Memory Lapse

René Magritte — La Mémoire
La mémoire (Memory)
René Magritte, 1948
Oil on canvas, 59 x 49 cm

As I was taking an old lady to the exit door, the next patient in the waiting room rose from his chair and sneaked behind my back into the consultation room. No secretary in sight. I went back in, closed the door, and started wondering... I know I have seen this man before, but when? why? and what is his name?
'Please have a seat. How can I help you?' He put his coat on a chair, sat down on the other one, folded his arms, and said with determined voice:
'Doc, we have a problem: I am not doing better at all!'

I have a problem indeed, I thought: I don't have a clue about what on earth is his problem. I can't even put a name on his face!

'Oh, really?' I said, hopeful he would give some piece of information.
'Yes, Doc. I took the drug as you prescribed, yet it's still about the same!'
'Don't you feel any better?'
'No, not at all! It goes on just the same! I have waited for a couple of weeks as you told me, but it didn't stop. Then, here I am again!'

He was talking with such an assured tone that I could not tell him I didn't remember a thing of his story. If only I could remember his name, I'd have a quick look at his record...
'Did you bring your previous prescription?'
— (Rummaging through his pockets) 'Aw, I forgot it at home I am afraid. It's easy though: these are white pills, in a blue box. Well, it doesn't mind anyway, you wrote it down in my record'.
(This guy is going to kill me) 'Of course, you're right. Tell me, when did you come and see me the last time?'
'Hmm, wait, well, it was a Friday, or maybe a Tuesday. Or was it a Wednesday? Well, in any case, it was four weeks ago! Five perhaps. Well, not more than six weeks ago, definitely".

As he was thinking about it, I tried to find his name in my agenda. Fortunately, I have only one consultation a week in this hospital, on Mondays. Not that week... Not that week either...YAY! Here it is, lost among more familiar names. He came three months ago, the day I had such a dreadful headache! Phew. Relieved at last, I took out his record and read it quickly. With a smile of contentment on my lips (that surprised him obviously), I said:
'So, you are not doing better? Well I never!'

Willem Kolff, The Dutch Tinkerer

The 1944 version of the Kolff's rotating drum artificial kidney
The 1944 version of the Kolff'
rotating drum artificial kidney
Willem (Pim) Kolff died a few weeks ago. You probably did not hear about it: he was not a pop singer, a famous actor or a professional football player, he was only a scientist whose work has been credited for saving millions of lives.
Granted, he was almost 98 year-old — it comes with no surprise when such an elderly person dies — and he was not unrecognised: Dr Kolff received many international awards, including the Lasker Award for Clinical Medical research, when he was... 91, probably because he was never given the Nobel Prize, which is a shame. Yet his death went almost unknown, especially by most of the people with end-stage renal failure who live thanks to his great first invention: the dialysis machine.
J. Stewart Cameron - History of the treatment of renal failure by dialysis
As a young doctor in Groningen in the Netherlands in the end-1930s, Willem Kolff witnessed the miserable, painful death of a 22-year-old man from kidney failure. He had to tell his mother that his only son was going to die, and there was nothing he could do. "If I only could find a way to remove toxic waste products from the poor guy's blood, I would save him", he thought. He then devoted himself to research on creating such a machine.
When Pim Kolff was a child, he was tinkering about all the time, so much so that his father arranged for him to have lessons with a carpenter on Saturdays afternoons. As an adult, he remained a handyman. He conducted his first experiments with sausage skins filled with blood and urea, that he put into a bath of salt water. Urea passed through the membrane from the blood to the salt water: the concept of using dialysis for building an artificial kidney was born.
It was only in 1941 though, when the Netherlands were under German occupation, that he succeeded in developing a prototype machine. Kolff had left Groningen in 1940, on the day a Dutch Nazi replaced his former Jewish professor as head of his department, and worked in a small hospital in Kampen, on the Zuiderzee (now called the Ijsselmeer).
Willem J. Kolff
Willem Kolff
Materials were in short supply at the time, and almost everything was requisitioned by the Germans. Kolff build his prototype with metal pieces from a downed fighter plane, a wooden drum, the cooling system from an old Ford, and 40 meters of sausage casings (later, he would also use orange juice cans and a washing machine).
The cellophane casings were wrapped around the drum and set into a salt solution. The patient's blood was drawn from a wrist artery and fed into the casings. The drum was rotated, removing impurities, and the Ford motor pumped back the blood into the patient.
In 1945, after 15 deaths and many modifications and improvements, the dialysis machine saved a patient for the first time. Ironically, it was a woman in a coma due to renal failure who had been imprisoned as a Nazi collaborator. After eleven hours of treatment, she awoke from coma, and lived seven more years. Hundreds of thousands of people now undergo dialysis several times a week.
Before he invented the kidney dialysis machine, Willem Kolff created the first blood blank in Europe, during the German bombings on The Hague in May 1940.

"If a man can grow a heart,
he can build it" 
Willem J. Kolff (1911-2009)
After he emigrated to the USA in the 1950s, he improved his dialysis machine, that was used worldwide for almost twenty years. He developed heart-lung machines used to oxygenate blood during cardiac surgery. In the 1970s, he was the leader of a team that developed the artificial heart. He was also involved in the development of artificial eyes, ears and limbs.

Mindless Eating

[The discussion born from the comments about the recent blog 'Eating together' made me think of several old blogs of mine about food, that disappeared when I deleted my other blog on Yahoo! 360. This post was published in May 2007]
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Pop-Corn
I was in a bookstore in Chicago several months ago, looking for medical books, when I happened to glance through a little book called Mindless Eating, by Brian Wansink, a professor at Cornell University, NY. The experiments depicted in the book were clever, and often funny.


I remembered of it yesterday when I came upon an article by David Leonhardt in the International Herald Tribune (The Herald is an international newspaper in English, based in Paris, that combines the resources of its own correspondents throughout the world with those of The New York Times). Leonhardt began his article by telling about an experiment I especially remembered because the idea of eating lots of stale popcorn almost made me sick when I was in this bookstore in Chicago.

Image Mr. Wansink gave away five-day-old popcorn — “stale enough to squeak when it was eaten,” he wrote — to moviegoers one day at a theatre in the Chicago suburbs. The crux of the experiment lay in the size of the buckets that held the popcorn. Some people got merely big buckets, while others received truly enormous ones. Both sizes held more popcorn than a typical person could finish.
 
Yet when the Wansink research team weighed the buckets after the movie, there was a huge difference in the amounts the two groups ate. Those with the bigger buckets inhaled 53 percent more on average, suggesting that a lot of stale popcorn is somehow more appealing than a little stale popcorn.
 
Over the years, Mr. Wansink has done similar experiments with everything from different-size dinner plates to bottomless bowls of tomato soup that are secretly connected to a tube underneath a restaurant table. His overarching conclusion is that our decisions about eating often have little to do with how hungry we are. Instead, we rely on cues like the size of a popcorn bucket — or the way we organize our refrigerator — to tell us how much to eat. These cues can add 200 calories a day to our diet, but the only way we’ll notice we are overeating is that our pants will eventually get too tight.
 
The scariest part is that most of us think we are immune to these hidden persuaders. When the moviegoers were told about the popcorn experiment afterward, most of them scoffed at the idea that their bucket size had any effect on them.

Eating Together

Eating together
The starter I've prepared for dinner: a few cherry tomatoes and a big sliced one, feta cheese, some lettuce, a bit of chicken cut in dices, olive oil, vinegar, pepper, salt, that's it. Bon appétit!

'French women don't get fat', a US best-seller book stated. It's almost true: despite their food is usually considered rich, the French have the average lowest corpulence in Europe, relatively low rates of diabetes and coronary diseases, and are among the people with the longest longevity. Many reasons have been given as an explanation for this French paradox, that include habits of eating small portions of several foods rather than one huge portion, using olive oil, eating a lot of dairy produce and vegetables, drinking red wine, and walking rather than driving for short distances.

According to a recent study by the INSEE, the French Institute of Statistics and Economic Studies, there may be also another cultural reason: the ritualization of meals, a distinctive features of French people, most of whom still take their meals together at a given time. Such a synchronisation of meals, at around 13h for lunch and 20h for dinner, 'distinguishes France from most other countries in Europe and the United States, where traditional meal — conceived like a moment shared by all members of a family gathering together on this occasion — almost disappeared at the end of the 1970's', the study says.

Dinner, especially,'is still a mandatory stage in daily timetable of the French, one of last refuges of family socialization'. Indeed, it is often the only common activity for married people who go their separate professional life in the daytime, and the moment when parents and children have a time to talk together. Meals are not only considered a moment when you fill up your stomach as fast as possible, but a dedicated period of the day when you talk and share with your family.

I love the idea that gathering together and sharing meals is beneficial to relations between members of a family, and to health as well.

Oops, by the way... I got to go: it's 8:00 pm now, dinner time here!

Ada Lovelace Day: Pantheon of Women

[I have not found the time to write a blog about Marie Skłodowska Curie, as I thought of doing within the context of Ada Lovelace Day. I will use a subterfuge then: on March 8, 2008, for the International Women's Day, I posted an entry on my defunct blog on Yahoo! 360° that dealt with nine French Women who would deserve to rest in the Panthéon in Paris. The entry disappeared with that blog. Here it is again in this one. Granted, most of the women celebrated were not involved in technology. Yet everyone of them, each in her field, can be considered 'female role models' undoubtedly.]
 
— : — : — : — : — : —

The Panthéon — Paris, 8 March 2008
I must say I am divided about the International Women's Day, celebrated every March 8th. I certainly agree women are still not considered equal to men in a lot of countries, for cultural and religious reasons. Even in western countries, there is no fair equality between genders in many fields, salaries especially.

On the other hand, I don't believe a yearly celebration can change the way men consider women, or make a religion evolves. I find it cheaply gives people clear conscience sometimes: one Women's Day a year, and 364 (365 even, this year) uncelebrated Men's Days!

Anyway... I went to the Panthéon this morning to see the portraits of nine French female figureheads displayed on its facade to celebrate Women's Day, and take pictures myself. Le Panthéon is a neoclassical monument on the top of the Montagne Sainte-Geneviève, in the 5th arrondissement of Paris. It was originally built as a church dedicated to St. Genevieve, the patron of the city. It is now the burial place for 'French National Heroes' (Pantheon in Greek means 'All the Gods'). The inscription in letters of gold above the entrance reads AUX GRANDS HOMMES LA PATRIE RECONNAISSANTE (To the great men [from] the grateful homeland).

The word Men here is supposed to mean Human beings, yet among the 73 honoured people buried here, there is only one woman, Marie Curie. Although it was definitely theoretical, I was interested to see which women the Parisian elites had considered deserving enough to be next to Mirabeau, Voltaire and Hugo. Here they are.

ImageSimone de Beauvoir (1908-1986 — philosopher and writer). An existentialist, she lived with Jean-Paul Sartre for several decades. She was among the most influential intellectuals in the second half of 20th century. Her book The second sex is regarded as a major feminist book.
ImageColette (1873-1954 — writer). Her literary talent was first exploited by her husband Willy, but she became emancipated... and scandalous for a time (music-hall shows and overt affairs with men and women). She published around 50 novels, one can divide into idyllic natural tales and dark struggles in relationships and love.
ImageMarie Curie (1867-1934 — Physicist) Born in Poland, Maria Skłodowska went to Paris aged 24 to study and became a naturalized French. At the Sorbonne, she met and married Pierre Curie. She won the Nobel Prize twice: in Physics in 1903 (discovery of radioactivity) and Chemistry in 1911 (discovery of Radium and Polonium).
ImageCharlotte Delbo (1913-1985 — resistance fighter). She was arrested by the Nazis in 1942 and sent to Auschwitz concentration camp. She was one of the 49 women who survived. She wrote several books about it, including a biography of every prisoner who was with her in the convoy to Auschwitz.
ImageMaria Deraismes (1828-1894 — politician and freemason). A figurehead of feminism, she was a republican (i.e. not royalist), antireligious politician. In 1893, she co-founded the first International Order of Mixed Freemasonry, advocating equality between women and men, Le Droit Humain.
ImageOlympe de Gouges (1748-1793 — politician). She is regarded as one of the first French feminists. In her Declaration of the Rights of Woman and the Female Citizen, she challenged the practice of male authority and the notion of male-female inequality. She was executed by guillotine during the Reign of Terror.
ImageLouise Michel (1830-1905 — politician). A revolutionary and an anarchist, she was active during the Paris Commune as an ambulance woman. After the Versaillais won, she was sentenced to deportation in New-Caledonia. She returned to Paris 7 years later and preached the revolution until her death, despite several stays in jail and exile in London.
ImageGeorge Sand (1804-1876 — writer) Born Aurore Dupin, she decided to take a male nick to be more easily published. She would dress as a man, smoke the pipe, ride like a man, yet she had tumultuous liaisons with Alfred de Musset and Frédéric Chopin. She was a feminist, asking for women's right to divorce and equality in civil rights.
ImageSolitude (1772-1802 — fighter against slavery). In 1794, the revolution freed this mulatto slave. When Napoléon Bonaparte restored slavery in 1802, Solitude rose up in arms although she was pregnant. She was wounded, captured and sentenced to death. Her hanging was delayed until the day after she gave birth. Slavery in France was abolished for good in 1848 only.
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Les Essais
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