang, Politico, May 24, 2020)

The spectacular explosion of cannabis’ ambitious startup MedMen is a tale for the tech era. The company themselves couldn’t always figure out if they were a tech company or a cannabis company. They just knew they were rushing to capitalize on the lucrative opportunity presented by legal cannabis. They modeled their stores after the Apple Store. They published a glossy culture magazine called Ember that ran articles like “Is CBD the New Tylenol?” In an attempt to reach the masses and normalize cannabis consumption, they ran an expensive ad campaign where they’d cross out the word ‘stoner’ and replace that loaded term with words like ‘Grandmother.’ “One image,” the story says, “featured a uniformed police officer.”

This is the story of how the cannabis industry comes down from its high.

In some cases, vendors, unable to get cash for the product they have supplied to the company, have instead been taking payment in MedMen stock. As of mid-May, its stock price was down more than 95 percent from its late-2018 high, according to data from the Canadian Securities Exchange.

Normally, a business in such dire straits could seek federal bankruptcy protection. Because of weed’s legal status, that option is not open to MedMen.

MedMen was faring worse than most, but the rest of industry was also coming down hard from its high. There were too many entrepreneurs trying to blaze the same path as Bierman, competing for a pool of legal sales that was not growing fast enough, with too much regulatory uncertainty hanging over them. In the year leading up to March 21, the United States Marijuana Index, which tracks top cannabis stocks, fell by more than four-fifths.

Canada’s Saddest Grow-op: My Humiliating Adventures in Growing Marijuana” (Ian Brown, The Globe and Mail, May 19, 2019)

When one of The Globe and Mail editors suggested writer Ian Brown grow weed as an experiment, Brown borrowed a high tech, automated grow device called a Grobo and set his operation by his office desk. From the dizzying number of varietals to choose from to the sensitive environmental needs of the plants, there are many reasons professional grow cannabis. But could technology like Grobo really democratize and simplify cannabis production?

“I think people will come to love growing,” Mr. Dawson said as we neared the end of our factory tour. “But it’s a much more complex problem than we anticipated.” He was enthusiastic, but wary, because he knew the secret behind the popular misconception that cannabis is a weed anyone can grow anywhere. The truth is, growing good cannabis is way, way harder than it looks.

Eventually, we loaded the Grobo into the hatch of my car. I drove to Toronto and dollied the hulk up to my desk at work. I felt like a revolutionary. There it stood for three weeks while I tried to find something to grow in it.

Reefer Madness 2.0: What Marijuana Science Says, and Doesn’t Say” (Dave Levitan, Undark, January 21, 2019)

By now, many Americans are at least faintly aware of the comical mid-century progoganda waged against marijuana consumption, which included slogans like “The burning weed with its roots in Hell!“ The rhetoric has cooled, but myth and pseudoscience still shape many Americans’ view of cannabis use, and propoganda takes many forms. In this piece, Levitan takes a look at the untruths, fear-mongering, and logical fallacies that inform the case that the book Tell Your Children: The Truth about Marijuana, Mental Illness, and Violence makes against cannabis. He also indicts New Yorker writer Malcolm Gladwell for his piece, “Is Marijuana as Safe as We Think?” which, even when justified, is a modern sport in itself. “Combined,” Levitan writes, “these two works offer a master class in statistical malfeasance and a smorgasbord of logical fallacies and data-free fear-mongering that serve only to muddle an issue that, as experts point out, needs far more good-faith research.“ It must also be said that science is still trying to understand the way cannabis works on, and that weed is not harmless, even if it isn’t from HELL.

An important piece of Berenson’s argument is that rates of marijuana use have risen at around the same time as an increase in diagnoses of schizophrenia and other forms of psychosis. For example, separate studies from Finland and Denmark show an increase in such diagnoses in recent years. The authors of both studies wrote that the increases could be explained by changes to diagnostic criteria, as well as improved access to early interventions. In both cases, the authors do not rule out an actual change in incidence. But Berenson makes that possibility seem a firm reality, and that the rise in marijuana use is responsible. There is no real evidence that he’s right.

Berenson’s connection of marijuana to violence seems even more tenuous. He writes that violence has increased dramatically in four states that legalized marijuana in recent years: Alaska, Colorado, Oregon, and Washington. He notes that the number of violent crimes in those states has increased faster than the rest of the country between the years 2013 and 2017. On its face, he’s not wrong, but this is a great example of the liberties one can take with numbers.

Is Marijuana as Safe as We Think?” (Malcolm Gladwell, The New Yorker, January 7, 2019)

Medicaid, Marijuana And Me: An Ex-Opioid Addict’s Take On American Drug Denial” (Janet Burns, Forbes, February 18, 2018)

A journalist shares what her experience with prescription painkillers taught her about the value of decriminalization.

Current federal leaders have said repeatedly that cannabis is not a medicinal substance at all, just as members of many administrations did before them. In doing so, it seems, they chose to reject the clear definitions and determinations that have been agreed upon by a majority of medical experts and regular citizens in the U.S. and a growing number of nations around the world.

At the same time, the U.S. assigns more favorable legal status to around 50 different opioids than it does to cannabis or psilocybin mushrooms, all but a handful of which are manufactured prescription drugs (think “opium poppy straw”; heroin, originally a prescription drug, has been retired). As of last year, the U.S.was also producing more opioid prescriptions than it has residents. And according to recent statistics, another American dies from opioid abuse every 10 minutes.

Glass, Pie, Candle, Gun” (Sean Howe, Longreads, May 13, 2019)

Before he founded High Times, Tom Forcade was a renegade journalist willing to throw a pie — or a lawsuit — in the face of anyone restricting his constitutional freedoms.

Much as the underground press provided a forum for the New Left and counterculture of the 1960s, High Times served as the national message center for the 1970s movement to bring marijuana to the mainstream. During Forcade’s four years publishing the magazine and funding the marijuana lobby, possession of small amounts of cannabis was decriminalized in Alaska, California, Colorado, Maine, Minnesota, Mississippi, Nebraska, New York, North Carolina, Ohio, and Oregon. The first Americans began receiving marijuana for a medical condition. High Times editorials from those days seem almost prophetic now: warning against the corporate interests that would descend upon legalized weed, and noting the ways in which international drug wars could serve as cover for imperialist adventures. (Forcade’s own extralegal activities have a legacy as well, but that information has mostly lurked in government agency records, in the memories of tight-lipped collaborators, and in the research files of my forthcoming book about him)

Pretty and Dumb? Tell It to the Avocado

Philippines, Natives cutting abaca, Colored engraving, 'The Spanish and American Illustration,' 1876. (Photo by Prisma/UIG/Getty Images)

When Christopher Columbus first encountered “Indians,” he formed the opinion: “These are very simple-minded and handsomely formed people.” As Robert Jago explains for The Walrus, this unjustified view of Native incompetence has persisted in some non-Natives to this day — even encountered in the way his tribe currently fishes the river named after them.

in another news report, they advised that any salmon bought from us poses a “significant risk to human health.”

Our catch is fine for us to eat, apparently—it’s just a problem for “human” health.

Stó:lō means “river people,” and this river is full of salmon—or, at least, it used to be. It’s our staple food, eaten smoked, baked, boiled, and candied. My grandma prized the eyes, plucked out and sucked on till they popped and released their fishy goo. My nephew goes for the eggs; he quite literally licks his lips at the sight of them. My uncle takes the best cuts to smoke outdoors with a closely guarded, centuries-old family recipe.

It takes a lot of nerve to say we don’t know how to handle salmon—but I suspect the reality behind that claim is that a great many Canadians can’t imagine us knowing anything independently, as Native people.

In reality, Jago argues that it was only with the help of native knowledge and creations that non-Natives were able to create their world at all — alluded to in the name his ancestors gave to the new arrivals in Canada:  xwelítem — the hungry people. A name coined after starving white miners came begging for food during the Fraser River gold rush.

Indigenous people around the world were experts at food long before non-Natives made an appearance — responsible for developing the agriculture techniques that led to the potato, maize, avocado, tomato, chocolate, and quinoa, to name but a few.

European farmers of the sixteenth and seventeenth centuries had to leave as much as half of their fields empty at any time so as not to exhaust their growing potential. They were also overreliant on grain as one of their few sources of nutrition. The result was that, in England alone, between 1523 and 1623, there were seventeen major famines. The addition of Indigenous agricultural methods and foods domesticated by Indigenous people changed that. Where in the past, a study in Nature found, European farmers could feed 1.9 people per hectare, with our help they could now feed 4.3. Writing in Smithsonian Magazine, Charles C. Mann concludes that, with Indigenous peoples’ sharing of their domesticated foods and agricultural technology, “the revolution begun by potatoes, corn, and guano has allowed living standards to double or triple worldwide even as human numbers climbed from fewer than one billion in 1700 to some seven billion today.” didn’t hand us the keys to the modern world—they took from us the tools that built its foundations.

Non-Natives like to think that the Mayflower had Wi-Fi, that the Niña, the Pinta, and the Santa María brought with them consumer goods, Facebook, and nuclear medicine. In reality, they brought very little from Europe that Natives wanted beyond weapons and metalwork.

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The Hungry People

Longreads Pick

“Non-Natives like to think that the Mayflower had Wi-Fi, that the Niña, the Pinta, and the Santa María brought with them consumer goods, Facebook, and nuclear medicine. In reality, they brought very little from Europe that Natives wanted beyond weapons and metalwork.”

Source: The Walrus
Published: Jun 29, 2020
Length: 12 minutes (3,021 words)

Tea, Biscuits, and Empire: The Long Con of Britishness

CSA Images / Getty / Illustration by Longreads

Laurie Penny | Longreads | June 2020 | 21 minutes (5,360 words)

“I am strongly in favour of using poisoned gas against uncivilised tribes.”
— Winston Churchill, unpublished memorandum

“Will Mockney for food.”
— Alan Moore, The League of Extraordinary Gentlemen, vol. III

This is a story about a border war. Specifically, a border war between two nations that happen, at least in theory, to be precisely the same place. One of them is Britain, a small, soggy island whose power on the world stage is declining, where poverty, inequality, and disaster nationalism are rising, where the government has mangled its response to a global pandemic so badly that it’s making some of us nostalgic for the days when all we did was panic about Brexit. The other is “Britain!” — a magical land of round tables and boy wizards and enchanted swords and moral decency, where the sun never sets on an Empire run by gentlemen, where witty people wear frocks and top hats and decide the fate of nations over tea and biscuits.

One is a real place. The other is a fascinatingly dishonest, selective statement of fact, rather like describing how beautiful the countryside was in the antebellum American South. A truth so incomplete it’s worse than a lie.

Every nation-state is ninety percent fictional; there’s always a gap between the imaginary countries united by cultural coherence and collective destinies where most of us believe we live, and the actual countries where we’re born and eat breakfast and file taxes and die. The U.K. is unique among modern states in that we not only buy our own hype, we also sell it overseas at a markup. “Britain always felt like the land where all the stories came from,” an American writer friend told me when I asked why she so often sets her novels in Britain. Over and over, writers and readers of every background — but particularly Americans — tell me that the U.K. has a unique hold on their imaginations.

Every nation-state is ninety percent fictional; there’s always a gap between the imaginary countries united by cultural coherence and collective destinies where most of us believe we live, and the actual countries where we’re born and eat breakfast and file taxes and die.

That hold is highly profitable. Britain was kept out of recession last year by one industry: entertainment. Over the past four years, the motion picture, television, and music industries have grown by almost 50 percent — the service sector, only by 6.  So many shows are currently filmed in England that productions struggle to book studio space, and even the new soundstages announced by London Mayor Sadiq Khan in 2018 will be hard-pressed to keep up with demand. As historian Dan Snow pointed out, “[O]ur future prosperity is dependent on turning ourselves into a giant theme park of Queens, detectives, spies, castles, and young wizards.”

There is hope: the statues are coming down all over Britain, starting in Bristol on June 7, 2020. Black Lives Matter protesters pulled down a monument to slave trader Edward Colston, who is remembered for how he lavished his wealth on the port city and not for the murder of 19,000 men, women and children during the Middle Passage. In Oxford, students demanded the removal of monuments to Cecil Rhodes, the business magnate and “architect of apartheid” who stole vast tracts of Africa driven by his conviction in the supremacy of Anglo-Saxons. In Parliament Square, fences have been erected to protect Winston Churchill himself, the colonial administrator and war leader whose devoted acolytes include both Boris Johnson and Donald Trump. Young Britons are  demanding a reckoning with a history of colonial conquest, slave-trading, industrial savagery, and utter refusal to examine its own legacy.

Meanwhile, the economic disaster of a no-deal Brexit is still looming and Britain has the highest COVID-19 death toll in Europe, putting further pressure on an already-struggling National Health Service. Under Boris Johnson’s catastrophic leadership, or lack thereof, there are no signs of changing tactics on either. Fantasy Britain is having a boomtime. Real Britain is in deep, deep trouble. Read more…