Wednesday, January 31, 2018

My Grandma was an Illiterate "Chain" Immigrant

In a recent speech, Attorney General Jeff Sessions criticized “chain” migration saying, “It doesn’t favor education or skills. It just favors anybody who has a relative in America.” My Grandma was an illiterate “chain” immigrant, so I see things a bit differently.

My Grandma
We were never really sure how old Grandma Sarah was when she immigrated. Sometimes when she told the story she was nine years-old, sometimes she was twelve. It didn’t really matter. Her father took her by train to the Lithuanian city where she would board a boat for America by herself.

I’ve often wondered what that scene was like and how they felt. He must have been terribly conflicted. The pogroms were beginning, and he probably sensed the coming holocaust that would consume most of our European relatives. She must have been terrified at the prospect of leaving behind her family and the only life she had known to go to a strange land across the sea.

Sarah arrived in the US and went to live with relatives who were already working hard to make ends meet, making her a “chain” immigrant. She worked in a sweatshop. She learned to read and write English, but she was happiest when she could speak Yiddish. She loved to tell Yiddish jokes and stories. I vividly recall Grandma and my Dad laughing uproariously over some Yiddish joke which they would then try to translate into English for us. Usually, the joke ended with, “It’s a lot funnier in Yiddish.”

Buddy, Sarah & Bobby
Eventually Sarah met a nice young man, got married and further settled into life in her new country. My grandfather did not complete high-school, but he was bright, resourceful and worked hard to provide for his family. They had two boys. Buddy, my dad, did well in school, was popular and a star athlete in High School. Uncle Bobby was popular and smart enough to graduate from high school at the age of fifteen. Buddy and Bobby loved their country and valued freedom, so when the US entered World War Two, both young men served their country admirably.

Buddy returned from the war and, with help from the “GI Bill,” graduated from Duke University with a degree in engineering – the first college graduate in his family. Of course, this experience also turned him into a life-long basketball fanatic! Bobby didn’t finish college, but he went to work, learned the restaurant business and became the prosperous owner of several of his own. Buddy eventually started his own business and over time became a successful entrepreneur. They both believed strongly in Tzedakah, the Jewish concept that charitable giving and service to the community are acts of justice and righteousness and a moral obligation. They put that belief into practice by giving not just their money, but their time and leadership.

Bobby and Buddy were good family men. They each married the love of their life and sustained those marriages over many decades, eventually reaching the “until death” part. Between them they had seven children. Sarah’s grandchildren grew up in happy homes and graduated from college. Between them there are two doctors, one dentist, two businesswomen and a special education teacher. They all practice some form of Tzedakah. Sarah lived long enough to know some of the fourteen great-grandchildren that followed.

I don’t mean to give the impression that our family is perfect. Like all families, we have had ups and downs. There have been a few divorces. We’ve been touched by misfortune, disease, addiction and mental illness. We stick together and help each other as best we can and forgive each other when necessary. That’s how life is.

My wife and I were talking about this the other day. She is of Irish-Catholic descent. Her grandmother, another illiterate “chain” immigrant, left Ireland fleeing the potato famine. My wife’s mom and dad worked hard most of their lives and practiced the Catholic equivalent of Tzedakah. He served in World War Two. They had three kids: a doctor, an engineer and a businessman. Seven grandchildren.

Immigration is hard and can create a selection bias. You have to be pretty tough and determined to leave your native country and come to a strange land. Would you get on the boat like Sarah did? Or send your 12-year-old daughter half-way around the world by herself? Immigrants are more likely to succeed and value the freedom and opportunity that America provides.

This is the story of America across the generations. There are always immigrants seeking a better life and believe they can find it in America. There are always ignorant fools who see them not as individuals but as vermin, scum and undesirable. Jewish, Catholic, Muslim. Lithuanian, Irish, Polish, Italian, Mexican, African. It makes no difference. The same ignorance, bigotry and nativism appears in each generation and with each new wave of immigrants.

There’s a valid debate to be had about immigration. A country that doesn’t control its borders is not a country. The needs of current citizens should take priority and have to be balanced with the long-term value immigrants bring. We should do what we reasonably can to help when there is a true humanitarian crisis, but we can’t solve all of the world’s problems. Culture does matter. Assimilation is important: a common creed and shared language help bind us together. But assuming all people who share a skin color, country of origin or religion are all the same is racism and bigoted. It also points to a lack of knowledge (or honesty) about one’s own history: We are all immigrants.

So, the next time you hear someone say something like, “Why do we want all these people from s*hole countries?” or “We only want literate immigrants”, I hope you will remember my grandma Sarah. She made America a better place and stands as proof that “E Pluribus Unum” is not a slogan but part of the American creed.

Sunday, December 29, 2013

The Birth of Creativity

Found this post interesting as it made me reflect on the important role of music in my life. I think this is part of the answer: 
"the paint just knew where to put itself on the canvas.“
That is what it is like when magic happens during a good jam. The notes and beats just know where to go. When it’s really good I can step outside myself almost as a third party observer marveling at what “those guys just did” as if I am not even one of them. I confess a few time (just a rare few) I have thought, “Wow look what I just did. How did I do that?”. 


I remember a few moments so clearly. NYE 2011 we were playing Take 5. One of the hardest songs we play - if you know it it is so deceptively simple and yet so very, very subtle in it’s complexity. Completely unplanned and unexpected we just killed the original and then it morphs into a more jazzy and then hard rocking version before melting back into the original. When it was done one of the band members who doesn't play this song with us asks the four of us who do, "Where did that come from?". We all kind of looked around and then I said, ‘We don’t know how it happens. It just happens sometime. We know what each other is going to do next somehow”. One of my relatives was there who usually kind of sniffs at our playing but even she said later, “You were amazing. The group was amazing”. Probably was the peak of my skills at the time - not so much now due to all kinds of distractions.

We’ve played this "Take 5 Rocks" version since then, morphing from original to hard rock to original. It works well but the first time was the real magic….

I told a friend about this and she said:
 “You just described what many people experience with meditation! You expanded beyond yourself and things just happened. Drums are your way and many traditions actually use drums.”






I am well aware of the meditation connection. Same thing with gardening and hiking - activities that I crave so much. 






The use of repetitive, rhythmic physical activity (beating drums, placing one boot after the other, weeding or digging potatoes) is a great way for me to achieve something like a state of meditation.









This is something worth thinking about when balancing work and life. My own experience has been that making time for these other activities recharges me and helps with creative problem solving. Far from wasting time, these kinds of activities probably make us happier and more productive in a more sustainable way.

I think I'll go bang on my drums...

Saturday, December 28, 2013

The Solo Hiker

Today was special for me. I took a long solo hike across diverse terrain that combined new trails and discoveries with a return to some familiar favorites. Most of the day would be spent in Reef Bay, an area I have hiked several times before. It’s a very large bay with several different beaches and many interesting ruins.
Most people take the main trail down from Centerline Road, which runs along the high spine of St. John. From there they can hike all the way down to the old sugar mill near the beach. It’s one of the most popular NPS trails on the island. Very well maintained and has NPS plaques for various things along the way. I almost always see groups and families hiking this trail and it is a great one for that kind of thing.

Reef Bay in the distance as seen from the trailhead of L’Esparance Road


I will end up at that beach today but I will be coming down the old L’Esperance Road, a more difficult, remote and rarely used trail to get there. I expect to see several interesting things. There are extensive ruins along the way. The landscape will gradually shift from tropical forest to desert – I am heading west to east and the east end of the island is by far the driest. But this particular “gut” I am starting out in is one of the wettest. Fresh water and the large protected bay are the key reasons the ruins exist; why settlers built extensively here. I may see fresh water. I should see a nice variety of plants and animals. And I should have the trail pretty much to myself… assuming I don’t run into The Trail Bandit again!
My plan is to hike and explore ruins and get to that beach before the heat of the day. There I can swim, eat, and rest in the shade. Then I will continue to hike east picking up the trail to Lameshur Bay. If everything works out, my family will be playing on that wonderful, remote beach and I will meet them late afternoon.
By 9:30 it is already a bit hot and sticky as I get to the trailhead, check my gear and then begin my descent. As expected I am quickly engulfed by tropical forest. The old road was well built and is still in good shape in some spots with retaining walls clearly visible (left side of frame):



Other areas are overgrown, tumble down:



Look closely at these wild pineapple (above) that are encroaching on the path. There’s a bunch of leaves that look like they were just recently hacked off to clear the path so people could pass. I happen to know there have been sightings of The Trail Bandit along this very path in recent days…hmm… wonder if there is any connection?!??!

After hiking steeply downwards for about 20 minutes the trail takes a sharp hairpin turn and I see the remains of an old stone bridge that crosses the gut and leads to some ruins. This is one of the few and by far the best examples of this kind of bridge I have seen on St. John




I cross the bridge and approach the ruins with increasing excitement. I’ve seen a lot of ruins on this island. These are extensive, diverse and with a lot of walls still standing. 






I ascend thru three levels of structures being careful to stay clear of things that can bonk you on the head or break your ankle or give way and let you fall down a steep slope and kill yourself. That’s the thing about these old stone structures. They will stand for centuries - until one day they don’t. Wandering towards the back of the property I find a lone above-ground grave. 


Louise Sommer died and was buried here 99 years before I was born. 
I wonder what her life was like?


I sit down among the ruins for a while to rest, think and have a drink of water. But I need to keep moving. There is a long way to go and if I am going to time the mid-day heat right I can’t sit here on my butt all morning daydreaming about what life was like in the 1700’s.

I re-cross the old stone bridge and continue to descend as the road follows the gut closely. Not much further along I hear what sounds like running water and soon I encounter a small stream running down the middle of the gut. It’s moving right along and there are several decent size pools of water downstream.

Fresh Water Stream on St. John



As you might expect in a tropical forest there is wildlife. Giant millipedes, deer tracks, Hermit and Land crabs, birds, insects, gigantic termite nests and the biggest butterfly I have ever seen.

Typical Termite Nest. Many of these on the island.



Also found this guy (a box turtle ?) - not something I have seen here before.



I continue to descend. The trail is starting to flatten out now and the landscape is becoming drier. Cacti begin to appear. A few at first, off to the sides of the path. Then more and bigger ones, some of them crowd the trail and I must exercise a bit of caution to avoid spines:




I am getting really hot and tired. I have been hiking for almost 3 hours now and need a break. Quite suddenly I hear waves and they quickly grow into the roar I recognize as the sound of the broad breakers of Reef Bay. I know I am getting close to the beach. The L’Esperance trail dead-ends into a Reef Bay beach trail. Normally I go to the beach to the left as I would have come down the trail from that direction. Today on a whim I decide to go right and am quickly rewarded with a lovely sand beach that is new to me. Long, wide with easy safe entry into the water. There is one family there and they are packing up to leave. Soon I will have the whole thing to myself:

Reef Bay looking West

Looking East. Boy am I ready to strip off these sweaty clothes and swim! 


I set up my little base camp to refresh for the second half of the hike. ( Are those his pants on that log? I hope he waited until that family left ;)

The Base Camp

The worst heat of the day passes (mostly!). It’s time to get moving again although I could easily spend the rest of the day right here. 

I retrace my steps and quickly pick up the old familiar Reef Bay sugar mill trail. I’ve hiked this part a couple of times and know it well. I start to see a few more people - remember this is the other trail that is great for families, etc...

Reef Bay Sugar Mill
I don’t linger here very long as I need to get up and over the next ridge to Lameshur bay. I know that trail too. It is going to be pretty hard. It’s a quick steep climb with some rugged terrain and very hot and dry. My timing is not great - it’s about 2 PM now - but there’s nothing to be done about that except go slow and take frequent water breaks.

Just like I remember, the hot dusty trail ascends quickly and has some great views. 

Looking back towards Reef Bay and the beach where I went swimming and had lunch. 

The trail finally crests the ridge and begins to descend again and a good thing too because it’s really hot now. I have gone thru more water than I planned for this part of the hike. I have plenty of reserve but I am surprised at how much I have consumed. I’m getting tired. I know this is when people make dumb mistakes and get hurt so I take frequent breaks and try to go slower.

I pass some familiar landmarks from previous hikes and know I am near the destination and can make it. I round a corner and catch the first spectacular view of the two Lameshur bays.


Little Lameshur Bay (Foreground) and Great Lamshur (Distance).


It’s too beautiful to pass so I sit down for a few moments. I really love this part of the island. I have spent a LOT of time exploring these bays and the trails around here. I have a picture of Harrison (now 23) at age 1 year eating a giant handful of sand off that beach. My friends who live on St. John have their home nearby. I could sit and stare at this for a long time but the bugs have other ideas. They descend in a swarm. The message is clear - time to move on or be eaten alive.

Twenty minutes later I walk onto the beach. I see my kids out in the water splashing and having fun. “It’s Dad”, they shout. “You made it!”. 


Yes I did.


Friday, December 27, 2013

Met One of My Hero's This Morning



This is one of those things that happens and makes you think maybe there is some magic in the universe because the odds are just so astounding. 

I have studied the work of Bob Garrison a.k.a. “The Trail Bandit” for several years now. He has made some of the most detailed maps of St. John and has been on a personal crusade to keep old, odd trails cleared for everyone’s enjoyment. Lots of fights with the park service, etc… classic man vs. city hall stuff. Website here: www.trailbandit.org

I have spent many hours studying his maps and use them to plan every hike.

So we are hiking in a very, very remote area - this is not a place typical hikers will go. It’s a trail Bob has marked and maintained thru some old ruins (Seiben Estate). We exploit the trail and ruins and eventual climb to where the trial head meets the L'Esperance trail coming down from Centerline Road. 

I hear some voices in the distance and then we round a bend and there are three people walking towards us. They are startled and I hear one of the them say, “look, other people” - something they clearly did not expect to see (neither did we). 

We approach and begin to talk about the trail. One of them looks oddly familiar but I can’t really place him. He offers us a printed map. I tell him I have one on my iPhone. He says, “Oh, must be the trail bandit app”. And then it clicks for me. I say, “You look a bit like him”. 

He says, “That’s because I am him”.

I am star struck. This is a personal hero of mine. Five minutes either way and we would never have met on the trail.


This photo is destined for my wall.
The Trail Bandit is standing next me. 

He tells me this is his last tour here. He is in his 70’s and will update the map for 2014 and then he wants to hand off to someone else. "How old are you?", he asks me with just a hint of twinkle in his eye. Would I be interested? 

We talked for a bit and agreed we might follow up by email.

Coincidence or karma?

A good friend of mine always says, "There are no coincidences."

Thursday, December 26, 2013

My New Best Friends

So if you have read any of my posts on travel you know I cherish "back door" travel experiences & I had a great one today.

We are on vacation on St. John, USVI as a family. We take the Ferry to St Thomas & meet our old friend (actually my parents friend we have known since childhood). She has arranged everything & soon we are high in the hills of St Thomas.
 
Megan's Bay

"Anyone want a great milkshake made right at the dairy?" If ever there was a "question that's not really a question"...

So we pull into Udder Delight. Everyone lines up to order at the front door. Then our driver Leroy grabs me & Harrison and says he has something else for us. He takes us around & thru a side door (an actual back door!!). He introduces us to Wendell the owner.

He tells Wendell to show us "the good stuff". This turns out to be alcohol steeping in funky bottles with leaves & bark.

At this point Nancy peaks the side door to see what’s up and then joins us. Wendel offers us shots with Fresca chasers. "What the hell", I say. Harrison says, "We aren't driving". So we all down one, chat with our hosts & then Harrison and I down another.

Everyone enjoys a milkshake. Life is good. We drive to a lunch spot. I'm sitting at the table feeling "odd". The clouds look strangely beautiful & a bit weird. I finally say to Harrison that I think the stuff we drank is mildly hallucinogenic. He says, "oh yeah, definitely, my depth perception is off". We agree the feeling is very agreeable, mild, pleasant.

My new best friends, Leroy & Wendell (holding the bottle).
Look closely at the picture above. I didn't notice until Harrison pointed out later that Wendell is wearing a GLOVE to handle the bottle!


We finish lunch & head to the beach at Megan's bay to swim & lounge. I spend the next 2 hours really grooving to some favorite tunes, digging the sun & the beach vibe.

Gotta go back & get the formula for that stuff ...

.......

Postscript: Based in what Wendell told me this is the stuff.



Sunday, November 25, 2012

The Man With 3300 Patents


Fun read in Smithsonian Magazine about Dr. Yoshiro Nakamatsu, a.k.a. "Sir Dr. Nakamats", who claims to have more than 3300 patents including the original floppy disk.



By Frotz at en.wikipedia [CC-BY-SA-3.0
(http://creativecommons.org/licenses/by-sa/3.0)], from Wikimedia Commons

He's clearly a wacko but also has some interesting things to say about successful innovation.

Money quote:
That early floppy, he says, is perhaps the purest embodiment of Ikispiration, the Dr. NakaMats system of creativity. Ikispiration has three essential elements: suji (“theory”), pika (“inspiration”) and iki (“practicality”). “To be a successful invention, all three are needed,” says Dr. NakaMats. “Many inventors have pika, but not the iki to realize their dreams.”

This actually makes a great deal of sense to me: a balance between what is known and practical taken someplace new thru inspiration.

Then there is this hilarious comment on having children (he has three):
“A child can be invented four ways,” he grumbles. “Smart seed, smart field. Smart seed, stupid field. Stupid seed, smart field. Stupid seed, stupid field.”

And how did his kids turn out?

“All stupid due to stupid field.”

So much for Mrs. NakaMats.

And so much for nature vs. nurture.

Friday, November 23, 2012

Online Access to Clinicians: Impact on Utilization

By Brian Kerrigan (Own work) [CC-BY-SA-3.0
(http://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons

This recent article in JAMA reports on the results of a retrospective study of how online access to clinicians affects use of services.

The results are unexpected and contrary to conventional wisdom: patients with online access used substantially more services across the board including office visits, after hours advice, ED and inpatient admissions.

The study conducted by Kaiser Permanente, while subject to some limitations, is reasonably well constructed and looked at 24 months of utilization by established patients. Presumably the platform was Epic Systems patient portal MyChart.

This study throws some cold water on the current hopes that virtualization of the healthcare system will lead to decreased utilization. The thinking goes that if it is easier for patients and caregivers to connect, then simple matters will be handled "online" while those with chronic diseases will be more closely monitored and more likely to get help early when it is often easier to intervene before things escalate.

This study calls this into question.

Of course there are several potential flaws in the study - these are well described in the article. Clearly more studies are needed to validate or refute these findings.

The other, and ultimately most important question, is the overall long-term impact on clinical and financial OUTCOMES. It may be that online access leads to increased utlization that is both appropriate and ultimately more clinically effective.

If not, then we may have to rethink the use and value of online access.