military

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I believed once that the U.S. military was a noble and distinguished place. Not that any of my direct lineage (or collateral relatives, for that matter) had ever served. My father was rated a 4F by the draft in WWII for his flat feet.

My grandmother of blessed memory told me to “take care of America” for her. In the Ukraine, she had not considered herself pious enough to make it in Isreal. She preferred the USA, having heard the streets were paved with gold and streets also somehow held an opportunity for upward mobility.

She never told me exactly what that meant, but as a resident doctor whose residency school had folded (with no neurosurgical residencies elsewhere in America) I made the military recruiting office into a system to get the US Army to pay my residency salary and get training in Canada.

A military stint as a general medical officer assigned to active duty — well, I didn’t have too much trouble convincing myself grandmother would be proud.

I ended up, through a variety of machinations, going to active duty in general psychiatry at a large Army base.

So indirectly, from my proud induction and joyous oath of allegiance to the US, I landed in a world where:

Many young men, before judges in America, were given a choice between military and prison, and continued to act as if criminal behaviors learned on the streets continued to be appropriate.

The medical command though this woman MD with a background in neurosciences should take care of ob-gyn and such because she was “a female.” (I got the necessary books out of the library and kept them in my office and did as ordered.)

The incidences of sexism were too numerous to recount.

And criminals? Although I have worked many prisons, I was ordered to evaluate my one-and-only axe murderer, he was seen while he was confined to an Army prison.

Not that he was cooperative. He answered no questions at all, laughing at the female officer who had been sent to interview him.

The techniques I derived to get any of my assignments done at all served me well later in my career.

The criminal patients, from the naive and young, to the masters, have stood with me.

The Huffington Post seems to have reported on a serious crime that happened in the military, and bore further investigation.

There are military press officers, and they release things to the public, but they don’t seem to release things like this.

America may want to know who is in the military, and why, and about horrible things that go on and are crimes against humanity and such.

Be afraid be very afraid.

Filed under Psychiatrists by on . Comment#

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I am the last person who should be difficult to convince that research is important.

I have spent a big hunk or life doing clinical trials of psychiatric drugs for FDA approval.

But I am also a great fan of real life. Of listening to patients, something that my patients often complain other psychiatrists don’t have time to do. Read more on Military Suicide…

Filed under depression, Family, Government, medicine, News by on . Comment#

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It was not political correctness, but rather a deep and visceral thirst that has driven me to reach out to people who are different — very different from myself. Being brought up Jewish (traditional eastern-European Jewish Ashkenaze) is not all of who I am, not even close to that, but it is the raw clay out of which I have been sculpted in America. Canada is different.  A pharmacist I worked with in Edmonton, Alberta, Canada was well-traveled and told me how it was different from America. “America is a melting-pot — Canada is a salad.”

Americans really seem (or at least seemed) to want to be Americans.  I remember the emigrants to America joking about learning about baseball, the bat being likened to a chicken drumstick, a “pulkeh.” To understand and love baseball was a very important part of being American. Part of the lore of the time was that it was possible to unmask a foreign spy who spoke perfect English if you asked him who had won the last world series and he did not know. Very different from Canadians who kept their own traditions and their own languages in tiny equivalents of their native lands around Edmonton where ethnic traditions were publicly exalted, in places called “little Germany” or “little Italy.”

Read more on Cross-Cultural ‘R’ Us…

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I have been in screaming and crying mode since this morning.  When I got started, I wanted to look up more info about veterans to help out my beloved veterans who have told me that they are having hard times getting enough benefits to survive.  I’m sure you read or have heard of by now about the story from the LA Times. Trying to figure out what happened is tough.  But it seems that about a decade ago, someone offered the California National Guard monetary rewards of ten thousand dollars and up for re-enlisting, which they took. I don’t think anyone can blame them for that. Read more on Can being a veteran (or soldier) get any worse?…

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Why people can’t accept let alone search for the truth, even if it would save their lives.
You Can't Handle Truth
If this is not the most famous movie quote of all time, it is darn close.

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 כג  אֱמֶת קְנֵה, וְאַל-תִּמְכֹּר;    חָכְמָה וּמוּסָר וּבִינָה. 23  “Buy the truth, and sell it not; also wisdom, and instruction, and understanding.” Proverbs 23 is a quote I’ve been hanging around with for a really long time.  It even somehow showed up in my high school yearbook, I said it so much.
Believe me, this has a lot to do with why Jack Nicholson is who he is, and why I am the Renegade Doctor.  That is why I can do a course adjustment and know that I have learned that an enormous amount of what I have learned in my medical education is just plain not so.
How does a bad politician differ from a good scientist? When politicians change their course, they Flip-Flop. When scientists change their course, it means they have new data.
 People just don’t act as if they are looking for the truth.  The first thing I learned in high school debating seemed paradoxical and weird” at first, but now I know it is totally spot on. I was told I could never debate an assertion rationally if I could not admit the assertion could be wrong. Amazing how high school stays with you for life.

Read more on Why People Can’t Accept the Truth…

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My preceptor in child psychiatry at the University of Kansas (Wichita) was easily the most respected psychiatrist in the region. Former chief of the residency training program, he was not at all the fanatically-publishing academic type I would find in psychiatric departments elsewhere.

He was eminently practical. Nearing retirement and clearly at the top of his game, he was known to be someone who really did straighten out troubled kids.

Me, there were times he gently chided me because of my theoretical and academic concerns which were not always of practical use. Read more on Responsibility for Veterans…

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I had my struggles with the military about weight requirements.  Many have.  I remember an especially clever nurse-officer who had given a lot more years of her existence to the Army than I had, and was both a cracker jack clinician and a cracker jack administrator, and left with a wimp because she was too heavy.

I also remember one whom I then considered a mediocre physician’s assistant who told me he got a commission as a warrant officer where the physical consisted mainly of measuring the circumference of both his neck and his waist. He did it by pumping up his muscles in his neck so that his neck was so damned fat that the rest of him seemed “proportional.”  Yes, this really worked.  Waist not — want not.

In case anybody is curious about my military commission physical, I had starved myself to some pretty small proportions.  The physician told me I was built like a fashion model, so as much as he would surely enjoy it, he was not going to insult me by giving me a physical. Read more on Plastic Surgery To Pass The Army Physical…

Filed under Government, News by on . Comment#

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We don’t learn from history.  America sounds like it is starving with several stories on food bank cuts that have just started.  A lot of people seem to skimp and save to be able to eat.  Some of my marijuana patients tell me it is the only medical care they can afford.  One asked me where the nearest food bank was, and if I knew any good ones.

Vintage Veterans PostMy Grandmother-Of-Blessed-Memory had a couple of raspberry bushes in the back yard, and some very aggressive strawberries that sent runners under the sidewalk to the garbage can, pushing up the already fragile cracked concrete. This infuriated my Mother-Of-Blessed-Memory who always had to do such repairs, as my father of blessed memory had “such delicate hands.” At least that is what his mother would lament as she stroked them.  He had an honored place in our household for being a composer and choir director and music teacher and supporting the lot of us. Read more on Is This How We Thank Our Veterans?…

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I used to really enjoy going to the kind of tiny circuses that tour the small towns in rural areas.  Much of my adult life has been as a wandering gypsy doctor through such areas and it seems that many of the little towns had little to offer and went wild when the circus came to town – no matter how modest the offerings were.

Of course I had experience with the really big shows.  When I was a kid my folks took me once to the Greatest Show On Earth — Ringling Brothers, Barnum and Bailey — where I think now the plethora of amusements in three rings is probably best suited for those who really enjoy their attention deficit disorder.
But it was in a tiny field in France by a beach on the English Channel that I saw a lovely one ring circus. I was most impressed with the lion tamer — a person of African descent, large and muscled and handsome — but I was close enough to see each time he put his head in the lion’s mouth, and he did it multiple times.

The old, indifferent lion had no teeth, but the effect was still thrilling.

The image was vivid, and I have not thought of it for many years.

I think of it when I hear talk about the Food and Drug administration (FDA).

The FDA has no teeth, and as you can tell from the interview below, is simply

Read more on FDA: A Toothless Old Lion…

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I worked in prison situations, where inmates complained about everything and sometimes I even agreed with them.  Invariably, some older world-weary inmate would say:  “Don’t do the crime if you can’t do the time.” When spoken by a muscled, or at least strong and/or angry looking inmate, I have seen that shut people up.  Let’s try this one when it’s time for troops to deploy:  “Don’t appear, if they ain’t got the gear.” Read more on Look Mom, No Gear…

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