Tuesday, July 7, 2020

Mahler & Wine: 160th Anniversary of Birth.

 ©2014 Am Ang Zhang

Gustav Mahler was born into an Austrian Jewish family on July 7, 1860 in Kaliste, Czech Republic.


Pleasure Principle:

Sigmund Freud’s Pleasure Principle is well known, but his other small “contribution” to mankind, i.e. his unofficial discovery of Cocaine, is probably less so. He in fact became quite an enthusiastic user of cocaine, in addition to smoking a large quantity of cigars, up to 20 a day. He developed jaw cancer and had to endure 33 operations and eventually died of it. 

I am not here to encourage the use of cocaine or cigars (as if people who used them needed encouragement). 

Instead I am going to talk about some of my pleasure pursuits. I have from an early age been interested in music though I have never played any instrument except the “gramophone” if you can call it an instrument. It can also be said that I play these instruments by “proxy” through my children. I have always had a multitude of hobbies: photography, electronics (I built my own radios and valve amplifiers), and snorkeling to name a few. Arriving in London in the early 70s allowed for easy access to Franceand French wine and food remains one of my most pleasurable pursuits, though my interest in wines has now been extended to Port and other non-French wines. 

Gustav Mahler: Resurrection!

And behold, it is no judgment;
there are no sinners, no just….
There is no punishment and no reward.
An overwhelming love illuminates our being.
We know and we are.



"Rise again, yes, rise again thou wilt! Then the glory of God comes into sight. A wondrous light strikes us to the heart. All is quiet and blissful. Lo and behold: there is no judgment, no sinners, no just men, no great and no small; there is no punishment and no reward. A feeling of overwhelming love fills us with blissful knowledge and illuminates our existence.

From silence, the chorus enters, at first almost inaudibly, singing Klopstock’s resurrection poetry. The solo soprano detaches imperceptibly from the chorus and floats above it. Mahler used only two of Klopstock’s three stanzas, and omitted the concluding ‘Hallelujah!’ to each. The remainder of the Symphony’s text was Mahler’s own, started with ‘O glaube’ (‘Oh believe!’), introduced by the mezzo soloist. The end is a soaring E-flat major hymn, from which ‘an overwhelming love lightens our being. We know and we are.’

 

Sadness

In life one goes through difficult times and we Chinese are fairly philosophical about it – unhappiness is often viewed as something secondary to external circumstances such as loss and bereavement, political injustice (which has afflicted most of our families) and other life events that are beyond our control. Our classical poets wrote about such sadness and generally accepted what life befell them. 

When life events do not go our way, some turn to religion, although more and more people nowadays turn to the “happy pill” (drugs). One can also seek comfort in Music, Poetry, Photography, Writing (and blogging), Painting, Fishing, Knitting, Travel and of course Food and Wine. 

In an age when people sought happiness in all ways possible we need to remind ourselves that sadness has been the driving force behind many writers and composers.

Mahler wrote Kindertotenlieder to five poems written by Rückert. Rückert wrote 428 poems following the death of his two children from Scarlet Fever. 

Mahler lived in an age when bacteriology was very much in its infancy. There was still little understanding of the role Streptococcus played in a range of illnesses from Scarlet Fever to Rheumatic Heart Disease and Radium was often used to treat Streptococcal related conditions.  

Mahler’s own daughter tragically died from Scarlet Fever four years after writing Kindertotenlieder and Mahler himself contracted Rheumatic heart disease. When there was still little understanding of the etiology of diseases, superstition came into play so much so that Mahler did not want to write a ninth symphony. It was the start of the Curse of the Ninth Symphony.

Das Lied von der Erde was indeed the result as it was composed after his Eighth Symphony and he did not want to name it his Ninth. 

Mahler conceived the work in 1908 when he was already unwell with his heart condition. A volume of ancient Chinese poetry under the title of The Chinese Flute (Chinesische Flöte) repoetized by Hans Bethge was published in German and Mahler was very much taken by the vision of earthly beauty expressed in these verses. Fate he felt has been unkind to him but he felt able to accept it in his own fashion.

©2016 Am Ang Zhang


Farewell                      Wang Wei (701-761)
Dismounting, let me share your farewell wine  
Where, friend are you heading now?
Choking, fate has not been kind to me
Will retire to the southern slopes to seek rest
Enquire no more when I am gone 
Till the end of clouds, endless white clouds!
                                                
下馬飲君酒,問君何所之?
君言不得意,歸臥南山陲,
但去莫復問,白雲無盡時
                                                          



"I think it is probably the most personal composition I have created thus far."    Gustav Mahler

The first performance of Das Lied von der Erde was conducted by Bruno Walter after Mahler's death. 

Bruno Walter described it as: "the most personal utterance among Mahler's creations, and perhaps in all music."

My first encounter was in the early 70s with the recording by Janet Baker and Waldemar Kmentt (with Kubelik conducting the Bavarian Radio Symphony Orchestra). I still think it is one of the very best performances of Das Lied von der Erde.

Wine

The benefits of moderate consumption of wine have been well documented by scientific papers and the popular press. However, the pleasure of visiting vineyards and tasting local wine and local produce and the regional cuisine is way beyond health pursuit. Given current concerns over the effects of a number of psychiatric drugs, we may have to have a fresh look at the meaning of sadness and happiness in one’s life.

Recently I had the opportunity to drive from the south of France back to London with my family. We decided to revisit some of our favourite vineyards and restaurants on the way. The great thing about France is the country’s ability to preserve regional styles both in wine making and cooking.


Our first stop was Rhone. Twenty years ago I visited Rhone and Maison Paul Jaboulet Aîné was my favourite vineyard. One could get a bottle of their La Chapelle Hermitage for a very reasonable price then. It was a fantastic wine and Hugh Johnson in his pocket guide described it as a match for any wine on earth. How true it was and its current price also reflects that. Now I have to settle forCrozes Hermitage. This wine fortunately needs less cellar time and the sunshine and soil imparts a flinty and peppery flavour that is so typical of the region. It has that elusive softness on the palate.

It was just as well I did not go for the top price wine. Afterwards I was told by a good friend of mine that since the death of the old man Gérard Jaboulet in 1997, La Chapelle Hermitage has not really been the same. The last great vintage was 1996. Nowhere is tradition more important than in some of the top vineyards in the world. Chateau d’Yquem hopefully will never give up their traditional method.

The white we chose from Jaboulet was Pararelle 45, the name taken from its cellar’s latitude position. It is a white wine with 20%Viognier, a grape variety that gives white wines in the area its long and lingering after-taste. It will be great with many Chinese dishes and of course sea food and will hold its own even with fairly spicy seasoning.

The next stop was in Burgundy, arguably one of the two best wine districts in France. I was once told by someone whose father was from Bordeaux and mother from Burgundy that Champagne is that place in between that produces a fizzy drink. Well, that is French for you.


Now when in Burgundy, there really is no point thinking cheap and with my daughter’s rather well trained palate we headed to Puligny Montrachet. It was vintage time and the chardonnay grapes were coming in. It was a moving sight and with the glorious autumn sun just setting we tasted some of the finest that this area has to offer. Not the most expensive, as Le Montrachet will set you back quite a bit. I tasted some grapes and even two or three were enough to convince me that everything was working for this region. You could taste just about everything even in a few grapes. Some of you would have seen the photo of the reds in one of my previous postings. It was a bit of tongue in cheek putting up glorious burgundies for cooking, but it is what they do in the region when preparing the fabulous local dishes of Boeuf Bourguignon and Coq Au Vin.

The Puligny Montrachet we chose was from Henri Moroni (so were the reds). Their tasting room was rustic and not pretentious.


We spit our wines, not because they were bad, but it was the only way not to be intoxicated. It felt like such a waste but Madame even insisted that we should. We tasted Chassagne Montrachet some years back and they were great wines too. This time we decided to have a slightly different experience. I was surprised at how different it was. This wine has a superb vanilla, almond and citrus nose that is so assertive that just smelling it is enough to convince you that it is a must have. The colour is a brilliant light gold with that very typical green tinge, exactly the colour of those tiny grapes we tasted outside. Unlike some lesser wines, the nose converts to even greater flavour on the palate.


This is a pedigree wine at a fairly reasonable price, by that I mean much more reasonable than Le Montrachet.
What is to go with this wine? I have often felt that some of these great white burgundy wines are best enjoyed on their own. However, it will be perfect with Turbot, Halibut, Scallop and Bresse Chicken, one of the first French produce to have an AOC. (In The Cockroach Catcher, the child psychiatrist lamented that the excellent free range chicken that he tasted in his childhood days could no longer be found.) I recommend most of the seafood (if very fresh) dishes to be cooked simply steamed or seared with minimal seasoning like a touch of sea salt, fresh ginger and coriander. Similarly the best chicken can be just rubbed with sea salt, steamed and served with a delicate spring onion and ginger sauce in its own juice. In my view, food and wine should complement each other but the very best wines simply enhance the dishes. 





Wine Posts:

Tuesday, June 23, 2020

Doctor Atomic



Batter my heart, three-person'd God ; for you
As yet but knock ; breathe, shine, and seek to mend ;
That I may rise, and stand, o'erthrow me, and bend
Your force, to break, blow, burn, and make me new.
I, like an usurp'd town, to another due,
Labour to admit you, but O, to no end.
Reason, your viceroy in me, me should defend,
But is captived, and proves weak or untrue.
Yet dearly I love you, and would be loved fain,
But am betroth'd unto your enemy ;
Divorce me, untie, or break that knot again,
Take me to you, imprison me, for I,
Except you enthrall me, never shall be free,
Nor ever chaste, except you ravish me.

HOLY SONNETS. XIV John Donne (1572-1631)


Doctor Atomic Metropolitan Opera House

The Metopera is streaming Doctor Atomic during this Covid19 period s I am re-posting this opera which we saw in 2008.

At the end of Act 1 of Dr Atomic (premiere at the Metropolitan Opera House, New York this season - composer: John Adams), Oppenheimer, the father of the Atomic bomb, faces his own personal crisis alone in the desert, recalling this sonnet by John Donne.

Gerald Finley as J. Robert Oppenheimer in "Doctor Atomic." Terrence McCarthy
This opera was first performed in San Francisco in 2005. You can read about that here.

The Cockroach Catcher and his wife were at the Met’s performance on the 13th of November 2008, a review of which you can read 
here.

I am not here to discuss the rights and wrongs of the Atomic bomb and its derivatives. There are now 50,000 such weapons worldwide. What is clear is that it has always been humans who hold the key to mass destruction. In 
Nanking. the Japanese grew bamboo through living Chinese as a means of destruction. It did not take an Einstein to work that one out nor an Oppenheimer to execute it.

In Dr Atomic, at the high point of the final countdown to the test firing of the bomb, there was a tape recorded voice of a Japanese woman repeatedly asking for a glass of water.



5:29:45 am Mountain War Time on July 16, 1945 Los Alamos National Laboratory
What would the effect have been if images of Japanese atrocities in Nanking or in Hong Kong were projected on stage at the same time? Or perhaps Pearl Harbour, for an American audience?
After all there have been recent attempts by Japan to change their history textbooks. Guilt must in the end find its proper home.


That I may rise, and stand, o'erthrow me, and bend
Your force, to break, blow, burn, and make me new.





Other Opera Posts:

Tuesday, May 26, 2020

Coffee in Panama – Faking Is Not All Bad


In my earlier blog Anhinga in Costa Rica - Faking Is Not All Bad I reflected on how in my child psychiatric practice, I came across a number of children who seemed to have made good use of faking. Indeed I came to the conclusion that faking might not be all bad.

Panama has been associated with some fabricated plots. There were the John Le Carre book 
The Tailor of Panama that was turned into a film, the location shoot of the Quantum of Solace (in Panama, doubling as a country in South America), and the Canoeist faking death, just to mention a few.



Panama ©2009 Am Ang Zhang
Then there was the coffee scandal.
In 1996 in California, a certain  Michel Norton, owner of Kona Kai Coffee was sentenced to 30 months in prison. Apparently for an extended period of time (some reckoned a decade may not be an over estimate), cheaper and “lower grade” Panamanian and Costa Rican coffee were used to pass off as “Pure Kona Coffee”.

Cheaper, certainly, as you would not otherwise be doing it. But, INFERIOR? I think many would certainly dispute that. I do not think you can really use an inferior product to pass off as something superior and fool people for long.

So the Ambassador of Panama in Washington D.C. wrote to the 
New York Times:

To the Editor:
I read with amusement about the indictment of a coffee supplier on selling fraudulently marked beans to retailers (news article, Nov. 13).
Without making light of the charges, I am pleased that the coffee buyer for Peet's Coffee and Tea is uncertain that he can tell the difference between the ''cheaper'' Panamanian beans allegedly substituted for the more expensive Kona.
Panama's coffee is among the world's best. In fact, members of my staff have seen Panamanian beans for sale at high-end coffeehouses for little less than Kona. Perhaps we can arrange a taste test of Kona and Panamanian coffee for the sellers mentioned in the article. I am sure that no one will be more pleased with the results than my native coffee growers.


EDUARDO MORGAN
Ambassador of Panama, Washington

The Cockroach Catcher was fortunate enough to have visited both Costa Rica and Panama. Costa Rica coffee is quite well known but few people realise that Panama produces coffee. I was determined to find out more about coffee grown in Panama.

Plants need to struggle to produce the kind of ‘poison’ against diseases, and coffee apparently is no different. This is well known for wine: vines grown in abundant sunshine may produce wine with a high alcohol content but does not produce enough of the ‘poison’ that humans love — we call the ‘poison’----- anti-oxidants.

Now even for the wonder malaria drug, Artemisinin, the plant Artemisia annua if cultivated with good fertilisers will not produce the anti-malaria ingredient at all.

Yes, plants need to struggle. Shade, and a misty atmosphere all work together to help the coffee shrubs struggle and help certain varieties of to develop health conferring properties, although the yield is lower than if you apply fertilisers and cut away the shading trees.




Misty Boquete, Panama ©2009 Am Ang ZhangBerry picking ©2009 Am Ang Zhang
  My friend's coffee©2012 Am Ang Zhang
Happily the shading trees provide a sanctuary for birds. Panama is famous for the number of bird species both resident and migrating, and for a number of years, has achieved the highest Christmas bird count as audited by the Audubon Society. A traditional coffee plantation (known as Finca) can play host to nearly 280 varieties of birds.

Well, call it chance or luck, someone bought a Finca in Boquete in Panama. Unfortunately a fungal blight wiped out most of the coffee plants that were originally there. A quick research by the owner showed that one variety of coffee called by the unlikely name of Geisha is resistant to the fungal disease. Remember, it can probably produce the ‘poison’. This tree grows taller, yield is lower but the coffee it produces is just wonderful.

In the last few years, in international cupping competitions, this coffee came first. Yes: FIRST.

The name: La Esmeralda Especial, from the Hacienda Plantation.

But wait for this, in 2007 the price fetched at auction was US$130 per pound. That is expensive. Or is it? With espresso extraction you can get 40 cups to the pound. Is that not under $4 per cup, and since you can extract a second cup – water based “decaf”, is that not under $2 per cup? Here is the latest tasting note.



As I was preparing this blog, news came about:
Coffee Linked to Lower Dementia Risk
Over time health benefits have been associated with red wine, olive oil, chocolate, almonds, pomegranate, blueberry, green tea and coffee. The Cockroach Catcher is sceptical of extreme claims, but for the record I do take all the items mentioned above, in moderation. It is indeed more important that you should enjoy what you eat and drink and not just what researchers tell you, and in moderation.

Next time in Trivial Pursuit you will know the answers to: What is the best coffee in the world? What country has the highest count of birds at Christmas?



Birding in Boquete, Panama ©2009 Am Ang Zhang

Happy cupping.

GRAND ROUNDS 5:22 EMERGIBLOG
Nature Posts

Wednesday, April 29, 2020

Chatter: Parenting & Dependency!

It might be of interest to present a record of one of my chatters (group supervision) with juniors! Names were obviously changed to protect them or me or even patients. 

The Cockroach Catcher learned a good deal from these chatters!

©2015 Am Ang Zhang

Minnie: Mrs B. just called from Canada. Your secretary said that this is one mother you will talk with anytime anywhere.
C.C.: Right, let me take the call and I’ll come back.

*************************

Minnie: so what is so special about Mrs B..

Jessie: Dr. Zhang has a few of these Patients that are basically untouchables and after the number of years of working with him I am just about making out that he has indeed a number of good points about it.

Trish: I know that many consultants do not talk to parents on the phone.

Jessie: I think Dr. Zhang does not either for good reasons as many parents get confused over the phone and it is best to explain things face to face in person.

C.C.: You learn over the years that there are inherent dangers in telephone conversations with parents especially if you do not know them well enough.  This is particularly true of cases involving access or abuse.  People either misconstrue or worse deliberately twist things in their favour.

Jessie: You have been known to refuse to see the other parent if there is any major dispute. Remember the one who finally broke into the wife’s house?

C.C.: Luckily he is now serving time.

Joss: What happened there.

C.C.: It really was a sad case of Domestic Violence. One day the wife pluck up courage and got an injunction. He moved to his parents in Brighton. Mother came to see me because of nightmares the daughter has been having. He demanded to have details of the notes and threatened to sue. I refused on grounds newly conferred on us( that it may be harmful to one other person). He wanted to talk to me and I refused. He complained and the investigating manager ask if I would see him at least once to see what it is all about. I said I would only do it in her presence. I explained my position and the right conferred to consultants. He became very threatening and we quickly terminated the meeting before it got uglier. Within a week of our meeting he broke into her house whilst she and her daughter was away, took her car and crashed it. From then on, I stuck to my guns and nobody bothers me anymore including the manager.

Minnie: But there are parents you would talk to.

C.C.: Over time you develop certain relationship with certain Patients and their parents that you are in some ways better off talking to them than not. First there often is an obvious need for them to talk to you. Then it saves time if you take the call and money too if they are calling from abroad. You also become their personal therapist and they really need to consult you even if it is about making decisions on buying a condo.

Paula: You advice people on buying a condo?

Jessie: And a few other things. Marriage, having babies!

C.C.: It is a long story.

Mrs B. was one of the first parents I went to see on a domiciliary visit when I became a consultant over 24 years ago.

Trish: You kept a patient going for 24 years?

C.C.: It is true that patients do not grow old, they just become familiar.

I think that the B.s are some of the nicest parents you can ever meet and over time they become your friend without becoming your social friend.

Tom: you mean you do not meet them socially.

C.C.: Not at all.

Joss: These are the people that gave the clinic the filing cabinets.

C.C.: That is very good. Exact same ones. I once had to take a call from one of the managers turning down my order for more filing cabinets. I was in the middle of seeing the B.s parents. I told them what happened and how and the next day two filing cabinets were delivered to the office.  You do get frustrated in the NHS when such basic items were not provided for. I obviously never thought that they would done it as I probably have other ideas such as toys for children if they were going to donate money. I was more grateful for the thought than for the actual cabinets.

What is important is that over the years I have learned a lot from this family.

Jessie: They shaped your view on adoption.

C.C.: This is the problem with a lot of psychodynamic understanding of people and if the truth be told, even the likes of Freud and Jung and Piaget based their theory on a very small number of Patients. I already have my own views on adoption and over time some cases encapsulate features that appear in a number of other cases. With these kinds of cases it is difficult to do research in terms of statistical significance and all that. I suppose people turn them into books and over time you hope to gain some insight into the complexity of human behaviour that way.  Some people argue that you cannot form an opinion say on adoption based on a few cases or not such a few number of cases.

Trish: At the adolescent unit over the years there are such similarities with types of cases that it becomes quite scary.

C.C.: I think that adopted children are ten times more likely to be disturbed than non adopted population and that is saying something. One can argue that human resilience is quite amazing and if it is not due to that we may see more disturbed individuals because of the kind of abuse and traumatic life experience they have.

Tom: Prof. Rutter had a good paper on these girls that we would have written off now if we see them in A & E after an overdose.
C.C.: I was actually at his paper presentation at a Royal College Conference.  You never would have thought that Rutter would move away from Autism to these wayward girls.  I think if I remember correctly they all by chance or fate met some nice men and married and settled down. I do not think boys are as lucky somehow. One might argue that somehow oestrogen, the great protective hormone might be at play and genetically, one needs to preserve the great species of Homo Sapiens.

Joss: Do you think that perhaps adoption does not work so well because the necessary hormones are not at play.
C.C.: Winnicott and Maternal Pre-occupation. You should all try and get to read his collected essays as human observation from a paediatrician seemed that much nearer whatever is going on than adult observers.  I think Child Psychiatry is such a great discipline for understanding human behaviour and to me it is the greatest discipline of all psychiatry if not all Medicine.

Minnie: Despite all the fakes.

C.C.: Don’t get me wrong, the fakes are in fact part of the fun. What I tried to bring out is we need to be able to distinguish between real mad and real bad.

Paula: You do not think it is non-pc to call someone mad.

C.C.: I know it is non-pc but sometimes one can shy away from these terms and Child psychiatric discipline moved from being called Child Guidance to Family Consultation where the role of the medical professional has been eroded.

Minnie: And patients cannot be called patients!

Tom: Service Users or Clients!

Jessie: It was Dr. Zhang who renamed our clinic the Department of Child & Adolescent Psychiatry.

C.C.: To Americans I call myself Pediatric Psychiatrist with the American spelling.

Jessie: not Family Guidance Service Provider!

C.C Proud to be a doctor, still.

Tom: With more discoveries of neurotransmitters the medical role is more important than ever.

C.C.: Yet a lot of the time we are dealing with what I called anthropological situations and all that is going on is rather external than microscopic.

Joss: Like with adoption.

C.C.: Adoption is a great cop out for many.

Minnie: Do you mean if it works it is the adoptive parents’ good work and if it didn’t it is not their genetic fault?

C.C.: This fault problem has been bugging me for a long time and most parents would tried their hardest to get some proof that it is not their fault and that is why diagnosis such as ADHD, ME, Aspergers,  Dyslexia are so popular with parents that at one stroke you remove the guilt from them.  Most parents nowadays seem to accept the most horrendous incurable diagnosis than having to face themselves or their own dark family history.   Obviously it is good in some ways for the parents and not so good for the child who one day will have to face the fact that they are labelled something they are blatantly not.  It was quite a revelation to me with the American medical students last week after I talked about my views on ADHD that two of them stayed behind to tell me that they have been on Ritalin since as long as they can remember and there is this great fear that if they stop now they may not get their grades.  I think they can see the sense of my arguments and were rather perturbed by it. One girl asked to see me on her own and it was blatantly clear that she never had ADHD but somehow was hooked on Ritalin to help with her work and was unsure now how to get out of it.

Paula: What did you do.

C.C.: It is obvious that you will shake her whole confidence now before exams and so on so I suggested that since I am not her treating doctor I can only suggest that she should look at it after her exams are over and move on into her medical career. She was most grateful and relieved.

Jessie: So they were psychologically dependent.

C.C.: Obviously. I think sometimes we need to look at the bigger picture.  There is no real research to back this up. But obviously cocaine is the closest of abuse drugs to Ritalin. We all know which country has the biggest Cocaine problem and we also know which country leads the world in Ritalin and stimulant prescription. One day, surprise, surprise some smart guy will find a link and maybe banished from that country and the medical world.


Joss: There is obviously the fear of missing out and I think your idea of getting her to sort things out after her graduation is a really kind one.

C.C.: it is often difficult when you give seminars as nowadays we touch on rather personal problems, eating disorder, parental divorce, abuse and adoption.

Minnie: Yet none of us wants you to tone down because of one of us as we need to know the full story.
C.C.: I suppose those of us brought up with a cadaver on the first day of medical school are programmed to face the stark facts of life.

Paula: Except some medical schools no longer do that which I suppose is sad in a way.

Jessie: What about Mrs. B.? Are you going to tell us more?

C.C.: Well maybe next time!




Can it be that it was all so simple then
Or has time rewritten every line
If we had the chance to do it all again
Tell me - Would we? Could we?
                                                                      The Way We Were


     
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