a day with no deaths

April 19th, 2010

Today is the 15th anniversary of the Oklahoma City bombing.   I can vividly remember walking into the classroom building of my grad school to be met by the television coverage of that eviscerated building.  A quick search of my archives says that I’ve never blogged about it, although I did mention McVeigh in the discussion of who is a terrorist.   I don’t remember the news covering it as much in previous years.  Is it because horrific events get more attention when their anniversaries end in 5 or 0, or because the prospect of home-grown terror seems more likely this year?  Not sure.

And Friday was the third anniversary of the Virginia Tech shooting, which still gets a lot of airtime around here, although probably not elsewhere in the country.

I’ve written before that if you go back into history far enough, there’s presumably no date that isn’t soaked in blood.  Fortunately, we do have limited memories and most of the horrors are allowed to fade into obscurity.

I’ve been reading about Lag B’Omer because I agreed to lead a service linked to it.  Lag B’Omer is a truly minor Jewish holiday, the one day break in a 49 day period where otherwise you’re not supposed to get married or get a haircut.  It’s traditionally associated with Rabbi Akiva, and bows and arrows.  Sort of hard for me to get excited about.  But I went to the Velveteen Rabbi, and here’s what she wrote:

Custom has it that no weddings take place during the Counting of the Omer, because of a plague that struck the disciples of Rabbi Akiva during this period. The exception is on Lag B’Omer, when weddings do take place, because on that day during the plague, nobody died.

Jeff explained this on Friday night at services, before we counted the Omer that night. First he joked that only Jews could make a holiday of a day when nobody died. (We laughed.) And then he observed that, in this day and age, when so many of us begin our mornings by turning on the radio or checking news online to see how many casualties the Iraq war has generated overnight, we might find ourselves identifying with the impulse to celebrate such a day. (We weren’t laughing any more.)

Here’s hoping for a day when we turn on the radio, or check our news aggregators, and don’t hear a single thing about Iraq, Israel/Palestine, or anywhere else in the world where conflicts have been brewing — not because the world isn’t paying attention, but because the killing has finally stopped.

SBR: The Immortal Life of Henrietta Lacks

April 11th, 2010

The first thing to say about The Immortal Life of Henrietta Lacks by Rebecca Skloot is that it really is as good as the reviews say it is.  I put it on my library list when I first heard about it, but when I got it last week, I wasn’t sure I was really up for diving into a story about science and race.  But I was concerned if I didn’t start it right away, I wouldn’t finish it within the 3 weeks the library allows, and that I wouldn’t be able to renew it.  So I started reading it Friday evening… and finished less than 24 hours later.  I literally can’t think of the last nonfiction book that I read that way — it’s that good.

Henrietta Lacks developed cervical cancer in 1951, when she was just 30.  She lived in Baltimore, and so went for treatment at Johns Hopkins, which had a ward for black patients.  The doctors there removed her tumor and treated her with the best practice of the day — sewing radium packs into her cervix.  But the cancer recurred and spread rapidly to pretty much every organ in her body, and Lacks died.  But meanwhile, scientists at Hopkins had attempted to grow the cells from her tumor in culture — and discovered that unlike almost every other cells they had tried, these cells reproduced indefinitely.  The cell line was dubbed HeLa, and was freely shared with labs around the world, and has been critical to the biological sciences ever since.

Skloot carefully lays out multiple entwined stories around Henrietta Lacks and HeLa — what is known of her short life, how her children were affected by her early death, and again how they were affected years later when they learned about HeLa, and how Skloot came to win their trust, but also about the doctors who treated Lacks, the scientists who reproduced and shared her cells, the ways they were used, the development of modern medical ethical standards around informed consent, the history of abuse of black patients in the name of science, the discovery that most of the cell lines used in research had been contaminated by HeLa cells, and present day controversies over patenting genes and whether donors have any financial claim on products made from their tissues.  These multiple stories could easily have become too much, or totally confusing, but they don’t.

This story is fascinating in large part because the answers to the ethical questions are far from obvious.  There are some people in the book who were clearly wronged by scientists.  Henrietta’s oldest daughter had epilepsy, and was institutionalized, dying shortly after her mother.  Skloot goes with Henrietta’s younger daughter to that institution, and finds that she was almost certainly mistreated and experimented upon in ways that were harmful to her.   Scientists also injected HeLa cells into patients without informing them in order to see what would happen.  But Henrietta was not harmed by the cloning of her cells, and anyone who has benefited from a drug that has been tested in the past 50 years has benefited from the HeLa line.   The Lacks family has been very poor — and struggled to get health care at some times — and some people have gotten rich off of HeLa, but neither Hopkins nor the scientist who first reproduced the cells appears to be among them.  (Skloot has set up a foundation to benefit Henrietta Lacks’ descendents and you can also give directly to the family through their website.)  Medical ethics rules have gotten a lot stricter since 1951, but even today, it seems likely that something like this could well happen again — except that with more concern for patient privacy, it’s even less likely that the donor would ever know.

When N was born, I had the umbilical cord blood collected and donated to a public bank.  This means that it’s not reserved for our use, but in theory will be available to us if we ever need it and there’s any left.  (It’s not at clear to me that umbilical cord blood is actually useful, but it clearly has potential, so there didn’t seem to be any downside.)  It occurs to me that I have no idea what the conditions of my donation were — whether it’s only available for direct use by a patient, or if a researcher could apply for a portion of it.   I’d be happy to have it used in any way that would be helpful.

Lice

March 15th, 2010

So, it’s terribly self-indulgent to be writing about lice when the health care vote is hanging in the balance, but I’ve already contacted my members and signed the MoveOn pledge to support primary challenges to any Dems who vote against health care reform (and that includes you Mr. Kucinich).  So I’m going to be self-indulgent and write about lice.

The good news is that only N appears to have them so far.

The bad news is that I’ve been itching like crazy since I saw the first one.

The good news is that T tells me I don’t have any.

The bad news is that I’m not sure I believe him.  We may have finally found the limit of my faith in my husband’s parenting ability — he can change diapers with the best of them, walk a colicky baby, bake cookies, find a pediatric dentist open for an emergency on a Saturday morning, name at least 50 different Pokemon, make lunches, chaperon a school trip, coach a soccer team, and more, but I’m not sure I believe him when he says I don’t have lice.  I can spot check my kids, but I haven’t figured out how to spot-check myself.

The good news is that none of us have long hair.

The bad news is we now have a garage freezer full of stuffed animals.

The good news is the boys are being brave and going to bed without their doggies without much complaint.

The bad news is that I’ve read Marion Winik’s lice essay, and so have absolutely no faith that we’ve resolved this.  (Actually, I’ve heard her read it, which is even more funny.)

The good news is that our school does not have a “no nit” policy and so N was able to go to school after we reported that we had treated him.

The bad news is that it does seem to have a “chemicals required” policy — T had to bring the box of the shampoo that we used.   The over the counter lice medicines aren’t too terribly toxic (versus the prescription ones, which are seriously vile), but there’s also increasing evidence that the lice are resistant to them.  My guess is that parents who find lice on their own kids and don’t want to use chemical treatments just won’t tell the school, which is somewhat counterproductive.

D watched us freaking out over the lice this morning, and finally asked “so, what do lice do to you if you don’t get rid of them?”  I told him that, mostly, they just itch, and they spread really easily.  He didn’t get why we had to use a toxic chemical (that includes a warning that people with asthma should avoid it) to get rid of something that just makes you itch.  I had to agree that he had a point.  Someday someone is going to file a HIPAA suit over lice policies and win.

Happy International Women’s Day

March 8th, 2010

Check out Girl2Woman.

Action alert

February 25th, 2010

The single most frightening statistic out of this recession is this one:  41 percent of unemployed workers have been out of work for 27 weeks or more. This is vastly higher than in previous recessions.

26 weeks is the maximum length of time that workers can receive regular unemployment insurance, but as often happens during a recession, there has been a series of extensions, paid for at the federal level.  These run out on Sunday.   If nothing happens, 1.2 million workers will lose their benefits starting next week.  Even if there’s a one or two day gap, it will cost state agencies a ton of money to reprogram their systems, and cause delays in workers getting their benefits.  Extending them should be as closer to a no-brainer as exists in politics, but it is proving surprisingly hard.  So, I’m begging everyone I know, call your Senator, and tell them:

1) Pass the short-term extension immediately so benefits don’t run out.  It is unacceptable to hold 1.2 million workers hostage so that a few dead millionaires can pay less taxes.

2)  Extend benefits until the end of the year.  Congress has too much else to get done this year to keep passing short-term extensions and then having to take it up again. And workers need to know that they’re not about to be cut off.

3)  Not everyone qualifies for unemployment insurance, and some people just want a job.  The TANF Emergency Fund, created under the Recovery Act, gives states money for subsidized jobs for low-income parents, and also helps pay for rising cash assistance caseloads.  It doesn’t expire until September, but states are doing their budgets now, and they’ll start shutting down their programs if they don’t know that the money will be available next year.  Plus, because it’s part of TANF — aka “welfare” — it has almost no chance of passing on it’s own.  So please tell your Senators to ask that it be extended along with UI.

Thanks.

Who is a terrorist?

February 24th, 2010

I’ve been reading a bunch of interesting takes on the question of whether Joe Stack (the guy who flew the plane into the IRS building in Texas) is a “terrorist” and whether the word has any meaning at all.

I think there’s a lot of truth in Glenn Greenwald’s argument that as actually used by the American media, the word has become racialized, and essentially means “a Muslim who fights against or even expresses hostility towards the United States, Israel and their allies.”   But I think the more interesting question is whether it is possible to set that definition aside and draw a line someplace that makes sense.

Personally, I don’t think there’s any question that the 9/11 perpetrators, Timothy McVeigh, the IRA bombers of the 1980s,  and the Beslan murderers all qualify as terrorists.

On the “just nuts” side of the fence, I’d clearly put Amy Bishop and the Columbine murderers.  In both cases, the attacks were aimed at people known to the killers, and were not politically motivated.

The government was pretty quick in the case of both Nidal Hassan (the Ft Hood murderer) and Joe Stack to reassure the public that these were “not terrorist acts,” by which I think they mean “were not linked to a larger network of terrorists.”  By contrast, Najibullah Zazi, who just pled guilty to conspiracy to use weapons of mass destruction in the New York City subways, is considered a terrorist, because he was recruited and trained by al-Qaida.  I’m not sure I buy that distinction — which would put McVeigh on the “not terrorist” side — but at least it makes some sense and isn’t purely racial.

I think I’m inclined to say if you’re killing people — especially civilians — you don’t know, and are politically motivated, I’m ok calling you a terrorist, even if you’re acting entirely alone.  That would make Stack and the Unabomber terrorists.  I don’t know enough about Hassan’s motivation or Bruce Ivins’ (the alleged anthrax killer) to say with any confidence which side they’re on.

That said, I sort of agree with Jill in thinking that some actions — flying an airplane into a building, bombing a public building or public transportation — are maybe inherently terrorist, regardless of your motivation or whether you’re part of a network.  But my examples (Beslan on one side, Columbine on the other) suggest that other things , eg. shooting up a bunch of kids at school — are not.

What do you think?  Does the distinction matter?

The slow melt

February 22nd, 2010

We’re almost 2 weeks out from the last of the snow, and it’s amazing how much is still left, even though it hit 50 degrees yesterday.

Our yard is still entirely white, with no patches of grass visible yet.  The truck that got stuck across the street before the storm is still there.  My office is on 15th street, and even though it is a snow emergency street (e.g. you’re not allowed to park on it during a storm), the entire parking lane on the other side of the street is still full of snow and ice.   Parking lots are still full of icebergs where the plows left them.  I had to climb a 2 foot pile of ice to feed the parking meter near the Building Museum on Saturday.

And don’t get me started on the potholes…

Book Review: The Gate at the Stairs

February 21st, 2010

I promised Jody that I would post a review of Lorrie Moore’s A Gate at the Stairs, but I keep putting it off.

It has some truly astonishing, wonderful passages, elegant and haunting.  I think my favorite is the description of Tassie, the main character, eating dinner by herself at a fancy restaurant the night before it will close.  But overall, I didn’t like it.  Moore is too in love with her own wordplay (and when you listen to it as an audiobook, as I did, you can’t skim past these sections the way you’d do on paper), and she puts things into her characters’ mouths that I just don’t believe that they would say.  (Tassie is supposed to have never taken a taxi at the start of the book, let alone have flown on a plane, and yet she is credited with all sorts of metaphors connecting things to phenomena she’d never have seen.)

And the plot twists start out implausible, and eventually get so bizarre  — not only does Tassie dress up as an owl to chase away mice from her father’s salad green fields, she keeps the owl costume on  while she plays music and rides her scooter around town — that I started to wonder if I was supposed to conclude that she was mentally ill and an unreliable narrator, that none of the book should be believed.  At least that would explain why her Jewish mother would make hamentaschen for Hanukah.

In getting ready to write this entry, I pulled up the rave reviews of the book from both the New York Times and the Washington Post that had led me to buy it in the first place.  Both reviewers clearly saw the same flaws that I see:  Kakatuni talks about the plot twists as “clumsy” and “fumbles,” while Charles calls the wordplay “too clever by half” and the descriptions “polished to distracting brilliance.”  But both of them ultimately loved the book,  and feel that it offers profound insights into the human condition.  I didn’t.

Snowed in

February 11th, 2010

My office follows the feds, so we’re officially open tomorrow, although with a two hour delay.  I’m going to work from home, though, as I think the commute will be a nightmare, and I still have work I can do.

Total inches of snow: somewhere around 34.

Inches of packed snow remaining on the road post-plowing: about 3

Height of piled snow surrounding our driveway: 5 feet, plus or minus.

Days snowed in: 8 (as of tomorrow)

Soups made: 4 (chicken chili, red lentil and chickpea, black bean, and curried cauliflower)

Breads made: 3 (challah, multigrain, and Portuguese sweet bread)

Batches of cookies made: 3 (two chocolate chip and one peanut butter)

Pounds gained: haven’t dared to set foot on the scale

Games played: Dominion, Ticket to Ride, Sorry, Monopoly, Go Fish, Don’t Get Caught, Munchkin Fu, Qwirkle

Hours of TV watched: too many

The NY Times has a terrific graphic about snowfall in Washington, Baltimore, Philadelphia, New York, and Boston, showing what each city has received this year, last year, and the average level.   It dramatically shows that Washington, Baltimore and Philadelphia have all gotten way more snow than average, coming after a less-snowy-than-usual year last year (in fact, in DC, the past 3 years have all hardly had any snow), while NY is having an average year after another average year, and Boston is having an underperforming snow year after a snowy year.   But the most surprising part of the graphic is how little difference there is in the average snowfall levels for DC vs. New York.  I grew up in NYC and have lived in the DC area for the past decade and a half, and I would have told you that NY gets much more snow on average.  I’m not sure how much my impression is biased by the low snow levels of the past few years, and how much it’s that DC snow usually melts on its own in a day or two, while NY snow sticks around in ugly gray piles for weeks.

Book Review: Shop Class as Soulcraft

February 10th, 2010

I finally made it to the top of the library waiting list for Shop Class as Soulcraft: An Inquiry into the Value of Work, by Matthew Crawford, and this snowed-in week gave me the chance to sit down and read it.  I have to say that I was underwhelmed by it.  I thought that the passages where he describes his work on motorcycles were lovely — Laura was right  when she said “I dare you not to get carried away by his intoxication with his work.“  But the rest of the book read like it was written by the philosophy PhD  that Crawford is — and that’s not a compliment.  I got lost in the jargon, and found myself skimming long passages.

As best as I can tell, Crawford makes four different arguments.  Three of them I basically agree with, although I don’t think they are particularly original.

  • Skilled trades jobs can be as lucrative (or more so) than white collar jobs, and are less vulnerable to being outsourced to other countries.
  • Skilled trades jobs can be as intellectually demanding as white collar jobs, and should not be considered as only an option for people who can’t cut it on the academic track.  (Crawford cites Mike Rose’s The Mind at Work on this, which has been sitting on my to read pile for at least a year)
  • There is a value to doing work where you can see the results of what you do, where the people who benefit from your work know you, and are known to you, where you learn from people who have done the same work, not just from books.  This reminded me of Wendell Berry’s statement (which I’ve talked about here before) that “The right scale in work gives power to affection.”  (I’m not agreeing that this is the only work with value, but there is a power to it.  It’s why I used to volunteer to make meals at Food and Friends before going off to work at HHS — I needed to something where the results were tangible.)

And finally, Crawford argues that there is an autonomy and independence that comes from work where it is objectively clear whether you know what you’re doing or not — the light turns out when you flip the switch, or it doesn’t, the motorcycle starts or it doesn’t.  He contrasts this with an office culture that rewards conformity, where judgments are made about workers’ beings, because their product can’t be objectively measured.  I’m just not sure I buy this argument.  I think he’s comparing the most easily caricatured aspects of office work with idealized versions of his job — because even most motorcycle mechanics don’t own their own shops, and can’t spend 20 hours in search of the truth when the client isn’t going to be billed for more than five.  And at the same time, he seems to blame the flaws of offices on the drive for profits, although not-for-profits can be just as dysfunctional work environments in their own ways.

It’s almost impossible to write a review of this book and not think of Zen and the Art of Motorcycle Maintenance.    I haven’t read Zen in 20 years, and don’t remember that much about it, but I remember my outrage near the end when you learn that after riding thousands of miles with his son, he’s only just noticed that while he has a view of the open road, his son only has a view of his back.  Crawford has some similar blind spots, particularly around gender.  Early on he writes “It so happens that most of the characters who appear in this book are men, but I am sure that women, no less than men, will recognize the appeal of tangible work that is straightforwardly useful.”  Well, yes, but there’s also an issue that the forms of tangible, straightforwardly useful work that are traditionally done by women are paid far less than the forms of tangible, straightforwardly useful work that are traditionally done by men.

I also suspect that there are very few women in the trades who would agree with Crawford’s claim that the objective quality of your work is all that matters in achieving acceptance.  (He makes a nod towards acknowledging this reality in a footnote where he tells a story about a time where he was hazed by his coworkers and notes that “the new guy, the nonwhite guy, and the woman are especially likely to incur extra hardships.”  But he doesn’t seem to notice that there’s something categorically different about being the “new guy” — which you will be on one job, but not the next, and being nonwhite or female, which are permanent characteristics.

So, in spite of finding parts of Crawford’s story very appealing, I found the book a disappointment.  Go read Life Work, by Donald Hall, instead.


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