Friday, March 21, 2014

Sleep And What Is In Your Head



Goodnight. Sleep Clean.


SLEEP seems like a perfectly fine waste of time. Why would our bodies evolve to spend close to one-third of our lives completely out of it, when we could instead be doing something useful or exciting? Something that would, as an added bonus, be less likely to get us killed back when we were sleeping on the savanna?
“Sleep is such a dangerous thing to do, when you’re out in the wild,” Maiken Nedergaard, a Danish biologist who has been leading research into sleep function at the University of Rochester’s medical school, told me. “It has to have a basic evolutional function. Otherwise it would have been eliminated.”
We’ve known for some time that sleep is essential for forming and consolidating memories and that it plays a central role in the formation of new neuronal connections and the pruning of old ones. But that hardly seems enough to risk death-by-leopard-in-the-night. “If sleep was just to remember what you did yesterday, that wouldn’t be important enough,” Dr. Nedergaard explains.
In a series of new studies, published this fall in the journal Science, the Nedergaard lab may at last be shedding light on just what it is that would be important enough. Sleep, it turns out, may play a crucial role in our brain’s physiological maintenance. As your body sleeps, your brain is quite actively playing the part of mental janitor: It’s clearing out all of the junk that has accumulated as a result of your daily thinking.
Recall what happens to your body during exercise. You start off full of energy, but soon enough your breathing turns uneven, your muscles tire, and your stamina runs its course. What’s happening internally is that your body isn’t able to deliver oxygen quickly enough to each muscle that needs it and instead creates needed energy anaerobically. And while that process allows you to keep on going, a side effect is the accumulation of toxic byproducts in your muscle cells. Those byproducts are cleared out by the body’s lymphatic system, allowing you to resume normal function without any permanent damage.
The lymphatic system serves as the body’s custodian: Whenever waste is formed, it sweeps it clean. The brain, however, is outside its reach — despite the fact that your brain uses up about 20 percent of your body’s energy. How, then, does its waste — like beta-amyloid, a protein associated with Alzheimer’s disease — get cleared? What happens to all the wrappers and leftovers that litter the room after any mental workout?
“Think about a fish tank,” says Dr. Nedergaard. “If you have a tank and no filter, the fish will eventually die. So, how do the brain cells get rid of their waste? Where is their filter?”
UNTIL a few years ago, the prevailing model was based on recycling: The brain got rid of its own waste, not only beta-amyloid but other metabolites, by breaking it down and recycling it at an individual cell level. When that process eventually failed, the buildup would result in age-related cognitive decline and diseases like Alzheimer’s. That “didn’t make sense” to Dr. Nedergaard, who says that “the brain is too busy to recycle” all of its energy. Instead, she proposed a brain equivalent of the lymphatic system, a network of channels that cleared out toxins with watery cerebrospinal fluid. She called it the glymphatic system, a nod to its dependence on glial cells (the supportive cells in the brain that work largely to maintain homeostasis and protect neurons) and its function as a sort of parallel lymphatic system.
She was hardly the first to think in those terms. “It had been proposed about one hundred years ago, but they didn’t have the tools to study it properly,” she says. Now, however, with advanced microscopes and dyeing techniques, her team discovered that the brain’s interstitial space — the fluid-filled area between tissue cells that takes up about 20 percent of the brain’s total volume — was mainly dedicated to physically removing the cells’ daily waste.
When members of Dr. Nedergaard’s team injected small fluorescent tracers into the cerebrospinal fluid of anesthetized mice, they found that the tracers quickly entered the brain — and, eventually, exited it — via specific, predictable routes.
The next step was to see how and when, exactly, the glymphatic system did its work. “We thought this cleaning process would require tremendous energy,” Dr. Nedergaard says. “And so we asked, maybe this is something we do when we’re sleeping, when the brain is really not processing information.”
In a series of new studies on mice, her team discovered exactly that: When the mouse brain is sleeping or under anesthesia, it’s busy cleaning out the waste that accumulated while it was awake.
In a mouse brain, the interstitial space takes up less room than it does in ours, approximately 14 percent of the total volume. Dr. Nedergaard found that when the mice slept, it swelled to over 20 percent. As a result, the cerebrospinal fluid could not only flow more freely but it could also reach further into the brain. In an awake brain, it would flow only along the brain’s surface. Indeed, the awake flow was a mere 5 percent of the sleep flow. In a sleeping brain, waste was being cleared two times faster. “We saw almost no inflow of cerebrospinal fluid into the brain when the mice were awake, but then when we anesthetized them, it started flowing. It’s such a big difference I kept being afraid something was wrong,” says Dr. Nedergaard.
Similar work in humans is still in the future. Dr. Nedergaard is currently awaiting board approval to begin the equivalent study in adult brains in collaboration with the anesthesiologist Helene Benveniste at Stony Brook University.
So far the glymphatic system has been identified as the neural housekeeper in baboons, dogs and goats. “If anything,” Dr. Nedergaard says, “it’s more needed in a bigger brain.”
MODERN society is increasingly ill equipped to provide our brains with the requisite cleaning time. The figures are stark. Some 80 percent of working adults suffer to some extent from sleep deprivation. According to the National Sleep Foundation, adults should sleep seven to nine hours. On average, we’re getting one to two hours less sleep a night than we did 50 to 100 years ago and 38 minutes less on weeknights than we did as little as 10 years ago. Between 50 and 70 million people in the United States suffer from some form of chronic sleep disorder. When our sleep is disturbed, whatever the cause, our cleaning system breaks down. At the University of Pennsylvania’s Center for Sleep and Circadian Neurobiology, Sigrid Veasey has been focusing on precisely how restless nights disturb the brain’s normal metabolism. What happens to our cognitive function when the trash piles up?
At the extreme end, the result could be the acceleration of neurodegenerative diseases like Alzheimer’s and Parkinson’s. While we don’t know whether sleep loss causes the disease, or the disease itself leads to sleep loss — what Dr. Veasey calls a “classic chicken-and-egg” problem — we do know that the two are closely connected. Along with the sleep disturbances that characterize neurodegenerative diseases, there is a buildup of the types of proteins that the glymphatic system normally clears out during regular sleep, like beta-amyloids and tau, both associated with Alzheimer’s and other types of dementia.
“To me,” says Dr. Veasey, “that’s the most compelling part of the Nedergaard research. That the clearance for these is dramatically reduced from prolonged wakefulness.” If we don’t sleep well, we may be allowing the very things that cause neural degeneration to pile up unchecked.
Even at the relatively more benign end — the all-nighter or the extra-stressful week when you caught only a few hours a night — sleep deprivation, as everyone who has experienced it knows, impedes our ability to concentrate, to pay attention to our environment and to analyze information creatively. “When we’re sleep-deprived, we can’t integrate or put together facts,” as Dr. Veasey puts it.
But there is a difference between the kind of fleeting sleep loss we sometimes experience and the chronic deprivation that comes from shift work, insomnia and the like. In one set of studies, soon to be published in The Journal of Neuroscience, the Veasey lab found that while our brains can recover quite readily from short-term sleep loss, chronic prolonged wakefulness and sleep disruption stresses the brain’s metabolism. The result is the degeneration of key neurons involved in alertness and proper cortical function and a buildup of proteins associated with aging and neural degeneration.
It’s like the difference between a snowstorm’s disrupting a single day of trash pickup and a prolonged strike. No longer quite as easy to fix, and even when the strike is over, there’s likely to be some stray debris floating around for quite some time yet. “Recovery from sleep loss is slower than we’d thought,” Dr. Veasey notes. “We used to think that after a bit of recovery sleep, you should be fine. But this work shows you’re not.”
If you put her own research together with the findings from the Nedergaard lab, Dr. Veasey says, it “very clearly shows that there’s impaired clearance in the awake brain. We’re really starting to realize that when we skip sleep, we may be doing irreparable damage to the brain, prematurely aging it or setting it up for heightened vulnerability to other insults.”
In a society that is not only chronically sleep-deprived but also rapidly aging, that’s bad news. “It’s unlikely that poor sleep as a child would actually cause Alzheimer’s or Parkinson’s,” says Dr. Veasey, “but it’s more likely that you may shift one of those diseases by a decade or so. That has profound health and economic implications.”
It’s a pernicious cycle. We work longer hours, become more stressed, sleep less, impair our brain’s ability to clean up after all that hard work, and become even less able to sleep soundly. And if we reach for a sleeping pill to help us along? While work on the effects of sleeping aids on the glymphatic system remains to be done, the sleep researchers I spoke with agree that there’s no evidence that aided sleep is as effective as natural sleep.
There is, however, reason to hope. If the main function of sleep is to take out our neural trash, that insight could eventually enable a new understanding of both neurodegenerative diseases and regular, age-related cognitive decline. By developing a diagnostic test to measure how well the glymphatic system functions, we could move one step closer to predicting someone’s risk of developing conditions like Alzheimer’s or other forms of dementia: The faster the fluids clear the decks, the more effectively the brain’s metabolism is functioning.
“Such a test could also be used in the emergency room after traumatic brain injury,” Dr. Nedergaard says, “to see who is at risk of developing decline in cognitive function.”
We can also focus on developing earlier, more effective interventions to prevent cognitive decline. One approach would be to enable individuals who suffer from sleep loss to sleep more soundly — but how? Dr. Nedergaard’s mice were able to clear their brain’s waste almost as effectively under anesthesia as under normal sleeping conditions. “That’s really fascinating,” says Dr. Veasey. Though current sleeping aids may not quite do the trick, and anesthetics are too dangerous for daily use, the results suggest that there may be better ways of improving sleep pharmacologically.
Now that we have a better understanding of why sleep is so important, a new generation of drug makers can work to create the best possible environment for the trash pickup to occur in the first place — to make certain that our brain’s sleeping metabolism is as efficient as it can possibly be.
A second approach would take the opposite tack, by seeking to mimic the cleanup-promoting actions of sleep in the awake brain, which could make a full night of sound sleep less necessary. To date, the brain’s metabolic process hasn’t been targeted as such by the pharmaceutical industry. There simply wasn’t enough evidence of its importance. In response to the evolving data, however, future drug interventions could focus directly on the glymphatic system, to promote the enhanced cleaning power of the sleeping brain in a brain that is fully awake. One day, scientists might be able to successfully mimic the expansion of the interstitial space that does the mental janitorial work so that we can achieve maximally efficient round-the-clock brain trash pickup.
If that day comes, they would be on their way to discovering that all-time miracle drug: one that, in Dr. Veasey’s joking words, “could mean we never have to sleep at all.”

Maria Konnikova is the author of “Mastermind: How to Think Like Sherlock Holmes.”

A version of this op-ed appears in print on January 12, 2014, on page SR1 of the New York edition with the headline: Goodnight. Sleep Clean.





http://www.nytimes.com/2014/01/12/opinion/sunday/goodnight-sleep-clean.html

Tuesday, March 18, 2014

Chinatown On The Move

      I have to admit that as someone who grew up around San Francisco and is familiar with it's Chinatown, it is especially interesting that San Francisco's Chinatown has been surpassed.

Chinatown Revisited



BT 20140124 CHINATOWN24A 927449
Enclaves: (Above) A street vendor sells New Year decorations in Manhattan's historic Chinatown, home to successive waves of Chinese immigrants dating back to the 1870s; Harbor Palace restaurant in Chinatown Plaza, Las Vegas, a shopping complex built by a Taiwanese developer in 1995, which ended up spawning a three-mile stretch of Asian businesses. - PHOTO: NYT
MY mother is the oldest of five siblings, most of whom grew up in New York's Chinatown. They are voracious eaters and bargain hunters, and lifelong visitors to Chinese neighbourhoods everywhere. When we talk about a good Chinatown, we point to certain signs: live fish for sale, dragon eyes in sidewalk produce-displays, smokers, crowds.
A few years ago, I wrote a book about American Chinatowns and my family's history in them. People often ask, "What's your favourite Chinatown?" or "What do you look for?" I wondered if there was a shorthand I could offer, to sum up the best of the best. And so: fish, dragons, smoke, crowds.
Live fish mean that there are enough people buying to make the trouble of caring for the seafood worthwhile. The dragon eye - longan in Cantonese - is a strange fruit, a sweet, subtly fragrant exotic with coarse, sandpapery skin. Shaped like, well, an eyeball, it slips out of its brown covering to reveal translucent white flesh, with a hard mahogany seed inside.
You have to know how to eat it, by cracking the whole thing open like a peanut. Chinese people are crazy for longans. Like the aforementioned fish, its presence indicates a recently arrived populace desiring a range of fresh food - some of it still swimming - not usually seen in the corner grocery.
The smokers? In the United States the smoking rate is at a new low. Not so in China; it's the world's biggest consumer of cigarettes. As strange as it may seem, smoking is a strong cultural indicator that a Chinatown continues to serve a vibrant population of immigrants. A Chinese restaurant with a bunch of cooks smoking out back, or customers puffing while waiting for a table? Worth a try! It's one that's less likely to be Americanised.
New immigrants mean a certain density and that prices aren't too high. The more people, the better. These are signs to look for in a good Chinatown, especially as Lunar New Year celebrations on Jan 31 bring a crush of visitors. Of course, Chinatowns in this country come in markedly different incarnations these days. Years ago, they were dense neighboorhoods in big cities such as San Francisco and New York, serving as refuges from racism, entry points to America, residential and cultural epicentres of Chinese-American life.
This is the rule no longer. Many of the historic Chinatowns, like those in Los Angeles, Philadelphia, and Portland, Oregon, have faded. New patterns of Chinese migration send upwardly mobile populations straight to big houses in the suburbs and job opportunities in cities far from the coasts.
That's all fine and good, you say, but what's the best? To me, the differences between Chinatowns are to be celebrated; the good ones reflect life in all its rhythms. To that end, I recently revisited the question of my favourites with a "best in class" approach. I went in search of fish and dragons. Here's what I found.
Traditional: New York City for its milieu, markets and history
Manhattan's longstanding Chinatown has a centrality and a feeling of constant renewal, a vibrant depth, that beats out other historic Chinatowns in cities such as San Francisco and Chicago.
The New York chef Wylie Dufresne, of the restaurants WD-50 and Alder, regularly walks around Chinatown sniffing out weird, beautiful, bright ingredients in Hong Kong Supermarket on Hester Street.
"By going there, you can pick it out yourself," he said. "You can hold it in your hand. And there is always the opportunity you'll come across not just one or two, but 20 things you've never encountered before."
For Dufresne, celebrated for his novel approaches to cooking - palm seeds infused with Angostura bitters, a pig in a blanket that features Chinese sausage and bread pushed through a pasta maker - the surprising "urban pantry" that is Manhattan's Chinatown is a jolt to creativity.
Suburban: Monterey Park, Ca
This is the "Chinese Beverly Hills," in Californa, known for its variety of food and epic concentration of Chinese.
Ten miles east of downtown Los Angeles, Monterey Park is the first American city with a majority population of Asians; nearly 50 percent are of Chinese descent (in 2010, the city's total population was 60,269).
A trip here is a special experience, different from travelling abroad, because in many ways it is just like any American suburb, except that everyone is Asian and businesses have Chinese signages and are housed in mini-mall complexes with names such as Jade Plaza.
David Chan, a third-generation Chinese-American and LA accountant who writes a food blog and is famous for eating at and documenting 6,000-plus Chinese restaurants around the world, has said that what qualifies as "authentic" Chinese cuisine is whether a Chinese person living in Monterey Park would deign to dine there. Right in town, you can eat your way across China. But he also told me that Monterey Park has grown into a bigger metaphor, representing the whole of what the San Gabriel Valley has become.
Fabricated: Las Vegas
Las Vegas's Chinatown gets the "man-made" tag for pioneering an invented Chinatown mall experience that has come to be its own authentic creation. Honourable mention for most promising micro-Chinatown: Austin.
Las Vegas is best known for all things man-made. In 1995, inspired by his experience in Los Angeles's Chinatown in the 1970s, a Taiwanese developer named James Chen opened a shopping complex, Chinatown Plaza, just west of the neon lights of the Vegas Strip. Since then, a bona fide Chinatown has unexpectedly bloomed in the desert, with the area's fast-growing community turning Spring Mountain Road into a busy three-mile stretch of Asian businesses.
A sign this Chinatown is legit? A stop here is now de rigueur for tourists from China, who come to eat, take photos and check the attraction off their lists.
A cluster of cities such as Houston, Atlanta, Salt Lake City and Raleigh-Durham in North Carolina have tried to market their Chinese-themed malls to tourists, as if having a Chinatown lends cachet.
Worth noting for a fledgling Chinatown in this manufactured, pan-Asian category is Austin, a laid-back city, home to the University of Texas, that in recent years has seen its tech industry and South by Southwest festival take off. - NYT

http://www.nytimes.com/2014/01/26/travel/chinatown-revisited.html

GMO's In Paradise

  Lots of versions -

A Lonely Quest for Facts on Genetically Modified Crops




KONA, Hawaii (The New York Times) — From the moment the bill to ban genetically engineered crops on the island of Hawaii was introduced in May 2013, it garnered more vocal support than any the County Council here had ever considered, even the perennially popular bids to decriminalize marijuana. 
 
Papaya genetically modified to resist a virus became one part of a controversy. 
 
Public hearings were dominated by recitations of the ills often attributed to genetically modified organisms, or G.M.O.s: Cancer in rats, a rise in childhood allergies, out-of-control superweeds, genetic contamination, overuse of pesticides, the disappearance of butterflies and bees. 
 
Like some others on the nine-member Council, Greggor Ilagan was not even sure at the outset of the debate exactly what genetically modified organisms were: living things whose DNA has been altered, often with the addition of a gene from a distant species, to produce a desired trait. But he could see why almost all of his colleagues had been persuaded of the virtue of turning the island into what the bill’s proponents called a “G.M.O.-free oasis.” 
 
“You just type ‘G.M.O.’ and everything you see is negative,” he told his staff. Opposing the ban also seemed likely to ruin anyone’s re-election prospects. 
Yet doubts nagged at the councilman, who was serving his first two-year term. The island’s papaya farmers said that an engineered variety had saved their fruit from a devastating disease. A study reporting that a diet of G.M.O. corn caused tumors in rats, mentioned often by the ban’s supporters, turned out to have been thoroughly debunked. 
 

Tangible benefits
 
And University of Hawaii biologists urged the Council to consider the global scientific consensus, which holds that existing genetically engineered crops are no riskier than others, and have provided some tangible benefits. 
 
“Are we going to just ignore them?” Ilagan wondered. 
 
Urged on by Margaret Wille, the ban’s sponsor, who spoke passionately of the need to “act before it’s too late,” the Council declined to form a task force to look into such questions before its November vote. But  Ilagan, 27, sought answers on his own. In the process, he found himself, like so many public and business leaders worldwide, wrestling with a subject in which popular beliefs often do not reflect scientific evidence. 
 
At stake is how to grow healthful food most efficiently, at a time when a warming world and a growing population make that goal all the more urgent. 
 
Scientists, who have come to rely on liberals in political battles over stem-cell research, climate change and the teaching of evolution, have been dismayed to find themselves at odds with their traditional allies on this issue. Some compare the hostility to G.M.O.s to the rejection of climate-change science, except with liberal opponents instead of conservative ones. 
 
“These are my people, they’re lefties, I’m with them on almost everything,” said Michael Shintaku, a plant pathologist at the University of Hawaii at Hilo, who testified several times against the bill. “It hurts.” 
But, supporters of the ban warned, scientists had not always correctly assessed the health and environmental risks of new technology. “Remember DDT?” one proponent demanded. 
 

Cultivation of GE crops
 
Wille’s bill would ban the cultivation of any genetically engineered crop on the island, with the exception of the two already grown there: Corn recently planted by an island dairy to feed its cows, and papaya. Field tests to study new G.M.O. crops would also be prohibited. Penalties would be $1,000 per day. 
 
Like three-quarters of the voters on Hawaii Island, known as the Big Island, Ilagan supported President Obama in the 2012 election. When he took office himself a month later, after six years in the Air National Guard, he planned to focus on squatters, crime prevention and the inauguration of a bus line in his district on the island’s eastern rim. 
 
He had also promised himself that he would take a stance on all topics, never registering a “kanalua” vote — the Hawaiian term for “with reservation.” 
 
But with the G.M.O. bill, he often despaired of assembling the information he needed to definitively decide. Every time he answered one question, it seemed, new ones arose. Popular opinion masqueraded convincingly as science, and the science itself was hard to grasp. 
 
People who spoke as experts lacked credentials, and G.M.O. critics discounted those with credentials as being pawns of biotechnology companies. 
“It takes so much time to find out what’s true,” he complained. 
 
So many emails arrived in support of the ban that, as a matter of environmental responsibility, the Council clerks suspended the custom of printing them out for each Council member. But Ilagan had only to consult his inbox to be reminded of the prevailing opinion.
 
“Do the right thing,” one Chicago woman wrote, “or no one will want to take a toxic tour of your poisoned paradise.”

http://www.nytimes.com/2014/01/05/us/on-hawaii-a-lonely-quest-for-facts-about-gmos.html?emc=edit_tnt_20140104&tntemail0=y

Classical Music Marketing On You Tube

Music marketing..........

October 11, 2013

Concerto for Piano and YouTube

Visitors browsing through the YouTube channel of the pianist Valentina Lisitsa can watch her in hundreds of videos. There are live webcams of her practicing at her home in North Carolina, long blonde hair tossing and brow furrowed in concentration as she reads through new works. There she is in a red gown playing Schumann’s “Traumerei” at a concert in Seoul, and recording Rachmaninoff’s Concerto No. 3 at the Abbey Road Studios in London.
Ms. Lisitsa, 43, resurrected a completely stalled career through YouTube. Since posting her first video in 2007, she has attracted more than 62 million views and some 105,000 subscribers to her channel. This Ukrainian-born pianist now has a busy calendar and a contract with Decca, which recently released her new Liszt disc. She will open the 92nd Street Y’s fall season on Saturday with a program of Rachmaninoff, Shostakovich, Chopin and Liszt; the works were selected by an online vote.
“I was sitting alone in North Carolina eating potato chips, blaming everyone, blaming my parents,” Ms. Lisitsa said in a recent interview in Manhattan. “It’s a sinkhole, and it’s very difficult to get out. It’s only when you stop trying to find faults and start doing something constructive that you will survive.” She added, “It’s just good for you as a human not to dwell on your disasters.”
Casually dressed in jeans, glittery flip-flops and an orange shirt she had bought for her son, Ms. Lisitsa was frazzled but gregarious after a trip to New York from Paris. She spoke about the low points in her career, including a Christmas when her application to perform in a concert at a nursing home was rejected and a stint selling housewares on eBay.
Ms. Lisitsa’s eureka moment came when reading a child’s version of “1,001 Nights” to her son, Benjamin, now 8. “There were all those beautiful women, like another blonde Russian pianist,” she said. “They all got killed after the first night. This one did not. Why not? She came with a story. You have to invent your story. You can call it gimmicky, but whatever works. Something that stops making you a commodity.”
Earlier in her career, Ms. Lisitsa said, she felt like a commodity herself, an “easily interchangeable” female musician who could be called upon at the last minute to wear a fancy gown and trot out Tchaikovsky and Rachmaninoff.
She had begun her career as a duo pianist with her husband, Alexei Kuznetsoff. After winning a competition in 1991, they obtained management, but the engagements dried up. “We were naïve and thought that if you play well, people will notice you,” she said. “But music is a luxury product, and if you see a Mont Blanc pen or Rolex watch in Walmart, people will just pass by. It has to come with a certain package, and you have to have your own audience.”
After a midlife crisis when she considered quitting music, Ms. Lisitsa decided to be proactive. Her husband filmed her playing Chopin’s 24 Études, which they released as a DVD on Amazon.com in 2007. The couple were initially irritated when people uploaded sections to YouTube, but they decided to upload the entire DVD themselves as a promotion. The tactic worked, and sales increased. They took another gamble when they spent their life savings to hire the London Symphony Orchestra so Ms. Lisitsa could record the four Rachmaninoff concertos, which Decca has now released.
Niall O’Rourke, the creative director at Decca’s London office, said Ms. Lisitsa’s use of YouTube was new territory for the label’s classical artists. “It’s more of pop approach,” he said, noting the success of Justin Bieber and others discovered on YouTube. “Valentina was on our radar, and when we saw how many YouTube followers she had, we wondered how to tap into that fan base. It was an experiment.” Other classical musicians, like the violinist Hilary Hahn (with whom Ms. Lisitsa recorded sonatas by Ives), are certainly active on YouTube, but Ms. Lisitsa is one of the first to have built a highly successful career via the medium.
On a video called “I Hate Rachmaninoff,” Ms. Lisitsa describes how she rebelled against his music when pressured to perform it in competitions in Ukraine, saying, “I didn’t want to touch his music with dirty, competition hands.” In Rachmaninoff and the other works she has recorded, she is passionate, communicative and deeply expressive. Reviewing her performance of the Liszt Concerto with the Warsaw Philharmonic, Steve Smith wrote in The New York Times that “Ms. Lisitsa’s range of colors and expressive shadings was consistently impressive; in the second movement she executed trills with an attention-grabbing precision.”
While speaking to the audience at her Live From the Albert Hall concert (which was recorded for CD and DVD), she self-deprecatingly remarked that her microphone would need a Slavic filter to process her heavy accent, before joking about the soccer match between England and Ukraine taking place at the same time as the concert.
Ms. Lisitsa grew up in Kiev, Ukraine, where she began playing at 3. Her mother, Valentina, a seamstress, encouraged her to become a music teacher. After studies at the Kiev Conservatory and a stint as a serious chess player, the pianist and her husband immigrated to America. After living in Indiana and Miami Beach, they bought a house in a rural, wooded area east of Raleigh. One video on her channel is called “Practicing Piano in North Carolina During Hurricane Irene.”
Below the video are Ms. Lisitsa’s comments about the experience. She actively engages her fans on social media. Unlike the polite feeds of some other classical artists, Ms. Lisitsa, a self-described “contrarian,” is argumentative and outspoken, tweeting about politics and berating concert promoters who have irked her.
Her liberal attitude to listeners photographing or recording her concerts distinguishes her from many of her colleagues. At pop events, audience members ubiquitously record the music, but the practice is invariably prohibited at formal classical spaces. At Carnegie Hall, ushers zealously race down the aisles to berate any device-toting offenders publicly.
In June, during a concert in Essen, Germany, the Polish pianist Krystian Zimerman stopped performing after becoming distracted by an audience member filming him. He left the stage; when he returned, he told the audience, “The destruction of music because of YouTube is enormous,” claiming that he had been refused recording contracts because his music was already online.
The violinist James Ehnes has also expressed concern about YouTube. After noticing someone filming one of his performances and feeling “surprise and mild annoyance,” he wrote an article for The Huffington Post about his conflicted feelings regarding the ethical and economic issues of illicit recordings.
Classical music needs to evolve more quickly, Ms. Lisitsa said. “There is a long train, and we’re the last car in the train. Pop music is the first car. Now, any new song Lady Gaga does, she puts on YouTube first. And I don’t think she has trouble selling her CDs.”
Far from destroying classical music, Ms. Lisitsa said, YouTube will create a new audience. “We are perpetually complaining about our audiences being old,” she said.
“They are always dying but never quite die, because there will always be more old people,” she added, referring to a letter that Chopin wrote about one concert at which there were no young people in the audience because it was the start of hunting season.
“Just as kids who initially like bubbly and graduate to fine wine, some people will graduate to the finer elements of classical music via YouTube,” she said.
The medium also offers listeners a chance to decide for themselves, she said. “The movers and shakers find and proclaim ‘the next Horowitz,’ then it drips down to the people, with the perfect recording and glossy magazines,” she said. “Then if deep inside people don’t enjoy it, they feel guilty and that they’re not educated enough to enjoy it.” As with a restaurant, if the food or service is horrid “you just don’t go back,” she said. “You don’t think ‘I’m not educated enough to comprehend this octopus with chocolate crumble.’ ”
What is needed in the digital era, she said, is a measure of device etiquette. “People know when they go to restaurants, they are not supposed to burp,” she said. “So when they go to concerts, they can take off the flash off the camera.”
YouTube also presents a challenge to maintaining the unhealthy status quo of perfection in the classical industry. Every tiny flaw can forever be immortalized on video, which in turn can stifle artists from taking risks, resulting in note-perfect boring performances.
There have been many brutal comments posted under Ms. Lisitsa’s own videos about her wrong notes and imperfections. “You get a thick skin,” she said. But she rushes online to stand up for other musicians. She once defended the pianist Mitsuko Uchida from nitpicky YouTube commenters highlighting a microscopic error in one of Ms. Uchida’s live performances.
“Classical musicians behave in the same way as young girls looking at fashion magazines and starving themselves,” Ms. Lisitsa said. “Would-be musicians are starving themselves emotionally and intellectually just to be perfect.”
http://www.nytimes.com/2013/10/13/arts/music/valentina-lisitsa-jump-starts-her-career-online.html?_r=0

Corporate Security - You Have No Rights, Confess Now

  Yet another example of corporations running roughshod over anyone in their way. I first became aware in the 1970s of corporations staffing their security departments with all sorts of retired and ex- law enforcement people. From a hiring perspective it makes sense. On a practical level it further erodes the blurred lines between corporations and government. And in the process, some people get hurt.

When Employees Confess, Sometimes Falsely



When an AutoZone investigator approached Chris Polston, asking for his help investigating a theft, Mr. Polston was happy to oblige.
He was 20, had worked for AutoZone all through high school in Maryland, and, after graduation, moved to take a job with the chain in Houston. He and his wife had a child on the way, and he thought that AutoZone, the car parts retailer, could be a place to build a career.
That morning in 2010, it all came undone.
According to an account of the day given by Mr. Polston in interviews and in a civil suit against AutoZone, Conrad Castillo, an AutoZone investigator, sat him down in the store’s overstock room between a cinder-block wall and a row of batteries. At first, he said, the investigator was friendly, making small talk about the joys of fatherhood. “He was talking to me as if we’d known each other for 10 years and we were at a barbecue,” Mr. Polston said.
Then Mr. Castillo’s tone changed, Mr. Polston said: Mr. Castillo asked him to sign a statement that said he was not recording their talk. After Mr. Polston signed it, Mr. Castillo accused him of having stolen auto parts. When Mr. Polston denied the accusation, Mr. Castillo insisted. He pointed to a DVD that he said contained proof that Mr. Polston had stolen parts. Mr. Castillo, however, would not let Mr. Polston review the DVD. (In his own testimony, Mr. Castillo, who did not respond to requests for comment, denied showing Mr. Polston a DVD; he said he found Mr. Polston deceptive and hostile.)
Photo
Chris Polston says that while he was employed at an AutoZone store in Houston a company investigator interviewed him for two hours, wrongly accusing him of stealing auto parts. Credit J.M. Eddins Jr. for The New York Times
“It just became a battle between me and him of me saying no and him saying yes, me saying no, him saying yes,” Mr. Polston said. “I told him I had to go; I have to get my wife to work. He said you’re not allowed to leave. He said, if I confessed, he could promise I wouldn’t lose my job, wouldn’t be charged, everything would be O.K.”
After about two hours, Mr. Castillo said he was going to have to call the authorities. Mr. Polston watched him go to a corner of the store and make a call on his cellphone. When Mr. Castillo returned, he asked Mr. Polston if he had anything to add.
Mr. Polston imagined the police arresting him for a theft he had not committed, and having to explain that to his family. “I had to say something to make him shut up,” he said. “He was just drilling and drilling and drilling. I said, look, only thing I didn’t pay for was a candy bar and soda.”
Suddenly, the interrogation was over. Mr. Castillo took Mr. Polston’s keys and escorted him from the store. The next day, he was fired for theft of the candy and soda. Stolen auto parts were not mentioned.
AutoZone is the country’s largest auto-parts retailer, with about 5,000 stores in the United States and Mexico and more than $9 billion in annual sales. A public company with a share price that has more than tripled in the last five years, it has more than 70,000 workers, and every year some steal money or inventory.
Losses from employee theft cost American retailers $16 billion a year, according to the National Retail Security Survey. That number is almost half the amount lost to shoplifting, and the problem can be very hard to stop. “Once an employee is hired, they have keys and access codes,” said Richard C. Hollinger, a professor of criminology and law at the University of Florida, who compiled the survey. “They’re very hard to deter and very hard to catch.” Sometimes, he said, there is hard evidence, like a video, but that is rare. “Mostly what you have is a cash register that’s a couple hundred dollars short and a couple of people who might be suspects,” he said.
And what is to be done with those suspects? Increasingly over the last 20 years, retailers have turned to internal investigations, often using investigators trained in the same interview and interrogation methods as the police. Their job is to ferret out employee thieves and get them to confess. “An admission makes the case much, much stronger,” Mr. Hollinger said.
But as retailers have used the same methods as the police, they have come under criticism for some of the same unintended results: false confessions.
Retailers don’t think this is a big problem. “Is there a prevalence of false confessions in retail? I’d have to say no,” said Rich Mellor, a recently retired vice president for loss prevention at the National Retail Federation. Loss-prevention people, he said, know that coercion can cost them their jobs and lead to expensive lawsuits.
Because retailers are reluctant to talk to the press, he added, the public generally gets only the former employee’s side of the story, meaning that a lot of cases that seem to be false confessions may not be.
AutoZone did not reply to requests for comment, but lawsuits filed since 2000 have opened a window into how its loss-prevention department operates. Sean Simpson and Charles Moore of the Simpson-Moore law firm in San Diego have represented 10 former AutoZone employees, including Mr. Polston, in lawsuits against the company.
The first was filed in 2001 by Joaquin Robles, an AutoZone employee in San Diego who had helped put store deposits into an armored truck. One day, when the truck arrived at the bank, $820 was missing, and Octavio Jara, a loss-prevention investigator, was sent to speak with him. According to Mr. Robles’s subsequent testimony, Mr. Jara questioned him for nearly three hours, accusing him of stealing the money and telling him that if he would confess, he could keep his job. Otherwise, Mr. Jara would have to call the police.
Eventually, Mr. Robles signed a confession, apologizing for taking the money, which he said he needed to pay family debts. In July 2000, AutoZone fired him, recovering the stolen money from his last paycheck. Two weeks later, the bank found the money. It had been misplaced, not stolen. This did not, however, win Mr. Robles his job back.
Mr. Robles sued AutoZone and Mr. Jara, contending that he had been falsely imprisoned by being detained by his employers. Mr. Simpson and Mr. Moore presented three former AutoZone employees who testified that Mr. Jara had done the same thing to them. (Mr. Jara did not respond to repeated requests for comment.) In a subsequent trial over punitive damages, the lawyers turned to AutoZone’s internal loss-prevention manual to argue that the tactics Mr. Jara had used on Mr. Robles simply followed company policy.
The manual, which the company stopped using after the Robles trial, laid out a script for the standard interview. After taking the suspect to an isolated place and making sure that the conversation wasn’t being recorded, the investigator would make small talk to build rapport. Then he or she would ask questions, like whether the suspect thought that a theft had occurred. An employee who answered, “Yes, it was probably stolen,” was considered more likely to be innocent than one who said, “No, I’m sure it was a mistake.” An employee who slouched in a seat was considered likely to be hiding something.
If the employee was deemed guilty, the manual instructed the investigator to get an admission. First, the investigator would tell the employee that AutoZone knows that he or she is guilty, brushing aside any denials. To make the case appear solid, the manual encouraged using props like “bulging files” or videocassettes.
Next came a process called minimization and rationalization, intended to make it “easier for an AutoZoner to admit wrongdoing.” One common example, which Mr. Robles said Mr. Jara used with him, was to distinguish between need and greed. “Did you take the money to support your family,” the manual encouraged investigators to ask, “or was it for drugs?”
The interrogation system prescribed in AutoZone’s former manual closely follows the dominant methods used throughout the retail industry, as well as by police departments across the country.
It is based on the Reid Technique, which was invented in the 1930s by Fred E. Inbau, a Northwestern University law professor, and John E. Reid, a Chicago police officer and forensics tinkerer. In 1947, Mr. Reid went into business as a private contractor, selling his services as a professional investigator to police departments across the country and teaching his method. In the early 1980s, two Reid investigators, Douglas E. Wicklander and David E. Zulawski, formed a company to teach the method to the private sector, where their classes are now the industry standard for interview and interrogation training.
Today, Wicklander-Zulawski & Associates, according to its website, provides training to many major American retailers. Several clients that Wicklander lists, including Walmart, United Parcel Service and Costco, are defending against false-confession litigation. (Wicklander-Zulawski, which did not respond to requests for comment, is not a defendant in any of the suits, and it could not be determined what services the company provided these clients or when they were provided.) In addition, class-action lawsuits were filed recently against Home Depot and Macy’s, accusing them of using their loss-prevention departments to coerce confessions from customers suspected of shoplifting.
It’s hard to know how widespread false confessions are. In retailing, “the dirty little secret is that there are no data,” said Saul Kassin, a psychologist at the John Jay College of Criminal Justice and a specialist in the issue. “As far as I can tell, normal people who sign confessions to thefts they didn’t commit tend to be embarrassed, don’t want to come forward. Cases are more likely to settle quietly.”
Almost since the Reid method was invented, psychologists and lawyers have feared that, if misused, it could prompt innocent people to confess.
In 1966, the Supreme Court, looking at an earlier version of the Reid manual in Miranda v. Arizona, concluded that police interrogations existed only “to subjugate the individual to the will of his examiner.” Without legal protections, the court ruled, no statement could be viewed as made by free choice. These protections, which would become known as the Miranda rights, require the police to remind suspects that they have the right to remain silent and to have a lawyer present.
Despite the Miranda rights, evidence has mounted in the last 20 years that false confessions are more common than one might expect. And the Miranda rights apply only to criminal investigations, not to internal corporate investigations.
When deposed for the Robles trial, Mr. Jara testified that he had obtained admissions in 98 percent of his interviews. According to Dr. Kassin, if Mr. Jara’s numbers are accurate, it is all but certain that he has obtained “a lot of false confessions.” Mr. Jara also testified that he had followed AutoZone policy, which prohibited him from making threats or promises. “You want to gather the facts,” he said. “If they admit to what they’ve done, good. If they don’t, they don’t.”
At trial in San Diego County Superior Court, AutoZone did not contend that Mr. Robles’s confession was true. Instead, the company’s lawyer asserted that Mr. Robles could have left the interview whenever he wanted: Mr. Jara had interviewed him at work, with the door open.
Following standard practice, however, Mr. Robles was kept on the payroll clock during his interview. “How free really was he to get up and leave the workplace, on a workday, during his own shift, without being fired?” asked Dr. Kassin, who testified as an expert at Mr. Robles’s trial. “He was for all practical purposes in custody.”
The jurors agreed. In 2006, they found that AutoZone and Mr. Jara had falsely imprisoned Mr. Robles and used fraud to make him confess. They awarded him $7.5 million; AutoZone appealed, and the damages were reduced to less than $700,000.
After that, Mr. Simpson and Mr. Moore took more cases representing former AutoZone employees who contended that they had been forced into false confessions. Three ended in judgments in the plaintiff’s favor, although AutoZone appealed all of them; two of the appeals are pending but a California appellate court upheld the other judgment against AutoZone last month. In another case, Gomez et al. v. AutoZone, a San Diego County jury found that Mr. Jara had used fraud to get confessions from three employees, but the jury did not award damages. The lawyers have three additional suits in progress against AutoZone, including Mr. Polston’s.
In a 2008 deposition for Gomez v. AutoZone, Elizabeth Rabun, head of AutoZone’s loss-prevention office, testified that her department conducted 2,000 to 3,000 loss-prevention interviews a year. Every loss is investigated, she testified, and virtually every investigation involves an interview. While employees who confess are normally fired, she said the company does not threaten to call the police. “We do not use coercion,” she said.
In a 2013 deposition for the Polston suit, Ms. Rabun testified that the false confessions had prompted AutoZone to make changes. For example, after the Robles verdict, the company stopped using its manual and hired Wicklander-Zulawski to train investigators directly. She testified, however, that the company continues to interview workers while they are clocked in and without a lawyer present. She also testified that AutoZone still forbids the taping of interviews, citing a concern that the tapes could be “manipulated.”
While recording of interrogations is now mandatory for police interrogators in 17 states and the District of Columbia, the first question on AutoZone’s question-and-answer form, filled out by every loss-prevention investigator at the start of an interview, is this: “Do you understand recording this interview is a violation of AutoZone policy?”
Mr. Moore said that means that at AutoZone, “It’s still the Wild West.” Part of the problem, he said, is that once the investigator gets a confession, the investigation generally stops.
In Mr. Polston’s case, the store manager later testified that he had given Mr. Polston the candy bar and soda he was fired for stealing. But Mr. Castillo testified that he never talked to the manager.
Mr. Simpson asked Ms. Rabun in a deposition why Mr. Polston had been interviewed at all — in Texas, workers can be fired without cause, which means that if AutoZone suspected Mr. Polston of theft, it could have fired him without an interview. 
“Well,” she said, “I think part of our obligation as an employer is to bring the allegation to the individual that is maybe being accused of wrongdoing and give them a chance to give their side of the story.”
Mr. Moore offers a darker motive, suggesting that AutoZone managers have at times used loss prevention to get confessions from employees it wants to fire for other reasons. In 2010, Mr. Moore and Lawrance A. Bohm, a Sacramento lawyer, won a suit on behalf of Travis Kell, who, after reporting his manager to human resources, accusing the manager of making racist remarks, received a visit from Mr. Jara. According to the lawsuit, the investigator pressed Mr. Kell to admit to falsifying an internal audit. After Mr. Kell admitted only to rushing the audit, he was fired for what AutoZone termed falsification of documents.
At trial, Mr. Moore and Mr. Bohm presented evidence that another loss-prevention manager had falsified the audit to frame Mr. Kell. The jury awarded Mr. Kell $1.4 million in punitive damages. The verdict was upheld, with reduced damages, in California appellate court last month.
Mr. Polston said that after he confessed, falsely, to stealing the candy bar and soda, he went to his car and cried. The worst part, he said, was the sense of betrayal. “It changed my whole perspective about everything,” he said. “I was raised to give trust to people until they broke it. But I’m not going to raise my kids that way. I don’t want them to be blindsided like I was.”
His lawsuit is scheduled to go to trial in July in Harris County District Court in Houston, where he is seeking $300,000 to $400,000 in compensatory and punitive damages. But he says he is not concerned about winning money from AutoZone. He has a good job now, doing collision repair for BMW. What he wants is more subtle, something that he says he was denied by his interrogator.
“This time I’m going to get to say how I feel, without some loss-prevention person talking down to me and belittling me,” he said. “I’m going to get to say my side of the story.”

A version of this article appears in print on March 9, 2014, on page BU1 of the New York edition with the headline: When Employees Confess, Sometimes Falsely


http://www.nytimes.com/2014/03/09/business/when-employees-confess-sometimes-falsely.html?ref=business

Monday, March 17, 2014

College Grads: Playing It Safe Is OK


From The New York Times - Corner Office -


This interview (exert) with Saundra Pelletier, chief executive of WomanCare Global, a nonprofit provider of health care products, was conducted and condensed by Adam Bryant. Ms. Pelletier is also C.E.O. of Evofem Inc., a biotechnology company.

What career advice would you offer new college graduates?
This might be unpopular. But it’s O.K. to play it safe. I think we get very caught up these days in the idea of following your heart and your dreams and don’t settle for less. But thinking you can bring your wildest dreams to life without paying dues is “cuckoo for Cocoa Puffs.” It’s great that you want to start an organic farm in Guatemala. It’s wonderful to have those aspirations, and it’s great to deliberately work toward whatever it is you want. But there’s value in pragmatism.
It’s O.K. to be safe out of the gate, to start building a foundation to get where you eventually want to be. Don’t worry that it doesn’t make your heart sing. Don’t worry that you don’t get up every day and think, “Wow.” You’ve got to learn things and make mistakes and pay your dues and do different jobs. Sometimes those steppingstones teach us the best lessons. I’m not trying to squash anyone’s dreams. The point is that you have to be practical and reasonable. I think more kids need to hear that. 

http://www.nytimes.com/2014/02/09/business/saundra-pelletier-on-embracing-organized-chaos.html

Antibiotic Mass Experiment - You And You And You And.........

     If antibiotics make animals grow larger, why wouldn't they make humans grow larger?

The Fat Drug


IF you walk into a farm-supply store today, you’re likely to find a bag of antibiotic powder that claims to boost the growth of poultry and livestock. That’s because decades of agricultural research has shown that antibiotics seem to flip a switch in young animals’ bodies, helping them pack on pounds. Manufacturers brag about the miraculous effects of feeding antibiotics to chicks and nursing calves. Dusty agricultural journals attest to the ways in which the drugs can act like a kind of superfood to produce cheap meat.
But what if that meat is us? Recently, a group of medical investigators have begun to wonder whether antibiotics might cause the same growth promotion in humans. New evidence shows that America’s obesity epidemic may be connected to our high consumption of these drugs. But before we get to those findings, it’s helpful to start at the beginning, in 1948, when the wonder drugs were new — and big was beautiful.
That year, a biochemist named Thomas H. Jukes marveled at a pinch of golden powder in a vial. It was a new antibiotic named Aureomycin, and Mr. Jukes and his colleagues at Lederle Laboratories suspected that it would become a blockbuster, lifesaving drug. But they hoped to find other ways to profit from the powder as well. At the time, Lederle scientists had been searching for a food additive for farm animals, and Mr. Jukes believed that Aureomycin could be it. After raising chicks on Aureomycin-laced food and on ordinary mash, he found that the antibiotics did boost the chicks’ growth; some of them grew to weigh twice as much as the ones in the control group.
Mr. Jukes wanted more Aureomycin, but his bosses cut him off because the drug was in such high demand to treat human illnesses. So he hit on a novel solution. He picked through the laboratory’s dump to recover the slurry left over after the manufacture of the drug. He and his colleagues used those leftovers to carry on their experiments, now on pigs, sheep and cows. All of the animals gained weight. Trash, it turned out, could be transformed into meat.
You may be wondering whether it occurred to anyone back then that the powders would have the same effect on the human body. In fact, a number of scientists believed that antibiotics could stimulate growth in children. From our contemporary perspective, here’s where the story gets really strange: All this growth was regarded as a good thing. It was an era that celebrated monster-size animals, fat babies and big men. In 1955, a crowd gathered in a hotel ballroom to watch as feed salesmen climbed onto a scale; the men were competing to see who could gain the most weight in four months, in imitation of the cattle and hogs that ate their antibiotic-laced food. Pfizer sponsored the competition.
In 1954, Alexander Fleming — the Scottish biologist who discovered penicillin — visited the University of Minnesota. His American hosts proudly informed him that by feeding antibiotics to hogs, farmers had already saved millions of dollars in slop. But Fleming seemed disturbed by the thought of applying that logic to humans. “I can’t predict that feeding penicillin to babies will do society much good,” he said. “Making people larger might do more harm than good.”
Nonetheless, experiments were then being conducted on humans. In the 1950s, a team of scientists fed a steady diet of antibiotics to schoolchildren in Guatemala for more than a year,while Charles H. Carter, a doctor in Florida, tried a similar regimen on mentally disabled kids. Could the children, like the farm animals, grow larger? Yes, they could.
Mr. Jukes summarized Dr. Carter’s research in a monograph on nutrition and antibiotics: “Carter carried out a prolonged investigation of a study of the effects of administering 75 mg of chlortetracycline” — the chemical name for Aureomycin — “twice daily to mentally defective children for periods of up to three years at the Florida Farm Colony. The children were mentally deficient spastic cases and were almost entirely helpless,” he wrote. “The average yearly gain in weight for the supplemented group was 6.5 lb while the control group averaged 1.9 lb in yearly weight gain.”
Researchers also tried this out in a study of Navy recruits. “Nutritional effects of antibiotics have been noted for some time” in farm animals, the authors of the 1954 study wrote. But “to date there have been few studies of the nutritional effects in humans, and what little evidence is available is largely concerned with young children. The present report seems of interest, therefore, because of the results obtained in a controlled observation of several hundred young American males.” The Navy men who took a dose of antibiotics every morning for seven weeks gained more weight, on average, than the control group.
MEANWHILE, in agricultural circles, word of the miracle spread fast. Jay C. Hormel described imaginative experiments in livestock production to his company’s stockholders in 1951; soon the company began its own research. Hormel scientists cut baby piglets out of their mothers’ bellies and raised them in isolation, pumping them with food and antibiotics. And yes, this did make the pigs fatter.
Farms clamored for antibiotic slurry from drug companies, which was trucked directly to them in tanks. By 1954, Eli Lilly & Company had created an antibiotic feed additive for farm animals, as “an aid to digestion.” It was so much more than that. The drug-laced feeds allowed farmers to keep their animals indoors — because in addition to becoming meatier, the animals now could subsist in filthy conditions. The stage was set for the factory farm.
And yet, scientists still could not explain the mystery of antibiotics and weight gain. Nor did they try, really. According to Luis Caetano M. Antunes, a public health researcher at the Oswaldo Cruz Foundation in Brazil, the attitude was, “Who cares how it’s working?” Over the next few decades, while farms kept buying up antibiotics, the medical world largely lost interest in their fattening effects, and moved on.
In the last decade, however, scrutiny of antibiotics has increased. Overuse of the drugs has led to the rise of antibiotic-resistant strains of bacteria — salmonella in factory farms and staph infections in hospitals. Researchers have also begun to suspect that it may shed light on the obesity epidemic.
In 2002 Americans were about an inch taller and 24 pounds heavier than they were in the 1960s, and more than a third are now classified as obese. Of course, diet and lifestyle are prime culprits. But some scientists wonder whether there could be other reasons for this staggering transformation of the American body. Antibiotics might be the X factor — or one of them.
Martin J. Blaser, the director of the Human Microbiome Program and a professor of medicine and microbiology at New York University, is exploring that mystery. In 1980, he was the salmonella surveillance officer for the Centers for Disease Control and Prevention, going to farms to investigate outbreaks. He remembers marveling at the amount of antibiotic powder that farmers poured into feed. “I began to think, what is the meaning of this?” he told me.
Of course, while farm animals often eat a significant dose of antibiotics in food, the situation is different for human beings. By the time most meat reaches our table, it contains little or no antibiotics. So we receive our greatest exposure in the pills we take, rather than the food we eat. American kids are prescribed on average about one course of antibiotics every year, often for ear and chest infections. Could these intermittent high doses affect our metabolism?
To find out, Dr. Blaser and his colleagues have spent years studying the effects of antibiotics on the growth of baby mice. In one experiment, his lab raised mice on both high-calorie food and antibiotics. “As we all know, our children’s diets have gotten a lot richer in recent decades,” he writes in a book, “Missing Microbes,” due out in April. At the same time, American children often are prescribed antibiotics. What happens when chocolate doughnuts mix with penicillin?
The results of the study were dramatic, particularly in female mice: They gained about twice as much body fat as the control-group mice who ate the same food. “For the female mice, the antibiotic exposure was the switch that converted more of those extra calories in the diet to fat, while the males grew more in terms of both muscle and fat,” Dr. Blaser writes. “The observations are consistent with the idea that the modern high-calorie diet alone is insufficient to explain the obesity epidemic and that antibiotics could be contributing.”
The Blaser lab also investigates whether antibiotics may be changing the animals’ microbiome — the trillions of bacteria that live inside their guts. These bacteria seem to play a role in all sorts of immune responses, and, crucially, in digesting food, making nutrients and maintaining a healthy weight. And antibiotics can kill them off: One recent study found that taking the antibiotic ciprofloxacin decimated entire populations of certain bugs in some patients’ digestive tracts — bacteria they might have been born with.
Until recently, scientists simply had no way to identify and sort these trillions of bacteria. But thanks to a new technique called high-throughput sequencing, we can now examine bacterial populations inside people. According to Ilseung Cho, a gastroenterologist who works with the Blaser lab, researchers are learning so much about the gut bugs that it is sometimes difficult to make sense of the blizzard of revelations. “Interpreting the volume of data being generated is as much a challenge as the scientific questions we are interested in asking,” he said.
Investigators are beginning to piece together a story about how gut bacteria shapes each life, beginning at birth, when infants are anointed with populations from their mothers’ microbiomes. Babies who are born by cesarean and never make that trip through the birth canal apparently never receive some key bugs from their mothers — possibly including those that help to maintain a healthy body weight. Children born by C-section are more likely to be obese in later life.
By the time we reach adulthood, we have developed our own distinct menagerie of bacteria. In fact, it doesn’t always make sense to speak of us and them. You are the condo that your bugs helped to build and design. The bugs redecorate you every day. They turn the thermostat up and down, and bang on your pipes.
In the Blaser lab and elsewhere, scientists are racing to take a census of the bugs in the human gut and — even more difficult — to figure out what effects they have on us. What if we could identify which species minimize the risk of diabetes, or confer protection against obesity? And what if we could figure out how to protect these crucial bacteria from antibiotics, or replace them after they’re killed off?
The results could represent an entirely new pharmacopoeia, drugs beyond our wildest dreams: Think of them as “anti-antibiotics.” Instead of destroying bugs, these new medicines would implant creatures inside us, like more sophisticated probiotics.
Dr. Cho looks forward to this new era of medicine. “I could say, ‘All right, I know that you’re at risk for developing colon cancer, and I can decrease that risk by giving you this bacteria and altering your microbiome.’ That would be amazing. We could prevent certain diseases before they happened.”
Until then, it’s hard for him to know what to tell his patients. We know that antibiotics change us, but we still don’t know what to do about it. “It’s still too early to draw definitive conclusions,” Dr. Cho said. “And antibiotics remain a valuable resource that physicians use to fight infections.”
When I spoke to Mr. Antunes, the public health researcher in Brazil, he told me that his young daughter had just suffered through several bouts of ear infections. “It’s a no-brainer. You have to give her antibiotics.” And yet, he worried about how these drugs might affect her in years to come.
It has become common to chide doctors and patients for overusing antibiotics, but when the baby is wailing or you’re burning with fever, it’s hard to know what to do. While researchers work to unravel the connections between antibiotics and weight gain, they should also put their minds toward reducing the unnecessary use of antibiotics. One way to do that would be to provide patients with affordable tests that give immediate feedback about what kind of infection has taken hold in their body. Such tools, like a new kind of blood test, are now in development and could help to eliminate the “just in case” prescribing of antibiotics.
In the meantime, we are faced with the legacy of these drugs — the possibility that they have affected our size and shape, and made us different people.

Pagan Kennedy is a frequent contributor to The New York Times Magazine who is working on a book about the science of invention.

A version of this op-ed appears in print on March 9, 2014, on page SR1 of the New York edition with the headline: The Fat Drug.




http://www.nytimes.com/2014/03/09/opinion/sunday/the-fat-drug.html?action=click&module=Search&region=searchResults%230&version=&url=http%3A%2F%2Fquery.nytimes.com%2Fsearch%2Fsitesearch%2F%3Faction%3Dclick%26region%3DMasthead%26pgtype%3DHomepage%26module%3DSearchSubmit%26contentCollection%3DHomepage%26t%3Dqry740%23%2Fbut%2520what%2520if%2520that%2520meat%2520is%2520us%3F

More Modern Slavery (Heartland Style)

     Lots and lots of questions and issues from this article - the original version at The New York Times is worth looking at - pictures add to the story. Link below.
     In particular I think of this story when I hear politicians calling for less government, less regulation. The system was rigged against these people, the community was oblivious. So when the local church fails, the local Rotary fails............ who you gonna call?
    And who set it up in the first place that it is legal to pay some people less than others for the same work?

The ‘Boys’ in the Bunkhouse: Servitude, Abuse and Redemption in a Tiny Iowa Farm Town

DAN BARRY New York Times News Service Published Mar 9, 2014 at 10:56PM
WATERLOO, Iowa - A man stands at a bus stop. He wears bluejeans, cowboy boots, and a name tag pinned like a badge to his red shirt. It says: Clayton Berg, dishwasher, county sheriff’s office.
He is 58, with a laborer’s solid build, a preference to be called Gene and a whisper-white scar on his right wrist. His backpack contains a jelly sandwich, a Cherry Coke and a comforting pastry treat called a Duchess Honey Bun.
The Route 1 bus receives him, then resumes its herky-jerky journey through the northeastern Iowa city of Waterloo, population 68,000. He stares into the panoramic blur of ordinary life that was once so foreign to him.
Berg comes from a different place.
For more than 30 years, he and a few dozen other men with intellectual disabilities - affecting their reasoning and learning - lived in a dot of a place called Atalissa, about 100 miles south of here. Every morning before dawn, they were sent to eviscerate turkeys at a processing plant, in return for food, lodging, the occasional diversion and $65 a month. For more than 30 years.
Their supervisors never received specialized training; never tapped into Iowa’s social service system; never gave the men the choices in life granted by decades of advancement in disability civil rights. Increasingly neglected and abused, the men remained in heartland servitude for most of their adult lives.
This Dickensian story - told here through court records, internal documents and extensive first-time interviews with several of the men - is little known beyond Iowa. But five years after their rescue, it continues to resound in halls of power. Last year the case led to the largest jury verdict in the history of the Equal Employment Opportunity Commission: $240 million in damages - an award later drastically reduced, yet still regarded as a watershed moment for disability rights in the workplace. In both direct and subtle ways, it has also influenced government initiatives, advocates say, including President Barack Obama’s recent executive order to increase the minimum wage for certain workers.
Overall, the Atalissa case has been a catalyst for change, according to Sen. Tom Harkin, D-Iowa, a longtime champion of people with disabilities, who still struggles with what these vulnerable men endured in his home state.
“I hate to see what happened to them,” the senator says. “But, by gosh, something might happen from them.”
The dark tale of Berg and his workmates has spurred introspection in Atalissa and beyond about society’s perception of those with disability. About what is noticed, what is not and what remains in need of constant vigilance.
“The turkey plant case has really haunted all of us,” says Curt Decker, the executive director of the National Disability Rights Network. “This is what happens when we don’t pay attention.”
This Waterloo bus does not go to Atalissa. But the man in cowboy boots, rocking to its gentle sway, needs only to notice that telltale scar on his wrist, and he is instantly returned.
THE CALL
A veteran social worker named Denise Gonzales drove past the winter-quiescent fields of 2009 to some town called Atalissa. She had to see for herself what subordinates were telling her.
She pulled uphill to an old schoolhouse, its turquoise exterior garish amid the sleeping acres of snow-dusted brown. She found an open door and stepped into a wonderland nightmare, with walls painted playhouse colors, floors speckled with roaches and the air rank with neglect.
From the squalid building’s shadows emerged its residents, all men, extending hands in welcome, their long fingernails caked with dried blood. A few hands looked almost forked. “From pulling crop,” they explained, a term that she soon learned referred to the yanking of craws from freshly killed turkeys.
You the boss lady? they asked, with grins of gaptoothed decay. You in charge of us now? A few led her on a tour past the soiled mattresses, the overloaded electrical outlets, the trash bins collecting the snow melt dripping from the ceiling - their home.
The schoolhouse was crime-scene crowded. Law enforcement investigators. Social workers. The nervous caretakers. A woman just up from Texas, identifying herself as a co-owner of Henry’s Turkey Service and describing these “boys” as employees who were like family.
“Dressed to the nines,” Gonzales recalls. “And right outside that room were these men needing medical attention, malnourished, with mice crawling in their rooms.”
Two decades on the front lines of human frailty had not prepared her for this. But Gonzales suppressed her panic to focus on the names of these 21 Texans soon to be in her care. Gene. Willie. Henry. Frank. Keith. The Penner brothers, Billy and Robert. Others.
All the while, she kept thinking: How in God’s name did they wind up here?
GOLDTHWAITE
On a dormant ranch outside the central Texas town of Goldthwaite, a man hunches over his walker to study a framed collage of faded photos. Dozens of young men in baseball caps, cowboy hats and even clown costumes smile back.
“Tiny, we called him, a colored boy who was here for several years,” he says, pointing. He studies their faces. “Uh, let’s see, who’s in there. Gene Berg ...”
The man, Kenneth Henry, 73, directs his walker to a dim office that features an aerial photograph of the Atalissa schoolhouse. He takes a seat, then a breath, and tries to explain.
Back in the late 1960s, Henry, a turkey insemination expert, became partners with T.H. Johnson, the larger-than-life owner of this ranch. With the government’s blessing, the rancher was running a for-profit program that took in young men from state institutions and trained them in agricultural work - and some basic life skills.
He called his philosophy “the magic of simplicity.”
Unregulated arrangements like the Johnson ranch would later be derided as exploitative. But at the time they offered rare alternatives to institutions like the Abilene State School, where thousands with disabilities, from infants to the aged, lived in wards divided by need, often with little or no contact with families.
“A different time,” says Jaylon Fincannon, a consultant in developmental disabilities and a former Texas deputy commissioner for intellectual disability services. “Thank God it’s different now.”
More than 1,000 young men were chosen over the years to embody this magic of simplicity, including Gene Berg, from the Abilene State School, by way of a small town outside Dallas.
He had been a well-behaved boy whose profound learning issues left his parents feeling helpless. One day they took him, their only son, to the sprawling Abilene institution, and were told not to visit for a while so that he could become acclimated. Gene was 12.
“It killed him,” says his mother, Wanda Berg LaGrassa, her voice shredding. “It killed us.”
Also chosen was Willie Levi, from the Mexia State School, by way of the city of Orange. His mother cleaned hotel rooms, and his father drank. “Had to pour cold water on him,” the son recalls. “That’s the only way I get him up.”
Levi excelled in sports at Mexia. In 1970, the local newspaper reported that he had won the 880-yard race at the state championships for special schools.
“Gold medal,” he says.
Among the many others were Billy and Robert Penner, sons of a long-haul truck driver and a housewife in Amarillo. One day their older brother, Wesley, came home after a long absence and was told that the boys had been sent to the Abilene school. The reason given: “Mom couldn’t handle them anymore.”
Most turkeys are bred with breasts so unusually large that they cannot reproduce naturally. This requires that the toms be caught, stimulated and milked; the semen rushed to the henhouse; and the females caught, flipped and inseminated. The young men who went to Goldthwaite often worked in turkey insemination, catching the birds.
The workers lived in a bunkhouse, and spent most of the little money they received every month at the Johnson family’s roadside country store. “Hamburgers, and peanut brittle, and some soda water,” Levi says. “Them long candies, Butternut.”
The job could be difficult, and Johnson mercurial, but most of the men had nowhere else to go. At least in Goldthwaite, they were welcome at Johnson family gatherings - “Everybody was included,” Henry says - and were counted when the boss man, T.H., made bed checks at night.
“One of those people you could love real easy and hate at the same time,” Robert Womack, a former business partner, says. “The son of a bitch is dead and gone, but he cared about those boys, and he took care of them.”
Before long, Johnson and Henry had secured contracts in several states for their turkey-savvy crews, including one at a processing plant somewhere in Iowa.
ATALISSA
The advance man for Henry’s Turkey Service could not believe his fortune. Sent to Iowa in 1974 to find a building suitable for a men’s dormitory, he had spotted an old schoolhouse rising from a hill, just six miles from the turkey plant.
The town agreed to a few hundred dollars a month in rent. In came appliances and dozens of beds; out went portraits of the class of ‘17 and other relics from another time. These items recall an earlier Atalissa, when a farm community named after an Indian princess grew into a local hub, with a bank, a hotel, a railroad depot - and a two-story school, built in 1911, whose bell summoned generations of children uphill for lessons.
Now the schoolhouse was a bunkhouse for a growing number of Texas men with developmental disabilities, and jobs.
At 3 o’clock every weekday morning, they were roused, fed and driven through the black-and-blue night to the huge Louis Rich processing plant, looming over West Liberty from its 10 feather-flecked acres. Along with their nondisabled colleagues, they put on protective gear, including lab coats and rubber boots, before entering a workplace of clamor and gore.
Stacks of turkey coops were trucked into the “live dock,” where the men grabbed toms weighing about 40 pounds - more if it had rained - and hung them by their feet on an overhead conveyor’s metal shackles. A typical day meant 20,000 turkeys.
The frightened birds often beat back with powerful wings. But Willie Levi possessed a rare gift for calming them down. He’d talk turkey, he says. “And they’d talk right back to me.”
His soothing would continue as he prepared the birds to be stunned, slit and bled out. “Pat them on the belly when I get them on the shackle,” Levi says. “I say, ‘OK, OK, tom, quiet down ...”
Some of the Atalissa men worked as “pinners,” pulling off stray feathers, while others, working as “rehangers,” shackled the carcasses to a second conveyor that led to evisceration. Billy Penner did this work for decades, and hated it: “Too bloody.”
Down the line the turkey swung, a hole sliced well below its breast, its viscera - heart, intestines, liver, gizzard and spleen - pulled down for scrutiny by a federal inspector. Then, after its heart, valve stem and lungs were snipped or sucked away, the bird went to the “croppers,” who pulled out its feed-filled digestive system.
A company document explains this least-desired job:
1: Reach under neck skins and grab the windpipe and the top of the crop. 2: Pull down until both the windpipe and the crop come out of the bird cavity. 3: Place the windpipe and crop in the trough of running water - known as “the river” - to go to offal.
“Two fingers,” recalls Henry Wilkins, one of the Atalissa men. “Take this finger up there, pull the skin apart, take both your fingers up there, pull it straight down, and the crop’s out. Throw it in the trough.”
The men were occasionally ridiculed, and even pelted with turkey slime; more often, though, they were admired for their work ethic. Dave Meincke, the plant’s evisceration supervisor, has never forgotten “how they took me under their wing” when he joined the assembly line more than 30 years ago, or the pride they had in letting no shackle pass empty.
“They came in, and they got it done,” he says.
But the men did not earn the same as their nondisabled colleagues.
Henry’s Turkey Service, which was paid directly by the plant for the men’s labor, was capitalizing on a section of the Fair Labor Standards Act of 1938 that allows certified employers to pay a subminimum wage to workers with a disability, based on their productivity when compared with that of nondisabled workers.
The company also deducted hundreds of dollars from the men’s earnings and Social Security benefits for room and board - and “in-kind” services, like bowling, dining out and annual visits to an amusement park. The rest was deposited in individual bank accounts in Goldthwaite that the company dipped into to pay for incidentals and medical costs, since the men had no health insurance or Medicaid in Iowa.
In the end, they received about $65 a month. Johnson, who all but moved into the bunkhouse, might also slip a man $50 for his birthday, or tell him to keep the change after running an errand to the Atalissa Mini Mart.
But Henry’s Turkey Service raised suspicions from the start, prompting a review by an Iowa social worker named Ed George. In a pointed memorandum to his supervisor in December 1974, he described an exploitative operation devoid of basic freedoms. He called the business model “obscene.”
George’s prescient memo of outrage changed nothing. The days bled into years. Hang. Rehang. Pull guts.
OUTSIDE
As the Atalissa fields marked time in the crop rotation of corn and soybean, the men in the hilltop schoolhouse aged into their 30s and then their 40s. But in keeping with their static existence, they remained the “boys.”
“Even though they were adult men, they were boys to us,” says Carol O’Neill, a member of a women’s group called the Atalissa Betterment Committee. “They were like - our boys.”
When the dozens of Texans first came to town, raising its population to a record 360, T.H. Johnson invited Atalissans to the schoolhouse for Christmas socials and summertime barbecues. The men showed off their pool table, exercise equipment and shared bedrooms, leaving a favorable first impression that would last.
Dennis Hepker, a former Atalissa mayor, remembers the envy he felt. “I was living on popcorn and Falstaff,” he says. “I thought these guys had it made.”
On Sunday mornings, some of the men walked down to the small Zion Lutheran Church, where a painting of Jesus holding a lamb adorns the altar. Unable to recite the Lord’s Prayer, they hummed to its rhythmic entreaties instead, and often sang at the close of service.
“‘Amazing Grace,’” recalls Levi, who also played a tambourine. “‘Surely Goodness.’ ‘Give Me That Old-Time Religion.’ All that.”
The men pretty much kept the minimart open with their patronage, and were as central to the annual Atalissa Days parade as the fire trucks. A few would appear on a float in clown costumes and makeup - the Pagliacci of the cornfields.
The outfits were the handiwork of Wilma Rock, their beloved “Grandma.” She wore a clown costume, too, Berg recalls. “She was a friend to us.” And on weekend nights, you could expect to see some of the men at the Corner Tap bar, or the Old University, eager to socialize, eager to hug.
True, some local residents cringed when the “boys” walked in, reeking of turkey, interrupting conversations. Sometimes you just did not want to hear again about Willie Levi’s birthday, or Gene Berg’s fascination with John Deere tractors, or how much beer Henry Wilkins planned to drink at the county fair. Sometimes you just did not want a hug.
Then again, you might welcome a hug, or even a dance. “And if you danced with one of them, you danced with all of them,” says Vada Baker, of the Atalissa Betterment Committee, who learned the Texas two-step from the men.
They were as present in Atalissa as the grain elevator beside the railroad tracks. You could easily forget how far these men were from home.
A lucky few returned south for a week’s vacation every year. Others tried to stay in touch with family by schoolhouse telephone, some of them calling disconnected numbers, over and over, year after year. Or they lingered at the post office, where there was rarely anything for them, other than the candy on the counter.
But every once in a great while, a lucky man received a birthday card or Christmas letter, sent from another world.
INSIDE
Atalissa will tell you: The men never complained.
People just assumed that the schoolhouse’s immaculate exterior mirrored a similar order inside. They say they had little else to go on, since those invitations to Christmas parties had been replaced by No Trespassing signs.
Even so, warnings kept sounding. In 1979, an investigation by The Des Moines Register strongly suggested that the Henry’s program took advantage of men with disabilities. Johnson defended his operation as a success unfettered by bureaucratic nonsense, and explained that these “boys” might otherwise be wasting away in institutions.
But nothing changed. Henry’s Turkey Service continued as a for-profit business that limited freedom and used punishment to foster good behavior and a productive work ethic. Men could be banished to their rooms, and forbidden to watch television or listen to music.
“You had to do some things like that to make the boys bathe, to make the boys brush their teeth, to change clothes,” Henry says. “The same thing as you would do with a 12-year-old.”
Some men escaped their drudgery by looking forward to the annual county fair, or watching a University of Iowa football game. Others simply escaped.
Berg first ran away in 1981. After attending his father’s funeral in Texas, he was sent back to Iowa by his mother, only to hitchhike his way home a couple of days later. Taken by a kindly trucker to a rest stop outside Dallas, Berg had 25 cents, a Bible and his mother’s phone number scribbled on paper.
Another time, he says, the supervisors were riding the men too hard with “You’re too lazy to do this, too lazy to do that” kind of talk. So he bought some Honey Buns and other supplies, waited for the right moment, then slipped under the cold curtain of night.
Although caught before he got too far, he says, he still cherishes this distant snatch of freedom. Hiding and shivering in a culvert beside the main road. Laughing to himself as he ate Honey Bun after Honey Bun.
Berg wasn’t alone. A man named Alford Busby Jr. is remembered for having a limp, for unloading turkeys on the live dock and for disappearing into a morning snowstorm in January 1987.
“And away he went,” Henry says. “We never did know why.”
But the men knew. Busby had been sent to his room for not doing some job properly, Levi says. “And he say, ‘No, I’m not going to bed, I’m going to watch TV like everybody else.’”
“They pissed him off,” Wilkins says. “And he walked out.”
Local officials searched the wintry landscape without success. Three months later, during the spring thaw, a farmer found a body along a field’s fence row, a quarter-mile from the main road. Busby was 37, or maybe 43.
“Mentally retarded man wandered away from home in subzero temperature,” his death certificate says, citing hypothermia.
His body was returned to his mother in Texas. But a memorial plaque planted on the Atalissa schoolhouse’s front lawn kept the fate of Alford Busby fresh in the minds of those he left behind.
DECLINE
Beyond Atalissa, life evolved.
As the decades passed, the “R-word” disappeared from the professional lexicon. Inclusion replaced exclusion. Class-action lawsuits, media investigations and groundbreaking government legislation further established the rights of people with a developmental disability to have choice in their lives.
The men of Henry’s Turkey Service, though, remained trapped in Atalissa amber. No cellphones. No romantic relationships. No choices in where to live. Other than the gray-white dusting in Willie Levi’s hair, or the lines creasing Henry Wilkins’ face, or the bodily damage done by decades of assembly-line toil, nothing changed, including their pay.
The 2007 time sheets for Wilkins tell the tale. No matter how many hours he worked - 163 hours in one period, 139.59 in another - his earnings were always shown to be exactly $1,041.09. And his take-home pay never exceeded $65.
That same year, the turkey plant paid Henry’s Turkey Service more than $500,000 for services rendered.
By this point, a married couple, Randy and Dru Neubauer, had been the men’s hands-on supervisors for several years. Like their predecessors, they had no training in caring for people with disability; Randy Neubauer’s previous experience was in landscaping.
When the boss man, T.H. Johnson, died at 74 in early 2008, the Neubauers became the sole on-site managers of a business now cruel in its simplicity.
The men continued to rise at 3 a.m. for a breakfast prepared by an older housemate who always made sure to wash his hands after killing another bug while cooking. Still, many men ate with one hand over their plates to block the roaches falling from the ceiling.
Sick time was not always an option. Berg pulled guts while struggling with throat cancer and chemotherapy treatment. “I threw up at my house and I threw up at work,” he says.
The men also say Randy Neubauer and an assistant often harassed them to quicken the pace on the assembly line. “They wanted me to work faster,” Wilkins says. “I can’t do that.”
One day in 2007, Neubauer sent a slight man named Johnny Kent sprawling to the ground. Neubauer called it accidental, but Kent disagrees: “He knocked me down.”
The turkey plant, now owned by West Liberty Foods, notified Henry’s Turkey Service by letter that Neubauer had been seen “abusively yelling at Henry’s workers and physically punching them.” Barred from the plant, he still kept his job at the schoolhouse, overseeing those he had been accused of abusing.
On the drive home, the Henry’s vans sometimes stopped at a local market, where the men could dash in to buy a can of Copenhagen snuff, a Mountain Dew, a Honey Bun. But if supervisors thought that a man hadn’t been working hard enough, they’d order him to remain in the van.
“Damn lie,” says James Fowler, who pulled guts. “I did work hard enough.”
The punishment continued at the schoolhouse. A man might be told to pull weeds. To stay in his room, with no television or radio. To forget about going to church on Sunday. To place both hands on a pole and stay that way until supper. To walk in circles while carrying heavy weights.
“They said I wasn’t doing a good job,” Levi says. “So - ‘Get your black butt up and get them weights.’”
A gut puller named Tommy Johnson suffered more than most. Short, stout and with a constant expression of woe, he rarely cleaned his room, often picked through the trash and sometimes ran off. “I would walk,” he says, moving two fingers along a table to illustrate.
A couple of times, Johnson was handcuffed to his bed overnight. Another time, he says, “one of them kicked me in the nuts” - an injury that later caused testicular problems.
Neubauer declined to comment for this article. But he acknowledged in court testimony and in interviews with investigators that he sometimes disciplined the men. He alternately admitted and denied handcuffing Johnson. As for the carrying of weights, he said: “The doctor wanted them to do exercises.”
The men suffered the abuse collectively, as if they were all Tommy Johnson. And every now and then, someone rose in defiance, as when Billy Penner stood up for Levi after his friend was ordered again to grab the pole and not move.
“He say: ‘You leave him alone,’” Levi recalls. “He say, ‘I’m going to deck you one!’”
In the end, the men of Atalissa had only one another, their everyday lives unaltered by those rare moments when the world beyond Atalissa seemed to take note of their existence.
The federal Department of Labor cited Henry’s Turkey Service for not properly compensating the men; the company promised to comply, but didn’t. The Iowa Department of Human Services received several complaints over the years, including similar allegations of abuse from a relative and a former worker. Nothing changed.
Hepker, the former Atalissa official, tried to alert the Department of Human Services after noticing that the schoolhouse’s front door was padlocked. “I was told that they were understaffed as all government agencies are, and did I have any evidence,” he recalls. “And I said, ‘Well, just the door being padlocked shut.’”
The padlock disappeared. But the incident continues to vex Hepker. If he had called about a skinny dog in someone’s yard, he says, the response would have been quicker, and better.
At night, life in the schoolhouse wound down.
Supper with hands held over plates. Medication collected from a dingy come-and-get-it board. Laundry done by a resident who scrubbed away the signs of denied bathroom breaks. Sleeping on beds dampened by ceiling leaks. Lights out.
And 32 men went to sleep, only to do it all over again at 3 o’clock in the morning.
ATALISSA GOODBYE
It was time.
More than 30 years of assembly-line drudgery had taken its toll. Sensing that its “boys” were slowing down, Henry’s Turkey Service worked out a staggered separation with the processing plant. Several of the 32 men would be retired, without their input, by the end of 2008, with the rest leaving by the next spring.
“The birds were too heavy,” says one of the men, Tommy House. “That’s why we got retired.”
Those with no family in their lives had long been promised a happy retirement back in Texas, to a building on the Goldthwaite ranch that was being renovated with money deducted from their pay. The men sometimes talked of nothing else.
But the renovation was never completed. Henry cites T.H. Johnson’s death and his own health problems, and adds: “We didn’t get there.”
The first round of men with nowhere else to go were taken to a nursing home in Midland, 250 miles west of Goldthwaite. Those still in Atalissa, meanwhile, were asked by the turkey plant to train their nondisabled replacements in the skills they had mastered.
The evisceration supervisor, Dave Meincke, says his friends approached this final task the way they approached every workday for decades: “With pride.”
Henry’s Turkey Service nearly left Iowa with this as its parting impression: proud men with disability, training their nondisabled colleagues before leaving for a well-deserved Texas retirement. The fuller, more disturbing story might never have been told, had one of the men’s relatives not inquired.
Sherri Brown had learned that after decades of turkey-plant toil, her older brother Keith had about $80 in savings. Failing to get satisfactory explanations from several state agencies, the furious sister contacted Clark Kauffman, a reporter at The Des Moines Register, who started making calls of his own.
These inquiries led to the chaotic scene that the Department of Human Services supervisor, Denise Gonzales, encountered that February afternoon in 2009: an eerie schoolhouse crowded with investigators, social workers, company representatives and 21 disheveled, frightened, vulnerable men.
A SWAT team of government officials assembled in the cockroach-rich kitchen. When the state fire marshal announced that he was declaring the building uninhabitable, all eyes turned to Gonzales.
“It was like I just gave birth to 21 men,” Gonzales says.
She gently instructed the schoolhouse residents to pack for an overnight adventure at the Super 8 Motel in Muscatine, 15 miles away. Her happy message: “We’re going on vacation.”
The men, some excited, some anxious, filed into vans that soon slipped through a town in late-night repose. The lights of Atalissa vanished in their wake.
After sleeping on clean sheets and eating waffles for breakfast, each evacuee was assigned a social worker. Soon these caseworkers were filing into the motel’s kitchenette, where Gonzales had set up her makeshift office, to provide harrowing updates.
Here was a man who had suffered from hearing loss for years, because his ears had never been cleaned. Here was a man with dental wires jutting from his bleeding gums. Here were men with missing fingernails, forked hands, curving toenails cutting into the pads of feet.
The social workers cut toenails, bought Orajel for mouth pains and listened to the men speak of being alone in the world. (“Just me and my brother,” said Robert Penner.) Afterward, some of the workers found someplace private, and cried.
On the fourth day, two yellow school buses pulled up to the Super 8, “Exceptional Persons Inc.” written on their sides. This was the name of the nonprofit organization in Waterloo that Gonzales, who is now with the Illinois Department of Children and Family Services, had chosen to help the men find a new life.
Carrying spare belongings in boxes and bags, the men climbed aboard. As the school buses lumbered north to Waterloo, many of them clapped and sang.
WATERLOO
With its shops, restaurants and parks, the city of Waterloo was a wonderland of the possible. Some of the men exulted in their unshackling, while others did not yet trust what was happening.
“A lot of them wanted to be assured that their former caretakers wouldn’t be coming to get them,” recalls Susan Seehase, the services director for Exceptional Persons.
The nonprofit set up meetings with Medicaid case managers, made medical and dental appointments, and arranged for mental health evaluations. Some employees spent their own money on clothes for the Atalissa refugees.
Many of the men focused on what they had left behind: televisions, winter coats, those blankets that an Atalissa woman had spent a year quilting for each of them.
So Seehase and a few colleagues drove down to collect what could be salvaged, only to find clothes and quilts worn and soiled, and appliances riddled with roaches.
The people of Atalissa could not believe that the boys had been spirited away overnight. “Like someone swooping in and taking your children for reasons you don’t know,” says Lynn Thiede, the former pastor at the Zion Lutheran Church.
They were especially upset that their requests to contact their longtime neighbors were being denied. But many of the men were suffering from post-traumatic stress, Seehase says. “We were trying to give them a break from that life.”
The Iowa news media flocked to Atalissa to ask how such abuse could have happened there. Defensive residents recalled the parades and dances, and explained that they had not been inside the schoolhouse for many years. Still, the criticism tugged at the collective conscience.
“I’m sure some of us - a lot of us, maybe - had second thoughts,” Hepker says. “That we should have looked into it a little deeper.”
The Atalissa soul-searching held no interest for Seehase. Now that this case had pierced her social worker’s protective armor, she was on a mission.
Several of the schoolhouse evacuees had moved south to be with relatives, leaving a dozen others in need of permanent housing. They also needed basic life lessons in how to interact with women, say, or how to make nutritious food choices. Seehase notes that they were adamant on one point: no turkey.
The men divided themselves into compatible sets of three and four, and went house-hunting. Social Security benefits and money earned from jobs would cover the rent, while Medicaid would pay for the on-site presence of Exceptional Persons employees.
A ranch house on a busy avenue. A split-level house on a quiet street. A house with red brick on a cul-de-sac. A few people new to Waterloo found homes and settled into the 21st century.
FALLOUT
In the wake of the Atalissa revelations in early 2009, Iowa’s governor at the time, Chet Culver, acknowledged that “every level of government has failed these men since 1974.” Hearings, investigations and interagency finger-pointing predictably followed.
But no criminal charges were filed. Law enforcement officials concluded that the men’s accounts lacked consistency, and that the person most responsible for the abuse, T.H. Johnson, was dead - even though the squalor worsened considerably after his death.
Sheriff David White of Muscatine County saw nothing to pursue. The men “had about every game, game table, yard games, etc., to play in their off hours both indoor and outdoor,” he wrote in a recent email. “I don’t believe there is any one of my staff that felt that these individuals were in any way abused or mistreated.”
Henry’s Turkey Service was eventually cited for various wage violations by state and federal labor agencies. But the men’s last, best hope for justice, it seemed, rested with Robert Canino, a regional attorney in the Dallas office of the Equal Employment Opportunity Commission. The chatty, tenacious lawyer took the case because it touched on one of his areas of expertise, human trafficking.
First, Canino won a $1.3 million judgment for two years of back wages, arguing that his 32 clients deserved to be paid the same as nondisabled colleagues doing similar work. He then set out to prove emotional harm, in what the law calls the “loss of enjoyment of life.”
The lawyer spent many hours with the men. When their stories became almost too much for him - too upsetting, too complex - one of the men, Henry Wilkins, placed a hand on his shoulder and said: Don’t worry, Robert, we got your back.
The case against Henry’s Turkey Service unfolded last April in a courtroom in Davenport, where the blond wood and recessed lighting clashed with descriptions of boarded windows and moldy mattresses.
The men of Atalissa did not testify. Many others spoke in their stead, including Sue A. Gant, a nationally recognized expert in developmental disabilities who had gotten to know the men. Decades earlier, she had helped thousands of people living in New York’s infamous Willowbrook State School to integrate into the community.
In clinically precise language, Gant laid out the profound physical and mental harm done to each of the men. “The aggrieved workers could have enjoyed a good life,” she testified. “Instead, they lost decades of healthy life experiences.”
After Kenneth Henry and Randy Neubauer took the stand to deny responsibility and blame each other, the jury awarded $7.5 million to each of the Atalissa men, for a total of $240 million. Canino knew instantly that the judge would soon reduce the amount to about $1.6 million, the cap allowed by law for a business with fewer than 101 employees.
Still, hearing the decisive verdict, he wept.
The verdict conveyed the communal outrage felt about a case that, in courtrooms and the halls of government, has become shorthand for the segregation and exploitation of people with disabilities.
In particular, the Henry’s case has cast a harsh spotlight on the provision of the Fair Labor Standards Act that allows employers - whether Henry’s Turkey Service or a sheltered workshop - to pay subminimum wages to employees with disabilities.
“Much as Willowbrook challenged us all to re-examine our assumptions and look more deeply into residential institutions, Henry’s Turkey Service has challenged us to look more closely at employment institutions,” Eve Hill, a deputy assistant attorney general in the Civil Rights Division of the Department of Justice, said in a recent email.
As a result, she says, the federal government has expanded its efforts to crack down on “unnecessary segregation in employment systems,” and has already challenged an overreliance on segregated sheltered workshops in Oregon and Rhode Island.
Finding a solution is complex, with some fearing that dismantling the provision would leave even fewer employment options for people with disabilities. But many disability rights advocates argue that it has become a license to exploit, citing the Henry’s case as Exhibit A.
“The verdict in the Henry’s case demonstrates that this way of thinking has to go,” says Steven Schwartz, the legal director for the Center for Public Representation.
Advocates also say that the case played a role in the ultimate inclusion of people with disability in Obama’s executive order to raise the minimum wage to $10.10 an hour for workers employed under certain federal contracts.
What’s more, Harkin says the case gave impetus to his fight to add a long-sought provision to the Obama administration’s signature health care act of 2009: an option that encourages states, through financial incentives, to support people with disabilities in the community, rather than in the forced segregation of institutions.
What happened in Atalissa is hard to shake, the senator adds. “It’s as close to involuntary servitude as I’ve ever seen.”
Several weeks after the trial, Canino drove up from Texas to update the men in Waterloo on their case. Walking into the conference room, he spread his arms for the hugs sure to come from those eager to fill him in about dishwashing jobs, plans to go camping and girlfriends who like to slow dance.
“I know that some of you don’t want to talk about Atalissa anymore,” Canino began.
Several shook their heads. “No way,” said James Fowler, who had pulled guts for 30 years. “No part of that.”
Slowly, but without condescension, Canino said each man had been awarded roughly $100,000 in damages and back pay - money that has yet to be received. He explained that collecting the money from Henry’s Turkey Service would be another challenge.
“I can’t promise you what I can get you,” he said.
A quiet took hold. Then Wilkins said, “I got your back on that.”
Canino smiled to the floor. “Well, that’s why we won,” he said, voice trembling. “People knew you had my back.”
TODAY
The Route 1 bus continues its heave-and-sigh through Waterloo, passing strip malls and golf courses and dozens of side streets, down which thousands of ordinary lives unfold.
In an off-white house with a generous backyard, the late-morning air hints of fried eggs and strong coffee. Henry Wilkins, 69, is working on a needlepoint pattern of the Chicago Cubs logo in his bedroom. On the dresser sits a photograph of him conquering the Log Ride at Adventureland near Des Moines, bony arms raised in joy.
Down to 115 pounds when he was rescued, the gangly Wilkins has regained weight, but he has emphysema and some trouble walking. If he still has relatives in Texas, he says with a half-smile, heaven only knows where they’re at.
A backyard gardener and a NASCAR fan, he recently decided to shake things up by having his gray hair colored red. He sat in the dining room, a towel draping his shoulders, while a social worker applied the bold dye.
“Autumn,” he says, modeling his new punk look.
The Penner brothers, both with saucer eyes and straggly gray hair, are finishing their coffee in the Folgers-perfumed kitchen, where containers of classic roast fill a cabinet. Coffee, their drink of leisure, matters.
Billy, 69, the more talkative brother, keeps nine pens in his shirt pocket and a ring of many keys jangling from his belt; he likes to be seen as in charge. After decades of pulling feathers from freshly dead birds, he says, he is happy to be doing nothing.
Robert, 64, who spent half his life pulling guts, cleans up at a local pizza parlor. The yellow Atalissa T-shirt that he wears, from a long-ago town celebration, is misleading. Deeply traumatized by his time in that town, social workers say, he often lets his older sibling speak for them both.
Their parents and younger sister are dead. But a couple of years ago, their older brother, Wesley - whom they haven’t seen “in two dog ages,” Billy says - mailed them photo albums filled with black-and-white snaps of their boyhood in Abilene, posing like Wally and the Beaver in front of big sedans, in that time before being sent away.
“You want some more coffee?” Billy asks, holding up a coffee mug.
“Nah, I’m fine,” Robert answers.
“Guess I’ll wash them out then.”
The fraternal conversation turns to dinner options.
Not far away, in a tan split-level house, Willie Levi prepares for a date with his girlfriend, Rose Short, who also has an intellectual disability. Dinner first, then maybe some dancing.
Levi, 67, is wearing an orange shirt, a red St. Louis Cardinals cap and a pair of red-and-black basketball shorts. Two plastic spoons are tucked in a high black sock, in case someone calls for music. He can also do a turkey gobble that goes right through you.
After his rescue, Levi underwent surgery for a broken kneecap and counseling for other damaged parts; he hasn’t had contact with a family member in decades. But he has found a rhythm in life that includes a weekly date with Short, who keeps her black hair short.
An Exceptional Persons staff member drives the couple to a sports-centric grill in Cedar Falls, then leaves them to themselves. Sitting side by side in a booth, they order cheeseburgers and fries, a Diet Pepsi for her, a root beer for him.
As televisions blare and children quarrel over foosball, Levi and Short talk about their favorite subject, birthdays. She once gave him a Jeff Gordon T-shirt, and he once bought her perfume at JCPenney.
The two friends split the bill. Using his debit card, Levi pays his share and leaves a dollar tip.
“It’s too late for the dance,” Short says.
“Yep,” Levi says.
“Raining,” she says.
“Yeah,” he agrees. “It’s raining.”
The Route 1 bus lumbers on. Its passengers include a scowling man in a sleeveless Iowa Hawkeyes T-shirt, a young woman in a Burger King uniform and Gene Berg. Just another working stiff, with a lunch bag in his lap and a faint scar on his wrist, marking where surgery repaired what pulling guts had damaged.
Berg has never returned to the ranch in Goldthwaite, where Kenneth Henry now clatters his walker down the darkened hall of the never-completed retirement home, wishing that he had done some things differently, but still very proud of how his company empowered the men.
“They were paying their own way, they were holding down a job, and they weren’t depending on the government,” he says. And yes, he says, he misses the “boys.”
“It’s like children. You know?”
Henry says he is appealing the unfavorable verdict in the EEOC case. As for all those lawyers and social workers and “bureaucrats” who say the company exploited the men - well, he says, they were hoodwinked.
“They got conned,” he says. “Some guys with IQs of 60 and 70 conned them, and they never even knew it.”
Berg has also never returned to Atalissa, where old friends like Vada Baker, who once learned the Texas two-step from the men, harbor guilt about telltale signs missed or maybe ignored. “I hope God forgives me,” she says.
The convenience store, where so many Honey Buns and Mountain Dews were bought, is shuttered. The Lutheran church, where the Lord’s Prayer was hummed, has no pastor. And the town hopes one day to knock down that old schoolhouse on the hill.
“Out of sight, out of mind, maybe,” Hepker says. “We just need to get rid of it.”
End of the line, downtown Waterloo. Berg says goodbye to the driver and walks along Sycamore Street. Past the Paradise Café. Past the convenience store where he sometimes buys a soda.
This afternoon he will return by bus to his home on the cul-de-sac, where he lives with two friends from the old schoolhouse, James Fowler and Kenny Jackson. Atalissa rarely comes up.
Tonight, Berg will most likely call his mother in Kansas on his cellphone. He might mow the lawn with his new John Deere. He might go out for dinner, or just throw a steak on the gas grill that he bought with his earnings. He hasn’t decided, he says, but it’s his to decide.
“It’s a new world,” he says. “You do what you want to do.”
First, though, Gene Berg has a shift to work, washing dishes at the Black Hawk County Sheriff’s Office. He walks into the building, flashes his identification badge, and is waved in.


http://www.nytimes.com/interactive/2014/03/09/us/the-boys-in-the-bunkhouse.html?hp&_r=1