Angelina Jolie Pitt: Diary of a Surgery

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Published on Tuesday, 24 March 2015 00:00

Written by Angelina Jolie

TWO years ago I wrote about my choice to have a preventive double mastectomy. A simple blood test had revealed that I carried a mutation in the BRCA1 gene. It gave me an estimated 87 percent risk of breast cancer and a 50 percent risk of ovarian cancer. I lost my mother, grandmother and aunt to cancer.

I wanted other women at risk to know about the options. I promised to follow up with any information that could be useful, including about my next preventive surgery, the removal of my ovaries and fallopian tubes.

I had been planning this for some time. It is a less complex surgery than the mastectomy, but its effects are more severe. It puts a woman into forced menopause. So I was readying myself physically and emotionally, discussing options with doctors, researching alternative medicine, and mapping my hormones for estrogen or progesterone replacement. But I felt I still had months to make the date.

Then two weeks ago I got a call from my doctor with blood-test results. “Your CA-125 is normal,” he said. I breathed a sigh of relief. That test measures the amount of the protein CA-125 in the blood, and is used to monitor ovarian cancer. I have it every year because of my family history.

But that wasn’t all. He went on. “There are a number of inflammatory markers that are elevated, and taken together they could be a sign of early cancer.” I took a pause. “CA-125 has a 50 to 75 percent chance of missing ovarian cancer at early stages,” he said. He wanted me to see the surgeon immediately to check my ovaries.

I went through what I imagine thousands of other women have felt. I told myself to stay calm, to be strong, and that I had no reason to think I wouldn’t live to see my children grow up and to meet my grandchildren.

I called my husband in France, who was on a plane within hours. The beautiful thing about such moments in life is that there is so much clarity. You know what you live for and what matters. It is polarizing, and it is peaceful.

That same day I went to see the surgeon, who had treated my mother. I last saw her the day my mother passed away, and she teared up when she saw me: “You look just like her.” I broke down. But we smiled at each other and agreed we were there to deal with any problem, so “let’s get on with it.”

Nothing in the examination or ultrasound was concerning. I was relieved that if it was cancer, it was most likely in the early stages. If it was somewhere else in my body, I would know in five days. I passed those five days in a haze, attending my children’s soccer game, and working to stay calm and focused.

The day of the results came. The PET/CT scan looked clear, and the tumor test was negative. I was full of happiness, although the radioactive tracer meant I couldn’t hug my children. There was still a chance of early stage cancer, but that was minor compared with a full-blown tumor. To my relief, I still had the option of removing my ovaries and fallopian tubes and I chose to do it.

I did not do this solely because I carry the BRCA1 gene mutation, and I want other women to hear this. A positive BRCA test does not mean a leap to surgery. I have spoken to many doctors, surgeons and naturopaths. There are other options. Some women take birth control pills or rely on alternative medicines combined with frequent checks. There is more than one way to deal with any health issue. The most important thing is to learn about the options and choose what is right for you personally.

In my case, the Eastern and Western doctors I met agreed that surgery to remove my tubes and ovaries was the best option, because on top of the BRCA gene, three women in my family have died from cancer. My doctors indicated I should have preventive surgery about a decade before the earliest onset of cancer in my female relatives. My mother’s ovarian cancer was diagnosed when she was 49. I’m 39.

Last week, I had the procedure: a laparoscopic bilateral salpingo-oophorectomy. There was a small benign tumor on one ovary, but no signs of cancer in any of the tissues.

I have a little clear patch that contains bio-identical estrogen. A progesterone IUD was inserted in my uterus. It will help me maintain a hormonal balance, but more important it will help prevent uterine cancer. I chose to keep my uterus because cancer in that location is not part of my family history.

It is not possible to remove all risk, and the fact is I remain prone to cancer. I will look for natural ways to strengthen my immune system. I feel feminine, and grounded in the choices I am making for myself and my family. I know my children will never have to say, “Mom died of ovarian cancer.”

Regardless of the hormone replacements I’m taking, I am now in menopause. I will not be able to have any more children, and I expect some physical changes. But I feel at ease with whatever will come, not because I am strong but because this is a part of life. It is nothing to be feared.

I feel deeply for women for whom this moment comes very early in life, before they have had their children. Their situation is far harder than mine. I inquired and found out that there are options for women to remove their fallopian tubes but keep their ovaries, and so retain the ability to bear children and not go into menopause. I hope they can be aware of that.

It is not easy to make these decisions. But it is possible to take control and tackle head-on any health issue. You can seek advice, learn about the options and make choices that are right for you. Knowledge is power.

source : New York Times

Angelina Jolie Visits Syrian Refugee Camp, Calls Situation 'Tragic & Shameful'

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Published on Tuesday, 15 March 2016 18:29

Written by Just Jared

Angelina Jolie, the Special Envoy of the United Nations High Commissioner for Refugees, speaks to press during a visit to a Syrian refugee camp on Tuesday (March 15) in Zahleh, Lebanon.

“We cannot manage the world through aid relief in the place of diplomacy and political solutions,” the 40-year-old actress, director, and activist told reporters as she stood in the pouring rain.

“We should never forget that for all the focus on the refugee situation in Europe at this time, the greatest pressure is still being felt in the Middle East and North Africa, as it has for each of the last five years,” Angelina continued.

Click inside to read Angelina Jolie’s full statement to the press today…

Good morning, I am pleased to be back in Lebanon today.

I want to thank the Lebanese people for helping to save the lives of over 1 million Syrians.

It is not easy for a country to take in the equivalent of a quarter of its own population in refugees.

But for as much as it is a responsibility, I hope you are aware of the message it sends about the values and character and spirit of the Lebanese people.

You are setting an example to the world of generosity, humanity, resilience and solidarity.

On behalf of UNHCR, and on my own behalf, shukran, thank you.

We should never forget that for all the focus on the refugee situation in Europe at this time, the greatest pressure is still being felt in the Middle East and North Africa, as it has for each of the last five years.

There are 4.8 million Syrian refugees in this region, and 6.5 million people displaced inside Syria.

On this day, the 5th anniversary of the Syria conflict, that is where I had hoped I would be: in Syria, helping UNHCR with returns, and watching families I have come to know be able to go home.

It is tragic and shameful that we seem to be so far from that point.

Every Syrian refugee I have spoken to on this visit, without exception, talked of their desire to return home when the war is over and it is safe for them to do so – not with resignation, but with the light in their eyes of people dreaming of being reunited with the country that they love.

I have seen on this visit just how desperate the struggle to survive now is for these families. After five years of exile, any savings they had, have been exhausted. Many who started out living in apartments now cluster in abandoned shopping centres, or informal tented settlements, sinking deeper into debt.

The number of refugees in Lebanon living below the minimum threshold for survival- unable to afford the food and shelter they need to stay alive – has doubled in the last two years, in a country where 79% of all Syrian refugees are women and children.

We have to understand the fundamental realities that are driving the global refugee crisis – which is the product not just of the Syria war, but of decades of open-ended conflicts or persecution: in Myanmar, Mali, the Central African Republic, the DRC, Nigeria, Somalia, South Sudan, Afghanistan, Yemen, Iraq, Syria. I could go on.

The number of refugees is now higher than the last time we had a World War.

We are at an exceptionally difficult moment internationally, when the consequences of the refugee crisis seem to be outstripping our will and capacity and even our courage to respond to it.

In conventional times of war, people who are displaced go to more stable areas, or to neighboring countries for sanctuary, or are provided for in refugee camps until it is safe to go home. In exceptional circumstances some are sent abroad for resettlement or asylum.

But with 60 million people displaced, as there are today, there is no way that the governments of the world – no matter how rich or willing they are – can prop up the UN enough to care for all these people permanently and expect that to address the problem.

We cannot manage the world through aid relief in the place of diplomacy and political solutions.

We cannot discuss this as if it were a problem confined to the situation of tens of thousands of refugees in Europe.

We cannot improve this reality by partial responses, by responding to some crises and not others, or by helping some refugees and not others – for instance, by excluding Afghan refugees, among other groups – or by making a distinction between refugees on grounds of religion.

The result would be more chaos, more injustice and insecurity, and ultimately more conflict, and more refugees.

We have to focus on the absolute root causes, and that takes a certain amount of courage and leadership.

And in my view, leadership in this situation is about doing more than simply protecting your borders or simply putting forward more aid, it means taking decisions to ensure we are not heading towards an even greater refugee crisis in the future.

That is why, as heartbreaking and angering it is to hear the individual stories of the refugees, it is not a time for emotion.

It is a time for reason and calm and foresight.

I want to be clear that I understand that people in many different countries have fears about the refugee situation.

They are worried about the impact on their communities, livelihoods and security if they accept refugees into their countries.

It is not wrong to feel unsettled faced by a crisis of such complexity and such magnitude.

But we must not let fears get the better of us.

We must not let fear stand in the way of an effective response that is in our long-term interests.

My plea today is that we need governments around the world to show leadership: to analyse the situation and understand exactly what their country can do, how many refugees they can assist and how, in which particular communities and to what timeframe; to explain this to their citizens and address fears – based not on emotion but on a measured assessment of what can and must be done to share the responsibility and get on top of this situation.

That starts with having a very robust asylum procedure to be able to hear the needs of the desperate families to identify who is most vulnerable and who has a genuine refugee claim – processes that UNHCR has been supporting governments to carry out for decades.

I appeal to all governments to uphold the UN Convention on Refugees and basic human rights law, because it is both necessary and possible to protect people fleeing persecution and death and protect citizens at home. It should not be reduced to a choice between one or the other.

The reason we have laws and binding international agreements is precisely because of the temptation to deviate from them in times of pressure. We know from recent history that when we depart from fundamental laws and principles we only create worse problems for the future.

I spent time this morning with a mother who was paralysed after being shot by a sniper’s rifle in a besieged area of Syria. She lies in one room, where she lives with her whole family, in a small, cold, makeshift settlement here in the Bekaa Valley.

Never once during our discussion did she ask for anything, did she stop smiling, or talk of anything other than her desire for her children to have the chance to go to school and have a better life.

When I saw her beautiful smile, and her dedicated husband and children looking after her, I was in awe of them. They are heroes to me. And I ask myself, what have we come to when such survivors are made to feel like beggars?

We can do the right thing by refugees and build a more secure international environment. We can build order out of chaos.

In my view it comes down to understanding the law, choosing not to be afraid, and showing political will.

For the sake of the people of Syria, and for all the refugees around the world looking desperately to the international community to provide solutions, I hope we will do this.

And I also hope that the 15th of March next year will finally herald a Syria at peace, and will be the beginning of a time of returns so that these refugees are able to fulfil their desire to go home.

Thank you very much.


http://www.justjared.com/2016/03/15/angelina-jolie-visits-syrian-refugee-camp-calls-situation-tragic-shameful/

What We Owe Refugees

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Published on Thursday, 20 June 2019 05:01

Written by Angelina Jolie

Who comes to mind when you picture a refugee? You probably don’t imagine a European. But if you were a child of World War II and asked your parents what a refugee was, they would probably have described someone from Europe.

More than 40 million Europeans were displaced by the war. The U.N. Refugee Agency was created for them. We forget this. Some of the leaders uttering the harshest rhetoric against refugees today trace their routes back to countries that went through tragic refugee experiences and were helped by the international community.

At the first sign of armed conflict or persecution, the natural human response is to try to take your children out of harm’s way. Threatened by bombs, mass rape or murder squads, people gather the little they can carry and seek safety. Refugees are people who’ve chosen to leave a conflict. They pull themselves and their families through war, and often help rebuild their countries. These are qualities to be admired.

Why then has the word refugee acquired such negative connotations in our times? Why are politicians being elected on promises to shut borders and turn back refugees? Today the distinction between refugees and migrants has been blurred and politicized. Refugees have been forced to flee their country because of persecution, war or violence. Migrants have chosen to move, mainly to improve their lives. Some leaders deliberately use the terms refugee and migrant interchangeably, using hostile rhetoric that whips up fear against all outsiders.

Everyone deserves dignity and fair treatment, but we need to be clear about the distinction. Under international law it is not an option to assist refugees, it is an obligation. It is perfectly possible to ensure strong border control and fair, humane immigration policies while meeting our responsibility to help refugees. More than half of all refugees worldwide are children, and 4 of 5 of them live in a country that borders the conflict or crisis they have fled. Fewer than 1% of refugees are ever permanently resettled, including in Western nations.

American generosity means that our country is the world’s largest donor of aid. But consider Lebanon, where every sixth person is a refugee. Or Uganda, where a third of the population lives in extreme poverty, sharing its scarce resources with over a million refugees. Across the world, many countries that have the least are doing the most.

When I started working with the U.N. Refugee Agency, or U.N. High Commissioner for Refugees (UNHCR), 18 years ago, there were about 40 million forcibly displaced people and hope that the number might be falling. According to the UNHCR’s latest global-trends report, the number of forcibly displaced people today stands at over 70 million and is rapidly rising. From Myanmar to South Sudan, we are failing to help resolve conflicts in a way that enables people to return home. And we expect the U.N. to somehow deal with the resulting human chaos.

At the first session of the U.N. General Assembly, in 1946, President Truman laid upon member states the prime responsibility for creating peace and security. He said the U.N. “cannot … fulfill adequately its own responsibilities until … peace settlements have been made and unless these settlements form a solid foundation upon which to build a permanent peace.”

But the sad truth is, member states apply the tools and standards of the U.N. selectively. States often put business and trade interests ahead of the lives of innocent people affected by conflict. We grow tired or disillusioned and turn our diplomatic effort away from countries before they’ve stabilized. We seek peace agreements, as in Afghanistan, that don’t have human rights at their core. We barely acknowledge the impact of climate change as a major factor in conflict and displacement.

We use aid as a substitute for diplomacy. But you cannot solve a war with humanitarian assistance. Particularly when few humanitarian appeals anywhere in the world are even 50% funded. The U.N. has received only 21% of the 2019 funds needed for Syria relief efforts. In Libya the figure is 15%.

The rate of displacement last year was equivalent to 37,000 people being forced from their homes every single day. Imagine trying to organize a response to that level of desperation without the funds necessary to help even half of those people.

As we mark World Refugee Day on June 20, it is an illusion to think that any country can retreat behind its borders and simply hope the problem will go away. We need leadership and effective diplomacy. We need to focus on long-term peace based on justice, rights and accountability to enable refugees to return home.

This is not a soft approach. It is the harder course of action, but it is the only one that will make a difference. The distance between us and the refugees of the past is shorter than we think.

(source)

Angelina Jolie: Why Girls Deserve Love and Respect on International Women's Day

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Published on Thursday, 12 March 2020 18:18

Written by Angelina Jolie

I have spent the last two months in and out of surgeries with my eldest daughter, and days ago watched her younger sister go under the knife for a hip surgery.They know that I am writing this, because I respect their privacy and we discussed it together and they encouraged me to write. They understand that going through medical challenges and fighting to survive and heal is something to be proud of.I have watched my daughters care for one another. My youngest daughter studied the nurses with her sister, and then assisted the next time. I saw how all my girls so easily stopped everything and put each other first, and felt the joy of being of service to those they love.I also watched them their face fears with a resolute bravery. We all know that moment when no one else can help us, and all we can do is close our eyes and breathe. When only we can take the next step or breath through the pain, so we steady ourselves and do it.Their brothers were there for them, supportive and sweet. But on this International Women’s Day, writing from the hospital, I find myself focusing on my daughters for a moment, and all that I have learned from them and other young girls I have met around the world.

Someone said to me, when they saw my daughters caring for each other, that “it comes naturally to girls.” I smiled, but then I thought of how often that notion is abused. The little girl is expected to take care of others. The woman she grows up to be will be expected to give, and care for, and sacrifice. Girls are often conditioned to think that they are good only when they serve others, and selfish or wrong if ever they focus on their own needs and desires.Little girls’ softness, their openness and instinct to nurture and help others, must be appreciated and not abused. We must do much more to protect them, in all societies: not only against the extreme ways girls’ rights are often violated, but also the more subtle injustices and attitudes that so often go unnoticed or excused.So my wish on this day is that we value girls. Care for them. And know that the stronger they grow, the healthier they will be and the more they will give back to their family and community.And my message to girls is, fight on, little ladies. Your care for each other will be a large part of your way forward. Hold your nerve. Know your rights. And never let anyone tell you that you are not precious and special and, above all, equal.


By Angelina Jolie
March 8, 2020
Jolie, a TIME contributing editor, is an Academy Award–winning actor and Special Envoy of the U.N. High Commissioner for Refugees

source : TIME