‘Going Flat’ After Breast Cancer

When I had my implants removed a dozen years ago I had a serious breast cancer scare.

One of the things about being old is confronting my own mortality with courage and free from delusions.

We know many other folks our age, both men and women living with cancer, chemo, radiation and some dying.

All of this makes the concerns of the Doctors pushing “state of the art” reconstruction with their focus on appearances seem sort of shallow.

From The New York Times Magazine:  http://www.nytimes.com/2016/11/01/well/live/going-flat-after-breast-cancer.html

Before Debbie Bowers had surgery for breast cancer, her doctor promised that insurance would pay for reconstruction, and said she could “even go up a cup size.” But Ms. Bowers did not want a silicone implant or bigger breasts.

“Having something foreign in my body after a cancer diagnosis is the last thing I wanted,” said Ms. Bowers, 45, of Bethlehem, Pa. “I just wanted to heal.”

While plastic surgeons and oncologists aggressively promote breast reconstruction as a way for women to “feel whole again,” some doctors say they are beginning to see resistance to the surgery. Patients like Ms. Bowers are choosing to defy medical advice and social convention and remain breastless after breast cancer. They even have a name for the decision to skip reconstruction: They call it “going flat.”

“Reconstruction is not a simple process,” said Dr. Deanna J. Attai, a breast surgeon in Burbank, Calif., and a past president of the American Society of Breast Surgeons, adding that more of her patients, especially those with smaller breasts before diagnosis, were opting out of reconstruction. “Some women just feel like it’s too much: It’s too involved, there are too many steps, it’s too long a process.”

Social media has allowed these women to become more open about their decision to live without breasts, as well as the challenges, both physical and emotional, that have followed. For a recent video created by wisdo.com, a social media platform, and widely shared on Facebook, Ms. Bowers and her friend Marianne DuQuette Cuozzo, 51, removed their shirts to show their scarred, flat chests. And Paulette Leaphart, 50, a New Orleans woman whose clotting disorder prevented her from having reconstruction after a double mastectomy, walked topless from Biloxi, Miss., to Washington this summer to raise awareness about the financial struggles of cancer patients.

“Breasts aren’t what make us a woman,” Ms. Leaphart said.

The nascent movement to “go flat” after mastectomies challenges long-held assumptions about femininity and what it means to recover after breast cancer. For years, medical professionals have embraced the idea that breast restoration is an integral part of cancer treatment. Women’s health advocates fought for and won approval of the Women’s Health and Cancer Rights Act of 1998, which requires health plans to cover prosthetics and reconstructive procedures.

Continue reading at:  http://www.nytimes.com/2016/11/01/well/live/going-flat-after-breast-cancer.html

These 76-year-old twins have grown pot for decades. Here’s why they oppose legalization

From The LA Times:  http://www.latimes.com/local/abcarian/la-me-abcarian-cannabis-twins-20161020-snap-story.html

Robin Abcarian
October 19, 2016

You don’t end up in Round Valley, one of Mendocino County’s finest cannabis-growing micro climates, by accident. It is well northeast of Highway 101, along a winding mountain road that follows the curves of Outlet Creek and the Middle Fork of the Eel River.

After 45 minutes, the valley comes into view. From a lookout called Inspiration Point, even in a light drizzle, Round Valley is a picture of bucolic grace, with wheat-colored fields, black cows and green orchards spreading out below.

Many of those groves conceal marijuana plants — or trees as they call them around here — which flourish in the rich alluvial soil of the valley’s fertile bottomland.

The highway through the valley is dead straight, punctuated by one town, Covelo, population about 1,200. Just past town, I pulled onto a farm owned by Robert and John Cunnan, identical 76-year-old twins who were born in Glendale and left Southern California more than 40 years ago seeking a better life.

“We came here with the back-to-the-land movement,” Robert told me as we stood in front of a shed where dozens of fragrant cannabis stalks were hanging to dry.

For $6,500, the brothers bought 10 acres with a creek down the middle. They built craftsman-style homes for themselves and raised families on food they grew in their gardens and money earned as cabinet makers for what they call “mom-and-pop” businesses — restaurants, coffee shops and boutiques. They got by, but barely.

“A friend of mine came up here in 1985, grew marijuana and sold it for $2,000 a pound,” Robert said. “And that’s when I thought, ‘You know, you might be able to make a little money doing this.’ ”

This, pretty much, is the very thought that has crossed the minds of untold thousands of Mendocino County residents, beleaguered by the crashing logging and fishing industries, and willing to flout the law to support their families.

“At one time, I sold stuff for $5,000 a pound,” Robert said. “It was worth more than gold. Now, it’s down to $1,200 to $1,500. But cannabis allowed me to finish my house and get comfortable.” (Yields vary wildly, but in these parts, each tree can produce two to four pounds or more.)

“I consider myself a teacher and a woodworker,” said John, who commutes to Ukiah once a week to teach woodworking in two schools. “The cannabis is just to fill in where the teaching and woodworking don’t pay the bills.”

I assumed the Cunnans would be strong proponents of legalizing cannabis for recreational use. As it turns out, they oppose Proposition 64, which would regulate and tax cannabis for the adult market.

And they are not alone.

Many small marijuana farmers, as it happens, see Proposition 64 as a threat to their way of life.

They believe that a legal, regulated cannabis market could open the floodgates to corporatization of the industry, pushing taxes up and prices down, perhaps forcing them out of business altogether.

“The thing you need to realize is that this is a movement that is becoming an industry,” Robert said. “The movement was organic gardening, the back-to-the-land, alternative lifestyle. We were the original generation that came out here and set up our pot gardens.”

Like mom-and-pop businesses squeezed out by big-box retailers, he said, so are pot farmers in danger of being squeezed out of business once big corporations get a toehold in the cannabis business.

Continue reading at:  http://www.latimes.com/local/abcarian/la-me-abcarian-cannabis-twins-20161020-snap-story.html

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