The shallow rivers roar, the deep are still

In honor of Valentine's Day, because I love all you Dear Readers, I thought I'd share one of my favorite poems of all time. 

The first time I read this poem was way back in the fall of 2001, when part of it appeared in a literature test I was taking.  The test did not cite the poem's author, but the poem was so perfect that it haunted me for months after. Unfortunately, it was very obscure-- even though I'd remembered swaths of the poem verbatim, in those early days of online search engines it was impossible to find on the Internet.

I finally tracked it down during a trip to Harvard in the spring of 2002. I was visiting the campus, and figured that if a work of literature was anywhere, it would be in Harvard's library. I was right, and I can still remember the feeling of quiet victory I experienced while kneeling down over a musty old book in Harvard's stacks when I finally found the poem in print.

It's very romantic, but not in the traditional sense-- I think it speaks most for those of us who don't always wear our hearts on our sleeves, and sometimes find it impossible to express our real feelings at the right time.  I think those kinds people are often the most sensitive and romantic of all. 


To My Lady E.C. at her Going Out of England
by Sir John Suckling

I must confess, when I did part from you,
I could not force an artificial dew
Upon my cheeks,

Nor with a gilded phrase
Express how many hundred several ways
My heart was tortur'd, 

Nor, with arms across,
In discontented garbs set forth my loss.

Such loud expressions many times do come
From lightest hearts; great griefs are always dumb.
The shallow rivers roar, the deep are still;
Numbers of painted words may show much skill, but little anguish;
And a cloudy face is oft put on, to serve both time and place.

The blazing wood may to the eye seem great,
But 'tis the fire rak'd up that has the heat,
And keeps it long. 
True sorrow's like to wine:
That which is good doth never need a sign.

My eyes were channels far too small to be
Conveyers of such floods of misery.

And so pray think; or if you 'd entertain
A thought more charitable, suppose some strain
Of sad repentance had, not long before,
Quite emptied for my sins that wat'ry store.

So shall you him oblige that still will be
Your servant to his best ability.

Ladies' Choice

Today, while reading my aforementioned issue of Elle Magazine, I saw this ad for Gardasil, Merck's vaccine against cervical cancer.



Turns out, I have less than two more years to receive the Gardasil vaccine-- it's officially recommended only for women and girls aged 9 to 26. Once you hit 27, it's next to impossible to get insurance to cover the three shots, which aren't cheap: Gardasil has a list price of $360, plus you have to pay the price your doctor charges for administering it.  In fact, it's the most expensive vaccine ever to receive the FDA's recommendation.

Since my time is kind of starting to run out, I decided to do some homework today about cervical cancer and what Gardasil does. You guys: I was pretty surprised by what I found. 

The first thing I looked for was the actual figures about cervical cancer itself. According to the most recent estimates from the National Cancer Institute, there were 11,070 women diagnosed with cervical cancer in the US in 2008, and 3,870 deaths attributed to the disease. Some perspective: 182,460 US women were diagnosed with breast cancer in 2008, with 40,480 deaths. In fact, cases of cervical cancer make up just 1.5% of all cancer diagnoses in American women every year, and 0.7% of cancer diagnoses in the US overall.

I was shocked that the incidence of cervical cancer is so relatively low, especially given the number of ads for Gardasil I've seen over the past two years and the number of friends I know who have gotten the vaccine. That said, I do realize that 11,070 cases is 11,070 cases too many, especially if it can be prevented. It's still a no-brainer to take a vaccine that could completely eliminate that risk, no matter how small, right?

But then I realized that many of us already take proven precautions against cervical cancer with yearly Pap tests. And, it seems if more women did the same, that already-small 11,070 figure could drop dramatically: According to the American Cancer Society,
between 60% and 80% of American women with newly diagnosed cervical cancer hadn't had a Pap test in the past 5 years-- and many of them had never had a Pap test.

In light of all this, Gardasil's adoption in its short time on the market seems almost irrational. The CDC reported in October that a whopping 25% of all teenage girls in the US have received the Gardasil vaccine. Virginia now requires by law that girls complete a three-shot vaccination against HPV before they enter the sixth grade, and nearly every other state has had similar bills under discussion since Gardasil's debut.

It seems to me that Gardasil has had a disproportionately large adoption rate for a vaccine that seems poised to benefit such a relatively small potential audience. For me, the jury is still out on whether or not I'm going to take the vaccine-- but after the research I did today I feel more confused than ever.

Seriously-- am I missing something here?  What's up with Gardasil?

Kate Hudson sounds like fun



I know the whole growing-up-as-Hollywood-royalty-by-being-the-daughter-of-Goldie-Hawn-and-Kurt-Russell thing might add to her apparently awesomely blissful personality, but the latest cover story in Elle Magazine kind of made me like Kate Hudson.  Which is saying a lot, because I've always just thought of her as that annoying "How to Lose a Guy in 10 Days" girl.

The article's tipping point for me:

"Let me give you an idea about Kate," [Kate Hudson's lifelong friend Jen] Meyer says. "You go spend a day with her, and you'll go into her house and she will be in a bikini, having just been lying out, walking around with the most perfect body you've ever seen in your life. She'll be saying to [her son] Ryder, 'Honey, we're going to go on a bike ride in just a few minutes; Mommy's just making you a banana souffle'-- no cookbooks out-- and, at the same time, go, 'Oh my God, Jen, you have to hear this,' and she'll go over to the piano and play a perfect song she just wrote like it's nothing.  You go, 'Okay, that was amazing,' and she runs right back to the kitchen, gets the banana souffle out-- it's the greatest banana souffle you've ever had-- and she throws on her helmet and gets on the bike with Ryder."

Um, Kate Hudson, can we seriously be friends?

Real talk from John McLaughlin



I have to say a highlight of my birthday was the McLaughlin Group's January 2nd episode**.  Well, specifically, John McLaughlin's "macro-prediction" for the year ahead:

"2009 will be the year when it will gradually dawn on U.S. policymakers that the cause of the global economic crisis is globalism itself. The premise that, as we shifted jobs to developing countries, new jobs would develop here to replace them is false. It is not possible to shift production jobs and service jobs to low-cost countries without hollowing out the purchasing power of the middle class."

My heartbeat actually sped up as I watched him say this, because I am so excited for this kind of real talk to be getting airtime and coming from such a respected person. I hope he's right that the next 12 months will bring a sea-change in way we perceive the pros and cons of our increasingly "flat" world. 

**I'm 25 now, which is safely and unabashedly grown up, so I am going to refrain from making any "Oh, ha-ha, isn't that so nerdy and boring of me" apologies/jokes. Because on the real, John McLaughlin is awesome, and is definitely on all my fantasy birthday/dinner/cocktail party guest lists.