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A Rich Awakening

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Soraya Roberts | Longreads | April 2019 | 9 minutes (2,392 words)

We all the know the stats, that by 2030 the richest 1 percent could be hoarding two-thirds of the world’s wealth. Tax the rich! Redistribute to the poor! It’s the kind of thing you hear lately set to some lame music in a weirdly cut NowThis News video of Alexandria Ocasio-Cortez or Rutger Bregman. (It’s always some scrappy progressive, not some bloated billionaire because, I don’t know, *yawns, eats some cake.*) Perhaps the rich will be moved by the fact that income equality is not only bad for the collective mental health, but their own? No? That the 10 percent’s multiplying accessories — private jets and yachts and enormous holiday homes — hogs nearly half the world’s emissions, killing the earth we all share? No? Nothing? What’s that you say, infrastructure investment started plummeting just as inequality began rising? But all the philanthropy! Which, sure, America’s largest donors may give a little more than before, but they also make way more than they used to. And as Jacobin magazine recently noted, “those nations — mostly in Scandinavia — that have the highest levels of equality and social well-being have the tiniest philanthropic sectors.” When you have equality, you don’t need long Greek words.

To recognize this, as a rich person, you need to have a sort of reverse double consciousness. “Double consciousness” originates with W. E. B. Du Bois, one of the founders of the NAACP, who coined it in 1897 as one way to describe the experience of  being an African American in a white supremacist world. In The Atlantic Monthly he defined it as, “…this sense of always looking at one’s self through the eyes of others….” The concept is based on being oppressed. What I’m talking about is an inverted version based on being the oppressor. It is the recognition that not only do you have outsized means, but that they come at the expense of others. It requires not only self awareness, but other awareness, and it’s a prerequisite for change.

Roy Disney’s granddaughter, Abigail, for instance, has given $70 million away over the past four decades, which is more than she ever inherited. “The problem is that there’s a systematic favoring of people who have accumulated an enormous amount of wealth,” she tweeted after a viral appearance on CNBC last month in which she said CEOs were overpaid. “The U.S. must make structural changes by taxing the wealthy.” To say that, she had to have had some kind of awakening — but what was it? In her case it was a sudden burst of extraordinary wealth and its human toll — not on others, but on the wealthy themselves. In 1984, when the heiress was in college, Michael Eisner became the chairman and CEO of Disney and launched its stocks into the stratosphere. Abigail’s father embraced the excess income — the too-big private jet, the too-much drinking — and no one questioned him, not even about his alcoholism. “That’s when I feel that my dad really lost his way in life. And that’s why I feel hyperconscious about what wealth does to people,” she recently told The Cut. “I lived in one family as a child, and then I didn’t even recognize the family as I got older.” Read more…

Uncertain Ground

Getty / Photo illustration by Katie Kosma

Grace Loh Prasad | Longreads | March 2019 | 16 minutes (4,021 words)

In early October, I noticed my Taiwanese and Chinese American friends posting photos of large family gatherings and moon cakes. Others posted photos of visiting the graves of family members. I felt a wave of panic and guilt. Had I missed Tomb Sweeping Day, when I should have been honoring my deceased parents? On the other hand, I remembered and looked forward to Dia de los Muertos, a holiday I hadn’t grown up with but learned about over more than 20 years of living in California. How could I feel such a strong affinity for a Mexican cultural tradition, while being so ignorant of the holidays observed by the Taiwanese and Chinese diaspora?

A quick Wikipedia search revealed that I had gotten my holidays mixed up. Mid-Autumn Festival celebrates the full moon at harvest time, with families reuniting for a traditional feast and moon cakes. Tomb Sweeping Day (Qing Ming) is one of several holidays to remember your ancestors, but it’s observed in spring. I could not remember which was which because my family did not really celebrate these holidays. Although I was born in Taiwan, I spent my early childhood in New Jersey, and then from fourth grade through high school graduation, we lived in Hong Kong.

We were a curious cultural hybrid: a family of Taiwanese origin living as American expatriates in a British territory where we resembled the local Chinese population, but did not speak the same language and had little in common with them. I attended an American school full of American and international students. One of the advantages of attending Hong Kong International School was that we got American, British and Chinese holidays off: Thanksgiving, the Queen’s Birthday and Lunar New Year.

I’m sure we learned about Mid-Autumn Festival and Qing Ming, but they weren’t as memorable as Lunar New Year, the biggest holiday of the year when everyone got a week off from school or work. Children and younger relatives received lai see (hong bao), red envelopes filled with spending money, and employees received their annual bonuses. I remember going with my parents to join the enormous crowds down in Causeway Bay, pushing for a spot close to the harbor to get the best view of the spectacular fireworks. Stores and restaurants tried to outdo each other with elaborate “Kung Hei Fat Choy” decorations and special menus and promotions. Everywhere you went, people were in a festive good mood.

Since we did not have any relatives in Hong Kong, there were no family obligations during Lunar New Year. It was only the four of us — my mom, dad, brother Ted and me — so at most we would go out for a fancy restaurant meal. We did not go from house to house with bottles of Johnny Walker or baskets of tangerines. We did not make hundreds of homemade dumplings or go to the bank to request a wad of crisp new bills to stuff into red envelopes for my younger cousins, nieces and nephews. My parents might have hung up modest decorations outside our apartment door, but I think it was just for show, so we would not appear strange to our neighbors.

Once I asked my parents why we didn’t do more to celebrate the Taiwanese and Chinese holidays. “Well,” my dad said, “it’s because we are Christian. From when we were little, we only celebrated Christmas and Easter. Your grandpa was very strict. We were forbidden from observing any of the non-Christian, Taiwanese traditions because that was considered superstitious.”

I was relieved that my ignorance was not my fault. But I still felt a void.
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A Walk On The Wild Side: The Pete Ripmaster Journey

Alan Labisch / Unsplash, Adria Photography / Getty, Stanislaw Pytel / Getty, Photo illustration by Katie Kosma

Anna Katherine Clemmons | Longreads | March 2019 | 28 minutes (7,680 words)

“I wish to preach, not the doctrine of ignoble ease, but the doctrine of the strenuous life, the life of toil and effort, of labor and strife; to preach that highest form of success which comes, not to the man who desires mere easy peace, but to the man who does not shrink from danger, from hardship, or from bitter toil, and who out of these wins the splendid ultimate triumph.” 

 — Teddy Roosevelt, The Strenuous Life

As he stood at the 2016 Iditarod Trail Invitational (ITI) starting line in the predawn of February 28th, Peter Ripmaster had an ominous feeling. The 6’1”, 220-pound 39-year-old was more than 40 pounds overweight, his stomach folding over his waist harness as he readjusted his face mask and gloves before beginning the 1,000-mile footrace across the frozen Alaskan terrain. He tucked his shaggy brown hair into his hat, wishing for a joint. Looking at the handful of fit, svelte runners around him, their breath forming clouded circles in the crystalline air, he shook his head.

Before leaving his family’s home in Asheville, North Carolina, Pete told himself that after last year’s third-place finish in the 350-mile ITI competition, he didn’t need to train for the additional 650-mile journey; instead, he would get into shape on the trail. Illogical, his friends said, reminding him that the 1,000-mile ITI — the world’s first and longest winter ultramarathon — was one of the most challenging physical experiences on the planet.

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Women and Pain: A Reading List

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“But for pain words are lacking. There should be cries, cracks, fissures, whiteness passing over chintz covers, interference with the sense of time, of space; the sense also of extreme fixity in passing objects; and sounds very remote and then very close; flesh being gashed and blood spurting, a joint suddenly twisted — beneath all of which appears something very important, yet remote, to be just held in solitude.”

–Virginia Woolf, The Waves

In a recent NPR piece, “Invisibilia: For Some Teens With Debilitating Pain, The Treatment Is More Pain,” readers are introduced to Devyn, a 14-year-old who develops intense bodily pain, seemingly out of nowhere. In search of the source of the pain or a cure, Devyn’s mother Sheila takes her to doctor after doctor. Each time, medical professionals tell Devyn, “‘You are healthy. Nothing is wrong,’” until, eight months later, when Sheila finds Dr. Sherry, a man responsible for a highly controversial treatment for pain: inflicting more pain.

As reported in the NPR piece, patients of Dr. Sherry’s “do physical workouts five to six hours a day.” All medicine, “even medication for apparently unrelated problems” is taken from patients. When Devyn experiences an asthma attack on the first day of practice, she is “directed…to simply walk around the gym” rather than take her inhaler.

At the end of the piece, Devyn claims to have been cured by Dr. Sherry’s program — she “even went back to dancing.” But for many readers, the essay was infuriating, unethical even. Maya Dusenbery, author of Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick, called the piece “irresponsible” and generated a list of 12 questions that journalists should have asked experts, including “An asthma attack and a nosebleed are not pain complaints. What possible justification was there to ignore these problems in Devyn?”

Abby Norman, author of Ask Me About My Uterus: A Quest to Make Doctors Believe in Women’s Pain, tweeted that while she hadn’t been a patient of Dr. Sherry, she had tried swapping “one pain for another more intentional pain” and “just ended up with twice as much pain and a deep feeling of failure and shame that I couldn’t get ‘better’ and ‘beat it’ and ‘be normal.’” Norman is not alone in the ways she tried to ignore pain rather than accepting and learning to live with high levels of physical discomfort. Women’s symptoms — particularly pain, which is invisible — are often dismissed, disbelieved or diminished by doctors. Even when women do voice what’s happening with their bodies, they often do not receive treatment or even an acknowledgment of what’s ailing them.

Norman, in response to a series of questions I asked her about pain, wrote that she received pressure from “everywhere — doctors, friends and family, society” that “if you aren’t actively trying to get better, you’re wrong. If you aren’t making strides at getting well, you’re wrong. If you’re failing, if you stay sick, if your pain is still there, not only have you failed but you must want to be this way. Maybe you’re even faking it. Or making it worse than it really is.”

Women, in particular, are subject to this type of blame from doctors and others. As Norman notes, “on a sociocultural level, there are a lot of messages specifically undermining a woman’s interpretation of her own mind, body, and experiences. Not just in terms of physical pain, either. Where it becomes difficult (and in some cases life-threatening) is that the overarching patriarchal structures under which healthcare systems of the world operate, the very long history of misogyny in the medical profession and in our culture at large, vigorously and consistently reinforces these messages.”

Knowing this, how do we begin to change the narrative of how women’s pain is perceived, understood, and treated? How might we validate the experiences of women who have been repeatedly and systematically ignored, dismissed, and blamed by medical professionals and society at large? How do we treat pain without inflicting further physical and emotional harm?

I don’t think there are easy answers, but we can work to support initiatives dedicated to create lasting change to correct data that demonstrates the pain of women — affected even further by factors such as race, class, and weight — is routinely disbelieved by medical professionals. We can examine the language used to express and treat women’s pain, and work to find a vocabulary that allows us to rewrite the current narrative. We can listen carefully to women with histories of pain who write or speak about their experiences and heed their calls to action.

1. The Long History of Discrimination in Pain Medicine (Sarah Zhang, February 28, 2017, The Atlantic)

“The emergence of objectivity influenced the stigma around patients who suffered from pain without visible injury—and this stigma ends up overlapping with stigma that already exist along race, gender, and class lines.”

According to bioethicist Daniel Goldberg, author of a recent paper, “Pain, objectivity and history: understanding pain stigma,” the 19th century brought new instruments like the X-ray, which allowed for an “objective” means of understanding previously unseen pain, and these developments forced a reckoning with the way doctors had previously understood patients and the body. Sandra Zhang interviews Goldberg in order to learn more about how histories of racism, sexism, and classism have influenced the way doctors treat patients today.

2. I’m a fat Black femme searching for a doctor who believes my pain (Dominique Norman, January 24, 2019, Hello Giggles)

“I’m Black, fat, and femme, living with a chronic physical illness and mental illnesses. I can tell you that self-advocacy in doctor’s offices is incredibly difficult when no one will listen to you.”

Histories of racist practices in medicine such as the Tuskegee experiment or cells taken from Henrietta Lacks without her consent have left lasting negative impacts on the way black women are treated by medical professionals today, as Dominique Norman explains in her personal essay about being disbelieved and dismissed by a variety of doctors for years on end.

3. Grand Unified Theory of Female Pain (Leslie Jamison, Spring 2014, Virginia Quarterly Review)

“The pain of women turns them into kittens and rabbits and sunsets and sordid red satin goddesses, pales them and bloodies them and starves them, delivers them to death camps and sends locks of their hair to the stars. Men put them on trains and under them. Violence turns them celestial. Age turns them old. We can’t look away. We can’t stop imagining new ways for them to hurt.”

How can we talk about women’s pain in a way that is true to their experience? What kind of pain is perceived as “real” and what kind is seen as a cry for attention? How can women write about their pain without adding to a history of narratives that have glamorized “wounded women”? By analyzing representations of women’s pain in art and literature, Leslie Jamison asks — and seeks to answer — these questions and more.

(Related: read “Writing Women’s Pain: Part Two of a Round Table, a conversation with Alethea Black, Abby Norman, Esme Weijun Wang, and more,” November 2018, 2018, Lit Hub)

4. Nothing Protects Black Women From Dying in Pregnancy and Childbirth (Nina Martin, ProPublica, and Renee Montagne, December 7, 2017, ProPublica and NPR)

Shalon Irving, who earned a dual-subject Ph.D. and worked to “eradicate disparities in health access and outcomes,” passed away at the age of 36, just three weeks after giving birth to her first child. As Nina Martin and Renee Montagne report, Irving’s death is representative of a much larger issue: black women are “243 percent more likely to die from pregnancy or childbirth-related causes.”

“Black expectant and new mothers frequently told us that doctors and nurses didn’t take their pain seriously — a phenomenon borne out by numerous studies that show pain is often undertreated in black patients for conditions from appendicitis to cancer.”

5. Pain bias: The health inequality rarely discussed (Jennifer Billock, May 22, 2018, BBC)

As happens to many women who have valid symptoms, Jennifer Billock was told by her doctor that she was “paying too much attention” to her body — he recommended she go home and relax.

“I still left his office thinking it was perhaps anxiety. And so, listening to the advice, I tried to ignore the pain.”

Billock explores the numerous ways in which women’s pain is dismissed and discredited throughout this piece, and also why.

6. It’s All In Your Head: The Dangers of Disbelieving Female Pain (Caroline Reilly, July 6, 2016, Bitch Magazine)

Caroline Reilly feels a sense of relief when she wakes from surgery and a medical professional tells her they “found a lot” of endometriosis within her. Her pain, previously disbelieved, was now validated by a name. Reilly, through research studies and personal experience, advocates for women’s pain to be legitimized.

“The disbelief of female pain is well documented. “The Girl Who Cried Pain: A Bias Against Women in the Treatment of Pain,” a 2001 study in the Journal of Law, Medicine & Ethics, documents how women are given less pain medications than men for the same procedures. On the other hand, the study notes that women are more likely to be given sedatives—as women are more often perceived as anxious than in pain. Women also wait longer than men in emergency rooms.”

7. Black Health Matters (Jenna Wortham, August 27, 2016, The New York Times)

“In April, a study by researchers at the University of Virginia found that African-American patients were routinely undertreated for their pain, compared with white patients. Ultimately, black patients were conditioned to underestimate their own pain.”

Plagued by a mysterious rash and other health concerns, Jenna Wortham visits several doctors and an emergency room before her acupuncturist asks if her condition might be related to stress. Upon reflecting on the overwhelming trauma she encounters daily in her newsfeed, Wortham discovers Simone Leigh, “a renowned artist with a history of examining social movements and black subjectivities, with a focus on women,” and works to “deal with the psychological toll of racism” through practices such as yoga and acupuncture.

8. Treating Migraines: How Women are Harmed by Gendered Medical Language (Rachel Mabe, February 6, 2018, Catapult)

“So the question is: Does the stigma of migraines as a women’s disease, and the stereotypically feminine language still used to talk about them, affect patient treatment? Does it affect how much time and money are spent on studying migraines?”

Rachel Mabe seeks to answer these questions by sharing the story of Patty, a woman who experiences “twenty-two headache days a month,” analyzing words such as “oversensitive” used to describe women’s migraines, writing about her own experience with incapacitating headaches, and examining how the gender biases present within the history of language related to migraines has contributed to the way migraines remain understudied.

***

Jacqueline Alnes is working on a memoir about running and neurological illness. You can find her on Instagram and Twitter @jacquelinealnes.

How To Hide An Empire

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Bridey Heing | Longreads | March 2019 | 13 minutes (3,528 words)

What do we think of when we think about the United States and the country’s history? This seemingly simple question rests at the heart of Northwestern University Professor Daniel Immerwahr’s new book, How To Hide An Empire. Immerwahr posits that, for the vast majority of people living in the contiguous United States, our understanding of our own country is fundamentally flawed. This is for one central reason: We omit the millions of people and large territorial holdings outside of the mainland that have, since the founding of the country, also had a claim to the flag.

In his book, Immerwahr traces US expansion from the days of Daniel Boone to our modern network of military bases, showing how the United States has always and in a variety of ways been an empire. As early as the 1830s, the United States was taking control of uninhabited islands; by 1898, the United States was having public debates about the merits of imperial power; by the end of World War II, the United States held jurisdiction over more people overseas — 135 million — than on the mainland — 132 million. While the exact overseas holdings and the standing of territories have shifted with time, what has not changed is the troubling way the mainland has ignored, obscured, or dismissed the rights of, atrocities committed against, and the humanity of the people living in these territories. When we see US history through the lens of these territories and peoples, the story looks markedly and often upsettingly different from what many people are told. Read more…

Johnny Rotten, My Mom, and Me

Associated Press / Unsplash / Virgin Records / Vertigo Records

Kimberly Mack | Longreads | February 2019 | 28 minutes (7,118 words)

 

“Will you sing to me?”

My mom’s pain had subsided for the moment, and her voice was strangely perky. Happy even. The morphine had kicked in. She was strapped in tight, on a stretcher, at the back of the ambulette. An assortment of pillows and towels cushioned her body to protect her from the impact as the wheels slowly rolled over each pothole, each bump, each uneven patch of street.

I had been warned that the ride from Midtown Manhattan’s Roosevelt Hospital to the Lincoln Tunnel would be the worst of it — a minefield for my 68-year-old mother, whose stage-four uterine cancer had metastasized to her liver and lungs and, as her palliative care doctor characterized it, “filled her entire abdominal cavity.” It was the pain that finally got my mom to visit the doctor seven weeks earlier. There had been other signs, but she had refused to go to the doctor before that, only repeating to me what I’d heard her say when I was growing up: “Doctors look for problems…they make you sick.”

It was August 2015. We were now headed by an ambulette service to my new home in Toledo, Ohio, ten hours away, where I was a college professor. The plan was for her to first spend a few weeks at a skilled nursing facility, so she could relearn how to walk after her recent long hospital stay. That would give us time to order a hospital bed and other medical supplies before bringing her to our house for in-home hospice care. I had been looking forward to showing my mom our new home ever since I texted a picture of it to her after we found it in June.

“Look, Mom!” I wrote. “I can’t believe the house comes with such colorful flowers. There are dark pink rose bushes in the backyard.”

“Oh Kim, it’s so beautiful,” she texted back.

“I can’t wait for you to see it,” I replied. And that was true. Neither one of us had lived in a house before.

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A Moral Center In a Decayed Ethical Universe

Former Abu Ghraib interrogator turned playwright Joshua Casteel, left, interviews an unidentified prisoner, played by David Blum, during a dress rehearsal of his production, "Returns," in 2007. (AP Photo/The Daily Iowan, Ben Roberts)

Joshua Casteel had to decide between attending seminary and deploying to Iraq as an army interrogator. He chose Iraq, where he hoped to bring morality and humanity to interrogations. But army interrogators already had their own version of “moral order”:

For the first week Casteel sat in on interrogations. There were six booths on each side of a long hallway; down the center was a two-way mirror that didn’t always work well, and when it didn’t, the prisoners watched you watch them. The rooms held little beyond plastic chairs, cheap tables, maybe zip ties on the chair legs. Sometimes a steel hook was attached to the floor. Every now and then prisoners were led to a more comfortable room, to confuse them, make them relax. The goal was to make them slip up. Sometimes Casteel saw men kept naked. Sometimes they were handcuffed to chairs.

During lessons, Casteel’s supervisors explained how to use fabricated stories and charges of homosexuality to shame the prisoners and manipulate them. The commanders were clear about who they were dealing with, Casteel remembered.

“These men,” they said, “are the agents of Satan, gentlemen.”

Casteel kept his own moral compass in the interrogation room, where it turned out that treating people like people was more effective than treating people like animals to be broken.

It turned out he couldn’t help but feel bad for the prisoners. It didn’t matter if the prisoner was a wrongly accused farmer or a jihadist bent on Casteel’s destruction. His orders commanded that he approach prisoners as assets to manipulate, but when Casteel walked into the interrogation room and saw the prisoner, he thought, This is a man in need of redemption. “From my very first interrogation,” he wrote later, “I have simply lacked the ability to look at the person I interrogate in a way that does not demand I also think about what is best for him.” Soon Casteel was attending confession with an Army chaplain after each interrogation, because “of an overwhelming burden to atone for what I considered the sin of reducing individuals to strategic ‘objects of exploitation.’” Once, he told a prisoner “You are not a criminal, you are not a terrorist,” and the prisoner wept, because no American had ever called him anything but evil.

At the same time, Casteel was extracting more information from the prisoners than other interrogators. During interrogations, Casteel smiled a lot and tapped his foot or smoked a cigarette to give the prisoner time to think, or sometimes because he didn’t quite know what to do next. He tried to show respect. He listened more than he spoke. He paid attention to a prisoner’s words, tone of voice, body language. “Some good news came in today,” he wrote to his parents after a month in Iraq. “I was just notified that the results of my past three interrogations received special recognition from ‘higher up.’ I guess my cigarettes and smiles with the ruthless man I spoke briefly of earlier did something profitable for the commanders in the field. That was a big boost of confidence, being as the best thing I did was simply respect him.”

Casteel eventually left the military as a conscientious objector after one particularly transformative encounter with a detainee. On his return to the U.S., he struggled both with the aftermath of his experience and with his health — his time monitoring burning waste pits in Iraq left him with Iraq/Afghanistan War-Lung Injury, and the ensuing cancer killed him. For Smithsonian and Epic magazines, Jennifer Percy tells the story of his life, work, and death.

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Health Care Sponcon: Where Big Pharma Meets Instagram Influencer

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I’ve been reading about Instagram influencers of all flavors recently, from kid stars to travel bloggers. Enter the latest type of influencer marketing: health care sponcon. That’s right: pharmaceutical companies and Silicon Valley health startups are teaming up with social influencers to sell new drugs and medical devices.

“There is no doubt that this type of health care advertising-cum-storytelling is effective, and is frequently compliant with federal regulations,” writes Suzanne Zuppello. But is it ethical? For Vox‘s The Goods, Zuppello digs into influencer pharma marketing and investigates how the FDA and FTC are attempting to regulate this type of sponsored content.

Lesley Murphy, a former contestant on The Bachelor and current travel blogger, uses her platform to disseminate information that benefits people like her who are affected by a BRCA genetic mutation, which increases a person’s risk of breast, ovarian, and pancreatic cancers. Murphy, who did not respond to requests for comment, documented her experience of undergoing a preventive double mastectomy on Instagram. Now she advertises ReSensation, a surgical technique launched in October 2018 that may help women undergoing breast reconstruction to retain some or all sensation in their breasts, to her 422K followers. Although ads for most surgical procedures are under the FTC’s purview, ReSensation’s use of human nerves also gives the FDA jurisdiction over Murphy’s Instagram and blog posts.

When asked how the influencer program was developed, Annette Ruzicka, a spokesperson for AxoGen, the company that developed ReSensation, said, “The only request of contributors was to write openly about their breast reconstruction process, and to also share factual information with their followers about the ReSensation technique. We shared publicly available information about the ReSensation technique to ensure that all content shared with the public was accurate. We provided no other content requirements for contributors.”

Murphy, who is not the only ReSensation influencer, has not undergone the procedure herself. But her followers may not realize this detail until they reach the end of her Instagram caption, where she directs readers to a blog post where, at the very end, she discloses her personal inexperience with the technique. Though this does not violate federal guidelines, nor those put forth by AxoGen, it does speak to the ethical obligation an influencer has to their followers.

The reality star’s Instagram post about the technique received almost 11,500 likes, giving ReSensation considerable exposure, yet Murphy omits disclosures required by both the FTC and FDA. She uses the term #partner to disclose that she is a compensated influencer, but the term is considered too vague, even for the FTC, for a user to clearly understand the relationship. She also fails to offer any information about the technique, disregarding federal guidelines to disclose risks and benefits that may impact patient decision-making. Instead, she directs followers to her blog where she discusses “a new technique designed to restore sensation in breasts after surgery,” lamenting the numbness in her breasts since her mastectomy and reconstruction.

Her blog post is where we finally learn the technique was not used on Murphy and cannot be used in conjunction with implant reconstruction, the most common and least complicated form of breast reconstruction, and the type of reconstruction Murphy underwent. Neither Murphy’s posts nor the ReSensation website discloses the success rate of the technique, instead focusing on an insecurity that has plagued mastectomy patients for decades: numb breasts.

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Writing for the Movies: A Letter from Hollywood, 1962

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Daniel Fuchs | The Golden West | Black Sparrow Books | May 2005 | 42 minutes (8,396 words)

 

Dear Editors:

Thank you for your kind letter and compliments. Yes, your hunch was right, I would like very much to tell about the problems and values I’ve encountered, writing for the movies all these years. I’m so slow in replying to you because I thought it would be a pleasant gesture—in return for your warm letter—to send you the completed essay. But it’s taken me longer than I thought it would. I’ve always been impressed by the sure, brimming conviction of people who attack Hollywood, and this even though they may never have been inside the business and so haven’t had the chance of knowing how really onerous and exacerbat­ing the conditions are. But for me the subject is more disturbing, or else it is that I like to let my mind wander and that I start from a different bias, or maybe I’ve just been here too long.

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O, Small-Bany! Part 3: Summer

Illustration by Senne Trip

Elisa Albert | Longreads | February 2019 | 17 minutes (4,343 words)

They never empty the dedicated shitcan in the dog park. It’s always full to the brim, overflowing with poop bags, swarming with flies and wasps. Which is odd, because all the other trash cans get emptied on the regular, and the fields are mown like clockwork, every other week. Dilapidated Department of General Services carts are often seen cruising around, taking care of park business. So what’s up with the perpetually overflowing dog park shitcan? It’s the enduring mystery of summer. You can smell it from forty paces in the infernal heat.

I call the DGS every couple days to complain about the overflowing shitcan, and always speak to the same lady. We are buds.

Hey, so the poop-bag thing still hasn’t been dealt with, I say.

Yeah, she says. Okay, gotcha. I’ll let them know.

I imagine writing a short story about our relationship, me and the DGS lady. About how we eventually come to share some singular kinship based on our limited exchanges. About how our different lives are ultimately defined by a common emotional struggles. Very Raymond Carver. Maybe we eventually have a fight, or a misunderstanding. Maybe we carry private knowledge of one another like a sacred oath, far into the future. Maybe we pass on the street and don’t register a thing.

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