Julie Salamon - Hospital: Man, Woman, Birth, Death, Infinity, Plus Red Tape, Bad Behavior, Money, God, and Diversity on Steroids

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Table of Contents

Also by Julie Salamon

Rambams Ladder
The Christmas Tree
Facing the Wind
The Net of Dreams
The Devils Candy
White Lies

In memory of my father,
Dr. Alexander Salamon

May I never see in the patient anything but a fellow creature in pain.... Oh, God, Thou has appointed me to watch over the life and health of Thy creatures; here am I ready for my vocation, and now I turn unto my calling.

from the Oath of Maimonides

In short, a man comes into this hospital in perfect health, says the doctor played by George C. Scott in disbelief, on hearing about a patients progress through the system. In the space of one week, we chop out one kidney, damage another, reduce him to coma, and damn near kill him.

from The Hospital, a film by Paddy Chayevsky

Cast of Characters

EXECUTIVE SUITE

Stanley Brezenoff........... former president and chief executive officer

Pamela Brier.................. president and chief executive officer

Dr. David Cohen................ vice president, medicine/senior vice
president, clinical integration

Lillian Fraidkin..................... senior vice president, clinical
services/chief of staff

Dr. Samuel Kopel............................ medical director

Mark McDougle......... chief operating officer, executive vice president

Robert Naldi............................ chief financial officer

Sheila Namm ....................vice president, professional affairs

Sondra Olendorf.................... senior vice president, nursing
and hospital operations

Martin Payson.......................... chairman of the board

CANCER CENTER

Dr. Alan Astrow................ associate director, medical oncology

Bill Camilleri................................ vice president

Dr. Jay Cooper..................... director, cancer center/chair,
radiation oncology

Dr. Bernadine Donahue.......... associate director, radiation oncology

Dr. Yiwu Huang........................... medical oncologist

Nella Khenkin............................... social worker

Dr. Sushma Nakka........................... oncology fellow

Dr. Beth Popp....................... pain-management specialist

Dr. Petra Rietschel.......................... medical oncologist

Dr. Philip Rubin........................... medical oncologist

Dr. Kathir Suppiah........................... oncology fellow

Dr. Jason Tache............................. oncology fellow

Dr. Mendel Warshawsky........................ oncology fellow

DOCTORS , NURSES , STAFF

Jo Ann Baldwin......................... assistant vice president,
community outreach

Marcel Biberfeld............ vice president, psychiatry and community services

Ann Marie Ceriale........................ nursing manager, ER

Lilia Colon........................ labor-management developer

Dr. Joseph Cunningham............... chair, department of surgery/
senior vice president, strategic initiatives

Dr. Steven Davidson................... chair, emergency medicine

Clarence Davis.............................. director, safety

Dr. David Feldman.............. vice president, perioperative services

Maria Ferlita........................... vice president, finance

Dr. David Gregorius............................. ER resident

Douglas Jablon............... vice president, patient relations/special
assistant to the president

Dr. Israel Jacobowitz.......................... cardiac surgeon

Chris Kam.................................. social worker

Kathryn Kaplan.......................... chief learning officer

Lisa Keen................................... social worker

Eileen Keilitz...................................... nurse

Carol Kidney.................. director of nursing, womens services

Dr. David Kho............................ radiology resident

Dr. Steven Konstadt....................... chair, anesthesiology

Dr. Stephen Lahey.................... chief, cardiothoracic surgery

Dr. Richard Lazzaro................................ surgeon

Dr. Bing Lu........... medical director, Maimonides clinic, Chinatown

Pamela Mestel.............. director of nursing, perioperative services

Dr. Howard Minkoff............... chair, obstetrics and gynecology

Margie Morales......................... environmental worker

Dr. Carl Ramsay............... medical director, emergency medicine

Madeline Rivera............ associate vice president, case management

Dr. Jacob Shani........................ chief of Cardiac Institute

Dr. Allan Strongwater................... former chair, orthopedics

Dr. Regina Tarkovsky............................. hospitalist

Dr. Gregory Todd............................... hospitalist

Janice Yang................ director of outreach to Asian community

COMMUNITY

Marie and Tina.......................... patient and her sister

Dr. Michael Bashevkin....... oncologist, former partner of Samuel Kopel

Michael Bloomberg..................... mayor of New York City

Asghar Choudhri.......... unofficial mayor of Little Pakistan, Brooklyn

Daniel Dube............ grandson of Newman Dube, hospital founder

Bernie Gips................... Borough Park Hatzolah coordinator

Ms. Hernandez................................... patient

Dov Hikind....................... New York State assemblyman

Marty Markowitz.................... Brooklyn borough president

Miriam Lubling............. founder, Rivkah Laufer Guardians of the
Sick, major source of patient referrals

Elliot Lazer Rosman............ Borough Park Hatzolah coordinator

Hafiz Mohammad Sabir.................... imam, Makki Mosque

Aaron Twerski.................... board of trustees, Maimonides

Mr. Zen........................................ patient

Prologue

This story began with a telephone call. Jo Ann Baldwin, a fast-talking, funny, Italian-American woman with a strong Brooklyn accent, had reached me through my publisher. Between the rush of words and wisecracks, I discerned that she had read my book about charity and philanthropy based on the teachings of the medieval Jewish philosopher and physician Maimonides. The pitch was this: She was an administrator at a hospital called Maimonides, she was certain we had a karmic connection, and she wanted to meet.

While Id visited hospitals often enough for the usual reasons, and had even been a candy striper in high school, I had no special interest in them, had never written about them, and didnt even watch medical dramas on TV. I left medicine to the professionals in my family, of whom there have been many: my father, sister, stepbrother, and brother-in-law. On the phone, Baldwin wasnt very clear about what she wanted, but she was amusing and unrelenting. We agreed to meet.

Over cappuccino in Greenwich Village, she told me about Maimonides Medical Center (originally Israel-Zion Hospital) in Borough Park, Brooklyn, which had been opened a century earlier to serve local residents. For decades the mandate had remained the same: to take care of the community, which meant the Orthodox (and, increasingly, Hasidic) Jews who dominated the neighborhood.

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