58 pages 1-hour read

Reel

Fiction | Novel | Adult | Published in 2021

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Background

Content Warning: This section of the guide includes discussion of illness, death, and racism.

Cultural Context: The Harlem Renaissance

The term “Harlem Renaissance” refers to a period of innovation and growth in the creative output from African Americans that flourished during the decades of the 1920s and 1930s in the United States. The creative energy was not limited to Harlem, a district located in the northern part of Manhattan, one of the boroughs of New York City. However, beginning in the 1920s, Harlem was increasingly home to Black intellectuals and a thriving nightlife that encouraged and supported Black actors, singers, dancers, and other performers.


Lenox Avenue and 139th Street, which are duplicated as movie sets in Reel, were locations in Central Harlem that housed notable venues. The Cotton Club was a popular cabaret where Black artists performed for white audiences. Duke Ellington, Louis Armstrong, Ethel Waters, and Lena Horne all performed there. Of the many popular night clubs, the Radium Club, also located on Lenox Avenue, was home to musicians innovating in the jazz and blues genres. The Lafayette Theater hosted revues and productions by the Lafayette Players, a Black troupe, and audiences were desegregated in a time when segregation was still legally enforced in many areas in the US.


The Savoy Ballroom was another of the earliest racially integrated public spaces in the US. The dance floor was as long as a city block and could fit thousands of dancers who enjoyed the music of live jazz bands each night. While several dances were developed and popularized at the Savoy, including the Charleston, the Savoy is most celebrated as the birthplace of the Lindy Hop. This is the dance that the Savoy’s signature troupe would perform on worldwide tours, including entertaining soldiers during World War II, and in many period films.


The outpouring of creative talent during these decades also impacted the literary and visual arts. Hand in hand with the artistic output went a rising consciousness of pride in Black heritage and racial identities, working against the common stereotypes about who were then referred to as “Negro” people. This commitment to equality on intellectual and artistic levels fueled the civil rights movement that fought for equal legal rights and protections for Black Americans, leading to the passage of the Civil Rights Act in 1964.


Despite the artistic vibrancy of the Harlem Renaissance, the existence of laws enforcing racial segregation, widespread prejudice and discrimination, and racial violence such as lynchings motivated many Black Americans to travel or live abroad. Reel includes mention of several celebrities who found a warmer welcome in Europe than in their birth country, including performer Josephine Baker, singer Sidney Bechet, and writer James Baldwin. The Forever publication of Reel includes in the front matter a list of Black artists and performers who contributed to the Harlem Renaissance, which left an indelible mark on arts, literature, and culture in the US and beyond.

Medical Context: Lupus

Lupus is an autoimmune condition, meaning that the body’s immune system attacks its own organs and tissues. In lupus, this attack causes inflammation throughout the body, affecting joints, skin, blood vessels, and organs such as the kidneys. The causes of lupus are not yet known but are attributed to a combination of genetics, hormones, and environmental factors. Around 16,000 new cases are reported in the US each year; 90% of those affected are women (“Lupus.” John Hopkins Medicine).


Since there is no cure for the condition, treatments target managing symptoms and can include maintaining a healthy lifestyle and taking medications to manage pain and inflammation. While a dermatologist can help address rash symptoms, a rheumatologist who specializes in autoimmune diseases can also advise on care.


According to the Lupus Foundation of America, the medical field recognizes four different kinds of lupus. Systemic lupus erythematosus (SLE) is the most common form, comprising about 70% of cases. SLE can be mild or severe. Cutaneous lupus erythematosus (CLE) generally only affects the skin. Discoid lupus, Neevah’s initial diagnosis, is a type of CLE. Discoid lupus generally manifests as a reddish, scaly, disc-shaped rash that most commonly appears on the scalp and face but can appear on other parts of the body. The Lupus Foundation notes that around 20% of people with discoid lupus also have SLE. The other two categories, neonatal and drug induced, are less common than SLE and CLE (“What Is Lupus?Lupus Foundation of America).


While the causes of systemic lupus are not yet understood, there are certain risk factors. SLE more commonly develops in women between the ages of 15 and 44. Having a family member with lupus or other autoimmune diseases also increases risk. Members of certain racial or ethnic groups including Black and African American people, Hispanic and Latino people, American Indigenous and Alaskan Native people, and Asian American and Pacific Islander people experience higher incidences of lupus. Symptoms vary across those affected but frequently include rashes on the skin, pain or swelling in the joints, swelling in the feet or around the eyes, and chronic fatigue.


The malar rash, or the butterfly-shaped rash that develops along the nose and cheeks, is one of the skin inflammations that frequently accompanies lupus. Skin can also be inflamed by exposure to sunlight. Lupus can affect the central nervous system, cause inflammation of blood vessels in the brain, and lead to stroke or heart attack. Lupus nephritis, which causes inflammation in the kidneys, affects up to 60% of people with SLE and can lead to permanent kidney damage.

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