Career Memoir – Page 24 – education and deconstruction.com

Healing Hearts

The Book of the Week is “Healing Hearts” by Kathy E. Magliato, M.D., published in 2010. This is a personal account detailing one woman’s experiences trying to balance her medical training and career, with her family life.

She details various issues, including but not limited to: the long, rigorous road to becoming a full-fledged doctor in her specialty; the discrimination she faces in a male-dominated field; the job emergencies that cut into quality time with her family; and the healthcare crisis in the United States.

Magliato and her husband have a combined 43 years of education and training in medicine. She, in cardiac surgery; he, in liver transplants. She describes the hardships she faces when passionately attempting to save lives. She must ignore her own physical needs while standing for, say, fifteen hours in a row to help provide patients with a replacement heart, or veins or valves. She needs to hold particular medical instruments in place for many minutes without flinching, lest she harm the patient.

Magliato predicts a collapse of the American health care system. The reason is simply that health insurance companies do not pay what hospitals bill them; rather, they pay what they feel like paying. An insurance company might be billed $385,000 for heart surgery hospitalization, but it might pay the hospital only $54,000.

“…a hospital is ecstatic whenever it collects more than 10% of the bill. How can hospitals not only survive but be able to deliver state of the art care when their price is not met? They can only increase their quantity until the hospital is full. They can only cut their costs until the delivery of quality health care is jeopardized.”

Audition

The Book of the Week is “Audition” by Barbara Walters, published in 2008. This is Walters’ autobiography, a detailed account of her personal and professional life. She had a long, illustrious career in TV News. She started out as a behind-the-scenes writer for the “Today Show” on NBC in the early 1960’s, when there was still a lot of discrimination against women. Nevertheless, her hard work at, talent and suitability for her job, over the course of decades, afforded her the opportunity to interview countless famous people; some, multiple times.

There were occasions when Walters received special treatment by her interviewees. In the spring of 1977, she was personally driven for six hours around the Bay of Pigs vicinity by none other than Fidel Castro. Later that year, she witnessed multiple Middle Eastern politicians gather all in one place when Egypt’s Anwar Sadat made (momentary) peace with Israel’s Menachim Begin. ABC interrupted a college football game with the “breaking news.” Viewers telephoned the network to express their displeasure, and after seven minutes of complaining, the viewers got their game back.

Walters was lucky to have helped pioneer the art of the TV interview and enjoyed its best years. She asked hard-hitting, sometimes personal questions that hosts do not ask anymore. She writes that nowadays, TV ratings rise with guests who are attention whores or criminals– whose stories are tabloid articles. Political leaders or celebrities with substance have become a rarity. “We really seem to care only if they are outrageous and call our president a devil or declare that the Holocaust never existed. Stand up and scream and we will interview you, or be reasonable and unheard.” Fortunately, the internet has become a source of intelligent discussion in some quarters– a source that is not under pressure to generate ratings.

You’ll Never Nanny In This Town Again

The Book of the Week is “You’ll Never Nanny In This Town Again” by Suzanne Hansen, published in 2006. This book recounted the author’s experiences caring for the children of celebrities.

After high school, Hansen received her training at a school for nannies. She knew she was passionate about caring for children. After graduation, an agency placed her in the home of the family of a super-rich Hollywood talent agency executive. Although Hansen bonded with the three children in her care, she was unhappy with the live-in job. The parents created a tense environment, and she lacked the assertiveness to stand up to their petty, controlling attitude.

Nevertheless, Hansen acquired valuable experience that later helped her take care of the kids of movie star Debra Winger, rock star Pat Benatar and TV stars Rhea Perlman and Danny DeVito. She discussed all aspects, good and bad, of being a nanny. There is more to it than meets the eye, regardless of whether the children are offspring of wealthy celebrities. Childcare seems to be an undervalued job in our society.

Little Princes

The Book of the Week is “Little Princes” by Conor Grennan, published in 2010. This the story of a global aid worker who changed many lives for the better over the course of three years.

Initially, Grennan volunteered to be, in essence, a surrogate parent for a couple of months in Nepal in late 2004 at an orphanage, whose name in English is “Little Princes.” However, the children were not truly orphans. Months or years before, a child trafficker had told their parents, living in poverty-stricken rural villages, that if they gave him a lot of money– in some cases, their life savings– that their children would be fed and clothed well and get an education. Instead, the trafficker sold them into domestic servitude in private homes. Those lucky children had been rescued by a pitifully incomplete patchwork of international child-services organizations or a government official in Kathmandu. “In Nepal, there were no safety nets, no system where all children were cared for in an orderly manner.”

Grennan fell in love with the children at Little Princes, and they, him. He thus returned to be with them after a year’s interlude. He learned of a group that ran homes in Kathmandu, and visited with kids there, too. He, with a fellow volunteer, had a dream to form an organization to have rescued children come to live in their own children’s home.

After the decade-long civil war between the Nepalese monarchy and the Maoists ended, Grennan’s goal became to find the children’s parents and reunite them. In prior years, the Maoists had occupied villages and had been ruthless with people associated with aid organizations. A weeks-long expedition taken on foot in the high-altitude mountains to find the parents, was already fraught with the dangers of death by a fall, illness, marauders, and snow, and even in this day and age– the absence of communications devices (!)

Grennan encountered a traumatic situation, of which he knew not, how many of its like there were. While on an expedition like the one described above, he found out from a postal service worker that the parents of a fourteen-year old kid in a home were alive and well. At some point in the past, the kid had been given their death certificates. Grennan realized the certificates were forged. “Here was a boy who had grown up believing that his entire family was dead… I was struck by how viciously the civil war had torn this country apart.”

Once Grennan started having success reuniting children and parents, the latter were overjoyed to see the former again. “But when they learned that their child was being well taken care of, they were suddenly reluctant to take him or her home. Nepal is a terribly poor country; it is a challenge to support a family.”

Read the book to learn more about the author’s trials, tribulations and triumphs, which include a romantic subplot.

Tokyo Vice

The Book of the Week is “Tokyo Vice, An American Reporter on the Police Beat in Japan” by Jake Adelstein, published in 2010. This is a memoir about an American who went to work for a major newspaper in Tokyo in the 1990’s, and ended up investigating one of Japan’s major organized crime groups, the Yakuza.

Attaining fluency in Japanese was a major hurdle for him, but he managed. He discusses in detail how he survived his training, and the Japanese journalist culture. This includes personally visiting the home of the local police chief, and bringing ice cream for his kids. That is how Adelstein was able to report crime news before the competition. Unfortunately, he was a bit too passionate about rooting out corruption. For, he put himself and his family in danger. Read the book to learn their fate.

Weekends At Bellvue

The Book of the Week is “Weekends at Bellvue” by Julie Holland, published in 2009. This is a personal account of a psychiatrist who, for nine years, managed weekend admissions to Bellvue, the New York City mental hospital.

Prior to Bellvue, Dr. Holland did her residency at Mount Sinai Hospital in 1992. On her first day, she was put in charge of a patient who believed he was God. Later, she joked to her mother, “…I am starting my medical career at the very top… I am God’s doctor!”

She describes the office politics at Bellvue, why she admitted or released all kinds of patients, including criminals, crime victims, the homeless, addicts, malingerers and people truly in need of help. Colorful vignettes are alternated with details of her personal life. She discusses the growth of her personal relationships– with a close colleague, and with her own psychiatrist, with her eventual life partner, and children. She also relates her fears of being the victim of retaliation by a former employee, and dangerous patients.

There were some extreme stories. At the occurrence of the World Trade Center disaster, a manic Iowa man rode a bus all the way to Ground Zero to help with the recovery effort. There, he was somehow able to get inside and operate a backhoe. He told Dr. Holland, “They need my help.”

Dr. Holland realized she was frustrated that she was able to help patients only temporarily. Bellvue is a revolving door of sorts. Some patients return again and again, because they lack a support system to lift them permanently out of their bad situations, such as addiction, homelessness, or their going off their medication. If Dr. Holland judged that their situations warranted admission to Bellvue, they might get detoxed or restarted on their medication, and/or a comfortable place to sleep in the short term, but once released, would return to the same situation again.

In the end, Dr. Holland left Bellvue because she felt she could be of more assistance to patients in private practice in that she could establish a one-on-one long-term treatment program with them.

The Deserter’s Tale

The Book of the Week is “The Deserter’s Tale” by Joshua Key and Lawrence Hill, published in 2007. This is the intense story of Joshua Key, who was assigned to an outfit of the U.S. Army that he claims committed war crimes in Iraq.

Finding himself in a financially desperate situation with a growing family, Key decided to join the army. A promise was made to him that he would stay stateside. Instead, after training, he was sent to Iraq early on in the Second Gulf War. When posted in Ramadi, his unit was ordered to raid homes of civilians to search for contraband, weapons and signs of terrorists or terrorist activity, but never found any. He writes that all Iraqi males five feet or taller, regardless of age, were detained by his fellow soldiers. He was never told by his commanding officer where they were taken or what happened to them. The females were terrorized by the unnecessarily rough treatment of the males at the hands of the American soldiers. Not only did the soldiers use scare tactics, but they arbitrarily looted and then trashed the civilians’ residences.

Key says he participated in the attacks, but did the minimal damage he could, while still obeying orders. He writes, “My own moral judgement was disintegrating under the pressure of being a soldier, feeling vulnerable, and having no clear enemy to kill in Iraq. We were encouraged to beat up on the enemy… Because we were fearful, sleep-deprived, and jacked up on caffeine, adrenaline, and testosterone, and because our officers constantly reminded us that all Iraqis were our enemies, civilians included, it was tempting to steal, no big deal to punch, and easy to kill… I witnessed numerous incidents of needless brutality and murders of civilians.”

Read the book to learn what transpired when the situation became intolerable for Key.

Ben & Jerry’s: The Inside Scoop

The Book of the Week is “Ben & Jerry’s: The Inside Scoop, How Two Real Guys Built A Business With A Social Conscience and A Sense of Humor” by Fred Lager published in 1995.

Ben Cohen and Jerry Greenfield, a couple of childhood friends who had drifted apart, resumed their friendship in their late twenties. Their work lives were aimless at the time, so they decided to go into business together. They settled on selling ice cream, based on Ben’s life philosophy, “If it’s not fun, why do it?”

Ben and Jerry worked around the clock in the couple of years it took to create a business plan and convert a gas station in Burlington, Vermont to an ice cream store. The 1978 Grand Opening saw the giveaway of free ice cream cones to the public. This book– the owners’ first– describes the trials, tribulations and triumphs they experienced in getting the business up and running, and growing.

Ogilvy on Advertising

The Book of the Week is “Ogilvy on Advertising” by David Ogilvy published in 1985. The author was the co-founder of what has become a world-famous, worldwide advertising agency– a major feat, as he started his advertising career at 38(!) years old. Perhaps his business has endured because he had the right idea. He wrote that he did not care whether the viewer of an ad said “What a great ad!” Ogilvy’s major goal was to get the viewer to say, “I must go out and buy this product!” This way, he would make money for the client. This book recounts his experiences in the field and provides tips on how to advertise.

Asking for Trouble

The Book of the Week is “Asking for Trouble” by Donald Woods, published in 1981. This book’s author (miraculously) lived to tell of his experiences publishing an anti-apartheid newspaper in South Africa under apartheid in the 1960’s and 1970’s.

South Africa’s then-leader allowed Woods’ newspaper to remain in existence only to maintain the public relations charade, that the country allowed free speech on the subject of its treatment of certain of its citizens. Nevertheless, Woods lived under threat of death all the time, from his numerous enemies. His family was also in danger. He described one incident in which his children naively tried on T-shirts that had come in the mail from what appeared to be a politically friendly source. The shirts contained the acidic chemical ninhydrin, which burned their skin.

Read the book to learn what dire action Woods eventually had to take to save his own life.