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Javier E

A 'Philosophy' of Plastic Surgery in Brazil - NYTimes.com - 0 views

  • Is beauty a right, which, like education or health care, should be realized with the help of public institutions and expertise?
  • For years he has performed charity surgeries for the poor. More radically, some of his students offer free cosmetic operations in the nation’s public health system.
  • I asked her why she wanted to have the surgery.  “I didn’t put in an implant to exhibit myself, but to feel better. It wasn’t a simple vanity, but a  . . . necessary vanity.  Surgery improves a woman’s auto-estima.”
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  • He argues that the real object of healing is not the body, but the mind.  A plastic surgeon is a “psychologist with a scalpel in his hand.” This idea led Pitanguy to argue for the “union” of cosmetic and reconstructive procedures.  In both types of surgery beauty and mental healing subtly mingle, he claims, and both benefit health.
  • “What is the difference between a plastic surgeon and a psychoanalyst?  The psychoanalyst knows everything but changes nothing.  The plastic surgeon knows nothing but changes everything.”
  • Plastic surgery gained legitimacy in the early 20th century by limiting itself to reconstructive operations.  The “beauty doctor” was a term of derision.  But as techniques improved they were used for cosmetic improvements.  Missing, however, was a valid diagnosis. Concepts like psychoanalyst Alfred Adler’s inferiority complex — and later low self-esteem — provided a missing link.
  • Victorians saw a cleft palate as a defect that built character. For us it hinders self-realization and merits corrective surgery.  This shift reflects a new attitude towards appearance and mental health: the notion that at least some defects cause unfair suffering and social stigma is now widely accepted. But Brazilian surgeons take this reasoning a step further.  Cosmetic surgery is a consumer service in most of the world.  In Brazil it is becoming, as Ester put it, a “necessary vanity.”
  • Pitanguy, whose patients often have mixed African, indigenous and European ancestry, stresses that aesthetic ideals vary by epoch and ethnicity.  What matters are not objective notions of beauty, but how the patient feels.  As his colleague says, the job of the plastic surgeon is to simply “follow desires.”
  • Patients are on average younger than they were 20 years ago.  They often request minor changes to become, as one surgeon said, “more perfect.”
  • The growth of plastic surgery thus reflects a new way of working not only on the suffering mind, but also on the erotic body.  Unlike fashion’s embrace of playful dissimulation and seduction, this beauty practice instead insists on correcting precisely measured flaws.  Plastic surgery may contribute to a biologized view of sex where pleasure and fantasy matter less than the anatomical “truth” of the bare body.
  • It is not coincidental that Brazil has not only high rates of plastic surgery, but also Cesarean sections (70 percent of deliveries in some private hospitals), tubal ligations,  and other surgeries for women. Some women see elective surgeries as part of a modern standard of care, more or less routine for the middle class, but only sporadically available to the poor.
  • When a good life is defined through the ability to buy goods then rights may be reinterpreted to mean not equality before the law, but equality in the market. 
  • Beauty is unfair: the attractive enjoy privileges and powers gained without merit.  As such it can offend egalitarian values.  Yet while attractiveness is a quality “awarded” to those who don’t morally deserve it, it can also grant power to those excluded from other systems of privilege.  It is a kind of “double negative”: a form of power that is unfairly distributed but which can disturb other unfair hierarchies.  For this reason it may have democratic appeal.  In poor urban areas beauty often has a similar importance for girls as soccer (or basketball) does for boys: it promises an almost magical attainment of recognition, wealth or power.
  • For many consumers attractiveness is essential to economic and sexual competition, social visibility, and mental well being.  This “value” of appearance may be especially clear for those excluded from other means of social ascent.  For the poor beauty is often a form of capital that can be exchanged for other benefits, however small, transient, or unconducive to collective change.
markfrankel18

Malcolm Gladwell: Do Genetic Advantages Make Sports Unfair? : The New Yorker - 0 views

  •  
    "Eyesight can be improved-in some cases dramatically-through laser surgery or implantable lenses. Should a promising young baseball player cursed with normal vision be allowed to get that kind of corrective surgery? In this instance, Major League Baseball says yes. Major League Baseball also permits pitchers to replace the ulnar collateral ligament in the elbow of their throwing arm with a tendon taken from a cadaver or elsewhere in the athlete's body. Tendon-replacement surgery is similar to laser surgery: it turns the athlete into an improved version of his natural self. But when it comes to drugs Major League Baseball-like most sports-draws the line. An athlete cannot use a drug to become an improved version of his natural self, even if the drug is used in doses that are not harmful, and is something that-like testosterone-is no more than a copy of a naturally occurring hormone, available by prescription to anyone, virtually anywhere in the world."
Javier E

Mannequins Give Shape to a Venezuelan Fantasy - NYTimes.com - 0 views

  • Eliezer Álvarez made a simple observation: Venezuelan women were increasingly using plastic surgery to transform their bodies, yet the mannequins in clothing stores did not reflect these new, often extreme proportions.
  • So he went back to his workshop and created the kind of woman he thought the public wanted — one with a bulging bosom and cantilevered buttocks, a wasp waist and long legs, a fiberglass fantasy, Venezuelan style
  • Now his mannequins, and others like them, have become the standard in stores across Venezuela, serving as an exaggerated, sometimes polarizing, vision of the female form that calls out from the doorways of tiny shops
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  • “You see a woman like this and you say, ‘Wow, I want to look like her,’ ” said Reina Parada, as she sanded a mannequin torso in the workshop. Although she cannot afford it, she said, she would like to get implant surgery someday. “It gives you better self-esteem.”
  • Cosmetic procedures are so fashionable here that a woman with implants is often casually referred to as “an operated woman.” Women freely talk about their surgeries, and mannequin makers jokingly refer to the creations as being “operated” as well.
  • The embrace of plastic surgery clashes with the government’s socialist ideology and frequent talk of creating a society free of the taint of commercialism.
  • the world’s largest estimated petroleum reserves — has long fed a culture of easy money and consumerism here, along with a penchant for the quick fix and instant gratification.
  • “Venezuela is known for its oil, and it’s known for its beauty,”
  • Beauty took on a particularly important role in the late 1970s and ’80s when the country’s beauty queens, already a national obsession, were crowned Miss Universe three times.
  • And the beauty queens’ fame helped fuel a fascination with cosmetic surgery and procedures like breast implants, tummy tucks, nose jobs and injections to firm the buttocks.
  • For Mr. Sousa, beauty really is skin deep: “I say that inner beauty doesn’t exist. That’s something that unpretty women invented to justify themselves.”
margogramiak

New Hampshire Woman Gets New Face For Second Time In 10 Years | HuffPost - 1 views

  • has a new face.
  • has a new face.
    • margogramiak
       
      face transplant?
  • The transplant from an anonymous donor took place at Boston’s Brigham and Women’s Hospital in July.
    • margogramiak
       
      I know a little bit about these surgeries. They are revolutionary!
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  • whose face was disfigured in an attack by her ex-husband,
    • margogramiak
       
      :(
  • More than 40 patients worldwide have received face transplants, including 16 in the United States. None of the American patients had lost their donor faces until Tarleton.
    • margogramiak
       
      So few people.
  • She really got lucky.”
    • margogramiak
       
      good for her. She deserved to be lucky.
  • rejected his donor face eight years after his first transplant underwent a second
    • margogramiak
       
      I don't know anything about this stuff, but that seems like a very delayed rejection.
  • She really wanted to try one more time,” said Pomahac, who led the 20-hour, second surgery. A team of around 45 clinicians removed the failing transplant and then prepared sensory nerves and blood vessels in the neck for the surgical connection. The face was then transplanted and Tarleton will gain sensory and motor function in the coming months.
    • margogramiak
       
      wow!
  • a much better tissue match.
    • margogramiak
       
      What constitutes a good match? Blood type? Skin tone? What are important factors?
  • “The pain I had is gone,” she said. “It’s a new chapter in my life. I’ve been waiting for almost a year. I’m really happy. It’s what I needed. I got a great match.”
    • margogramiak
       
      Awww I'm so happy for her!
  • “When you look at most organ transplants, there is a shelf life,” Gastman said. “We are getting to the point where these face transplantations are hitting against the maximum number of years someone can have one in.”
    • margogramiak
       
      The transplant surgeries are so new that they are now seeing how long they last.
  • Tarleton was burned on over 80% of her body and blinded in 2007 when her estranged husband, Herbert Rodgers, beat her with a baseball bat and doused her body with lye because he thought she was seeing another man.
    • margogramiak
       
      Oh my gosh. I'm glad she gets this new opportunity.
  • The first transplant transformed Tarleton’s life.
    • margogramiak
       
      I'm sure it did. So many people take "normal" appearances for granted.
  • don’t get stared at so easily.”
    • margogramiak
       
      I can't imagine having to think about that.
  • She was added back on when the state allowed elective surgeries to resume.
    • margogramiak
       
      Must be very recent!
  • But by last year, the face was failing. She began experiencing scarring, tightness and pain because of a loss of blood flow to her face. Black patches appeared on her face. Her eyelids contracted and her lips began disappearing, making it difficult to eat. She was mostly housebound and resumed taking strong pain medications.
    • margogramiak
       
      If they didn't do another transplant, what would another remedy be?
  • “It is strange. I am not going to lie,” she added. “I’ll have to get used to it. My sister will have to get used to it. It takes a while for my friends and family to get used to what I look like now.”
    • margogramiak
       
      I can't imagine my whole appearance changing on a dime.
anniina03

A.I. Comes to the Operating Room - The New York Times - 0 views

  • Brain surgeons are bringing artificial intelligence and new imaging techniques into the operating room, to diagnose tumors as accurately as pathologists, and much faster, according to a report in the journal Nature Medicine.
  • The traditional method, which requires sending the tissue to a lab, freezing and staining it, then peering at it through a microscope, takes 20 to 30 minutes or longer. The new technique takes two and a half minutes.
  • In addition to speeding up the process, the new technique can also detect some details that traditional methods may miss, like the spread of a tumor along nerve fibers
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  • The new process may also help in other procedures where doctors need to analyze tissue while they are still operating, such as head and neck, breast, skin and gynecologic surgery, the report said. It also noted that there is a shortage of neuropathologists, and suggested that the new technology might help fill the gap in medical centers that lack the specialty. Video Advertisement LIVE 00:00 1:05
  • Algorithms are also being developed to help detect lung cancers on CT scans, diagnose eye disease in people with diabetes and find cancer on microscope slides.
  • The diagnoses were later judged right or wrong based on whether they agreed with the findings of lengthier and more extensive tests performed after the surgery.The result was a draw: humans, 93.9 percent correct; A.I., 94.6 percent.
  • At some centers, he said, brain surgeons do not even order frozen sections because they do not trust them and prefer to wait for tissue processing after the surgery, which may take weeks to complete.
  • Some types of brain tumor are so rare that there is not enough data on them to train an A.I. system, so the system in the study was designed to essentially toss out samples it could not identify.
  • “It won’t change brain surgery,” he said, “but it’s going to add a significant new tool, more significant than they’ve stated.”
Emily Horwitz

Could A 'Brain Pacemaker' Someday Treat Severe Anorexia? : Shots - Health News : NPR - 0 views

  • Many people who get anorexia recover after therapy and counseling. But in about 20 to 30 percent of cases, the disease becomes a chronic condition that gets tougher and tougher to treat.
  • Neurosurgeons from the University of Toronto tried a technique called deep brain stimulation to see if it might help patients with severe anorexia.
  • The results didn't meet the statistical tests for significance.
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  • "But since we don't have anything that works well for these individuals — that have a high risk of mortality – it warrants cautious optimism and further study."
  • doctors implant tiny electrodes next to a region of the brain thought to be dysfunctional. A device, similar to a heart pacemaker, then sends waves of electricity through a wire to the electrodes.
  • In the latest study, neurosurgeons in Toronto implanted the electrodes in the brains of six women with chronic anorexia. Five of them had been struggling with the disease for over a decade. All of them had experienced serious health problems from it, including heart attacks in some cases.
  • "My symptoms were so severe. I would wake up in the middle of night and run up and down the stairs for hours or go for a five-hour run," she tells Shots. "I became very isolated. I didn't want to be around anyone because they kept me from exercising."
  • "It was brain surgery! But I had had a heart attack at 28 and two strokes, " she says. "My mom was in the midst of planning my funeral. If I didn't take this chance, I knew my path would probably lead to death."
  • Rollins admits that the deep brain stimulation wasn't a magic bullet. She's had to continue her anorexia treatment to get where she is. "I still see a psychiatrist regularly and a dietitian. It [the deep brain stimulation] enables me to do the work that I need to do a lot easy."
  • Deep brain stimulation can cause serious side effects, Lipsman says, like seizures, and more milder ones, like pain and nausea. "This is a brain surgery – there's no sugarcoating that," he says. "The primary objective of this study was to establish that this a safe procedure for these patients who have been quite ill before the surgery. That's all we can say right now."
  •  
    an interesting article that seems to pose the question: can our habits/perceptions be changed by brain stimulation?
Javier E

Atul Gawande: Failure and Rescue : The New Yorker - 0 views

  • the critical skills of the best surgeons I saw involved the ability to handle complexity and uncertainty. They had developed judgment, mastery of teamwork, and willingness to accept responsibility for the consequences of their choices. In this respect, I realized, surgery turns out to be no different than a life in teaching, public service, business, or almost anything you may decide to pursue. We all face complexity and uncertainty no matter where our path takes us. That means we all face the risk of failure. So along the way, we all are forced to develop these critical capacities—of judgment, teamwork, and acceptance of responsibility.
  • people admonish us: take risks; be willing to fail. But this has always puzzled me. Do you want a surgeon whose motto is “I like taking risks”? We do in fact want people to take risks, to strive for difficult goals even when the possibility of failure looms. Progress cannot happen otherwise. But how they do it is what seems to matter. The key to reducing death after surgery was the introduction of ways to reduce the risk of things going wrong—through specialization, better planning, and technology.
  • there continue to be huge differences between hospitals in the outcomes of their care. Some places still have far higher death rates than others. And an interesting line of research has opened up asking why.
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  • I thought that the best places simply did a better job at controlling and minimizing risks—that they did a better job of preventing things from going wrong. But, to my surprise, they didn’t. Their complication rates after surgery were almost the same as others. Instead, what they proved to be really great at was rescuing people when they had a complication, preventing failures from becoming a catastrophe.
  • this is what distinguished the great from the mediocre. They didn’t fail less. They rescued more.
  • This may in fact be the real story of human and societal improvement. We talk a lot about “risk management”—a nice hygienic phrase. But in the end, risk is necessary. Things can and will go wrong. Yet some have a better capacity to prepare for the possibility, to limit the damage, and to sometimes even retrieve success from failure.
  • When things go wrong, there seem to be three main pitfalls to avoid, three ways to fail to rescue. You could choose a wrong plan, an inadequate plan, or no plan at all. Say you’re cooking and you inadvertently set a grease pan on fire. Throwing gasoline on the fire would be a completely wrong plan. Trying to blow the fire out would be inadequate. And ignoring it—“Fire? What fire?”—would be no plan at all.
  • All policies court failure—our war in Iraq, for instance, or the effort to stimulate our struggling economy. But when you refuse to even acknowledge that things aren’t going as expected, failure can become a humanitarian disaster. The sooner you’re able to see clearly that your best hopes and intentions have gone awry, the better. You have more room to pivot and adjust. You have more of a chance to rescue.
  • But recognizing that your expectations are proving wrong—accepting that you need a new plan—is commonly the hardest thing to do. We have this problem called confidence. To take a risk, you must have confidence in yourself
  • Yet you cannot blind yourself to failure, either. Indeed, you must prepare for it. For, strangely enough, only then is success possible.
  • So you will take risks, and you will have failures. But it’s what happens afterward that is defining. A failure often does not have to be a failure at all. However, you have to be ready for it—will you admit when things go wrong? Will you take steps to set them right?—because the difference between triumph and defeat, you’ll find, isn’t about willingness to take risks. It’s about mastery of rescue.
Javier E

After Surgery in Germany, I Wanted Vicodin, Not Herbal Tea - The New York Times - 0 views

  • I took two ibuprofens that first day. In hindsight, I didn’t need them, but I felt like I should take something. What I really needed was patience pills, and a few distractions
  • Come to think of it, I bring a lot of medicine with me from the United States, all over the counter, all intended to take away discomfort. The German doctors were telling me that being uncomfortable is O.K.
  • It reminded me of the poster in my doctor’s waiting room, the one informing us that herbal tea is the first remedy to try when we have a cold. The first remedy I try is the decongestants I bring with me from the United States. I can’t find those in Germany, nor can I find the children’s cough medicine that makes my child drowsy. I also import that.
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  • “I do have another question,” I said. “Stool softeners — certainly, you prescribe those? That’s pretty standard with anesthesia throughout the modern world, I believe.”
  • “You won’t need those,” he answered in his calm voice. “Your body will function just fine. Just give it a day or two. Drink a cup of coffee, slowly
  • “Pain is a part of life. We cannot eliminate it nor do we want to. The pain will guide you. You will know when to rest more; you will know when you are healing.
  • If I give you Vicodin, you will no longer feel the pain, yes, but you will no longer know what your body is telling you. You might overexert yourself because you are no longer feeling the pain signals. All you need is rest.
  • And please be careful with ibuprofen. It’s not good for your kidneys. Only take it if you must. Your body will heal itself with rest.
  • I didn’t mention that I use ibuprofen like candy. Why else do they come in such jumbo sizes at American warehouse stores?
Ryan Beneck

Soft Touch: Squishy Robots Could Lead to Cheaper, Safer Medical Devices: Scientific Ame... - 0 views

  • Hard robots require a sophisticated feedback mechanism to help them determine how much force to apply during surgery so they do not damage our delicate tissues and organs. Soft robots could take advantage of their rubbery appendages to reduce the likelihood of surgical damage
  • Soft robots can be 3-D printed in a day or two from silicone and other materials that cost about $20.
grayton downing

Measuring Consciousness | The Scientist Magazine® - 0 views

  • General anesthesia has transformed surgery from a ghastly ordeal to a procedure in which the patient feels no pain.
  • “integrated-information theory,” which holds that consciousness relies on communication between different brain areas, and fades as that communication breaks down.
  • neural markers of consciousness—or more precisely, the loss of consciousness—a group led by Patrick Purdon
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  • The purpose of the surgery was to remove electrodes that had previously been implanted in the patients’ brains to monitor seizures. But before they were taken out, the electrodes enabled the researchers to study the activity of individual neurons in the cortex, in addition to large-scale brain activity from EEG recordings.
  • importance of communication between discrete groups of neurons, both within the cortex and across brain regions, is analogous to a band playing music, said George Mashour, a neuroscientist and anesthesiologist at the University of Michigan, Ann Arbor. “You need musical information to come together either in time or space to really make sense,”
  • “Consciousness and cognitive activity may be similar. If different areas of the brain aren’t in synch or if a critical area that normally integrates cognitive activity isn’t functioning, you could be rendered unconscious.”
  • , Purdon and colleagues were able to discern a more detailed neural signature of loss of unconsciousness, this time by using EEG alone. Monitoring brain activity in healthy patients for 2 hours as they underwent propofol-induced anesthesia, they observed that as responsiveness fades, high-frequency brain waves (12–35 hertz) rippling across the cortex and the thalamus were replaced by two different brain waves superimposed on top on one another: a low-frequency (<1 hertz) wave and an alpha frequency (8–12 hertz) wave. “These two waves pretty much come at loss of consciousness,”
  • “We’ve started to teach our anesthesiologists how to read this signature on the EEG”
  • Anesthesia is not the only state in which consciousness is lost, of course
  • o measure the gradual breakdown of connectivity between neural networks during natural REM sleep and anesthesia, as well as in brain-injured, unresponsive patients. Using an electromagnetic coil to activate neurons in a small patch of the human cortex, then recording EEG output to track the propagation of those signals to other neuronal groups, the researchers can measure the connectivity between collections of neurons in the cortex and other brain regions.
  • minimally conscious patients, the magnetically stimulated signals propagated fairly far and wide, occasionally reaching distant cortical areas, much like activations seen in locked-in but conscious patients. In patients in a persistent vegetative state, on the other hand, propagation was severely limited—a breakdown of connectivity similar to that observed in previous tests of anesthetized patients. What’s more, in three vegetative patients that later recovered consciousness, the test picked up signs of increased connectivity before clinical signs of improvement became evident.
  • “I think understanding consciousness itself is going to help us find successful [measurement] approaches that are universally applicable,” said Pearce.
qkirkpatrick

New test uses a single drop of blood to reveal entire history of viral infections | Sci... - 0 views

  • Researchers have developed a cheap and rapid test that reveals a person’s full history of viral infections from a single drop of blood.
  • The test allows doctors to read out a list of the viruses that have infected, or continue to infect, patients even when they have not caused any obvious symptoms. The technology means that GPs could screen patients for all of the viruses capable of infecting people
  • When a droplet of blood from a patient is mixed with the modified viruses, any antibodies they have latch on to human virus proteins they recognise as invaders. The scientists then pull out the antibodies and identify the human viruses from the protein fragments they have stuck to.
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  • In a demonstration of the technology, the team analysed blood from 569 people in the US, South Africa, Thailand and Peru. The test found that, on average, people had been infected with 10 species of viruses, though at least two people in the trial had histories of 84 infections from different kinds of viruses.
  • The test could bring about major benefits for organ transplant patients. One problem that can follow transplant surgery is the unexpected reawakening of viruses that have lurked inactive in the patient or donor for years. These viruses can return in force when the patient’s immune system is suppressed with drugs to prevent them rejecting the organ. Standard tests often fail to pick up latent viruses before surgery, but the VirScan procedure could reveal their presence and alert doctors and patients to the danger.
  •  
    How can new technology revolutionize medicine and curing people of diseases?
Javier E

Mannequins Give Shape to a Venezuelan Fantasy - NYTimes.com - 0 views

  • “I have lots of clients that come here and say, ‘I want to look like that mannequin,’ ” Ms. Molina said. “I tell them, ‘O.K., then get an operation.’ ”
  • Ms. Corro, the co-owner, explained the changes in the mannequins over just a few years: bigger breasts, bigger buttocks, svelte waists. Until recently, “the mannequins were natural, just like the women were natural,” she said. “The transformation has been both of the woman and of the mannequin.”
  • While Ms. Corro’s mannequins took a quantum leap in body shape several years ago, Ms. Mieles said that the busts and buttocks of her family’s mannequins had grown gradually to keep up with the trends in plastic surgery.
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  • “Beauty is perfection, to try to perfect yourself more and more every day,” Ms. Mieles said. “That’s how people see it here.” <img src="http://meter-svc.nytimes.com/meter.gif"/>
pier-paolo

Opinion | The Paradox of Disclosure - The New York Times - 0 views

  • A POPULAR remedy for a conflict of interest is disclosure — informing the buyer (or the patient, etc.) of the potential bias of the seller (or the doctor, etc.)
  • disclosure: It often has the opposite of its intended effect, not only increasing bias in advisers but also making advisees more likely to follow biased advice.
  • But my research has found that people are still more likely to follow this advice because the disclosure creates increased pressure to follow the adviser’s recommendation.
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  • For example, surgeons are more likely to recommend surgery than non-surgeons. Radiation-oncologists recommend radiation more than other physicians. This is known as specialty bias.
  • patients with localized prostate cancer (a condition that has multiple effective treatment options) who heard their surgeon disclose his or her specialty bias were nearly three times more likely to have surgery than those patients who did not hear their surgeon reveal such a bias.
  • To be sure, physicians who disclose a financial conflict of interest or a specialty bias do not necessarily give poor advice.
  • When bias is unavoidable, as with specialty bias, options such as patient educational materials could alert patients to this problem without hearing it directly from the physician. Another solution could be multidisciplinary treatment consultations, in which patients meet multiple specialists at the same time.
  • Consumers should be aware of their reactions to disclosure and take time out to reconsider their options and seek second opinions. And advisers and policy makers must understand the potential unintended consequences when using disclosure as a solution to manage bias.
Javier E

J.K. Rowling Writes about Her Reasons for Speaking out on Sex and Gender Issues - J.K. ... - 0 views

  • For people who don’t know: last December I tweeted my support for Maya Forstater, a tax specialist who’d lost her job for what were deemed ‘transphobic’ tweets. She took her case to an employment tribunal, asking the judge to rule on whether a philosophical belief that sex is determined by biology is protected in law. Judge Tayler ruled that it wasn’t.
  • All the time I’ve been researching and learning, accusations and threats from trans activists have been bubbling in my Twitter timeline. This was initially triggered by a ‘like’.
  • On one occasion, I absent-mindedly ‘liked’ instead of screenshotting. That single ‘like’ was deemed evidence of wrongthink, and a persistent low level of harassment began.
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  • Months later, I compounded my accidental ‘like’ crime by following Magdalen Berns on Twitter. Magdalen was an immensely brave young feminist and lesbian who was dying of an aggressive brain tumour
  • Magdalen was a great believer in the importance of biological sex, and didn’t believe lesbians should be called bigots for not dating trans women with penises, dots were joined in the heads of twitter trans activists, and the level of social media abuse increased.
  • ‘TERF’ is an acronym coined by trans activists, which stands for Trans-Exclusionary Radical Feminist. In practice, a huge and diverse cross-section of women are currently being called TERFs and the vast majority have never been radical feminists
  • why am I doing this? Why speak up? Why not quietly do my research and keep my head down?
  • I’ve got five reasons for being worried about the new trans activism, and deciding I need to speak up.
  • Firstly, I have a charitable trust that focuses on alleviating social deprivation in Scotland, with a particular emphasis on women and children. Among other things, my trust supports projects for female prisoners and for survivors of domestic and sexual abuse. I also fund medical research into MS, a disease that behaves very differently in men and women
  • I’ve wondered whether, if I’d been born 30 years later, I too might have tried to transition. The allure of escaping womanhood would have been huge.
  • The second reason is that I’m an ex-teacher and the founder of a children’s charity, which gives me an interest in both education and safeguarding
  • The third is that, as a much-banned author, I’m interested in freedom of speech and have publicly defended i
  • The fourth is where things start to get truly personal. I’m concerned about the huge explosion in young women wishing to transition and also about the increasing numbers who seem to be detransitioning (returning to their original sex), because they regret taking steps that have, in some cases, altered their bodies irrevocably, and taken away their fertility
  • ten years ago, the majority of people wanting to transition to the opposite sex were male. That ratio has now reversed. The UK has experienced a 4400% increase in girls being referred for transitioning treatment. Autistic girls are hugely overrepresented in their numbers.
  • American physician and researcher Lisa Littman set out to explore it. In an interview, she said: ‘Parents online were describing a very unusual pattern of transgender-identification where multiple friends and even entire friend groups became transgender-identified at the same time. I would have been remiss had I not considered social contagion and peer influences as potential factors.’
  • her career took a similar hit to that suffered by Maya Forstater. Lisa Littman had dared challenge one of the central tenets of trans activism, which is that a person’s gender identity is innate, like sexual orientation. Nobody, the activists insisted, could ever be persuaded into being trans.
  • The argument of many current trans activists is that if you don’t let a gender dysphoric teenager transition, they will kill themselves.
  • the new trans activism is having (or is likely to have, if all its demands are met) a significant impact on many of the causes I support, because it’s pushing to erode the legal definition of sex and replace it with gender.
  • As I didn’t have a realistic possibility of becoming a man back in the 1980s, it had to be books and music that got me through both my mental health issues and the sexualised scrutiny and judgement that sets so many girls to war against their bodies in their teens
  • I want to be very clear here: I know transition will be a solution for some gender dysphoric people, although I’m also aware through extensive research that studies have consistently shown that between 60-90% of gender dysphoric teens will grow out of their dysphoria
  • The current explosion of trans activism is urging a removal of almost all the robust systems through which candidates for sex reassignment were once required to pass. A man who intends to have no surgery and take no hormones may now secure himself a Gender Recognition Certificate and be a woman in the sight of the law.
  • We’re living through the most misogynistic period I’ve experienced. Back in the 80s, I imagined that my future daughters, should I have any, would have it far better than I ever did, but between the backlash against feminism and a porn-saturated online culture, I believe things have got significantly worse for girls.
  • From the leader of the free world’s long history of sexual assault accusations and his proud boast of ‘grabbing them by the pussy’, to the incel (‘involuntarily celibate’) movement that rages against women who won’t give them sex, to the trans activists who declare that TERFs need punching and re-educating, men across the political spectrum seem to agree: women are asking for trouble.
  • I’ve read all the arguments about femaleness not residing in the sexed body, and the assertions that biological women don’t have common experiences, and I find them, too, deeply misogynistic and regressive
  • It’s also clear that one of the objectives of denying the importance of sex is to erode what some seem to see as the cruelly segregationist idea of women having their own biological realities or – just as threatening – unifying realities that make them a cohesive political class.
  • It isn’t enough for women to be trans allies. Women must accept and admit that there is no material difference between trans women and themselves.
  • ‘woman’ is not a costume. ‘Woman’ is not an idea in a man’s head. ‘Woman’ is not a pink brain, a liking for Jimmy Choos or any of the other sexist ideas now somehow touted as progressive. Moreover, the ‘inclusive’ language that calls female people ‘menstruators’ and ‘people with vulvas’ strikes many women as dehumanising and demeaning.
  • I’ve been in the public eye now for over twenty years and have never talked publicly about being a domestic abuse and sexual assault survivor. This isn’t because I’m ashamed those things happened to me, but because they’re traumatic to revisit and remember.
  • the scars left by violence and sexual assault don’t disappear, no matter how loved you are, and no matter how much money you’ve made. My perennial jumpiness is a family joke – and even I know it’s funny – but I pray my daughters never have the same reasons I do for hating sudden loud noises, or finding people behind me when I haven’t heard them approaching.
  • I believe the majority of trans-identified people not only pose zero threat to others, but are vulnerable for all the reasons I’ve outlined. Trans people need and deserve protection
  • So I want trans women to be safe. At the same time, I do not want to make natal girls and women less safe. When you throw open the doors of bathrooms and changing rooms to any man who believes or feels he’s a woman – and, as I’ve said, gender confirmation certificates may now be granted without any need for surgery or hormones – then you open the door to any and all men who wish to come inside. That is the simple truth.
  • On Saturday morning, I read that the Scottish government is proceeding with its controversial gender recognition plans, which will in effect mean that all a man needs to ‘become a woman’ is to say he’s one. To use a very contemporary word, I was ‘triggered’
  • I forgot the first rule of Twitter – never, ever expect a nuanced conversation – and reacted to what I felt was degrading language about women. I spoke up about the importance of sex and have been paying the price ever since. I was transphobic, I was a cunt, a bitch, a TERF, I deserved cancelling, punching and death. You are Voldemort said one person, clearly feeling this was the only language I’d understand.
  • Huge numbers of women are justifiably terrified by the trans activists; I know this because so many have got in touch with me to tell their stories. They’re afraid of doxxing, of losing their jobs or their livelihoods, and of violence.
  • But endlessly unpleasant as its constant targeting of me has been, I refuse to bow down to a movement that I believe is doing demonstrable harm in seeking to erode ‘woman’ as a political and biological class and offering cover to predators like few before it
  • I stand alongside the brave women and men, gay, straight and trans, who’re standing up for freedom of speech and thought, and for the rights and safety of some of the most vulnerable in our society: young gay kids, fragile teenagers, and women who’re reliant on and wish to retain their single sex spaces
  • The supreme irony is that the attempt to silence women with the word ‘TERF’ may have pushed more young women towards radical feminism than the movement’s seen in decades.
  • All I’m asking – all I want – is for similar empathy, similar understanding, to be extended to the many millions of women whose sole crime is wanting their concerns to be heard without receiving threats and abuse.
Javier E

The Class Politics of Instagram Face - Tablet Magazine - 0 views

  • by approaching universality, Instagram Face actually secured its role as an instrument of class distinction—a mark of a certain kind of woman. The women who don’t mind looking like others, or the conspicuousness of the work they’ve had done
  • Instagram Face goes with implants, middle-aged dates and nails too long to pick up the check. Batting false eyelashes, there in the restaurant it orders for dinner all the food groups of nouveau riche Dubai: caviar, truffle, fillers, foie gras, Botox, bottle service, bodycon silhouettes. The look, in that restaurant and everywhere, has reached a definite status. It’s the girlfriend, not the wife.
  • Does cosmetic work have a particular class? It has a price tag, which can amount to the same thing, unless that price drops low enough.
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  • Before the introduction of Botox and hyaluronic acid dermal fillers in 2002 and 2003, respectively, aesthetic work was serious, expensive. Nose jobs and face lifts required general anesthesia, not insignificant recovery time, and cost thousands of dollars (in 2000, a facelift was $5,416 on average, and a rhinoplasty $4,109, around $9,400 and $7,000 adjusted).
  • In contrast, the average price of a syringe of hyaluronic acid filler today is $684, while treating, for example, the forehead and eyes with Botox will put you out anywhere from $300 to $600
  • We copied the beautiful and the rich, not in facsimile, but in homage.
  • In 2018, use of Botox and fillers was up 18% and 20% from five years prior. Philosophies of prejuvenation have made Botox use jump 22% among 22- to 37-year-olds in half a decade as well. By 2030, global noninvasive aesthetic treatments are predicted to triple.
  • The trouble is that a status symbol, without status, is common.
  • Beauty has always been exclusive. When someone strikes you as pretty, it means they are something that everyone else is not.
  • It’s a zero-sum game, as relative as our morals. Naturally, we hoard of beauty what we can. It’s why we call grooming tips “secrets.”
  • Largely the secrets started with the wealthy, who possess the requisite money and leisure to spare on their appearances
  • Botox and filler only accelerated a trend that began in the ’70s and ’80s and is just now reaching its saturation point.
  • we didn’t have the tools for anything more than emulation. Fake breasts and overdrawn lips only approximated real ones; a birthmark drawn with pencil would always be just that.
  • Instagram Face, on the other hand, distinguishes itself by its sheer reproducibility. Not only because of those new cosmetic technologies, which can truly reshape features, at reasonable cost and with little risk.
  • built in to the whole premise of reversible, low-stakes modification is an indefinite flux, and thus a lack of discretion.
  • Instagram Face has replicated outward, with trendsetters giving up competing with one another in favor of looking eerily alike. And obviously it has replicated down.
  • Eva looks like Eva. If she has procedures in common with Kim K, you couldn’t tell. “I look at my features and I think long and hard of how I can, without looking different and while keeping as natural as possible, make them look better and more proportional. I’m against everything that is too invasive. My problem with Instagram Face is that if you want to look like someone else, you should be in therapy.”
  • natural looks have always been, and still are, more valuable than artificial ones. Partly because of our urge to legitimize in any way we can the advantages we have over other people. Hotness is a class struggle.
  • As more and more women post videos of themselves eating, sleeping, dressing, dancing, and Only-Fanning online, in a logical bid for economic ascendance, the women who haven’t needed to do that gain a new status symbol.
  • Privacy. A life which is not a ticketed show. An intimacy that does not admit advertisers. A face that does not broadcast its insecurity, or the work undergone to correct it.
  • Upper class, private women get discrete work done. The differences aren’t in the procedures themselves—they’re the same—but in disposition
  • Eva, who lives between central London, Geneva, and the south of France, says: “I do stuff, but none of the stuff I do is at all in my head associated with Instagram Face. Essentially you do similar procedures, but the end goal is completely different. Because they are trying to get the result of looking like another human being, and I’m just beautifying myself.”
  • But the more rapidly it replicates, and the clearer our manuals for quick imitation become, the closer we get to singularity—that moment Kim Kardashian fears unlike any other: the moment when it becomes unclear whether we’re copying her, or whether she is copying us.
  • what he restores is complicated and yet not complicated at all. It’s herself, the fingerprint of her features. Her aura, her presence and genealogy, her authenticity in space and time.
  • Dr. Taktouk’s approach is “not so formulaic.” He aims to give his patients the “better versions of themselves.” “It’s not about trying to be anyone else,” he says, “or creating a conveyor belt of patients. It’s about working with your best features, enhancing them, but still looking like you.”
  • “Vulgar” says that in pursuing indistinguishability, women have been duped into another punishing divide. “Vulgar” says that the subtlety of his work is what signals its special class—and that the women who’ve obtained Instagram Face for mobility’s sake have unwittingly shut themselves out of it.
  • While younger women are dissolving their gratuitous work, the 64-year-old Madonna appeared at the Grammy Awards in early February, looking so tragically unlike herself that the internet launched an immediate postmortem.
  • The folly of Instagram Face is that in pursuing a bionic ideal, it turns cosmetic technology away from not just the reality of class and power, but also the great, poignant, painful human project of trying to reverse time. It misses the point of what we find beautiful: that which is ephemeral, and can’t be reproduced
  • Age is just one of the hierarchies Instagram Face can’t topple, in the history of women striving versus the women already arrived. What exactly have they arrived at?
  • Youth, temporarily. Wealth. Emotional security. Privacy. Personal choices, like cosmetic decisions, which are not so public, and do not have to be defended as empowered, in the defeatist humiliation of our times
  • Maybe they’ve arrived at love, which for women has never been separate from the things I’ve already mentioned.
  • I can’t help but recall the time I was chatting with a plastic surgeon. I began to point to my features, my flaws. I asked her, “What would you do to me, if I were your patient?” I had many ideas. She gazed at me, and then noticed my ring. “Nothing,” she said. “You’re already married.”
Javier E

The Atheist's Belief In Medicine « The Dish - 1 views

  • Hitchens’s beliefs about his advanced cancer and its treatment were, for a man whose fame rested on his scepticism, uncharacteristically optimistic. I hesitate to use the word delusional, as he admitted that he would be very lucky to survive, but he clearly steadfastly hoped, right to the end, that his particular case of advanced cancer might lie on the sparsely populated right side of the bell-shaped curve of outcome statistics.
  • I wonder if all that medicine – which was, in fact, a form of poison – was worth it. David got ten more years, and two young children. But he also endured a disfiguring, disabling, brutal physical battering from the surgeries and chemo-sessions that tackling a tough brain tumor allow for. I say “allow for” because “required” is not the right word. What the chemo did to Christopher was beyond description – and what’s left of your body, even if the chemo works, can be extremely vulnerable to infections and diseases that can be worse than the cancer.
  • It seems odder to me for Christians to be as exercized by life-extension as the atheist. Put that down to the strange extremism of Ratzinger’s innovations on the question of “life”.
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  • our culture’s gradual alienation from the fact of our deaths – our distancing ourselves even from the old and infirm in ways previous cultures didn’t and couldn’t – is not, in my view a healthy thing.
  • No one should seek to die or give in to a disease they can legitimately fight. God knows how many pills I take a day to keep the virus – and all its and their side-effects at bay. But I get to live healthily and meaningfully. The way some elaborate and cutting edge treatments all but kill the patient in order to save her troubles me. It’s a loss of perspective as well as immensely expensive for the entire system.
  • these sophisticated treatments are taking healthcare money away from the young, taking up more and more of our collective healthcare resources, and extending lives only be perpetuating continuous agony and nausea and pain for the patient and devastating consequences for families and friends.
  • We will all die. We should not seek it. But we should not flee from it for ever.
  • at some point what seems to me to matter more is not the length of our lives but the content of them and the manner of our deaths.
  • At some point, medicine is a function of a social disease of modernity: the flight from our own mortality. But fleeing it does not defuse it. Only facing it does.
maxwellokolo

A Traumatized Brain That Helped Heal a Broken Heart - 0 views

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    After that second brain surgery, his neurosurgeon, Dr. Lauren Schwartz, returned to tell me she had to remove significant chunks of Steve's frontal lobe and temporal lobe - and that he might not be able to speak or function normally ever again.
oliviaodon

How language transformed humanity [video] | GrrlScientist | Global | The Guardian - 0 views

  • Language is very probably the one characteristic that separates us from the chimpanzees, our closest relatives. All other major differences between us likely stem from language.
  • [Language] allows you to implant a thought from your mind directly into someone else's mind and they can attempt to do the same to you without either of you performing surgery
  • Humans use discrete pulses of sound -- their language -- to alter the internal settings inside someone else's brain to suit an individual's interests. Because language is not a solitary pursuit, language is a form of social learning.
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  • Language evolved to solve the crisis of visual theft and to exploit cooperation and exchange
  • language is a "social technology" that allows for cooperation between unrelated individuals and groups. According to the archaeological record, it was this cooperation and sharing of ideas that preceded human migration around the planet and the ensuing human population explosion.
  • thousands of languages evolved
  • Can humans afford to have all these different languages, asks Professor Pagel. In a world where we want to promote cooperation, in a world that is more dependent than ever on cooperation to maintain and enhance humanity's levels of prosperity, multiple languages may not be practical.
  • languages reflect the myriad ways that the human mind perceives and responds to the world, and to lose any of them is to (slightly) diminish and limit the variety and expressive depth of human intellectual, creative and experiential capacity.
Javier E

Social Media and the Devolution of Friendship: Full Essay (Pts I & II) » Cybo... - 1 views

  • social networking sites create pressure to put time and effort into tending weak ties, and how it can be impossible to keep up with them all. Personally, I also find it difficult to keep up with my strong ties. I’m a great “pick up where we left off” friend, as are most of the people closest to me (makes sense, right?). I’m decidedly sub-awesome, however, at being in constant contact with more than a few people at a time.
  • the devolution of friendship. As I explain over the course of this essay, I link the devolution of friendship to—but do not “blame” it on—the affordances of various social networking platforms, especially (but not exclusively) so-called “frictionless sharing” features.
  • I’m using the word here in the same way that people use it to talk about the devolution of health care. One example of devolution of health care is some outpatient surgeries: patients are allowed to go home after their operations, but they still require a good deal of post-operative care such as changing bandages, irrigating wounds, administering medications, etc. Whereas before these patients would stay in the hospital and nurses would perform the care-labor necessary for their recoveries, patients must now find their own caregivers (usually family members or friends; sometimes themselves) to perform free care-labor. In this context, devolution marks the shift of labor and responsibility away from the medical establishment and onto the patient; within the patient-medical establishment collaboration, the patient must now provide a greater portion of the necessary work. Similarly, in some ways, we now expect our friends to do a greater portion of the work of being friends with us.
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  • Through social media, “sharing with friends” is rationalized to the point of relentless efficiency. The current apex of such rationalization is frictionless sharing: we no longer need to perform the labor of telling our individual friends about what we read online, or of copy-pasting links and emailing them to “the list,” or of clicking a button for one-step posting of links on our Facebook walls. With frictionless sharing, all we have to do is look, or listen; what we’ve read or watched or listened to is then “shared” or “scrobbled” to our Facebook, Twitter, Tumblr, or whatever other online profiles. Whether we share content actively or passively, however, we feel as though we’ve done our half of the friendship-labor by ‘pushing’ the information to our walls, streams, and tumblelogs. It’s then up to our friends to perform their halves of the friendship-labor by ‘pulling’ the information we share from those platforms.
  • We’re busy people; we like the idea of making one announcement on Facebook and being done with it, rather than having to repeat the same story over and over again to different friends individually. We also like not always having to think about which friends might like which stories or songs; we like the idea of sharing with all of our friends at once, and then letting them sort out amongst themselves who is and isn’t interested. Though social media can create burdensome expectations to keep up with strong ties, weak ties, and everyone in between, social media platforms can also be very efficient. Using the same moment of friendship-labor to tend multiple friendships at once kills more birds with fewer stones.
  • sometimes we like the devolution of friendship. When we have to ‘pull’ friendship-content instead of receiving it in a ‘push’, we can pick and choose which content items to pull. We can ignore the baby pictures, or the pet pictures, or the sushi pictures—whatever it is our friends post that we only pretend to care about
  • I’ve been thinking since, however, on what it means to view our friends as “generalized others.” I may now feel like less of like “creepy stalker” when I click on a song in someone’s Spotify feed, but I don’t exactly feel ‘shared with’ either. Far as I know, I’ve never been SpotiVaguebooked (or SubSpotified?); I have no reason to think anyone is speaking to me personally as they listen to music, or as they choose not to disable scrobbling (if they make that choice consciously at all). I may have been granted the opportunity to view something, but it doesn’t follow that what I’m viewing has anything to do with me unless I choose to make it about me. Devolved friendship means it’s not up to us to interact with our friends personally; instead it’s now up to our friends to make our generalized broadcasts personal.
  • While I won’t go so far as to say they’re definitely ‘problems,’ there are two major things about devolved friendship that I think are worth noting. The first is the non-uniform rationalization of friendship-labor, and the second is the depersonalization of friendship-labor.
  • In short, “sharing” has become a lot easier and a lot more efficient, but “being shared with” has become much more time-consuming, demanding, and inefficient (especially if we don’t ignore most of our friends most of the time). Given this, expecting our friends to keep up with our social media content isn’t expecting them to meet us halfway; it’s asking them to take on the lion’s share of staying in touch with us. Our jobs (in this role) have gotten easier; our friends’ jobs have gotten harder.
  • The second thing worth noting is that devolved friendship is also depersonalized friendship.
  • Personal interaction doesn’t just happen on Spotify, and since I was hoping Spotify would be the New Porch, I initially found Spotify to be somewhat lonely-making. It’s the mutual awareness of presence that gives companionate silence its warmth, whether in person or across distance. The silence within Spotify’s many sounds, on the other hand, felt more like being on the outside looking in. This isn’t to say that Spotify can’t be social in a more personal way; once I started sending tracks to my friends, a few of them started sending tracks in return. But it took a lot more work to get to that point, which gets back to the devolution of friendship (as I explain below).
  • Within devolved friendship interactions, it takes less effort to be polite while secretly waiting for someone to please just stop talking.
  • When we consider the lopsided rationalization of ‘sharing’ and ‘shared with,’ as well as the depersonalization of frictionless sharing and generalized broadcasting, what becomes clear is this: the social media deck is stacked in such a way as to make being ‘a self’ easier and more rewarding than being ‘a friend.’
  • It’s easy to share, to broadcast, to put our selves and our tastes and our identity performances out into the world for others to consume; what feedback and friendship we get in return comes in response to comparatively little effort and investment from us. It takes a lot more work, however, to do the consumption, to sift through everything all (or even just some) of our friends produce, to do the work of connecting to our friends’ generalized broadcasts so that we can convert their depersonalized shares into meaningful friendship-labor.
  • We may be prosumers of social media, but the reward structures of social media sites encourage us to place greater emphasis on our roles as share-producers—even though many of us probably spend more time consuming shared content than producing it. There’s a reason for this, of course; the content we produce (for free) is what fuels every last ‘Web 2.0’ machine, and its attendant self-centered sociality is the linchpin of the peculiarly Silicon Valley concept of “Social” (something Nathan Jurgenson and I discuss together in greater detail here). It’s not super-rewarding to be one of ten people who “like” your friend’s shared link, but it can feel rewarding to get 10 “likes” on something you’ve shared—even if you have hundreds or thousands of ‘friends.’ Sharing is easy; dealing with all that shared content is hard.
  • t I wonder sometimes if the shifts in expectation that accompany devolved friendship don’t migrate across platforms and contexts in ways we don’t always see or acknowledge. Social media affects how we see the world—and how we feel about being seen in the world—even when we’re not engaged directly with social media websites. It’s not a stretch, then, to imagine that the affordances of social media platforms might also affect how we see friendship and our obligations as friends most generally.
sissij

The 'Goddess' Yi Wan Ka: Ivanka Trump Is a Hit in China - The New York Times - 1 views

  • But in China, Ms. Trump is widely adored. Her lavish lifestyle and business acumen resonate with many young professionals who are hungry for fame and fortune in a society that often equates material wealth with success.
  • “She’s very independent,” said Wang Jiabao, 28, a reality television producer in Beijing. “She represents what we’re looking for — to marry into a decent family, to look good, and to also have your own career.”
  • Chinese companies have also tried to profit from Ms. Trump’s popularity, filing hundreds of trademark applications using her name — Yi Wan Ka in Chinese — on products and services such as shoes, spa treatments, plastic surgery and pottery.
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  • “Underneath her image are very traditional values,” said Dai Linjia, a communications consultant. “Her family is almost like a dynasty.”
  • Many younger Chinese will be watching this week’s meeting between Mr. Trump and Mr. Xi for signs of Ms. Trump.
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    I found it very interesting that Chinese people tends to have a really good impression on Ivanka Trump. For many people, Ivanka even becomes the reason why they like Mr. Trump. I think the popularity of Ivanka is sort of related to the culture and value of Chinese people. Chinese are well known for that they value their children's education a lot. And Ivanka's story appeals to them as a successful model of raising a child. It reminds me of what we learned in TOK. People are eccentric. They like to take in what appeals to them what they are familiar with.Ivanka becomes a successful stereotype. --Sissi 4/6/2017)
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