Sunday, February 12, 2017

Political Posts and Facebook

I've been thinking about what standards to use when deciding whether to post a political thing on Facebook.  I've seen lots of people asking for the political posting to stop, and I've thought about ceasing to post political stuff on Facebook altogether.

Why stop?  (And why not?):
  • Because I don't want to lose friendships with people who feel differently than me.  This is the most compelling.  Maintaining friendships is way more important to me than the ability to post about political things on Facebook.  However -- assuming you use some moderation in both amount and tone of political posting - I have to believe that most real life friendships aren't going to end based on a Facebook posting.  If people are willing to end a friendship based on politics (and here I'm talking about ending a real life friendship, not just blocking or unfriending a person on social media), then that person feels differently about the idea that friendship is more important than politics, and that friendship was in danger with or without political posting.  I haven't actually lost any friendships yet, and I definitely have friends and family with different political positions than me.  
  • Because it feels like it doesn't make a difference - no one changes their mind based on a Facebook post.  I think this is often, but not always, true.  If people see a flood of posts on the same topic, it might lead them to consider the issue more closely.  If people see that a news story connects to a friend's life personally, it might cause them to think about it in a different way.  
  • Because it discourages other, "real" kinds of activism.  There are all kinds of things, good and bad, that discourage me from engaging in more political activism, but I have never once thought "well I posted on Facebook, so I've done my civic duty".  If anything, it's the opposite - if I'm going to portray to my whole friends list that this issue is important to me, then I better find a real world way to back up this bluster with action.
  • Because this is not what Facebook is for.  Facebook is for whatever users make it to be, and it's evolving all the time.  Someday, historians will be able to look at the contents of Facebook and get a good composite picture of what was important to us as a society (and also, how we wanted to be seen by others).  Right now, politics is important to a lot of people, and I think it's perfectly appropriate to post about what's important to you.  For those users who don't want their Newsfeed to be full of political posts, there are lots of options to filter / block / unfollow people and pages who are too political for their taste.  

So I plan to keep posting political stuff.  I'm still using mega filtering of all the things it occurs to me to post about politics.  As a friend put it this week, trying to reflect before I react.

Here are my rules.  I post on --

1.  Things that directly affect my family (such as Affordable Care Act and special education).

2.  Things that are pressing on my conscience (such as the travel ban and the abortion blog).

3.  Things that are useful in helping people take a position or take direct action (ie phone numbers to politicians who will be voting on a matter soon)

I will try to avoid these kind of political posts (often i fail - please call me out if i do):

1.  Things that are judgmental towards voters -  the reasons people vote the way they do are complex and neither party's positions are going to be a perfect match to any voter in a two party system.  Especially in this last election, which had two really flawed candidates.

2.  Things that mock politicians rather than focusing on the policy or action that is objectionable.  For example, describing Donald Trump as tiny hands or orange or anything like that.  (But not including things that relate job performance, such as clear instances of lying.)

3.  Things I haven't read up on and fact checked at least a little bit.

4.  Things I don't intend to take some other kind of action on, such as a phone call to my legislator.  If it's not worth a phone call, it's not worth annoying my whole friends list.  (I've failed on this a number of times, but I'm going to try to make this my policy going forward.  Even though one of my Senators has a voicemail box that is perpetually full.)

What do you all think about politics and Facebook?  How do you decide what to post and what not to post?

Thursday, February 2, 2017

Genetics 2017 Week 2: Studying Genetic Variation

Studying Genetic Variation - Notes


  • Autosomal dominant - the disease carries in one of the 22 chromosomes that's not a sex chromosome, and because it's dominant having one copy is sufficient to produce the disease phenotype.  
    • In this type of inheritance pattern, half the offspring would get the disease.
    • Variable penetrance - not every person who has the genetic abnormality will get the disease.
  • Autosomal recessive -
    • With diseases carried on recessive genes, both parents have to carry the gene with disease and both have to pass it on, so this would affect about 25% of offspring.  
    • This mostly happens when parents are related, or when the gene that carries disease is common in the entire population.  
  • Why children's DNA varies from parents:
    • To start, you get one chromosome from each parent
    • Then, each of us has about 100 De Novo mutations (usually 1 in coding regions).
    • Over generations, the DNA looks less and less like ancestors.
Genome Wide Association
  • 30 million base pairs - lots to cover.  But now you can get it done for a couple hundred dollars.
  • This is a way to study genetic variance with large population rather than family history - you find the phenotype first and then check their genes.
  • He gave examples of different phenotypes located on different chromosomes, and one of the examples was that variations on the 4th chromosome are 3 times more likely to cause atrial fibrillation.  (But it's still unusual.)
  • Uses for Genome wide association studies:
    • Analyze heritability
    • Identify new drug targets
    • Predict risk (single or multiple variants)
    • Subclassify disease
    • Understand and maybe prevent adverse drug reactions

Thursday, January 26, 2017

Feminism and Pro-Lifers

I waited a few days after the Women's Marches to post this because I don't want to take away from what was a really positive event.  I loved seeing pictures of friends across the country marching for reasons that I (largely) agree with.  I love seeing democracy in action, and I especially loved seeing multiple generations marching together.  (I've blogged about something along these lines!)

Having said that -- the bee that I can't get out of my bonnet is the way that pro-life feminists have been rejected by many this week.  This combination of beliefs (pro-life + feminist) was in the news because there was a group of pro-life feminists that were added, and then removed, as partners in the Women's March.  I'm not so concerned about this (because the leaders of the march made it clear that individual pro-lifers could march) as I am about all the conversation that followed this incident (on social media and in articles), showing that many feel that pro-lifers have no place in the feminist movement.  I think pro-lifers should be included in the feminist movement - here's why, and here's what I think that looks like.

Why should feminists include / embrace pro-lifers?

1.  Strength in numbers.  The number of people who identify with with both feminism and pro-life beliefs is not marginal.  According to this article, "more than half of millennial women who identify as feminists consider themselves pro-life (18 percent) or both pro-life and pro-choice (37 percent)."  Of course, numbers alone are not enough - half the population is wrong about things all the time - but big numbers should be a reason to take an issue under consideration.

2.  Because so many of our causes overlap.  Some might wonder why pro-lifers would even want to be part of a group that promotes women's rights.  It's because we (well, speaking only for myself, but i'm sure many others too) agree on TONS of things, including (but not limited to):  equal pay for equal work; better maternity and family leave; robust public assistance programs (especially for child care and health care); better availability of birth control; and that our leaders should have respectful words, attitudes, and policies towards women.

3.  Because some of our causes overlap not just despite, but because of, our different position on abortion.  I am pro-life because I believe that life believes at conception -- but I do understand (particularly as a recently pregnant woman and a special needs mom) that asking a woman to carry a pregnancy to term and then care for the child who is born is a huge responsibility that can affect every single thing about her life and that she will not necessarily get help from anyone.  And it is because of this that I support better access to birth control, and better supporting policies after birth for everything - maternity leave, child care, health care, etc.  I (and probably most pro-life feminists) support these things both because they are pro-woman and because they will likely reduce the number of abortions.  Even if we can't agree on the abortion question, we can work together productively on all these other things.

So what exactly do I, as a pro-lifer, want from the feminist movement?

I would like to be treated with respect rather than contempt - that even though we deeply disagree on the abortion issue, an acknowledgement that I'm not coming from a hateful place.  A focus on how we can work together on the issues we agree on, rather than continued ugly argument about the thing we disagree on.  I would love to never see another Internet comments section that generalizes about what all pro-lifers are like, and particularly that accuses all of us of being pro-birth rather than pro-life, but then does everything possible to exclude those of us who try to be pro-life from cradle to grave.

I would like to hear what you all think of this issue, but I also want to ask everyone to please be kind since this is a sensitive topic (disagreement is fine, of course).  Everyone who's ever commented on my blog has been respectful, but in case this is the one time things go south, I want to put out the caveat that I will delete rude comments.


Monday, January 23, 2017

Genetics Class 2017: Week 1

I'm starting a new online genetics course called Case Studies in Personalized Medicine.

Here's the course description:  "This course will present short primers in genetics and mechanisms underlying variability in drug responses. A series of case studies will be used to illustrate principles of how genetics are being brought to bear on refining diagnoses and on personalizing treatment in rare and common diseases. The ethical and operational issues around how to implement large scale genomic sequencing in clinical practice will be addressed."

Why am I taking this course? My main motivation with these classes is always to learn as much as I can about how genetics works so that I can be in the best position to research and advocate for Joshua. It also lifts my spirits to put my brain to work :).

The target audience for this class is doctors with 5+ years of experience - so, as someone who could not even score an A in my undergrad Intro to Biology class, I'm sure I won't be in over my head at all.  (Opposite day!  Wish me luck!)

I'm going to blog my class notes each week (but this is the only time I'll put the link up on Facebook).  These notes will not attempt to be a comprehensive summary of the course - they are things that I find interesting, or relevant to learning about chromosome disorders.  If any of you follow along, it might give you a taste of whether you would want to take the course yourself, but will not in any way be a substitute for taking the course.  Here's the first set of notes --

What I learned in Week One:  

  • This week started with a primer in the basics of genetics - things like what is a chromosome, what is DNA, what's a genetic variant, what makes a good study.  For example:  
    • In the 23 chromosome pairs, one comes from the father and one comes from the mother.
    • Mitochondrial DNA comes exclusively from the mother.
    • RNA is single strand DNA.  
    • Most DNA is non-coding and it's job is to help regulate the encoding DNA.  
    • 1% of DNA actually encodes proteins.  
    • 6 billion base pairs, 25,000 genes in a human cell.
  • There were a couple modules on what makes a good study and what makes a good experiment.  I didn't take notes on these.
  • Next, there was a lot of information about drug reactions.  Honestly, a lot of this was beyond my ability to understand without taking some additional biology and chemistry classes.  But here's a little bit:  
    • Adverse drug reactions are a leading cause of hospitalizations and a not insignificant cause of death - this is why everyone you talk to in a hospital stay asks about drug allergies and reactions.
    • There are lots of reasons why drugs don't work on a particular patient - genetics, reaction with other drugs they're taking, other environmental factors (food, exercise, etc.) cause interaction, patient does not take drug as prescribed, pharmacy gives wrong drug or wrong dose, etc.
  • s

Sunday, January 8, 2017

Books I read in 2016

Here's a visual of the books I read in 2016.  The covers are arranged strangely due to my lack of skill at fixing a bad cut and paste job :).  Scroll down to the bottom for my favorites.

MY 2016 BOOKS
Dreamland by Sam QuinonesBetween the World and Me by Ta-Nehisi Coates


it was amazing
Amusing Ourselves to Death by Neil Postman
A Wrinkle in Time by Madeleine L'Engle
A Separate Peace by John Knowles
Purity by Jonathan Franzen
Mama Tried by Emily Flake
Making Babies by Anne Enright


The Martian by Andy Weir
Little Women by Louisa May Alcott

The Forgetting Time by Sharon Guskin


it was amazingShattered Prayers by Kenneth Ching
Modern Lovers by Emma Straub


The Nest by Cynthia D'Aprix Sweeney
Dog Training Handbook by Stella Smyth
Before We Visit the Goddess by Chitra Banerjee Divakaruni


Personality Types by Don Richard Riso
One More Thing by B.J. Novak
A Little Life by Hanya Yanagihara

it was amazing


Hillbilly Elegy by J.D. Vance

Evicted by Matthew Desmond
Enough by Roger Thurow
To Kill a Mockingbird by Harper Lee

Eligible by Curtis Sittenfeld

My Brilliant Friend by Elena Ferrante

The One-in-a-Million Boy by Monica Wood

When Breath Becomes Air by Paul Kalanithi

it was amazing
The Japanese Lover by Isabel Allende
The Songs of Jesus by Timothy J. Keller
LaRose by Louise Erdrich
Nutshell by Ian McEwan




























This is my annual blog post reviewing books I read last year.  If you're interested in learning more about any of the books pictured above, here is a link where you can click on any of the covers and get more information.  And here are the "best of" picks:

Funniest:  "One More Thing:  Stories and Other Stories" by B.J. Novak

Truest to life:  "Shattered Prayers" by Kenny Ching

Highly, highly recommended devotional:  "The Songs of Jesus" by Tim Keller

Book from my childhood that best stood the test of time:  "Little Women" by Louisa May Alcott

Most useless book of the year (so glad a potty training manual didn't take this award for the third year in a row!!!):  "Dog Training Handbook:  A 10 Week Training Course"

Best fiction:  In a nice turnaround from last year, I enjoyed every fiction book I read this year, so it was hard to narrow it down to a top 5 - but here they are (in random order):

  • "A Little Life" by Hanya Yanagihara (this was my favorite book of the year)
  • "The One in a Million Boy" by Monica Wood
  • "Eligible" by Curtis Sittenfield
  • "The Martian" by Andy Weir
  • "Modern Lovers" by Emma Straub


Best nonfiction (also in random order):


The reading theme that stuck with me this year is that books, both fiction and non-fiction, are such a good way to learn about subcultures other than your own.  Not nearly as good as friendship, or actually living the other's experience, but definitely an easy and helpful first step.  Here are books I read this year that gave me a glimpse of subcultures that have been in the news and that are different than mine:

  • "LaRose" by Louise Erdrich (takes place in North Dakota, main characters are Native American, so helpful in understanding some of the dynamics with the North Dakota Access Pipeline)
  • "Between the World and Me" by Ta Nehisi-Coates (helpful in understanding the perspective of a young black male and some of the motivation behind Black Lives Matter)
  • "Hillbilly Elegy" by J.D. Vance (helpful in understanding white Appalachian culture, one of the groups credited with helping elect Donald Trump as president).
  • "Dreamland:  The True Tale of America's Opiate Epidemic" by Sam Quinones (helpful in understanding the prescription pill epidemic and how it's ravaging Rust Belt and Appalachian towns - again with the Donald Trump voters)
  • "Evicted" by Matthew Desmond (helpful in understanding both poor white people who struggle with keeping housing and poor people of color who struggle with housing, and goes a little bit into how their situations are different and how each group feels about that).
  • "Enough:  Why the World's Poorest Starve in an Age of Plenty" by Roger Thurow and Scott Kilman (helpful for learning about world hunger)
What books have you read recently that you loved?

Sunday, January 1, 2017

2017 resolutions

This is my annual resolutions blog -- accountability for last year's resolutions, and setting the New year's resolutions.  

The 2016 Resolutions:

The theme of my goals in 2016 was to become more self sufficient, and I think I'm slowly getting better at that - doing things (like changing a light bulb or setting up the Christmas tree) that I previously would have relied on Kenny to do.  But with my specific resolutions, it was a pretty iffy year.

1)  Learn to fill the car tires with air.  FAIL.  I watched a You Tube video on this one, and that's as far as I got.  Still need to learn this life skill.

2)  Learn to hang a picture.  PARTIAL CREDIT.   I hung up multiple pictures this year, but all of them were placed in holes that were already in the wall - none of them required me to hammer a nail or use a level, which was the challenge that I was looking to master.  But, I did hang a couple pictures, so not a total loss.



3)  Grow at least one outdoor plant that survives the season.  SUCCESS!  I got one marigold to grow, from seed (pictured above)!  There were lots of other attempted plants (tomatoes, green beans, herbs) that did not take off, but somehow the marigold made it.


2017 resolutions:

For the upcoming year, I'm going back to my usual practice of setting one goal each in the 3 areas of health, learning, and spirituality.

1.  Complete the Journal Jog (a 5 mile race in the fall).  I'm starting from square one getting back into running and I haven't figured out a great plan for how to fit regular exercise back into my life.  But I've found that the best way to figure it out is to set a goal, preferably something that you have to pay money for and complete with or in front of other people - and then you figure out ways to squeeze in training for the goal.

2.  Complete a Coursera course on genetics.  This is a repeat of the learning goal I set 2 years ago, but I found that course to be beneficial in understanding what's going on with Joshua, and Coursera has multiple classes on genetics, and the field of genetics is changing so fast that even the rudimentary knowledge that I gained 2 years ago is probably already out of date.  I'm hoping to take this one.

3.  Have a daily schedule of "proactive" prayer.  I pray pretty regularly in response to things - when something hard is happening to me, or my friends and family.  But I would like to get better about praying for the people in my life more regularly and not just when some specific thing is going on.  I am much better about staying on task with things if I turn it into a program, so I'm assigning each day of the week to a category (such as "extended family", "church", "special needs families", "politicians / world leaders", etc.), and then also including daily time for each of my immediate family members.

What are your resolutions?



Friday, December 16, 2016

Advent thoughts 2016

You know how there's different things that stick out to you every time you go through an annual season?  This year, I've been thinking about Mary, and also about the physical reality of Jesus being a newborn baby.



Our culture glamorizes babies and expectant mothers (there are some BIG BIG exceptions to this, but i'm guessing for most readers of this blog, that's been your experience): there's gender reveal parties, baby showers, professional photo shoots for maternity and newborn pictures, and an endless stream of social media postings about pregnancy and babies (guilty as charged), mostly just showing the really beautiful parts of the whole experience.

It's such a blessing to have a baby.  But the whole thing - pregnancy, labor and delivery, caring for a newborn - is also very physically taxing, undignified, and sometimes unbelievably hard.  And that's in an era where we get to live in heated houses, sleep on Serta mattresses, get around in cars, use medicine to block pain during labor, and have all kinds of products to help keep baby comfortable and healthy.  We see and hear about the nativity scene so much that you forget the reality of it, but I can't imagine sleeping in a barn in the winter under any circumstances, let alone while giving birth.  I can't fathom walking and riding a donkey across the country when, towards the end of my pregnancies, it was too uncomfortable to take an hour's drive anywhere.  I would have freaked out if I ended up unexpectedly giving birth at home, and I can't imagine going door to door and hoping for some hospitality as the contractions were coming.  I felt a little squeamish that my newborn baby had to be subject to the germs in the hospital, and I can't imagine laying the baby down in straw that was recently rolled in by farm animals.

Add to all this the fact that Mary was a poor, unwed teenager.  She had a marriage and a life lined up, and this pregnancy potentially put all of that in jeopardy.  It sounded just as crazy then as it would now that she had an immaculate conception and was now carrying the Son of God.  Mary was the first one to believe that Jesus is the Son of God, when she had every reason to be scared to death, and she embraced her role.  It's amazing.

Then, there's the reality of what it's like to have a newborn.  Babies take the best pictures and they are super cuddly and they look cute in tutus and they have a wonderful smell.  Here are some other things that are true of newborn babies:    They operate entirely on reflex because they can't understand what's going on around them.  They are frequently spitting up and having explosive poops.  Their only means of communication are grunting and crying.  They can hardly see, can't hold up their own head, and are utterly dependent on their parents moment to moment for survival.  It is INCREDIBLE that the king of the universe subjected himself to this state, that this was part of the rescue plan for our broken world.

That's what I'm thinking about this Advent season.  How about you?