n my 40-plus years in healthcare, if I have
become adept at any one thing it is the ability to evaluate hospital
cafeterias. There are many people who might assert that I have spent far too
much time frequenting whatever-hospital-I-am-working-in’s eatery, but they
would be wrong. It is my contention that much of my best work has been
accomplished during breakfast, lunch and a couple of coffee breaks every
day.
It all began at Baptist Hospital of Miami during the late ’60s and early
’70s. Every morning around 8:30 (beginning when I was a nursing assistant),
the "Braintrust," which included Rusty Slay, the CFO; Bob Gunter, the lab
director; Art Mellios, the food services director; Eddie Condron, the
controller; and Joe Smith, the environmental services director; would get
together to review the activities of the previous day and plan for the next
softball game. Many of the hospital’s (and the world’s) problems were solved
during those breaks. The same group would meet for lunch and again at 2:00
p.m. for coffee. I was new to private sector healthcare so I just figured
that was the way things worked.
From that starting point I took the "coffee klatch" tool with me wherever
I went. The cafeteria is the social hub of every organization. Most
everybody goes through it at least once a day. And when they are there, they
are generally in a good and approachable mood — much less adversarial than
when they are defending their home turf.
So it’s a good place to get things done — and have fun.
At lunch you can suddenly have access to someone with whom you would have
difficulty scheduling a meeting. At several hospitals where I’ve worked, I
have found myself having lunch with the CEO. At one place, the Controller
and I ate with the CEO two to three times a week. When given an opportunity
like that you can (1) break down the barriers associated with status (to a
certain degree) and (2) air out some of your opinions/ideas to someone at
the highest level in a casual manner.
At Genesis Health System in the Quad Cities, Pete Fromme, the director of
finance, and I held court every day from 11:45 a.m. to 12:30 p.m. We were so
consistent in our presence that other managers would plan their day so they
could join us at lunch to discuss their issues. In fact, we were both cited
by another director for the service we offered by being available every day
in the cafeteria.
Ahhh, the rewards of constructive loafing.
But the real value of having a "cafeteria presence" is the people you
meet there. This story is about two of them — both from the "Greatest
Generation," albeit from different ends of the spectrum.
Paul and Louie have several things in common. Both are 86 years old. Both
live in Iowa. Both are irascible. Both are veterans of the military in World
War II. I first met both of them in the cafeteria of the hospital where I
worked. And both are characters of the highest order.
I met Paul first — in 1994. Every day he would shuffle into the cafeteria
wearing a white lab coat and what looked like a pair of slippers! He
was stoop shouldered, had gray hair and a flat top haircut and a facial
expression that reminded me of the cartoon dog Droopy.
I soon discovered that he worked in radiology as a volunteer, but had
worked at the hospital for several years as a central services technician.
He was friends with some of the members of our morning coffee klatch group
and he began to join us. When he did, he would tell stories that would leave
us laughing until we cried. His meek voice would regale us with
profanity-laced tales that included:
• Getting stuck in the barbed-wire during the "crawling under machine gun
fire" portion of infantry training in Arkansas (they had to halt the
proceedings to extricate him, after which he was removed from the
possibility of going into combat. Instead, he handed out ammo to the troops
in training).
• Getting tired of processing soiled bedpans during his days in central
services (his solution was to take them outside and throw them on the roof).
• His ongoing war with the director of environmental services who he
claimed threw away his service records (he had brought them to work to be
copied and had placed them in a waste basket on which he placed a sign that
read "Do Not Dispose." Of course, the staff dumped it).
Paul was sent home after only six months in the service. He came back to
his home town, and in his entire life, except for one trip to Des Moines, he
never traveled more than 40 miles from where he was born.
I helped fulfill three of Paul’s life’s wishes. With the help of his
friend Henry in radiology, we petitioned the Army Record Center in St. Louis
to get a copy of his service records. Second, I paid his American Legion
dues every year I was there so he could have a military burial if he died.
Third, I bought him a "boom box" and searched the second-hand record stores
and Internet until I could make him a tape collection of his favorite group
— The Six Fat Dutchmen, a Wisconsin-based polka band from the ’50s and ’60s.
The day I gave it to him he brought it to the cafeteria at lunch, put in
the tape, turned up the volume and danced a polka for us in his lab coat and
slippers (he had bad feet). I’ll never forget that sight.
I met Louie in 2000. I would see him every morning at breakfast and most
days at lunch. He was a gnarly-looking dude who always wore a "USMC" cap
with several pins on it. He appeared to be missing parts of a couple of
fingers.
One day I sat down with him and our friendship began. It turns out he
lived in the neighborhood — right across the street to be exact. Everyday he
would walk over for breakfast, and most days he would return for lunch.
Louie had indeed been a Marine in WWII, and unlike Paul, he had actually
seen battle. In fact, it turns out he had been on the landings and
subsequent battles for Guadalcanal, the Philippines, Okinawa and Iwo Jima.
The casualties in those landings were phenomenal! I don’t even know how to
begin to calculate the probability against Louie being alive in 2000, but it
had to be huge. He lost parts of his fingers during the war, and his
demeanor was as gnarly as his appearance.
We became fast buddies. He liked me because he knew I had been a corpsman
with the Marines in Vietnam. We had a common bond.
Every day we would have breakfast — Louie, me, Paul Jones and Pete — all
veterans, and all familiar with the words required to carry on a
socially-acceptable military conversation. One word in particular had to be
used in every sentence if a person were to call himself a Marine, and
believe me, Louie used that word well.
One day shortly before the start of the Iraq war a hospital executive
joined us and waxed political about why the war was necessary. Louie sat
there glowering, but saying nothing. When the executive left, Louie turned
to us and said, "What the @#$% does he know about war? The only thing he’s
ever had to fight is his desk chair."
Enough said.
While I was there Louie never paid for anything. I made the people in
both the cafeteria and the snack bar bill me for whatever he bought. It was
the least I could do for my hero.
So here’s my challenge. When you go to the cafeteria, hang out awhile
longer than usual. And keep your eyes open for the characters that frequent
the place.
They will make your day…and your life.