The great zebra debate

There’s a great debate in neuroendocrine cancer circles over the use of the zebra as our symbol. At one extreme are patients, usually women, who show up at meetings and conferences decked out from head to toe in zebra stripes and who refer to one another as fellow zebras. On the other side of the debate, the world’s best known and most highly revered patient advocate is so opposed to the idea that he doesn’t allow anything zebra on his social media sites. He thinks that it’s an infantile gimmick that trivializes the grave nature of our disease and that it’s actually detrimental as an awareness tool.

So, how did the zebra become our symbol in the first place? In North America, medical students are taught “when hearing hoofbeats, think of horses, not zebras.” Neuroendocrine tumours (NETS) are very difficult to diagnose. The symptoms are usually vague and similar to more common health problems. Many family doctors have never encountered a NETS patient so when they’re presented with symptoms like stomach pain and diarrhea, they naturally think of things like Irritable Bowel Syndrome, Crohn’s Disease or lactose intolerance. They think of “horses”, not “zebras”.

When it comes to the great zebra debate, I stand somewhere in the middle. I think we need to take advantage of every available opportunity to draw attention to our cause and if that includes zebra stripes, I’m fine with that. After all, branding works. For example, the pink ribbon and the colour itself have become highly recognized symbols of breast cancer. While you’ll never see me wearing zebra stripes from head to toe, partly because I think it looks silly and partly because I don’t look good in black and white, I do have a zebra striped top in cream and brown and on occasion, wearing it has led to a conversation about my cancer.

Although within weeks of learning that I had neuroendocrine cancer, I wrote a blog post entitled I’m a zebra!, I’ve now joined the ranks of those who cringe at being called that. Referring to ourselves as zebras makes it sound like we’re part of an exclusive club or a cult! Zebra refers to a diagnosis, not a person. While I have NET cancer, I am not my disease.

In my advocacy role and as a support group leader, I work with patients on both sides of the great zebra debate. I would really like to know your opinion. Do you think that symbols like the zebra and the striped ribbon can be effective in spreading awareness of a disease? Or do you think that they’re silly and make light of an important topic? Please leave a comment and let me know.

And, in closing, although it has very little to do with today’s topic, I can’t resist sharing the cover of the January 15, 1926 issue of Vogue magazine!

Isabella Rossellini and I – this is what 71 looks like!

I turned 71 yesterday, so I was intrigued to discover that Italian actress and model, Isabella Rossellini, who is also 71, is featured on the cover of this month’s issue of Italian Vogue.

vogueitalia-oct23-isabella-main.jpg

Even more delightful is the fact that the photo hasn’t been retouched! No photoshopping to eliminate the visible signs of aging.

Isabella is no stranger to ageism. At the age of 43, when she was dropped by Lancôme in favour of younger models, she was told that advertisements represent women’s dreams, not reality, and that women dream of looking young. More than 20 years later, in her mid 60s, she was invited back; perhaps a hopeful sign that there are positive changes taking place in the beauty industry.

Of course, for the magazine cover, Rossellini had the benefit of professional makeup artists, photographer, and lighting, but I also love the more natural look of this photo that she posted on Instagram recently.

Screenshot 2023-10-04 at 2.47.10 PM

That’s a look that I can identify with; the look of a woman who is comfortable in her own skin, wrinkles and all. Born with scoliosis, Rossellini has had two major and very painful back surgeries. The idea of having surgery to alter her looks actually scares her. She isn’t interested in Botox injections either. She has a 28-acre organic farm on Long Island, New York and eats organic food, not to look younger, but to preserve her health. She says that doing Botox would completely contradict her chosen lifestyle.

Although she eschews cosmetic surgery and other attempts at hiding her age, Rossellini has been attentive to caring for her skin since she was a child. Her routine includes an eye cream, a face cream, and sunscreen. I, too, am diligent about skin care. In the morning, I wash my face with warm water and apply a day lotion with SPF 15 and UVA/UVB sun protection. At bedtime, I use a creamy facial cleanser with gentle exfoliants followed by a night cream. While I’ve been doing this since I was in my early 30s, I now use products that are specifically designed for maturing skin. I’m also very conscientious about using an SPF 50+ broad spectrum sunscreen whenever I spend much time outdoors.

IMG_6125

And there’s my without the benefit of professional assistance, just turned 71, wrinkles and scars, unretouched photo! Though I’m half blind without my glasses, I removed them so that they don’t hide anything.

Today, on my second day of being 71, I’m very thankful for role models like Isabella Rossellini; strong, elegant women who embrace their age and defy societal pressure to try to look younger than they actually are!

Logo by Sam

Vogue’s oldest cover model

Logo by SamVogue is arguably the most famous fashion magazine in the world. First published in 1892 as a weekly newspaper, it slowly evolved into the monthly publication that it is today. While print magazines might not be as popular as they once were, the US edition of Vogue had 11.1 million readers in the spring of 2021! There are also 26 other editions of the magazine internationally. Sometimes referred to as the bible of fashion, Vogue is an iconic trendsetter within the realms of fashion, lifestyle, and beauty, and increasingly deals with political, social and cultural topics as well. When Vogue says something is beautiful, most people would probably agree. 

Whang Od 106 Philippines

This month, Vogue Philippines says that 106-year-old Apo Whang-Od is beautiful and I couldn’t agree more! As Margareta Magnusson says in her small book, The Swedish Art of Aging Exuberantly, “a patina of warmth and a well-lived life shines visible in her face”.

Whang-Od is the Philippines’ oldest mambabatok or traditional Kalinga tattoo artist and has been performing the ancient art of hand-tapped tattoos since she was a teenager. Every year thousands of tourists flood to Buscalan, a remote mountain village about a 15 hour drive north of Manila, seeking her signature designs. Each symbol carries a special meaning. Some represent things of nature while others signify strength, beauty, bravery or fertility.

Whang Od uses an ancient technique; her only tools a bamboo stick, a thorn from a pomelo tree, water and coal. With intense concentration, she paints a design on the skin using the homemade coal-water ink then tap by tap, she uses the thorn and the stick to push the ink deep into the skin

According to tradition, a mambabatok is only allowed to pass their skill down through their own bloodline, so Whang-Od, who learned the art from her father, has been training her grandnieces in the ancient art. At 106, however, she has no plans to retire. She says that she will continue tattooing for as long as her eyesight allows!

“We believe that the concept of beauty needs to evolve, and include diverse and inclusive faces and forms. What we hope to speak about is the beauty of humanity,” said Vogue editor-in-chief, Bea Valdes. I think they also captured the beauty of age! Prior to this, the oldest Vogue cover model was Dame Judi Dench who appeared on the front of the British edition in 2020 at the age of 85.

When I saw the cover picture of Whang-Oh, I couldn’t help thinking of this photo, one of my favourites from our time in China. She may not be a cover model for Vogue, but she’s appeared on the blog more than once before and I wouldn’t be surprised if she did again! I don’t know her name and I have no idea how old she was, but I thought she was beautiful and I still do.

img_1445_3