The Caring Catalyst http://thecaringcatalyst.com Who Cares - What Matters Wed, 23 Feb 2022 00:30:45 +0000 en-US hourly 1 https://wordpress.org/?v=6.2.2 52309807 THE POWER OF ONE http://thecaringcatalyst.com/the-power-of-one/ http://thecaringcatalyst.com/the-power-of-one/#respond Fri, 25 Feb 2022 12:00:44 +0000 http://thecaringcatalyst.com/?p=5399

CAN ONE PERSON MAKE A DIFFERENCE
CAN ONE PERSON ACTUALLY BE A CONTAGIOUS CARING CATALYST.    .   .
TRY PROVING IT DIFFERENT TO
DR. PAUL FARMER
Dr. Paul Farmer speaking with an H.I.V. patient, Altagrace Cenatus, at a Partners in Health hospital in Haiti in 2003. He worked to provide quality health care to some of the poorest people in the world.
Credit…Angel Franco/The New York TimesI’ll admit, I never heard of Dr. Farmer until of hearing of his death, or I JUST DIDN’T PAY ATTENTION until I read a recent article

Ellen Barry and

Paul Farmer, a physician, anthropologist and humanitarian who gained global acclaim for his work delivering high-quality health care to some of the world’s poorest people, died on Monday on the grounds of a hospital and university he had helped establish in Butaro, Rwanda. He was 62.

The cause was an “acute cardiac event,” according to a statementby Partners in Health, the global public health organization that Dr. Farmer helped found.

Dr. Farmer attracted public renown with “Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World,” a 2003 book by Tracy Kidder that described the extraordinary efforts he would make to care for patients, sometimes walking hours to their homes to ensure they were taking their medication.

He was a practitioner of “social medicine,” arguing there was no point in treating patients for diseases only to send them back into the desperate circumstances that contributed to them in the first place. Illness, he said, has social roots and must be addressed through social structures.

His work with Partners in Health significantly influenced public health strategies for responding to tuberculosis, H.I.V. and Ebola. During the AIDS crisis in Haiti, he went door to door to deliver antiviral medication, confounding many in the medical field who believed it would be impossible for poor rural people to survive the disease.

Though he worked in the world of development, he often took a critical view of international aid, preferring to work with local providers and leaders. And he often lived among the people he was treating, moving his family to Rwanda and Haiti for extended periods.

News of Dr. Farmer’s death rippled through the worlds of medicine and public health on Monday.

“There are so many people that are alive because of that man,” Dr. Rochelle P. Walensky, director of the Centers for Disease Control and Prevention, said in a brief interview, adding that she wanted to compose herself before speaking further.

Dr. Anthony S. Fauci, President Biden’s top medical adviser, broke down in tears during an interview, in which he said he and Dr. Farmer had been like “soul brothers.”

“When you talk about iconic giants in the field of public health, he stands pretty much among a very, very short list of people,” said Dr. Fauci, who first met Dr. Farmer decades ago, when Dr. Farmer was a medical student. He added, “He called me his mentor, but in reality he was more of a mentor to me.”

In the latter part of his career, Dr. Farmer became a public health luminary; the subject of a 2017 documentary, “Bending the Arc”; and the author of 12 books.

In 2020, when he was awarded the $1 million Berggruen Prize, given annually to an influential thought leader, the chairman of the prize committee said Dr. Farmer had “reshaped our understanding” of “what it means to treat health as a human right and the ethical and political obligations that follow.”

Dr. Farmer, who never settled into the easy life of an elder statesman, was vigorously involved in the response to the Covid-19 pandemic, prodding the Biden administration to drop intellectual property barriers that prevented pharmaceutical companies from sharing their technology.

“It’s not just about health security, in the senses of defending yourself,” he said. “It’s not just about charity, although that’s not so bad. It’s also about pragmatic solidarity with those in need of assistance.”

“When you settle on a problem, devote the resources to it and have at least some ability to incorporate new information, every time, it gets better,” he says. “I don’t have any experience, anywhere, where you just apply yourself, along with others, and then do not see progress. My optimism has pretty honest roots. “Although,” Farmer adds after a brief pause, “I would probably be an optimist even if not.” “I’m going to sound very touchy-feely-ish, but it’s [about] compassion and empathy and fellow feeling,” Farmer says. “You can’t do anything in public health without fellow feeling.”

Paul Edward Farmer Jr. was born on Oct. 26, 1959, in North Adams, Mass. Paul’s mother, Ginny (Rice) Farmer, worked as a supermarket cashier, and his father, Paul Sr., was a salesman and high school math teacher.

When Paul was around 12, his father bought an old bus and fitted it with bunks, converting it into a mobile home. Paul, his parents and his five siblings spent the next few years traveling, mostly in Florida, living for a time on a boat moored on a bayou. He credited this period with giving him “a very compliant GI system,” a knack for sleeping anywhere and an inability to be shy or embarrassed.

One summer, he and his family worked alongside Haitian migrant workers picking oranges, listening curiously as they chatted to one another in Creole from atop ladders. That was Paul’s first encounter with Haiti, the country that would captivate him in his 20s and then propel him toward a career in public health.

After graduating from Duke University, he moved to Haiti, volunteering in Cange, a settlement in the central Artibonite plateau of the country. He arrived toward the end of the dictatorship of Jean-Claude Duvalier, when Haiti’s hospital system was so threadbare that patients had to pay for basic supplies, like medical gloves or a blood transfusion, if they wanted treatment.

In a letter to a friend, he wrote that his stint at the hospital wasn’t turning out as he had expected. “It’s not that I’m unhappy working here,” said the letter, excerpted in Mr. Kidder’s book. “The biggest problem is that the hospital is not for the poor. I’m taken aback. I really am. Everything has to be paid for in advance.”

Dr. Farmer decided to open a different kind of clinic. He returned to the United States to attend Harvard Medical School and earn a degree in anthropology, but he continued to spend much of his time in Cange, returning to Harvard for exams and laboratory work.

Over the years, Dr. Farmer raised millions of dollars for an ever-expanding network of community health facilities. He had a contagious enthusiasm and considerable nerve. When Thomas J. White, who owned a large construction company in Boston, asked to meet him, he insisted that the meeting take place in Haiti.

Mr. White eventually contributed $1 million in seed money to Partners in Health, which Dr. Farmer founded in 1987 along with Ophelia Dahl, whom he had met volunteering in Haiti; a Duke classmate, Todd McCormack; and a Harvard classmate, Dr. Jim Yong Kim.

In 1996 he married Didi Bertrand, the daughter of a pastor and a school principal in Cange; she was described in Mr. Kidder’s book as “the most beautiful woman in Cange.” She became a researcher for Partners in Health and survives Dr. Farmer, along with their three children, Catherine, Elizabeth and Sebastian; his mother; his brothers, James and Jeffrey; and his sisters, Katy, Jennifer and Peggy.

The clinic in Haiti, at first a single room, grew over the years to a network of 16 medical centers in the country, with a local staff of almost 7,000.

Among them was a teaching hospital in Mirebalais, about 40 miles north of Port-au-Prince, that opened in 2013 and offered chemotherapy drugs, a gleaming new $700,000 CT scanner and three operating rooms with full-time trauma surgeons. There, poor patients with difficult diseases paid a basic fee of around $1.50 a day for treatment, including medication.

Partners in Health also expanded into Rwanda, where Dr. Farmer helped the government restructure the country’s health system, improving health outcomes in areas like infant mortality and the H.I.V. infection rate.

Dr. Farmer died in Butaro, a mountain town on the border of Uganda where he and Partners in Health collaborated with the Rwandan government to build a complex devoted to health and health education. Dr. Farmer had homes in Rwinkwavu, Rwanda; Cange, Haiti; and Miami.

Dr. Farmer also helped develop new public health approaches in Peru, Russia and Lesotho, among other places.

He was particularly proud of the fact that the clinics he helped build were staffed by local doctors and nurses whom he had trained.

“I’m not cynical at all,” he once said. “Cynicism is a dead end.”

Over the years, he kept in touch with many of his patients, as well as their children and grandchildren. He was godfather to more than 100 children, most of them in Haiti, said Laurie Nuell, a close friend and board director at Partners in Health.

Over the weekend, Dr. Farmer sent her a photo of a colorful bouquet of flowers he had put together for one of his terminally ill patients in Rwanda. “Not my best work,” the accompanying text said.

“He had a very tender heart,” she said. “Seeing pain and suffering was very hard for him. It just hurt him. I’m a social worker by training. One thing I learned is about detachment. He wasn’t detached from anyone. That’s the beauty of it.”

As long as poverty and inequality persist, as long as people are wounded and imprisoned and despised, we humans will need accompaniment–practical, spiritual, intellectual.
– Paul Farmer –

CAN ONE PERSON MAKE A DIFFERENCE
CAN ONE PERSON
ACTUALLY BE
A CONTAGIOUS CARING CATALYST.    .   .
CAN YOU BE
THE CASE IN POINT
OF PROVING IT
(or not)

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An Original Caring Catalyst http://thecaringcatalyst.com/an-original-caring-catalyst/ http://thecaringcatalyst.com/an-original-caring-catalyst/#comments Fri, 09 Jul 2021 11:00:00 +0000 http://thecaringcatalyst.com/?p=5152

Look familiar. . .
Even remotely aware of him. . .
The following might not be much more of a clue
to the World
or even to a select few:
On July 1, 2021, Rev. Dr. Roger Raymond Fischer, of Washington, was taken by God’s twin Angels, Goodness and Mercy, who came to pick Roger up, and they did. So God wrapped his arms around Roger and said, “Well done Good and Faithful Servant.” His was a life well done. Born June 1, 1941, in Washington, he was the son of Raymond and Louise Gartley Fischer.

Roger was a 1959 graduate of Washington High School. While in college, Roger worked as an American Red Cross, YMCA life guard and saving and swimming instructor. Roger received a Bachelor of Arts in Mathematics and Physics from Washington and Jefferson College in 1963. He received a Master’s Degree with Honors from the Lutheran Seminary at Gettysburg in 1991. In 1998, he was granted a Doctor of Ministry Degree from the Pittsburgh Theological Seminary as the author of “Christian Advocacy and the Local Congregation.” Roger was ordained January 13, 1990, in First Lutheran Church, Washington. He served numerous churches in Southwestern Pennsylvania and West Virginia. The last congregations that he served were Calvary Lutheran in Scenery Hill, Buena Vista Presbyterian and Hyland Brotheran.

While working as a research engineer for Jones and Laughlin Steel, Roger was elected to the Pennsylvania House of Representatives from the 47th District, serving from 1966 to his retirement in 1988. At age 25 he was one of the youngest members to serve in the history of the Pennsylvania General Assembly, serving also as Chairman of the House Education Committee and on the State Board of Education. Roger served for nine terms as President of the Association of Retired Pennsylvania House of Representatives and Senate Members. He was elected to the Washington School Board in 1965 and inducted into the Pennsylvania Voter Hall of Fame for voting in every primary and general election since 1962.

Commissioned in 1966, Roger served as a Lieutenant Colonel U.S. Air Force Reserve. He was a member of the American Legion Post 175, 40 et 8, Sons of the American Revolution, and Sons of the American Revolution Chaplain. He was a Boy Scout merit badge counselor and a member of the Order of the Arrow. Roger was also a member of the Washington Lodge No, 164 Free & Accepted Masons, Washington Royal Arch Chapter No. 150, Jacques DeMolay Commandery No. 3 Knights Templar, and Noble of the Syria Shrine.

Roger enjoyed a lifetime of sports and fitness as demonstrated by becoming a two time finisher of the Ironman Triathlon in Hawaii. Additionally, he ran many other triathlons and marathons including Boston (four times), New York (four times), Pittsburgh, Honolulu and Philadelphia. At age 74, Roger completed the Disney World Marathon. He was a member of the Pennsylvania Council on Physical Fitness and was founder and race director of the “Washington Express” 10K run. In 2008, he bicycled across America in sections. Roger was inducted in Washington-Greene Chapter of the Pennsylvania Sports Hall of Fame and was unanimously elected to the Executive Committee. Roger was a life member of the Appalachian Trail Club, Keystone Trail Association, Warrior’s Trail Association and the Maine Appalachian Trail Club. Across 32 years, hiking in sections, Roger completed the entire 2,174.1 mile Appalachian Trail on September 17, 2004.

In 1998, Roger received an Honorary Doctor of Divinity from Washington and Jefferson College and delivered the Baccalaureate sermon for his son Steven’s commencement. In 1994, Roger delivered the main address for W&J’s Honors Convocation.

Roger treasured his time with his family. He enjoyed world traveling with his wife Kitty to places such as Europe, South Africa, Australia, Tahiti and China. He was very happy to have visited all the continents except Antarctica.

Roger is survived by Catherine “Kitty” Trettel Fischer, his wife of 48 years; two sons, Roger Raymond II (Marcia) and Steven Gregory (Heather); and a daughter, Catherine “Katy” (John) Herold; and five grandchildren, Abigail, John “Jack” and Maxwell Fischer, and Elijah and Ezekiel Herold; and a brother, Terry.

Obituaries are almost the Charlie Brown teacher of the newspaper or what’s left of them. They are the Wawa Wawa Wawa summations of Someone’s life. At best, they provide a summary of how a person was; what they leave behind, and specifically who is most affected because of their death. But make no mistake, there’s much,  very much that they leave out. 

Roger’s obituary gave no smidgen of a hint of all of the lives he Touched, specifically mine. I’ve heard it said that when we are born each of us are given a fingerprint which is distinctive to ourselves; it’s a fingerprint that no one else has or can ever have so that we can make an imprint on other lives that no one else can or ever will. Roger more than did that for, TO ME!

I can’t remember a time when I didn’t know Roger; but specifically he was a Sunday school teacher of mine in seventh and eighth grade and also taught our Catechism class at First Lutheran Church in Washington, Pennsylvania. It was there that I remember one Saturday morning when I was not allowed to go to basketball practice because I had to go to Catechism class at 9 o’clock in the morning and I literally erupted in the class, complaining about how stupid this was and how much I did not want to be there and how I really HATED the Church; ANY CHURCH! Even though there was about 14 or 15 in the class, Roger treating me like I was the only one that was there that day, at that moment and he didn’t react; he responded. The fact he congratulated me and told me how brave it was for me to speak my truth was huge and affirming. And then, with one simple question, he convicted, changed my life path:

“WHY DON’T YOU DO SOMETHING ABOUT IT?”

Which made me irrupt even further as if you could reload a fire crackers it was already burning hot. 

“DO SOMETHING,!” I yelled. “I’M JUST 13 YEARS OLD!  WHAT CAN I DO?”

And again, in pure Roger fashion, he replied back as if I was the only person there, the only person in the World that had his ear, his attention:

“ANOTHER GOOD POINT, CHARLIE, (something I hated anyone to call me) BUT IT HAS BEEN MY EXPERIENCE IF YOU WANT TO CHANGE SOMETHING, YOU DON’T COMPLAIN ABOUT IT FROM THE OUTSIDE, YOU GO INSIDE AND DO SOMETHING ABOUT IT!”

B U S T E D
and even more
C O N V I C T E D

Up until that point when people would ask me, “what are you gonna do when you grow up?” I would, without hesitation answer, I was going to be a professional basketball player and I was going to be a teacher and a coach but never, no way ever, EVER a minister.

Now countless times over the past nearly 50 years when people ask me why did you become a minister, they kind of wait for me to give him this great spiritual, unbelievable mountaintop experience testimony, and instead I tell them it’s because I hate the church and then I tell them the story about Roger and me one Saturday morning at a Catechism class that I didn’t want to be at, but now ever so grateful that I attended that day. 

We kept in touch throughout the years and he knew the personal impact of that story because I made sure that I told him and with every chance that I got and profusely thanked him and the times I blamed him for what he did to me by making me go into the ministry. He told me never to expect an apology and I told him I wasn’t asking for one. 

So after all the Wawa Wawa Wawa Wawaing of a Charlie Brown teacher during this blog, you may still not know personally Roger Raymond Fisher, or even care that much, but mine is a shore his Tsunami has radically wrecked that made it impossible to rebuild in a way my imagination could ever conjure up; it’s caused severely significant after shocks that have created tidal waves in me that have touched countless other shores, Roger had no understanding or fathoming; still are. Little did I know that Roger was A Caring Catalyst long before I knew what one was, let alone striving to be a better one each day. There’s only five true words that are left to be said by me. But oh my, are they most sincere:

THANK YOU;
SEE YOU LATER

WAWAWA THAT, Charlie

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