One Reason Why I’m Voting Against Trump

Gary was the first bully I ever encountered. He was the terror of my freshman high school class. Accompanied by his lanky sidekick Jean, his domain extended from the school locker room to the streets outside the school. His modus operandi was typical for bullies; grab the runtiest of his classmates and shake them down for pocket change.

I never encountered Gary after freshman year. Perhaps his family moved, or perhaps his parents transferred him to a different school. Jean also faded into oblivion. They were not missed by me or my classmates.

I have suffered a few other bullying episodes since those early teen years. A teaching physician in medical school comes to mind, as does a past tennis partner. Instead of reaping some loose change, they intended to belittle and embarrass. I learned to move past them.

But now, the biggest bully is on the precipice of reclaiming his objective, the presidency of the United States. With 10s of millions of Jeans by his side, he seeks payback for imagined persecution, escape from continued prosecution, and to wreak havoc on the American institution. And when he shakes down his supporters to spend a few dollars buying his lines of Bibles and tennis shoes, that must make my old classmate Gary proud. A hustler knows a hustler.

I cannot vote for Donald Trump. I have cast my vote for Kamala Harris, and endorse her full-heartedly. I don’t have the impact of the Washington Post, but I refuse to be intimidated by another bully.

Some thoughts on the first anniversary of my gluten-free life!

A year ago is when it came to be
That my GI specialist said to me
"Celiac Disease is your diagnosis
Be glad that it's not acute shigellosis."

So that was the day that I gave up on gluten
All the bread and the buns and things high-fallutin
Like brioche and scrumptuous cream pies made in Boston
And a salad named Caesar with croutons all tossed in.

Sometimes I'm inspired to prepare a new dish
When a gluten-free special is just what I wish
My Korean fried chicken was easy to master
With spicy Gochujang paste it was not a disaster.

Banana bread without gluten is something I treasure
I use special flour, it's measure for measure.
And my ground turkey chili needs no modification
I just need to pass by the crisp cracker station.

Sunday brunch I would love with cream cheese and bagels
But without wheat or rye the baker finagles
A doughnut shaped rock with a miserable texture
To pretend it's a bagel is a losing conjecture.

Pasta is something I used to eat weekly
The alternate versions I stare at so bleakly
Made with almond flour, chickpeas, corn, rice, and more
They are all miserable messes that I've grown to abhor.

When I dine with my wife at a local cafe
I let the host know that it's gluten-no-way.
The menu they hand me is greatly reduced
But it's the rolls on the table that have me seduced.

I fight the sensation of wanting to bite in
The pain in my stomach starting to tighten
The gluten-free bread I'm given instead with
A smile, is not worth the butter it's spread with.

I've craved Lou Mal's pizza it was so satisfying
But their gluten-free version is just horrifying.
The crust is like cardboard mixed up with cement
To eat it requires truly informed consent.
 
So let them eat cake, all my family and friends
My giving up gluten has brought dividends
My waist line has shrunken by more than an inch
And my digestion's  no longer the after meal Grinch.

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Debunking Misconceptions

Are meteorologists responsible for our weather? That’s the word on the street after two terrible hurricanes. Those claims remind me of a different misconception.

Before I retired from my last pathologist position, I often wrote about cancer, particularly prostate cancer. In 2017, writing a blog post responding to an acquaintance’s comment that “I gave people cancer” I explained that no, I didn’t do that. I wrote in the post about being in the hot seat and making diagnoses on the appearance of stained biopsy tissue that I viewed magnified 400 times under my microscope. Sometimes other factors aided my decision-making, but what I saw was what my patients were told they had.

The patient and his healthcare providers could use the information I provided to decide the best course of action; whether or not to fight the cancer and what modalities to use in the battle. So no, I wasn’t causing the cancer, I was reporting on it and hoping my report, accompanied by updated clinical information, was beneficial for those in prostate cancer’s path.

meteorologists have a similar task. They take the latest data, run it through various algorithms, and tell you what is going on now, and the likelihood of multiple things in the future. They forecast tomorrow’s temperature and whether the sun will shine next Tuesday. Most importantly, they predict the path of tropical storms and hurricanes.

Whether the forecaster is with a governmental agency such as NOAH or the smallest local TV station in rural West Texas, they have one thing in common. They predict the weather. They don’t cause it. They tell you what’s going on now and give information that guides your future activities. Can I go to the beach on Tuesday? Should I get the hell out of Sarasota?

Despite this basic truth, meteorologists are being harassed, threatened, and accused of being part of a vast government conspiracy raining tragedy on Florida and Asheville, North Carolina. According to the New York Times the accusations “have been spread by conservatives and supporters of former President Donald J. Trump, including a former Trump administration official and a Republican congresswoman.” Spreading insane stories to boost chances of winning an election.

Weathermen don’t cause weather, just like pathologists don’t cause cancer. We all provide a valuable service, and there is no politics in that.

My song is a song sung blue.

The editors of the New York Times recently offered a challenge. The challenge wasn’t related to Wordle, Connections, or other games on their puzzle pages. This challenge was to submit a Letter to the Editor, but instead of using normal correspondence, the letter should be in the form of a poem or lyrics to a well-known song. I knew this was a gauntlet I needed to take up, even if I wouldn’t choose a song from Camelot.

My first step in composing my letter was to list possible topics and appropriate melodies. Should I rewrite Joy to the World as an homage to Kamala Harris? Could the lyrics of preening King George III’s You’ll Be Back in Hamilton be reconfigured for Donald Trump? Or was Who’ll Stop the Rain the perfect canvas for a lament about Global Warming?

I knew I could write all those songs, and I knew I could do them well. But I also intuited that the editors of the Times would be deluged by letters on those topics. Who wouldn’t want to opine about their staunchest political beliefs? So I added one more topic to my list of potentials, a topic that might win, but in other ways was sure to lose. I chose to write about an unrequited love, the Chicago White Sox.

The weekend the Times challenge was issued coincided with the eventful days on which the White Sox were on the cusp of setting Major League Baseball’s all-time record for losses in a single season. For days, their 120 losses tied them with the 1962 New York Mets but all die-hard fans knew 121 was inevitable. That was where my head was when I submitted the following lyrics, to the tune of I Want To Hold Your Hand.

I'M JUST A WHITE SOX FAN

Oh yeah I, feel like grumbling
I need a new game plan
My crew they're really stumbling
I’m just a White Sox fan!
 
I’m just a White Sox fa-an
I’m just a White Sox fan.
 
Oh team, hear my plea
And score runs if you can
Esteem, has gone from me
A lowly White Sox fan
 
A wholly White Sox fa-an
Unholy White Sox fan.
 
And when you win games
It just fills me, with pride
It comes so rarely that, it can’t be
Bona fide
Every night
It’s not right!
 
Big clue
The team is awful
Even the mascot’s bland
This bad
Should be unlawful
I’m just a White Sox fan
 
Hard-drinking White Sox fan
Rethinking White Sox fa-an
Unsinking White Sox fa-a-a-a-a-an!

Today the NYT published the winning entries. These included the predicted Trump and Harris numbers, a song about ecology, and one about homelessness. Beatle tunes, show tunes, and even a poem made the cut. But as I read on, I was filled with a growing sense of emptiness. My name had not been entered into the starting line-up.

The White Sox are losers once again. But with a song in my heart, I say “Wait Til Next Year!”

I think I dodged an enormous bullet.

It was in early 2021, in the middle of the COVID-19 pandemic. A gastroenterologist friend asked if he could pass my name to “Mr. Ed” a businessman seeking a medical director for a proposed new laboratory for diagnostic COVID testing. (My friend did not know Mr. Ed well and had no role in the project.) As a pathologist, I was among the most trained and best suited to be a laboratory medical director, and I told my friend to let his contact know that I would be interested.

Pathologists are physicians trained in the art and science of creating, maintaining, and managing excellent medical laboratories. We are probably not the ones running the chemistry analyzer, examining petri dishes for bacteria, or isolating DNA for next-generation sequencing. Technologists perform those duties. But in cooperation with our clinical colleagues, pathologists choose which tests the laboratory performs and how the results should be interpreted. The clinicians usually leave it to us to decide the methodology for conducting the tests and whether the results are valid and can be reported.

When Mr. Ed phoned me, I explained that as the medical director, I would ensure the laboratory space was safe and adequate, the technicians were qualified, the test kit was accurate, and appropriate controls were run routinely. I would also regularly review results for trends or other anomalies suggesting inaccurate data. The lab would need state certification, with a long-term goal of accreditation by the College of American Pathologists, the industry’s gold standard.

“No,” Mr. Ed replied. “The test is idiot proof so we don’t need you to do any of that. All I want from you is to come in once a week and sign that you showed up. You’ll be compensated generously.”

“Mr. Ed,” I responded, “you’re talking to the wrong man for this job. I am respectfully declining your offer, and I recommend you rethink your business plan.”

I don’t know what happened to Mr. Ed and his planned laboratory. But just this week, Zishan Alvi, a Chicago-area businessman pleaded guilty to Federal charges that his laboratory was releasing inaccurate COVID results to patients whose specimens had inconclusive results or had not even been tested. The Federal government was billed for all these tests. As a result of these infractions and his guilty plea, Mr. Alvi faces up to 20 years in prison.

This is fraud a competent medical director in a well-managed laboratory would prevent.

I doubt that Mr. Alvi was the same person as my Mr. Ed. It is quite likely that more than one Chicago profiteer saw the same pot of gold in widespread, barely-regulated COVID testing. But the gold rush couldn’t last forever.

Had I accepted Mr. Ed’s offer, I might have been up to my neck in questionable COVID swabs and their consequences. But because I declined, no legal bullets are headed my way.

Sometimes the move you don’t make turns out to be the best move of all.