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	<title>cancer slayer &#187; genes</title>
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		<title>cancer slayer &#187; genes</title>
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		<title>chemo brain or garcia gene?</title>
		<link>http://cancerslayergyrl.com/2009/10/16/chemo-brain-or-garcia-gene/</link>
		<comments>http://cancerslayergyrl.com/2009/10/16/chemo-brain-or-garcia-gene/#comments</comments>
		<pubDate>Fri, 16 Oct 2009 19:03:34 +0000</pubDate>
		<dc:creator>garciagyrl</dc:creator>
				<category><![CDATA[chemo brain]]></category>
		<category><![CDATA[if it ain&#039;t one beast]]></category>
		<category><![CDATA[musings on cancer and chemo]]></category>
		<category><![CDATA[a superhero quest]]></category>
		<category><![CDATA[awareness]]></category>
		<category><![CDATA[cancer]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[genes]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[ovarian cancer]]></category>
		<category><![CDATA[the beast]]></category>
		<category><![CDATA[the garcia gene]]></category>

		<guid isPermaLink="false">http://blackgyrlcancerslayer.wordpress.com/?p=1095</guid>
		<description><![CDATA[My family is the real-life version of the Griswolds from National Lampoon&#8217;s. More space cadet than rocket scientist. The kind of people who are really good at getting in their own way. You’ve seen us before. At the rest stop &#8230; <a href="http://cancerslayergyrl.com/2009/10/16/chemo-brain-or-garcia-gene/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=cancerslayergyrl.com&amp;blog=6854239&amp;post=1095&amp;subd=blackgyrlcancerslayer&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<div id="attachment_1096" class="wp-caption aligncenter" style="width: 509px"><img class="size-full wp-image-1096" title="chemovs gar sampl1" src="http://blackgyrlcancerslayer.files.wordpress.com/2009/10/chemovs-gar-sampl1.jpg?w=500" alt="chemovs gar sampl1"   /><p class="wp-caption-text">illustration by artist calida (www.artistcalida.com)</p></div>
<p style="text-align:justify;">My family is the real-life version of the Griswolds from <em>National Lampoon&#8217;s</em><em>. </em>More space cadet than rocket scientist. The kind of people who are really good at getting in their own way.</p>
<p style="text-align:justify;">You’ve seen us before. At the rest stop wondering how we drove 40 miles in the wrong direction. At the movies bragging about how we’re smarter than everyone else with our store-bought sodas and garbage bag full of homemade popcorn. Hours late to all the events we didn’t RSVP for.</p>
<p style="text-align:justify;">So, several months ago, when I started suffering from chemo brain — short-term memory loss and a decline in cognitive abilities due to chemotherapy — I wasn’t sure whether the drugs were to blame or my Garcia genes. Let me provide a sketch of the patriarchs of our family for a little context.</p>
<p style="text-align:justify;">My dad, Joe, has belt-attached holsters that sit on both hips. One is for his cell phone and the other is for his glasses. That in and of itself is pretty funny, because my dad wears his pants so high that his belt is typically above his belly button. But the real reason I bring this up is because he purchased the special holders to keep track of his phone and his specks, which he loses all the time. Invariably, though, one, if not both, of his hip-slung carrying cases winds up empty, and helping him retrace his steps goes something like this:</p>
<p style="text-align:justify;">Joe: “Did you see where I put my glasses?”</p>
<p style="text-align:justify;">Me: “Nope. Where did you have them last?”</p>
<p style="text-align:justify;">Joe: “On my face.”</p>
<p style="text-align:justify;">Those older ATMs, the ones where you insert your card in the machine, were a cruel joke for my dad. For some reason, he never caught on that the loud, methodical beeping at the end of the transaction was a reminder to grab your card. I can’t count how many times he’d go out to get money only to return with no card, cursing under his breath, because the machine sucked it up.</p>
<p style="text-align:justify;">And it’s not just memory loss that gets the better of the Garcias. We have an uncanny knack for offending folks just by being ourselves, getting all the family gossip wrong, and landing in the most bizarre situations.</p>
<p style="text-align:justify;">Take my uncle Tony, my dad’s younger brother. He&#8217;s gotten peed on by a Tiger, once choked a cab driver in Italy he thought was trying to cheat him, and is convinced that a rooster on the farm where he and my dad spent their summers as kids wanted to kill him.</p>
<p style="text-align:justify;">This is the same uncle who wears a one-piece adult-size snowsuit indoors during winter because his historic home in Germantown, Pa., is too costly to heat. Get Joe and Tony together and forget about it.</p>
<p style="text-align:justify;">When my cousin Calida and I moved to New York more than 10 years ago, our dads volunteered to drive the U-Haul. Why this was even allowed is beyond me.</p>
<div id="attachment_1097" class="wp-caption alignright" style="width: 104px"><img class="size-full wp-image-1097" title="snowsuit" src="http://blackgyrlcancerslayer.files.wordpress.com/2009/10/snowsuit.jpg?w=500" alt="this is exactly what my uncle's indoor snowsuit looks like"   /><p class="wp-caption-text">this is exactly what my uncle&#39;s indoor snowsuit looks like</p></div>
<div class="mceTemp" style="text-align:justify;">
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<p>We’d just gotten the last of my stuff from my mom’s house and were ready to hit the New Jersey Turnpike for the 100-mile trip. My uncle, who thought he was in drive but was actually in reverse, backed the moving truck into my mom’s wooden fence. The damage was pretty bad, but instead of calling an expert or telling my mom, the Garcias spent an hour working furiously to straighten out the bent pieces and then drove off. To this day, the latch on that fence still doesn’t work right.</p>
<p>Considering that I share the same DNA as Joe and Tony, I immediately looked inward when I lost two sets of house keys in the same week and noticed I was having difficulty remembering what I was saying mid-sentence.</p>
<p>At first, I attributed it to chemo. Cancer patients almost always have long-term affects from the meds, a mental fog if you will. But then I remembered that I am a Garcia. We are, by nature, challenged individuals.</p>
<p>This got me wondering who would win in a battle between chemo brain and the Garcia gene. And by win I mean which one is likely the biggest contributor to my cognitive lapses. Here are just a few examples of the sideaffects of cancer drugs:</p>
<p>* Being unusually disorganized<br />
* Confusion<br />
* Difficulty multitasking<br />
* Short-term memory problems<br />
* Trouble with verbal memory, such as remembering a conversation<br />
* Trouble with visual memory</p>
<p style="text-align:justify;">Heavy stuff, right? Maybe for anybody else&#8217;s family.  I&#8217;m beginning to think that a matchup between chemo brain and Garcia gene might be tied. As Joe and Tony have passed the Griswold syndrome down to their progeny, the above symptoms  just happen to be things that now plague the rest of us.</p>
<p style="text-align:justify;">And all of this will be on full display during the family trip that we’re planning for next year. God help us.</p>
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		<title>the perils of color-coded DNA</title>
		<link>http://cancerslayergyrl.com/2009/07/27/the-perils-of-a-color-coded-dna-theory/</link>
		<comments>http://cancerslayergyrl.com/2009/07/27/the-perils-of-a-color-coded-dna-theory/#comments</comments>
		<pubDate>Mon, 27 Jul 2009 17:45:59 +0000</pubDate>
		<dc:creator>garciagyrl</dc:creator>
				<category><![CDATA[healthy and wise]]></category>
		<category><![CDATA[musings on cancer and chemo]]></category>
		<category><![CDATA[advocacy]]></category>
		<category><![CDATA[disparities]]></category>
		<category><![CDATA[genes]]></category>
		<category><![CDATA[ovarian cancer]]></category>
		<category><![CDATA[race and cancer outcomes]]></category>
		<category><![CDATA[surviving]]></category>
		<category><![CDATA[the beast]]></category>

		<guid isPermaLink="false">http://blackgyrlcancerslayer.wordpress.com/?p=750</guid>
		<description><![CDATA[I just wrote a piece for the Root.com (a site headed up by the very newsworthy Harvard professor Skip Gates) about race and cancer outcomes. It was a response, actually, to a story that appeared on Slate.com. Conservative columnist William &#8230; <a href="http://cancerslayergyrl.com/2009/07/27/the-perils-of-a-color-coded-dna-theory/">Continue reading <span class="meta-nav">&#8594;</span></a><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=cancerslayergyrl.com&amp;blog=6854239&amp;post=750&amp;subd=blackgyrlcancerslayer&amp;ref=&amp;feed=1" width="1" height="1" />]]></description>
			<content:encoded><![CDATA[<p style="text-align:justify;">I just wrote <a href="http://www.theroot.com/blogs/william-saletan/race-based-health-care-prescription-discrimination">a piece for the Root.com</a> (a site headed up <img class="alignright size-medium wp-image-753" title="DNA2" src="http://blackgyrlcancerslayer.files.wordpress.com/2009/07/dna2.jpg?w=214&#038;h=300" alt="DNA2" width="214" height="300" />by the very newsworthy Harvard professor <a href="http://politics.theatlantic.com/2009/07/will_skip_gatess_saga_dominate_news_coverage.php">Skip Gates</a>) about race and cancer outcomes. It was a response, actually, to a story that appeared on Slate.com.</p>
<p style="text-align:justify;">Conservative columnist William Saletan, after analyzing a National Cancer Institute study that reveals African Americans with gender-based cancers have a &#8220;significantly worse overall survival rate&#8221; than whites, concluded that the <a href="http://www.slate.com/id/2222813/">likely reason is genetic differences in our racial makeup.</a></p>
<p style="text-align:justify;">The <a href="http://jnci.oxfordjournals.org/cgi/content/abstract/djp175">NCI study</a> found that black Americans are 21 to 61 percent more likely than whites to die from ovarian, breast, and prostate cancers, even when dynamics such as income, education, and access to medical care are factored in.</p>
<p style="text-align:justify;">The findings could point to any number of things, such as our community&#8217;s disturbing history of late-stage diagnoses, which could be the result of a misguided but reasonably understandable mistrust of the medical community.</p>
<p style="text-align:justify;">Saletan, however, argues that it’s our DNA. There’s just one problem with his theory: It&#8217;s wrong.</p>
<p style="text-align:justify;">There is <a href="http://www.ornl.gov/sci/techresources/Human_Genome/elsi/minorities.shtml">no gene that equals black or white</a>, or any race for that matter. When it comes to the human genome, we&#8217;re all pretty much the same. Here&#8217;s what Saletan has to say:</p>
<p style="text-align:justify;">“Denying that race is real or that genes play a role in racial differences is just as simplistic as pretending that race explains everything or that discrimination has vanished.”</p>
<p style="text-align:justify;">He goes on to proclaim that people are afraid to acknowledge genetic differences along racial lines for fear it will &#8220;lay a scientific foundation for segregation.”</p>
<p style="text-align:justify;">Hello? The <em>Bell Curve</em>? <a href="http://www.tuskegee.edu/Global/Story.asp?s=1207586">The Tuskegee Experiment</a>? The African slave trade?</p>
<p style="text-align:justify;">We don&#8217;t have to look far to see how race and &#8220;DNA coding&#8221; can be dangerously manipulated for financial or social gain. And when it comes to medical classifications, that notion just smacks of so-called genetic inferiority. Saletan wastes no time supporting this idea, too.</p>
<p style="text-align:justify;">In discussing his theory on biology and black Americans, he references a <a href="http://www.slate.com/id/2178122/entry/2178123/">column he wrote two years ago</a> about race, heredity intelligence, and the reasons white American kids have higher IQs than black American kids. They have bigger brains, he claims. So, from his perspective, if biological determinism manifests itself in intelligence, it makes sense that it would extend to health outcomes, too.</p>
<p style="text-align:justify;">But here’s the real deal: Discussing genetic differences based on race sidetracks us from the issue at hand, which is closing the cancer survival gap, the original purpose of the study. The fact is that a more comprehensive analysis is needed, and this is where documenting the health trends of ethnic and racial groups becomes important. It is indeed worth exploring.</p>
<p style="text-align:justify;">There’s little doubt, for instance, that obesity and stress exacerbate illnesses among African Americans, as does our diet. To make matters worse, African Americans don&#8217;t regularly visit a doctor, nor do we develop long-term relationships with medical professionals. Probably that mistrust creeping up again. But these issues are as much about social and environmental influences as they are about personal choices and lifestyle practices.</p>
<p style="text-align:justify;">Saletan doesn&#8217;t appear to consider any of this before pronouncing our racial makeup the culprit. If you ask me, it&#8217;s because focusing on DNA is an easy way out. If people can point to a scientific explanation for why blacks don&#8217;t fair so well when battling cancer, then we don’t have to scrutinize our nation’s health care system or examine external contributors to poor survival outcomes.</p>
<p style="text-align:justify;">The biggest danger, as Raina Kelley wrote in <a href="http://www.newsweek.com/id/206886?tid=relatedcl">her column for Newsweek</a>, is that we’ll start talking about medical conditions in terms of “us or them.” And, as history shows, that sort of deviation is just a big fat waste of time for everyone.</p>
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