A Tribute to Dr. Marjorie S. Rosenthal

May 17, 2021

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May 13, 2021

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00:02Welcome, I'm Anna reisman.
00:04Thank you for joining us in this
00:06tribute to Doctor Marjorie Rosenthal,
00:07who many of us knew as Margie to
00:10accomplish so much in her 53 years.
00:12The last 18 of or so of which were spent
00:15here in New Haven where Margie was part
00:17of many communities at the medical school.
00:20And of course in New Haven.
00:22Tonight we're going to highlight
00:23some of her work related to two
00:26programs here at the medical school
00:27and in two areas that she really
00:29brought together in beautiful,
00:31meaningful ways.
00:32These programs are the National Clinician
00:34Scholars Program and the Program for
00:36Humanities in Medicine and by extension,
00:38merges creative worker essays.
00:40In her graphic narrative,
00:41we've put together a program that
00:44includes reflections on margins,
00:45work along with readings of essays,
00:47and graphic memoir.
00:48We have closed captioning available
00:50and we welcome you to use the chat.
00:56Hi everyone, I'm Carrie growth.
00:59We first met Margie in Baltimore
01:01in 1998 where Amal Margie's husband
01:03and I were both clinical scholars
01:06and it's been such a joy to know.
01:09Margie as a friend.
01:10As a fellow scholar and then as a
01:13colleague over the next 20 years.
01:16You know people often use the phrase
01:18friend and colleague or friends
01:20and colleagues diamond accounting,
01:22but in this case the.
01:24It's an app to turn of phrase.
01:27Margie was a friend.
01:28First an authentic, engaged,
01:30caring friend and a colleague seconds.
01:33And what a colleague all of us in this
01:36college program have shared the joy.
01:38That is Margie.
01:39Watching her raise for wonderful
01:41girls giving us advice about raising
01:43our kids when we ask for it.
01:45Making fundamental contributions
01:47as a physician and scientist
01:49serving not only as a pillar of
01:52multiple communities but also the
01:54friend and mentor to all of us.
01:56The Clinician Scholars Program is the
01:58training program whose mission spoke
02:00to Margie's core values training
02:02the next generation of leaders in
02:04healthcare who will use research and
02:06advocacy to make a difference to
02:08make a role to better place like Margie did.
02:12But the program is more than that.
02:15It's a family of sorts and we have
02:17Margie to thank for this as one of
02:20Margie's meant he's recently wrote
02:22to me Margie's Open door and Open
02:25Heart made us feel part of something bigger.
02:28Helped us feel like we had a
02:30place that we belong.
02:32She modeled the way of living,
02:34loving and embracing the contradiction,
02:36contradictions,
02:36complexities and heart breaks of
02:38life that I aspire to emulate.
02:40So tonight we'll hear from Margie's.
02:42Work friends, the clinician scholars,
02:44her colleagues in the community,
02:46and a yeah I wanted to thank Margie's family,
02:49several of whom are here.
02:51Tonight.
02:51I wanted to thank her daughters,
02:54Maya and Alina, and Jimmy and Debbie Shea,
02:56and also Brian for sharing Margie with us.
02:59Her clinician scholars,
03:00family.
03:07Hi again, so I'm going to kick
03:10off the reflections and don't
03:12worry this is not just going to be
03:13me and Kerry
03:14going back and
03:15forth. I want to read a statement
03:17a a nominating statement last year
03:18March she was nominated for a
03:20prestigious award and I've received
03:22permission to read aloud some
03:24selections from the nomination.
03:25Although I'm not permitted to
03:26say what it was for,
03:28but I'll just say that to get nominated
03:30for this was quite remarkable.
03:34And so I'm quoting here.
03:36I would like to nominate Marjorie Rosenthal,
03:39associate professor of Pediatrics
03:41at Yale School Medicine.
03:43Doctor Rosenthal is a category
03:45defining physician, writer, artist,
03:47and activist whose works explore topics
03:50including patient safety, gun violence,
03:52vulnerable populations, and equity.
03:54Diagnosed with metastatic colon cancer,
03:56she masterfully documents how she navigates,
03:59confronts health systems by
04:00using multiple forms of media,
04:03including the written essay.
04:04Cartoons and social media.
04:06She is one of the rare physician
04:08writers whose work is inclusive and
04:10instructive for physicians and patients.
04:12When she writes about watching a nurse not
04:15wash their hands properly before procedure
04:17and how she manages that experience,
04:20she not only educates healthcare providers,
04:22but helps other patients understand
04:24how they too can potentially confront
04:26errors they are experiencing.
04:27This is why I believe her work
04:30is so creative and stands out
04:33among other physician scholars.
04:35Doctor Rosenfeld manages to make
04:36her diagnosis and managing all of
04:38the grief and loss and change she
04:40is experienced into something that
04:42is iaccessible for the reader.
04:43I don't think there are many others who do.
04:46It is definitely an elegantly as she does,
04:48so that was the nominating statement.
04:50So maybe you're thinking what a pity
04:52Margie didn't get to know about this.
04:54Well she did.
04:55I shared it with her back in October 1 day
04:58while visiting with her on her front porch.
05:01Margie was so delighted and awestruck an
05:03flattered and giddy with the idea of it.
05:05She couldn't believe it.
05:06And yes, she didn't know what this was and.
05:09Emanation for it was a joyous moment.
05:13And so, in that spirit,
05:14I'm glad to be sharing this story with you,
05:17and to have this opportunity to
05:19share some of Margie's work,
05:21her connections, collaborations,
05:22creations from these different
05:23spheres from her friend.
05:25The category defining physician,
05:26writer, artist, and activist.
05:27I'll just say one other thing briefly,
05:29and then I'll turn over the mic to and green.
05:33So these days, Carrie and I frequently
05:35find ourselves saying,
05:36what would Margie do?
05:37Maybe it's about some piece of writing,
05:40some essay that until last summer,
05:42Margie and I and the rest
05:44of our writing group.
05:45Lisa,
05:45Randy,
05:46and Pauline might be discussing
05:47over coffee at Cedar Hurst.
05:49Maybe it's about the scholars program.
05:51Maybe it's dealing,
05:52maybe it's about dealing with
05:54whatever vicissitudes of life
05:55those of you who knew Margie.
05:57You know I'm talking about.
05:58She took it all in.
06:00She chewed on it.
06:01She proffered pretty much the
06:03wisest take on whatever it was.
06:05And so when I read her writing,
06:07revisit old favourites,
06:08I hear her voice, her brilliant
06:10takes on all sorts of situations.
06:12It was difficult to select
06:14just a few for tonight.
06:16They are also great.
06:18Margie's writing is like a casual,
06:21beautiful, deep meaty,
06:22always memorable conversation
06:24with a good good friend.
06:27Thank you.
06:31Thank you Anna.
06:35My name is Anne Green.
06:37Anne I'm speaking to you tonight in the
06:39vain attempt to describe what it was like
06:42to work with my colleague and friend,
06:45Marjorie Sue Rosenthal.
06:46Occasionally she would remind me
06:49that we met long ago years before I
06:53joined the Scholars program in 2014
06:55and she was right in my neighborhood.
06:58I was an active member of the West
07:01River Neighborhood Services Corp.
07:03The Corporation would often host
07:05outside speakers an invited guests.
07:08One evening, probably in 2009 or 2010,
07:11Margie came with two Robert Wood Johnson
07:14Foundation clinical scholars only.
07:16Blackstock and Jed Barrish,
07:18who is first year scholars,
07:21were looking for community partners
07:23to work on a research project
07:26like any masterful matchmaker.
07:28Margie made the introductions
07:30about her scholars, not herself.
07:33And matchmaker that she was in no time.
07:37Jed onie.
07:37My friends,
07:38Billy Bromage says he spell and I
07:41wound up partnering on a project that
07:44became improving access to healthy
07:46foods in the West River neighborhood.
07:49For that introduction to community
07:52engaged research, I am in Margie's debt.
07:56Fast forward to 2014.
07:58I began my tenure as what is now the
08:03N CSPS Community Research liaison.
08:07At that time, community based,
08:09participatory research or CPR was under
08:13the stewardship of a team of four.
08:16Margie Marcella, Nunez Smith,
08:18Emily Wong and me together.
08:21We crafted curriculum, supported,
08:23and evaluated scholars,
08:25justified budgets, brokered conflict,
08:27liaised with community partners,
08:29old and new.
08:31And most importantly,
08:33vociferously an consistently made the
08:36case for CBP are being rigorous effective
08:40research to three primary audiences.
08:44Curious scholars,
08:45sceptical academic researchers
08:47and potential community partners?
08:50As Co director of NCSP,
08:52much of the day to day work of defining,
08:56defending and demonstrating how to do
08:59community engaged work fell to Margie.
09:02I was often present at those meetings
09:05where she could jolt a skittish
09:07scholar to return and engage with her
09:10or his or her community partner by
09:12sharing her own mistakes and biases.
09:15While doing partnered research.
09:16As many of you can recall,
09:18she'd say, well,
09:19I think you can get three
09:21papers out of that data,
09:23and then before the first
09:25one was out of draft stage,
09:27she proud the scholar about the other two.
09:29And by the way, what about dissemination?
09:32Who are you planning to
09:33share the results with?
09:35Anne,
09:36for every paper presentation partnership,
09:38an epiphany about CB PR.
09:40That happened for scholars
09:42that came under her wing.
09:44They too are in March is debt.
09:49By 2020,
09:50we had spent six years wandering
09:52back and forth between our offices
09:55across the Hall from one another,
09:58reading drafts and carpooling to
10:00get to West Campus for a meeting.
10:03In that time,
10:04we proselytize for our discipline,
10:06encourage ING scholars and fellows to
10:09take the chances that help them reconnect
10:12to whatever it was that brought them into.
10:15Healthcare research,
10:16and Marjorie Sue Rosenthal
10:18lived what she preaches.
10:20She showed up.
10:21She met all kinds of people and she listened.
10:25She advocated for research budgets
10:28that equitably addressed the value
10:31in never tease of our community partners,
10:34whether they were teenagers or elders,
10:37she taught, she nurtured, she created.
10:39She mentored an. She fought,
10:42and I most weekdays had a front row
10:45seat to my magnificent friend and Co.
10:49Conspirator. So many of us here are
10:53the beneficiaries of Margie's gifts.
10:55We're all in her debt. Thank you.
11:07Hi, good evening everybody.
11:10My name is Ben Oldfield.
11:12I'm going to be reading an
11:14essay that Margie wrote in 2015.
11:19The essay is called what might
11:21we accomplished by engaging
11:22in our local communities?
11:26I sit at the edge of a soccer field
11:28on a beautiful New England autumn
11:30afternoon watching my first grader and
11:33her peers run up and down the field.
11:35The clump of children hovering around the
11:37ball reflects the diversity of our community.
11:40They are daughters of firefighters,
11:42taxi drivers, artists,
11:44administrative assistance and physicians.
11:47If skin colors of every shade they speak.
11:49English, Spanish and Arabic at home
11:52they have a body mass index that ranges
11:55from normal to overweight to obese.
11:57When we clinicians spend time in the same
12:00communities where our patients live,
12:02we learn.
12:03We learn about demographics.
12:06We learn about challenges and ask this.
12:08We may spend time on neighborhood
12:11governing boards and local food
12:13co-ops and sustaining local parks.
12:15We may do it to be with young
12:17children or older family members.
12:19We may do it out of a sense
12:22of religious or civic duty,
12:24regardless when we spend time
12:25in our patients communities,
12:27we have the opportunity to
12:28enhance our patients lives in our
12:30teaching and three key waves.
12:32For one, we bring our medical expertise.
12:35When we get involved in our children's
12:38schools and childcare settings and,
12:40for example,
12:40help interpret the science of
12:42nutrition and physical activity,
12:44we can help educators
12:45incorporate obesity prevention.
12:47Perhaps fewer elementary schools would
12:49have reduced physical education and
12:51recess time if there were engaged
12:53physicians on the school board or PTA.
12:56Second,
12:56when we spend time in our community,
12:58we bring our expertise back to our
13:00practice and research inquiries.
13:01When we're recommending diet
13:03and exercise to our patients,
13:04we might do it better if we knew there's
13:06a new opportunity for fresh food.
13:09Because we have joined the recently
13:11formed food Co-op or the YMCA pool
13:14had expanded hours because we
13:15read about it in the local paper.
13:18But we're not just a well informed
13:20person telling our patient
13:21about Community resources.
13:23When were knowledgeable about
13:24the local community,
13:25we combine our clinical expertise,
13:27our research knowledge and community assets,
13:29knowledge into information and
13:31recommendations that our patients can use.
13:34Finally,
13:34we teach trainees who tend to be transient
13:37about community assets and challenges.
13:40We learn more about the importance
13:42of social determinants of health,
13:44describing how poverty,
13:45neighborhood access to food and education
13:48all play important roles in health.
13:51Having an educator who can teach
13:53about the specific local community
13:54assets and influences in health
13:56may be as important as teaching
13:58which antibiotic to use.
14:00In the Fellowship program where
14:01I teach the Robert Wood Johnson
14:03Foundation Clinical Scholars program,
14:05each post Doc goes on walking
14:08tours of underserved neighborhoods
14:09led by neighborhood leaders.
14:11Faculty on the Tour connect the
14:13assets and challenges of the
14:15environment to the literature on
14:16the social determinants of health.
14:18After The Walking tours,
14:20our postdocs report a new understanding
14:22of their patients and have new
14:24ideas for community based,
14:25participatory research inquiries that
14:27can translate into better patient care.
14:30Influencing health related policy
14:31in the community,
14:32enhancing patient counseling
14:34and teaching trainees about
14:35community assets and challenges.
14:37Might academia reward that as much
14:39as the latest cell biology discovery?
14:43And if not, reward at least facilitate the
14:45kind of career that encourages that kind of
14:48knowledge acquisition and dissemination.
14:50While the concept of the
14:52physician advocate is not new,
14:53as we learn more about the value of patient,
14:56centered engagement and
14:57shared decision making,
14:58it may be especially important now to have
15:01mechanisms that facilitate meaningful
15:02engagement in our patients community.
15:04One may, one way maybe to
15:07reconsider academic hierarchies.
15:08For example,
15:09when academic physicians seek to be promoted,
15:11a key criterion at some institutions
15:13is that they are known and respected
15:16nationally to become an associate
15:18professor and internationally
15:20to become a full professor.
15:22What about including being known
15:23and respected in the community
15:25in which they practice?
15:26This could include the two way
15:28St of contributing meaningfully
15:29to the local community,
15:30as well as bringing knowledge of the local
15:33community to the practice and teaching.
15:36What if we rewarded the Preceptor who
15:37says to the resident when we go back
15:39into the room, we should remind Mrs.
15:41Jones that they have bulk food
15:42at the grocery store.
15:43That's a few blocks from her house
15:45and she'll find almonds there.
15:47Additionally,
15:48more funding opportunities could give
15:50greater value and knowledge of 1's community.
15:54Current community oriented funding resources
15:56include the American Academy of Pediatrics,
15:58Cash grants,
15:59and encourage pediatric trainees to
16:01conduct meaningful health related
16:02work and non clinical settings.
16:04The patient centered Outcomes
16:06Research Institute and other
16:08federal and foundation sources.
16:10Finally,
16:10we could consider models that some
16:12cities use to attract city residents
16:14to apply for civil servant jobs.
16:16In some cities,
16:17police officers and firefighters
16:18get paid more if they live
16:20in the city where they work,
16:22and in some cities,
16:23residents taking the civil service
16:25exam are graded on a different curve.
16:28Both of these models recognize that
16:30there is an intrinsic good to the
16:32knowledge and skills that come from
16:34living and working in the same place.
16:36It's the Willie Sutton theory of
16:38learning and teaching about our patients.
16:40We need to be where our patients
16:42are in our professional lives.
16:44We generally interact with patients in
16:4615 minute intervals or more intensely
16:49for short inpatient intervals.
16:50When we're on the same soccer bleachers,
16:53PTA food, Co-op board.
16:54When we're trying to exercise on the same,
16:57only moderately safe sidewalks,
16:59we may be learning at least as
17:01much and probably more about our
17:03patients as we do in the hospital.
17:05Obesity prevention is just one example.
17:08Community knowledge and partnering
17:10skills could enhance patient care
17:12research and teaching about other
17:14challenges facing communities,
17:15including violence, homelessness,
17:17and sub optimal schools.
17:20With 10 minutes to go in the soccer game,
17:22My Daughter scores. It is the wrong goal.
17:25The clumps of girls of both teams go wild.
17:28They do not know who scored and they
17:30do not know it was the wrong bowl.
17:33I watched the coach can volunteer
17:35parents retrieve the ball
17:36and then explain the mistake to the girls.
17:38But their joy is not diminished
17:40with the information.
17:41As we, the grownups on the bleachers,
17:43recognize what has happened on the field,
17:45we share a smile that transcends
17:47all of our differences.
17:48In a few minutes, we will get up,
17:50collect our children, and leave.
17:52But for now, we'll enjoy a few
17:54more minutes of community.
17:56Thank you.
18:03Hi everyone, my name is Jessica Sager,
18:06an I'm really honored to
18:07be here with you tonight.
18:09Thanks so much for inviting me.
18:11I'm here to tell you a story about
18:14Margie that starts nearly 20 years ago.
18:16For those of you who don't know me,
18:19I'm the co-founder with Jana
18:21Wagner of all our Kin, a nonprofit
18:23started here in New Haven in 1999.
18:26We work with family,
18:27child care educators, women,
18:28mostly women who run small child
18:31care programs in their homes.
18:33These educators play a critical
18:34role in the lives of families
18:37caring for infants and toddlers,
18:39meeting the needs of parents,
18:41working nonstandard hours and often
18:43serving the families with the greatest
18:45barriers to accessing care right now
18:48because of COVID-19 family childcare
18:49is getting a lot of attention,
18:52but it didn't used to be this way.
18:55In fact, when we began,
18:57we heard a lot of demeaning,
18:59derogatory stereotypes about family,
19:01childcare educators and what
19:03they were capable of.
19:05So you can imagine my surprise
19:07when one day early on,
19:08a pediatrician named Marjorie Rosenthal
19:10called up and asked to meet with me.
19:13Margie came to our office.
19:15Actually it was just an
19:17apartment in the Farnam courts.
19:18Public housing development.
19:19She perched on our sofa.
19:21This little green donated loveseat and
19:23she told us that she wanted to talk to
19:27some of our family childcare educators.
19:29So this brings me to the first
19:31thing I want to say about Margie
19:34Margie was curious she was a true
19:36scientist who always wanted to learn
19:38more about the world around her.
19:41She wanted to know how family
19:42childcare educators interacted
19:43with parents and children.
19:45She didn't accept the conventional wisdom.
19:47She wanted to find out for herself.
19:50We decided that she would offer a
19:52series of trainings for educators
19:54and get to know them a bit and then
19:57see if they wanted to talk to her.
20:00Well, they did want to talk to her.
20:03No one from the medical establishment
20:06had ever asked to talk to them before
20:09they told Margie their stories and
20:11Margie in her inimitable Margie Way.
20:14Listen,
20:14I remember her bursting into my office
20:17absolutely glowing with excitement,
20:19family, child care educators are amazing.
20:21She said.
20:22I talked to a family childcare
20:25educator who diagnosed a child
20:27with diabetes and another who
20:29diagnosed the child with Kawasaki.
20:32Do you know how rare that is?
20:34These educators are part of the
20:36health care team and we need to
20:39think about them differently.
20:40So that brings me to the second
20:43thing about Margie Margie was a
20:45warrior when she believed the
20:47thing was worth championing.
20:49Nothing would stop her.
20:51She wrote,
20:52articles,
20:52gave poster presentations and even
20:54inspired medical students to write
20:56about the role that family childcare
20:59educators play as health ambassador.
21:01Margie's work was revolutionary.
21:02She saw the value in family
21:05childcare way before others in her
21:07field and we all are Kim's family
21:10childcare educators and staff.
21:12Loved her for that.
21:14If I had all the time
21:16in the world, I tell you lots more
21:19about what Margie did with all Ark
21:22in her work on the board house.
21:24He made sure the children in our early Head
21:27Start program had access to medical care,
21:30but instead I want to talk about the
21:32third thing about Margie Margie was kind.
21:35She was so very kind she would come
21:38to our office usually on her bicycle
21:40and always even when she was ill.
21:43Glowing with enthusiasm.
21:44And with love.
21:46She held my hand more times than
21:48I can count during tough times
21:50at all our kids after she died.
21:53I heard stories from so many staff
21:55members about her acts of kindness.
21:57One person told me how Margie helped find
22:00a doctor for her critically ill father,
22:02how she wrote back in just two hours
22:05with the name another told this story
22:07about her first all our Kim board
22:10meeting how intimidated she felt until
22:12Margie came and sat next to her and
22:15gave her that special Margie smile.
22:18I miss that smile and you probably do too.
22:22It was an honor to know Margie.
22:24It was a joy to be her colleague and her
22:27friend on behalf of everyone at all our kin.
22:30Here's to Margie with gratitude and love.
22:33Thank you.
22:40Hi, my name is John and this
22:44is our friend Christine.
22:46We are faculty at Yale School of Medicine.
22:50I'm I'm a psychologist.
22:51Anne Christine is an
22:53emergency medicine physician.
22:54We met Margie in 2015 when we
22:57took an participated in a year
22:59long workshop called Public Voices
23:01Fellows and where they pair female
23:04academics and other underrepresented
23:06voices with academics and teachers.
23:08How to write op EDS and did
23:11marjis or that year?
23:13We're going to share the
23:15reading of one of her.
23:17Pieces from that year.
23:20Thanks Joan Anne.
23:21Thanks Anna and Kerry.
23:23This piece is titled harming patient
23:26satisfaction in the process of measuring it.
23:29It was from January 11th, 2016.
23:34The first time the social worker
23:35asked if she should check in with me.
23:38Was this past summer during chemo.
23:40We chatted some and after
23:42awhile she got up to leave.
23:45Then she parted the Privacy Curtain,
23:46stepped out, poked her head back in and said,
23:49oh, I forgot to ask,
23:51what are you most afraid of?
23:54Patients are often criticized for
23:56what are called doorhandle comments.
23:57Those comments brought up as the health
24:00care provider is walking out of the room
24:03and already has one hand on the door.
24:05They are often disease.
24:06A patient who has had a very
24:08straightforward appointment might state
24:09that they have been having chest pain
24:12or a myriad of other disclosures that
24:14had they been revealed earlier on,
24:16would have redirected the
24:17appointment very differently.
24:18Health care professionals do it too.
24:21What are you most afraid of
24:23is a huge sleeping question.
24:25It invites all sorts of scary answers,
24:27some of which I gave to the social
24:30worker while she was only half
24:32in my closed curtain space.
24:34I'm most worried about dying, frankly.
24:36And what that would mean for my children?
24:39I felt guilty saying that to the
24:41social worker as she was leaving,
24:43I felt I had burdened her.
24:45I had to remind myself that she had
24:48asked that she was the oncology social
24:50worker and that she probably hopefully
24:52had training and how to respond.
24:55I'm not sure she did.
24:56She walked back into my space,
24:58sat down and stated that these were
25:01normal feelings. I started to cry.
25:04She asked if I was OK.
25:06I said I would be and she left.
25:09A few weeks later,
25:10I received a patient satisfaction
25:12survey in the multiple Choice section,
25:14I reported that everything was
25:16going pretty well at chemo.
25:18In the written comments,
25:20I described the social worker's
25:22surprising last minute question
25:23and her clumsy attempt to excuse
25:25herself as quickly as possible.
25:27Then just this week at Chemo, I run into her.
25:30Which is to say that I almost actually
25:32run into her because I'm having an
25:35ocular migraine and I'm squinting
25:36so as to limit the kaleidoscope
25:39patterns dancing in front of my eyes.
25:41She asks if I have time to talk.
25:44I say yes and go sit down and
25:46snuggle under the pre warmed blanket.
25:49The kaleidoscope patterns are
25:50diminishing and I can almost see again.
25:53The social worker comes over,
25:54close the curtain and sits down.
25:57We talk about my children work and me.
26:02And then she tells me that she
26:04appreciates the constructive criticism I
26:06gave her and my patient satisfaction survey.
26:08What she knows,
26:09what I wrote,
26:10and she's acknowledging that to me.
26:13She tells me that she and her
26:15supervisor worked on her skills
26:16over the past few months and she
26:18feels good about her progress.
26:21Really, because as I sit there
26:23in the chemo pod under a blanket,
26:25Ivy tubes hanging from my chest
26:27and about to get my chemo infusion,
26:30I feel incredibly vulnerable.
26:31I am all but in a bed and we are
26:35in an enclosed space and although I
26:37can hear her words telling me that
26:40she is grateful to have had the
26:42opportunity to work on her skills,
26:44I cannot believe she is saying those words.
26:47It is like the kaleidoscope patterns
26:49I had been seeing.
26:51Earlier they sound like words I know,
26:53but they do not make sense.
26:56I can't believe that in this
26:58space she is telling me about her
27:00vulnerability as a pediatrician
27:02in a hospital based practice.
27:04I know my patients are asked to fill
27:07out patient satisfaction surveys,
27:09yet I have only ever received feedback
27:12in the form of aggregate numbers
27:14describing how our Department is doing.
27:17It turns out that the forms
27:19are not anonymous.
27:21In the hospital where I both
27:23work and get my chemotherapy,
27:25the surveys that are increasingly
27:27federally mandated for every
27:29inpatient and outpatient encounter
27:31have numbers on them that link them
27:34back to the person filling them out.
27:36The comments from the survey,
27:38especially extremely positive
27:39or negative ones,
27:41are transcribed and sent to
27:43the relevant supervisor.
27:44The supervisor can then link the
27:46feedback with actual patients
27:48and actual experiences and share
27:50that information.
27:51With everyone being evaluated.
27:54Given the growing importance of these
27:56surveys in improving health care,
27:58they could and should be a lot
28:02more patient centered.
28:03For one patient should be aware
28:05that the surveys are not anonymous.
28:07Secondly,
28:08patient should be able to opt in or
28:10out of these kinds of discussions.
28:13Patients who opt in could elect
28:15to have those conversations at
28:17their next appointment or at any
28:19other mutually agreed upon time
28:21when they are fully clothed,
28:23sitting upright and understand
28:24the purpose of the encounter.
28:26I am disheartened by this experience
28:28and I need to tell someone about it.
28:31I'm considering bringing it up.
28:33At next week's chemo port and well
28:35before my oncologists has his hand on
28:38the door and is about to walk out.
28:40Or I could wait until I get
28:42the next survey in the Mail.
28:58Good evening, my name is Julia Rosenberg.
29:01I'm a pediatrician and I'm honored to speak
29:04about my experiences as a mentee of Margie.
29:07I humbly recognize that I'm one of
29:10countless training is whose lives have
29:13forever been influenced by Margie's wisdom.
29:15Her insight, her kindness, and her guidance.
29:19One of the first lessons I learned from
29:21Margie was through reading her words.
29:23It was through her writing that she
29:26taught us the value of sharing stories.
29:28So with that, here's my story
29:31with Margie one story of many.
29:34It's no surprise that the first
29:36time I was swept into Marjis orbit,
29:38she was teaching being a pediatrician,
29:40connecting with communities an inspiring
29:42all those around her all in one fell swoop.
29:46Diatric interns about our community
29:48and our neighbors in New Haven.
29:50This is the first time that I learned how it
29:53was possible to be engaged in the community.
29:56Work as a pediatrician.
29:57So I eagerly took merges advice
29:59from that day to listen and to learn
30:01more about our community strengths,
30:03especially in the New Haven
30:05immigrant and refugee community.
30:06Soon after when I was looking to learn how to
30:09improve access to care for this population,
30:12I turned to Margie, who,
30:13unbeknownst to me only a few
30:15days away from a major surgery,
30:17did not hesitate to meet and
30:19to share her insight.
30:21She provided the valuable connections
30:22that set me on a trajectory to
30:25the work that I'm doing today
30:26with her guidance from that day,
30:28I started our first research
30:30project by connecting with a new
30:32mentor whom she suggested.
30:34And soon I was swept into
30:35her orbit once again,
30:37applying to and it's been accepted to
30:39the National Clinician Scholar Program,
30:40which she Co LED.
30:42There with her guidance,
30:44I started working alongside
30:45community partners and I started
30:47working alongside Margie.
30:48Her plantings of influence are ongoing
30:50as I continue the work that we started
30:53together now growing into an ever
30:55evolving garden and a web of connections.
30:59The whirlwind of connections
31:00that Margie generously shared with
31:02trainees didn't stop at pediatrician
31:04community advocates didn't stop
31:06at National clinician Scholar or
31:08a New Haven community member.
31:10She also mentored so many
31:12of us as writers and as storytellers,
31:15and she generously joined as we began
31:18the stories in pediatric grand rounds.
31:21It was Margie who emphasized
31:22early in 2020 that these stories,
31:25grand rounds needed the name
31:27first annual in the title.
31:29And she was right the second year,
31:32that pediatric stories in grand rounds,
31:34now named in her memory, continued.
31:36And many who knew her and who are mentored
31:39by her shared incredible stories that
31:42the community work connections and
31:44making waves and changes to improve
31:46equity and to improve health care for
31:48our community and our like so many
31:51here today we all Miss Margie dearly,
31:54but her legacy,
31:55her heartfelt whirlwind of
31:56kindness for connections.
31:57And of course her flowering stories.
32:00Continue to grow.
32:01Thank you.
32:12Hi everyone. Anne,
32:14my name is Sharon, Asheville.
32:17Johns Anne Anne.
32:19I'm going to be presenting one
32:22of Margie's wonderful graphic
32:24memoir pieces along with Chang Soo.
32:28We worked with Margie on some graphic
32:31memoir workshops for members of
32:34the medical school community and it
32:37was absolutely incredible experience.
32:38I'm a Mets hospitalist and I
32:41first met Margie as a resident
32:45here and I'll let Chang introduce
32:48herself and then we'll read. Hi,
32:51this is Jay.
32:52My medical student 4th year about some
32:55become internal medicine resident here.
32:57You knew him a hospital.
32:59I first met Doctor Rosenthal when
33:01we're putting up exhibition of
33:04the memoir that we're going to
33:06share with you in Cafe Med and
33:08then subsequently on some
33:10graphic memoir workshops,
33:11it was absolutely an honor
33:13and pleasure to be here.
33:23And here is the graphic memoir piece.
33:51I'll child pose and you can find the
33:54full version on the Annals of Internal
33:58Medicine Graphic Medicine website.
34:04Kanisha is the Hindu God
34:05of all living things.
34:07He earned his role by
34:09outsmarting his brother.
34:10When the two of them were challenged
34:12to race around the universe,
34:14Ganisha walked around his parents,
34:16proclaiming that they were his universe.
34:19Ganesha is often depicted in a tree pose,
34:22a yoga pose that I can barely do.
34:28I'm more comfortable in a happy baby pose.
34:31Or a child's pose. But it turns out we
34:34often don't get to choose our poses.
34:41When the genetic counselor told
34:43me I had the breast cancer gene,
34:45my mom and I cried. The counselor
34:48took my mother's hands and said.
34:52I'm sure you gave her some good genes too.
34:56My husband had just died,
34:58leaving me with our two
34:59year old and two month old.
35:01Many days breastfeeding felt like
35:04the only thing I was doing well.
35:07Sad Mama pose.
35:10The Bracco 1 gene.
35:12Everyone has 2 copies of the gene.
35:14The normal gene stops
35:16cancer cells from growing.
35:18People with one mutated gene have less
35:20defense against all kinds of cancer.
35:26It wasn't that surprising
35:27that I had the mutated gene.
35:29But it was sad nonetheless.
35:32Me, not sure I'm ready to be reassured.
35:35Pose my mom feeling guilty and
35:38trying to be reassuring pose.
35:43For the next 10 years I did the best I could.
35:46Raising my daughters happy Mama pose.
35:50And following advice for people
35:52with mutated breckel one.
35:54And every six months I had a mammogram
35:57or breast MRI to look for breast cancer.
36:00Diligent, patient pose.
36:02I had my ovaries removed because Bracco one
36:05put me at high risk for ovarian cancer.
36:10Until my breast MRI showed
36:12an incidental finding,
36:14my breasts or fine I had cancer in my liver.
36:18They had metastasized from my colon.
36:21I've had six years of chemo and a 48
36:23hour surgery to remove parts of my liver,
36:26pancreas, colon, and a ton of lymph nodes.
36:31After surgery, I wasn't allowed
36:32to eat or drink until I started
36:35my 13 year old daughter.
36:36Took that as an invitation to search
36:39her phone out of fart yoga poses.
36:41Most of the yoga poses were too **** **
36:45my belly full of drains and bandages.
36:48Almost two years later,
36:49on vacation to celebrate my
36:51mother's 80th birthday,
36:52we took yoga classes every morning.
36:54I'm not good at all at this at all.
36:58You're not supposed to say that it's a
37:01practice you're assuring daughter pose,
37:03and maybe you were doing it right.
37:07On the last morning of yoga,
37:09at the end of class,
37:11I told everyone that
37:13my mom was
37:14turning 80 years old.
37:15Wow, congratulations.
37:16You look great. You were
37:18amazing in class.
37:19I never would've guessed you're 80.
37:21Yeah maybe 60 tops and then
37:24just as we were leaving,
37:26the best comment was directed at me.
37:28Your mom is great.
37:30She gave you some great jeans.
37:32Lucky you out daughter pose.
37:51Good evening everyone.
37:53My name is Joe Ross.
37:55I'm a general internist at Yale and I
37:58have been working with Margie for many
38:01many years as part of the Scholars program.
38:04I actually wrote down my remarks,
38:06which is not something I generally do
38:08particularly these days, but I'm disciplined.
38:11I wrote down carrying Anatolia.
38:12Write down my remarks, but.
38:15It's just so nice to hear
38:17readings of Margie's writings.
38:19You can literally hear her voice in the air.
38:22It's just I'm just loving this whole
38:25event so far missing large dearly.
38:31You never know when you were
38:32going to meet one of the most
38:34important people in your life.
38:36But when I sat down at the long
38:38table in the Clinical Scholars
38:40Conference room across from Margie.
38:42Her first words should have
38:44woken me to the possibility.
38:46It was July 2004 and around the table
38:48where a group of people I was excited
38:51to me will be at a bit intimidated by.
38:54As we were setting off on the next
38:57chapter of our professional lives
38:59to be clinical scholars together.
39:01Each of us introduced ourselves.
39:04James Leora Marsella, Steve,
39:06Susanna and me. And Margie.
39:10She explained that she was joining
39:12us for this introductory session,
39:14even though she was a second year scholar.
39:16She was a pediatrician.
39:17She transferred from the program in North
39:20Carolina to be closer to her family.
39:22As her parents lived in Stamford and her
39:25seven siblings in and around New York City.
39:28She told us she was the mother
39:29of two young girls, Mayan Alina,
39:31who were about three in one.
39:34And then she told us that
39:35she was a recent widow.
39:36As her husband,
39:37Amal had died in a car accident.
39:41Each of us were shocked and speechless,
39:43never having encountered such
39:45personal tragedy in our lives.
39:48But Margie gracefully moved the
39:51introductions along. And that was Margie.
39:55She set the tone for who we
39:57would be as a cohort together.
39:59Real. Honest. Straight forward.
40:04She brought you to where she was
40:07emotionally and intellectually.
40:09Sometimes abruptly,
40:11but usually gently.
40:14In a highly professional world where
40:15people were ambitious and talked about work,
40:18life balance and keeping all
40:20these worlds separate.
40:22Margie deliberately brought them together.
40:25Her colleagues were colleagues
40:27but also friends and family.
40:29She talked to her neighbors about her
40:31work and she talked to the people she
40:33worked with about her neighborhood.
40:35She was unafraid of letting
40:37people from any part of her life
40:40see how she moved in another.
40:42Is what made her so amazing as a writer,
40:45as a speaker?
40:46And yes, as a graphic novelist.
40:49But it also made her such an
40:51extraordinary teacher and mentor.
40:54Many of you joining this memorial
40:56tonight will have known Margie through
40:58her role in the Scholars program.
41:00In so many ways,
41:01the program we have today
41:03is a reflection of Margie.
41:05She developed and taught the community
41:08based participatory research curriculum
41:10building and strengthening alliances
41:11with the New Haven community.
41:13She launched the Mentorship program,
41:15ensuring that they were both
41:18formal and informal opportunities
41:20for scholars to obtain and to
41:23learn how to provide mentorship.
41:25And she supported countless scholars
41:27in the research in the writing,
41:30and most importantly, in their lives.
41:32Her door was always open.
41:36I learned so much from Margie
41:39she always had the best advice.
41:42I learned how important it is
41:43to take a moment to stop and
41:46ask people how they're doing,
41:48especially if they have young kids.
41:51I learned that a phone call or knock on
41:54the door is always better than an email.
41:56Specially for feedback.
41:58I learned that you never show up
42:01to a Community event without food.
42:03I learned that mentorship doesn't
42:05just mean teaching someone how to
42:08design a study or write a paper.
42:10But instead to answer questions
42:12about what might be mysterious
42:14to someone more junior.
42:16Questions specific to a project,
42:17or questions about how to connect
42:19to a potential collaborator,
42:21or questions about the day-to-day
42:23of your job,
42:24or even questions about your
42:25family and your kids.
42:27Margie knew that being a mentor
42:29means showing others how you make.
42:32Your everything work.
42:34Especially what you value and prioritize.
42:39But what all of us uniquely learned from
42:41Archie was how to act bravely and honestly?
42:44She could have let Amal's
42:46tragic death define her.
42:48But instead she moved to a new
42:50city and created a circle of
42:51community around her and her girls.
42:53Unlike anyone who I have ever met.
42:56Everyone knew Margie and Margie
42:59knew everyone.
43:01When she was diagnosed with cancer,
43:02she could have retreated from her
43:05life at Yale at clinic and at the CSP.
43:08But instead she came to work.
43:10Often,
43:10biking for exercise to see
43:12her patients and pre
43:13set to meet with students and mentees.
43:16And she doubled down on her,
43:18writing her scholarship and her advocacy.
43:21I treasure so many memories of Margie.
43:25Our families together on Holidays, walks
43:27in the Woods sitting on her front porch.
43:31Our kids growing up together.
43:34Sharing meals.
43:35Long weekends at Suzanne's in
43:37Vermont at Leora's in Greenwich.
43:40Our scholar cohort still connected.
43:42Since that conference table,
43:44when she brought us together.
43:47I wish that everyone could share a
43:49friendship with a person like Margie.
43:52Although perhaps the most amazing thing is
43:55that so many other people feel this way
43:58about their friendship with Margie too.
44:01I love you Margie.
44:02They all miss you dearly.
44:16My. I'm Randy Epstein.
44:19I was in a writers group with Anna
44:22and Lisa Sanders and Pauline Chin.
44:24The Margie piece that I'm going to read
44:27started out in the draft that we read.
44:30It started out as a you and second person.
44:33It was always easier for Margie to
44:36write you and for us to edit her
44:39second person because it just put it
44:41out there far away from all of us.
44:44The New York Times editor rightly
44:46so made her switched I.
44:48It was very difficult for Margie.
44:50And it's difficult for me to read tonight.
44:54This was published March 13th,
44:562020 in the New York Times.
45:01I know bad news is coming my way
45:03when my oncologist walks into
45:05the exam room with the nurse.
45:07It doesn't matter that he
45:08introduces her as a new nurse,
45:10getting to know the system.
45:12In my more than six years of seeing my
45:15oncologist for metastatic colon cancer,
45:17he is never coming accompanied.
45:20He wants her in the room to
45:22learn how to give bad news.
45:24After 25 years of the pediatrician,
45:27I know the guidelines find a quiet room,
45:31give the news directly, allow for silences,
45:34offer tissues and glasses of water.
45:38Wait for the families questions and
45:40answer them as fully as possible.
45:43I've had to tell families that
45:45their child has a chronic disease.
45:47Is gravely ill, has died.
45:49Now my oncologist rotates the chair
45:52facing the computer so it faces me.
45:55He sits down, makes eye contact,
45:57glances at the box of tissues by his side.
46:01The nurse stands just beside him,
46:03shifting her weight between her feet.
46:06I sit on the exam table with two of
46:09my friends next to me holding hands.
46:12There are new liver lesions growing.
46:15My oncologist says three years
46:17the lesions were dormant,
46:18encased in calcium,
46:19but the cancer cells and burst
46:22through their calcium borders.
46:23They're not yet wreaking havoc.
46:25My laboratory values and
46:27vital signs are normal,
46:29but the new liver lesions means that
46:32chemotherapy is no longer working.
46:35I step out of my patient rolling
46:37into my doctor role just long enough
46:39to acknowledge that my doctor is
46:41very good at giving bad news.
46:43He is asking what questions I have.
46:46He's allowing for silence.
46:47Tears are falling from my eyes and he is
46:51silently handing me the box of tissues.
46:54The nurse nods her head when
46:55he talks about the next steps.
46:58You'll look into clinical trials
47:00and new medications.
47:01On Monday he will meet with his
47:04colleagues to discuss my case.
47:06They will pull up images of my scans and
47:09discuss radiation surgery, immunotherapy.
47:12Possibilities.
47:13The nurse nods optimistic.
47:17I look at the scans on my
47:19oncologist computer screen.
47:20He rolls the mouse to make
47:21the images bigger than life.
47:23He touches the light Gray ovals
47:25of cancer on the CT scan and
47:27contrast them to the darker Gray
47:29of the rest of the liver.
47:30He points to the bright yellow
47:32sunburst shaped spots of cancer on the
47:34PET scan. They stand out starkly against the
47:37purple Gray color of the rest of the liver.
47:39When I was a medical student,
47:42I thought those images look
47:43like modern art, but not today.
47:45Today I know those Gray ovals and yellow
47:48spots or my growing cancer reacting to
47:51the contrast fluid infused in my body.
47:54My oncologist cancels my chemotherapy
47:56for the day while I wait to
47:59figure out the next steps.
48:00I will be full of uncertainty
48:02and fear of the growing cancer,
48:04but not having chemo means my next
48:06days will not be full of nausea,
48:08diarrhea and exhaustion.
48:09No chemo means I will need
48:10to go home and get under.
48:12I will not need to go home
48:14and get under the covers.
48:16The day opens up loving counselors
48:19taught me about patience and lack
48:21of control and how to spend as much
48:23time as I can with those I love.
48:26I propose a hike with my friends.
48:28They say, of course,
48:29and we drive the 10 minutes
48:31to sleeping Giant State Park.
48:33One friend choose the trail.
48:34I do not know.
48:36She says it will wind along the
48:38River before rising up the Hill.
48:40The trail gives us a good view
48:42of the trees that fell from the
48:44tornado a few years earlier.
48:45Some trees are dead and others
48:48whose intricate root systems
48:49have grown sideways and above the
48:51ground seemed to be re generating.
48:54But do they, the day of the tornado,
48:56is during a non chemo week.
48:58I was driving my older daughter
49:00home through what was in our town.
49:02Just a bad rainstorm. I was not worried.
49:06I had no idea there was a serious
49:09storm brewing nearby.
49:10We rest on a fallen log in a sunny spot.
49:13We talk of our children and
49:16partners in politics and cancer.
49:18After our hike,
49:18we stop at the pharmacy to
49:20pick up passport photos.
49:22Last week before my oncologist walked
49:24into the exam room with the nurse,
49:26my teenage daughters and I had the photos
49:29taken because our passports were expiring.
49:31This week, I wonder if I will
49:33ever leave the country again.
49:35I had hoped to have more adventures.
49:37I'm confident that my daughters just
49:39on the Crest of their adulthood,
49:41will travel widely.
49:43At the cash register are extra
49:45large chocolate bars.
49:46I buy 2.
49:49I center my daughters are curious
49:50about how I had time to make dinner
49:53and why I'm eating dinner with them.
49:55They know my typical chemo day has me
49:57napping all afternoon and into the evening.
50:00Tell my daughters the news.
50:02I tell them I am on a chemo holiday
50:05because there are new cancers.
50:07Cell grows.
50:08There's knew cancerous growing liver lesions.
50:11The biggest collection of cells
50:14is 1.5 centimeters wide.
50:16My daughter spread their thumb and index
50:19finger to estimate how big that is.
50:21It's small,
50:22they say.
50:23We eggplant parmesan and chocolate
50:25in my daughters retreat to their
50:28rooms for homework in Netflix.
50:30I have known for over 6 years
50:32that there would
50:33be lesions that were escape
50:34the clutches of chemotherapy.
50:36I am sad it is now.
50:39They hope for more time,
50:40but there's no denial.
50:42I met the nurse who came into the exam
50:45room to learn how to give bad news.
50:48She, with her freshly pressed
50:49scrubs will be better prepared
50:51to give the bad news next time.
51:08Good evening, I am so
51:09honored to be a part of this.
51:11My name is Natasha Rae Ann.
51:12I am the director of New Haven healthy start.
51:15As you've heard, there are many of us
51:17who have learned so much from Margie.
51:20For me the lessons have always been
51:22professional as well as personal.
51:24I met and began working with Margie in
51:262005 and the Clinical Scholars Program.
51:29My first CBPR project that I was copii.
51:32I learn how to code qualitative studies
51:34from Margie the benefits of infant massage
51:37for the New Haven healthy Start families.
51:39I learned from Margie and circles of
51:42security for our staff that serve these
51:45families all brought to us by Margie.
51:48She had always either encouraged the
51:50tough conversations like race power and
51:52privilege and CPR and or in the world,
51:54or at a drop of a dime ready to have them.
51:58These are just a few of the
52:01many gifts from her.
52:02Our last in person time
52:05together was in June 2019.
52:08We spent the afternoon in a very
52:10small theater on Middletown
52:12Ave that I had no idea existed.
52:14Margie, did an we went to watch Rocket Man.
52:17We discussed the choice of actors,
52:19the storyline,
52:20the things that neither of us knew about,
52:23Sir Elton and we literally sang out loud
52:25of the of the songs along with the movie.
52:28There were only four of us in the
52:31theater so on the way home she asked
52:34me if I watch blackish and I cringed.
52:37I said absolutely not, absolutely not.
52:39As a rule, you know I'm not a judge.
52:41Judge the book by the cover person,
52:43however,
52:44just the name alone suggested to me that
52:45it was just another blaxploitation sitcom,
52:48and I've had more than my fair
52:49share of those not interested.
52:51No way she's like, oh,
52:52it is definitely not that you
52:54would really enjoy it, Natasha.
52:56I'm telling you, you have to watch it.
52:58You have to watch it.
52:59And you know,
53:00shoot me a text when you watch it.
53:02We've got to talk about it.
53:04So on the way home we talked more about
53:07the negative stereotypes of black
53:09families in the media and the impact
53:11of it and how it's perpetuate it.
53:13You know still talking shop during
53:15girls day out and when I drop Margie off
53:17I told her that I would check it out.
53:20It took me about three weeks to finally
53:22watch an episode and of course she was right.
53:24We began texting about certain episodes,
53:26checking into see if one or the
53:28other cop this weeks episode.
53:30It was an awesome thing and I just
53:32think about how lucky I was to have
53:34someone who knew me well enough
53:36and that I trust it to bring me to
53:39the other side about an all black
53:41show with an all black cast.
53:43Margie and Blackish will always go
53:45hand in hand for me and it's very dear to me.
53:48I shared this abbreviated version
53:50in a very very small
53:52group of our colleagues a few months ago,
53:54but up until that point I had
53:56held that memory as a special
53:58thing between margin me.
54:00Tonight I am happy to have
54:03shared this all with you.
54:05I miss her cell. Thank you.
54:14Thank you Natasha.
54:17Certainly empathize with missing
54:18Margie but I have to tell you tonight
54:21have been such a wonderful tribute.
54:24It's really been terrific to hear
54:26from all of the colleagues and
54:29friends of Margie's and kind of
54:32distributed keep going on forever.
54:34Of course we can try one more one
54:37brief stories to share now, but.
54:40To seeing on this list of participants,
54:43all the people across the country
54:45who have logged on tonight to
54:47watch and share with us really is a
54:50wonderful reminder that in a way,
54:52this tribute will continue forever.
54:54Through all them are just all of us.
54:58So this past fall I visited
55:01Margie in the hospital.
55:04She had already been there a few
55:06days and while she was feeling
55:07a little bit better overall,
55:09the hospital never let you sleep.
55:10She was still recovering so she
55:12was still still a bit tired.
55:14But she was also bored and she wanted
55:17the company so generic small talk
55:19ensued until she suddenly remembered
55:21something that she had been wanting
55:23to talk to me about something
55:24that had been driving her crazy.
55:26She sits up suddenly energized,
55:28leaving in towards me.
55:29She had been thinking about our hospitals,
55:32new clinic,
55:32a partnership with community
55:34health centers in the area.
55:36It had been under construction
55:37for the past year.
55:39Margin grew more animated,
55:40thinking aloud about how this new
55:42physical clinic building was an
55:44opportunity to improve engagement
55:46between the hospital and the community,
55:48and she feared that opportunity
55:50might be slipping away.
55:51The location of the clinic was
55:53remote for many of the neighborhoods
55:55that it was supposed to be serving.
55:58Marta was worried about this.
56:01She spoke about how important it was
56:03to get the community input for all
56:05aspects of designing the new clinic building,
56:08including.
56:08The actual design of the exterior
56:11and the inside, among other things.
56:14She had been advocating sometimes
56:16from her hospital bed to ensure
56:19that New Haven based artists.
56:21Work with grace the walls,
56:22because after all,
56:23when people entered this new clinic,
56:25what would they see when they
56:27see a reflection of themselves
56:29of their own communities?
56:30She's been exploring this issue.
56:32They felt as though she been
56:34getting the run run around.
56:36She had called hospital administrators
56:37to ask about who is purchasing the art,
56:40and she was told that they have a
56:43great lineup of standard artists
56:44who are located in California
56:46on the West Coast who were great
56:49at turning out BC beach scenes.
56:51Generic landscapes etc.
56:52But as recently as bad day.
56:54Margie had still been calling
56:56people pleading to the hospital to
56:58turn their purchasing directions
57:00direction back into New Haven.
57:02Six months later after Margie had
57:04died I was sitting there in the
57:07parking lot of the bright and shiny
57:10new clinic building for the first time.
57:13I hadn't thought about that conversation
57:15with Margie for quite awhile.
57:17I felt glum realizing that
57:19this initiative would probably
57:21falling through the cracks.
57:22We're marching,
57:23step back from her work and from her
57:25advocacy I was kind of dreading
57:27entering the clinic building,
57:28knowing that Margie wouldn't be there.
57:30I trudged across the parking lot,
57:32but as I walked through the waiting room,
57:34I did a double take.
57:36That sound can we share?
57:38Turns out I've been wrong about margin,
57:40that being there in the building with us.
57:43The walls were decorated with beautiful
57:45work by New Haven based artists.
57:47And is Margie would say love that.
57:55Thanks so much. Kerry and presenters.
57:57Would you put your video
58:00cameras back on for a moment?
58:03So yeah, thank you.
58:05Everybody who read and
58:07shared wonderful stories.
58:08Remembering Margie and her impact tonight.
58:11Thank you to everybody in the audience who
58:14tuned in to remember and celebrate with us.
58:18This category. Defining physician,
58:20writer, artist and activist.
58:22The impactful, beautiful, work,
58:24friendship and legacy of our beautiful,
58:27beautiful, beloved colleague and friend,
58:29Doctor Marjorie S Rosenthal.
58:32Thanks everybody, goodnight.