by Syed Tasnim Raza

Syed Tasnim Raza & Richard Harry Adler

It was late October 1971. My brother-in-law, Dr. Tariq Khan and I were interviewing together for residency training positions in Surgery. We finished our interview at the Downstate Medical Center in Brooklyn at 7:30 PM one night and then drove to Syracuse in heavy rain. We arrived at a friend's house at 2 AM and after sleeping a couple of hours we drove to our next interview at the Buffalo General Hospital in Buffalo, New York. There was heavy fog with very poor visibility, but we had to be at the Buffalo General before 9, so we sped west in the fog and made it there just in time.

The person to interview us first that morning was the acting director of the residency program in Buffalo, Dr. Richard H. Adler, a general Thoracic Surgeon. He had an angelic face and a lovely soft smile, and his presence immediately made us comfortable. The first question he asked us was why our eyes were bloodshot. We explained the all-night driving session after our interview finished later than expected in Brooklyn. He seemed impressed. After reviewing our application and reference letters he sent us to meet two other young faculty members, Dr. Jack Cudmore and Dr. Roger Dayer. And then we were given a tour of the hospital by Dr. Robert Milch, then the senior resident in surgery. After lunch, we met Dr. Adler again, for the closing interview, where he offered both of us the first-year residency position in surgery. This was a pyramidal program, so that there would be 15 first year residents, but these would be reduced to only six in the second year. Both Tariq and I were so excited we accepted the offer on the spot. We would join the program in July 1972. Thus, began my relationship with Dr. Adler, who would become my teacher, mentor and friend for the next 45 years.

Even though there were many Thoracic surgeons in Buffalo during the years Dr. Adler was active, he was the thoracic surgeon and did over 80% of all thoracic surgery at the Buffalo General Hospital. He was Professor of Surgery and eventually Director of the Thoracic Surgery Residency program until his retirement in 1990. He was one of the best thoracic surgeons both in the operating room, and also in his fund of knowledge about thoracic disease, which he always kept updated and current. Dr. Adler was trained at the University of Michigan in Ann Arbor under Dr. Herbert Sloan, one of the eminent thoracic surgeons of his time, who also was the Editor of the Annals of Thoracic Surgery. After his training, Dr. Adler came home to Buffalo and joined the Surgical faculty at the Buffalo General Hospital under Dr. John Payne, the Chairman of Surgery. During the next decade, Dr. Adler spent a year of further training in England in one of the foremost thoracic surgery clinics. While in London, Dr. Adler was exposed to Norman Barrett, one of the premier thoracic surgeons, who described the mucosal changes in the lower esophagus due to chronic reflux of acid from the stomach, now commonly known as Barrett's esophagus. On his return to Buffalo, Dr. Adler started methodically collecting patients with hiatal hernia and acid reflux and did mucosal biopsies of the lower esophagus. When Dr. Adler presented the results of his studies at a Thoracic Surgical meeting, Norman Barrett was in the audience. He discussed the paper and congratulated Dr. Adler for presenting the largest series of well documented cases of Barrett's esophagitis reported until then. Dr. Adler had similarly large series of case-studies, where he performed talc pleurodesis for malignant pleural effusion or patients with post-pneumonectomy space and others.

His attention to detail and very methodical follow-up of any given thoracic disease was remarkable. I always enjoyed assisting him at the smallest procedure, because he made it into an art form.

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bby Richard King

When the writer Paul Mason was booked to appear at the annual conference of Progress earlier this year, he was more or less assured a rough reception. Progress, after all, is a Blairite "ginger group" within the British Labour Party – formed in 1996, one year before their boy won power – and Mason the quasi-Marxist author of the excellent Postcapitalism and a strong supporter of Jeremy Corbyn. But I doubt he was prepared for just how bitter and self-pitying the right wing of the party has become since Corbyn set about transforming Labour into a genuinely social democratic movement with broad appeal amongst the young and the poor. Referring to anti-Blairite tweets Mason had sent in the wake of the May election, one audience member complained how "intimidated" she now felt at Labour Party meetings. Another demanded Mason apologise. (He didn't.) But things got really interesting when the panel chair suggested that Mason had "entered the Labour Party behind Jeremy Corbyn" – a not-so-veiled reference to the Trotskyist tactic of "entryism" whereby radical groups affix themselves to larger mainstream organisations in order to influence policy. Mason reminded the assembled comrades that he'd joined the Labour Party at nineteen years of age, and that his grandfather was of the generation who'd founded the party in 1900. He then invited the Progress faithful to consider whether they wanted to remain in Corbyn's Labour Party at all. As he put it, to boos and jeers from the floor:

In case you're misunderstanding me, just listen. If you want a centrist party, this is not going to be it for the next ten years. If it's really important to you to have a pro-Remain party that is in favour of illegal war, in favour of privatisation, form your own party and get on with it!

There weren't many takers for that last proposition, and to an outsider Mason's peroration might sound like a triumphalist taunt. But the notion that a new party could emerge in the wake of the Brexit referendum is not entirely fanciful. Inspired by the example of Emmanuel Macron, Tony Blair himself has established an entity called the Institute for Global Change, a "policy platform" that aims to refill "the wide-open space in the middle of politics", while Paddy Ashdown, one-time leader of the centrist Liberal Democrats, has helped establish More United, a "political start-up" that raises funds for politicians of a centrist, pro-EU persuasion, regardless of party affiliation. Furthermore, in August, former Tory aide and political editor of the Daily Mail, James Chapman, suggested that a number of Conservative MPs had responded warmly to his idea for a new centrist party called The Democrats. "They are not saying they are going to quit their parties," Chapman told the BBC; "but they are saying they understand that there is an enormous gap in the centre now of British politics."

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by Michael Liss

What are you reading?

A friend asked me that question recently, and I almost found myself stumped.

Reading isn't skimming. It's not staring at a screen, spasmodically flipping back and forth between the New York Times, Washington Post, Politico, Barron's, electoral-vote.com, Foreign Policy, NRO and anything else to which Twitter would lead. It's certainly not dipping myself into the digital inkwell of the Comments section, finding something to be outraged about, and letting it fly. That's not even writing, much less reading for content.

So, what was I reading? Books. I need books, something to stimulate my brain instead of my adrenals. I could, as I have done countless times, head to Strand and wander up and down the aisles looking for things that might pique my interest. There's always something at Strand. Fiction, non-fiction, history, science, art, architecture and music, tomes on various topics. I am a serious tome fan, and Strand is the place where you can amuse yourself just by scanning the blurbs. "Professor Throckmanshire has produced the definitive work on mid-18th Century Cornish snuffboxes." If that doesn't appeal….

Yet, I have enough books. I know, you can never have enough, but I live in a Manhattan apartment, and, short of tethering rucksacks of them to the outside of the windows (a practice frowned upon by both the City and the co-op board) there isn't a lot of space. The bedrooms are filled with them, the living room stuffed. They are piled up on surfaces and double-deep in built-ins. Of course, a few more wouldn't hurt, but a few more are always arriving—gifts from family and friends, odds and ends on which I couldn't resist spending the kids' tuition money. And the dirty secret was I hadn't read them all yet. I'd been too busy feeding my political obsessions. I didn't need to go to Strand—there was plenty to harvest here at home. Clearly, it wasn't the quantity of books; I was falling down on the reading of them.

There was my problem, and my solution. So, I made my way through the vast expanse of my palatial residence looking for ideas—different ones than those that had distracted me for the last year. I started in my daughter's room. Plenty of options, not all entirely interesting to a man of my years. Some were clearly a no. Books on classical music…possible, but perhaps a little esoteric. The contents of my son's room just didn't inspire. Our bedroom…eh, and there was the omnipresent risk of raising dust if I probed too deeply. The living room held the treasures, if I could just get through the piles and obstructions, the vintage speakers, and, occasionally, the plants.

There's a strange feeling when you do this, going from volume to volume, topic to topic. It's almost like reliving past relationships. This love-interest lasted about three months. This one, somewhat longer, but didn't she dump you because you never understood her, or was it that she didn't understand you? Here's a passion that never quite left, and these few…what exactly was I thinking when I made the time and the space?

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by Leanne Ogasawara

There were not many things that drew me back to America, but the thought of joining a bookclub seemed like one potential perk of moving back. I am not sure if bookclubs exist to this extent in other countries, but in the US they are incredibly popular! More and more people I know had been joining, taking part and talking about their bookclubs… And, I became –slowly but surely–intrigued.

So, when the time came and I found myself back in Los Angeles, I started thinking about–and really started heavy-duty dreaming about– joining one. And not just any bookclub, but I was imagining a kind of glittering evening gathering, which could take place in various refined rooms filled with books and art. And obviously, there had to be alcohol. And definitely my bookclub needed men. Part of my fantasy involved a blurring of bookclub, cocktail party and supper club. I had visions of Turin-style appertivo; discussing Nietzsche over our campari; or a dinner inspired by the gourmand extraordinaire, Detective Mantalbano–featuring my famous caponata (in my fantasy, my caponata is legendary).

My longings finally reached a crisis point last November when I read a really charming post at aNewscafe about a ladies' monthly bookclub in Northern California. The post was about the bookclub's most recent read: A Gentleman in Moscow, about which I was also reading and imagining a dinner party of my own. In my fantasies, I would have prepared a lavish dinner beginning with (of course) champagne and blini and then moving on to the mouth-wateringly-described Latvian stew with Georgian wine of the novel. The author of the blog post, Hollyn Chase, seemed to have it all–a gorgeous dining room filled with books, a fabulous menu plan and best of all, great friends.

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by Dave Maier

If you google the name “Matt Shoemaker,” the first page of hits is all about the gentleman pictured here, a pitcher for the Los Angeles Angels. It seems that he has recently undergone season-ending surgery on his pitching arm, a shame as the Angels are still in the mix for an AL wild-card spot. People also naturally search, Google tells us, for his Angel teammates, including pitchers Garrett Richards and Jered Weaver. At the bottom of the page, however, we see eight further related searches, including “matt shoemaker injury” and “matt shoemaker fantasy” (the latter no doubt a reference to “fantasy baseball"). These obviously refer to that same person; but among the eight we also see “matt shoemaker music.” What’s that about?

Clicking, we do find another reference to our ballplayer (referring to his “walk up music,” which is typically played over the PA as a batter approaches the plate to bat, although in this case since our man is a pitcher and plays in the AL, that probably hasn’t happened all year). But we also find several references to another person entirely. One of them reports the sad news that this person, an accomplished sound artist with many releases to his name, recently passed away at a tragically young age.

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by Bill Benzon

Donald Trump, of course, is the forty-fifth President of the United States. He is a real person, but Leroy Jethro Gibbs is not. He is the central character in NCIS, one of the most popular and longest running shows on network television. Gibbs is a Senior Special Agent in the Naval Criminal Investigative Service.

The Trump campaign is known to have targeted NCIS viewers. Why? What appeal would a show like NCIS have for Trump voters?

The honor to serve

Let’s look at a scene from an episode in season seven, which started airing in 2009. The episode is called “One Shot, One Kill”. It opens in a video game arcade where some teen-aged boys are blown away by the skill of Marine Corps sergeant. We cut to a recruiting office where the sergeant is giving the boys the hard sell about hitching up. He’s talking about Iraq: “Been in the corps 16 years. Closest I’ve ever come to a bullet is…” Shatter! Wham! Splatt! He’s shot. Slumps over on the desk.

Gibbs and his team are called in to investigate. In the course of their investigation the recruiter who replaces the first one is also shot. In both cases, sitting at the desk, shot from long distance, through the window. Sniper.

Gibbs decides he’s got to go under cover. He’ll pretend to be a Marine recruiter, which will be easy form him as he had once been a Marine. To protect Gibbs bullet-proof glass is placed in the window and he wears a bullet-proof vest. Three microphones are placed outside so that, when the shooter fires, their Forensic Specialist, Abby Sciuto, can pick up the sound and use it to triangulate the shooter’s location. We then scoot over there and make the arrest.

We’re in the recruiting office, Gibbs looking sharp in his old Marine uniform. One of his Senior Agents, Kate Todd, is in uniform as a captain. She’s there to profile potential recruits as they visit they office. The major who heads the recruiting unit wants to stay; after all, he’s lost two men to this sniper. Gibbs objects. The major insists.

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Antony

—I imagine you still playing

You said to me,
unclejim teach me guitar,
and what little I knew I did
You took it and flew, a musical id,
and the places you flew, the music that slid
from fingers to strings was by god a grace bridge,
the kind walked on in skies where geese are
where love and you are
where god's hid
and all
is
.

Jim Culleny
9/7/17

by Daniel Ranard

how do you know the moon
is moving: see the dry
casting of the beach worm
dissolve at the
delicate rising touch:
–A.R. Ammons, in Expressions of Sea Level

During the August eclipse, I overheard a funny bit of philosophy. I'll tell it verbatim, I swear. Tree branches had enclosed a stretch of path in Central Park, where sunlight fell through small openings in the leaves. The light cast hundreds of crescent suns along the asphalt: pinhole images, a natural camera obscura. Beside me, a mother and two children stared at the ground, confused, starting to understand. The father ushered them onward. "It's just a representation of the eclipse we tried to see earlier," he said, and they left.

You probably sympathize with the man. Today it's all images, images; and what about the real thing? So I've compiled a helpful list of ways (for next time) to encounter the eclipse as it truly is.

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by Gerald Dworkin

In three previous columns I have discussed the ethics of lying. I am still working on this topic and, in the course of doing so, have accumulated some interesting remarks. Here is a sample:

Some topics–is it decaf?–require absolute honesty. With others–military secrets, some non-contagious diseases–some legitimate exceptions may be allowed.

—Michael Kinsley

Real love amounts to withholding the truth, even when you’re offered the perfect opportunity to hurt someone’s feelings

—David Sedaris

Can’t come. Lie follows.

—Charles Beresford

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Earthy
.