Showing posts with label gender. Show all posts
Showing posts with label gender. Show all posts

Friday, April 29, 2022

Book Review : Medical Bondage - Race, Gender, and the Origins of American Gynecology

 


When I first heard about the book  Medical Bondage - Race, Gender, and the Origins of American Gynecology by Deidre Cooper Owens I added it to my Goodreads list.  I borrowed a copy and finished reading it a few days ago. I highly recommend this book.  It is not an easy book to read. It will make you feel uncomfortable but it is important to understand the issues Black women had in the past being treated and experimented on without any say as to how and what was being done. There was no consent given although in 1833 Beaumont wrote that "consent of the subject is necessary".

The accomplishments of Drs. Mettauer, Sims, Bozeman and others are well known but the fact that  their work was done on women who were poor ,vulnerable, enslaved women or  poor "Blackish" women, such as female Irish immigrants has only been discussed during the past few years.  While women during the 19th century were thought to be "inferior",  Black women were thought to have enhanced reproductive successes and could endure more pain. Scientific racism existed as procedures were done on enslaved women whose owners allowed the procedures or were leased to doctors,  in order to learn how to treat similar conditions in White women.

As I read the book  I thought of the pain I experienced after surgery for ovarian cancer even with access to  pain medications. Imagine going through procedures like ovary removal or fistula repair without being asked, without anesthesia and unclothed. How could the physicians like Sims write about his patient, Lucy, being in agony after a procedure and still think Black women were impervious to pain? I urge you to  read this book. 

I gave this book 4 stars.

Dee
Every day is a Blessing!

 

Wednesday, June 3, 2020

Disparity Research - #ASCO20 Virtual Annual Meeting

For the past year, I have been a member of Community Action Board at the Rutgers Cancer Institute. The Board advises the Center of Health Equity and Engagement led by Dr. Anita Kinney. The Center's role is to improve patient engagement for underserved and underrepresented communities in NJ in order to improve screening, prevention and access to treatment and clinical trials.

With that role in mind I took some time during the ASCO annual meeting to review studies related to cancer disparities. Here are just a few of the studies I viewed.

Uterine Cancer
Abstract 6089
Impact of Obesity Ovarian Cancer
e18067


Opiod Access / End Of Life Care 
Abstract 7005


Gender based disparities in clinical trials
Abstract # 2058



Survival outcomes by race minimally invasive versus open surgery
 Abstract #6029


Financial Toxicity
Abstract 6079
Geography and Cancer Care
Poster  1574
This study assessed overall survival (OS) of patients with all cancers, chronic myeloid leukemia (CML), and lung cancer while assessing distance from each county to the one (NCI-CC) in Georgia. Researchers conclude that disparity in cancer care exists between geographic conditions.




Black and white disparities in triple negative breast cancer ... Nurses’ Health Study

Poster 1655
This study examined disparities in triple negative breaset cancer by socioeconomic position, reporductive factors and diabete.  " observed racial differences in TNBC diagnoses may be at least partially mediated by differences in socioeconomic position and reproductive patterns, namely breastfeeding."
 
Breast and cervical cancer screening disparities among transgender patients
Poster 7024
About 1 million Americans identify as transgender. Limited primary care access and poor adherence to breast and cervical cancer screening are evident for transgender populations.


I look forward to next year's annual meeting whose theme was announce by incoming ASCO President , Dr Lori Pierce. 
We as advocates have a role to play to insure all patients receive appropriate and timely cancer care.

Dee
Every Day is a Blessing!