An Oncologist’s Take on Refocusing the Battle Against Cancer

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.

The last nuclear weapons treaty between the US and Russia is about to fall—and no one seems to care

Jeffrey Lewis in Prospect:

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.

The story of how modern Russia found itself in a Soviet-style effort to suppress information about a nuclear accident is a story about the collapse of the post-Cold War peace. Vladimir Putin’s Russia is resurrecting Soviet-era nuclear weapons programmes, and covering them up with Soviet-era disinformation because Russia and the US are drifting back into the logic of the Cold War. Even worse, they are drifting towards the free-for-all of the early Cold War, before there were any restrictions on the terrifying competition of the arms race.

More here.

The Strange, Pristine Sentences of Gary Lutz

Adam Wilson at Bookforum:

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.

more here.

Can Philosophy Be Worth Doing?

Becca Rothfeld at The Hedgehog Review:

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 Must We Mean What We Say?, “It is characteristic of philosophy that from time to time it appear—that from time to time it be—irrelevant to one’s concerns…. just as it is characteristic that from time to time it be inescapable.”1 In other words, it is not just the current conditions of economic precarity that render philosophy alternately irrelevant and inescapable—or, peculiarly and more often than not, irrelevant and inescapable at once. David Hume lived two centuries before the horrors of the academic job market kicked into high gear, but that did not stop him from worrying that his philosophical musings remained remote from real life. At the end of Book I of A Treatise of Human Nature (1738), he paused to reflect that the skeptical concerns he had just spent a hundred pages developing were wont to dissipate as soon as he headed to the pub:

I dine, I play a game of back-gammon, I converse, and am merry with my friends; and when after three or four hours’ amusement, I wou’d return to these speculations, they appear so cold, and strain’d, and ridiculous, that I cannot find in my heart to enter into them any farther.2

more here.

WTF is Grammar?

Thomas Blaikie at Literary Review:

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.

I recently heard of somebody who no longer laughs. Instead she says ‘lol’, which might be a new internet way of laughing. An urban myth, perhaps, but there’s a common assumption that too much online activity transforms people into zombies in ‘real’ life. As is perhaps inevitable, linguists like Gretchen McCulloch take a different view.

more here.

Published 50 Years Ago, ‘I Know Why the Caged Bird Sings’ Launched a Revolution

Veronica Chambers in Smithsonian:

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 I Know Why the Caged Bird Sings, which recently celebrated its 50th birthday. In the memoir, Angelou (born Marguerite Johnson) boldly told the heartbreaking truths of her childhood, including how she was raped at the age of 7 by her mother’s boyfriend. She would later explain, “I stopped speaking for five years. In those five years, I read every book in the black school library. When I decided to speak, I had a lot to say.”

One of the women who helped Angelou find her voice was a teacher in Stamps, Arkansas, named Bertha Flowers. She was the kind of woman you rarely got to read about in American literature in the 1960s. Angelou’s writing is cinematic; in Caged Bird, she transports the reader to another time:

Mrs. Bertha Flowers was the aristocrat of Black Stamps. She had the grace of control to appear warm in the coldest weather, and on the Arkansas summer days it seemed like she had a private breeze which swirled around, cooling her. She was thin without the taut look of wiry people and her printed voile dresses and flowered hats were as right for her as denim overalls for a farmer. She was our side’s answer to the richest white woman in town.

It is all there—life, not just in the American South but this American life, period—waiting for you to take the ride, the heartbreaking and brave journey that is Marguerite Johnson’s young life.

More here.

Thursday Poem

Shrine

That small deceptive bend
in what seems like a fast straight, where the boy-
racers would come to grief – remember?

Now the scars on the big sycamore tree
have all grown over

and the last of the silk flowers tied to it
are tattered, grey, that were kept
renewed through all these years.

I saw her once: a red-haired woman
middle-aged, in a pink top
wading into the ditch, her armful of artificial sunflowers
held high above the nettles

and her car parked in the bend
where everything northbound had to swerve around it
into the hidden traffic
coming the other way.

Like she could care
her heart dead
to the world, her only thought in that corner

not to forget him
not to permit forgetting him.

Where has she gone
to leave his garlands fading?
Has she laid down outliving him
after so long, her beautiful

careless boy?
What but death could keep her away
from the place of pilgrimage he gave her
by this cold road?

And who is left behind now
to remember all that sorrow
or to lay flowers
(and where in the world) for her?

by Judith Taylor
from
Not in Nightingale Country
Red Squirrel Press.

 

Wednesday, December 18, 2019

Vladimir Nabokov’s Fighting Spirit

Jennifer Wilson in The New Republic:

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.”

Nabokov spent much of his writerly life sparring. He fought with readers (aggressively dividing them into the categories “good” and “bad” in his university lectures), interviewers (he refused to sit if questions were not sent to him in advance), and—of course—literary critics. The only point of criticism, he said, was that “it gives readers, including the author of the book, some information about the critic’s intelligence.” Though often pictured as a detached, professorial aesthete, cloistered away in a Swiss hotel, Nabokov was, in fact, deeply confrontational. He wrote countless letters to the editor demanding corrections (even for college newspapers) and was famously unkind in his estimation of fellow writers: Of Portnoy’s Complaint, he said, “It is a ridiculous book. It has no literary worth whatever. It is so obvious and not at all funny—a ridiculous book.” He was a frighteningly ungenerous book critic; in one of his more charitable reviews, of an anthology of Russian literature (for The New Republic), he offered this in the way of praise: “This seems to be the first Russian anthology ever published that does not affect one with the feeling of intense irritation.”

More here.

Archaeologists reconstructed a Neolithic woman’s complete genome and oral microbiome from a piece of birch tar she chewed

Jim Daley in Scientific American:

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.

More here.

How America broke up with the Democratic Party

Thom Hartmann in AlterNet:

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 (wages had been flat for more than a decade) and their unions (unionization was in freefall) into the pockets of banks, insurance companies, drug companies, defense contractors, and other big corporations. And the Supreme Court had legalized taking their money in exchange for favors just before Reagan’s election in 1976 and 1978 (and tripled down on it in 2016).

“In April 1989,” From’s book notes, he “traveled to Little Rock, Arkansas, to recruit the state’s young governor, Bill Clinton, to be chairman of the DLC.” The result of their partnership was the creation of the Democratic Leadership Council (DLC) and a new mantra for the Democratic Party: “[E]conomic centrism, national security, and entitlement reform…” that brought with it a flood of corporate and billionaire money.

The party of big government solutions had become the party of big corporate money.

More here.

History’s Largest Mining Operation Is About to Begin

Wil S. Hylton at The Atlantic:

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.”

more here.

The Art of Dying

Peter Schjeldahl at The New Yorker:

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.

I know about ending a dependency. I’m an alcoholic twenty-seven years sober. Drink was destroying my life. Tobacco only shortens it, with the best parts over anyway.

I got the preliminary word from my doctor by phone while driving alone upstate from the city to join my wife, Brooke, at our country place. After the call, I found myself overwhelmed by the beauty of the passing late-August land. At mile eighty-one of the New York State Thruway, the gray silhouettes of the Catskills come into view, perfectly framed and proportioned. How many times had I seen and loved the sight? How many more times would I? I thought of Thomas Cole’s paintings, from another angle, of those very old, worn mountains, brooding on something until the extinction of matter.

more here.

Debbie Harry

Jenny Turner at the LRB:

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 brown.

more here.

Memories Can Be Injected and Survive Amputation and Metamorphosis

Marco Altamirano in Nautilus:

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 celebrity—with a series of experiments on freshwater flatworms called planaria. These worms fascinated McConnell not only because they had, as he wrote, a “true synaptic type of nervous system” but also because they had “enormous powers of regeneration…under the best conditions one may cut [the worm] into as many as 50 pieces” with each section regenerating “into an intact, fully-functioning organism.”

In an early experiment, McConnell trained the worms à la Pavlov by pairing an electric shock with flashing lights. Eventually, the worms recoiled to the light alone. Then something interesting happened when he cut the worms in half. The head of one half of the worm grew a tail and, understandably, retained the memory of its training. Surprisingly, however, the tail, which grew a head and a brain, also retained the memory of its training. If a headless worm can regrow a memory, then where is the memory stored, McConnell wondered. And, if a memory can regenerate, could he transfer it?

More here.

Artificial intelligence identifies previously unknown features associated with cancer recurrence

From Phys.Org:

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 cancer recurrence possible by acquiring new knowledge from images. It could also contribute to understanding how AI can be used safely in medicine by helping to resolve the issue of AI being seen as a ‘black box.'”

The research group led by Yamamoto and Go Kimura, in collaboration with a number of university hospitals in Japan, adopted an approach called “unsupervised learning.” As long as humans teach the AI, it is not possible to acquire knowledge beyond what is currently known. Rather than being “taught” medical knowledge, the AI was asked to learn using unsupervised deep neural networks, known as autoencoders, without being given any medical knowledge. The researchers developed a method for translating the features found by the AI—only numbers initially—into high-resolution images that can be understood by humans.

More here.

Tuesday, December 17, 2019

Scattering a Mother’s Ashes: On Grief, Intimacy, and Renewal

William Pierce in Literary Hub:

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.

And then he sprang a big one on us: he wanted to spread Mom’s ashes today. She wanted half to be spread in the gardens, and half at Jones Beach, where as a child she’d gone with her mother and sister nearly every summer day. That sun exposure, when she was immunosuppressed years later, had given her nearly twenty lesions a month, across her arms, legs, neck, and face, that her dermatologist would burn and freeze off: squamous, pre-squamous, and twice—jobs too dire for that simple burning—melanomas on her face.

More here.

Sean Carroll’s Mindscape Podcast: Azra Raza on The Way We Should Fight Cancer

Sean Carroll in Preposterous Universe:

In the United States, more than one in five deaths is caused by cancer. The medical community has put enormous resources into fighting this disease, yet its causes and best treatments continue to be a puzzle. Azra Raza has been on both sides of the patient’s bed, as she puts it — both as an oncologist and expert in the treatment of Myelodisplastic Syndrome (MDS), and as a wife who lost her husband to cancer. In her new book, The First Cell, she argues that we have placed too much emphasis on treating cancer once it has already developed, and not nearly enough on catching it as soon as possible. We talk about what cancer is and why it’s such a difficult disease to understand, as well as discussing how patients and their loved ones should face up to the challenges of dealing with cancer.

More here.

The biggest story in the UK is not Brexit. It’s life expectancy

Danny Dorling in The Correspondent:

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.

I’m a geographer who has been studying mortality records in the UK The data I review both yearly and weekly has given me a perspective on British society often missed when following the political circus.

In early 2014, trying to highlight that the fact that something very unusual was happening: 

The following year, there was a huge rise in deaths. The numbers were released 

More here.