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.

I.D.D. -Irony Deficit Disorder, Unwanted Connectedness, and the Importance of Defending the Modern

The Greatest American

As a middle school student, we were assigned Jonathan Swift’s A Modest Proposal. I laughed my guts out, but soon realized that many were appalled by the idea that Irish babies should be used to feed the poor. As I grew up, I read Vonnegut with the avidity that presaged the kind of fandom that we see kids have nowadays for video games, and for it, I was a bit of an outsider. The word I learned in medical school was concrete -most of the world is concrete. They can process black and white, but are blind to shades of gray. A pie in the face is funny, but a pie made of Irish babies, not so much.

You can see this in the audience for comedy -in the 90’s, it was fans of Leno versus Letterman (and now  O’Brien), Jeff Foxworthy versus Jerry Seinfeld, and Britney Spears versus Lady Gaga. It’s the divide that separates America into Walmart and Target. There are people who take Sarah Palin seriously and those who see a cosmic joke. It is with utmost seriousness that I propose a new DSM personality disorder -the Irony Deficit Disorder or IDD.

IDD is marked by a lack of curiosity of the world beyond the experience offered by life within earshot and immediate view. People with IDD have limited affect and rarely express themselves with their hands. They hew to orthodoxy and are great believers of world views constructed by dead people. They are suspicious of the new and generally feel uncomfortable around people who don’t share their background. IDD is found across the political and socioeconomic spectrum. People with IDD are easily offended. They will likely be offended by this piece. These people find change distressful and uncomfortable. At first, new things are regarded with disdain and suspicion, and the ethical and moral dimensions are weighed from the viewpoint of their particular flavor of orthodoxy. When change threatens to intrude, they usually have been able to withdraw from it and the world, but not anymore. The internet, which back in the halcyon days of the nineties offered a utopian view of world connectedness -a New World Order, functions as both the irritant and the balm to those with IDD.

Every country now has its native Taliban fighting the bare-legged, ochre-skinned, breast implanted, spangly-pole dancing march to progress. It is the loss of tribe, social norms, and social status to barbarian invaders talking, looking, and thinking differently and dictating change while secretly sneering at the rubes, or so it seems to the bitter IDD person. They look at their internet in shock and awe – How can it be not wrong for a man to kiss a man and marry a man? How can it be not wrong for a white girl to kiss a black man? Why are they trying to get me to eat that horrible looking food? Why do I have to look at that person dressed that way? Why are those signs not in my native language? Why do I have to pronounce that name the way they want to? How can it be not wrong to assert that America is a country whose only mention of God in the Constitution is in the separation of church and state? Their fears are straightforward –They are trying to change my core values and by extension, denigrate them.

Now, having IDD in no way handicaps that individual. These people buy Toyotas and GM cars, use Windows, and wear red Christmas sweaters embroidered with reindeer. They pay taxes and abide the law. In fact, they are the majority, and their concerns have to be respected up to the point where someone else’s rights are infringed. Those of us endowed with the third eye of irony and rationalism have a difficult position because we will always be in the minority and vulnerable (see Qin Dynasty -burying of the scholars and burning of the books, Spanish Inquisition, Nazi Gleichshaltung, McCarthy Hearings, the Cultural Revolution, the Gulag, Taliban Kabul Soccer Stadium activities, the Iranian Election of 2009, The Glen Beck Show). A candle is mostly wax with a fine evanescent flame, easily blown out.

The bright lights of our world have to make a stand. Rather than retreat to Starbucks to grope out discontented tweets for a limited audience, we have to reach out and actively defend ourselves and our civilization which is the Modern Civilization. Rather than sneer behind our Kindle’s, we have to speak clearly for our Constitution and rule of law. We have to make our votes count and work with our like minded brethren in the opposing camp to come to rationale, workable solutions rather than digging trenches festooned with figures hung in effigy. The rational center must hold true to the convictions of Franklin, Washington, Jefferson, Hamilton, and Adams.

You now have the tee box.

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.

Snow Day! also flashback to Snowblowing Song

Snowday The rare winter storm hits tropical Iowa, and caught unprepared, the state shuts down. I am granted a rare treat -the Snow Day. 24 hours in the middle of the work week all to myself! Of course, I have to dust off the Snowblowing Song which asks the question, “I love to blow the snow, but when will the snow blow me?”

NaNoWriMo Update

Video update of my NaNoWriMo project, Abandonner: A Memoir of Regret. It is taking all of my powers of literacy and observation of women in their natural environment to write this exploration of the feminine psyche from the perspective of men who abandon them. I am writing in the Chick Lit category.

NaNoWriMo -National Novel Writing Month -an excerpt

bookcoverThe national novel writing month approaches. During this month, the challenge is to complete a 50,000 word novel starting on November 1, 2009 through November 30, 2009. The general daily goal is 1667 words a day. Although I am not suppose to start writing, I have submitted an excerpt for my NaNoWriMo home page which I am submitting here. I chose as the title, abandonner which is the French verb, to abandon. Chick Lit is my genre for NaNoWriMo. It is a topic of interest for me. The inner workings of the woman’s mind and her behavior in a natural setting is an avocation for me. I was the first grandson in a household full of women who pampered and spoiled me back in Korea. This was my Eden. Immigrating to America tore me away from this idyllic state, and the tables are now turned.

This coming month’s effort is dedicated to my deceased grandmother who, it is said, would terrorize the household, sending maids and daughter-in-laws out to the market in search of whatever rare, out of season, imported, or altogether-difficult-to-find fruit, viand, cake, dumpling or morsel that I demanded. I was that important at one time. So here you go, a rare and hopefully tasty tidbit of what is to come draining out of my head:

Parma, Ohio 1975

When I was six, a little Serbian girl fell in love with me. She had alabaster skin with black hair in pixie bangs, and I remember her green eyes staring at me. She always wore a brown knit sweater, a cardigan, that I later found out was made by her grandmother in Serbia. Sometimes she wore a black beret. I was doodling at my desk when she grabbed my hand and dragged me over to her desk. It was late fall and we were all working on Halloween drawings. She handed me a Valentine and kissed me on the cheek and ran away.

We became inseparable that year, the first grade couple of note. We were going to get married. We held hands and ate lunch together and played house with poignant accuracy. Hers was a Serbian household constructed of small wooden furniture and plastic. I mostly did what she told me to do. That Easter, she shared with me a rough bread with a kind of butter she called kajmak. The only time we fought was when I wanted to play ball with the other boys during recess. She would fume and watch with singleminded determination.

Summer came and we promised to see each other in the fall. I lied. She looked sad as we walked down to the school entrance and went opposite ways. She thought it was going to be a summer of separation as our parents did not socialize only to be reunited in the fall. I knew it would be goodbye forever as we were going to move away, but I was rendered mute. When I got home, I was whisked away to a family friend’s to stay the night as our furniture was packed. We left the next morning.

It would be nice to say that I think about her frequently, but that is not true. I hardly think about her at all. If I do, its mostly to wonder if she remembered me and thought about me, and how remarkably sad she must have been that following fall. I decided, in my first grade mind, to not dwell on such sad matters and move forward. If this sadness made me heavy with regret, it would be a rejection of it to let me be light again. But I do think about her, and it was thirty five years later that I met her again…

The iPhonist

As I have said, the iPhone brings out the creativity in individuals in ways that are unmatched by any other personal gadget. It has become the screen of choice. I have been playing with the iPhone app Brushes which let’s you create compelling artwork. David Hockney recently featured in the NYTimes now does much of his art on the iPhone. Several New Yorker covers have been created on iPhone by Jorge Columbo (link).

My latest piece was done in bed while watching the Yankees lose to the Angels. It’s my view to the right. More to come, but this device does not cease to amaze me and a tablet device will become de rigeur among creative people.