Category: Iowa

Our Impressions of University of Iowa Free Webinar Yesterday: The Stories That Define Us”

We were overall delighted with yesterday’s presentation, University of Iowa Free Webinar: “Breaking Barriers: Arts, Athletics, and Medicine (1898-1947).” It’s one in a series of 4 virtual seminars with two more scheduled this month, which you can register for at this link.

February 15: Endless Innovation: An R1 Research Institution (1948–1997)

February 22: The Next Chapter: Blazing New Trails (1998–2047)

The moderator was university archivist and storyteller, David McCartney.

Presenters include:

Yesterday’s presentation was recorded and will be uploaded to The University of Iowa Center for Advancement YouTube site at a later date.

McCartney did an excellent job as moderator, although got stumped from a question from a viewer about who was the first African American faculty member in the College of Medicine. He’s still working on tracking that down. It wasn’t me. I’m not that old and I am not risen from the dead, as far as I can tell; but to be absolutely clear, you should ask my wife, Sena. I was able to google who was the first African American graduate of the University of Iowa law school: Alexander Clark, Jr. McCartney thinks he might have been the first University of Iowa alumnus, although he couldn’t confirm that.

On the other hand, I could have been the first African American consulting psychiatrist (maybe the only African American psychiatrist ever) in the Department of Psychiatry at UIHC—but I can’t confirm that. Maybe McCartney could work on that, too.

 There are a few words about me in the department’s own history book, “Psychiatry at Iowa: The Shaping of a Discipline: A History of Service, Science, and Education by James Bass: Chapter 5, The New Path of George Winokur, 1971-1990:

“If in Iowa’s Department of Psychiatry there is an essential example of the consultation-liaison psychiatrist, it would be Dr. James Amos. A true in-the-trenches clinician and teacher, Amos’s potential was first spotted by George Winokur and then cultivated by Winokur’s successor, Bob Robinson. Robinson initially sought a research gene in Amos, but, as Amos would be the first to state, clinical work—not research—would be Amos’s true calling. With Russell Noyes, before Noyes’ retirement in 2002, Amos ran the UIHC psychiatry consultation service and then continued on, heroically serving an 811-bed hospital. In 2010 he would edit a book with Robinson entitled Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry.” (Bass, J. (2019). Psychiatry at Iowa: A History of Service, Science, and Education. Iowa City, Iowa, The University of Iowa Department of Psychiatry).”

And in Chapter 6 (Robert G. Robinson and the Widening of Basic Science, 1990-2011), Bass mentions my name in the context of being one of the first clinical track faculty (as distinguished from research track) in the department. In some ways, breaking ground as a clinical track faculty was probably harder than being the only African American faculty member in the department.

I had questions for Lan Samantha Chang and for Dr. Patricia Winokur (who co-staffed the UIHC Medical-Psychiatry Unit with me more years ago than I want to count.

I asked Dr. Chang what role did James Alan McPherson play in the Iowa Writers Workshop. She was finishing her presentation and had not mentioned him, so I thought I’d better bring him up. She had very warm memories of him being her teacher, the first African American to win a Pulitzer Prize for fiction, and a long-time faculty member at the Workshop.

She didn’t mention whether McPherson had ever been a director of the Workshop, though she went through the list of directors from 1897 to when she assumed leadership in 2006. You can read this on the Workshop’s History web page. I have so far read two sources (with Wikipedia repeating the Ploughshares article item) on the web indicating McPherson had been acting director between 2005-2007 after the death of Frank Conroy. One source for this was on Black Past published in 2016 shortly after his death, and the other was a Ploughshares article published in 2008. I sent an email request for clarification to the organizers of the zoom webinar to pass along to Lan Samantha Chang.

I asked Dr. Winokur about George Winokur’s contribution to the science of psychiatric medicine. Dr. George Winokur was her father and he was the Chair of the UIHC Psychiatry Department while I was there. She mentioned his focus on research in schizophrenia and other accomplishments. I’ll quote the last paragraph from Bass’s history on the George Winokur era:

“Winokur, in terms of research, was a prototype of the new empirical psychiatrist. Though his own research was primarily in the clinical realm, he was guided by the new neurobiological paradigm (perhaps in an overbalanced way) that was solidifying psychiatry with comparative quickness. New techniques in imaging and revelations of the possibilities in genetic study and neuropsychopharmacology lay ahead. George Winokur had helped the University of Iowa’s Department of Psychiatry—and American psychiatry as a whole—turn a corner away from subjectivity and irregularity of Freudian-based therapies. And once that corner had been turned there was no going back.”

George Winokur was the department chair at University of Iowa Hospitals and Clinics from 1971 to 1990 and had a unique and memorable style. George also had a rough sense of humor. He had a rolling, gravelly laugh. He had strict guidelines for how residents should behave, only slightly tongue-in-cheek. They were written in the form of 10 commandments. Who knows, maybe there are stone tablets somewhere:

Winokur’s 10 Commandments

  1. Thou shalt not sleep with any UI Psychiatry Hospital patient unless it be thy spouse.
  2. Thou shalt not accept recompense for patient care in this center outside thy salary.
  3. Thou shalt be on time for conferences and meetings.
  4. Thou shalt act toward the staff attending with courtesy.
  5. Thou shalt write progress notes even if no progress has been made.
  6. Thou shalt be prompt and on time with thy letters, admissions and discharge notes.
  7. Thou shalt not moonlight without permission under threat of excommunication.
  8. Data is thy God. No graven images will be accepted in its place.
  9. Thou shalt speak thy mind.
  10. Thou shalt comport thyself with modesty, not omniscience.

Quinn Early has a lot of energy and puts it to good use. His documentary of the sacrifices of African American sports pioneers, including “On the Shoulders of Giants” (Frank Kinney Holbrook) is impressive.

There was a good discussion of the importance of the book “Invisible Hawkeyes: African Americans at the University of Iowa during the Long Civil Rights Era”, edited by former UI faculty, Lena and Michael Hill.

Sena and I thought yesterday’s presentation was excellent. We plan to attend the two upcoming webinars as well. We encourage others to join.

Links to Ozymandias

Sena and I took a walk down Scott Boulevard today. The weather was practically balmy, compared to how cold it has been. Forty degrees above zero compared to 9 degrees below feels miraculous.

We walked past the Harvest Preserve entry. Across the street is what we’ve just learned is an old building that is known as the “Haunted Barn” (photo taken in August 2021).

We passed the 20-foot-tall, 110-ton Sitting Man sculpture, now on the west side of Scott Boulevard after it was moved from the east side of the road in July, 2020.

Today was the first time we trekked past the Sitting Man to Rochester Avenue and beyond. If we hadn’t, we would not have noticed a fascinating, blindingly white abstract sculpture mounted on a concrete block which we initially believed was on the Harvest Preserve property at the northwest corner of the intersection. Sena said it looked like a person, noting the head, arms, and body. I didn’t notice that.

After we got back home, I couldn’t find out anything about it on the web, no matter how much I connected the search terms to Harvest Preserve, the Sitting Man and so on. I found only one item with a photo and it was an announcement about a tour on Harvest Preserve in 2018. The impression is that the sculpture is on the property.

I sent an email inquiry to Executive Director of the Harvest Preserve Foundation, Inc., Julie Decker, whose email address is available on the website.

Ms. Decker informed me that the sculpture is technically not on Harvest Preserve property. She knew the sculpture is entitled “Family,” and the artist’s name was Eugene Anderson, who died in 2008. That’s all she knew.

It turns out that what little she knew led to an astonishing story that was even deeper and more engaging than we imagined. You can read the obituary of the Iowa City artist Eugene Anderson on legacy dot com. The highlights are that he started his career in architecture, was the University of Iowa Hospital and Clinics (UIHC) architect for 25 years, and then began creating original art work to display in the hospital to comfort patients. He later became a full-time sculptor, and was on the board of directors for “Arts Iowa City.”

I was a medical student, resident, faculty member and a consulting psychiatrist at UIHC, a career starting in 1988 and ending with my retirement in June of 2020. It’s possible I saw some of Anderson’s work while I was galloping around the hospital.

In 1994 he created the “Family Group” series of sculpture which have been displayed at Chait Galleries in Iowa City, Des Moines Art Center, and the Brunnier Art Museum in Ames, Iowa. The piece we saw might have been one of those. Unfortunately, I couldn’t find anything on the web about the series.

And what is more intriguing, Anderson also traveled extensively, even to Egypt where he cruised on the Nile and took a sunrise balloon ride over the pyramids.

How is it possible that so little of Eugene Anderson’s life and work are not better known? Come to think of it, I guess time can erase the memory of our accomplishments.

This little story reminded me of the poem “Ozymandias” by Percy Bysshe Shelley. I’ve forgotten all of my college freshman English Literature but a web search indicates that Ozymandias was based on Ramesses II, a king of ancient Egypt. Ozymandias was a great ruler of a vast empire. His sculptor built a huge monument in the desert and gave it the oft-quoted inscription, “Look on my works, ye Mighty, and despair!”

Ozymandias

Percy Bysshe Shelley-1792-1822

I met a traveller from an antique land
Who said: “Two vast and trunkless legs of stone
Stand in the desert . . . Near them, on the sand,
Half sunk, a shattered visage lies, whose frown,
And wrinkled lip, and sneer of cold command,
Tell that its sculptor well those passions read
Which yet survive, stamped on these lifeless things,
The hand that mocked them, and the heart that fed:
And on the pedestal these words appear:
‘My name is Ozymandias, king of kings:
Look on my works, ye Mighty, and despair!’
Nothing beside remains. Round the decay
Of that colossal wreck, boundless and bare
The lone and level sands stretch far away.”

Today we searched for links on the web to find out more about a mysterious sculpture. We found links of a different kind, links to a stranger and to the near and the ancient past. Anderson’s sculpture, “Family,” is still standing, tall, clean, and bright for all to see.

Return to the Sun Room

We have a sun room again. We moved into this house a little over a year and half ago. It has taken a little time to get it comfy. For the last couple of weeks, I’ve been sitting in there on Friday nights listening to the KCCK Jazz Radio ‘da Friday Blues show hosted by John Heim, aka Big Mo. I used to do that regularly but we’ve not lived in a house with a sun room for several years. The Big Mo blues show has been a favorite of mine for a long time.

I suppose I could have listened to it in another room in the other homes we’ve lived in. But it wouldn’t have felt right. I connect sun rooms with ‘da Friday Blues on KCCK 88.3.

It’s hard to believe Big Mo is still doing the show. He suffered an accidental neck injury a few years ago that left him paralyzed from the neck down. He was hospitalized at the University of Iowa and went to rehab from there. He still sounds great. He retired from teaching in 2004. He hasn’t retired from having a good time and helping others enjoy music and life. There’s a lesson in that for us all.

Anyway, we have a great sun room again. We have a nice coffee table in there, with the mandatory coffee table book. Chet Randolph really didn’t write that book, Theory of Detasseling—but he could have.

coffee table book

 Here’s a tune from tonight’s show that fits the season.

Dr. Feranmi Okanlami MLK Distinguished Lecture

Today, Dr. Feranmi Okanlami, MD, MS, director of student accessibility and accommodation services at the University of Michigan, delivered the Martin Luther King Jr. Distinguished Lecture: “Disabusing Disabilities.” It was sponsored by the University of Iowa.

I attended Dr. Okanlami’s lecture by Zoom. I noticed he was wearing a handsomely carved wooden bow tie, which I don’t have an image for, but you can order them on Amazon, if you’re interested. I’m not the only attendee who noticed it. I used to wear cloth bow ties when I was a much younger man. I gave up wearing any cloth ties shortly after the Covid-19 pandemic began because, as everyone knows, fabric neckties of any kind generally almost never get laundered and carry all kinds of germs. The wooden bow tie is easily wiped down with sanitizers.

But this post is not about wooden bow ties. It’s about what Dr. Okanlami called “ableism” which naturally brings to mind other terms like “racism.” He showed a few images on his slides which showed another point he expanded on, which is the difference between equality and equity. The quick way for me to explain this is to quote the Milken Institute School of Public Health definition:

“Equality means each individual or group of people is given the same resources or opportunities. Equity recognizes that each person has different circumstances and allocates the exact resources and opportunities needed to reach an equal outcome.” — MPH@GW, the George Washington University online Master of Public Health program.

Dr. Okanlami impressed me in many ways, but one of them is his ability to give unrehearsed presentations. He hates to “give talks” as he put it, but likes to talk. 

I should explain the reason for this post’s featured image, which might seem puzzling. It’s a photo of the curb ramp connected to the sidewalk outside our home. The city requires homeowners to clear the snow from curb ramps, which, ironically, the city plows plug with snow after every snowstorm. These used to be called “handicap ramps.” I suspect Dr. Okanlami would object to the use of this label and in general it’s probably insulting, but that is what they were called for years. They are an accommodation for those who use wheelchairs.

The word accommodation can have a negative connotation, which Dr. Okanlami clarified. Many believe accommodations give an “unfair” advantage to some people. Actually, they provide opportunities for those with a different set of abilities or altered abilities to participate in society in ways that allow them to contribute to society, and even change it—sometimes in major ways.

Our curb ramp is interesting. The short length of sidewalk beyond it leads to a pile of construction rubble because there is no sidewalk extending beyond our property line on that side. I call it the sidewalk to nowhere, which is now a misnomer. There is a new subdivision under development leading north of our neighborhood. There are houses being built and many have moved in. But for now, you have to walk in the street, which is often muddy and blocked. It’s difficult to walk through it because of heavy equipment and trucks parked along the street. But that doesn’t stop people from walking there. I have never seen anyone in a wheelchair attempt to use the curb ramp. But many people use it who don’t have a visible disability. But it’s there if someone needs it, and we keep it clear of snow on principle.

Dr. Okanlami mentioned those with invisible disabilities. There was not enough time to discuss this in detail, but they include those with mental health challenges. As a consulting psychiatrist working in the general hospital, I saw many of them. They deserve a seat at the table, too.

And I remember one of my medical school classmates who did need to use a wheelchair. There was a special ramp made for him that allowed him to participate in gross anatomy class. Dr. Lance Goetz, MD, graduated with our class and has been a practicing physiatrist in Richmond, Virginia for the last 21 years.

Although Dr. Okanlami’s lecture was recorded today and will, I hope, soon be available for public view, I’m including a YouTube recording of a presentation he gave in 2018 which has the same title and very similar content as the talk he delivered today.

I think his talk evolves every time he gives it. The environment in 2018 was very different than it is now because there was no pandemic and there was a live audience which interacts in a very different way than Zoom allows. That said, the slides were essentially the same today on equity and equality, as were his essential points. He shared a lot about himself in 2018, maybe a little less today mainly because of time constraints and the difficulties inherent to virtual lectures. But he has a great sense of humor.

And he does wear very handsomely carved wooden bow ties.

MLK Human Rights Week 2022: Transforming Ourselves and Others

Sena and I thought today’s Zoom presentation “Racial Perspectives on the Institution of Medicine” by Director and Chair of Emergency Medicine Jenice Baker, MD, from Chestnut Hill Hospital in Philadelphia was fascinating. It was an early feature of Martin Luther King Jr. Celebration of Human Rights week. This presentation stimulated a long discussion between us. The theme of this year’s MLK week is “Whatever Affects One Directly, Affects All Indirectly.”

Dr. Baker cautioned that some of the content of her talk would make us feel uncomfortable about the issue of racism in the social realm of our society extending to the medical realm as well. Sena and I were a little surprised about some of the historical facts, such as that white patients always had to be treated first before black people in emergency rooms, regardless of the severity and urgency of the trauma.

This led me to look up the term “implicit bias.” It doesn’t always denote racism per se. It does mean that we’re all prone to making broad generalizations. This accentuates the conflict between political parties, races, and other groups. People on both sides of the color line can overgeneralize, leading to stereotyping.

I told the following anecdote in a blog post from last year’s MLK Human Rights Week:

When I was a first-year resident on rotation in the inpatient psychiatric wards, one of the patients assigned to me roared at me “I don’t want no nigger doctor!” more than once. I discussed the issue with my supervisor. It was a difficult conversation. It was a long time ago and I recall mostly the sense that we both felt awkward. I asked that the patient, who clearly didn’t want anything to do with me, be transferred to the care of another resident. I don’t recall whether he offered to talk with the patient and he deferred on asking another trainee to take over the patient’s care. My recollection is dim about how I handled it. I suspect that’s because it was emotionally painful. Although I had to see him prior to rounds every day, I think I excused myself as soon as he spat the word “nigger” in my face—which was practically every day. I told him I didn’t’ have to tolerate that.

The flip side of this is a conversation I overheard in the distant past between my father (a black man) and his friend (also black, who I’ll call Mark). My father took Mark in, who had just been released from jail and was homeless. He was wearing poorly fitting clothes he probably found because he was penniless and jobless. While he paced the living room floor, he cursed and said angrily, “Man, I will never let this white man do this to me again.” My father just snorted in a way that made me think he didn’t believe that Mark was in his predicament because of any white man—it was probably Mark’s own bad decisions that led to his problems.

As in past years when Sena and I are intellectually stimulated by MLK Celebration of Human Rights week speeches, our discussions get long and spirited and tend to range widely over the spectrum and durability of human weakness, human evil, and the seemingly accidental nature of human wisdom and human kindness.

We talked at length about James Alan McPherson, long time Iowa City resident and nationally renowned writer, the first African American to win the Pulitzer Prize for short fiction, and acting director of the Iowa City Writers Workshop. He died in in the summer of 2016. An Iowa City neighborhood park was recently renamed James Alan McPherson Park in his honor.

But judging from news stories, this didn’t happen until members of the Iowa Freedom Riders suggested that a park be named “Black Lives Matter Park” in the summer of 2020. In response, more than a dozen people recommended that Creekside Park be renamed in McPherson’s honor instead.

Was the suggestion of renaming the park after McPherson simply a maneuver to avoid naming a park after BLM—and possibly to avoid extremist consequences? Why did it take Iowa City so long to honor him after he died? It is puzzling given that his peers called him the heart and soul of the Iowa Writers Workshop and given that McPherson himself called Iowa a place where he felt welcome. He was even in psychotherapy delivered by a white psychiatrist, Dr. Dorothy “Jean” Arnold, the first female psychiatrist to open a private practice in the state of Iowa in 1957. They were both from the racially polarized South. I wonder how they ever connected.

Why should this matter so much to us? Just like Dr. Baker’s presentation, it’s a very uncomfortable discussion. Sena is very good at doing what MLK suggested in his Letter from a Birmingham Jail, where the quote “Whatever Affects One Directly, Affects All Indirectly” comes from—creating “constructive nonviolent tension.” King always advised against violence or anything other than nonviolent methods of protest, saying that what we need is to create a type of constructive nonviolent tension, which he proved can be more effective than violent confrontation.

Some extremists say that King’s nonviolent approach is no longer relevant for our times, but I doubt violence is the answer. Somehow all of us need to learn how to not just tolerate an atmosphere charged with constructive nonviolent tension—but to somehow transform ourselves directly and thereby transform others indirectly into peaceful agents of change.

Take a Cup of Kindness and Say Goodbye to 2021

It’s been a quiet day around here. It’s New Year’s Eve. I got a great message from a former resident who has started his own Psychiatry Consultation Fellowship training program in Bangkok, Thailand. Dr. Paul Thisayakorn and his wife are welcoming 2022 with their 2 lovely children and hoping 2022 will be a better year, as we are. The Covid pandemic has been hard around the world.

Paul also looks forward to establishing a C-L Psychiatry academic society in Thailand in the coming year. Paul did his psychiatry residency at University of Iowa and his C-L Psychiatry fellowship in Cleveland. Sena and I wish him and his family all the best in the new year.

Today was quiet, but tomorrow the big snowstorm will come. We’ll be digging out all day because the forecast is for 5-8 inches, high wind gusts, and ice. It’s Iowa, after all.

But for tonight we’ll take a cup of kindness and say goodbye to 2021.

And if you like MacLean’s version of Auld Lang Syne above, you might have a listen to another with the Scottish lyrics translated.

It’s Iowa’s 175th Birthday; Get Out and Shovel Snow!

Today is Iowa’s 175th birthday. It’s also the first day of snow this winter. I had to get out there and shovel. I can celebrate Iowa’s 175th year of statehood by rubbing liniment on my sore shoulders. The Iowa statehood anniversary will be a year-long commemoration. If it snows anymore, I’ll be bathing in muscle cream for at least that long and will likely miss many of the events.

It was a wet, heavy snow. I pushed it around for hours. While sweeping snow from the front porch, I slipped off the first step and came down hard (but on my feet!) on the sidewalk instead of the second step. I was unhurt, but it was jarring. It reminded me of one of last year’s big snows which left enough ice on the driveway to make me slip and fall on my butt. The next-door neighbor, who was also out shoveling, saw it and looked at me a long time—but I bounced right back up. No need to call an ambulance. I’m good!

And then the city snow plows came through and did what they did last year. They left snow droppings in our driveway, which wasn’t really plugged but looked unsightly.

The only excuse I have for not going back out to clean it up is that it was raining steadily, and my winter coat and gloves were still soggy from sweat. It’s not like it was a couple of years ago, when we lived another part of town and the plows banked in drifts the size of small cars across our driveway. However, I have modified my shoveling technique. I no longer twist my back and throw snow over my shoulder (the John Henry model). I bend my knees and keep my back straight.

There will be more snow tomorrow, later in the day. Maybe it will be late enough that it will be too dark to shovel. Or maybe all the shovels in our garage will meet with some sudden, mysterious accidental breakage that makes them useless. The roads will probably be too icy and impassable from snow drifts for driving to the hardware store to buy replacements.

That’s how things go in the winter around the Midwest, especially in places like Iowa, ravaged by 175 years of snowstorms, freezing temperatures, shovels, and oceans of liniment.

On Christmas eve, when it looked like there would be no snow for Christmas Day, I remembered my blog on WordPress had a setting that would make snow fall and blow across our websites. It looks like that stopped about 6 or 7 years ago to allow a sharper focus on the business aspect. A lot of bloggers were unhappy about the change. You had to pay to play to get the Holiday Snow, which means you had to purchase the Business Plan blog and a special plugin, which could then be exploited by hackers.

Today, I got all the snow I would ever need. Happy Birthday, Iowa!

ADDENDUM 12/29/2021:

Today I used an ice chopper to clear the snow blobs from my driveway, which had been frozen into ice blobs overnight. I also chopped the ice from the curb ramp on my sidewalk which the city snow plow had also plugged yesterday. An official city truck was driving by and witnessed me clearing it. Will it make a difference? It started snowing again this evening.