New York Times article - ask them to retract

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There's a newly published story in the New York Times about feuding that perpetuates the misinformation in last spring's AP article.



Here is the message I sent to the author of the article. If you would like to send her a note, or to send a letter to the editor of the New York Times, that would be great. I think the more they hear this message -- in your own words, from your own perspective -- the more they will realize the damage this "colorful quote" is doing.



I will post this also in the pheo list.



The article: http://www.nytimes.com/2007/12/09/weekinreview/09goodnough.html?ref=weekinr eview


To write to the author, click on the author's name and then on "send an e-mail to the author", or click here
http://www.nytimes.com/gst/emailus.html


To send a letter to the Editor of the New York Times, please send to letters@nytimes.com


Article title: No, We don't want to kiss and make up



TO: Abby Goodnough



Your article about feuds is very entertaining. However, I do have a bone to pick with you.



You quote the colorful but ENTIRELY WRONG quote from the AP article last spring that VHL is a rage disease. This was a quote from a family member, repeating colorful family lore. However, it is NOT SCIENTIFICALLY ACCURATE.



I have been living with VHL since 1962, and heading this organization since 1993. When I read that in the press, I had only heard rarely about outbursts of anger associated with pheos, so I contacted two of the country's top experts in VHL and pheochromocytoma. Dr. W. Marston Linehan, Chief of urologic oncology at the U.S. National Cancer Institute said to me, "RAGE IS NOT A FACTOR IN PHEOCHROMOCYTOMA." Dr. Mary Lee Vance at the University of Virginia, another of the country's top experts on pheochromocytoma and VHL, was offended at the very question.



Only 15% of people with VHL ever even get a pheo.



85% of people with pheochromocytoma do not have VHL.



The doctor quoted at Vanderbilt University mis-characterized the hormonal surge as being caused by VHL -- it is caused by a pheochromocytoma, a tumor that can occur in VHL or one of four other genetic conditions, and also (70%) in the general population.



AND "rage" is not at all a common occurrence with pheos. The hormonal surge is much more frequently interpreted as a PANIC ATTACK -- in other words, a person with a pheo is much more likely to RUN or harm himself than to strike out at others.



Don't take my word for it, please call


Dr. W. Marston Linehan, NCI


Dr. Mary Lee Vance, University of Virginia



We would appreciate a formal retraction in the New York Times. This misinformation is very hurtful and demoralizing to people with VHL and also to all people with pheos. They have enough to cope with in dealing with this very difficult medical condition. They do not also need the burden of this stigmatizing misinformation.



How would you feel if you knew one of your colleagues had VHL, and you read in the New York Times that this person might flip out for no reason?



How would you feel if you had VHL and your colleagues and your boss read this in the New York Times?



It was bad in the AP article -- we posted replies and letters to the editor in newspapers all over the world. But when it appears in the New York Times, with the greater weight of the authority of the Times, it is dimensions worse.



Please print a formal retraction as soon as possible.



Many thanks,


Joyce W. Graff, Director, VHL Family Alliance, 617-277-5667 x 710, director@vhl.org


cc: Linehan, Vance

3 replies

Hi Joyce,

I agree VHL is not a rage disorder and that clarification certainly needs to be made. However, I did experience a component of irritability and explosive emotions with the pheo. I had an undiagnosed pheo for at least 5 years, during which time I went through two pregnancies. I did experience the common symptoms of severe anxiety attacks, sweating, flushing, heart racing and pounding, but I would also explode sometimes at the slightest provocation. In a situation where I would normally react in a calm manner, I would find myself lashing out exlosively because of the amount of adrenaline pumping through my system. It would be logical to think the pregnancy hormones may have effected the moods but I was the most calm during the pregnancies.

I very vividly remember my husband sitting me down at the table and telling me he felt like he was walking on eggshells around me and something had to change because he couldn't take it anymore. Fortunately, it wasn't long after that the pheo was discovered and removed and I returned to my former personality. On a side note, it took quite awhile to get over the anxiety attacks because the endocrine system had to readjust its production levels after the pheo was removed (I did not lose my adrenaline glands as the pheo was in the para aorta ganglia).

I just wanted to share my story to give a non-clinical perspective that may provide some insight to the feud theory.

Jenny

Thanks for sharing that, Jenny.

The biggest bone of contention is that VHL is taking the rap, not pheo.

The doctor from Vanderbilt was quoted as say that "VHL is characterized by surges of adrenaline..."

He was describing a pheo, not VHL.

Only 15% of people with VHL ever get a pheo

Only 10% of the pheos out there are caused by VHL. 90% are not.

The problem is pheos, not VHL. And the biggest problem is the delay in diagnosis of a pheo.

The experts do insist that "rage is not a factor in pheochromocytoma". I do hear about outbursts of anger -- but rarely rage. Rage is when you are totally out of control -- "violent and uncontrolled anger " -- when someone gets killed. And I'm sure you don't mean anything close to that in your situation.

So I'm looking for PHEOS to take this rap, not VHL, and to put this into the context it deserves.

We have enough to contend with in dealing with this complex medical condition -- we don't need to have people thinking we may flip out over nothing and do violence in the workplace.

Best wishes,
Joyce

Here's what the legal system thinks of when you say "rage": This is why the doctors are outraged when people talk about "rage" in connection with VHL.

The following is an example of a state statute dealing with manslaughter:
"§ 2903.03. Voluntary manslaughter.

(A) No person, while under the influence of sudden passion or in a sudden fit of rage, either of which is brought on by serious provocation occasioned by the victim that is reasonably sufficient to incite the person into using deadly force, shall knowingly cause the death of another or the unlawful termination of another's pregnancy.

(B) Whoever violates this section is guilty of voluntary manslaughter, a felony of the first degree."

http://definitions.uslegal.com/m/manslaughter/

Joyce

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