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The Bonus Book of the Week is “The Face Laughs While the Brain Cries, The Education of A Doctor” by Stephen L. Hauser, published in 2023.
Born at the dawn of the 1950’s, the author grew up mostly in Bayside, a section of Queens in New York City. He began conducting medical research in the 1970’s, when knowledge and resources were extremely limited. His first drug-study involved 58 multiple-sclerosis patients selected from two hospitals in Boston. He got to know every patient personally.
Around 2010, the author was a small cog in the wheel of a much, much more extensive multiple-sclerosis-drug study that involved 2,500 patients affiliated with more than 300 hospitals on 5 continents. There were data galore from MRI’s, test results from clinicians and blood and spinal fluid, and integrity- monitoring of the whole extravaganza. Nine million pages of information.
Read the book to learn much, much more about the doctor’s experiences with his medical research and the U.S.’s drug-approval process.
ENDNOTE: The author recounted a few medical cases of people who had lost their minds. They turned out to have brain damage from multiple sclerosis.
Regardless of the cause of the inability of the patients to do their jobs– they couldn’t do their jobs competently. When such workers are responsible for leading a sprawling entity, where people’s lives or livelihoods hang in the balance, there can be extracurricular activity because no one is minding the store.
Two particular cautionary tales in the United States come to mind in connection therewith. It is true, no one person, not even the top leader is entirely to blame when things go wrong, but they get blamed because one thing leads to another, due to their impaired brain function.
Authors of personal accounts have documented how Ronald Reagan had reduced brain function in his second term as U.S. president; among them, George Shultz and Lesley Stahl. Peggy Noonan claimed Reagan had a hearing aid that was only sometimes on, so he was blissfully unaware of a lot of events he should have known about. The head of the CIA, Bill Casey was dying of a brain tumor. One subordinate of his, Oliver North, went rogue– played a large role in secretly selling weapons to the Iranians, with the help of Israel and Saudi Arabia!
The other instance involved Bill Paley, who was head of the international corporation, CBS, into the 1980’s. He would come into board meetings with a walker and two nurses by his side. Due to extensive memory loss, he was clueless as to what was going on. Since he wasn’t truly running the company anymore, a rogue department at CBS, having zero experience, decided to try to make movies. That division generated disastrous losses that resulted in layoffs in unrelated departments, causing trauma for all stakeholders associated with CBS.
In both of the above instances, there would have been a lot less trouble had the leader been removed when his incompetence due to reduced brain function became evident. Hint: the 25th Amendment of the U.S. Constitution can be invoked when a president is deemed sufficiently cognitively impaired to warrant his removal.