Kent Sepkowitz in Undark:
Twenty-six years into the war, a harsh assessment titled “Cancer Undefeated” was published in the New England Journal of Medicine, declaring it open season on any claims of victory, and the criticism has been steady ever since. Recently, Clifton Leaf echoed this dour perspective in his 2013 book, “The Truth in Small Doses: Why We’re Losing the War on Cancer — and How to Win It,” while the poet Anne Boyer recounted her own cancer experience (and profound disappointment in modern care) this year in “The Undying.”
Enter Azra Raza, a prominent cancer specialist at Columbia University. Although she doesn’t consider herself a pessimist, her new book, “The First Cell: And the Human Costs of Pursuing Cancer to the Last,’’ argues that we have wasted precious time and zillions of dollars barking up the wrong scientific tree. We are using wrong-headed experimental models (animals, cells, and the entire 20th-century repertoire of discovery) and we are giving federal grants to all the wrong ideas.
Most importantly, she argues that current cancer research is looking at the wrong end of the problem — late-stage disease, when the cancer is large and perhaps has already spread, when patients are sick and failing, when even the most wonderful new wonder drug is unlikely to work.
More here.

In January 2018, Russia secretly launched a cruise missile powered by a small nuclear reactor at a military testing range in the northern region of Arkhangelsk. The test of this bizarre doomsday weapon was a failure—it landed in the sea just a few kilometres from the launch site. The test would have remained a secret, but in August 2019 Russian scientists attempted to lift the wreckage off the Arctic seafloor. There was an explosion—one powerful enough to be detected by monitoring stations in Finland, Norway and Sweden. Five scientists were killed and a brief spike of radiation was detected in the nearby city of Severodvinsk. Images on social media showed emergency service workers responding in Hazmat suits. The Comprehensive Nuclear Test Ban treaty Organisation, the body charged with detecting nuclear explosions, predicted that any plume of radionuclides from the accident would soon drift over monitoring stations in central Russia. Then those stations mysteriously stopped working. Viewers of the drama series Chernobyl might not have been surprised.
Lutz’s stories are resistant to summary, not because nothing happens in them, but because it can be difficult to decipher what does. For Lutz, narrative is a by-product of language, not the other way around, and it unfolds musically rather than logically, resulting in sharp shifts and turns that are hard to track. I’m pretty sure, for example, that one story involves a man being fitted for dentures made in the molds of houses he lived in as a child, but I wouldn’t put money on it. I’m slightly more confident that another involves the use of a tennis racket in a backroom orchiectomy. The opacity is by design. These stories glory in language, but Lutz also seems to suggest that it’s an insufficient tool for representing experience. Characters constantly worry they’re not providing the right details or explaining things correctly. Their statements are subject to endless retractions and qualifications, and their cataloguing and quantifying never quite add up. The linguistic acrobatics can be read, in part, as a futile rebuff against the limits of expression.
Graduate school is psychologically punishing for people in every field, not just for people who worry that their topic is especially ineffectual. The more you read, the more you realize you should have read already. But philosophy’s claim to despair is unique. As Stanley Cavell writes in the introduction to
What is the language of the internet? Most of us have probably heard of LOL (or lol), omg, emojis and even memes, and come face to face with unconventional confections of exclamation marks, repeated letters and novelty punctuation. For people like us, top-end book lovers, the language of the internet might seem, well, rather ghastly: illiterate, limited, debased, invasive like Japanese knotweed, a frightful triffid threatening to obliterate decent standards of communication. They, the internet lovers, if they even bother to glance in our direction, will think: omg!!!!11!!! sad lol.
Maya Angelou published the first of her seven memoirs not long after she distinguished herself as the star raconteur at a dinner party. “At the time, I was really only concerned with poetry, though I had written a television series,” she would recall. James Baldwin, the novelist and activist, took her to the party, which was at the home of the cartoonist-writer Jules Feiffer and his then-wife, Judy. “We enjoyed each other immensely and sat up until 3 or 4 in the morning, drinking Scotch and telling tales,” Angelou went on. “The next morning, Judy Feiffer called a friend of hers at Random House and said, ‘You know the poet Maya Angelou? If you could get her to write a book…’” That book became
Nabokov, who made ends meet by giving boxing lessons, assured his genteel audience there was nothing frightful in the violent punches: “I hasten to add that in such a blow, which brings on an instantaneous blackout there is nothing terrible. On the contrary. I have experienced it myself, and can attest that such a sleep is rather pleasant.”
Toward the end of the Stone Age, in a small fishing village in southern Denmark, a dark-skinned woman with brown hair and piercing blue eyes chewed on a sticky piece of hardened birch tar. The village, dubbed Syltholm by modern archaeologists, was near a coastal lagoon that was protected from the Baltic Sea by sandy barrier islands. Behind them, the woman and her kin built weirs to trap fish that they skewered with bone-tipped spears. The woman may have worked the tar until it was pliable enough to repair a piece of pottery or a polished flint tool—birch tar was a common Stone Age adhesive. Or she might have simply been enjoying what amounted to Neolithic chewing gum. In any case, when she discarded the tar, it was sealed away under layers of sand and silt for some 5,700 years until a team of archaeologists found it. Amazingly, they were able to extract the woman’s complete genome from the birch tar, along with her oral microbiome and DNA from food she may have recently eaten.
Bank robber Willie Sutton famously said that banks were “where the money is,” and the money available for politics in 1992 had moved from the pockets of working people (
At full capacity, these companies expect to dredge thousands of square miles a year. Their collection vehicles will creep across the bottom in systematic rows, scraping through the top five inches of the ocean floor. Ships above will draw thousands of pounds of sediment through a hose to the surface, remove the metallic objects, known as polymetallic nodules, and then flush the rest back into the water. Some of that slurry will contain toxins such as mercury and lead, which could poison the surrounding ocean for hundreds of miles. The rest will drift in the current until it settles in nearby ecosystems. An early study by the Royal Swedish Academy of Sciences predicted that each mining ship will release about 2 million cubic feet of discharge every day, enough to fill a freight train that is 16 miles long. The authors called this “a conservative estimate,” since other projections had been three times as high. By any measure, they concluded, “a very large area will be blanketed by sediment to such an extent that many animals will not be able to cope with the impact and whole communities will be severely affected by the loss of individuals and species.”
Lung cancer, rampant. No surprise. I’ve smoked since I was sixteen, behind the high-school football bleachers in Northfield, Minnesota. I used to fear the embarrassment of dying youngish, letting people natter sagely, “He smoked, you know.” But at seventy-seven I’m into the actuarial zone.
One great thing about Harry in Blondie was exactly this tension: she could look and sound so sweet and doll-like, but she was obviously and unapologetically a woman with a past. Another was the dynamic she had, so pale and starry, with her dark-haired, bridge-and-tunnelly band. Her outfits helped too, weird shapes and garish colours in nasty synthetic fabrics that looked like they came – and from what the book says, probably did – from a bargain bin in the Bowery: the big shirt that kept falling off the shoulder, what with all the awkward dancing; the harsh turquoise suit and shirt and tie; the ripply grey one-armed chiffon, worn with mules and thick black tights. The hair kept changing, though it was always blonde and afloat with static, stripped and dyed within an inch of its life. Sometimes it was big and thick and exhausting-looking. Sometimes it was shorter and lighter, in a bob. Usually you saw roots, a thick black skunk-stripe even. ‘Being a bleached blonde for so many years,’ Harry writes, ‘has made me acutely aware of what healthy hair looks like.’ There’s a picture in the book of a family Christmas in New Jersey, with her hair in its undyed colour, a plain, flat
The study of memory has always been one of the stranger outposts of science. In the 1950s, an unknown psychology professor at the University of Michigan named James McConnell made headlines—and eventually became something of a
Artificial intelligence (AI) technology developed by the RIKEN Center for Advanced Intelligence Project (AIP) in Japan has successfully found features in pathology images from human cancer patients, without annotation, that could be understood by human doctors. Further, the AI identified features relevant to cancer prognosis that were not previously noted by pathologists, leading to a higher accuracy of prostate cancer recurrence compared to pathologist-based diagnosis. Combining the predictions made by the AI with predictions by human pathologists led to an even greater accuracy. According to Yoichiro Yamamoto, the first author of the study published in Nature Communications, “This technology could contribute to personalized medicine by making highly accurate prediction of
Dad called us, Thom and me, into the office. Its bifold louvre doors opened just behind my dining chair. He showed us the safe deposit key again. He showed us his will again. He showed us the folders of information about the condo in Florida, about his car, the binders of account statements, his credit cards, his social security, pension, and insurance policies. Part of me resisted.
In the United States,
The numbers of people dying, week in, week out, tell us more about the four countries of the UK than we could ever hope to learn from the attention given to Brexit. This is a kingdom falling apart.