Connect with us

Science

In Texas Measles Outbreak, Signs of a Riskier Future for Children

Published

on

In Texas Measles Outbreak, Signs of a Riskier Future for Children

Every day, as Dr. Wendell Parkey enters his clinic in Seminole, a small city on the rural western edge of Texas, he announces his arrival to the staff with an anthem pumping loudly through speakers.

As the song reaches a climax, he throws up an arm and strikes a pose in cowboy boots. “Y’all ready to stomp out disease?” he asks.

Recently, the question has taken on a dark urgency. Seminole Memorial Hospital, where Dr. Parkey has practiced for nearly three decades, has found itself at the center of the largest measles outbreak in the United States since 2019.

Since last month, more than 140 Texas residents, most of whom live in the surrounding Gaines County, have been diagnosed and 20 have been hospitalized. Nine people in a bordering county in New Mexico have also fallen ill.

On Wednesday, local health officials announced that one child had died, the first measles death in the United States in a decade.

Advertisement

It may not be the last. Large swaths of the Mennonite community, an insular Christian group that settled in the area in the 1970s, are unvaccinated and vulnerable to the virus.

The outbreak has struck at a remarkable juncture. Vaccine hesitancy has been rising in the United States for years and accelerated during the coronavirus pandemic. Now the nation’s most prominent vaccine skeptic, Robert F. Kennedy Jr., has been named its top health official, the secretary of health and human services.

Mr. Kennedy has been particularly doubtful of measles as a public health problem, once writing that outbreaks were mostly “fabricated” to send health officials into a panic and fatten the profits of vaccine makers.

At a cabinet meeting on Wednesday, Mr. Kennedy minimized the crisis in West Texas, saying that there had been four outbreaks so far this year (there have been three, according to federal health officials) and 16 last year.

Following widespread criticism, Mr. Kennedy posted a social media message on Friday saying he did “recognize the serious impact of this outbreak on families, children, and healthcare workers.”

Advertisement

Vaccine fears have run deep in these parts for years, and some public health experts worry that the current outbreak is a glimpse at where much of America is headed. Researchers think of measles as the proverbial canary in a coal mine. It is among the most contagious infectious diseases, and often the first sign that other pathogens may be close behind.

“I’m concerned this is a harbinger of something bigger,” said Dr. Tony Moody, a pediatric infectious disease expert at the Duke University School of Medicine. “Is this simply going to be the first of many stories of vaccine-preventable disease making a resurgence in the United States?”

On the front lines of the outbreak, simple answers aren’t easy to come by.

Measles was officially declared eliminated in the United States in 2000. Not long ago, it had become so rare that many American doctors never saw a case.

But as the outbreak spread, Dr. Parkey learned to spot the signs of infection in the examination room even before he saw the telltale rashes.

Advertisement

School-age children often zipped around the room or pestered their mothers or asked him for lollipops. The children stricken with measles sat still, vacant looks in their eyes.

On Monday, Dr. Parkey walked into a hospital room where an unvaccinated 8-year-old boy sat with that distant stare. His mother had scheduled an appointment after she noticed his barking cough the night before.

By the time they arrived at the clinic, the boy’s eyes were red and crusted. He had a low-grade fever and a blotchy pink rash covering his chest and back.

Dr. Parkey tried the usual banter: “Do you have a girlfriend?” The boy looked past him, glassy eyes trained on the wall.

“Which of your uncles is your favorite?” Dr. Parkey asked. The boy let out a dry cough and slumped further into his seat. He spoke only once, to request a cup of water.

Advertisement

Over the next 24 hours, if the boy’s illness followed the typical progression, he was likely to get sicker. His fever would spike, and the rash would fan out over his torso and thighs.

If he was lucky, the worst would pass within a few days. If he was not, the virus might find its way into his lungs and cause pneumonia, potentially making it difficult to breathe without an oxygen mask.

Measles might even invade his brain, causing swelling and possible convulsions, blindness or deafness.

Doctors have few options to alter its course once the virus infects someone. There is no treatment that will stop it, only medicines to make the patient more comfortable.

Dr. Parkey wrote prescriptions for cough syrup and antibiotics for the boy. A nurse swabbed the back of his throat for a sample to be shipped to the state health department in a box of dry ice, adding to the county’s growing case count.

Advertisement

For decades, the doctors at Seminole Memorial Hospital had been having conversations with patients about the importance of childhood vaccines.

Even on busy days with back-to-back appointments, staff members sat down with parents to discuss fears about side effects and to recount the horrors of many preventable diseases.

Go to an old cemetery, Dr. Parkey often told his patients — look at how many children died before vaccines arrived. In many families, though, minds were made up, and the conversations rarely broke through.

The largest school district in Gaines County reported that just 82 percent of kindergartners received the measles, mumps and rubella (M.M.R.) vaccine in 2023. One of the smaller school districts reported that less than half of the students had received the shot.

For a virus as contagious as measles — which spreads through microscopic droplets that can linger in the air for two hours — experts say that at least 95 percent of a community must be vaccinated in order to stave off an outbreak.

Advertisement

Gaines County, a dusty expanse the size of Rhode Island dotted with cotton fields and whirring pump jacks, had not hit that mark in many years.

Although there is no religious doctrine that bans vaccination, the county’s tightknit Mennonites often avoid interacting with the medical system and hold to a long tradition of natural remedies, said Tina Siemens, a Seminole historian who has written several books about the community in West Texas.

In recent years, concerns about childhood vaccines appeared to rise even in the broader Seminole community, especially after Covid-19, several doctors said. An outbreak began to feel inevitable.

“I’d never seen measles, but I knew it was coming,” Dr. Parkey said.

In this respect, Gaines County is not so different from much the country.

Advertisement

Before the pandemic, 95 percent of kindergartners in the United States had received the M.M.R. vaccine, according to federal tallies. The figure sank below 93 percent last year. Immunization rates against polio, whooping cough and chickenpox fell in similar proportions.

When the cases in Texas first surfaced, local doctors and health officials hoped that the outbreak would make the M.M.R. vaccines an easier sell. If parents saw what measles did to children, the thinking went, they would understand what the vaccine was designed to protect them from.

But there has been no stampede to vaccination. In Seminole, a city of about 7,200 people, almost 200 residents have received shots at pop-up clinics.

“Hopefully, at least the next generation will change their minds about vaccines,” Dr. Parkey said. “Just maybe not this one.”

One mother told Dr. Leila Myrick, a family medicine physician at Seminole Memorial, that the measles outbreak had helped solidify her decision not to vaccinate her children. She’d heard from a friend that the virus was similar to a bad flu.

Advertisement

Even some parents who recognized the dangers that measles posed to their children still felt that vaccines were riskier.

Ansley Klassen, 25, lives in Seminole with her husband and four young children, three of whom are fully unvaccinated. She considered bringing her children to a vaccine clinic when measles cases first started popping up.

Mrs. Klassen, who is about five months pregnant, knew she didn’t want to risk getting measles. She had been scrubbing counters with Lysol wipes and keeping her children away from others as much as possible.

But on social media, she had seen a deluge of frightening posts about the side effects of vaccines: stories of children developing autism after a shot or dying from metal toxicity. (Both claims have been debunked by scientists.)

“There are stories that you can read about people multiple hours after they got the vaccine having effects, and that’s scary to me,” she said. “So I’m like, is it worth the risk? And right now I can’t figure that out.”

Advertisement

These anecdotes — regardless of whether they are factual — are part of what has made vaccine hesitancy such an intractable problem in the age of social media, said Mary Politi, a professor at the Washington University School of Medicine who studies health decision-making.

Stories about children who don’t have serious side effects from vaccines and never contract vaccine-preventible illnesses don’t go viral on TikTok, she noted.

“It’s not that they’re trying to make a bad choice or do something against evidence,” she said. “People are trying to do the best thing they can for their families, and they don’t know who to trust.”

Mrs. Klassen didn’t consider herself staunchly anti-vaccine. Her oldest daughter, now 6, had received all of her vaccines up to a year.

But she didn’t trust everything doctors were telling her, either. She thought the Covid-19 vaccine had been developed too quickly and pushed too forcefully, making her skeptical that the authorities were telling the truth about the measles shot.

Advertisement

She prayed about it and ultimately decided to forgo the vaccine. “The trust I have in the medical system is not there,” she said.

It’s not just unvaccinated people who are at risk during the current outbreak.

Measles increases the likelihood of stillbirths and serious complications in pregnant women, yet they cannot receive the vaccine or booster.

Andrea Ochoa, a nurse’s assistant at Seminole Memorial who is six months into her first pregnancy, said she thought about taking time off from her job but ultimately decided to stay so she could keep her health insurance.

She wore an N95 mask during her entire shift, which sometimes made her so lightheaded that she sat in her car for a break. She showered as soon as she was home.

Advertisement

“I hope it doesn’t get worse,” Ms. Ochoa said of the outbreak. “I don’t know what choice I would make.”

Five vaccinated residents also have contracted measles, state health officials said. At the clinic, Dr. Parkey recently cared for a teacher who was vaccinated but immunocompromised.

A serious measles infection kept the teacher curled in a fetal position on the couch for a week, her eyes so swollen that she opened them only for brief runs to the bathroom, she recalled in an interview. She asked not be named to protect her privacy.

The West Texas measles outbreak is far from the largest in the United States in recent years. In 2019, outbreaks in at least two dozen states sickened more than 1,250 people.

A vast majority of those infections occurred in “underimmunized, close-knit communities,” the C.D.C. noted. More than 930 patients were infected in Orthodox Jewish communities in New York.

Advertisement

Federal, state and local officials swung into action with vaccination campaigns that led to more than 60,000 M.M.R. immunizations in the affected communities. They reached out to religious leaders, local doctors and advocacy groups.

And in areas like Williamsburg, Brooklyn, officials went further, issuing mandates requiring vaccination.

The campaign in West Texas has been less forceful. Management of outbreaks like this one falls to state health officials, and they ask for help from the C.D.C. and other federal resources as necessary.

The C.D.C. is providing some technical assistance, but Texas health officials said they did not need more help from the agency. They have not declared a public health emergency, as officials did in parts of New York State, nor have they moved to mandate vaccination.

“We can’t force anybody to take a drug — that’s assault,” said Dr. Ron Cook, a health official in nearby Lubbock, at a news conference on Friday.

Advertisement

Zachary Holbrooks, the local public health official for four Texas counties, including Gaines, said that type of mandate would be deeply unpopular in the state, where individual freedom is a strongly held value.

Texas public schools require children to have received certain vaccines, including the M.M.R. shot. But in this state, as in many others, parents can apply for an exemption for “reasons of conscience,” including religious beliefs.

In January, as the first cases of measles began spreading in Gaines County, state legislators introduced several bills designed to weaken school vaccination requirements.

“I don’t want to see a baby’s lips turn blue because they can’t breathe,” Mr. Holbrooks said. “I don’t want anybody to suffer from long-lasting disability because they got measles.”

“But if you choose to live in Texas,” he added, “you can exercise that option.”

Advertisement

Science

Freaked out by the news? Tips for staying calm from ex-refugees, hostages and ‘uncertainty experts’

Published

on

Freaked out by the news? Tips for staying calm from ex-refugees, hostages and ‘uncertainty experts’

War in Iran. Sleeper cells. Soaring gas prices. A new virus. ICE arrests. The acceleration of AI. And a rogue food delivery robot. Is your heart racing yet?

Amid one of the highest-stakes, most chaotic news cycles in recent memory, it’s hard to keep calm while scrolling through the day’s doom-saturated headlines.

Fear not. A team of British scientists, two authors and a group of thought leaders once deemed societal outcasts are here to help. Sam Conniff and Katherine Templar-Lewis’ new book, “The Uncertainty Toolkit: Worry Less and Do More by Learning to Cope With the Unknown,” presents evidence-based strategies to help you not only tolerate uncertainty, but thrive in the face of it.

Conniff, a self-described author and “social entrepreneur,” and Templar-Lewis, a neuroscientist, partnered with the University College London’s Centre for the Study of Decision-Making Uncertainty as well as real world “uncertainty experts” — former prisoners, drug addicts, hostages, refugees and others — to execute the most extensive study to date on “Uncertainty Tolerance,” which published in 2022. Their web project, “Uncertainty Experts,” is an interactive “self development experience” that includes workshops and an online Netflix-produced documentary, through which viewers can test their own uncertainty tolerance.

Their “Uncertainty Toolkit” book, out April 7, addresses the three emotional states that uncertainty puts us in — Fear, Fog and Stasis — while blending personal stories from the subjects they interviewed with the latest science on uncertainty, interactive exercises and guided reflections.

Advertisement

“The Uncertainty Toolkit” aims to help you keep calm amid chaos.

(Bluebird / Pan Macmillan)

“We are scientifically in the most uncertain times,” Templar-Lewis says. “There’s something called the World Uncertainty Index, which charts uncertainty [globally]. And it’s spiking. People say life has always been uncertain, and of course it has; but because of the way we’re connected and on digital platforms and our lives are so busy, we’re interacting with more and more moments of uncertainty than ever before.”

We asked the authors to relay three strategies for staying calm in challenging times, as told to them by their uncertainty experts.

Advertisement

This interview has been edited for length and clarity.

Advice from an ex-addict: Be grateful: Morgan Godvin is an ex-addict and human rights activist from Oregon who served four years of a five-year sentence in a federal prison, Conniff says.

“She developed a practice of ‘Radical Gratitude.’ Even in a world that feels so overwhelming, we can all find an object from which to derive a sense of gratitude,” he says. “As an emotion, gratitude provides a counterweight to anxiety that is almost as powerful as breath work or any of the other [anti-anxiety] well-known interventions.”

In prison, Godvin — who suffers from anxiety — created a daily practice to help her cope. “She began being grateful for the blankets, the only thing she had — and they were threadbare blankets,” Conniff says. “And by digging deep and really emphasizing the warm sensation we know of as gratitude, it became a biological hack. When the body starts to feel grateful, the hormones the body releases brings it back into what’s known as homeostasis or a sense of equilibrium; it activates the parasympathetic nervous system. It’s a very humbling and very healthy practice when the world’s just too much.”

Advice from a survivor of suicidal depression: Lean into the unknown. Vivienne Ming is a leading neuroscientist based in the Bay Area who faced a web of personal challenges in her early 20s. Ming, who was assigned male at birth, dropped out of the Massachusetts Institute of Technology, became homeless and was “living out of their car with a gun on their dashboard,” Conniff says. “They faced homelessness and near suicidal depression before finding a path that took them through gender transition to a place of real identity, marriage, family and success as a scientist.”

Advertisement

How? They developed and cultivated an awareness of “negativity bias,” Conniff says. “We all have a predetermined negativity bias. And in times of uncertainty, that negativity bias goes off the charts and we start to limit ourselves and shut ourselves down. By understanding this, we begin to be able to make a choice: Am I shutting myself down to the opportunities of life? Am I not getting back to people? Am I not taking the chances that are presented to me?”

What’s more, uncertainty, Dr. Ming pointed out, is actually good for you. It unlocks parts of your brain.

“Uncertainty drives neuroplasticity, our ability to learn,” Conniff says. “So [it’s about] resisting negativity bias — that this is all dangerous and difficult and we’re told not to trust each other — and instead, Dr. Ming’s response is to lean into the unknown. She says ‘the best way forward is to all walk slowly into the deep end of our own lives.’”

Advice from an ex-refugee: Reflect on your gut. Rez Gardi grew up in a refugee camp in Pakistan, before her family relocated to New Zealand. She’s now a lawyer and human rights activist working in Iraq.

“Rez correctly identified the scientific explanation for what we all call ‘gut instinct,’” Conniff says. “It’s known as ‘embodied cognition.’ The idea is that we have two brains — the gut instinct is an incredibly complex system of data points and it literally is in our gut and it’s connected to our brains via the vagus nerve. What it does is it brings your intuition in line with your intellect.”

Advertisement

So how to tap into it? “Rez talked about reflecting on her gut instinct,” Conniff says. “So when you have a feeling that you are right or wrong, go back to that feeling: What color was it? What shape was it? Where was it in your body? What temperature was it? Rez honed her gut instinct to become incredibly accurate: Should she trust this person? Was she safe? And that gut instinct became a highly tuned instrument. When we are trying to solve problems, when we are trying to communicate, these signals are as accurate as the best of our cognitive problem-solving abilities.”

Conniff and Templar-Lewis spoke to nearly 40 uncertainty experts in all. And with all of them, Conniff adds, “they kind of learned these techniques themselves, but the scientific evidence really backs it up.”

Continue Reading

Science

How a Melting Glacier in Antarctica Could Affect Tens of Millions Around the Globe

Published

on

How a Melting Glacier in Antarctica Could Affect Tens of Millions Around the Globe

Scientists spent the first weeks of the year on an expedition to Antarctica to study Thwaites Glacier, which is melting at an alarming rate. If it breaks apart entirely, it could push up global sea levels by two feet over the course of several decades, affecting tens of millions worldwide, according to a New York Times analysis.

The maps below show some of the coastal cities at risk and populated, low-lying areas that could be threatened if the glacier were to collapse today.

Advertisement

Advertisement
Kolkata, India

1.7 million

Advertisement

Note: Areas below high tide may be protected by seawalls, levees or other coastal defenses. Sources: Climate Central; Worldpop; Jerry Mitrovica, Harvard University.

These are just the minimum effects that Thwaites’s disintegration would be likely to have on the world’s coastlines. As the glacier breaks apart, global warming will raise sea levels even higher by melting the ice from Greenland and causing oceans to expand in volume. And Thwaites acts as a plug, holding back many of the Antarctic glaciers on land around it. If it collapses, they could break apart and spill into the sea as well.

Advertisement

“Eventually it would take out all of the West Antarctic,” said Richard Alley, a professor of geosciences at Penn State.

Seaside cities all over the world are at risk, but the threat is especially acute in Asia, and includes some of the world’s fastest-growing urban areas, as the map below shows:

Advertisement

Source: New York Times analysis of data from Climate Central CoastalDEM 3.0, Worldpop and Jerry Mitrovica, Harvard University.

The costs of guarding against higher storm surges and more frequent flooding would be huge. One proposal from the U.S. Army Corps of Engineers to protect parts of New York City would cost more than $52 billion, a price tag that would be out of reach for much of the world.

Advertisement

“We’ll defend the highest-value places that are defensible, but there will be other places that we don’t,” said Benjamin Strauss, Chief Scientist at Climate Central, a nonprofit science organization that produced the elevation models used in this article.

In city after city, the Times’s analysis found that heavily populated areas tend to be near the coasts, as opposed to higher, safer areas.

Advertisement

Shanghai, one of the major cities under threat, already has more than 600,000 residents living below sea level. If average sea levels rose two feet, an additional 4.7 million people would be affected.

Advertisement

Shanghai’s population at each elevation

Like many of the most vulnerable places, Shanghai is situated on a soft, marshy delta, a landscape naturally prone to sinking, although humans often speed up the process by building structures and draining the groundwater below. The city has also been adding and reinforcing seawalls, and replacing concrete with wetland parks to absorb stormwater.

Advertisement

Note: Coastal defenses not mapped.

Advertisement

For places like Shanghai, the cost of defending the city is relatively modest compared with its value, said Jochen Hinkel, director of the Global Climate Forum, an international research organization based in Germany. “There’s so much capital concentrated on a small piece of land,” he said.

But not all places have the resources to protect themselves. Dhaka, the capital of Bangladesh, is expected to swell to over 50 million people by 2050, and will rely extensively on borrowed money to prepare for the worst.

Advertisement

Dhaka’s population at each elevation

Advertisement

Bangladesh, a low-lying delta nation, is experiencing more volatile monsoons and stronger cyclones as the planet warms. Villages have already been erased as the tides rise and rivers in the region change shape. Saltwater tides have ruined farmland, driving rural residents to the already-crowded capital.

The limits to adaptation

Advertisement

In the United States, a two-foot increase in sea levels wouldn’t affect as many people as in parts of Asia, but the price of adaptation would be astronomical. And even in the wealthiest country in the world, flood defenses aren’t bulletproof.

When the network of pumps and levees failed during Hurricane Katrina in 2005, the catastrophe killed 1,400 people and displaced more than a million. Recovery in New Orleans has cost about $140 billion. Dozens of smaller communities along the Gulf Coast may not be so lucky.

Advertisement
Advertisement
New Orleans

120,000 people within 2 feet of high tide



Advertisement

Areas protected

by levees

Advertisement


Miami metropolitan area

125,000

Advertisement

Coastal cities elsewhere are bracing for higher sea levels. It would cost $13.6 billion to shield part of the San Francisco waterfront. Farther inland in California, it would take $2 billion to improve protections in Stockton. Across the country, a giant barrier at New York City’s harbor could cost $119 billion.

Yet people and buildings continue to accumulate in harm’s way. Miami’s population and real estate values have exploded in recent years, despite the fact that the city is notoriously difficult to protect.

Advertisement

Clearer answers about if, and when, Thwaites could collapse may make all the difference in how well coastal areas are able to adapt. “The value of the information is grotesquely higher than what we’ve invested in it,” Dr. Alley said.

Under President Trump, the United States has abandoned research that could better forecast the effects of Antarctica’s melting ice. It has also promoted the use and burning of fossil fuels, adding to the greenhouse gas emissions that are dangerously heating the planet. That could speed up the glacier’s collapse.

The fallout from decisions made today may not be felt immediately, Dr. Strauss said, but “this is what we’re signing up the future for.”

Advertisement

Advertisement

Methodology

The Times’s analysis includes cities with 300,000 residents or more and within 100 miles of the coast.

Advertisement

It used elevation data from Climate Central’s CoastalDEM 3.0 to calculate the average high tides at each location. This model reflects local water levels more accurately than global averages. It used data from the European Commission’s Global Human Settlement Layer (GHS-UCDB) for city boundaries and Worldpop’s 2026 data for population estimates.

The sea level rise scenarios in this article focus only on the effects from Antarctica. The continent is expected to lose its gravitational pull on ocean water as it loses ice. As that happens, parts of the Northern Hemisphere, including the United States and much of Asia, will experience higher-than-average effects in sea level rise than places closer to Antarctica.

The maps and total population numbers are adjusted to reflect this dynamic, using data from Jerry Mitrovica, professor of geophysics at Harvard. They do not account for similar dynamics from Greenland’s ice loss, or for any other influences that may cause an uneven distribution of sea level rise.

Advertisement

Continue Reading

Science

I had to man up and get a mammogram

Published

on

I had to man up and get a mammogram

I show up for my appointment. A nurse asks me to get undressed from the waist up and put on a gown with the opening in front. For the life of me, I can’t figure out the correct way to tie the gown’s tassels. When I mention this feat of incompetence to the technologist inside the examining room, she tells me I could’ve just taken off my shirt. The nurse, she says, is “not used to male patients for mammograms.”

Thus began my first of what will be many regular mammogram screenings, screenings that, as a man, I never expected I’d need. I guess that nurse didn’t expect it either.

Let’s be clear, the breast cancer statistics for women are downright frightening: One in eight women will be diagnosed with breast cancer in their lifetime. For men, it’s only 1 in 726. Looking at those numbers, it’s obvious and even reasonable to understand why breast cancer is treated as a greater health threat for women. But much of the culture surrounding the disease seems ensconced in a gendered mold, including those pink awareness ribbons, pink merchandise, wigs, sisterhood and the general idea that men don’t have breasts in the first place, so why on earth would they have to worry about getting breast cancer?

In fact, some of us do have to worry. Breast cancer in men isn’t so rare that it hasn’t affected a few male celebrities, like KISS drummer Peter Criss, actor Richard Roundtree (star of “Shaft”), and famous by association, Beyoncé’s father, Mathew Knowles. Despite these high-profile diagnoses, the perception of breast cancer as a threat to men’s health has struggled to go mainstream.

Advertisement

Cheri Ambrose founded the Male Breast Cancer Global Alliance more than a decade ago after learning her friend’s husband received a breast cancer diagnosis. She looked on the internet for some information about it. “And to my surprise, there was nothing out there for men,” she tells me. “It was crickets.”

Dr. Aditya Bardia is a UCLA breast cancer oncologist who’s been in the field for 15 years and, in that time, has treated over 20 men. He says that men should watch out for lumps, pain, discomfort or nipple inversion. “If you have any of that, get it checked out with an ultrasound,” says Bardia. “Otherwise, if a man is only at average risk, then a mammogram is not necessary. But if he has BRCA and a family history, then a mammogram is recommended.”

The genetic risk factor

Those major risk indicators are what ushered me into my own cancer prevention safari. My mother was diagnosed with breast cancer in 2000, and my grandmother was diagnosed around a decade earlier. Add to this the fact that I have an Ashkenazi background, and I’m about as at-risk for breast cancer as any man can be.

To get a more accurate genetic indicator of cancer risk, my mother encouraged me to get my DNA tested for the BRCA1 gene mutation. Sure enough, I tested positive for BRCA1, and now my doctors and I are on high alert not just for breast cancer but also linked cancers like prostate and pancreatic cancer. (While it’s not public record if Richard Roundtree was BRCA1 positive, he survived his bout with breast cancer only to pass away decades later from pancreatic cancer, suggesting that he possibly carried the gene mutation.)

Advertisement

The mammogram experience

After testing positive for BRCA1, the geneticist I spoke with emphasized that my biggest new health concern would be prostate cancer, so I was a little bit surprised when my general practitioner gave me a referral for my first mammogram. I had no idea what to expect.

This is where I have to say that the scope of what I don’t know about women’s health is probably wider than I’d care to admit. My first exposure to the realities of what a mammogram procedure actually entails came from watching the pilot episode of “Girls5eva.” We first meet Sara Bareilles’ character while she’s in the middle of getting one, latched in somewhat medieval fashion to a mechanical vice that towers high over her head. I knew uncomfortable breast squeezing was involved; I just didn’t realize a machine did all the work. “Girls5eva,” if you’re unfamiliar, is not an old show, which means I’ve been unaware for most of my life how a mammogram actually works.

Still, as I headed to my appointment, I wondered, because I’m a man, how my own mammogram would differ from the one I saw Sara Bareilles getting on TV. It turns out, it wasn’t very different at all.

After getting rid of that gown, the technician positioned me chest-forward against her own mechanical vice. I was instructed to hold my breath while the machine gave me two tight squeezes on the left and two tight squeezes on the right, each squeeze lasting a few seconds. Yes, this was uncomfortable, but comparatively breezy as far as medical procedures go — simple, brief and noninvasive. My greatest irrational fear was that the machine might squeeze far tighter than necessary and I’d just be stuck there in immense pain until someone unplugged the cord. Of course, that did not happen. Actually, nothing else happened. I was in and out of the building in under 15 minutes.

Advertisement

The results? “No significant masses, calcifications or other findings are seen in either breast.” Good to know.

Navigating, and breaking down, the gender stigma

The mammogram itself was a piece of cake, yet I have to acknowledge that there were times on this journey of cancer risk self-discovery when I felt like a tourist prying into someone else’s health narrative. It wasn’t just the incident with the gown, or the geneticist assuring me that prostate cancer would be my major BRCA-related concern. While filling out a required questionnaire before scheduling my mammogram, I had to answer questions like, “Have you had an entire breast removed?” and “Does your bra size exceed 42DD?” I answered no, but if there had been an “N/A” option, I would’ve gone with that instead.

Bardia acknowledged the disconnect. “Because it’s relatively rare for men, guidelines and management for men are informed by the guidelines and management for women,” he tells me.

In a different context, some people could misinterpret these gendered hiccups as microaggressions. I don’t personally feel that way, but I’m trying to be fair, taking into account both the overwhelming impact breast cancer inflicts on women’s bodies in much greater numbers and the stigmatic pain points that men might be experiencing in their own breast cancer journeys.

Advertisement

Let’s face it: The stigma for men is real and it has consequences. “Even though it’s much more rare, the mortality rate for men is 19% higher for breast cancer than for women,” says Ambrose. “That’s because of lack of awareness and, I think, the stigma.”

A big part of that stigma, Ambrose believes, is the unfortunate proliferation of associating breast cancer with the color pink. “Pink is not a cure,” she says. “Sadly, it’s become a moneymaker for everyone during October, and not just the breast cancer organizations. People are making pink bagels, pink pens and even little pink ducks. People are making money off of it. And honestly, it’s not pink, it’s not fluffy, it’s not a happy disease. It’s breast cancer. And anyone going through it, male or female, or any gender, the pink ribbon is definitely stigmatizing.”

Even Mathew Knowles has publicly fiddled with the true name of his diagnosis, opting instead for the not-quite-accurate “chest cancer” and also “male breast cancer,” which falsely implies a masculine version of the disease.

But I can’t help but wonder if some of the stigma comes from other places as well. In parts of America, the idea of a man doing anything that can be perceived as feminine is politically charged. I also don’t need to point out that we live in a time of aggressive transphobia, which factors heavily in today’s divisive politics. For some political leaders, there’s nothing scarier than the possibility of sharing a public restroom with a woman who was born a man. Even drag queens can’t read books to children at the library without getting political blowback. Under this societal construct, how are men supposed to take seriously a disease that bears the name of a body part so associated with the opposite gender?

Then again, Peter Criss spent his entire career wearing makeup to look like a glam kitty cat, but if that didn’t stop him and his KISS bandmates from earning Kennedy Center Honors last year from our current president, then I don’t think it should stop anyone from heeding Criss’ advice to take charge of our own health.

Advertisement

I’m grateful to not feel bothered by this perceived stigma. I can understand it, but I can also roll with the feminized aspects. I guess if I’ve learned anything from this experience, it’s that everyone has breasts — just different kinds and all of them prone to disease. After all, what part of my body went into those mechanical vices during my mammogram?

In the days after my appointment, I saw a few friends I hadn’t seen in a while. When they asked what was new, I told them I’d just had my first mammogram. Some of them, men and women, thought I was kidding, but I assured them it was no joke.

I share this anecdote with Ambrose and she dives right in, “You helped spread awareness and break down the stigma,” she says, with some gratitude I wasn’t expecting. “That’s what each person who tells their story does.”

Advertisement
Continue Reading

Trending