Monday, April 29, 2024

The Cockroach Catcher II: Attempted Living.

 




Just published on Amazon

The Cockroach Catcher II: Attempted Living.


        In medicine, we have often been brought up to accept terms that were traditionally used without asking questions. After encountering many cases from my very early medical career in Internal Medicine, through Adult Psychiatry and eventually Child Psychiatry, attempted suicide is a term that puzzled me on and off. 

        One such case eventually changed my mind and it is described in the Chapter that carries the book title: Attempted Living.

            

Attempted Suicide

or

Attempted Living!

            

 Ålesund , Norway

One day before the meeting he asked me, "After Pretender, which Ibsen are you now reading?”

So he remembered recommending Ibsen to me.

"Ghosts!   I thought that was about syphilis."  I valiantly ventured.

“Substitute syphilis with the other condition beginning with S…..”

"Schizophrenia?"

“……And the son Oswald went catatonic! And hallucinating about ghosts……”

It was only after Ibsen’s death that the term schizophrenia was coined and the disorder described.

My guru was a Freudian psychoanalyst and so it would not surprise you that he would like to analyse and understand even the worst psychotics. We had an understanding not to put any patient on medication for the first six weeks of admission, unless they became too unmanageable.






     The book ends with a sunrise photo signifying a touching story of hope.


Review on Amazon:

Maureen
5.0 out of 5 stars Not the ordinary memoir

Reviewed in the United Kingdom 🇬🇧 on January 17, 2023

Am Ang Zhang has brilliantly woven together nostalgia, discoveries, astute observations and intelligent opinions. The fascinating title of the book is a deliberate understatement of his abundant life, where being a senior consultant psychiatrist is only a part of it . He is obviously a man of gifted intellect and refined tastes who, rather than hampered by material scarcity as a young child refugee, was fascinated by beauty in nature, and quickly acquired an appreciation of the finer things in life, enriched by travels and sustained by a keen engaging mind.
Reading his memoir is eye opening, and at times therapeutic. It was like meeting up with a learned old friend, as you sit with him and listen while his memories and ideas overflow. You travel with him as his stories move from continent to continent, from detailed episodes to gentle remarks, from freshly harvested catches to gourmet preparations, from ancient finds to modern scientific research ......
A most delightful read.

Monday, April 1, 2024

From Tampopo to Sideways: Merlot at last.

 


After this post first came out in 2008 when I started blogging, The Cockroach Catcher has at last had a chance to taste a most amazing Merlot. 

It is amazing how easy it is to influence modern day consumers with nothing other than a well made film. As far as wine is concerned the film Sideways has more or less changed the wine landscape of California if not elsewhere. This is because of two simple lines from the film. The wine snob character Miles tells friend Jack before a double-date dinner:

“If anyone orders Merlot, I'm leaving. I am not drinking any……Merlot.”

All of a sudden, it is no longer cool to order Merlot, and Pinot Noir becomes the new Merlot.
The fact that the same snob Miles’ most treasured wine Cheval Blanc
is 45% Merlot is lost to the vast majority. In fact if Petrus had not refused permission, Miles would have drunk Petrus in the film, and that, one of the most expensive wines in the world, is 95% Merlot. Towards the end of the film, he was being comforted by a bottle of Cheval Blanc, 1961 no less and arguably best of the post war ones.

Ours is more recent, 2000 but what a wine. 

Many blogger thought it was a Hollywood goof. To me it is one of the smartest irony: for the Merlot hater to be raving about a Merlot (with Cabernet Franc) is deliberate as it was originally going to be the Petrus. Merlot sale unfortunately suffered, but only the Californian variety.
In the animated hit Ratatouille, feared critic Anton Ego visits Gusteau's, the restaurant in which the movie is set, and orders a bottle of 1947 Château Cheval Blanc to go with his meal. The '47 Cheval Blanc is probably the most celebrated wine of the 20th century. However, there has been no rush to buy cases of this as you are unlikely to find them except in top merchants and private cellars.
I have my own suspicion about some lesser known films that may have influenced wine drinking habits in the Far East.
In 1985 the film Tampopo came out of Japan. This comedy features a truck driver who helps a young widow named Tampopo improve her noodle restaurant, and draws attention to the power of food.
There is a beautiful wine tasting scene, by a group of hobos following the lead of a professor. The professor realises that life as a hobo is much freer, with no one above him telling him what he should do, no targets to meet, and no paperwork.

The wine tasting is not at a winery or a restaurant. It is in a park by the back door of a restaurant. The wine is that little bit left at the bottom of a bottle. There is not enough to go round; so the hobos allow the professor to do the tasting and are content to just listen to his analysis. (In the Cockroach Catcher, I wrote that a blind case presentation at Queen Square was a bit like wine tasting.)

It is one of the most enjoyable scenes for wine lovers and if you are not a wine lover you will become one.

The wine?

Chateau Pichon Longueville Comtesse de Lalande,” announced the professor in perfect French.
This wine has since become a favourite of the Far East.
Chateau Pichon Lalande is not as expensive as the First Growths but is fast catching up. Fortnum and Mason of London used to have a house Pauillac made by Chateau Pichon Lalande. I was tipped off to get the last few bottles some years ago. Now the supplier of their house Pauillac is Chateau Haut Bages Averous, a vineyard next to the new rising star of Bordeaux: Chateaux Lynch-Bages.
The best year in recent vintages has to be 1989, a great year for most of Bordeaux and rumour has it that it will become drinkable in 2009. Hurrah. The 2000 is superb too but recent vintages have all been great and if you can store them buy them now.
The biggest wine influence worldwide came from a documentary. In 1991, after the airing of 60 Minutes on CBS, wine sales went up 44% in the next four weeks in the U.S. It was about the French Paradox: the incidence of coronary heart disease in France being 40% percent lower than in the U.S.
Health sells.
Once upon a time in Hong Kong, when people made money they drank the most expensive Cognac and Scotch, with Hennesy XO and Dimple being the “Gold Standards”, partly because of their highly recognisable bottles. To have such a bottle on your dining table was a sure sign that you had arrived. Now, the status symbol is the most expensive red wine, and it is often taken with just about any dish that is served.
But then the French perhaps always knew; including its own most famous psychoanalyst Jean Laplanche (born 1924). His book The Language of Psychoanalysis was first published in 1967 and translated into English in 1973. All of us training at the Tavistock had a copy and it is to this day one of the best reference books on the subject. He has co-authored a number of other books in psychoanalysis.
What is not so widely known is that Laplanche was for many years the owner of Chateau de Pommard, a Burgundy vineyard, and actively involved with the wine-making processes. He sold the vineyard in 2003 but continues to live on the estate with his wife and to act in the capacity of a consultant to the new owners on wine making matters.

Wine Posts:

Wednesday, March 27, 2024

Anorexia Nervosa or Bereavement: Bach Cello Suit.


The BBC this morning played Bach's Cello Suit in G-major and it reminded me of my patient:




In The Cockroach Catcher I got my Anorectic patient to play the cello that was banned by the “weight gain contract”:


The Cape Floristic Region of South Africa and South Western Australia are two of five areas on Earth with a Mediterranean-style climate which have been designated ‘biodiversity hotspots’ by Conservation International. The others are central ChileCalifornia, and the Mediterranean basin.

Cape Floristic Region (CFR) of South Africa
 ©Am Ang Zhang 2005

                 

Jane got on well with me.

          She had to, as nobody understood that to her achieving was not a hardship but something she secretly enjoyed. She was no longer allowed to pick up her books as she had not put on any weight since her admission.
         
          Cello would be banned too, if her nurse was to have her way.

          For the unit to function the nurse must have her way. After all I was not there all the time to watch her. To watch if she was eating, vomiting, exercising or whatever else they did to avoid gaining weight.
          But I was determined that it would be the first privilege she would get if she put on half a gram.  Or any excuse I could think of.
          Brutal confrontation is often what happened in many adolescent units dealing with Anorexia Nervosa. The brutality is not physical.
          But these patients are intelligent and have such strong will power that confrontation generally fails and the failure can be a miserable one.  Yet it is the kind of condition that hurts. It hurts those trying to help. It hurts because these patients deserve better for themselves. It hurts because they are not drop-outs of society. 
          Was it too hard for Jane to keep at the top academically? Someone offered that as an explanation. Perhaps she should be moved to a state school.
          The idea horrified me.
          A fourteen year old non-smoking, non-drinking, non-drug taking, intelligent Audrey Hepburn look alike virgin turning up at your local comprehensive.  It sounded like a major disaster to me.
          I had to take the matter into my own hands. She did put on some weight and at the earliest opportunity I decided she should get back to the cello which had always been by her bed at the unit.

          She missed the cello, the only thing she could use to shut out her worries.


          Fourteen and carrying the burden of the world.


          Then she started playing.


          “Ah. The Bach G-major!”


          “So you know it.”


           Of course I do. The hours I spent listening to Yo Yo Ma and it was such amazing music, melancholic and uplifting at the same time.

          For a moment I forgot that I was her psychiatrist and she forgot she was my patient.


          “My grandma gave me Casals.”

          I knew Casals was even more emotional than Ma, but Ma is Chinese and he was less affecting, allowing the listener to tune in to his own mood.

She played from memory. What talent! What went wrong?”


          “I wish my dad could hear me.”

          It was the first time she could talk about her father. They had a very comfortable life in South Africa when father was alive. It was very difficult to imagine what he would have looked like. It was never clear what he did but he was involved in a number of ventures. The plantation Jane’s grandfather ran was sold when apartheid came to an end. He was involved in some private reserve and he was a photographer of sorts but my junior told me that mum started to cry when she talked about him so she did not pursue too deeply.


            Jane was home when her father died in mother’s arms with a massive haemoptysis (coughing up of blood, a rare but not unknown effect of lung cancer, generally a massive bleed).  It must have been very traumatic.

           How dim of me. That was bereavement, a slow suicide by someone who felt less worthy to survive. 








BBC March 27:

Johann Sebastian Bach

Cello Suite No 1 in G major, BWV 1007 (Prelude, Allemande & Courante)

Performer: Mstislav Rostropovich.
  • J.S. BACH: CELLO SUITES 1, 4 AND 5: MSTISLAV ROSTROPOVICH. 
  • EMI. 
  • 01.


Cockroach Catcher-Seven Minute Cure












AMAZON-UK    The Cockroach Catcher II: Attempted Living