Saturday, January 5, 2013

Book Review: Back to Blood by Tom Wolfe





Back to Blood

Author: Tom Wolfe

Publisher:Little, Brown and Company
Date of Publication: October 23, 2012
Pages: 502 (Hardcover), 534 (NOOK edition) 


     I actually finished reading this book several weeks ago, but it took me awhile to get my head around it.  Superficially, this is an entertaining story about art forgery.  Tom Wolfe's books, however, are never, ever superficial.  Back to Blood contains enough satire, social commentary, politics, criticism and curmudgeonly pontifications for ten novels.  In previous tomes this author has skewered modern heroes (The Right Stuff), the self-indulgence of the 1980s (The Bonfire of the Vanities), the "get ahead at all cost" mentality of the 1990s (A Man in Full) and the pompous self-importance of modern academia (I Am Charlotte Simmons). So, what's the message here?

     The characters are a motley crew.  The more or less main character is Nestor Camacho, a first generation Cuban-American who has worked extremely hard to become a Miami police officer.  His girlfriend is a nurse who works for a celebrity psychiatrist specializing in pornography addiction.  There is a dashing Russian art dealer who donated $70 million worth of art to the city, prompting the grateful populace to fund a museum to house the collection.  It is, of course named for the Russian.  There is a plethora of minor characters: a Haitian college professor of mixed race who extends his finances to buy a home in a white neighborhood and passes himself as "French", money mad art collectors who rabidly overpay for quasi-art at a Miami based international art festival, Nestor's family and a vast collection of Russian mobsters, Cuban politicians, African-American public servants (including the police chief) and degenerate sex-crazed and drunken Anglos.

    The plot lines are legion and weave the stories of these diverse characters brilliantly.  It is a wild story, well told, but again, in Tom Wolfe's novels the story is secondary to the message.  After letting this book stew in my sub-consciousness since well before Christmas, I think I know what the author is saying.  He is delivering the big message that the entire Republican Party missed in the last national election.  Wolfe is bludgeoning us with the fact that not only is this country not defined by white Anglo-Saxon Protestants anymore, but it is really not defined by any particular ethnic group or demographic.  At one point he coins the term "Welding Pot" which he feels should replace "Melting Pot" as the great metaphor for America.  He uses Miami as the penultimate international city to note that cultures and ethnic groups in modern America no longer blend, but are actually physically forced into interaction.  Like opposite poles of a magnet, these groups don't readily attract.  The results are not always convivial, or even congenial.  In Tom Wolfe's view of the new world order these interactions are laced with ethnic pride, rivalry, nationalism and violence.

     Tom Wolfe's books are always entertaining, always surprising and always challenging.  Back to Blood is no exception.

Tuesday, January 1, 2013

Book Review: The Odds by Stewart O'Nan

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The Odds

Author: Stewart O'Nan
Publisher: Penguin Group (USA)
Publication Date: September 25, 2012
Pages: 192 (Trade Paper Edition)




       Author Stewart O'Nan continues to publish short, compulsively readable novels about everyday people.  The Odds continues the tradition of The Last Night at the Lobster and Emily Alone, setting ordinary people in recognizable but difficult situations.   The Odds is reminiscent of the best of Anne Tyler in this regard.

    This is the story of Art and Marion Fowler, a couple whose relationship is as empty as their bank accounts.  Simultaneously on the verge of bankruptcy and divorce, the couple travel to Niagara Falls for Valentine's Day.  They have an improbable plan for solving their financial woes.

     Told in the third person, the author succeeds in authentically depicting every emotional reaction in this tempestuous excursion.  O'Nan also is spectacular in his choice of setting and his use of detail.  Art and Marion's trip to the Ripley's Believe it or Not Museum on the very day when their plan will succeed or fail is priceless.  The juxtaposition of the absurd with the very real is humorous and melancholy at the same time:

     "Little was original, let alone authentic.  In smudged plexiglas boxes sat priceless artifacts of the ancient world, shiny with varnish.  Most of the exhibits were simply reproductions of old wire service photos.  Several times, waiting for him to read the notes on the wall, she had to cover a yawn."

     Stewart O'Nan's novels strike a chord with me.  It could be because his characters are so real, believable and easy to commiserate with.  It could be because the situations are recognizable.  His eye for detail makes the otherwise rather mundane stories come to life.  I think, though, that the reason that I like his books so much is because they are so well written.  His economy of words, precision of pacing and flawed but likable characters are a joy.  The Odds did not disappoint in any of these areas.  

Monday, December 31, 2012

Hyperbaric Oxygen Therapy

HYPERBARIC OXYGEN THERAPY
VIRGINIA BAPTIST HOSPITAL
(CENTRA HEALTH)
LYNCHBURG, VIRGINIA

Here is a link to a recent local news interview I did regarding our use of hyperbaric oxygent therapy in Lynchburg, Virginia:



Tuesday, December 4, 2012

Book Review: The Catcher in the Rye by J.D. Salinger



The Catcher in the Rye

Author: J.D. Salinger
Publisher: Little, Brown and Company
Original Publication Date: 1951 (Hardcover)
Pages: 214 (Mass Market Paper Edition)

     This book is an often rambling first person account of a lost weekend in New York.  It is told by misfit high schooler Holden Caulfield.  Unbeknownst to his parents, Holden has been expelled from his preppy boarding school and heads home early for the holidays.  He accounts his many misadventures and experiences of New York nightlife, hotels and bars.
   
      This book was considered scandalous when it was published in 1951, earning J.D. Salinger a controversial reputation.  The author turned into a recluse for the rest of his life.  Caulfield is a fairly innocuous character by today's standards.  He's sort of a more cultured Bart Simpson.  He smokes and drinks, womanizes and, most notably, is very difficult to get along with.  He has become the model of the quintessential alienated and angry teenager.  He rebels against authority, conformity and hypocrisy.  Much has been written about this character's personality.  Some have even gone so far as to diagnose Caulfield with various mental illnesses or personality disorders.

     Salinger's writing style is very conversational.  I found that somewhat distracting at first, but after awhile, I found myself thinking and talking like the main character.  I really did.

      The Catcher in the Rye is an interesting character study but hardly scandalous by today's moral standard.  It is more interesting as a lens through which to look at post-World War II American society.  I found it entertaining and I was glad I included this in my retrospective reading list

Monday, December 3, 2012

Book Review: I Am Charlotte Simmons by Tom Wolfe



I Am Charlotte Simmons

Author: Tom Wolfe

Publisher: Farrar, Straus and Giroux
Date of Publication: November 9, 2004
Pages: 688 (Hardcover Edition)

(Note: This review was previously published in The LamLight, the physician newsletter


Tom Wolfe’s voluminous (688 pages) I Am Charlotte Simmons has been criticized as just a bloated, sleazy “expose” of college campus life. It is the story of Charlotte Simmons, a genius from small town Sparta, North Carolina.  She graduates from her public high school as a hero because she has received a full academic scholarship to fictional Du Pont University, one of the most prestigious universities in the country.  The reader follows Charlotte as she arrives on the Du Pont campus in her father’s pick-up truck.  She is totally intimidated by the University and her wealthy and more socially sophisticated classmates.  The novel’s title is actually the mantra that her high school guidance counselor, anticipating adjustment problems, tells Charlotte to repeat when she becomes confused, depressed or discouraged. This young academic phenom, who felt guilty for weeks after crossing against one of her hometown’s three stoplights, is gradually exposed to drunken debauchery, academic fraud and sexual shenanigans worthy of the last days of the Roman Empire.  So what?  One critic has gone so far as to say “What’s so new about college students drinking a lot, partying too much and having sex?”  Mr. Wolfe became famous, in part, for lampooning modern culture and trends in previous works The Bonfire of the Vanities and A Man in Full.  In this book he certainly holds nothing back exploring campus life, modern rap music, the hypocrisy of the “student-athlete”, grade inflation and grandiose, self-important college professors.  On the surface none of this seems like new territory.  Do we really need an “Animal House” for the new millennium?

Mr. Wolfe’s books are never exactly what they seem, however.  I’ll never forget one of my mentors in medical school telling me to read Mr. Wolfe's The Right Stuff, exclaiming “This is not a book about astronauts.  It’s a book about surgical residency!!  It’s a book about perseverance, what it takes to achieve a goal!”  So what is this book about?

            At first I thought I Am Charlotte Simmons was a book about power.  The author provides many examples of the power of money to corrupt.  Mr. Wolfe’s view of the national championship basketball program at DuPont defines this concept very well.  The power of privilege is exhibited by Charlotte’s roommate Beverly, a pampered boarding school product who flaunts her wealth and heritage at every opportunity.  Charlotte discovers sexual power as she slowly realizes that her natural beauty and refreshing naiveté attracts campus “celebrities”.  Charlotte’s fragility is betrayed by her inexperience when she becomes involved with a sexual predator who demonstrates a most negative power.  At the conclusion I realized that this is a book about identity.  It is about self-image.  It is about how we develop self-esteem and identity in the modern world, mainly through our perceptions of how others see us.  Charlotte’s character goes through chameleon like changes.  First, she sees herself as a country bumpkin in a world entirely too sophisticated for her, then as an intellectual, then as a sexual object worthy of attention, then as a failure and, finally, as a mentor, friend and “better half” of a seven foot academically challenged basketball player.  She defines herself by her own perception of how others view her.  She finds and then abandons friends depending on what “phase” she is in.  What is the scariest is that Charlotte defines her value entirely through others’ eyes.  This metamorphosis is foreshadowed early in the book when Charlotte debates her Neuroscience professor (a Nobel laureate, of course) on the theory of evolution and Darwin’s own concept of what causes change or adaptations in animals.

There is a scene in the movie “Elf” where the comically naïve Buddy Elf, a human raised by elves at the North Pole confronts a department store Santa by hissing “You sit on a throne of lies.”  Similarly, the characters in “I Am Charlotte Simmons” are all living lives of deception and illusion.  The underlying message from Mr. Wolfe for this decade may be that the constructs that we call our lives are really amalgams of our perceptions of how others, even perfect strangers, think of us.  These characters choose the clothes they wear, the music they listen to, even the classes they take, to conform to the “self” that they perceive others see.   There is no reality for these characters except through the eyes of others.  There is one unforgettable scene that underscores this theme.  Hoyt Thorpe, president of the most prestigious on-campus fraternity is exposed as a liar and cheat in the campus newspaper.  As he views the article which essentially ends his hopes for future employment and success he can’t get past the accompanying photo.  He assesses his attire and thinks to himself “How can any college man look this good?”

In a way, I Am Charlotte Simmons is also an indictment of my generation: the over 50 “Baby Boomers” who idealistically wanted to change the world in the 60s but settled into the “me decade” of the 70s and the greed and consumer cultures of the 80s and 90s.  This world of Dupont University in the 00s is a microcosm of the world we have fashioned and left behind: a world based on appearances, deceptions, photo-ops, sound bites, misperceptions and “looking out for #1”.  There is a memorable scene towards the end of the book which takes place in a professor’s office.  The professor is a balding, overweight and pompous history professor who is meeting with a student he has accused of plagiarism.  There are posters of Bob Dylan and Jimi Hendrix on the walls of the office.   The professor waxes philosophic about how his generation “lost the fire” and abandoned its ideals, “selling out” to greed and consumerism.  Much to the consternation of the student involved, the professor chooses this occasion to stick to his principles and make an example of this one individual.

There is much to not like in I Am Charlotte Simmons.  The language is foul.  Every dialogue, it seems, is peppered with the F-word.  The sex scenes are worthy of a pornographic magazine.  The ending is unsatisfying.  The reader is unsure of whether he is seeing the final metamorphosis of Charlotte Simmons or that the author just got sick of writing about her and decided to end the story.  That said, I think that this is an important novel.  It makes the reader assess modern culture and what it says to our children who must somehow develop or evolve, if you will, into functioning, contributing adults.  Mr. Wolfe’s keen sense of humor and irony is on full display here as well.  His full page grammatical analysis of the many uses of the F-word (and later in the book, the S-word) is hilarious.  His eye for details and cunning use of setting are superb, as usual.  The Dylan poster behind the history professor is one example.  The stack of Beverly’s electronic equipment (lap-top, cell phone, MP-3 player, TV/DVD player, etc…) all connected via wires and surge protectors juxtaposed to Charlotte’s table lamp and alarm clock is another.

If you are a Tom Wolfe fan, you will probably enjoy this novel as I did.  If you need an introduction to this author, read The Right Stuff instead.


Sunday, November 18, 2012

Movie Review: Lincoln


"Lincoln"

Starring: Daniel Day-Lewis
Directed by Steven Spielberg

Distributed by Touchstone Pictures, 20th Century Fox, Dreamworks Pictures,
Participant Median and Relliance Entertainment

Theatrical Relase Date: November 9, 2012

     At the risk of sounding un-American or racist, this movie is a snoozefest.  It's a bit like looking at a 150 year old broadcast of C-SPAN.  

     The plot concerns the passage of the 13th Amendment.  That's it.  Lincoln is a recently re-elected second term President, mired in an unpopular war and fighting a partisan fight to pass the constitutional amendment which would guarantee the abolition of slavery.  The same political gridlock and Congressional shenanigans plaguing 21st Century Washington D.C. are at play here.

     Daniel Day-Lewis is absolutely incredible in his portrayal of Abraham Lincoln.  After a while, though, the masterful performance becomes lost in the story which moves at glacial speed.  Some of the other casting is a bit suspect.  This particularly applies to Sally Field as Mary Todd Lincoln who plays this role like the 19 the century version of Forest Gump's mother.   

    It was fun to see many familiar sights from the Richmond and Petersburg, Virginia areas where the movie was filmed.  The Virginia State Capitol is transformed into the U.S. Capitol and the old Petersburg train station is featured in several early scenes.

     This movie is about a very important historical achievement by probably our most effective and revered President.  It probably won't rate as one of Hollywood or Spielberg's greatest accomplishments because of the pacing and long tedious scenes dominated by dialogue and political rhetoric.  If you go, I'd suggest a stop at Starbuck's for a double Cafe Americano first.

Wednesday, November 14, 2012

Movie Review: "Flight" starring Denzel Washington


"Flight'

Starring Denzel Washington
Directed by Robert Zemeckis

Paramount Pictures
Release Date: November 2, 2012


      Addiction does not discriminate.  It does not care what color you are, what religion, what socioeconomic group you represent or what occupation you may have.  Addiction makes honest people into liars, sane people delusional and successful people into convicts.  It is that potent.

     Addiction also has the ability to make people use their friends and loved ones to fuel its desires and needs.  Addicted persons quickly divide their loved ones into groups of enablers and enemies.  The person who is unfortunate enough to fall prey to this disease will use anyone and everyone to fulfill his or her own needs, often to the humiliation and disappointment of family, friends, co-workers and, at times, even perfect strangers.  The disease saps the afflicted of even the basic reasons for living, turning life into and obsessive search for the next drink or fix.  Contrary to some popular opinion, addition is not a sign of "weakness" or personality defect.  It is a disease with genetic and social origins and consequences.  

     All of this behavior is perfectly on display in "Flight", the story of an alcoholic commercial airline pilot who miraculously lands a defective plane, saving the lives of the majority of people on board.  The pilot is Whip Whitaker who is portrayed magnificently by Denzel Washington.  Whitaker is initially hailed as a hero but quickly turns villain when it is learned that blood toxicology tests taken at the crash site revealed him to be heavily under the influence of drugs and alcohol.  The majority of the movie shows us Whip's desperate attempts to control his addiction while trying to salvage his reputation and career.  The wide ranging ripple effect of an individual's addiction is very dramatically and realistically shown in Whip's co-workers, life-long friends and, first and foremost, in his family. 

     This movie is very well done and joins a group of important and honest portrayals of addiction.  The crowd reaction was interesting.  During several scenes there was inappropriate laughter.  I can only figure that this came from the public's discomfort with the thought of a functioning professional being addicted to drugs and alcohol.  People aren't used to thinking of their pilot, their judge or their doctor suffering from addiction.

     This is a very well done movie and the acting by the entire cast is exceptional, led by the sterling performance by Denzel Washington.