Connect with us

News

Silent Suffering

Published

on

Silent Suffering

Menopause, for a lot of ladies, is an unknown — a complicated tunnel to go by, with restricted signage for what to anticipate.

However one efficient therapy has been neglected for many years, signaling that girls’s struggling is extensively considered unimportant, in accordance with the quilt story in at the moment’s New York Occasions Journal. I spoke with Susan Dominus, who wrote the article, about her reporting and the reactions it has received from ladies.

Lauren: I realized extra out of your story than I’ve ever realized about menopause. It has been so absent from public discourse.

Susan: I too knew virtually nothing going into this. I instructed a good friend I used to be engaged on a narrative about menopause. Her eyes went large and he or she simply mentioned, “Thanks.” And I might inform that what she meant by that was: That’s good, as a result of I do know nothing.

After I received up to the mark, I used to be always bringing the topic up at dinner events, asking my pals, “Hey, how is your menopause going?” You’d suppose that will be actually inappropriate — besides that virtually the entire ladies round my age I spoke to had been bewildered, actually struggling and keen to speak about it. But a whole lot of them simply accepted their uncomfortable actuality: years of horrible scorching flashes, evening sweats, sleeplessness, despair and mind fog as their our bodies approached their final menstrual cycles.

Advertisement

However you clarify that these signs might be managed — that there’s a therapy for menopausal struggling that’s typically neglected. Why do you suppose so many within the medical group don’t readily provide it?

It’s known as menopausal hormone remedy, an estrogen and progesterone prescription that is available in numerous formulations: drugs, patches or vaginal rings. It’s the single simplest therapy for warm flashes.

The remedy does carry some threat, as do many medicines folks take to alleviate critical discomfort. However many ladies, in the event that they’ve even heard of this therapy, regard it as vaguely harmful. I do know I did. We’ve made that evaluation on the premise of what I’d name deceptive data.

Within the early 2000s, researchers who studied the remedy discovered that it might damage ladies’s coronary heart well being and enhance the chance of stroke, clotting and breast most cancers. They introduced the dangers earlier than creating a transparent sense of the way it affected ladies of various ages. Most menopause consultants now imagine that for wholesome ladies below 60 affected by bothersome scorching flashes and evening sweats, the advantages of the remedy outweigh the dangers.

What do you see as different components which have contributed to our aversion to speaking about menopause?

Advertisement

In 1966 there was this blockbuster e book known as “Female Eternally,” and the creator, a gynecologist named Robert Wilson, talked about menopause as a type of castration — the beginning of a lady’s desexualization, decline and undoubtedly her inevitable distress.

That disgrace has held. I keep in mind being 45 and asking an older good friend about menopause, and he or she received actually uncomfortable. I used to be shocked as a result of we had been so shut. And she or he simply mentioned: “I don’t need to discuss it. It feels too private.”

Ladies additionally really feel reluctant to speak about signs as a result of they don’t need it held in opposition to them within the office. That awkwardness and aversion flows by conversations with medical practitioners as properly.

Some folks might say sexism is the response to the query: Why is menopause so understudied? However is the reply extra sophisticated than that?

It’s vital to notice that menopause shouldn’t be life threatening. It’s a part of life. A lot power has been put into learning being pregnant and childbirth, which might be very harmful and even deadly.

Advertisement

However I do additionally suppose that there’s some sexism at play. To paraphrase Rebecca Thurston, a number one determine in menopause analysis, we have now a excessive tolerance for ladies’s struggling. She considers it one of many nice blind spots of drugs.

Bewilderment is the operative phrase for a lot of ladies, of all ages, attempting to know their our bodies with restricted data. We play roulette with contraception uncomfortable side effects and hope they are going to be manageable. We get blindsided by the violence of being pregnant and menopause. Do you see indicators of change?

Should you’re good at something by the point you’re a 50-year-old girl, it’s coping.

However I believe that, since we went by the collective trauma of Covid, many individuals have change into extra open about their well being on the whole. And I’ve the sensation that speaking about menopause extra is probably going a part of that.

I’ve been moved by what number of ladies have written to me to say they really feel seen, or they really feel empowered to get assist, moderately than simply undergo. However in a approach, probably the most highly effective emails I’ve acquired have been from medical doctors expressing remorse about what they didn’t know all these years — and saying they’re encouraging their colleagues, in numerous fields, to be taught extra about it.

Advertisement

Susan Dominus is a employees author at The New York Occasions Journal. Her pursuits are wide-ranging, however she steadily covers the intersection of science and tradition.


The Sunday query: Is Biden proper to finish the Covid public well being emergency?

Covid has change into endemic, and ending the emergency will assist public well being officers focus sources on the individuals who stay most susceptible, The Washington Put up’s Dr. Leana Wen argues. However it should in all probability additionally restrict entry to exams, vaccines and coverings, particularly for uninsured Individuals, The Atlantic’s Katherine Wu notes.

Occasions finest sellers: “The Invoice of Obligations,” a case for reimagining American citizenship, is a brand new hardcover nonfiction finest vendor.

The Ebook Evaluate podcast: Previewing the following large books.

Advertisement
  • The European Union expands its embargo of Russian power provides at the moment to incorporate diesel and gasoline.

  • The Grammys are tonight. Beyoncé leads with 9 nominations.

  • NASCAR opens its season tonight with a race on the Los Angeles Memorial Coliseum.

  • President Biden will ship his State of the Union tackle on Tuesday.

  • New York Vogue Week begins on Friday.

Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

News

Military briefing: the Israeli missiles used to strike Iran

Published

on

Military briefing: the Israeli missiles used to strike Iran

Unlock the Editor’s Digest for free

Mysterious wreckages photographed in Iraq have given the clearest indication yet of how Israel might have launched its counterstrike against Iran.

The pictures, scoured by military analysts and open-source intelligence enthusiasts, suggest that Israel may have used an air-launched Sparrow ballistic missile to demonstrate to Tehran that it can successfully attack targets inside the country at range.

One Israeli official also indicated that the country’s armed forces used a stand-off missile attack launched far from Iran’s borders. “Israel has informed its partners that the primary attack vectors were airborne, with no entry into (Iranian) airspace,” the official said.

Advertisement

The exact combination of arms used in the counterstrike remains unclear, but it comes a week after Iran launched an unprecedented drone and missile salvo at Israel, itself a response to a suspected Israeli strike against Iran’s consulate in Damascus.

The missile segments, photographed and posted on social media by Sabereen News, an outlet linked to Iraqi Shia militias, were identified by some experts as most likely being the expended fuel propulsion units of Israeli-made Blue Sparrow missiles. Early Pentagon assessments pointed in the same direction, according to one person briefed on the work.

The Sparrow family of air-launched missiles have a range of up to 2,000km and could have been fired by Israeli fighter jets refuelled by tanker planes in Syrian airspace, according to OSINT analysts citing air flight data from late on Thursday.

Buttressing that theory, Syria’s Sana state news agency reported that Israeli missiles had targeted air defence positions in its southern region. Such a move would fit with Israel “clearing the air corridor in Syria for a stand-off strike on Iran”, said one former senior US defence official.

Opening a safe air raid corridor in Syria would in turn enable long-range attacks by Israeli fighter jets well outside Iranian airspace. As the Israeli missiles then flew east over Iraq, they would have jettisoned their fuel booster units, with the armed sections carrying on to their targets in Iran.

Advertisement

Israel has not commented on the strike, as per its traditional policy of strategic ambiguity. The US has said it played no role. The International Atomic Energy Agency also said none of Iran’s nuclear sites were damaged.

Map showing how Israel might have launched its counterstrike against Iran.  Israeli missiles target air defence positions in southern Syria  Israeli aircraft refuel over Syria and launch missile(s) towards Iran  Missile fuel propulsion units jettisoned over Iraq and fall to ground  Missile warhead(s) carry on to targets in Iran

Iran has meanwhile downplayed what happened, with officials signalling there are no plans to respond. One Iranian official told the Financial Times that a limited number of missiles were part of the attack but said they were intercepted.

“There is a lot of uncertainty still,” said John Ridge, an OSINT analyst. “But Sparrow missiles most closely fit the mission parameters . . .[especially] of range.”

Sparrow missiles have three variants: the short-range Black Arrow, and the mid-range Blue and Silver Arrow versions. Blue Sparrow missiles have “performed flawlessly in its missions so far”, according to its producer, Israeli defence company Rafael.

Ridge added that another possible weapon used by Israel may have been Rocks missiles, an air-launched precision missile similar to the Sparrow. Both are made by Israeli defence tech group Rafael.

Initial reports from Iranian state media suggested that Israel may have also used small drones or quadcopters rather than missiles for the attack. Iranian foreign minister Hossein Amirabdollahian said the “mini drones” that Israel reportedly launched at Iran “did not cause any damage or casualties”.

Advertisement

That may be part of a deliberate Iranian strategy to play down the impact of the Israeli strike and the effectiveness of its long-range weapons. An Israeli drone strike also fits with previous covert Israeli operations inside Iran, which on at least two occasions have used drones to target weapons facilities.

Amos Yadlin, a former Israeli air force general and military intelligence chief, said that regardless of how Israel conducted the strike on Iran, the mere fact that it took place would send a powerful message.

“What the Iranians and their proxies did with hundreds of projectiles we did with just a handful of missiles,” he said. It shows Tehran that “you’re vulnerable, we have much greater capabilities than you think”.

Alleged Israeli munition and/or weapons platform that fell near Baghdad during Israeli strike on Isfahan
Part of a suspected Israeli missile found in Iraq. Israel’s forces are thought have jettisoned their fuel booster units over Iraq with the armed sections carrying on to their targets in Iran © Sabereen News/Telegram

Commenting on the Iraqi images of the fallen missile segments, Yadlin added that they looked like parts of an “armament that has never been used before, with long-range capabilities”. 

Israel originally developed Sparrow missiles to test the effectiveness of its Arrow air defence system, which is used to down incoming ballistic missiles. Israel subsequently manufactured a variant with a live warhead. Rocks missiles are a derivative version of the Sparrow.

Noting that the Israeli attack appeared to have struck a balance between showing the country’s military strength without provoking an Iranian response, the former senior US defence official praised its “impressive execution”.

Advertisement

Further evidence came on Friday morning, when the Iraqi militias that photographed the expended missile segments declared on social media that they “were evidence of the great failure of the Zionist attack”.

Additional reporting by Raya Jalabi in Beirut, Mehul Srivastava in London and Felicia Schwartz in Capri

Illustration by Ian Bott and cartography by Steven Bernard

Continue Reading

News

Convenience store chain with hundreds of outlets in 6 states hit with discrimination lawsuit

Published

on

Convenience store chain with hundreds of outlets in 6 states hit with discrimination lawsuit

The Sheetz convenience store chain has been hit with a lawsuit by federal officials who allege the company discriminated against minority job applicants.

Sheetz Inc., which operates more than 700 stores in six states, discriminated against Black, Native American and multiracial job seekers by automatically weeding out applicants whom the company deemed to have failed a criminal background check, according to U.S. officials.

President Joe Biden stopped by a Sheetz for snacks this week while campaigning in Pennsylvania.

The Equal Employment Opportunity Commission filed suit in Baltimore against Altoona, Pennsylvania-based Sheetz and two subsidary companies, alleging the chain’s longstanding hiring practices have a disproportionate impact on minority applicants and thus run afoul of federal civil rights law.

Sheetz said Thursday that it “does not tolerate discrimination of any kind.”

Advertisement

“Diversity and inclusion are essential parts of who we are. We take these allegations seriously. We have attempted to work with the EEOC for nearly eight years to find common ground and resolve this dispute,” company spokesperson Nick Ruffner said in a statement.

The privately held, family-run company has more than 23,000 employees and operates convenience stores and gas stations in Pennsylvania, West Virginia, Virginia, Maryland, Ohio and North Carolina.

The lawsuit was filed in federal court on Wednesday, the day Biden stopped at a Sheetz market on a western Pennsylvania campaign swing, buying snacks, posing for photos and chatting up patrons and employees.

Federal officials said they do not allege Sheetz was motivated by racial animus, but take issue with the way the chain uses criminal background checks to screen job seekers. The company was sued under Title VII of the Civil Rights Act of 1964, which prohibits workplace discrimination on the basis of race, sex, religion and national origin.

“Federal law mandates that employment practices causing a disparate impact because of race or other protected classifications must be shown by the employer to be necessary to ensure the safe and efficient performance of the particular jobs at issue,” EEOC attorney Debra M. Lawrence said in a statement.

Advertisement

“Even when such necessity is proven, the practice remains unlawful if there is an alternative practice available that is comparably effective in achieving the employer’s goals but causes less discriminatory effect,” Lawrence said.

It wasn’t immediately clear how many job applicants have been affected, but the agency said Sheetz’s unlawful hiring practices date to at least 2015.

The EEOC, an independent agency that enforces federal laws against workplace discrimination, is seeking to force Sheetz to offer jobs to applicants who were unlawfully denied employment and to provide back pay, retroactive seniority and other benefits.

The EEOC began its probe of the convenience store chain after two job applicants filed complaints alleging employment discrimination.

The agency found that Black job applicants were deemed to have failed the company’s criminal history screening and were denied employment at a rate of 14.5%, while multiracial job seekers were turned away 13.5% of the time and Native Americans were denied at a rate of 13%.

Advertisement

By contrast, fewer than 8% of white applicants were refused employment because of a failed criminal background check, the EEOC’s lawsuit said.

The EEOC notified Sheetz in 2022 that it was likely violating civil rights law, but the agency said its efforts to mediate a settlement failed, prompting this week’s lawsuit.

For more from NBC BLK, sign up for our weekly newsletter.

Continue Reading

News

Israel and Iran pull back from the brink

Published

on

Israel and Iran pull back from the brink

Unlock the Editor’s Digest for free

Almost immediately after blasts erupted over an air base near Isfahan in the early hours of Friday, Iran did its utmost to play down Israel’s retaliatory attack against the Islamic republic.

Iranian commanders said there was no damage and that the explosions were caused by air defence batteries taking out unidentified objects. There were no accusations thrown at Israel or calls for revenge.

President Ebrahim Raisi made no mention of the attack when he gave a live televised speech hours later, even though officials have previously vowed to retaliate immediately to any direct Israeli assault on Iranian territory.

Advertisement

In Israel, there was a similarly muted response. Ever since Iran launched its first direct assault on Israel from Iranian soil last week, there was never any doubt that Benjamin Netanyahu’s government would respond. The only question was when and on what scale.

But when the response came it appeared — so far — to be limited. And Israel neither confirmed nor denied the attack, choosing not to take ownership as Israelis went about their normal daily business.

A man watches Iranian television coverage of the explosions in central Isfahan province on Friday © Fatemeh Bahrami/Anadolu/Getty Images

For the moment, it appears the arch foes — which have been gambling with the stability of the Middle East as they upped the ante in their long-simmering conflict — have pulled back from the brink.

Netanyahu, known to be risk-averse despite his belligerent rhetoric, seems to have heeded the advice of the US and Israel’s other western allies rather than his far-right allies who called for a “crushing” counterstrike. The measured, targeted response to Iran’s attack for now eases the risk of sparking a full-blown regional war.

Last weekend’s Iranian assault, though huge in terms of the projectiles launched, was telegraphed well in advance and also caused minimal damage. Tehran, which mounted that attack in response to an Israeli strike on its consulate in Damascus this month, also made clear it was “mission accomplished” and that it did not want a further escalation.

Advertisement

But even if the region, which has been on tenterhooks for days, breathes a sigh of relief, it will be only momentary.

Since Hamas’s brutal attack on October 7 and Israel’s ferocious retaliatory offensive in Gaza, the Middle East has been on a dangerous escalatory spiral.

Hostilities have erupted on multiple fronts between Israel and Iranian-backed militants. US troops have been drawn into combat in Iraq, Syria and Yemen. Israel and Hizbollah, the Iranian-backed Lebanese militant movement, have been locked in daily cross-border combat that at any other time would be considered all-out war.

Pre-existing red lines between Israel, Iran and its proxies have been blurred while old precedents have gone by the wayside.

Iran’s supreme leader Ayatollah Ali Khamenei
Iran’s supreme leader Ayatollah Ali Khamenei took a huge gamble by launching a direct strike on Israel © Iranian Supreme leader’s Office/dpa

Iran’s direct strike on Israel was a huge gamble by Ayatollah Ali Khamenei, the supreme leader. He put aside, at least temporarily, his long-held strategy of “strategic patience” to underline that he was willing to risk his top priority — the survival of the republic — and direct conflict if he felt Israel crossed a line.

By striking Iran’s diplomatic mission in Damascus, Israel had also pushed Tehran too far, crossing a critical line for the regime. For Netanyahu, the strike was a signal that no target was off limits as Israel seeks to restore its deterrence after the huge intelligence failure it suffered on October 7.

Advertisement

The overnight attack on Friday bore the hallmarks of Israel’s more traditional approach to hitting Iranian assets through calibrated targeted strikes and assassinations. But it is far too early to assume the long-simmering Israeli-Iranian conflict has gone back into the shadows.

Israel can be expected to continue to target Iranian assets, particularly in Syria where it has already killed at least 18 Revolutionary Guards members, including senior commanders, since October. Israeli jets reportedly struck military targets in Syria as it mounted Friday’s attack on Iran.

Even if both sides — as they claim — want to avoid a full-blown war, another miscalculation or provocation could light the fuse for the next escalation. The volatile situation is made all the more precarious because the rules are constantly changing and the stakes are increasing: what one side deems a calculated action, the other might consider an unacceptable provocation.

Both are also determined to show that their respective deterrents are being restored and both face pressures from domestic constituencies to respond to the others’ hostility.

This is the grim reality that has been in existence since Hamas’s attack killed 1,200 people, according to Israeli officials. And the longer Israel’s offensive in Gaza continues, adding to a death toll that Palestinian officials say has reached almost 34,000 people, the greater the risks will be.

Advertisement

All-out war may have been averted for now, but the danger for the Middle East and beyond has far from passed.

Continue Reading

Trending