FDA discourages power morcellation for #fibroids

Last month, the New York Times blog published a piece about the dangers of laparoscopic power morcellation – a technique used to remove the uterus or uterine fibroids. The author, Jane Brody explained it this way:

The technique involves insertion of a tiny instrument with a rapidly rotating blade, the morcellator, that breaks up the fibroid so that it can be sucked out through the small opening of a laparoscope.

The grotesque image that comes to mind is that of a food processor. I won’t elaborate, but the technique is designed to allow large tissue to be extracted through small incisions. This is ostensibly less invasive and allows for faster healing.

Brody continued:

As recent reports have shown, however, power morcellation can also cause serious and sometimes life-threatening complications. … This problem is all the more serious if the fibroid that was morcellated happens to have contained a hidden cancer

Today the FDA released guidance which doesn’t halt, but does discourage the technique. From their press release:

Based on an analysis of currently available data, the FDA has determined that approximately 1 in 350 women who are undergoing hysterectomy or myomectomy for fibroids have an unsuspected type of uterine cancer called uterine sarcoma. If laparoscopic power morcellation is performed in these women, there is a risk that the procedure will spread the cancerous tissue within the abdomen and pelvis, significantly worsening the patient’s likelihood of long-term survival.

Read the full release here.

Read about the previously reported risks here.

Truth or dare

From Joshunda’s interview with Pearl Cleage:

A dual history of bias and internalized oppression has kept most black women from publishing their memoirs or journals, Cleage adds, for fear of emotional and economic reprisals. “After slavery ended, black women continued to put forward the idea that we were good, sexually responsible women, going up against the racist stereotypes that came out of the madness of slavery,” Cleage says. “But there was still the fear of being too honest around white people. I don’t feel that’s a legitimate feeling for me. I’m going to tell the truth to whoever is in the room.”

When I read truth, I feel courageous and emboldened. Powerful. Magical. Writing the truth, however, is altogether different. But when I do, that’s when folks nod. Say, I felt that. I needed that. I never knew that. Amen.

From Joshunda: Cleage says she drew her inspiration for the book from the diaries of Anaïs Nin, which she found liberating and inspirational, much like the work of Walker and Shange. 

Sounds familiar.  Truth is hard to come by in the pages of books, although I must admit I wasn’t exactly searching for it as a younger woman. Discovering it, though, was quite a revelation. Filling. There was that magic, that power I didn’t know I sought. Reading it encouraged me to write it, yet in the beginning I found it hard to lay truths on the page. They were there, but buried. Hidden in metaphor and verse. Rarely plainspoken and clear.

It’s less hard now. But this doesn’t mean easy.

It’s also slow at times, truth-telling is. Because there’s this contextualizing you have to do. Background building. Setting the stage and what have you.

And then there’s the crafting. Are you conveying what you really mean to say? Who might be hurt? Who might feel misrepresented? Are you true to you?

I did not want to be the traitor,  the teller of family secrets – and yet I wanted to be a writer. ~bell hooks

Once you’ve framed it and crafted it, then there’s the time set aside for doubting. Is it too much? Who are you to give voice to this experience? And on it goes.

Until finally you shout, or whisper, “Me, dammit! It’s my truth. I’m telling it!” And you press send or publish as the case may be, and try to move on to the next thing without agonizing so much on the last thing.

And perhaps over time it gets easier. I dunno.

I do know it’s always a digging in. A meditation. A labor of love. Truth-telling is.

It’s freeing for truth and for the one who told it.

It’s difficult. But perhaps no more difficult than any other act of love.

Midway check-in

Blue skies swirl to pink lights. Fade to gray.

It’s dusk.

I missed the blood moon eclipse last night, but I’m enjoying the sunset tonight.

I’ve been sweeping away cobwebs, opening taps, stretching writing muscles. This is blog entry #15 in 15 days, and as usual, I’m glad I opted for the challenge. Also as usual, there are pros and cons to posting every day. But the benefits outweigh the drawbacks and I’m glad to get back into a writing rhythm.

I’ve tried different approaches, but none seem to work as well as writing everyday. Writing everyday doesn’t mean publishing my writing everyday, and that’s the balance I’ll work on once we enter May.

For now, I shall continue with my daily entries.

To strive even higher, to do even better—the creative process is a desperate struggle to go beyond what we were yesterday. It is a battle against resting on our laurels, against the fear of losing what we have. It is an adventure into unknown territory. ~Daisaku Ikeda

The Drum at the Gate of Thunder and other gosho to women

One of my projects-in-progress is a review of Nichiren Daishonin’s gosho to women. Nichiren was a Buddhist monk who came of age in 13th century Japan, and a gosho is an honorable writing (go is an honorific prefix and sho means writings).

Nichiren wrote many letters and treatises in his lifetime, and the extant among them were translated and published with background about the recipient when it was known. English versions of his writings are in two volumes published by the Soka Gakkai International: Writings of Nichiren Daishonin Vol 1 and Vol 2.

lotus-150693_640Over the course of several years, I read all of the writings in volume 1 in chronological order. I thought it would be an interesting project to reread them in a new way, through a different lens. For instance, I know some people who have undertaken the study of all writings to Shijo Kingo, a samurai and physician, and arguably one of Nichiren’s greatest disciples.

What can you learn about the practice of Buddhism and finding happiness in this world viewed through Nichiren’s encouragement to this one man? He received quite a few letters, and through them we learn about mastering your anger (Kingo has a famous temper); doing your best at work, even when your co-workers gossip about you (Kingo served Lord Ema and almost lost his estate due to this very thing); the importance of perseverance, and other timeless lessons.

A woman who embraces the lion king of the Lotus Sutra never fears any of the beasts of hell or of the realms of hungry spirits and animals.  ~Nichiren, The Drum at the Gate of Thunder

At a time and place when women were considered inferior to men, and indeed, were sometimes thought incapable of attaining enlightenment at all without first being reborn as men, Nichiren was decidedly more feminist. Basing his teachings on the Lotus Sutra, which celebrates the limitless potential inherent in all living beings, Nichiren praised women for their steadfast faith, and encouraged them with the same life-affirming wisdom he shared with men of the time.

All of the offenses committed by a woman in her lifetime are like dry grass, and the single character myo of the Lotus Sutra is like a small spark. When a small spark is set to a large expanse of grass, not only the grass but also the big trees and large stones will all be consumed. Such is the power of fire of wisdom in the single character myo. Not only will all offenses vanish but they will become sources of benefit. ~Nichiren, The Drum at the Gate of Thunder

Today I read The Drum at the Gate of Thunder, written to the lay nun Sennichi. This gosho is one of 46 written to women included in volume 1. Some women received multiple letters – Sennichi received five as did Shijo Kingo’s wife, Nichigen-nyo. I may share some of my notes as I work through the gosho.

Someday let us meet at Eagle Peak, where Shakyamuni Buddha dwells. Nam-myoho-renge-kyo, Nam-myoho-renge-kyo. With my deep respect, Nichiren. ~Nichiren, The Drum at the Gate of Thunder

What are your must-reads?

The ladies of Whiskey, Wine and Moonshine have books on the brain. We may share some of our recent convos on an upcoming podcast. In the meantime, I want to know your thoughts about books. For all questions, you can choose more than one.

  • Who is your favorite author?
  • What’s your favorite children’s book?
  • What’s your favorite book? What makes it special?
  • What book did you read that you wish you’d encountered earlier in life? How did you come to read it?
  • What book would you recommend to someone? What makes it worthy?
  • What notable book did you try reading, but abandoned?
  • What book is on your “to read” list?
  • Complete the following sentence: {Insert name of book} should be required reading for {insert individual or group} because (insert reason}.

It’s probably not fair of me to ask these questions without sharing some of the answers, and I may reveal my thoughts in a future post.  For now I want to hear from you! The floor is yours…

Slow and steady

Yesterday’s run was my first in months. Despite my consistent cardio and weight-lifting regimen, nothing works the body quite the same as running. During the run my breathing was labored. I had to stop a couple of times because of runner’s itch. When I was done, I felt good, but I was wheezing.

It was tough overall, but a great baseline.

I woke up a little sore this morning and ready to run again. The only thing that gets the body more conditioned is more conditioning, so out I went. As I thought, today’s run was markedly better. Less itching, easier breathing, and I was able to lock into a comfortable, albeit slow, stride.

My legs have that comforting I’ve been working out ache. I’m excited to be back on the pavement.

Today I Ran

Today I ran.

Mostly, I jogged, if you want to get technical. I wasn’t out there sprinting or going particularly fast. But I was out there. And it was great. Tough, yes, but really nice to be outside again.

My last run was a PR!
My last run was a PR!

It was my first run since my milestone of November 2013. Five months to the day. I didn’t realize that when I decided today had to be the day. I just knew it wasn’t too cold and the sun was beckoning.

I decided to just go out a mile and back. I hit my target pace of 10 min/mile. I had some difficulty breathing on a few stretches and some histamine reactions in my muscles. Both of these were to be expected.

The breathing will take care of itself as my lungs remember the work. The histamine reaction is a new/old problem I’ll have to solve, so I’ll be keeping the mileage low while I sort that out.

I’m not yet ready to set my monthly mileage goals, and I don’t know when my next run will be. For now I’m celebrating today’s return to the pavement as I look forward to many more!

Free write

I’ve set a timer for 5 minutes and I’m just typing stream of consciousness.

I had so many plans when I woke up, and I’ve been working through them, but, well, you know how it goes sometimes. A few interruptions here, a fire to put out there, and it seems there’s been a lot of busyness, but not as much business.

That’s fine. I can still check a few items off my list and create a clear plan of action for tomorrow based on what I accomplished today. And really, that’s the best you can do on any given day. Since the fourth agreement is “always do your best,” I can close out the work day in peace and look forward to a productive day tomorrow.

Me & Blue, after my 1st run in 2013.
Me & Blue, after my 1st run in 2013.

Speaking of tomorrow, I’m excited because I think time and weather are on my side. If I’m correct, I will run my first miles of 2014! I’ve missed running. And although I need a new pair of running shoes (I never really bonded with the old ones), it’ll be so lovely to get outside and get fresh air. Running is one of my favorite forms of exercise for many reasons, and I have some new goals/approaches in store for the running season. I’ll let you know how it goes…

Time up!

The Four Agreements

Elizabeth Gilbert’s TED Talk had been on my mind earlier this week, and The Four Agreements have now taken up residence in its stead.

I’ve been actively working on unblocking by committing to write, so I’ll take these little bells as encouragement to keep going.

Don Miguel Ruiz wrote a short book, based on Toltec Wisdom. In it, he elucidates four agreements, or practices, we can implement daily to enjoy a more fulfilling life.

I’m very consistent on agreements #3 and #4, and I easily redirect myself #2. But I must admit, I abandon the very first one when I’m not careful. That’s the one I’m revisiting  now.

It would be a good exercise to (re)read the book and do some extended writing on each of the four principles. But for now, I’m posting them in their simplest form as a gentle reminder to myself:

  1. Be impeccable with your word
  2. Don’t take anything personally
  3. Don’t make assumptions
  4. Always do your best

TED Talk Tuesday

Although I haven’t seen it in over two years, this TED Talk has been on my mind the past few days. That means it’s time to take another look.

Elizabeth Gilbert is a writer, most famously known for Eat, Pray, Love. She quips early in the talk that it’s quite possible her greatest success is behind her. Even so, she was born to write, and she wants to keep writing.

Creative minds beset with the pressure to create and achieve outward measures of success are at times overwhelmed or downright tortured. Sometimes to the point of being unable to continue with their work. In the darkest cases, they are unable to continue living at all.

Said Elizabeth, “I would prefer to keep doing this work that I love. And so, the question becomes, how?”

Her TED Talk is the story of the answer.