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Hereditary cancers aren’t just a women’s problem. Jewish men need to take precautions too.
Bill Harris, a veteran Los Angeles photojournalist, didn’t think much of it when one morning in 2012 he woke up and found a tiny blood spot on the T-shirt he’d slept in. The next morning, he found blood in the same place on his chest — and went straight to his computer.
“Online, I could find only three things that would cause a man’s nipple to discharge blood: being an avid runner, which I wasn’t; having a subtropical fungus, which I didn’t; and breast cancer,” he said. “That was a pretty big shock.”
Harris, then just a few weeks shy of his 61st birthday, immediately called his doctor, who ordered a mammogram and ultrasound. They confirmed a cancerous growth in his right breast. Ten days later, a biopsy came back positive. The next month Harris got a right mastectomy, followed by the removal of his left breast half a year later.
“I walked into a woman’s imaging center and had to get into a pink paper robe,” he recalled. “All the women in the waiting room were staring at me.”
Like many other Ashkenazi men, Harris never had considered that he might have been born with a harmful mutation of the BRCA gene, which elevates the risk not only of breast cancer, but also of melanoma and prostate, ovarian and pancreatic cancer.
“Hundreds of other mutations in the BRCA gene are just as dangerous, but they’re not specific to Ashkenazim,” said Dr. Robert Sidlow, director of the Male BRCA Genetic Risk Program at New York’s Memorial Sloan Kettering Cancer Center. About 1 in 40 Ashkenazi Jews (those of Eastern European descent) carries the harmful mutation, compared to about 1 in 400 in the general population.
“The vast majority of patients I see are relatives of women who have breast or ovarian cancer and then get tested,” he said. Of BRCA mutation carriers, Sidlow added, “Most men are pretty happy to enroll in some kind of surveillance program once they get over the initial shock.”
Sidlow is on the Men’s Leadership Council at Sharsheret, the national Jewish nonprofit organization that educates the community about cancer risks and supports those with breast cancer and ovarian cancer.
Elana Silber, CEO of Sharsheret (Hebrew for “chain”), says it’s crucial that men with a family history of cancer undergo genetic counseling screening for BRCA and other hereditary cancer mutations.
Genetic testing is possible via a standard blood or saliva sample.
While Sharsheret is primarily considered a women’s organization, it has been using November — nicknamed Movember for its focus on men’s health — for an awareness campaign focused on Jewish men’s cancer risks.
“This is not only a women’s issue,” Silber said. “Family history is so important. When a man shares his family history with his doctor, he may not realize that he should mention that his mother had breast cancer or that his sister had ovarian cancer, as these are not generally ‘men’s diseases.’ They are not aware that these cancers could mean that they themselves are at increased risk for cancer and that they can pass on these mutations to the next generation – their daughters and their sons.”
If someone discovers he (or she) is a carrier of one of the genetic mutations with elevated cancer risks — not just BRCA but also such mutations as ATM, TP53, CHEK2, and PALB2 — there are various precautions they can take for themselves and their children. They can monitor their own health more closely, they can get encourage their children to test to see if they are carriers and, for any future children, take steps to prevent the mutated genes from being passed down.
For example, couples can conceive via in vitro fertilization, or IVF, and then test the embryos before implantation to ensure that only those unaffected by the genetic mutation are implanted.
While most women are aware of the risks of breast cancer, men generally are not — even though the disease strikes 2,500 men in the U.S. every year and kills about 500 of them, according to Sidlow. About 1-2% of men with the BRCA1 mutation and 6-7% of men with the BRCA2 mutation will develop cancer by age 80.
“This is why we recommend periodic mammograms starting at about age 50 for men who carry a BRCA2 mutation,” Sidlow said. “We like to educate these men on how to check their chests once a month and have a clinician do a breast checkup on them once a year.”
Since the BRCA1 and BRCA2 mutations also make prostate cancer more likely, men with either mutation should get PSA (prostate-specific antigen) levels in their blood tested annually beginning at age 40, rather than 50, the age at which screening generally begins, Sidlow said.
Sharsheret has been promoting the importance of learning one’s family history, genetic counseling and screening among both men and women. The 20-year-old organization also runs various peer support networks, offers financial assistance to cancer patients, provides mental health counseling and guidance to patients, caregivers, and their friends, and seeks to educate the broader Jewish community about cancer risks and support.
Peggy Cottrell, a certified genetic counselor at Sharsheret, said men in general are more reluctant to get regular checkups than women.
Ashkenazi Jewish men are at elevated risk not just of breast and prostate cancer but also of pancreatic cancer. Pancreatic cancer is particularly difficult because it’s tough to detect early enough and hard to treat. The five-year survival rate is only 11%. About 2% of BRCA1 carriers and 4% of BRCA2 carriers will develop pancreatic cancer, Sidlow estimated.
“Usually by the time pancreas cancer is clinically detected it has already spread microscopically to the liver,” Sidlow said. “But pancreas cancer is potentially curable if caught when the tumor is extremely small.”
Even among those with elevated risks, certain behaviors can improve one’s odds, such as avoiding obesity, smoking and excessive alcohol consumption.
Harris, the California photojournalist, is still fighting at age 71. While he overcame breast cancer 10 years ago, last year he was diagnosed with ampullary cancer, a rare disease related to his BRCA2 status that was discovered thanks to his participation in a UCLA study. Surgeons have removed his gall bladder, half his pancreas and part of his small intestine, and he has had to endure eight rounds of chemotherapy.
“I’m still working through the aftereffects of the chemo. I have to eat smaller quantities than before and take enzymes to supplement my digestive processes,” Harris said.
Meanwhile, his 37-year-old son discovered that he, too, carries the BRCA2 mutation, and he had a double prophylactic mastectomy and reconstruction at age 30 — just to be on the safe side.
“If there’s any history of breast, ovarian or prostate cancer in your family, get tested genetically so that you’re informed,” Harris advised. “Diagnoses happen way too late for men, and the danger is too big.”
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After 9/11, Jewish volunteers kept watch over the dead. 25 years later, the grief remains.
In the aftermath of 9/11, New Yorkers found countless ways to help. They lined up in record numbers to donate blood, delivered meals and medical supplies to first responders, and opened their homes to strangers with nowhere else to go.
And then there were the people who sat with the dead.
Starting on Sept. 20, 2001, Jewish volunteers took four-hour shifts at the city medical examiner’s temporary morgue in lower Manhattan, reciting psalms and keeping watch over the remains.
Without fail, a member of the Jewish community was there — 24/7, for more than seven months.
They were sitting shmira, fulfilling the Jewish tradition of staying with the dead from the moment of passing until burial. The volunteers — some of them college students — sat with and prayed for each of the victims, whether or not they were Jewish.
“Right after 9/11, all the way down till the next May, it was never a missed moment,” Rabbi Allen Schwartz of Congregation Ohab Zedek, which organized the shmira, told the Forward. “We never had a problem filling a spot.”
A congregation responds
Like many houses of worship, Congregation Ohab Zedek, an Orthodox synagogue on the Upper West Side, mobilized after 9/11. Congregants collected masks, filled boxes with clothing, and set up an assembly line to make sandwiches for those in need.
Schwartz also recognized the importance of shmira — determined that the horror of 9/11 would not interrupt the tradition that brings dignity to the dead. He asked a congregant, recently retired shoe salesman Armin Osgood, to coordinate.
“When Rabbi Schwartz asked you to do something, you did it,” Osgood, now 91, told the Forward. “There was not a question at that point.”
Osgood sketched out a schedule on a big yellow legal pad and began filling it in with names. Many Ohab Zedek congregants signed up. Others heard about the effort through word of mouth, sometimes from friends of friends. Some traveled from out of state.
The group included people with different levels of religious observance. All that mattered to Osgood was that they were willing to help.
“People called, and they said, ‘I don’t speak Hebrew. I can’t read Hebrew.’ I said, ‘So read the Psalms in English.’ ‘Well, I’m in a congregation where women wear pants.’ I said, ‘So wear pants,’” Osgood said. “Nobody gets excluded. If they want to do it, I’ll find a way.”
Ely Razin, 35 at the time, was among the Ohab Zedek congregants who volunteered. He took a shmira night shift, reciting tehillim next to the remains and trying to concentrate on the meaning of the ancient words.
“It helped me feel like I was doing something,” Razin told the Forward. “The act of shmira, in and of itself, somewhat gives you a sense of personal peace.”
Rabbi Schwartz took a weekly Friday morning shift, where he found himself providing spiritual comfort to people of all faiths. He befriended a Protestant minister who was often there to pray with bereaved families. Once, a Catholic family, unable to find a priest, asked Schwartz to say the last rites.
Unfamiliar with the Catholic tradition, Schwartz recited the Jewish memorial prayer kel maleh rachamim in English.
“I don’t know what their last rites look like, but I said the [Jewish] prayer we say at the funeral,” Schwartz said. “So it was a kiddush Hashem. That was a very meaningful moment.”
Keeping the chain
Keeping the morgue staffed 24/7 was no easy task. It was even more difficult on Shabbat — partly because Ohab Zedek, on the Upper West Side, was too far from the morgue in lower Manhattan to walk.
An Ohab Zedek congregant reached out to Jessica Russak-Hoffman, then a senior studying English at Stern College, Yeshiva University’s women’s college. Its dormitories were within a few blocks of the morgue.
“My dad always said, ‘If a mitzvah lands on your lap, you’ve got to pick it up,’” Russak-Hoffman said. “So I grabbed a clipboard, and I went outside and started recruiting.”
She ended up enlisting more than a dozen women. One was Judith Kaplan, then a junior at Stern, who often took the midnight-to-4 a.m. shift — spending many Friday nights as a college student at the morgue.
Kaplan’s nearby apartment became a home base for the volunteers. She cooked lunch and dinner for those sitting shmira, many of whom were missing communal Shabbat meals to take their shifts.
“It’s not everybody’s cup of tea to do this kind of thing, so you have to find someone who has the stomach for it, and the emotional capacity for it,” Kaplan said. “This is not an easy mitzvah.”
As the months went on, the group had fewer volunteers. Kaplan began taking eight-hour shifts, sometimes in the dead of winter and in the middle of the night. Stern College security guards accompanied her on the walk to the morgue.
“I felt a very big responsibility,” Kaplan said. “I felt very strongly that if we can’t find someone to sit, then I have to do it. I didn’t want to break the chain.”
Russak-Hoffman also took night shifts. She recalled how, whenever a first responder’s remains were identified, everyone would pause, stand and pay their respects.
For Kaplan, those moments underscored how the Jewish volunteers had become part of the broader recovery effort. Shmira, she emphasized, was never about distinguishing Jewish victims from others.
“They could have told me that every single Jewish body was identified, and I still would have sat there,” Kaplan said. “It did not matter what your faith was or what your culture was — we were all there for the same reason.”
Looking back
There would never be a moment when all the victims’ remains were identified. But at some point, identifications slowed. Schwartz decided to end the shmira on Lag B’Omer — a Jewish holiday that marks the end of a mourning period.
But for so many of the volunteers, the shmira’s conclusion was not the end of mourning.
“I definitely spent the next 20 years looking at open sky and expecting planes to go by and hit things,” said Russak-Hoffman, who now lives in Seattle. “Every time a proper commercial plane went by without context, it flashed me back.”
Razin, who now lives in Israel, said similar emotions resurfaced for him after the Oct. 7 attacks. Sitting shmira is considered chesed shel emet, the highest level of mitzvah because it is truly selfless, as the dead cannot repay the act. But Razin came to understand that the ritual also serves the living.
“They’re there to help not only the person who’s departed, but the people who are left behind,” Razin said. “It put a frame around something that otherwise was incomprehensible and monstrous.”
For Kaplan, who now lives in Jerusalem, the experience was formative. The tehillim — its pages now held together with a hairband — became a keepsake of that time. She has since brought the prayer book to her wedding and to the birth of her child.
“That’s how meaningful the experience was for me,” she said.
Schwartz plans to reflect on 9/11 and its aftermath in his Rosh Hashanah sermon this year, which falls on Sept. 11. Twenty-five years later, he said, the volunteers’ mitzvot offer a reason for hope.
“This was barbaric evil on the part of some people, but it really brought out the most incredible goodness in many more people,” Schwartz said. “We shouldn’t give up hope in mankind.”
The post After 9/11, Jewish volunteers kept watch over the dead. 25 years later, the grief remains. appeared first on The Forward.
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The Disappearance of the “Reel”: Why Online Slots No Longer Look Like Slot Machines
For more than a century, a slot machine was easy to recognize. Three reels. A lever. A row of fruit, bells or lucky sevens. Pull, spin, stop. Even someone who had never played one knew exactly what the machine was supposed to do.
Open a modern online slot today and things can look rather different. Symbols fall from the sky. Winning icons explode. Grids change size. Multipliers appear from nowhere. Sometimes there is barely anything that looks like a reel at all.
So, when exactly did slots stop behaving like slot machines?
The reel survived its own disappearance
The change did not happen overnight. Mechanical reels began losing their practical importance decades ago.
In 1976, Fortune Coin Company developed an early video slot using a modified 19-inch Sony television. Instead of watching actual wheels rotate behind glass, players watched electronic representations of reels. The physical reel was gone, but designers kept its visual language. It made sense. Players already understood it.
Digital technology eventually made that imitation unnecessary. A screen does not have to obey the laws of a spinning cylinder. Once developers embraced that fairly obvious fact, slot design became much stranger — and more creative.
A good milestone is NetEnt’s **Gonzo’s Quest**, released in 2010. Its Avalanche mechanic made winning symbols disappear before new ones dropped into their places. One wager could therefore produce a sequence of cascading results rather than the familiar spin-stop-spin rhythm. The game still had a 5×3 layout, but the screen was beginning to behave more like a dynamic puzzle board.
Then the grid started fighting back
The next step was to make the reels themselves unstable. Big Time Gaming’s Megaways feature was a big sample. The launch of Bonanza in 2016 helped to build a system with the number of symbols on the reels being variable, creating up to 117,649 winning combinations. It was then licensed to many other developers, and Megaways was the result.
It’s a significant design change. With the old machines, players would need to watch the set paylines. Current games can have them grasp clusters, varying reel heights, tumbling sequences or symbols wherever on a grid. The similarity, but the old machine is a distant cousin.
One such sweet bonanza is Sweet Bonanza 1000. In Pragmatic Play’s 2024 title, players earn prizes for getting 8 or more matching fruit or candy symbols with a 6×5 grid. Symbols are removed and other symbols drop and when you get a multiplier in the bonus round they can be worth 1000x. It remains a slot game, but in terms of graphics, it has much more in common with a cascading mobile puzzle game than a traditional three-reel game. The reel has not exactly died. It has been chopped up, covered in candy and taught new tricks.
Why designers abandoned the old machine
There is a simple reason: screens offer freedom.
A mechanical reel has physical limits. A digital grid does not. Developers can make symbols disappear, expand, split or trigger another sequence without asking players to press spin again. Themes can also become part of the mechanics rather than decoration pasted around three rotating wheels.
Recent releases show how normal this language has become. Pragmatic Play now openly describes games using terms such as “cluster-pays,” “tumbling reels” and “multiplier spots.” Big Time Gaming continues producing Megaways titles built around changing symbol configurations and cascades.
And perhaps that answers the original question. A slot stops *looking* like a traditional slot when the reel is no longer the main visual event.
But it does not necessarily stop being one.
The reel has become less a piece of machinery than a design ancestor. You can still see its DNA in columns, symbols and randomized outcomes. What changed is the canvas around it.
The funny part is that the slot machine escaped its physical cabinet only to discover it never really needed the reel in the first place.
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With Jewish New Yorkers on edge, Julie Menin says new protections will help keep them safe over High Holidays
As Jewish New Yorkers prepare for the High Holidays amid continued worries about rising antisemitism, City Council Speaker Julie Menin says her historic role as the chamber’s first Jewish leader has become even more important than she expected when elected in January.
In an exclusive interview with the Forward earlier this week, Menin pointed to her synagogue-protection law and successful fight against the Met’s John Galliano exhibition as proof that having a Jewish leader with a powerful bully pulpit matters.
“It’s incredibly important at this pivotal time,” Menin said. “We need to be standing up loudly, clearly, unequivocally in the fight against antisemitism.”
Many Jewish leaders see Menin, 58, as a check on Mayor Zohran Mamdani, whose rhetoric on Israel and handling of antisemitism have strained relations with parts of the Jewish community.
Mamdani has met in recent weeks with Jewish leaders and visited the Orthodox-populated neighborhood of Borough Park. The administration was expected to release a comprehensive citywide strategy to combat antisemitism before the High Holidays. Mamdani’s spokesperson did not respond to an inquiry about the rollout timetable. Menin said that City Hall has not briefed her on its plan.
Services at synagogues across the city this year come against a backdrop of rising antisemitism. Synagogues already spend millions of dollars a year on security, a reality her children have noticed, Menin said. Recent NYPD statistics showed that in the first seven months of 2026, anti-Jewish incidents rose 8.5%, and 57% of the reported hate crimes in the city involved Jewish victims. “This has now become the new normal,” she said. “It’s terrible. It is just shameful that we have entered this new era.”
Menin is scheduled to speak at Central Synagogue, the site of an antisemitic attack last month, at its evening services before heading to a friend’s home, where she and her eight-year-old daughter will bring an apple pie they bake together as an annual tradition.
A High Holidays test
Menin said she hopes the Council’s recent efforts to combat antisemitism will help Jewish New Yorkers feel safer and more protected as they head to synagogues for the High Holidays.
One of Menin’s first legislative priorities after taking over the Council was a package of bills that included protest protections for houses of worship, a hate-crime reporting hotline, Holocaust education initiatives and additional security assistance. “I do see that we have made some real progress,” Menin said.
The most controversial part of Menin’s agenda focused on limiting protests outside synagogues. The Council ultimately passed legislation requiring the NYPD to develop a plan for establishing a buffer zone when demonstrations involve harassment, intimidation or physical threats. Mamdani, who had raised concerns about restricting protests, allowed the synagogue measure to become law without his signature.
The law now faces its first big test. The High Holidays coincide with the annual United Nations General Assembly, which is expected to draw protests against Israeli Prime Minister Benjamin Netanyahu, encouraged by Mamdani.
Menin said the new law should help protect people entering and leaving synagogues if tensions rise around Netanyahu’s visit, and demonstrations cross the line into intimidation. “I think that bill is really important in terms of making a difference to assure congregants of their safety and security as they enter and leave,” she said.
Asked directly what she would say to Jewish New Yorkers who remain worried about Mamdani, Menin avoided criticizing the mayor by name. But she also offered a pointed message about the political climate. “It is incumbent to ensure that the rhetoric is turned down,” Menin said, because there remains a “heightened sense of fear within the Jewish community.”
On Wednesday, Mamdani and Police Commissioner Jessica Tisch, a lifelong member of Central Synagogue who spoke at services after the attack, announced increased NYPD security outside synagogues and other Jewish institutions for the High Holidays. Mamdani acknowledged that some Jews are “understandably afraid to come together and celebrate openly,” and said their safety “during these sacred days is of the utmost importance to our administration.”
The power to speak out
Menin has also used her position to speak out beyond the Council chamber, pointing to her recent fight over a Metropolitan Museum of Art planned exhibition as an example of the power of her bully pulpit.
Menin scored a significant victory as fashion designer John Galliano — who has a history of antisemitic remarks — bowed out following mounting criticism. Menin said she privately warned museum officials before the exhibition was announced that she would oppose it. She later went public after realizing that others who objected were reluctant to speak out.
“They might have been upset by the decision, but they weren’t comfortable speaking out,” Menin said. “We can’t shy away from speaking out. We have to be loud.” Menin called the development “a huge victory in the fight against antisemitism.”
A wish for unity
When Menin became speaker in January, she told the Forward that she hoped to use the position to help bridge some of the deep divisions in the city. Nearly a year later, she said that mission has only become more urgent.
Menin traced her own path into public service to the aftermath of the Sept. 11 attacks, when her Lower Manhattan business was devastated. She later chaired Community Board 1 and became involved in efforts to rebuild the neighborhood. What she remembers most from that period, she said, was a sense of unity that she believes New York has lost.
“Right now, it just feels very divided and very divisive,” Menin said.
As she approaches her first Rosh Hashanah as speaker, her wish for the new year is for some of those divisions to ease.
“As we really focus on the issue of atonement, we need to figure out how we can ensure the safety and security of the Jewish community at this very, very difficult time,” Menin said. “It’s my fervent hope and wish that we can try to galvanize the community together, and that we can bring along many of our allies who are not Jewish as well.”
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