Search Results for: The New Republic

The Science of Dreaming

Photo by Eddie Kopp / Unsplash

Jessica Gross | Longreads | December 2018 | 14 minutes (3,551 words)

In 2011, when she was in college studying abroad in Peru, Alice Robb ran out of reading material and picked up a copy of Stephen LaBerge’s Exploring the World of Lucid Dreaming. Her initial skepticism quickly dissolved, and she and a friend spent the summer practicing LaBerge’s tips: they recounted their dreams to each other; they did “reality tests” during the day to trigger similar checks while sleeping. Robb began keeping a rigorous dream journal and found that, after very little time, she began remembering her dreams in detail.

In short, she began taking her dreams very seriously — a stance that she has maintained since. In her new book, Why We Dream, Robb, a science journalist, presents a comprehensive and compelling account of theories of and research on dreaming from ancient times through the present day. Throughout, she displays an intense respect for what our minds do while we’re sleeping, and the findings she presents — that dreaming is essential for sanity, that analyzing our dreams can be revelatory, that dreams can be used as diagnostic tools and even manipulated for our own mental health—corroborate her conviction that, as a culture, we would benefit from paying more careful attention.

Robb and I met at a bar near where she lives in Brooklyn to talk about dreams’ predictive power, what it’s like to make your dream journal entries public (hint: uncomfortable), and what closely observing our dreams can offer.

Toward the end of the book, there is a line that moved me so much: “I like seeing proof that even while I’ve been unconscious, I’ve been alive.” It seems to me that dreams as proof of life — so then, maybe, as defense against death — is a pivotal concept in this book.

I used to have a lot of trouble sleeping and I was kind of afraid of sleep. A lot of people have compared sleep to death, and being unconscious is a scary thing to think about. But paying attention to my dreams and improving my dream recall and seeing that there’s actually so much going on in my mind while I’m asleep has made sleep feel more like a lively time — more integrated with the rest of my life and waking hours — rather than this weird period where I just shut down. Read more…

Sorry, But Drug-Induced Homicide Laws Aren’t Going to Solve Our Opioid Crisis

Tennessee Bureau of Investigation via AP

Prosecutors across the U.S. have revived old laws to prosecute the people who supply the drugs that lead to overdoses. Critics characterize this as another ineffective technique in the ineffective tough-on-crime approach to drug addiction. Instead of incarcerating the high-level drug traffickers the laws originally targeted, they treat family, friends, and small-time dealers as murderers. For The New Republic, Jack Shuler looks at a few recent cases of drug-induced homicide, explains this tactic’s origins, and it ineffectiveness.

While this trend began prior to Donald Trump’s election, it has accelerated since he assumed office. According to the United States Sentencing Commission, a federal agency, there was a 10 percent increase in 2017 in the number of people who received federal prison sentences for distributing drugs resulting in death or serious injury and a nearly 200 percent increase since 2013. Trump has made it clear that he favors an aggressive approach to the opioid crisis. “My take is you have to get really, really tough—really mean—with the drug pushers and the drug dealers,” Trump said in February, during a speech in Blue Ash, Ohio.

Trump has pushed this rhetoric to its logical conclusion, suggesting that drug dealers should face the death penalty, an idea he said he got from Chinese President Xi Jinping. He has also expressed admiration for President Rodrigo Duterte of the Philippines for his violent approach to curbing drug trafficking. In March, Attorney General Jeff Sessions issued a memo to the 93 U.S. attorneys reminding them that they have the power to pursue capital punishment in certain drug-related cases.

This aggressive approach has filtered down to the local level. In Ohio, residents have ample reason to be frustrated with the bodies piling up in the state’s morgues; the strain on health care, police and emergency services, and the workforce—a cost of up to billions of dollars every year; and the emotional pain it’s causing families. Last summer in Middletown, Ohio, a city of 50,000 near Cincinnati, city council member Dan Picard proposed a three strikes policy for overdose rescues. Overdose victims would be required to perform community service to make up for the cost of treatment—and if a 911 dispatcher determined that someone who was overdosing had not performed community service, they would not dispatch emergency services. “We’ve got to do what we’ve got to do to maintain our financial security, and this is just costing us too much money,” Picard told a local news station. First responders balked at the proposal, but the anger that bred it persists. Stickers that say SHOOT YOUR LOCAL HEROIN DEALER have started to appear on truck windows around the state. In Summit County, where the opioid crisis is so bad they have had to use refrigerated trailers as morgues, prosecutors have charged 49 people with manslaughter in connection to an overdose since 2014. And in Licking County, at least four people in addition to Tommy Kosto were charged for supplying drugs that led others to overdose between 2016 and 2017.

Read the story

On Being an Ill Woman: A Reading List of Doctors’ Dismissal and Disbelief

Getty Images

Just months after I turned 18, I sat on the white crinkly paper of a patient bed, waiting for my first neurology appointment. I repeated, I am a Division I athlete, as if reminding myself of my athleticism would somehow erase the strange symptoms of fainting, blurred vision, and dizziness that had plagued me for the previous few weeks. The illness, like a flower from concrete, seemed inconceivable. I had been healthy my whole life.

The doctor rapped on the door, entered, and shook my hand before taking a seat. “The doc at your school called. Thinks you had a bad reaction to medication,” he said, referencing antibiotics I’d been prescribed for bronchitis. “He says you’ve had blurry vision, vertigo, two episodes of syncope.”

“Is syncope fainting?” I asked, feeling as though the language of my body had been translated into something incomprehensible. I wanted to snatch it back.

“Yeah, yeah,” he crooned. “You been running?”

“I’ve been trying,” I told him. Each attempt ended in a swell of vertigo and subsequent collapse. The assistant coach carried me to my trainer, who took my blood pressure and pulse, always murmuring, “you’re fine.” The athletic doctor assigned to our team, after performing several tests, had told me that I presented no abnormalities; he encouraged me to run.

The neurologist pulled out a mallet and tapped my knee. My lower leg reacted as it should, swinging forward like a pendulum. He told me to walk, and watched as I made my way from the bed to the door, and back again. “It’s fine for you to run,” he said, scribbling down notes. “I don’t see what’s holding you back.”

I left the appointment with a sense of unease. If the athletic doctor, a trainer, and a neurologist had seen me and told me I was fine, then was I really sick? At the time, I didn’t know how to advocate for myself while in the position of patient. I felt alone with my illness, scared of my own body.

Eight years have passed since then and, in my own continuing journey toward a diagnosis, I have felt a strange mix of emotions when reading narratives of other women being discredited by medical professionals. I feel outraged when I read about their attempts to voice symptoms, only to be silenced. Guilt — and a desire to work toward reforming our current medical system — washes over me when I am reminded of the extent of my own privilege.

The essays below are both a salve to the years of dismissal from doctors and a call to action. I’m inspired by other women’s efforts to advocate for themselves, practice radical empathy, change policy, and create resources so that other patients don’t endure the same harrowing experiences. When I hear my voice in chorus alongside them, I feel as though I’m somehow part of a community, or at least not alone anymore.

1. “PCOS. POC. Poetry. & Pilates” (Tiana Clark, Lenny Letter, April 13, 2018)

Tiana Clark tries to ignore symptoms of panic attacks, hair loss, brain fog, and more, until her ovary throbs with an excruciating pain that forces her to the walk-in clinic. There, a doctor waves Clark’s symptoms away with painkillers and, at an appointment with a white female gynecologist soon after, Clark’s self-diagnosis of polycystic ovarian syndrome (PCOS) is initially belittled.

Her casual dismissal of my problem reminded me of what I’d so often seen living as a black woman in America: an erasure of my distress.

In this incisive, empowering essay, Clark highlights researched material about black women’s health care in the U.S., relays her own harrowing experiences with medical professionals, and emphasizes the importance of learning to advocate for herself.

2. “Memoirs of Disease and Disbelief” (Lidija Haas, The New Yorker, June 4 & 11, 2018)

By examining female narratives of illness ranging from Virginia Woolf’s essay On Being Ill, Jennifer Brea’s documentary film Unrest, Susan Sontag’s canonical Illness as Metaphor, and Christina Crosby’s book A Body, Undone: Living On After Great Pain, among others, Lidija Haas reviews Porochista Khakpour’s Sick with an eye toward how storytelling can affect treatment, act as a form of escape, and undermine dangerous expectations of what a patient should be.

(Related: read an excerpt of Porochista Khakpour’s Sick here at Longreads.)

3. “Doctors Told Her She Was Just Fat. She Actually Had Cancer” (Maya Dusenbery, Cosmopolitan, April 17, 2018)

After experiencing coughing fits for three years, Rebecca Hiles visits the doctor, only to be told her condition is “weight-related.” Hiles is not the only one to be dismissed in this way; in this insightful and eye-opening essay, Dusenbery collects stories of women who have been fat-shamed by doctors rather than being treated with care, resulting too often in dangerous downward spirals in illness.

4. “The Reality of Women’s Pain” (Rachel Vorona Cote, The New Republic, March 7, 2018)

Rachel Vorona Cote situates Abby Norman’s Ask Me About My Uterus: A Quest to Make Doctors Believe in Women’s Pain, a book about Norman’s arduous experiences receiving treatment for endometriosis within a long history of “wild theories about female anatomy” such as the “wandering womb” theory of Ancient Greece, Freud’s dismissal of patients as hysterical, and others.

As Norman communicates so powerfully, a woman’s relationship to her pain is a snarled coil of memory and socialization.

(Related: read Abby Norman’s Women’s Troubles, from Harper’s.)

5. “On Telling Ugly Stories: Writing with a Chronic Illness” (Nafissa Thompson-Spires, The Paris Review April 9, 2018)

Nafissa Thompson-Spires not only chronicles the emergency room visit and appointments that led to her initial diagnosis of endometriosis, but also writes about what it means to be a woman with an invisible chronic illness, and her identity as a black woman within the realm of the medical world.

In Ain’t I a Woman: Black Women and Feminism and Talking Back: Thinking Feminist, Thinking Black, bell hooks problematizes the persistent myth of the strong black woman. This myth contributes to real-life consequences in medicine and elsewhere.

6. “Checkbox Colonization: The Erasure of Indigenous People in Chronic Illness” (Jen Deerinwater, Bitch Magazine, June 8, 2018)

When Jen Deerinwater visits the doctor, her identity as “a citizen of the Cherokee Nation of Oklahoma” is erased by problematic intake forms that only include the options of “American Indian” or “Native American,” and she is often asked “degrading and humiliating questions” by medical professionals. Deerinwater lists a litany of ways in which Native people are ignored and mistreated by the healthcare system, resulting in lack of access to resources and treatments, shortened lifespans, and a host of other harms.

(Related: read other essays from the 15-part “In Sickness” series from Bitch Magazine.)

7. “Health Care System Fails Many Transgender Americans” (Neda Ulaby, NPR, November 21, 2017)

As of November 2017, 31 percent of transgender Americans lacked regular access to healthcare, due in part to how difficult it is for transgender people to find jobs. Neda Ulaby notes that “insurance companies and many medical professionals still treat them as though their bodies don’t make any sense,” which causes anxiety for trans people when visiting physicians, something Planned Parenthood is trying to ameliorate through staff training.

(Related: read Making Primary Care Trans-Friendly by Keren Landman, from The Atlantic.)

8. “A Matter of Life & Death: Why Are Black Women in the U.S. More Likely to Die During or After Childbirth?” (Meaghan Winter, Essence, September 26, 2017)

When Fathiyyah “Tia” Doster was pregnant, she began to feel bloated late one night. Luckily, she visited the hospital, where she safely delivered her baby. A diagnosis of hemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome left her hospitalized for more than three months, but alive. Other pregnant women are not so lucky. Meaghan Winter explores the historic backdrop of healthcare for black women, the current political climate which is threatening women’s access to insurance and clinics, and bias within hospitals, all of which have contributed to rising rates of maternal mortality.

The complex web of causes — which includes genetic predispositions, chronic stress, racial bias and structural barriers to health care — contributes to the racial disparity in maternal health.

In the end, Winter offers strategies for health providers, reformers, and patients and their families to implement necessary change.

Jacqueline Alnes is working on a memoir of running and illness.

Mega-drought and Me

Sebastien Gabriel / Unsplash, Paul Robert / Unsplash, Photo illustration by Katie Kosma

Zoe Fenson | Longreads | September 2018 | 18 minutes (3,732 words)

I kick my heels against the end of the exam table, feet dangling as if over the edge of a dock. One hand on the opening of the gown, the other holding the drape to my lap.

First time seeing this new doctor, now that the old practice closed. I’d expected older, brusque, lab coat, but she is warm and cheery in her crisp blue scrubs and gray hijab. Legs splayed on the low wheeled stool, elbows on knees, clipboard. Reading.

It’s all there on the form, in my handwriting. Age: 29. Reason for visit: annual exam. Smokes: No. Drinks: two to three per week. Wears a seat belt: always.

The drape slips off my lap — why does it always do that? I catch it, shift carefully, try not to tear the paper liner under my bare bottom.

Number of sexual partners in the past year: one. Gender of partner: male.

“So, you’re in a relationship?” She looks up from her clipboard. “How long?”

“Six years.”

“Wow, congratulations!” A warm smile. “So, are you thinking about kids?”

The gears in my brain catch and stop turning. My forehead is suddenly jelly. The drape slips and I pull it closer, keenly aware of my nakedness underneath.

“We’re kicking that can down the road,” I say.

She laughs. “Understood. Just wanted to bring it up, because …”

“I know,” I say. It’s all there on the form.

* * *

My first memory. I am standing at the far end of the hallway, square in line with the bedroom door and the four-poster bed beyond it. There are lights in the canopy, three yellow hollows, and they reflect spaceship beams in the mirrored headboard. I am small, and the floor is close, and the lights are high and bright.

The walls and ceiling are dark and distant. I can feel them looming, hear fantastic hissing creatures in the corners. The bed is a spaceship, and I am standing in the dark, my heart beating cold.

She’s there, in the bed. My mother. I can just make out the pink swell of her belly over the rumpled patchwork quilt. Maybe a sliver of pale forehead above it, and a mop of pillow-mussed dark curls above that. Or maybe not. I am 3 years old and will remember this only in gulps and shivers.

Her belly is full of my siblings. A brother and a sister. They will emerge soon, my father keeps saying. In the meantime, she’s not feeling well. She needs to stay in bed. Later. You’ll see her later.

I watch her breathing. This is not my mother, my fluttering mother, always dashing from room to room, picking up this, noticing that. This is not my playful, silly mother, who reads picture books aloud with an actor’s breathlessness and uses her bare hands to crush cornflakes for salmon patties.

This still, barely-breathing, exhausted creature is not my mother. She is resting, not quite asleep, and I am not allowed to go to her, to see for myself what she really is. Or maybe I am allowed, but terror roots me to the floor.

* * *

Growing up in Silicon Valley, we learn the word “drought.” Drought comes in cycles. There’s less and less and less rain, over a year or two or maybe three. We ration our water use, turn off the tap when we brush our teeth, time our showers. Then suddenly the winds shift and the currents change and everything is blessedly watered again.

For years, I assume that “drought” is synonymous with “summer.” The season of no water, ending each year with the autumn rains. I watch the grasses in the hills turn from plump and green to dry and brown.

I know intellectually that droughts can stretch over years, that rain is relative, that brown grass thrives in summer. But still, I breathe a tiny sigh of relief when the first raindrop hits my nose every fall.

* * *

I’m kicking my feet at the end of the exam table. My mother sits in a chair alongside. Age: 13. Reason for visit: Missed periods. Number of sexual partners: zero.

This is the doctor I will see for 15 years before the practice closes. Dark hair, pink lipstick, lab coat, stethoscope. White clipboard. Low stool. Reading.

“So, how long has it been since your last period?”

“Ten months.”

The doctor raises her eyebrows. “It’s good you waited this long before coming in. At your age, menstruation can be extremely irregular. Just … not this irregular.”

“I know,” I say. It’s been over a year since the first streak in my underpants at summer camp, so dark I mistook it for dirt. Since then, I’ve menstruated twice: once in September, once in January. It’s now October. I’ve started wearing red sweatpants on airplanes, just in case. My mother tucks menstrual pads into the pockets of all my jackets and suitcases, a habit I will keep up — unnecessarily — for years.

“Well, there’s a couple things that could be going on. If you’re OK with it, I’ll do a visual assessment here and then send you to Pat down the hall for a blood draw.” She pulls a pair of blue vinyl gloves from a box on the wall. “Do I have your permission to conduct an external pelvic exam?”

I have no idea what an external pelvic exam is. “Sure.”

She pauses, puts her hand gently on my arm. “Oh, one more thing. You’re not pregnant, right?”

My forehead is jelly. “Right.”

“OK, good.” She breaks out in a hearty laugh. I laugh too, as cheerily as I can manage.

* * *

Throughout my childhood, there are galloping fires in the mountains each summer. We hear about them on the news: ignited by a lightning strike or a smoldering campfire or a cigarette butt, fattened on the sticks and straw left from months of waning water. Sometimes, on road trips, we see the aftermath of a smaller fire: a swath of black hillside, pierced by naked trees.

Each fire is a renewal, I’m told, a violent stripping of the old to make way for the new and green. There are some plants in the California chaparral that reproduce only after the intense heat of a wildfire. Pine cones release seeds; oak trees sprout fresh stems from burnt trunks; wildflowers germinate and bloom.

Her belly is full of my siblings. A brother and a sister. They will emerge soon, my father keeps saying. In the meantime, she’s not feeling well. She needs to stay in bed. Later. You’ll see her later.


Kickstart your weekend reading by getting the week’s best Longreads delivered to your inbox every Friday afternoon.

Sign up


 

* * *

“You see these two numbers here? The ones labeled FSH and LH?”

The lab sheet is dense with text. I follow the doctor’s pen as it traces around the two numbers. I am 13, and last week I had my feet in stirrups for the first time and needles sipping blood from my veins.

She explains, scratching diagrams and doodles on the back of the lab sheet. Hormone ratios, triglycerides, body mass index (I press my hands together between my chubby, chafing thighs). She draws a little ovary studded with cysts — a string of pearls winding around a grape.

Polycystic ovarian syndrome, she says. It’ll keep me from menstruating, make it hard to keep off the weight I’m already gaining. The most urgent thing now is to make sure I’m shedding the uterine lining each month; if it sits undisturbed for too long, it could grow cancerous.

She hands my mother a prescription for progesterone. “Just to get things started, and then we’ll switch to oral contraceptives for the long term.” And to me, “When you want to get pregnant, we’ll need to talk.”

I nod. My siblings and I were conceived via fertility treatments when my mother was in her 30s. I have time.

* * *

The progesterone makes me sob furiously. My hormones swell and peak each time I take a pill. When I switch to birth control, the crying eases. In its place I feel a growing restlessness, an urge to move out of my body and find a new one.

Over time, I get used to the routine. Every year, a pelvic exam, a panel of tests. I learn to grit my teeth and look away during the blood draw, waiting for the deep sting of needle meeting vein. Sometimes the phlebotomist misses — my veins are slim and deep — and I walk away with bruises.

I stay on birth control throughout high school and college. Twice a month, I get vicious cramps; once a month, I bleed. Each time, it becomes easier to pretend it’s the real thing.

* * *

I am 3 years old, standing in the hall, and there are things I do not understand. I do not understand that my mother is small too, only five feet tall, and that my siblings are straining her body to its limit. That the contractions began in month five — before the babies could survive outside her body — and start up again every time she stands. That she is lying in bed because her body is in revolt, and bed rest is what’s keeping my siblings alive.

I do not yet understand that she has been through this before. A fraught end to her first pregnancy with me, a first bodily revolt. In her seventh month she began having trouble removing her wedding ring. The vision in her left eye slowly dulled, until she couldn’t see out of it.

I was due in March; her water broke on New Year’s Eve. When she arrived at the hospital, the doctors diagnosed preeclampsia, a dangerous spike in blood pressure that had inflated her fingers and muted her vision. The only cure was to birth me. But I was too small to be safely born.

The philosophy behind bed rest is simple: Counteract gravity. My mother was laid flat for a week in the hospital, kept in a state of suspension while the doctors carefully dosed me with steroids and waited until my tiny lungs could pump air on their own. Then they let her contrary body take over, pushing me into the stark hospital light, scrawny and wide-eyed and — fortunately — screaming.

‘Polycystic ovarian syndrome,’ she says. It’ll keep me from menstruating, make it hard to keep off the weight I’m already gaining. The most urgent thing now is to make sure I’m shedding the uterine lining each month; if it sits undisturbed for too long, it could grow cancerous.

* * *

As I grow older, I can feel the summers getting longer, hotter. The rain takes longer to arrive each fall. The hills dry up faster, turning from spring green to summer brown before I can fully register the change.

There are fewer small fires. When the forest ignites — as it inevitably does — the fires leap up hotter and higher. We hear of flames crawling closer to the homes and towns that push into the forest.

* * *

The summer before my senior year of college, I go to Russia for six weeks. Without consulting my doctor, without telling my parents, I decide not to bring my birth control pills with me. I’m 21, single, and curious. Just curious.

Without a complaint, my body simply dries up. No bleeding. No cramps. For a whole summer, no movement in my reproductive tract.

* * *

We’re on our way from Pskov to Nizhny Novgorod. The van bumps and rattles on the rutted road. The other students are asleep or lost at the windows.

I’m chatting with the director of the program, an elegant lady with close-cropped dark hair. We talk about the cold summer rain that lashes St. Petersburg, how I still get startled seeing rain in the summer.

I lift my eyes to the view outside, watch the chilly mist collect on the van windows. “If I ever have kids, I’m going to adopt,” I say, more decisively than I feel.

Her eyes widen. “Good for you,” she says.

* * *

I come home from Russia and start the pills again. My body obediently bleeds.

* * *

Mega-drought. A drought lasting decades instead of years. In the 12th and 13th centuries, the area that we now call California went dry for hundreds of years. We see the evidence in the ring patterns of thousand-year-old tree trunks; the trees grew tall in dry lake beds, then drowned when the rains returned.

In the 1930s, the Dust Bowl — our closest memory of catastrophic drought — scorched the Great Plains for most of a decade. It turned farms into windy wastelands and sent families fleeing west to California. That was an ordinary drought. Mega-droughts last three, four, five times as long. We do not remember what it’s like to live for 50 years without rain.

* * *

“Are you in love with him?”

If the question came from anyone else, I would bristle. But this is my mother’s childhood friend Pam, whom I’ve known all my life. She’s the daughter — adopted — of my grandmother’s best friend, a woman with a raucous laugh and wild storytelling streak. I grew up knowing Pam’s vivaciousness, so like and yet unlike her mother’s. She has a daughter my age who shares her soprano speaking voice, her waterfall of red hair.

I’ve been seeing this guy, the guy who will eventually inspire the new doctor to ask me the question. Pam holds her wine glass with both palms, looks at me expectantly.

“I guess I am,” I say.

* * *

We’re driving in the rain, the two of us. The road is slick, headlight reflections blurring into lane lines. I’m 26, he’s 27, and I’m testing him.

“So, if you end up wanting biological kids, that’s going to be … complicated with me. Because of my health stuff.”

“I mean.” He shrugs. “I’m not opposed to kids, but I’m definitely not ready for them right now. We have time.”

“I understand that. But we’ll need to decide eventually, and it will actually be a decision, you know? We can’t just wing it.”

“That’s fine. I’m happy to take my cues from you.”

“But that’s the thing. I don’t know what I want. And you’ll have equal say in whatever path we decide to follow, so …”

“Now, hold on.” He turns to look at me. “I do not have equal say. It’s your body. We can do exactly as much or as little as you want.”

He’s passed the test. And yet I’m slightly deflated that he’s not throwing me a rope.

* * *

“So, that’s why I’m not eating honey right now. Because of the baby.”

I hear my friend over my shoulder, from the kitchen where I’m pouring myself a drink. At first I think I’ve misheard her, or she’s making a joke. She’s sitting neatly tucked into the table, so I can’t sneak a peek at her belly.

I thought I’d imagined her looking fuller and smoother, though her complexion is of the luminous kind anyway. It all clicks together — the new wedding ring on her finger, the house she and her partner just bought.

“I thought the honey thing is after the baby’s born,” I offer, feebly. We’re all so clueless, the people at this party. Young, urban professionals with cats instead of children.

She’s telling someone the story. It was an accident, a hiccup in birth control. She didn’t realize it for months, until the doctor at her annual exam said, “You didn’t tell me you were pregnant!”

I cup my wine glass in my palm and stare numbly across the room. I can feel the weight of my dry uterus, remember what happened when I played fast and loose with my pills.

When I get back to my boyfriend’s house after the party, I drop onto the couch and sob.

As I grow older, I can feel the summers getting longer, hotter. The rain takes longer to arrive each fall. The hills dry up faster, turning from spring green to summer brown before I can fully register the change.

* * *

There’s a mega-drought coming, scientists say. It’s the swing of a natural cycle, made more violent by the weight of humans on the earth. Dust Bowl refugees sought relief here in the West, and someday we will be seared hotter than they ever were.

I wonder how long California will be livable, how long we’ll be able to drag water into the desert.

* * *

She knew, going in. After me, after the illness, the early birth. She chose to become pregnant again, not easily, with medical help. And in my first memory I am forever 3 years old, standing in the hall, and there are two babies in a body that already fought back against one.

Eventually they, too, will make an early entrance under the hospital lights, screaming. My father will take me to see them in their hospital bassinets, one pink bundle and one blue bundle. One pair of brown eyes and one pair of blue, staring back at me through the nursery window.

They are small, too, but larger than I was, pinker-cheeked and plumper. They will be fine. She will be fine.

* * *

He zips the wedding dress up my back. I step back from the mirror and take myself in. They’re all there, the signs of PCOS, written on my body over the years: the heavy hips and arms and face and belly, the thicket of dark hair above my upper lip, the bald spots in and among my carefully pinned curls.

“You look gorgeous,” he says, and kisses my neck.

During the ceremony, our friends’ surprise son — now nearly 3 — begins shrieking with excitement. I’d expected this, half-hoped for it, and I laugh to see the joy in his eyes. The rabbi gently jokes about being upstaged, and the child’s father whisks him away to run circles on the lawn.

* * *

Every so often, I catch glimpses of imaginary children. Sometimes in our bedroom, standing in a pile of clothes, wriggling tiny arms into jacket sleeves. Sometimes in the kitchen, perched on a stepstool, clutching a wooden spoon in one hand.

They never have faces, these children. All I can see is the backs of their heads, the color of their hair. Sometimes dark brown, like my husband’s and mine. Sometimes blond, sometimes black. I try to turn them around, to paste on facial features, my husband’s full lips, my amber-brown eyes. Is the color of their cheeks lighter than mine? Darker? About the same? I never can tell. They evaporate too quickly.

* * *

I am 30 years old. It rained all winter, and in the spring the wildflowers carpeted the hills so thickly you could see them from space. Now it’s summer, and the temperature has shot up and melted the newly fallen snowpack, dried fresh undergrowth into tinder.

Nature seems especially ferocious this year. I am hearing stories of extremes: too much rain in wet areas, and too much heat in dry ones. Along the crowded coasts, hurricanes are striking with frightening violence. Work colleagues in Houston and Florida are living out of suitcases, their homes flooded. In Puerto Rico, residents are living without power, drinking contaminated water.

And there is fire, too, closer to home. In the Pacific Northwest, whole swaths of the Cascades are ablaze. My friends in Portland and Seattle say the smoke is so thick that it eclipses the sun.

* * *

“I keep thinking about time,” says the man I married. “I already feel like I don’t have enough time to do a good job at all the things I’m currently doing. How will I be able to do all of that, and have a kid?”

He’s curled into himself on the couch, his voice thick with tears. He’s afraid to tell me this. Afraid that he’s somehow saying the wrong thing.

I don’t know how to respond. How to tell him that it’s about time for me, too. Time on my body’s clock. Time ticking down until a switch flips and I can definitively say “I want this” or “I don’t.” Historical time, the Dust Bowl, how we don’t know what it’s like to see our home turned from cozy to crucible. Geologic time, and knowing how soon the earth will reject us altogether.

I don’t know how to say these things to him. Instead, I pull him in for a hug, kiss his eyelids, make soothing noises.

* * *

“Twenty-seven years,” my father says. “Can you believe it?”

My brother grins, and my sister rolls her eyes. It’s a familiar script, one we all act out every year around this time. They lean together, two curly, brown heads, and blow. The candles flicker and extinguish in parallel trails of smoke.

My mother picks a candle out of the cake, pops the unburnt end in her mouth to lick off the chocolate frosting. “Of course,” she adds, “it was a challenge keeping you guys inside long enough.” This is it, the closest she ever comes to a complaint. She gives each twin a one-armed hug, a kiss on the head.

I wonder how sharp her early inklings must have been. She fought to become pregnant, twice, and her body fought back. And when her troublesome babies were born, she told us the stories of our births in her amazed actor-voice, full of warmth and wonder.

I have none of her certainty. I have only faceless glimpses of imaginary children, and they frighten me. But if I imagine a life without them, I feel chilled and unmoored. I think of the kindly new doctor in her gray hijab, and exhaustion washes over me. I’m tired of the needles, the questions, cataloging signs of illness in the mirror.

I think of the mega-drought, and of my mother in bed, and of Pam and her lively mother and red-headed daughter. It occurs to me that these things may never truly coalesce into “want.”

* * *

The day after the twins’ birthday, Sonoma County catches fire. 100 miles to the north of us, towns and vineyards burn to the ground. People tumble out of their cozy homes, grand estates, mobile home parks, and flee. Hundreds are overcome by the smoke, or outrun by the flames. Newspapers publish aerial shots of blasted neighborhoods: orderly rows of flattened houses, shade trees stripped of their leaves.

When the winds shift, a soupy haze blows south over our neighborhood. The street lights blur in the evenings, as if the usual morning fog got its daily route confused. The air tastes like ash and rubber.

My husband and I go out dancing on a Friday night, the night of the thickest smoke. We walk down the street with our sleeves held to our faces. The dance floor is nearly empty; he takes me in his arms and we waltz in sweeping circles.

This is a new ash-cloud, a warning. The planet groans with people, and someday it will become too hostile for more. The mega-drought is looming, and my insides are dry.

The world is burning, and I am 30 years old, and soon I will have to decide.

* * *

Zoe Fenson lives and writes in the San Francisco Bay Area. Her essays have appeared in Narratively, The New Republic, The Week, SELF, and elsewhere.

Editor: Danielle A. Jackson

 

The Rub of Rough Sex

iStock/Getty, Photo illustration by Katie Kosma

Chelsea G. Summers | Longreads | July 2018 | 15 minutes (3,801 words)

 
This is a piece about abuse. This is a piece about kink and a piece about consent. This is a piece about the law. This is a piece about some powerful men whom I’ve never met, and it’s a piece about some nobody men whom I’ve loved. This is a piece about rough sex, about “rough sex,” and about how these two categories overlap and rub each other raw. This is a piece that was hard for me to write and may be hard for you to read. Most of all, this is a piece about why masculinity is fractured, and how women get caught in its cracks.

***

On May 7 of this year, The New Yorker dropped its Eric Schneiderman bombshell. The article, cowritten by Jane Mayer and Ronan Farrow, gives voice to four women who detail their experiences with Schneiderman, the New York attorney general at the time, and accuse him of repeated instances of “nonconsensual physical violence.” Presented as a thread in the unfolding #MeToo fabric of sexual abuse allegations, this New Yorker piece told four women’s stories of how Schneiderman slapped and choked them, “frequently in bed and never with their consent.” Within a day, Schneiderman had resigned his office.

I read the Mayer and Farrow piece with a mounting sense of dread, horror, and recognition. I’ve never met Schneiderman; I’ve never met the victims who allege his abuse. But I knew what these women were describing because I too have felt something like those slaps, those stings, that choking fear. I understood the disconnect between thinking you were dating a “woke” man, a guy who understood in his guts the inequity of being a woman in this patriarchal world, and finding that this man was a rank, abusive hypocrite.

Born and raised in Manhattan, Schneiderman glows with an idealized aura of the East Coast elite. After graduating from Amherst College and Harvard Law School, Schniederman worked as a public interest attorney before turning to public office. In 1998, Schneiderman ran for a New York Senate seat in New York’s 31st district, which at the time stretched from the Upper West Side through Washington Heights and into Riverdale in the Bronx. Schneiderman won that election. He won the next election. And he won four times more, eventually parlaying his state congressional successes into his winning 2010 bid for New York attorney general. By all public accounts, Schneiderman used his power and his privilege as a champion for women and for the poor. You couldn’t draw a better poster boy for American liberalism.

I think I voted for Schneiderman. Why would I not? I was a progressive Democrat, and Schneiderman looked like an exciting candidate. Supporting both women’s access to abortion and victims of domestic violence, Schneiderman’s record on women’s issues was strong. Indeed, as state senator, Schneiderman introduced and passed the Strangulation Prevention Act of 2010, a bill that specifically categorized choking as a criminal felony. In his nicely cut, nondescript suits and silver fox hair, Schneiderman embodied consummate “woke” manliness, a guy who can execute a decent jump shot, then effortlessly quash dickish locker-room talk.
Read more…

You’re Not Clean Until You’re 110% Clean

A 35mg liquid dose of methadone (AP Photo/Kevin D. Liles, File).

Medication-assisted therapy (MAT) for drug addiction — that is, methadone or Suboxone — is a proven way to help addicts stay clean. Narcotics Anonymous programs offer community support that helps addicts stay clean, but turns away people who are using medication to aid their recovery. Why, if their goals are the same?

The misconception stems from the fact that most medications for treating addiction, like Suboxone and methadone, are opioid-based. With the correct prescription, an addict’s compulsive behavior, loss of control, constant cravings, and other hallmarks of addiction will usually vanish. But if you take too much, you will get high. The idea that MAT is just a replacement drug has been debunked countless times by medical organizations, including the U.S. Department of Health and Human Services (HHS).

Nonetheless, Michael has been told that he is still a junkie, not only by people in the 12 Step meetings he used to go to, but also by friends: “They look at you like you are still using, that you are not sober, that you are basically still living the life of a drug addict, when you are not.” Michael has come to terms with the fact that he will probably have to take methadone for the rest of his life. He hates the stigma associated with his medicine, but he knows that he needs it to function.

Narcotics Anonymous requires complete detox, from all substances, before a person can enter the program. In The New Republic, Katrine Jo Anderson and Cecile Maria Kallestrup look at whether this stance actually exacerbates the opioid crisis — it not only keeps people apart from a potentially critical source of community support, but can be physically dangerous.

But what is accepted with grim resignation at the detox ward is a source of deep dismay for medical experts. “Detox without MAT is potentially dangerous,” said Bachaar Arnaout, an assistant professor of psychiatry at Yale School of Medicine. “An overwhelmingly majority of people end up relapsing after detox. It’s a gamble with lives.”

When patients go through detox, their tolerance decreases drastically. If they fall off the wagon and take the dose of opioids they were used to, or even a lower dose, this can be enough to shut down vital body functions. This is especially the case today, Arnaout said, because the opioid epidemic is largely driven by fentanyl—an opioid up to 50 times more potent than heroin.

Read the story

The Top 5 Longreads of the Week

Smarties candy rolls
Smarties candy rolls. (LaurelG / Wikimedia Commons)

This week, we’re sharing stories from Aaron Hamburger, William Finnegan, Cecilie Maria Kallestrup and Katrine Jo Anderson, Hannah Jane Parkinson, and Amy Westervelt.

Sign up to receive this list free every Friday in your inbox. Read more…

Angrily Experiencing the Best Days of Our Lives

iStock/Getty

Linda Kinstler | Longreads | June 2018 | 12 minutes (3,116 words)

No one heard the flames when they began to lick the roof of our cabin on Christmas Day. The smoke made no sound as it accumulated on the third floor, first in small whisps, then in thick clouds. In the living room downstairs, our small group was sprawled out on the couches watching the Soviet Christmas classic Evenings on a Farm Near Dikanka, the fairytale film based on a collection of stories by Nikolai Gogol. The stove fire was stuffed with wood, but its raging fire seemed contained. It was negative 26 degrees celsius outside of our mountain lodge, a bone-chilling winter day in the Carpathian foothills of southwestern Ukraine, but inside it was getting hot.

The warmth made us lethargic, so we didn’t notice when the cracks in the floorboards and doors started to glow. When my Russian failed me and the scenes in the movie became too hard to follow, I turned to my copy of Voroshilovgrad, a novel by the Ukrainian writer, activist, and musician Serhiy Zhadan, the bard of eastern Ukraine. The book had appeared in Ukrainian in 2010, and the English translation, by Isaac Stackhouse Wheeler and Reilly Costigan-Humes, had just come out. Set in Zhadan’s hometown of Luhansk — which was called Voroshilovgrad during Soviet times — the novel tells a very Ukrainian story, one of homecoming and heartbreak, of dashed hopes, of wars and borders, and the relentless return of the dead. Brothers killed in a fire somehow come back to life to play a soccer game; no one sticks around waiting for the future, only for the past. Read more…

Ghost Writer: The Story of Patience Worth, the Posthumous Author

Original Parker Brothers Ouija Board elements from Dave Winer/Flickr CC, Photo illustration by Katie Kosma

Joy Lanzendorfer | Longreads | June 2018 | 18 minutes (4,948 words)

One day in 1913, a housewife named Pearl Curran sat down with her friend Emily Grant Hutchings at a Ouija board. Curran’s father had died the year before, and Hutchings was hoping to contact him. While they’d had some success with earlier sessions, Curran had grown tired of the game and had to be coaxed to play. This time, a message came over the board. It said: “Many moons ago I lived. Again I come — Patience Worth my name.”

This moment was the start of a national phenomenon that would turn Curran into a celebrity. Patience Worth, the ghost who’d contacted them, said she was a Puritan who immigrated to America in the late 1600s. Through Curran, she would dictate an astounding 4 million words between 1913 and 1937, including six novels, two poetry collections, several plays, and volumes of witty repartee.

The work attracted national headlines, serious reviews, and a movie deal. Patience Worth’s poetry was published in the esteemed Braithwaite’s anthologies alongside writers like Edna St. Vincent Millay. In 1918, she was named an outstanding author by the Joint Committee of Literary Arts of New York. Her novel, The Sorry Tale, was a bestseller with four printings. The New York Times said her poetry was a “high level of literary quality” with “flashes of genius.” Harper’s Magazine said that the “writings attributed to Patience Worth are exceptional.” The New Republic added: “That she is sensitive, witty, keenly metaphorical in her poetry and finely graphic in her drama, no one can deny.”

Literary Digest summed up the critical interest by writing: “It is difficult not to take Patience Worth seriously.” Read more…

The Healing Crystal Community Needs to Confront Its Connection to Dubious Mining Operations

AP Photo

You try to shop local and drive less. Your dog’s compostable poop bags are made from corn. Maybe you use jade to increase sexual energy, or wear a clear quartz necklace to clarify your thoughts. But in our complex global economy, some products’ true origin can elude even the greenest consumer. For The New Republic, Emily Atkin exposes the healing crystal industry’s inability, and unwillingness, to identify all of their crystals’ sources, which conflicts with the new agey, wholistic reasons people use crystals.

Most of the US’s healing crystal stores buy their stock at the annual Gem, Mineral, and Fossil Showcase in Tucson, Arizona. Even though some vendors try to source responsibly, others’ crystals come from environmentally and ethically dubious mining operations. For instance, the jade that’s marketed for sexual healing might come from Myanmar, whose jade industry Al Jazeera called “the biggest natural resource heist in modern history.” Atkin shows that it’s time that the healing crystal industry healed itself.

Publicly-traded mining companies don’t routinely disclose all of their byproducts, nor to whom they sell these byproducts. Annual reports for shareholders tend to list only the cumulative profits from byproducts. It’s therefore difficult to assess what percentage of the healing crystal market is sourced from industrial mining operations.

It’s not difficult, however, to prove that some crystals come from mines that are decidedly unfriendly to the Earth. For example, this large blue chrysocolla—a “supportive goddess energy stone”—is from the Tyrone Copper Mine, and this $48 pyrite stone to “promote positive thinking” is from the Chino Copper Mine. These are the two largest copper mines in New Mexico, and according to the environmental group Earthworks, they “will generate an estimated 2 billion gallons of acid and metals contaminated seepage every year, requiring water treatment in perpetuity.” The mines have also caused “severe surface and groundwater contamination, and the State of New Mexico and U.S. Department of Justice have filed natural resource damage claims against the company for damages to water and wildlife resources.”

Read the story