Yale Is Burning

This made the rounds a few weeks ago, including a nice article on The New Yorker. Watching it, I had to smile. As a Harvard Alum, I can tell you there is no amount of glee at 86 Brattle Street that can match this gleeful video. You either get it or you don’t. They want to select for an even creamier crème de la crème. This goes beyond being able to understand and appreciate pink polo shirts, munching on pistachios, grapes, and brie with a Gewurztraminer, or liking to sing show tunes in the shower while being completely heterosexual.

If you don’t get it, you will snigger at this video and apply to Princeton. If you really don’t get it, you’ll stop watching when the singing starts and you’ll apply to a Big Ten School. If you get it, but don’t get in, you’ll be perfectly happy at Amherst. And so on.

This inspires me to hark back to college, to the time when I hijacked the microphone at Naples Pizza in New Haven and proclaimed, “Yale Sucks!” And now, we have proof.

Ramen Man -Ramen 1.0

Homemade hand milled ramen noodles

After a few years of mental preparation, I have decided to go for it.My life goal for the next 10 years is among other things, to create a perfect bowl of ramen from scratch. Not the instant stuff that college students eat dry. No, not even the fast-food stuff that people slurp down in train stations in Tokyo. This is the real deal -stuff made from the heart and soul. I am Ramen Man -and this is my first try.

The noodles have been a riddle for a while because reports on the internet are that the package ramen noodles are fried before they are cooked. I created a basic egg noodle dough ball of flour, eggs, and water with the addition of an ingredient taken from the KBS documentary Noodle Road. Turns out, the Central Asian heartland from when ramen (lo-mein, laghman) came had very alkaline water. This and the arrival of wheat cultivation created the noodle over five millenia ago.

Though the water here in Iowa is already pretty hard, I added some baking soda to raise the pH. This causes the gluten proteins to bond into long, tenacious strands.

The noodles were pressed out using an old Atlas pasta maker from Italy. I had grown up making kal-guk-soo from the age of 10, so getting the noodles out on the finer setting was no big deal. The picture above shows the work -a softball sized dough ball makes enough for 4 people.

The noodles are boiled then quickly rinsed in cold water, and over this the broth is added.

Ahh -the broth. This is where the journey begins. My first effort is with a basic da-shi-ma (seaweed and dried anchovy broth) added 2:1 to pork/ginger broth. Some pork cutlet was added, as was thin cut green onions, but for this effort, I wanted just naked noodles and broth.

The noodles were in fact perfect. The baking soda -a reflection of the hard desert spring water of Central Asia, allowed the noodles to have a perfect springiness.

Naked ramen

The broth itself was without distinction and this is where all the hard work will go -it was clear and clean, but better suited for a mushroom soup or a fish soup than for ramen. And the ramen I am stalking is hakata ramen -the clear white broth the result of days of boiling pork (could it be the head?).

I did get a thumbs up from my critics.

The Hookup -UPDATED

snc10030

UPDATE –

As if to drive home the nail between the eyes, the NYT (link) writes about how colleges are over run with women, and the guys can basically stop shaving, stop bathing, stop talking, and get harassed for dates just by occupying space on a campus bar stool. If this isn’t more evidence that Generation X has some terrible purpose, I don’t know what, because we our timing is cosmically off. We miss the sixties and we get to pay for and take care of the baby boomers while everybody behind us gets to play.

Original Post from 12/17/2008

In the New York Times, Op-Ed man Charles M. Blow writes about the current state of dating -declaring there is no dating (link here). Apparently, teens and college students have sex first then consider dating after several rounds, maybe days, of guilt-free and consequence-free sex.

This is all terribly wrong. I missed the sixties and seventies. My coming of age was during the 80’s, a notably sexless decade which produced Urkel, Alf, Joanie and Chachi (which means something funny in Korean). I got married in the 90’s, and then spent my remaining twenties and thirties indoors in sterile environments, constantly washing my hands. All of a sudden I wake up in my forties from 34 years of schooling to see this going on. Instead of yammering away about school and homework while out on dates, the kids are hammering away while out on hookups. Mr. Blow goes on pontificating about how tilted the playing field is towards men, especially in college where they are often outnumbered 2 or 3 to 1. I’m really upset about this article, because CM Blow just has it all wrong.

When I was in college, my happiest times were going down for breakfast at certain women’s colleges and hoping to get set upon by all those hungry girls. Instead, I got corn flakes and maintained a strictly monogamous relationship destined for a messy breakup –because I refused to have any relations until I met my wife to whom I am married. I digress. This bodes ill for civilization. What’s next ? husband time sharing arrangements by educated professional women who find it more convenient to share the few educated, employed, professional men left in the world? Craigslisting of said arrangements? I can imagine the listing -Englewood, NJ: Have a man, MBA, needs walking daily, will share for cost of feed and grooming.

Absolutely not. I will not let J rent me out to her lady friends in some sort of tawdry and trendy new lifestyle arrangement just for her convenience. I have my scruples. If any of J’s lady friends needs to discuss my views on this, they can reach me through Facebook, or just text me.

Augmented Reality -how to tell fake boobs

Every time I watch Mad Men, I get floored by Christina Hendricks. She captures the vavoom esthetics of the late 50’s and 60’s as personified by Sophia Loren. The standards of beauty shift and change over time, but the large mammaries and the male obsession with them are unique to humans among terrestrial mammals.

Neolithic hunter-gatherers, when they figured out how to shape stone into figurines, created an industry around figures of women with curves.

Breast augmentation is a large industry driven by not only popular tastes but probably something innate in our psyche. When I was an intern, the plastic surgery clinic was an eye opener, with perfectly healthy patients willing to undergo an operation at some risk to their health to sculpt themselves.

It was a time of transition away from silicone implants which were popularly (and erroneously) believed to cause autoimmune disease, to saline implants, and the quintessential moment for me was in filling what were plastic bags to the “correct” volume which was a subjective process. The whole OR got to voice their opinion with the surgeon having veto power.

With the recent red carpet productions, Christina Hendricks came up and it hit me that she looked different from when she was on Firefly, my favorite cancelled science fiction series. In it, she is incredible as an interplanetary highway robber and grifter. Five years later, she presents an entirely different profile.

At first, I thought she achieved her transformation with girdles and a few extra doughnuts a day, but the picture at the very top convinced me that some augmentation has occurred. When I mentioned this among my Facebook friends, TW, an old buddy from high school and a physician, categorically felt that these were real.

After intensive research, I would have to disagree. The tipoff are the bald men hiding in her dress. The placement of prosthetics causes a lifting of the skin and sometimes muscle which changes the profile from the “natural” which in profile looks like a nice sledding hill to the “augmented” which looks like a bald pate. This convexity is a giveaway, and with the lift and separate presentation bras, this convexity is enhanced. Gravity flattens this top area with time and no convexity is seen in latter day images of the all natural Sophia Loren who looks like she underwent some reduction.

That said, Hendricks is amazing in bringing her character to life, a Sad Woman among Mad Men.

docpark’s Nice Tea! and my picks

Football playoffs and lazy Sundays mix wonderfully in this iced tea creation. I make a typical Southern sweet tea using double density of P&G Tips tea bags, steeped extra long for that extra bite of tannins. I add a tablespoon of sugar for every two cups (may add more for more traditionally sweet tea) and if I have them, I crush and muddle in spearmint leaves. At this point, this drink is fine for drinking after mowing lawns, but if you want a super smooth Nice Tea -you add a shot of Amaretto and a half shot of Grand Marnier along with a dash of Angostura Bitters. The result is a very smooth concoction that makes you think about spring -sunny, cool, and stirring to the spirit.

I won’t talk about the Vikings because it may curse them. I will root for the Jets in the same way I would root for the drunk Irish guy on St. Patrick’s Day who picks a fight with a bunch of yobby out of town college kids from an SEC school. He may go down, but he’ll be defending the honor of New York in his own special way.

Dawn of the Dead -is all about us.

I recently watched the remake of Dawn of the Dead on Hulu while on call. In general, I find the horror genre either to be a thinly veiled subcategory of Chick Lit or generally too scary to watch. The first category, the horror Chick Lit or Chick Flick, are all the romantic vampire stories and beauty with beast fables. They are dreck even when an auteur like Joss Whedon labors to make them watchable. Something dark lies in the feminine psyche for fantasies about blood sucking, pasty faced, pretty boy immortals sells. The latter, the truly scary horror, deals in the supernatural. In the heart of all rational people, there is a primitive spot that wonders if there is good and evil and not just cause and effect. When a film taps this, and reveals the frightening voids and yawning chasms presented by contemplation and imagining of evil, even this fairly rational and educated surgeon can get a twee scared watching The Grudge in the dark (she looks like an ex-girlfriend).

But zombie movies? Not so! For some reason, I love them because I’m a doctor. The slow zombie era of Cesar Romero came to an end with the fast zombies of 28 Days Later (and its sequel, 28 Weeks Later). Zombie movies appeal to my inner infectious disease expert. In some way, I deal with the necrosis and suppuration every week, and seeing hordes of diseased people doesn’t seem too scary. It then boils down to how the undiseased people react in these circumstances which entertains me: by denying, by panicking, by getting armed, by having sex (more denial), and by getting oddly rational. When HIV began killing people in the late 80’s, the response was not unlike the plot of a zombie movie. There was fatal ignorance and denial, followed by panic, then calls for concentration camps, followed a neurotic mix of hedonism, consumerism, prudishness, and rampant heterosexualism. The collective sigh of relief was the announcement by Dr. Ho of multidrug therapy, as conceptualized by the not-gay and not down-low Magic Johnson just staying alive.

The most recent remake of Dawn of the Dead makes great fun with these concepts. The survivors of the plague hole up in a shopping mall, and all the zombies congregate there and mill about outside the locked entrances. And its the same now in the time of the economic plague that I see hordes milling about at our local mall. Despite the recession, the place is always full. I think people go there because going to the mall and shopping is a talisman of normalcy. After the horrible events of 9/11, President Bush told everyone to go shopping. Shopping! And that is what I see going on, the continued shopping for a little slice of happiness, is not unlike the zombies congregating at the mall in Dawn of the Dead. “I think its some retained memory they have that brings them here,” says one of the characters.

As a medical student, I was assigned patients and was their intern, responsible for their health. Never mind that most of them had HIV and were crack abusers, making them somewhat unstable. I learned to have a conversation with them, those who in another era would have been called possessed and unclean. I took the lessons of the plaque dedicated to the twenty medical students who died in the influenza pandemic of 1918, and understood implicitly the bargain I had to make. To be a good physician, I would have to take good care of all people. I performed central lines and spinal taps in poorly lit rooms on patients whose viral titres made them frankly toxic to be around with a needle, a scalpel, or broken glass (from lidocaine vials). I learned equanimity in the face of really horrible things like the gal who hid a roll of dollar bills in her abscess (pocket of pus) cavity on her lower abdomen. She’d pay for crack with those filthy bills and earned them by doing who knows what. If that trumps zombies, I don’t know what. I always wash my hands after touching money.

Eddie Murphy had a claymation animation sit-com in the 90’s called the PJ’s. It featured a crack addict who was spot on and completely true. Ironically, he was the straight man, and dished wisdom while eying the pigeons for a possible meal. The great tragedy in the AIDs/Crack epidemic of the 90’s was its victims who made to the hospital after living on the streets for years were incredible specimens. They had to be to survive for as long as they did. They were all tall, lean, and if you looked past the insanity, wear, tear, and grime, were usually good looking with good bone structure -think Na’Vi, twenty years after the aliens from Earth returns to Pandora, colonize them, and put them on reservations with their sensory pony tails cut and cauterized at the stump.

We forget that the heroes of the Zombie movies are in fact, the Zombies. Once infected and left to wander around for fresh brain, they are the perfect citizenry. Their behavior is predictable, and their intentions are true. They offer no political resistance by asking no questions, and their happiness lies in fresh brains. Substitute fresh brains for fresh fruit out of season, perfectly-red meat packed in styrofoam and plastic, and giant homes in the suburbs, and you have it. The real monsters in Zombie movies are the protagonists, they with their guns and fire, keeping the thronging mobs from their happiness and fulfillment.

So stop being a wet noodle! Go, run out and buy yourself some Zombie pickle and get happy! A good place to start: On January 27th, Apple will present their next great thing, by the way, you happy Zombie.

The Personality Disorder -Which One Do You Have?

Girl Interrupted, or Bucket O' Borderlines

When I went to P&S, one of the great features of its curriculum was its Psychiatry requirement which spanned a full two and a half years of our time there. It was among my favorite experiences from medical school. In that first year, among other things, we discovered how really crazy we all were, each of us, in our own special way. It was then I discovered the DSM Personality Disorders, which is kind of an “interesting personalities” index. Rather like a Zodiac sign, my pals and I immediately set about viewing those around us through the lens of their particular personality disorder. People rubbing shoulders in large cities brings out these personality disorders like rubbing oregano brings out its spicy aroma.
According to the DSM-IV-TR Axis II (the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders), the person with the personality disorder has to meet first the general criteria of having “an enduring pattern of inner experience and behavior deviating markedly from the expectations of the individual’s culture.” This is a very interesting criteria because it implies the existence of whole cultures that are crazy and where that flavor of crazy is normative (think Klingons before the Khitomer Accords). It also implies that whole families may be crazy, but within the confines of that family, one’s crazy behavior may seem “normal,” and children from such families only realize how abnormal their families are once they leave for college. This is not a personality disorder if the individual realizes that yelling their frustrations is not normative and corrects that behavior. This is an important feature of the general diagnostic criteria -that  two out of four deviations go unrecognized in terms of cognition (self perception and interpretation of others and events), affect (range, intensity, lability and appropriateness of emotional response), interpersonal functioning, and impulse control.
Also in this definition, this personality pattern is inflexible and persists along a broad range of personal and social situations, leading to distress or impairment in personal, social, and occupational functioning. This pattern is persistent and present for a long period of time, and not secondary to another primary mental disorder, substance abuse or medical condition. It means the person affected by a personality disorder may or may not be aware of their “deviation from the norm.”
The personality disorder list is then grouped into three clusters with subcategories.
Cluster A (odd or eccentric disorders)
-Paranoid personality disorder
-Schizoid personality disorder
-Schizotypal personality disorder
Cluster B (dramatic, emotional, or erratic disorders)
-Antisocial personality disorder
-Borderline personality disorder
-Histrionic personality disorder
-Narcissistic personality disorder
Cluster C (anxious or fearful disorder)
-Avoidant personality disorder
-Dependent personality disorder
-Obsessive-compulsive personality disorder
Appendix B -for further study
-Depressive personality disorder
-Passive-aggressive personality disorder
Deleted from DSM IV but present in DSM III-R
-Sadistic personality disorder
-Self-defeating (masochistic) personality disorder
The key point in personality disorders is that their conditions are considered out of the norm but not completely incapacitating. Most people have some degree of the above characteristics, and the differences in the ingredients results in the person. The PD-afflicted individual has one of the above characteristics in superabundance, resulting in flawed social interaction. Through this year, we’ll go through the personality disorders and figure out why some people behave the way they do.

The Automaton, a simulacron of a great golfer

I have changed my mind about Tiger because I thought the man and the player (of golf) could be separated. I have decided that Tiger is no longer the greatest to have played the game. Through his actions, he has shown himself unworthy of the game which values moral and ethical behavior. The Rules of Golf are not just a list of crimes and punishment, but assume an internal moral compass that guides player. Players who abide by these Rules elevate themselves in the process. This includes players who call penalties on themselves on trangressions witnessed only by them. This valuing of honesty and ethical behavior is unique to golf where players have famously penalized themselves out of championships or, tragically, tour cards.

If Tiger behaved this way off the course, who knows what guided his behavior on the course in relation to golf. You can obey the law out of fear of punishment or out of internal ethics and morality. Tiger is no golfist, but revealed to be the golfing equivalent of Deep Blue, the chess playing supercomputer, a soul-less automaton. The events of the past several weeks shows that Tiger has no moral compass, and excels at this great game for entirely banal reasons of conditioning and training from childhood. By this measure, the average golfer who takes stroke and distance for going out of bounds even when playing by himself is a greater custodion of the sport than Tiger.

The Lover

The Lover

Stress tests are used to determine the quality of things. In medicine, we have a stress test that gives us an idea how strong a heart is. In auto manufacturing, there is the crash test. In professional golf, we now have the sex scandal.

The sex scandal is a stress test most often seen in the realm of politics. But the peccadilloes of a politician became passe after ten solid years going with the tapping of shoes in airport bathrooms sandwiched between Clinton and Berlusconi. This is a stress test that reveals dimensions to Tiger that we’ve never seen before.

Tiger married Elin, a beautiful woman, but his aloofness and occasional public displays -hugging wife/children after win, revealed little. The more cynical among us could only wonder -was this all scripted? There are plenty of wealthy men with exquisite trophy wives who are revealed to have predilections across the sexual spectrum -at least in movies and novels.

So what did the past week reveal. If we are to believe the rumors, Tiger likes women with a certain body type -athletic, muscular legs, size B cups, and serious lips. We also find that Tiger has a misunderstanding about the call history function and contacts program on his cell phone. The US Magazine’s voice mail audio reveals that the purported Tiger is worried that his wife is checking his phone call history and requests the woman that he is calling remove her name from her phone number. The problem is that names are not tagged with phone numbers, but do show up in call histories with names when said names are in the contacts directory. Meaning Tiger kept only one cell phone.

What does this reveal? It confirms Tiger’s legendary miserliness or naivete. Billionaires with mistresses usually keep separate cell phones for booty calls and keep it in the golf bag or with a trusted assistant like Stevie. They keep contacts for Ginger, Misty, and Nicki, under Frank, Otto, and Rocco.

If the rumors that he was assaulted with a golf club are true, that means that he took his punishment like a golfer who hits the ball out of bounds. I frankly think he was running for his life after being hit on the head with Elin slamming the club into the back window as he drove out of the garage. Passing out, he hits tree and hydrant.

But what does all of this say about us? Why all the schadenfreude? Why all the venom? First, there is the issue that if there was an assault, there was a felony, and to hide behind gates and walls of privilege stinks to a public that is economically stressed. Refusing the request of the FHP for an interview and all the second hand communication through blogs and lawyers is a poor substitute for a visit to our society’s confessor, Larry King. The second is our need to destroy heroes, crucify them, worship them when they’re dead but kick them when alive. And finally, the third is the need for men to vocally disown this and for women to narrow their eyes and purse their lips. I for one completely do not condone any of this. The cell phone stuff was given for informational purposes only.

As I have written previously on this blog, the half life of human desire is about 6 months. That romantic love, that dopamine rush of courtship which is pretty much the same reaction people get on crack, dissipates and we bond, replacing dopamine with oxytocin. Children help this bond. Ultimately, the strength of the bond is related to the strength of character of the parties involved. We should not be rubbernecking this terrible crash site, but rather focus on our own game. Keep your head still and your feet on the ground.

It goes without saying, I love my wife very, very much. Bad Tiger, Baaaad Tiger.