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The Better Person Travel Is Not Making Me

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Department of The Retrievals is Back…

…and this second season is also riveting.  Have you ever been pregnant, known anyone who was pregnant, or are yourself the result of your mother’s pregnancy?  Yeah, I’m saying everyone should listen to this.

The Retrievals second season was inspired by the podcast’s first season,    [1]   which dealt with the broad (sorry) issue of women’s pain being ignored during medical procedures as seen through the lens of a specific scandal: a nurse was stealing painkillers from the Yale Fertility Center, and the saline substitute some patients received instead of a painkillers meant they were in agony during the procedures they were undergoing…and the medical professionals performing the procedures didn’t believe them.

Season 2 is a new story. It’s not about Yale medical clinics or fertility treatments, but it’s definitely a related subject. Susan Burton, the producer of the first season, goes behind the scenes at a Chicago hospital as a group of doctors and nurses struggles to address this issue of women’s pain after one of their own nurses undergoes an excruciating C-section.

 

 

After The Retrievals season one, Burton received many, many letters from women sharing their stories of medical nightmares due to anesthesia failure.  Burton was compelled to focus season two of The Retrievals on a persistent problem with the most common surgical procedure performed in the US:  the inexcusably high rate   [2]  of inadequate anesthesia and/or anesthesia failure during cesarean sections.  As in, the patient can *feel* the operation, and too often (too often means even once – this should NEVER happen) is ignored or pooh-poohed by her doctor and/or anesthesiologist and/or nurse, with no acknowledgement of her suffering or investigation as to what went wrong.

This teaser excerpt, from episode three, is a conversation between podcast host Burton and one of her guests, Susanna Stanford, a British woman who undertook a graduate’s degree study into this issue after she endured agonizing pain during her own C-section.  And, yes, that quote from the doctor you will be reading was taken from this century, and not the 1800s.

 

 

Susanna Stanford, podcast guest:
…Just to give you a sense of how accepted this was, this is an editorial from 2006 in the International Journal of Obstetric Anesthesia.

Susan Burton, host:
The editorial, by a British doctor, was about the necessity of keeping good records in case you ever got sued by a woman who complained of pain during her Cesarean.

Susanna Stanford:
“Let me read to you the opening section:
‘It was all so simple in the old days. You simply injected the local anesthetic down the epidural, warned her that she’d feel a bit of pain, and told the obstetrician to get on with it. And then things began to become more complicated.
First, women began to complain more, no doubt fueled by general changes in patients’ attitudes as they made the transition from passive recipients of health care to consumers.’
Doesn’t that just tell you so much?”

Susan Burton:
“I mean, it’s just like, well, the women started speaking up.”

Susanna Stanford:
“Damn it. Those wretched women started complaining about pain.”

Susan Burton:
“I cannot believe this. This is 2007, 2006?”

Susanna Stanford:
“ ‘06. 2006. It’s not the 1950s.”

 

 

The Dowager is shocked.

 

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Department Of A Different Kind Of Shock

“Culture shock is the growing pains of a broader perspective.”

Moiself  could summarize a recent Rick Steves podcast interview with that quote of his.  Travel guru Steves (whose recent book, On the Hippie Trail: Istanbul to Kathmandu and the Making of a Travel Writer,  I highly enjoyed and recommend,) is known for his enthusiastic advocacy of cross-cultural travel as a political as well as recreational act.  And although I’ve been on three RS tours    [3]   (and, if I’m lucky, will undertake at least three more), one of Steves’  most treasured travel tenets is one moiself  disagrees with…slightly.

This precept is that travel changes a person – travel makes you a better person, in that the exposure to different people and cultures helps us celebrate differences and overcome misunderstandings and question prejudices and presumptions, large and small.

 

 

I think that *can* happen, but only if you are the type of person prone to introspection and open to change…and if you are, perhaps you wouldn’t have needed, ultimately or eventually, to go to Bosnia or Turkey or Greece to have discovered this (maybe just watching a Rick Steves Europe Travel Videos from the comfort of your den would do).

I think that instead of experiencing eye-opening, mind-altering change when they travel to foreign lands, more often than not, people take who they are and what they think with them – most folks pack their opinions and biases along with their toiletries and passports. For some travelers the opinions/biases can fit into a TSA-approved ziplock sack; while others will need to check at least one full-sized suitcase to accommodate their assumptions and expectations.  [4]

 

 

Whenever I hear someone repeat any variation of that optimistic cliché platitude – that travel makes you a better person – I immediately, unfortunately, picture (even if only for a moment) several people I’ve met who didn’t get that memo along with their passports, including  One Of The More Racist People I’ve Ever Known ® .

OOTMRPIEK, the father of a junior high friend of mine, was the first person I heard use the slur  jigaboo to refer to a Black person.  He did this openly, in front of me, when I was at my friend’s home and peeked into their TV room to say hi to her dad. OOTMRPIEK was watching an LA Lakers game, and after some spectacular play which brought the crowd to a roar he giggled and said to me,  “Those jigaboos sure can jump!”  I had no idea what he meant; I’d never heard the word.   [5]   But since that tittering comment of his was soon followed by another in which he (still giggling) used the N-word,  [6]  I knew it was not a complimentary term, no matter how happy he looked when he said it.

OOTMRPIEK was always nice to me and (as far as I know) to his daughter’s other (white) friends.  And OOTMRPIEK  was a world vagabond – the most well-traveled person I’ve ever met, then or now. Travel was his hobby, his passion.  His daughter and I used to speculate about how her dad must be a CIA operative, and his cover was that of a mild-mannered suburbanite – how else to explain why an otherwise meek-seeming husband and father and insurance agent was always heading off for exotic locations?

 

“I’m here to check if you have adequate coverage via your homeowner’s policy.”

 

Over the years when I asked OOTMRPIEK  to tell me stories about his travels, it became evident to moiself  that he traveled for his interest in the history, the geography, the scenery of places “exotic” to him.  I tried to elicit stories about the people he encountered and noticed the commonality among the nations about whose inhabitants he spoke disparagingly (African; Middle Eastern; Asian).  Even for the countries about which he spoke positively  (European), he honestly seemed, to me, to have had no great (nor even small) concern for the *people* living in the countries he traveled to. Therefore, he could enjoy a trip to the exotic Egypt and the intriguing Middle East and witness a spectacular Sub-Saharan sunset, and return home to joke about niggers and  jigaboos.

 

 

Sub-Department Of Speaking Of Perspectives…

Y’all may have noticed that with my first usage of that YOU  SHALL  NEVER  USE  THIS  WORD  word   [7],  I used the culturally-sensitive currently acceptable stunt double (the N-word”).    Now, by not doing so with the second usage, moiself  is wondering if this post will somehow get flagged.  When on the rare occasion I’ve had cause to use that word – which is always quoting someone else who said it – I usually (when in the presence of those with delicate sensibilities) employ the euphemistic contraction.  But it seems rather juvenile to do so when quoting what another person actually said (and there is, to my knowledge, no  J-word substitute for jigaboo).  So maybe I’ll throw in some other words and see which one gets the most censorious reaction.

How’s about cocksucker?

 

 

“It is remarkable to me that people can travel
and not be impacted by what they see.”

That statement came from the person who interviewed     [8]   Rick Steves, when he mentioned to Steves about how he was once sitting at the foot of a melting glacier, next to a fellow traveler who announced that he doesn’t believe in climate change.

OK, so that was remarkable to Mr. Interviewer, but guess what?  For a significant amount of people, no amount of foreign travel –

– which BTW increases the amount of carbon into the air, which even We-Who-Are-Open-To-Change-And-Concerned-About-Working-For-Solutions-To-Global-Warming®  nevertheless contribute to the problem by taking jet planes to Europe or wherever –

– will likely change their perspective.  It’s not that simple.  People often come to such opinions via a complicated jumble of religious and cultural and political influences.  I think by the time Mr. Interviewer met the What Melting Glacier? Guy, WMGG had already, consciously or otherwise, decided not to see what he didn’t want to see.

 

 

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Freethinkers’ Thought Of The Week     [9]

 

*   *   *

May you listen to The Retrievals;
May you carefully employ your euphemistic contractions;
May your travels be respectful and bring perspective;
…and may the hijinks ensue.

Thanks for stopping by.  Au Vendredi!

*   *   *

[1] The series, reported and hosted by Susan Burton, won a buttload of “best podcast” awards and a Peabody Award.

[2] Also inexcusably high is the USA’s rate of C-sections – one in three births.

[3] Three two weeks+  trips to the Adriatic (Slovenia; Bosnia; Croatia), Scandinavia (Sweden, Denmark; Norway) and Ireland.

[4] So much for the suitcase metaphors.

[5] Really – later after I’d gone home, I asked my parents what it meant. Their first response: “Where did you hear that?!?!?”

[6] And that would not be the first time I head that word from my friend’s father.

[7] Unless you’re a Black rap star.

[8] Damned if I can’t remember which interview – I’ve head so many with RS, especially since his new book’s release.

[9] “free-think-er n. A person who forms opinions about religion on the basis of reason, independently of tradition, authority, or established belief. Freethinkers include atheists, agnostics and rationalists.   No one can be a freethinker who demands conformity to a bible, creed, or messiah. To the freethinker, revelation and faith are invalid, and orthodoxy is no guarantee of truth.”  Definition courtesy of the Freedom From Religion Foundation, ffrf.org

The Standard Of Care I’m Not Upholding

Comments Off on The Standard Of Care I’m Not Upholding

Department Of Before I Get To The Complaining Thoughtful Expositions On Topics Of Importance To All Humankind…

First, this observation of appreciation:

I’m not a coffee drinker,    [1]   but I would like to thank the person who, somewhere on Necarney Boulevard (Manzanita, OR)  at approximately 7:30 am Tuesday morning, was either out on their porch or deck with their morning cuppa Joe, or brewing it in a nearby kitchen with the windows open.  Whatever grind or blend they were using, its enticing aroma wafted onto the bicycle/pedestrian path as I walked by.  In combination with the morning mist, which carried the scent of the salty ocean…Aaaahhh.  What a delightful sensory experience.

 

 

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Department Of A Gut-Wrenchingly Devastating, Throwing-Heavy-Objects-Against-The-Wall-Anger-Inducing Thing To Hear…
And Yet Also, Ultimately, Am I Surprised?

Unfortunately, the answer is, fuck no.

This  Gut-Wrenchingly-Devastating-Throwing-Heavy-Objects-Against-The-Wall-Anger-Inducing-Thing-To-Hear  can be heard in the latest Serial podcast, the capper to their five-part narrative series, The Retrievals.  Moiself  has written in this space about this podcast, which I can’t recommend strongly enough.  In Episode 5: The Outcomes, former patients talk about the lasting effects of their experiences at Yale’s fertility clinic, wherein an IVF procedure caused them excruciating pain, both during the procedure and for hours and even days afterword (…and for “good reason” – it turns out a narcotics-addicted clinic nurse had been stealing the analgesic used for the procedure and replacing it with saline).  But the patients’ reports of pain, even to the doctors and clinic staff who heard the patients screaming during the procedure, were discounted and/or minimized.

 

 

The following podcast excerpts (Episode 5: The Outcomes, transcript) are from conversations between Serial producer/investigator Susan Barton, and Kelly Fitzpatrick, one of the attorneys representing the patients in their malpractice lawsuits against the Yale clinic,   [2]  and Barton and Cecelia Plaza, an attorney who wrote a paper cited in the conversation (my emphases):

Fitzpatrick:
“These women were repeatedly ignored….that sets it apart from a regular medical malpractice case. These women were gaslighted. They weren’t believed. …And that makes it different.”

Burton:
“…So how do you do that? How do you sue for ignoring pain?… It’s not like that, another one of the (patients’ lawsuit) attorneys told me. You can sue because they should have investigated reports of pain…


And then I came across the perfect paper. It was called, ‘Miss Diagnosis – gendered injustice and medical malpractice law.’ ….
The paper…(didn’t say) ‘Here’s how you sue for ignoring pain.’ What it did do is explore how this issue of women not being believed in medical settings plays out in court….


The (paper’s) author was a young attorney named Cecilia Plaza… She set out to answer a specific question about the gender gap in medical malpractice outcomes, which essentially is a question about whether women can be fairly compensated in the medical malpractice system. And what she found is that women likely cannot.


Because the foundation of this system is, did what happened to you meet the standard of care? If it did, you’re out of luck. Like, you’re a woman, you think you’re having a heart attack. You go to the ER.  The doctor says, ‘it’s just your anxiety,’ and sends you home. Then it turns out that you really were having a heart attack. Can you successfully win a case against this doctor in court?


Maybe not. Because doctors misdiagnose so many women’s heart attacks as anxiety that sending a woman home could actually be interpreted as a reasonable choice that an ordinary doctor would make.

Just to be clear, Cecilia’s paper is not a work of opinion. It is an empirical analysis based on a ton of data. And what Cecilia found is that women cannot expect to get as much money as men in this system.
Because dismissing women doesn’t necessarily fall below the standard of care.”

Plaza:
“You would have to basically make the argument that not believing your patient’s report of symptoms or of pain is de facto below the standard of care. That’s not currently the case, which is a little bit mind boggling. But you would have to make that argument, and the court would have to agree with you.”

 

 

Got that, amid the legalese?

* Because so many doctors misdiagnose women and have done for so long and for so often, it is considered to be routine.

* Because discounting, minimizing, ignoring women’s pain, and *not believing them when they report severe pain,* is so common in the medical field, it is considered to be the standard of care.

 

 ( Here Are 29 Stories From Women Whose Doctors Did Not Take Their Pain Seriously )

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Department Of While I’m Getting Uppity….

Recently, while re-reading Roxane Gay‘s collection of essays,  Bad Feministmoiself was reminded of my conflicted feelings on whether or not people ultimately care about, or learn from, the lives and stories of others.

RG’s essays – specifically, Blurred Lines, Indeed –  took me back to last summer, when moi-blog-self  mulled over issues of freedom/personal liberty after the SCOTUS Roe V. Wade ruling.  We religion-free folk have taken a page from the LGBTQ playbook; thus, many of us so-called atheists, Freethinkers, Skeptics, Brights, et al, encourage “outing” ourselves as such, and not only for reasons of truth-telling (religion-free folk tend to be fans of reality), but also with the thought/hope that that increased visibility helps to break down barriers, open minds, increase participation in the civic arena, and counter stereotypes.  Thus I outed moiself, in one sense,   [3]   by briefly mentioning my reproductive history:

(excerpt from The Liberty Loss I’m Not Accepting, 7-29-22):
So.  A dimwitted busybody curious person may wonder, If it’s personal/no one else’s business, why am I making it yours by writing about it here? Moiself  does this for reasons that are not so original and yet are nonetheless pertinent. 

“In 1972—when abortion was illegal throughout most of the country—53 well-known U.S. women courageously declared ‘We Have Had Abortions’ in the pages of the preview issue of Ms. magazine.
‘To many American women and men it seems absurd, that in this allegedly enlightened age, that we should still be arguing for a simple principle: that a woman has the right to sovereignty over her own body,’ they declared.
Gloria Steinem, Billie Jean King, Susan Sontag, Nora Ephron, Dorothy Pitman Hughes and Judy Collins were among the signers. The women spoke out ‘to save lives and to spare other women the pain of socially imposed guilt’ and ‘to repeal archaic and inhuman laws.’ They invited all women to sign in order to ‘help eliminate the stigma’ of abortion.”
” ‘We Have Had Abortions’ Petition Relaunches 50 Years Later—With Support From Original Signatories.”

Msmagazine.com 1-20-22 )

It can be easy to ignore or discount issues that are critical for other people, if you think the issue doesn’t affect you or anyone you know.  If you (mistakenly) think that you don’t know anyone who’s gay/atheist/has had an abortion, then LGBTQ rights/religious discrimination/reproductive freedom may be an abstraction to you.  You can allow yourself to be on the fence about the issue – or even on the compassionate side of the fence but not really involved – if you think it doesn’t affect you or anyone that you know.

I’m not sure about my mother’s stance on abortion, but I know she went to her grave not knowing about her older sister‘s harrowing experience.   [4]  My parents were as loving and considerate as could be to all of my different friends, and they knew of (and even occasionally discussed with me) my political opinions.  However and sadly, judging from the publications and mailers I espied on their coffee table during my infrequent visits to their house, it is likely that they could have fallen prey to fear-mongering politics of The Billy Graham Association and other conservative religious organizations.

During one of my visits, California had an “anti-homosexual” proposition on the ballot (I can’t remember which proposition, nor exactly when– there’ve been several, over the years), and I saw a GAY  TEACHERS  ARE  AFTER  YOUR  KIDS -type flyer on their kitchen table.

 

 

I asked them if they took such hyperbole seriously.  One of them (can’t remember if it was Mom or Dad) said they realized it was over-the-top, then said, “Actually, we don’t know anyone who is gay.”

“No,” I said, “Actually, you *do* know gay people.  You just don’t know that they are gay because you don’t know them well enough to be privy to their personal lives, or they have chosen not to reveal this to you…” – I indicated the flyer atop the mail pile – “…because of crap like that.”  (My mother later assured me that that the flyer had just come in the mail, and that they hadn’t “requested it”).

I proceeded to give them the names of friends and teachers of mine, whom they’d met and liked, who were gay.  They seemed genuinely surprised“Mr. Haffner is gay?  He was one of your and your sister’s favorite teachers….” (Still is, Dad.)  “That nice friend of yours from college – he’s so sweet and smart and funny, he was a premed student, I think – he’s gay?” (Yes, Mom.  He’s still the nice young man – nice doctor, now – who impressed you.  You simply know something about him that you didn’t know before).

Did it make a difference in how they thought, or voted?  No idea.

*   *   *

I’m still wondering: when it comes to knowing the personal stories of others, what does and doesn’t make a difference?  Still wondering after reading these excerpts from RG’s essay, Blurred Lines, Indeed  (my emphases):

“On June 30 2013 in the Room for Debate section, the NYT asked, ‘Would support for abortion rights grow if more women discussed their abortions?’  When I first saw the question, I bristled. Women shouldn’t have to sacrifice their personal histories to enlighten those who are probably uninterested in enlightenment.

…what if she doesn’t want to tell her story?  What if it’s too personal, too painful?  What do these confessions really do?  Some people will be moved, but those are rarely the same people who support legislation to erode reproductive freedom.  Immovable people will not be moved by testimony.”

 

 

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Department Of Different As In, And now For Something More Light Hearted:
We’ll Always Have Paris…

A classic line from a classic movie.  [5]   There are lists of such – “best” or “most memorable” movie lines – compiled by the American Film Institute, et al.  Last week moiself  overheard two people discussing classic movie lines.   [6]   I got to thinking about those lists, which, if I remembers correctly, tend to be skewed toward films released before the mid-1970s.  So, off the top of moiself’s  pointy little head…

 

Not *this* pointy.

 

…I started my own list of memorable lines or dialogue from films released since 1975.  I’m not claiming these are the “best” lines; they’re just, IMO, marvelous.

In no particular order, I present you with the lines, in this format:

“Line/dialogue “
characters/actors who speak the lines
( movie in which the lines appear )

“You’re not too smart, are you? I like that in a man.”
Matty/Kathleen Turner
( Body Heat )

“I have been and always shall be your friend.”
Spock/Leonard Nimoy
( Star Trek: The Wrath of Khan )

“KKKKHHHHAAAANNNN !!!!”
James T. Kirk/William Shatner
( Star Trek: The Wrath of Khan )

“Are you suggesting coconuts migrate?”
Soldier #1/Michael Palin
( Monty Python & the Holy Grail )

“You sit on a throne of lies!”
Buddy/Will Ferrell
( Elf )

“Louise, I don’t know how to fish.”
“Neither do I, Thelma, but Daryl does it – how hard can it be?”
Thelma & Louise /Geena Davis & Susan Sarandon
( Thelma and Louise )

“That is one big pile of shit.”
Ian Malcolm/Jeff Goldblum
( Jurassic Park )

 

 

Look, I have ONE job on this lousy ship.
It’s STUPID, but I’m gonna do it, OKAY?”
Gwen DeMarco/Sigourney Weaver
( Galaxy Quest )

“Fuck you Mars.”
Mark Watney/Matt Damon
( The Martian )

“Into the garbage chute, flyboy!”
Leia Organa/Carrie Fisher
( Star Wars: A New Hope )

“Better get a bucket.”
Mr. Creosote/Terry Jones
( Monty Python: The Meaning of Life )

“How do you like your eggs?”
Emma/Sally Field
( Murphy’s Romance )

“It’s comin’ outta me like lava!”
Megan/Melissa McCarthy
( Bridesmaids )

 

Before 1975; still one of my favorites of the classic movie lines:

 

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Freethinkers’ Thought Of The Week    [7]

 

 Actually, there are hundred of reasons…
but all you need is one, and this is a good one.

*   *   *

May you not be an immovable person/uninterested in enlightenment;
May you find a way to incorporate a classic movie line
into at least one comment of yours during the upcoming week;
May you be pleasantly surprised by enticing aromas;

…and may the hijinks ensue.

Thanks for stopping by.  Au Vendredi!

*   *   *

[1] Moiself  will occasionally treat myself to a latte-dah type drink, but tea is my hot beverage of choice.

[2] Fitzpatrick herself has been through an IVF procedure.

[3] The other sense – my religion-free status – has been out for some time.

[4] A few years before her death, at the request of one of her nieces (who suspected, correctly, that there were family stories to be told), my mother’s eldest sister revealed that the reason she and her husband never had children was that she was unable to, after having undergone an illegal abortion (that almost killed her) .

[5] Casablanca.  Please don’t tell me if you didn’t know that.

[6] As in debating which were the best, or most-overrated or under-rated lines or dialog couplets….

[7] “free-think-er n. A person who forms opinions about religion on the basis of reason, independently of tradition, authority, or established belief. Freethinkers include atheists, agnostics and rationalists.   No one can be a freethinker who demands conformity to a bible, creed, or messiah. To the freethinker, revelation and faith are invalid, and orthodoxy is no guarantee of truth.”  Definition courtesy of the Freedom From Religion Foundation, ffrf.org