Connect with us

Uncategorized

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.”

—
The post Hereditary cancers aren’t just a women’s problem. Jewish men need to take precautions too. appeared first on Jewish Telegraphic Agency.

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Uncategorized

What pledges Eisenkot and Netanayhu need to break to become PM

(JTA) —

Prime Minister Benjamin Netanyahu and his opponent Gadi Eisenkot will have to break their promises to their constituents if they want to form and lead Israel’s next government.

Their potential political allies will have to do the same.

Netanyahu’s Likud and Eisenkot’s Yashar party both garnered more votes than any of the other nine parties that met the threshold to join the next parliament.

Netanyahu and the bloc of parties that ideologically align with him, however, secured only 53 of the 61 seats needed for a governing majority in the 120-seat Knesset. The Eisenkot bloc won 48.

For Eisenkot, three divisive issues are likely to dominate the debate and force some politicians to renege on campaign pledges: aligning with Arab parties, mandatory military service for Haredi men and a unity government with Netanyahu.

Support from the Arab parties

Eisenkot’s bloc includes four Jewish Israeli parties, referred to as Zionist parties: his own party Yashar, B’Yachad led by former prime ministers Naftali Bennett and Yair Lapid, Israel Beytenu led by Avigdor Liberman, and the Democrats led by Yair Golan.

Eisenkot could easily become prime minister with a 67-seat coalition if he added the Arab parties, Ra’am with 8 seats and the Joint List with 11. But that is far from straightforward. Three of the bloc’s four parties — Yashar, B’Yachad and Israel Beytenu — explicitly pledged not to form a government with the Arab parties. And relying on their support would face an additional legitimacy hurdle given Netanyahu’s advantage among Jewish voters.

Eisenkot himself has repeatedly and unequivocally said he does not intend to form a government with the Arab parties. During the campaign, he set four conditions for joining his government, including a commitment to Israel as a Jewish and democratic state and to the values of the Declaration of Independence, mandatory military or national service, and recognition of Hamas as a terrorist organization.

In an interview with Channel 12 News in late September, Eisenkot, a former IDF chief of staff, said the Arab parties did not meet his conditions and therefore would not be part of the government.

On election night and since then, he has continued to speak of a coalition with Jewish Zionist parties.

Naftali Bennett, the former prime minister who relied on the support of the Ra’am party in 2021, when he and Lapid formed their coalition, also ruled out sitting in a government with the Arab parties. Liberman, whose party won seven seats, said he would form a coalition made up of “Zionist parties only.” Only Golan spoke prior to the election of sitting with Arab parties and has since the election called on the other three parties in his bloc to do so.

One attempt to circumvent the issue would be for Eisenkot to form a minority government that would depend on votes from Ra’am and the Joint List from outside the coalition. A more solid version of that game plan would be a coalition that included Ra’am but relied on the Joint List from outside the government. However, this option is also likely to face significant political and public opposition.

The Joint List stated in an official declaration following the election that it was willing to engage in “political cooperation to bring down Netanyahu’s government,” but it did not publicly clarify whether, and under what conditions, it would support a government led by Gadi Eisenkot. Ra’am leader Mansour Abbas said in an interview with Channel 12 News on the eve of the election: “I will know how to bring a government to the Knesset.”

The draft issue

Without the Arab parties’ support, the change bloc could theoretically turn to the 13 seats held by the ultra-Orthodox parties, Shas and United Torah Judaism, to form a government.

All four parties in the bloc made ending the ultra-Orthodox exemption from military service a central campaign issue. Cooperation with those parties would amount to breaking an explicit campaign promise.

Shas and UTJ have similarly promised their Haredi constituents that they would not allow for forced conscription.

A unity government with Netanyahu 

With the path to a government that excludes Netanyahu looking tenuous at best, the change bloc’s alternative would be to join Netanyahu in a national unity government.

But that, too, would represent a flagrant breach of its campaign pledges. The one clear binding principle of these four parties is their goal of unseating Netanyahu, Israel’s longest serving prime minister, whom they have said poses an existential threat to the country.

In a late-October radio interview, Eisenkot said, “I unequivocally commit that I will not sit under Netanyahu, not even in a rotation,” in which he and Netanyahu would share the prime ministership. Bennett said in a radio interview, “I am not going to sit under him because he is the person destroying the State of Israel.” Liberman wrote on X two weeks ago, “With Netanyahu — even if the world turns upside down, we will not sit with him under any circumstances.” Yair Golan, leader of the Democrats party, said, “We will not sit with Netanyahu and his partners. Period.”

The challenge for Netanyahu

On the other side, Netanyahu also has no clear path to forming a government. The parties in his coalition defied expectations by winning 53 seats, but securing the eight additional seats needed for a majority appears out of reach. Netanyahu deployed the prospect of the Arab parties in the coalition as a cudgel to bash the opposition during the campaign. In a speech on the eve of the election, Netanyahu called cooperation with those parties “a disgrace.”

That may not stop him from trying to form a government with one of the Arab parties, particularly Ra’am, whose leader Mansour Abbas told Channel 12 on election night that he was speaking with politicians from both blocs.

Netanyahu during the 2022 election held talks with Abbas about forming a government.

Even if Netanyahu were to do the unthinkable and cooperate with the Arab parties, however, he would be unlikely to secure a majority. His ultra-nationalist partners, Itamar Ben-Gvir and Bezalel Smotrich, made clear during the campaign that such cooperation was out of the question for them.

With all apparent paths to a government blocked, forming a coalition in Israel may require a fundamental breach of campaign promises that would shake up the entire political system. The alternative is another election, which would be held if no side succeeds in forming a government.

The post What pledges Eisenkot and Netanayhu need to break to become PM appeared first on The Forward.

Continue Reading

Uncategorized

The Ethan Klein YouTube cheating scandal is reigniting a debate about IDF service 

The chronically online are still reeling from — and reveling in — the cheating scandal surrounding Jewish YouTubers Ethan and Hila Klein. And, after Hila’s estranged brother spoke out for the first time this week, commenters have revived a debate over the siblings’ service in the Israel Defense Forces, reflecting the ways in which shifting political trends online can impact even seemingly-unrelated stories.

Hila, an Israeli who met Ethan during his Birthright trip to Israel in 2007, posted a statement accusing Ethan of the affair on Oct. 22. The two had built a joint YouTube career in America garnering millions of subscribers to their show, the H3 Podcast. They married, had three children together and employed around a dozen people on their production crew — one of whom is alleged online to be Klein’s affair partner.

Because of the show’s Israeli connections, the Kleins’ Birthright meet-cute, and the show’s myriad other Jewish connections — the podcast employee allegedly having the affair with Ethan is also Jewish — discussions of Israeli politics have long swirled around the show. Ethan feuded with numerous other YouTubers and internet figures, including Hasan Piker, with whom he used to cohost a podcast, over the Oct. 7 Hamas attacks and Israel’s war in Gaza.

In recent years, especially after Oct. 7, with pro-Palestinian sentiments increasingly dominating online, the H3 Podcast’s connection to Israel has become a central part of its identity, and drawn controversy and analysis across the internet from Piker and general viewers. Each time Israel has been brought up on the show the conversations are closely tracked and analyzed in relevant subreddits.

With the Kleins making headlines because of the affair, old Israel discourse has resurfaced surrounding the internet celebrities. Central to it is the question: what level of Israeli military service is forgivable in the eyes of the far left? As Hila routinely came under scrutiny for her service, the Kleins would point to Hila’s brother Moses Hacmon, who also served but has faced far less criticism for doing so.

Hacmon, another internet celebrity, has long been feuding with Hila and Ethan, thanks to his now-wife, infamous YouTuber Trisha Paytas. (Paytas is known for an endless string of controversies including taboo OnlyFans content and saying the n-word while singing along to a rap song, as well as being accused of physically abusing Hacmon.)

Hacmon, who moved to the U.S. in 2002 to launch his art career after finishing his IDF service, met Paytas through Ethan and Hila. The Kleins had just begun having Paytas on their show, which led to Ethan launching a new podcast, Frenemies, with Paytas. Initially, the two couples were close. But the show lasted less than a year and ended in a bitter falling-out over revenue, creative disagreements and family drama, severing ties between the two couples. Now, that conflict is finding new life as fans fight over which siblings’ IDF service was most immoral.

Scrutiny over military service

In defending Hila’s IDF service, Ethan mentioned multiple times that she worked a noncombat desk job and never hurt anyone personally.

The Kleins, who show a vindictive streak against their enemies, also often deflected criticism of Hila by pointing at Hacmon, saying he was an active combatant in the air force, and pointing angry commenters in his direction. (Hacmon and Paytas, while they have drawn their own controversies in the past, have come under less fire as of late and currently are popular in the online ecosystem.)

The Kleins said that they didn’t take issue with Hacmon’s service. But, they said on numerous episodes of the podcast, if people were upset with Hila for serving in the IDF, they should be just as upset with Hacmon.

Until this week, Hacmon hadn’t publicly spoken to or about the Kleins for five years as tensions simmered. He did not invite them to his wedding with Paytas or introduce them to the couple’s three children (who are named — actually — Elvis, Malibu Barbie and Aquaman).

But Hacmon broke his silence on Tuesday to talk about the affair. He said he felt for his sister and that his door was open to her, but added that things the couple had said about him, particularly his military service, were painful lies.

“I never graduated from flight school,” said Hacmon on his podcast with Paytas. “I never was a pilot. I’ve never been in combat. I’ve never hurt anyone. I’ve never shot a gun at anyone.”

This may sound like a petty feud over minor details; either way, both siblings served in the IDF. But it reflects the shifting tides of political trends and viewer favor online.

Pro-Palestinian activism, and harsh criticism of Israel’s army in light of the war in Gaza, has become the mainstream acceptable stance online, and views are so black and white that small details can ruin an online career. Fans, hungry to cancel their enemies, scour the internet for evidence of what they consider to be a sin — for some people, even recommending the wrong book or using the wrong brand of makeup can be an indication of cancellable politics around Israel.

For many influencers, serving in the IDF at all, regardless of role, is enough for online cancellation, but since both of the siblings served, the fight boils down to details, with each sibling attempting to distance themselves from the violence as much as possible to prove that they are not the wrong kind of Jew.

Getting into the weeds on Israel

But a decade ago, this political framework had not yet taken hold of the internet, and Israel was not a pariah online — meaning that the evidence on both Hila and Hacmon’s service can get muddled, as they presented their records differently back when they seemingly thought it sounded cool to be in the army.

An interview with Hacmon published sometime circa 2015 seems to corroborate some of his most recent statement:

“I spent a year and a half in the flight school,” Hacmon said about his service in the air force. “When I left the military after three years I really wanted to catch up for that time.”

But despite his insistence that he did not see combat, in a 2021 episode of Frenemies, long before Oct. 7, Paytas seemed eager to prove her husband had been an active combatant. She bragged about Hacmon’s service in the IDF saying he deactivated bombs in Lebanon and was a “bomb specialist.”

“Whoa, whoa, whoa,” replied Ethan.

“That’s what he did,” yelled Paytas, gesturing to Hacmon who sat silently off screen.

Hila, on the other hand, worked a desk job throughout her service and at one point was, as she described it, a secretary for a brigade that conducted military missions in Ramallah, a major city in the occupied West Bank. One night, unauthorized and acting out of curiosity, she accompanied the brigade on a mission to detain “a terrorist.” This anecdote, which she shared during a 2017 episode of the couple’s podcast, would be used against her time and time again by Piker and various critics after the Oct. 7 Hamas attacks on Israel and the ensuing war in Gaza.

Viewers commenting on the siblings’ mandatory service had various takeaways.

“I don’t like either of them but you can’t call out one without the other being terrible too,” said one X user. “It’s hypocrisy.”

One commenter, coming to Hila’s defense argued: “Moses was in the IDF, just like Hila. The difference is Hila worked a desk job then asked to go out on the field ONE TIME out of curiosity. Moses worked with bombs and was actually out doing field work, as Trisha loved to brag about.”

While the exact details of each siblings’ service remains disputed, one thing is certain: the casualness with which they once discussed the IDF is gone. What used to be simple background in their personal histories — an experience most Israelis share — has become ammunition in arguments over their alleged complicity in the conflict and an opportunity for moral grandstanding.

All of this is old news, really, though; today, its main effect is drawing attention away from Ethan’s affair. The military debate and disdain many online feel for the IDF — especially in the left wing circles these four worked in — has left little sympathy for the mother of three navigating separation after a devastating affair.

The post The Ethan Klein YouTube cheating scandal is reigniting a debate about IDF service  appeared first on The Forward.

Continue Reading

Uncategorized

Zoom chat: Memories of Yiddish and Bund gatherings in Melbourne

אין קאַרלטאָן, אַ געגנט אין מעלבורן, האָט מען אַ מאָל געהערט ייִדיש אויף דער גאַס; געגאַנגען אויף בונדישע פֿאַרזאַמלונגען און אין ייִדישן טעאַטער, און געזונגען ייִדישע לידער.

‫אין אָט דער וועלט איז אויפֿגעוואַקסן דער שרײַבער אַרנאָלד זייבל, אַ קינד פֿון בונדישע אימיגראַנטן פֿון פּוילן. זונטיק, דעם 15טן נאָוועמבער, 7 אַ זייגער אין אָוונט ניו־יאָרקער צײַט, וועט אלי בענעדיקט, פֿון דער ייִדיש־ליגע, פֿירן אַ זום־שמועס מיט זייבלען וועגן זײַנע קינדער־יאָרן אין מעלבורן — דער עיקר, וועגן די ייִדישע שולן, טעאַטערס, לידער און די מענטשן וואָס האָבן געשאַפֿן יענע וועלט.

זיי וועלן אויך אַרומרעדן ווי אַזוי די זכרונות פֿון יענער וועלט לעבן ווײַטער אין זײַנע ביכער.

אַרנאָלד זייבל איז אַ שרײַבער, דערציילער און אַקטיוויסט פֿאַר מענטשנרעכט. זײַנע ביכער, וואָס זענען אויף ענגליש, באַהאַנדלען טעמעס פֿון אימיגראַציע, זכּרון און גלות. צווישן זײַנע באַקאַנטע ביכער געפֿינען זיך „קאַפֿע שעהעריזאַד“ און „בריליאַנטן און אַש“.

די אונטערנעמונג איז פֿרײַ פֿון אָפּצאָל. כּדי זיך צו פֿאַרשרײַבן, גיט אַ קוועטש דאָ.

The post Zoom chat: Memories of Yiddish and Bund gatherings in Melbourne appeared first on The Forward.

Continue Reading

Copyright © 2017 - 2023 Jewish Post & News