Facebook posts their new policy on mastectomy photos which states:
Does Facebook allow post-mastectomy photos?
Yes. We agree that undergoing a mastectomy is a life-changing experience and that sharing photos can help raise awareness about breast cancer and support the men and women facing a diagnosis, undergoing treatment, or living with the scars of cancer. The vast majority of these kinds of photos are compliant with our policies.
They go on to explain why breastfeeding photos are removed from Facebook:
However, photos with fully exposed breasts, particularly if they’re unaffected by surgery, do violate Facebook’s Terms. These policies are based on the same standards which apply to television and print media, and that govern sites with a significant number of young people.
I don’t take any credit here because I admit I really didn’t have any opinion on whether Facebook should or should not allow pictures like mine to be broadcast all over their site. I mean, I can see some justification for protecting ”young people” from images of a frightening disease, really, there could be private boards within Facebook for this sort of thing, couldn’t there? It shows Facebook’s sensitivity to us as users that they are allowing these images to be seen. Who are FB’s customers? The advertisers, right? Do you think they want mastectomy photos gathering shares & likes? I don’t see why they would.
What IS weird though is why FB, is so nervous about breasts. OK, it isn’t weird, they are just using the same criteria that all other US media use but what on earth is wrong with breastfeeding? In my opinion, breastfeeding should be more visible, I mean, it is normal, it’s natural! Wouldn’t we all be better, calmer and happier seeing more of that?
Well anyway, now that Facebook has clarified their policy, about half the sites that are reporting on it are using, yup… my photo.
Here is a sample: inquisitr posts new facebook policy
Since Angelina Jolie’s news, I’ve seen several points repeated, so I’ll address them:
“She should have waited until she actually had cancer.”
This actually reflects several misunderstandings: of Cancer itself, a confusion between systemic and localized cancer, and a lack of knowledge about mastectomy procedures. She couldn’t have had the surgery she had if she had waited until she had cancer. What she had is a “skin-sparing prophylactic mastectomy” the point of which is to remove as much breast tissue as possible while giving a result that is not obtainable with reconstruction after cancer surgery. Compare the pix below:
Pretty big difference isn’t there? The first looks natural and the second is designed to look natural in clothing. The scars from biopsies and mastectomy really can’t be hidden that easily.
The other problem with actually waiting and relying on so-called early detection is that it assumes that a mastectomy could or should be done at that point when it is not always the best option. Cancers may be local or systemic and just because a cancer is small does not necessarily mean that it was caught early or that it will be easy to treat. A small cancer could be a very aggressive cancer with tendrils reaching into other organs that would need to be treated with radiation, chemotherapy or other treatments and skin that has been scarred and irradiated is not always capable of being stretched over an implant. Essentially, once you have a malignant tumor, you are no longer having a “prophylactic mastectomy” because breast cancer may be in other parts of your body besides your breasts as author Kelli and her sister, Fran, discover in this article, MY SISTER HAD A DOUBLE MASTECTOMY TOO, BUT SHE DIED OF BREAST CANCER ANYWAY.
This is similar to what happened to my mother. For those of you who haven’t read it before, Mom had breast cancer which was treated by lumpectomy and radiation. She had the requisite followups of mammograms and biopsies and when she was diagnosed with metastasized breast cancer in her lungs, liver and spine twenty years later, her breasts were clear of cancer. So if she had a so-called “prophylactic mastectomy” at the first sign of cancer, she would have had the same thing happen.
Obviously “preventive” means before cancer is diagnosed. If you want an approachable but still gratifyingly educational book about cancer, check out The Emperor of All Maladies by Siddhartha Mukherjee.
Here is another absurd yet oft’ repeated statement…
“No ethical doctor would ever remove a perfectly healthy set of testicles from a man who has no symptoms of testicular cancer, so how could a doctor do this?”
Here we have both medical ethics and sexism rolled into one question. The quote brings to mind all the tabloid scandals since the 60s from medically unnecessary hysterectomies, (the so-called Harlem appendectomy) to DES, from C-sections to prophylactic mastectomies… never mind that this time it is the women asking for the procedure. There are a couple of things that really irk me about this statement.
1. Testicles aren’t analogous to breasts, but to ovaries, and as important as these are women do get them removed much more cavalierly than they remove breasts. Breasts actually have little function aside from breastfeeding infants and Jolie and most other women who are in the age group to be considering this procedure have probably already done that.
2. Since cancers affect lungs, pancreases, stomachs, and plenty of organs that can’t be removed preemptively, does that mean that something that can be, shouldn’t be? These women are educated, can generally afford the procedures if not covered by insurance and are making their decisions with their doctors. Is that really different than any other elective procedure?
Bonus round: Right now, neither genetic testing nor prophylactic mastectomy is usually recommended by physicians but if Aetna’s policy posted online here is indicative, prophylactic mastectomy medically necessary for reduction of risk of breast cancer it may be recommended by insurance providers at some point.
I know this is controversial stuff, so please be thoughtful of others feelings when you comment.
Here is a link to a Daily Mail article about 4 young UK women who discuss their reasons for having this surgery.
Here is a link to an article by a woman who says she delayed having a prophylactic mastectomy and then did get cancer.
Skin sparing Mastectomy film on Youtube from Johns Hopkins
I was engrossed in making a presentation on the Part of Fortune for class this morning and completely missed Angelina Jolie’s announcement that she had had a prophylactic mastectomy until it was brought to my attention by a friend who asked if she could use a quote from me in light of it!
Once I looked the article up, I was thrilled that she had gone ahead with the surgery since I had thought about it back when she’d lost her mother to Ovarian Cancer, a related cancer. What shocked me was reading so many negative comments from people who don’t understand the context of a decision like hers. Sharon Osbourne received the same negative feedback when she made the same decision last year and it just amazes me how cruel and shallow people can be. I guess they are just proof that some people never really make it out of middle-school.
Their situations point up some differences between 1993, when I had my surgery, and 2013. In 1993, the BRCA gene test was new and no one was quite sure what percentage of cases it would account for, so I didn’t even have the test. We mostly discussed family medical histories. I had a traditional mastectomy which removed all breast tissue, leaving large scars. Reconstruction at a later time was offered but I preferred to stick with external prostheses and to cover the scars with tattoos. Angelina chose a skin sparing, immediate reconstruction option which she says left her with only small scars. Her cancer risk is slightly higher than mine but I am sure her results are more aesthetic than mine were pre-ink. Sharon had implants removed and I don’t know if she’s replaced them or not.
I’ll discuss why prophylaxis IS a reasonable way of dealing with cancer in another post, K?
Here is a link to Jolie’s New York Times piece.
And a link to Sharon Osbourne.
Amoena makes external breast prostheses.
Yup, That is the message I got from my friend Simon. He said he was monitoring news stories on the US budget situation and saw my picture on the Huffington Post. It must have been a slow news day! Now that the shock of running into my pictures in odd places is over I am marveling at how positive 99% of the reaction has been to them. Good thing, too. I also have to marvel that all these news companies have had to confront their own policies in order to post or print the pictures. Can’t you just hear the same conversation going on in each conference room, “Is it nudity?” ” No, it is a public service.” or “No, it is art.” and on and on.
When Tina and I designed my mastectomy coverup tattoo, I considered it a personal thing that would be seen by me, Tina, Scott, my surgeon and probably a few women that I would show it to now and then. But when Tina was approached by MSNBC’s Michelle Smawley to be featured in the segment of MSNBC Investigates: Tattooed Women, she said she just knew it had to be about our project.
I am a shy person so it took me a long time to cozy up to the idea but my mother and step-mother’s experiences with breast cancer surgery and especially the feedback from women who had seen my tattoo pushed me to tell the story.
Michelle came out from New York City with her crew and interviewed Tina, my husband and me for hours and once the filming was done, life went back to normal….for about two weeks and then the anxiety started. Would she make us look like ninnies? Had any of us said anything particularly stupid? What were we thinking when we agreed to this? Finally, I couldn’t stand it anymore. I called her in New York and told her that she couldn’t go ahead. I was a nervous wreck and losing weight — the works! She laughed and said she had just gotten off the phone after having the same conversation with Tina.
She reassured me that she had made us a beautiful segment and that every morning the whole production crew crowded into her cubicle to watch it and all left with tears in their eyes. The only consideration they were having to consider was whether my topless images counted as nudity or not and Legal was reviewing that. She sent us a VHS tape of the show when it aired and we were all relieved, if not pleased. She will be my pick if I ever need a producer for a show. Afterwards, we would get calls from family members periodically, “You guys were on TV again” or Scott or I would get recognized at work or in restaurants occasionally. Tina and I were once at a Vince’s restaurant together and we ended up with a boothful of waitresses tearfully telling us how much the show had meant to them — it was wonderful.
But none of that compares to the buzz lately. We were at lunch with friends last week and one of them mentioned getting the pictures sent to him by a friend. Another friend from my knitting group got pics emailed to her from a friend in Australia and the tattoos were also featured on the Bob Rivers’ Show Facebook page with 10,870 likes, 7,923 shares and 1,028 comments, most of which weren’t from weirdos. I am not sure why the buzz goes in waves like this but if it helps more women to feel better about their bodies, then I will try to keep my blushes to myself.
Brittany Wenger’s Science Fair project was to teach a computer how to read tissue samples from fine needle aspirations. Fine needle aspiration is a way to look at the cells in an actual lesion discovered by palpation or by mammogram. If positive for malignant cells, it can provide more information about the cancer to guide decisions about treatment. Her Global Neural Network Cloud Service for Breast Cancer is said to be able to successfully detect 99.11% of malignant breast tumors. In comparison an article on PubMed describes results that vary from 2-25% inaccuracy based on the experience of the physician reviewing the tissue. Greater accuracy in diagnosis from minimally invasive procedures can help prevent the necessity for more invasive procedures, like large-sample biopsies which may carry all the risks of surgery.
So, what was your Science Fair project? I remember taking a bunch of cuttings from our house plants and placing them in shot glasses after treating half with rooting hormone. I guess it demonstrated that I got the concept of experimental vs. control groups, but since I did the whole project the night before it was due, no rooting occurred in either group.
My Mastectomy Tattoo Story
I got a surprise recently when I spotted pictures of my tattoo on pinterest. Scott posted pictures of it on his blog years ago and apparently the tattoo has taken on a life of its own. It has been pinned nearly 500 times and is linked on as many websites. Since that many people are being exposed to it, I guess it is time that I moved the pictures to my own blog and wrote its story myself. I’ll keep this post short but I’ll move it to a “breast cancer” tab and keep adding to it as I go.
I have had so many positive comments from women about how much my art has helped them to come to terms with their bodies and their scars that I want this to be a more permanent resource that people can refer their friends to and revisit as they wish. I promise to get some professional pictures done along the way as well.