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54<br />
paula saukko<br />
such as <strong>the</strong> elderly. A long story evolved on <strong>the</strong> list when <strong>the</strong> fa<strong>the</strong>r,<br />
who had thrombophilia, of one of <strong>the</strong> frequent participants had heart<br />
surgery in Austria:<br />
My dad (FVL+; 69 years old) will undergo triple bypass surgery<br />
tomorrow in Austria. He is on Coumadin and was not able to go down<br />
enough with his INR, so I guess <strong>the</strong>y will give him vit K shot, and he<br />
also has o<strong>the</strong>r health problems.<br />
The fa<strong>the</strong>r developed complications, and <strong>the</strong> participant fl ew to be<br />
by his side for weeks to double-check that he received adequate care,<br />
remembering her own days at <strong>the</strong> hospital:<br />
As to being your own advocate: with my DVTs, I learned fast to watch<br />
out for myself! When <strong>the</strong> IV was almost empty, I would call <strong>the</strong> nurse<br />
(quite often <strong>the</strong>y would tell me it wouldn’t really hurt me if it ran<br />
dry . . .), I would watch and make sure I got <strong>the</strong> meds I was supposed<br />
to get, and <strong>the</strong>n I would remind <strong>the</strong> nurses when it was time for <strong>the</strong>m,<br />
because quite often <strong>the</strong>y would forget.<br />
Overall, <strong>the</strong> list was rife with advice about how to take care of family<br />
health matters in terms of insurance, vacationing (taking care of long<br />
fl ights, avoiding high altitudes), breaking <strong>the</strong> news of a genetic susceptibility<br />
to family members, and diets to eat in general and in particular<br />
when taking Coumadin.<br />
The way in which <strong>the</strong> participants on <strong>the</strong> list, most of <strong>the</strong>m women,<br />
worked on seeking information, managing everyday life and health<br />
care and giving emotional support for <strong>the</strong>ir family members and to<br />
o<strong>the</strong>r participants on <strong>the</strong> list can be interpreted in two ways. First, <strong>the</strong><br />
exchanges provided <strong>the</strong> women an opportunity to both get practical<br />
information about how to best care for <strong>the</strong>ir children and o<strong>the</strong>r relatives<br />
in relation to thrombophilia; <strong>the</strong> list also offered emotional support and<br />
encouragement for <strong>the</strong> women in <strong>the</strong>ir everyday care work. As observed<br />
by o<strong>the</strong>rs (Drentea & Moren-Cross, 2005) online support groups may<br />
provide mo<strong>the</strong>rs, often isolated in <strong>the</strong>ir caring, “social capital” understood<br />
in terms of both instrumental and emotional support. Second,<br />
however, <strong>the</strong> group also bolstered an ethos of caring, which consolidated<br />
<strong>the</strong> idea that health and well-being is <strong>the</strong> responsibility of <strong>the</strong> private<br />
sphere of selfl ess female nurturance. The ethos of both preventive<br />
genomics and online health groups is that individuals should take a<br />
greater responsibility for <strong>the</strong>ir health, which not only democraticizes<br />
medicine but also shifts <strong>the</strong> burden for public health on private indi-