Wine Times. I Don’t Fit the Profile. Do You?

wineThrow Back Thursday Moment: Barb and I on the Deluxe Tour of the Gallo Winery in Modesto, California. Early 1980’s. A large gentleman wearing a cowboy hat and bolo tie, speaking with a slow, deep, West Texas drawl says to the guide “I know what rayd whin is, and I know what whayt whin is, but what the heck is that rosay stuff, darlin’?”


The latest poll to capture our imagination is out. And no, it is not whether to impeach or not to impeach. The poll asks if you prefer red or white. And it is all about wine. Coravin, the people behind the Coravin Wine Preservation System, sponsored a survey of 2000 wine drinkers to determine their preferences in wine, and in other things as well. Red and white wine drinkers seemed to be pretty different!

I looked at the poll results and tried to figure out where I fit in. First of all, I am strictly a white wine drinker. I know that makes me less sophisticated than red wine aficionados, but there it is. Along with Barb, I have matured from overly sweet types like rieslings to dryer Sauvignon Blancs, preferably from New Zealand, but I have never crossed over into reds. So I was curious to see if I shared a lifestyle with Coravin’s bunch of white wine drinkers.

Not so much. According to the poll, white wine drinkers are:

  • Night owls, while red wine drinkers are early risers: No white wine points for me here. I am the Benjamin Franklin type. “Early to bed, early to rise,,,,,”
  • Extroverts, not introverts like cabernet imbibers: Another place I fail to match the white wine profile. At a party, I am more likely to be nursing my wine glass in the corner of the room rather than being the center of attention, telling stories and chatting up a storm.
  • A cat fan, instead of a dog lover: OK, this one fits me. If I were female I might turn into one of those crazy cat ladies, though now I settle for one cat at a time.
  • A picker of punk music over jazz: I can listen to the Clash and the Ramones without wincing. But I also like the jazzier side of Steely Dan. So sign me up for punk or jazz, as long as a little rock’n’roll is thrown in to make me feel at home.
  • Curious, sarcastic and perfectionist, while red fellows are adventurous, humble and organized: Here I humbly believe I follow the red wine profile more closely than the white. After all, I would never be sarcastic.

I don’t really fit either profile. I guess I am best described as an outlier. Despite my definite white wine preference, my personality and my habits fit somewhere in the middle. I guess my old Texan buddy can just call me a rosé. And pass the Sauvignon Blanc.

 

 

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photo credit: ashokboghani Night becomes morning via photopin (license)

The Rolling Stones are Coming. Am I Going? Would You?

rolling-stonesSure you have seen the video by now. We all have. Mick is dancing around, doing his moves like Jagger, just weeks after heart surgery to replace a cardiac valve. According to the New York Times, it wasn’t open-heart surgery, but it was still plenty serious for a 75-year-old codger, especially one who has been reputed to take a non-medically prescribed drug or two in his past.

So the “No-Filter” tour is back on track. And the opening dates are right here in Chicago, at that bastion of acoustic glory, Soldier Field. Shows are June 21 and June 25 and I need to make a decision. To paraphrase the Clash, another bunch of British punkers, “Do I stay (at home) or do I go (to the concert?) I may own my own copy of “Sticky Fingers,” and have my favorite songs (“Bitch” and “Can’t You Hear Me Knocking,”) but I have never seen the boys live.

I would definitely plan on going to the Stones concert if it wasn’t a Stones concert. That is to say, I would be sure to go if the whole situation was in my control. The concert would start on time, the guys and gals behind me wouldn’t be slopping beer on my head, there would be a perfectly timed bathroom break with short lines at the johns, and I could helicopter away from the stadium just like Mick and Keith and the rest of the boys. But since none of those are going to happen, I need to make a decision based on the facts such as they are.

First, who is there to go with? Barb is not a likely candidate; she won’t even go back to see McCartney or Billy Joel at Wrigley. As for the kids, I have dragged each of them with their spouses to different U2 concerts at the spaceship on the lake.  None of them are begging to go to another concert of any sort with me. My friends have mostly seen the Stones long ago and aren’t willing to spend the bucks to do it again.

And there is that cost factor, though a quick look at StubHub shows that the ticket prices aren’t currently much above what you would pay for good seats at “Hamilton.” And with the Stones, you are still getting the originals (at least 60% of them) rather than a Lin-Manuel Miranda substitute. (I know, I know, Miguel Cervantes does a great job as AH. Saw him when the show first opened here.) So I could come up with the cash for a decent ticket.

It’s the venue that is the biggest detractor. Whether it is for a Bear’s game or a concert, Soldier Field is just so miserable to get to, and even more miserable to get out of. It ranks a close second in our nightmare scenarios to Sam Boyd Stadium outside Las Vegas, where we waited more than 2 hours before we were able to finally find a shuttle after attending a U2/Black-Eyed Peas show 10 years ago. The crush leaving the Soldier Field gates is frightening, even for someone without claustrophobia. Couldn’t the Illinois Sports Field Facilities Authorities have added at least one or two more exits from the stadium campus during the 2002-2003 renovations?

So no “Start Me Up” for me. No “All Down the Line.” And certainly no “Satisfaction.” Unless the Stones want to put on a show in my backyard (how about it?) I’m going to sit this one out, and just admire that old Mick can still get up and do his thing.

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Photo Credit Chicago Tribune

Bill, Ted, and Dr. Who Visit the Anti-Vaxers

bill-and-ted-and-dr-whoEurope. Early 14th Century. Bill and Ted suddenly appear in their time traveling phone booth. The village elder approaches them in wonder.

Bill: “Dudes, we gotta tell you something. There’s like this disease or something that’s coming and it is truly gnarly. They call it Black Death or the Plague or some sh*t like that, and it can kill you. No B.S. it can like wipe out half the population of Europe. Whole cities will turn purple and die.

Ted: You catch it from these teeny-tiny things called bacteria that you have never heard of and can’t even see. But we have these science bros that know all about them. And the cool thing is they have invented this thing called a vaccine that they stick into your arm. It’s nasty and might make you puke for a day or two, but if they shoot it into you, you won’t get all plaguey and die. It’s worth a try, isn’t it?”

Village Elder: “Meh.”

150 million people succumb to the Black Death.


Etaples, France. Fall of 1917. Two Dr. Whos suddenly appears in their TARDIS time machine. The mayor of the town approaches them in wonder.

Dr. Who #1: “I say, you don’t know me, but I am a time lord and like to wander around the universe helping civilizations, or ‘civilisations’ as I like to call them. I know you are in the middle of a very brutish war, lots of people and horses killed and all that. And I know you are dealing with poison gas, and rain and mud. But we are here to warn you about something completely different.”

Dr. Who #2: “It this virus, you see. It causes a dreadful flu that can spread rather quickly. It’s a tricky little bugger, it can even send a healthy ex-soldier to the nether world.  People call it the Spanish Flu, but it is quite as deadly to you Frenchies, and you know the Brits and Yanks can get it too. But we have the antidote, or rather, the protection against it. It’s called a vaccine and a quick dab in the arm and people can sneeze all over you and you won’t catch the flu at all.

Village Mayor: “Meh.”

Almost 100 million people die in the Spanish Flu epidemic


America. Spring of 2019. Dedicated researchers have created vaccines that have wiped out smallpox. Other serious infectious diseases such as polio, chickenpox, mumps, measles and German measles can be nearly eliminated through worldwide vaccine programs.

Anti Vax Promoters: “Meh.”

From January 1 to May 10, 2019, 839** individual cases of measles have been confirmed in 23 states. This is an increase of 75 cases from the previous week. This is the greatest number of cases reported in the U.S. since 1994 and since measles was declared eliminated in 2000. (https://www.cdc.gov/measles/cases-outbreaks.html)

Why can’t we learn?


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Falling Hard and Feeling Blue

biker-tennis

“If I fell in love with you,
would you promise to be true.”
The Beatles-1964

You can fall in love. You can fall to temptation. You can fall to a con man. Or you can just fall on your butt. Over the last few weeks, I have been doing a lot of the latter.

I am clumsy. I don’t deny it. Barb learned long ago to warn me when I am headed to a stair step, or a ramp, or just a bump in the road. I can find cracks in the street to trip over while walking the dog, or I can trip over the dog. I have been known to do both, simultaneously. But I usually manage to stay on my feet. Lately, I have been without even that level of dignity. I have found myself flat on the ground three times in the last two weeks.

First came an unwitnessed but never-the-less embarrassing stumble I took in our closet. It’s a nice sized closet, a walk-in with plenty of hanging space for both Barb and me, and a nice island in the center. I opposed that island when we built the house, now I love it. I guess it grew on me. Anyway, I was standing between the island and a set of shelves, putting on a pair of black tennis shorts. Of course, being the multi-tasker I cannot escape being, I was also checking the weather on my phone which was resting on that damn island.

Next thing I knew, my left foot got caught in the waistband of my tennis togs, and I was falling. Standing-up to laying-out in less than a second, my head just missing the countertop. My butt took a small bounce, and I ended up with a deep and painful bruise “down there.” Strike one.

Ever try to outrun a bicycle–when it is being ridden by your 5-year-old granddaughter who has just learned to ride without training wheels? I don’t recommend it. Admittedly we were on a narrow sidewalk, but I should have been able to maintain a straight enough course.  Instead, I tripped over a few blades of grass as she zoomed by. Once again I found myself in face plant position. No damage other than a dirt sandwich, though. Strike two.

Last night at tennis I finished off my trifecta. The shot was a lob over my head. I yelled out “it’s mine” and began to backpedal furiously. And furiously I fell. It was identical to the play on which my tennis partner broke his arm last year, but I got lucky. Just a split lip from my racket hitting my face, a bruised elbow and a bit of a headache that reverberates with each keystroke this morning. I bounced up and after a short break managed to finish the set. Strike three.

All in all, I guess I am pretty lucky. Three falls, zero stitches, zero broken bones, just one bruised pride. But you can bet that if Barb ever hears “Help, I’ve fallen and I can’t get up,” she will come a-runnin’. And she won’t be surprised.
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photo credit: hans905 Draai van de Kaai 2016-059 via photopin (license)

Is $23 Million CEO Compensation The Reason Your Hospital Bill is So High?

stethoscope(May 19, 2019) Been to the hospital lately? Check in to Good Samaritan in Downers Grove or St. Lukes in Wisconsin? The former parent companies of those two hospitals, the Advocate and the Aurora Health Care Systems, joined up last year and the new hybrid, Advocate Aurora Health is now 27 hospitals huge!

I hope you got great care from all the health care professionals that took care of you in the Operating Room, or Emergency Room, or on the wards.  You know they work hard, with crazy hours and high-pressure situations, and I’m sure you don’t begrudge them decent compensation.

And I am sure you appreciated all the “back-room” personnel that were involved in your care–all the lab techs (my favorites) and the nutritionists and the housekeeping crew too. They are staffing the hospital 24/7 and certainly deserve a decent, living wage, which is all most of them ask.

But like all businesses (and yes, health care is an enormous business) there is a big “C” suite keeping it all together. You know, Chief Executive Officer, Chief Operating Officer, Chief Financial Officer and so on down the line. Ever think about them, and wonder what the numbers were on their paycheck?

Crain’s Chicago Business newspaper has the answer. An April 26th article gives the 2017 salaries for some of the Chicago area’s top hospital execs. Advocate Aurora is unique with 2 Co-CEOs, Jim Skogsbergh, and Nick Turkal–with a combined 2017 annual income of $23 million. Believe me, that would pay for quite a few nurses or lab techs!

The Compensation Committee that determines executive salaries might consider that number a bargain. After all, it is less than $1 million per hospital. And competition for top talent is fierce. If they weren’t running hospitals these guys could be running hedge funds and making billions instead of millions. Or running Boeing (2018 income for CEO $23.4 million, 2019 income probably a lot less.)

But considering that according to ZipRecruiter the average salary for the CEO of a Chicago based company is about $150,000, Skigsbergh and Turkal should be pretty, pretty happy with their incomes and must be doing pretty, pretty good jobs. In fact, Becker’s Hospital CFO Report reports that since the merger Advocate Aurora has seen an increase in revenue and outpatient volume. That’s good for all those nurses and lab techs who want to keep their jobs.

Yes, healthcare is expensive in the USA. But if you are CEO of a big hospital chain,  you can afford it!

 

Read our Covid Haikus 

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The above is the opinion of the author and not Uropartners LLC.

photo credit: wuestenigel Concept of medical education with book and stethoscope via photopin (license)

 

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You Aren’t Presidential Anymore

trump-irs

A lament to the tune of “You Don’t Bring Me Flowers.”

You don’t show us tax forms

You won’t reveal your K1’s

You blamed it on the auditing rules

You claimed when you ran you would do it someday.

 

I remember when

You said that you were wealthy

You said that you were manly

 

Now after watching Fox late at night

When they sing your praise

And you’re tweeting delight

You misspell most words

There’s no time to rewrite

 

You aren’t Presidential anymore.

 

Congress issued a subpoena

Tried to get the tax docs

But subpoenas just don’t work anymore

They all get ignored

Mnuchin throws them away

 

Putin, does he own you?

Do Saudis control you?

You know how to lie.

And keep supporters appeal.

You know how to cheat

And fake the “Art of a Deal.”

You’d think we’d have learned

That this nightmare was real.

‘Cause you aren’t Presidential anymore.

 

Yes, you’d think we’d have learned

That this nightmare was real.

Cause you don’t show us tax forms

You aren’t very truthful

No you aren’t Presidential

Anymore.

Apologies to:

  • Neil Diamond
  • Barbara Streisand
  • Alan and Marilyn Bergman

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Retire and Start a New Career? Who Knew it was this Simple!

careersRetirement is in my ear. Sometimes it whispers, other times it roars. While I do not anticipate any major changes to my career for the next 3 or 4 years, I have certainly begun imagining what life will be like beyond that time. Not being a golfer or a serial socializer I have been wondering if there will be yawning gaps in my day, hours with nothing to do but fight Barb over the remote control to decide which we will binge watch next–old episodes of “Yan Can Cook” or the latest series from Joanna and Chip.

And then the brochure arrived. I almost tossed it with the daily collection of cruise catalogs and real estate flyers. But I took a second look. Non-Clinical Careers for Physicians. A two-day conference, 10 minutes along the Tri-State Tollway in Rosemont. Could this meeting be the key to my salvation? When the last prostate core and the final bladder fragment have drifted off my microscope stage, can there be another career for me?

By my rough estimate, the conference will contain more than 20 breakout sessions on careers that doctors can pursue outside of a typical clinical practice. Jobs that could be managed part-time or from home. Should I go to the meeting and weigh some options? Finally, figure out how to get the best value for my MBA degree?

A quick look at the conference schedule identifies some intriguing possibilities…

  • Speaker:  Go on the road and discuss PSA? Universal health care? Physician burn out? I was pretty good at public speaking as School Board President, this could be a chance to get paid for the “talent.”
  • Utilization Review: The guys and gals who help insurance companies and healthcare organizations decide how much medical service will be paid for versus how much is too much. Briefly (and unfairly) known as death panels. I have a history with this kind of work, having served as Chair of the UR Committee at my old hospital. But Dale Carnegie would call this career “how to lose friends and antagonize people.”
  • Pharma: The big kahuna. It’s where the money is, but do I really want to be a corporate shill, the guy pushing the latest generation of drugs or lab tests, ignoring the massive cost tied to the incremental benefit? Besides, it’s way too much time on the road.
  • Locum Tenens work: Latinese for being a temp. If I want to do that, I’ll stick around with my buddies at UroPartners. No need to leave the best.
  • Medical Communication and Advertising: “I used to be a doctor, now I play one on TV.” Intriguing, with my white hair providing just the right amount of gravitas. I may have lost on Jeopardy! but I see this as a potential winner.
  • Information Technology: An interest of mine since my college days, but I would certainly need Coding Bootcamp to get up to speed. And what man my age can stand the rigors of a Bootcamp? “Drop and give me twenty…lines of code, Doctor!”
  • Medical Writer: No one pays to read my blogs, so this one may be a non-starter. Writing is for pleasure, not for an alternate career.
  • Expert Witness:  Cue up the Perry Mason music. Barb talked me out of adding a law degree to my résumé, but courtroom drama has always intrigued me. Who would I rather represent? Plaintiffs? Defendants? As Deuteronomy tells us, “justice, justice, though shalt pursue.”

So all these options and dozens more. And a few more possibilities not in the brochure such as volunteering or medical missionary work. I guess i don’t need to worry about how to keep busy when I hang up the microscope. Years and years from now!
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Can You Go Home Again? I Tried.

chorus-lineOne of my favorite musicals is “A Chorus Line,” the 1970’s show in which a handful of dancers auditioning for a Broadway show tell the stories of their lives. Diana, one of the lead characters, sings about her high school class in “method” acting,” trying to “be a sports car or an ice cream cone.” Through it all, she feels nothing, the same lack of emotion that she feels years later upon hearing that the acting teacher has died. But instead of learning to act, she has learned to dance.

Last Tuesday Barb and I were invited to dinner at the home of lovely neighbors we said goodbye to two and a half years ago when we left the old ‘hood on the way to our new house. It was a rainy, gloomy evening as I drove along the very familiar roads approaching the old subdivision. I took my old shortcuts and bypassed the busier intersections.

I made the turn past the entrance sculpture (one of Barb’s pet projects,) and some updated mailboxes, and drove down the foggy road towards our friend’s home. We made one detour to take in a bit of new construction (I always knew those driveways would be a problem) before reaching our neighbors, directly across the street from the house we had lived in for more than 25 years.

We had a delightful few hours. Tasty appetizers, a home-grilled dinner despite the weather, plump ripe strawberries at dessert. We talked about medicine and retirement, we bemoaned the state of politics, and we batted around the many theories about who the Night King was and who would ultimately claim the Iron Throne.

Towards the end of the evening, the discussion turned to our old house. The house in which we had raised our kids, the place they had left for college, the home where we had many parties of celebration and sat shivas of grief.

I could hear in her voice that Barb still pines for that house. She misses the gorgeous marble kitchen island countertop, the annuals she planted each year, and the electric fence that kept our pets safe. She misses the neighborhood and the neighbors. She misses all those years of healthy living without the aches and pains that have come with age. Without a doubt, that is the home that will always be in her soul.

And what do I feel?  Yes, I remember every minute of living there, the ever-lasting good times and the minuscule bad ones. And yet…perhaps I am cold-hearted or have bottled up my emotions but when it came to that house I now feel nothing. It was a wonderful time, but just like Diana in “A Chorus Line,” I am dancing on.
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