Katrina Blog Project
Search

Impeach Bush

gse_multipart16664.jpg

Why? Click here.

Powered by Squarespace
Disclaimer

The contents of this website are for contemplative purposes only. No medical advice will be given, and emails asking for medical advice will be ignored.

Although patient vignettes are based on my experiences with real individuals, I liberally change details to maintain patient confidentiality.

I also reserve the right to change old postings to correct errors, and to delete comments that include obscene language or that I deem abusive to me or other commentators.  If you are looking for a open mind, I suggest you consult a neurosurgeon.

Now Reading

Marcel Proust, Swann's Way

Billy Sothern, Down in New Orleans

 Mother Theresa, Come Be My Light

« Saturday Sounds | Main | The Katrina Blog Project »
Monday
22May

Swing it again, Sam

He seemed a little uncomfortable.  Not nervous, but he just did not seem to feel quite at home. "No offense," he said, "but I don't like doctors."

"None taken." I meant that sincerely. Some of the best patients are the ones that need me, but not too much.

Sam was one of those, I could tell. Mid-sixties, fit, grandfatherly, only lightly concerned about his health. He had a wife who cared more, though, which is why he was seeing me.

"Yeah, my wife bought this new blood pressure cuff at Wal-mart last week. She tried it out on me, and my pressure was 162 over something. She made me come in."

"Well, I'm glad you did. High blood pressure is a serious thing."

"Not for me. My pressure has been like this for years. Never bothered me."

This was going to be a little harder than I would have liked. I like a patient who does not worry excessively about his medical problems. But if the patient is relaxed to the point of indifference, that is another problem altogether.
"Blood pressure rarely bothers you before you have a heart attack or stroke," I offered. Unfortunately, Sam was old-school, with Southern manners. The problem with old fashioned Southerners is that you can never tell if you are getting through to them. They look at you and smile, and they say "Yes, sir" and "No, sir" right on cue, because their mamas taught them always to be respectful even when they didn't give a hang what they were being told.

Usually the way to get unstuck with fellows like this is to change the subject. I took a little social history.

"Where do you live?"

"Been here in St. Bernard all my life."

"Ever considered moving?"

"No, never. In my profession New Orleans is the place to be. Always has been."

That narrowed his career possibilities down quite a bit. He was too cleancut to be a fisherman or a longshoreman. I guessed he was in the entertainment business.

"I thought you were retired," I said.

"Semi-retired. I am a jazz musician. I have played the trumpet professionally for 36 years."

Now I was interested. I got my first guitar when I was 10 years old. Though I have never been exceptionally good, I can read sheet music and know a E-flat 9 chord when I hear one. And I know enough to know how technically difficult jazz is to play. I'll put Duke Ellington up against a Bach fugue any day of the week. An accomplished jazz musician is a true marvel in the intellectual world.

"So you still play gigs?"

"Oh yeah. A few festivals a year. Not  every week. But every once in a while I get the my old band together and we jam out. It's one of those things you can never put down."

I know the feeling. Lousy though I may be, I have never considered living life without my guitar. Playing is an experience that sticks with you; the pleasure of holding a sacred instrument in your hands, making sounds that are your sole creation, is one of life's great spiritual mysteries.

I could have talked to this cat all day. But I reminded myself of my duty. I am a doctor, and my responsibility was his health. Cue theme music from "Marcus Welby, MD."

We dug back into the blood pressure thing. As I completed my history, then went through the physical exam, a thought rose slowly in my mind. Though I have always stuck with the guitar, my joy with it never developed into a passion. The kind of passion that results in long hours of practice and study, of growth in skill and perfect performance.

What drove Sam to hang with it all these years? To endure the grueling road schedule and poor pay of a jazz trumpeter for all of 36 years? Anyone who could absorb the techniques of Dizzy Gillespie and Miles Davis was smart enough to succeed in something much more boring and financially rewarding. With his mind, he could have even stooped as low as to become a doctor, had he chosen to do so.

I started to ask, but each time I thought to, I was distracted by a medical issue. Duty first. I finished my exam, wrote up a prescription for an antihypertensive, and carefully explained to Sam that he needed to take it without fail. I loved that carefree jazz spirit in him, but hypertension is a problem that answers to method and plain logic, rather than freethinking improvisation.

Sam's keen technical mind must have read mine, though, because he asked my forgotten question for me just as I was ready to head for the door.

"Do you know who taught me how to play the trumpet?"

I told him I had no idea.

He reached into his pocket and pulled out his wallet. After a brief search, he found what he was looking for, and handed me an old photograph.

"This was taken in Chicago," was all he said.

The photo was a little washed out with the years, but I could see several men seated in a booth in a bar. On the left side was a skinny, black-haired man. I looked harder. It was a younger Sam, no question.  A beer bottle stood at Young Sam's right elbow, and to the right of that was a somewhat obese black man, late middle-aged. He looked familiar to me. Then I got it.

"Oh my God," I said, stupefied. "Louis Armstrong."

Yes, it was. I have talked to many people in my day, and heard many a name dropped. Rarely am I impressed. This time I was completely numb.

Turns out in the early 60s Sam was the lead trumpet in Lil Armstrong's jazz band. Lil Hardin Armstong was the second Mrs. Louis Armstrong and a creditable pianist in her own right. Through Lil, Sam got to know Louis. And apparently, Louis taught him a thing or two.

I knew even at that moment that it was unlikely Louis Armstrong had been Sam's teacher for very long. They were probably acquaintances, maybe even friends, and Louis may have coached him a little. But who cares? The man knew and played with the immortal Satchmo!

Louis Armstrong is one of the most towering intellectual figures in American history. Armstrong invented swing. Literally. He is one of the first, if not the very first, recorded jazz artist who consciously accented his notes using the back beat. Most music before Armstrong was written in a four-beat time signature in which the rhythmic emphasis was placed on the first and third beats. As in ONE two THREE four ONE two THREE four. Armstrong started off this way, but thought it would be interesting if he reversed the emphasis, creating a one TWO three FOUR rhythm. This two-four emphasis is called the back beat.

This emphasis on the back beat is the essence of what jazz musicians call swing. Inventing swing for a musician is something like inventing calculus is for a mathematician. It is so essential, so central to modern music that jazz (and rock music) as we know it wouldn't exist if Armstrong hadn't done what he did.

If Sam had told me he knew Shakespeare, and then produced a heretofore unknown 38th play, I would not have been less impressed.

Nor I have never been so jealous of a patient. Perhaps if I had met William Osler, or Jonas Salk, or had dinner with Watson and Crick, I could have had the kind of passion for my own work that Sam undoubtedly had for his. It takes more than just personal inspiration to drive a person to excellence in his profession, but nonetheless to have had the opportunity to learn at the knee of one of the divine in one's own field must be an exceeding and sustaining joy.

No wonder monks carry around the very bones of the sainted.

My all time favorite recording is Louis Armstrong's "West End Blues." (West End is a part of New Orleans. Today it is rubble after Hurricane Katrina, but in Armstrong's day it was a strip of bars and honky-tonks on the outskirts of New Orleans, frequented by gamblers and people of color.) The song opens with a thrilling trumpet solo by Satchmo, unquestionably the most famous blast of notes in jazz history. It progresses to a haphazard, lugubrious chorus that is both lazy, sad, and uplifting at the same time. It lumbers into a passionate, bluesy Armstrong solo that mixes all the jazz, blues, and pain New Orleans ever had to offer,  then ends with the call and response between Armstrong and his remarkable pianist, Earl Hines. There is nothing in music like it.

A guy who knows the guy who recorded that record was once my patient. That alone may be enough to keep me doctoring.

Sam fled to Denver after Katrina, but he and his band were back in New Orleans in April for the French Quarter Festival. The passion and love instilled by a great master burns on after the storm.

Swing on, Sam!


PrintView Printer Friendly Version

EmailEmail Article to Friend

Reader Comments (7)

Okay, so why you disabled the comments on that wonderful gumbo post, I'll never know, but I am here to tell you that that was a GREAT POST!!! You have captured the process, the spirit, the jene se qua, the essence of making gumbo. I wish I were there to sit down and listen to cajun music and have a taste of that stuff. Eh Toi!
May 23, 2006 | Unregistered CommenterTBTAM
You know, the commentor just ahead of me makes me laugh. I was thinking the same thing when I read the post! I've never tried Gumbo, but reading your recipe made me want to. Also - I got an email this week from Dr. H. Engel ... he said your post made his mouth water.

So ... with TBTAM, I have to say: "Eh toi!"
May 23, 2006 | Unregistered CommenterMoof
Sorry, it was a technical error with the gumbo post. I wondered why no one commented on it. The probem is now fixed, so post away.

I had a pot of seafood gumbo just this weekend, by the way.

C'est si bon!
May 23, 2006 | Registered CommenterMichael Hebert
I have already confessed that I don't know anything about Jazz.But your posts have aroused my curiosity. I just downloaded an MP3 file of "West End Blues". Interesting. Definitely 'mood music'. Sort of like the Urdu Ghazals. The kind of music that induces mellowness, especially when listened to in a dimly lit room with a good whiskey for company :)
May 25, 2006 | Unregistered Commenterscan man
Scanman:
"West End Blues" is unquestionably my all time favorite recording. It is light years ahead in sophistication of anything anyone else was doing at the time.

Although the opening solo sounds a little mundane to modern ears, that is because every musician who came after this song robbed it blind of its ideas. You have heard this song before. It is echoed in every trumpet solo you have ever heard.

The song reminds me of my experience of reading Shakespeare's "Hamlet" in high school. Never having read it before, I was amused at how many lines in the play I knew, old adages like "Neither a lender nor a borrower be," or "Something is rotten in the state of Denmark," or "To be or not to be." I was so familiar with those lines that it felt like Shakespeare was just assembling a bunch of proverbs. It made his writing seem less original. But I realized then as now that Shakespeare originated all of those quotations. Hamlet sometimes sounds tinny in my ears only because every writer who came after Shakespeare stole his ideas.

So it is with Louis Armstrong. But once you appreciate that point you can appreciate him much more. He is, in some ways, an acquired taste.

And I can definitely undertand how someone who grew up listenig to Indian music would have some trouble relating. My mother-in-law plays Indian music in her house all the time. I like it, but I haven't grown up with it as I have jazz and blues, it simply lacks the resonance.
May 25, 2006 | Registered CommenterMichael Hebert
How funny to read this.

I have the Monkees on DVD. In the second season, at the end of one of the shows, Davy is talking to a pianist about "soul" music and what makes "soul" music what it is.

The pianist (wish I could remember his name), said that rock was the ONE two THREE four beat a la Ringo, but soul was the one TWO three FOUR beat. I had never heard that before and now here it is again, only referring to jazz.

Very educational post for me, and I'm old enough to be impressed by the fact that he knew Louis Armstrong. Heck, as I kid I thought he was cool!
June 1, 2006 | Unregistered CommenterKim
Try counting out the rhythm on a few songs. You will see how different musicians in different musical genres emphasize the beat.

I surprised myself once in doing that on a polka. I discovered that polka music is rhythmically indistinguishable from the Cajun 2 step. Well, live and learn.
June 2, 2006 | Registered CommenterMichael Hebert

PostPost a New Comment

Enter your information below to add a new comment.
Author Email (optional):
Author URL (optional):
Post:
 
All HTML will be escaped. Hyperlinks will be created for URLs automatically.