Category Archives: Personal

We’ve Got to Stop Meeting Like This

Descending Aorta

The Dacron version is a actually a boring whitish color.

For the second year in a row, we celebrated our wedding anniversary in Houston.  The actual (35th!) anniversary was on Sunday, but we celebrated on Monday because we spent Sunday getting here.

This is not because either of us have developed a special fondness for Houston since our anniversary visit last year; rather, it’s more of the same: tomorrow, I will undergo hours of surgery, this time to replace my descending aortic valve with a fine piece of Dacron tubing. Although I am assured that the probability of success is very high, the negative side-effects, should they occur, are bracingly grim, including a 2% chance of paralysis.

Even in the best case, I’m likely to be sedated for a couple of days, and if experience is a guide, it may be several more days before I’m tracking at all well. Poor Caroline will have to navigate a series of rationed visiting hours in the revival room (bright lights in your face!) until I’m well enough to go to a regular hospital room.

The good news is that if all goes well, the medics assure me they will have now run out of aorta to replace: I have a metal aortic valve that was implanted in 2010 after my very fortunate survival from an emergency aortic dissection. Last year they did the arch, along with an “elephant trunk” to connect to the next piece; now they are doing the rest of it. That said, “there’s always the carotids,” as one humor-impaired medic joked when I first asked if there would be any aorta left to tinker with.

You might think – indeed, ordinarily I might think – that my life plans should include avoiding Houston as much as possible in the future.  Weirdly, though, I may be coming back to Houston regularly even if I remain in good health. David, my older son, will be starting as an Assistant Professor at the University of Houston this fall, and I gather I may be invited to visit him. I’ll look forward to that – except for on our anniversary.

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Maya Pines Froomkin 1928-2024

My mother, Maya Pines Froomkin, died yesterday morning. Like her, my brother Dan is a journalist, and he wrote this obituary:

Maya Pines Froomkin, an accomplished journalist and author who wrote with great clarity about complex topics in psychology, child development, brain research, and the medical sciences, died Sunday at age 96.

Writing as Maya Pines, she was the author of two acclaimed books: “Revolution in Learning: The Years From Birth to Six” in 1967, which made the case for greater intellectual stimulation for the nation’s young children; and “The Brain Changers” in 1973, about advances in brain research.

She also co-authored two books: “Health and Disease,” with scientist Rene Dubos in 1965; and “Retarded Children Can Be Helped,” with photographer Cornell Capa in 1957, which was the first book written about parents who advocated for their children with intellectual disabilities.

She had a long and celebrated career as a freelance writer for top publications, including Life Magazine, Harper’s, the New York Times Magazine, and the Washington Post Book Review. She was a staff writer at the New York Times in 1982, and was a contributing editor to Psychology Today in the mid-to-late 1980s.

She retired in 1998 after 11 years as senior science editor at the Howard Hughes Medical Institute, where she wrote and edited highly regarded booklets aimed at the general public describing enormous advances in the biomedical sciences, including human genetics, cell structure, and the senses. More than a million copies of those publications were distributed, many to high school and college classrooms.

Her particular gift was her ability to explore and understand complicated topics, and convey what she had learned in graceful but also utterly accessible language.

Maya Pines was born in Berlin in 1928 to Russian Jewish parents who soon fled Germany. She spent her childhood in Paris and then London. She and her London classmates were evacuated from the city in anticipation of Nazi air raids in September 1939. But because her family was awaiting a berth on a U.S-bound lend-lease ship, she returned to London and was one of the few children there during the Blitz itself, which began in August 1940. She and her family left for the U.S. in November 1940. The ship she traveled on was sunk by German U-boats on its return journey.

A precocious child, she briefly attended Forest Hills High School in Queens, N.Y., entered Barnard College at age 15, and graduated from the Columbia School of Journalism in 1949 at age 21.

Her first job was at the Women’s National News Service, which syndicated articles about and for women to newspapers across the country.

She began work as a reporter at Life Magazine in 1956, writing about psychology and culture for what was then the preeminent magazine in America. A prized photo taken at a glamorous Life cocktail party shows her standing next to photographer Gordon Parks and artist Salvador Dali.

She became a freelance writer after the birth of her first son in 1960, and developed a great interest in telling stories about overcoming adversity. She once wrote that her favorite magazine piece was one called “Superkids” that ran in Psychology Today in 1970, about why some children sail through the most horrendous difficulties without obvious damage. She found that one common attribute was that they had at least one adult who cared for them in a special way.

Another favorite article, published in the New York Times Magazine in 1965, was about the success of an “extraordinary learning device” called a “talking typewriter” – a long-ago precursor to modern educational software. She was a frequent contributor to the Times Magazine, where she also wrote about the brain, stuttering, and her family’s experiment with vegetarianism.

In 1982, she briefly covered the behavioral sciences beat for the New York Times until she realized, as she once explained, “that it required actually living in New York.” Her home was in Washington. Nevertheless, she published memorable articles in the Times about narcissism and John Hinckley.

Over the years, she wrote about how to pick a psychiatrist for Harper’s; about genetic profiling for Smithsonian; about anti-depressants for Cosmopolitan; about how children learn to talk for Redbook; about mental health for Vogue; about mammograms for Savvy; and about good foods for your brain for Reader’s Digest.

Her first name was the answer to a New York Times crossword puzzle in 1990: “Author Pines”.

Her husband of 59 years, the economist Joseph Froomkin, died in 2019. She is survived by two sons and three grandsons: Michael, a law professor at the University of Miami in Coral Gables, Fla.; Dan, an independent journalist and media critic in Washington D.C.; David; Benjamin; and Max.

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Proof that I Exist?

Thanks to the kindness of others, I now have my own Wiki page. (Strangely, MiamiLaw doesn’t routinely make them for any of its faculty, which I suppose is consistent with our  ahem, rather quiet media strategy.)

It feels quite petty of me, but I’ve actually been bothered for some time that nothing I did ever prompted anyone to make one; the norm is that you don’t make them for yourself. So I am chuffed about this.

Thank you to the authors!

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An Affair of the Heart

It seems to be about 20 years since I started this blog, and more than three months since I last posted anything here, an unusually long gap for me. So I thought I would try to relate some of what I’ve been up to recently. I don’t tend to post about my personal life, but this will be an exception.

Caroline and I celebrated our 34th wedding anniversary in late June in the summer garden spot that is Houston, Texas, a city I had never visited before and did not especially take to–although I was impressed by the extent of the downtown medical center, and by the huge and varied collection of trilobites in the Museum of Natural History. Our actual anniversary day was unpleasant, and not just because it was Houston during a record-breaking heat wave. Rather than a lazy day culminating in a nice night out, I spent a good chunk of the day unconscious due to a knock-out drug administered by a stranger, and embarked on what turned out to be a two-week hospital stay followed by nasty side-effects.

Or, to be more specific, I spent our wedding anniversary on an operating table having an arterial bypass, subclavian to carotid, which means they go into your left shoulder and move stuff out of the way to improve access to the aortic arch.  That was just an hors d’oeuvre for the main event, which came three days later: a team of surgeons, led by Dr. Joseph Coselli, split my breastbone open like one might a chicken and rooted around inside me for eight hours in order to repair my aortic arch which had become very bloated. While they were at it, they did a double bypass as well and inserted an “elephant trunk” to enable a likely subsequent surgery on my descending aorta.  We’d gone to Houston for the surgery because Dr. Coselli is both pioneer and leading practitioner of the elephant trunk procedure and my doctors thought it certain I would need similar surgery on my descending aorta either very soon or soon. Apparently, my aortic arch has been in a bad way, if nonetheless fairly stable, for several years, but no one told me perhaps because other medical problem crowded it out of the way.

(1) ascending aorta, (2) aortic arch, (3) descending aorta. Copyright © 2016 JHeuser. Licensed under CC BY-SA 3.0,

Before the surgery, Dr. Coselli estimated that the odds of success were, on paper, just over 90%, a number slightly lowered from the norm by the fact that I had scar tissue in the way from my first open-heart surgery thirteen years ago.  Back then I beat the odds when I had an emergency dissection of my aortic valve. (Fifty percent of people whose aorta tears open like this die within an hour or two, and some decent fraction of the others are impaired in various unpleasant ways.  Caroline saved me by dragging me to the local emergency room.) Dr. Coselli’s generous 90% estimate was not as reassuring as he no doubt intended it to be, particularly in light of the lengthy consent form I signed that included a page-long list of potential horrible outcomes–although it should be noted that with a surgeon’s self-assurance Dr. Coselli did say he was very confident it would all be fine.  Nonetheless, I was glad to have signed a DNR order; I don’t ever want to be Terry Schiavo, and I find the prospect of serious mental impairment even more terrifying than blindness.

I woke up in a big room with bright lights in the ceiling.  I was confused.  It seemed I was in fact alive, although with the brightness of the lights I briefly considered hallucination as a possibility, but I wasn’t sure what had happened – was this the first operation or the second? Indeed, to this day I still don’t remember much about waking up from the first one, except being moved around the hospital before and afterwards. In the bright room, I had a tube down my throat, but mercifully by the time I was conscious enough to care they took it out reasonably quickly, and assured me that I had survived the main event.  I suspect I may have had to be told more than once. Nobody seemed happier about it than the anesthesiologist who had a big smile and said successful outcomes like mine made it all worthwhile.  I had to wonder how many of the other sort he experienced. Initially, visiting hours were limited but Caroline made the most of them, despite having to hang around for hours between the sessions.

The operation was not without its side-effects, the two most serious of which were lung-related issues including a horrible painful cough, and what I much later learned my medical chart delicately called “partial paraplegia”.  In plain English, I couldn’t stand up, and couldn’t walk, Everyone assured me it was temporary, and indeed by the time I left St. Luke’s to move to a rehab facility, I could stand and travel short distances with a walker—at the price of real exhaustion. Again, Caroline trudged from our hotel to the hospital and back every day, and spent hours with me whether I was awake or asleep, and regardless of how groggy or grumpy I might be.

I’d been to a rehab facility on Miami Beach after the first open heart surgery in 2010 (couldn’t walk for a period after that one either), and had found it to be a really miserable experience.  The doctors were mostly absent and somewhat cynical.  The nurses were almost without exception burnt-out and unfriendly.  The bright spot was the physical therapists, who I saw for a metered hour and half a day.  They were cheerful, optimistic, goal-oriented.  And thanks to them, by time I went home week later, I could walk a little and, more importantly, drag myself up the stairs to my bedroom once a day.

Fast forward to 2023, and even though people assured me that the staff at St. Luke’s had secured me a place in a great rehab facility just down the street, I was nervous about it.  It turned out, however, that the TIRR Memorial Herman really was a nice place, although it was humbling to be one of the least impaired patients in the place—I will never forget seeing a young woman in a motorized wheelchair who had lost both arms at the elbow and both legs at or above the knees.  She motored by with a brilliant smile for everyone.  Her example ensured that even if I would have wanted to, I would not have dared complain.

Despite the excellence of all levels of staff, it took two more weeks to get me in a shape where I was able to go home, and even then I had to do it in a wheelchair, as I still wasn’t very mobile.  My first trip up our stairs took about 15 minutes, resting after every step.  Within a week or two I cut it down to five minutes. Now I go up and down at almost normal speed, and more than once a day, although I do feel winded at the top.

The lack of mobility had multiple causes.  One thing was my right leg seems to have gotten injured in some way during the surgery, and it still drags to this day, although I’m about to get off the wait list for outpatient rehab here at U.M.  Another was that my long struggle with non-Hodgkins large B cell double-hit lymphoma probably left me weaker than might have been ideal for open-heart surgery.  And, it turns out that it is hard to relearn to walk when you have trouble with your balance because you have no sensation in your feet—neuropathy being a side-effect of several of the anti-cancer regimes I have enjoyed over the past six-plus years.

On the subject of cancer treatments, although neither R-CHOP with a side of debilitating methotrexate, nor autologous stem cell, nor CAR-T, nor Revlimid worked for me (ok, R-CHOP worked for just over a year, and the Revlimid suppressed the lymphoma but it also increasingly suppressed me), so far it appears that the fifth lymphoma treatment is working.  A then-experimental monoclonal antibody mix of Mosunetuzumab and Polatuzumab has given me about a year and a half with “no visible sign of disease”. I’m told by my terrific oncologist, Dr. Alvaro Alencar, that almost all the members of my Phase II study cohort who stayed well this long have so far remained well.  If we make it to two years, we get to call it remission. On the negative side, these various treatments aimed at my B-cells pretty much wiped out my immune system. During peak COVID it was actually almost nice that I did not stand out as the world had reorganized itself for my convenience, including remote work and food delivery.  But even with the Internet, staying in the house does get old eventually, especially as the world is trying to go back to normal. Whether my immune system too will go back to normal remains uncertain.

The most important point of this medical history digression is that the month we spent in hospitals and rehab in Houston was only the last of a more-than-six-year series of medical adventures, itself on the heels of a thirteen-year-old near-death experience characterized by eleven days of induced coma and a long hospitalization followed by a very long recuperation. In the last six plus years I have had numerous, occasionally long, hospitalizations. And even at home I spent large amounts of time completely out of it, or very much limited in what I could do. This left Caroline to do the worrying, and much of the work, for two—more than two if you consider that the load was aggravated by having to take care of me. Along the way I became convinced that it is often harder to be the caregiver than to be the patient.

I am not one much given to epiphanies. But in the early days after waking up in that bright room, as Caroline held my hand, or just sat nearby, I understood more than ever how fortunate I am to be married to such a wonderful person.  I cannot describe what her support has meant, or how grateful I am, or much I love her, so I’m not even going to try. Therein lies the real affair of the heart.

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Happy Thanksgiving

It’s been a difficult year for us, and even worse for many others, such as those suffering from long COVID or the many preventable COVID deaths of loved ones–not to mention those in any of the planet’s distressing number of war zones. We, at least, have food, shelter, and varying measures of health, thus plenty to be grateful for.

We still can, must, and do hope for better for all in the coming year.

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Happy Halloween

Although personally, I’ll be a lot happier if the midterms go well.

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