Josele’s Illness

Monday Sept 15

by


Found both Nettie’s
children ill, and coughing
badly.

I pray constantly for them
Oh Allmightly, heal them
and restore them to perfect
health, and may they be
a blessing and a source
of happiness to their tried
parents. Amen.

—————-

Matt’s Notes

Though Papa has struggled with his fair share of personal, emotional and financial difficulties this year, his sister Nettie’s life has, at least from what we’ve seen, described a bleaker version of tenement life, an immigrant experience dogged by disease and unemployment and casual cruelties. Her daughter, Ruchaly, has been ill all year; her husband, Phil, has been in an out of work and kicked around by the unscrupulous headmaster of an English-language school; and, in one of the strangest episodes of the year, she gave birth to a new son just as Papa received word from overseas of their father’s death, though no one told her for ten days while she convalesced.

Papa’s prayer for the health of Nettie’s children is typically heartfelt and touching, but there’s nothing melodramatic about it. New York’s infant mortality rate had been on the decline for years, but it was still, at sixty-six deaths per thousand, ten times higher than it is today. With tubercular neighbors wandering about and fresh air at a premium, the sound of a child’s cough was terrible to hear. Unfortunately, the shadow of future unhappiness hangs over this entry, for we know Papa’s plea to the Allmighty went unanswered in the end; Ruchaly was destined to die of meningitis, and Nettie, years later, gave in to a long emotional deterioration and took her own life.

Still, I suppose Papa’s capacity for prayer and hope is partly responsible for the resilience and resourcefulness with which he faced his own trials. Among other things, the difficulties of immigrant life, the death of his sister and the devastation of his family during the Holocaust all gave him ample reason to grow bitter as he aged, but he chose not to. He defined his life by what he had, not by what he’d lost, tallied up his gains, and not his deprivations. It sounds simple, but: How?

—————-

Papa wrote his prayer in English but also concluded this entry with a Hebrew phrase. Alas, I can’t make it out and neither can Stephanie, who is both my wife and my go-to for Hebrew translation. If you can make out what this says, please drop a note or comment:

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Update 9/17/07

As we subsequently learned, the Hebrew at the bottom of this entry reads “Avraham Zvi, son of Joseph, the Cohen.” It seems to be a kind signature through which Papa conveys to the Allmighty his name, his father’s name, and the fact that he’s a Cohen, or member of Judaism’s high priest caste.

Tuesday Sept 16

by

the children Yosef and Rahel
are still ill

Oh, Creator of worlds, bring
them back to health

Avraham Zvi bar-Yosef, the Cohen

——————-

Matt’s Notes

Another day, another prayer for the health of Papa’s terribly ill niece and nephew. He’s written both of their names in Hebrew, and concluded this passage with the same Hebrew phrase he used yesterday. Thanks to our friend Inbar, we now know it’s a formal signature of sorts that reads “Avraham Zvi bar-Yosef, the Cohen,” or Abraham Zvi, son of Joseph, the Cohen. (Papa was a Cohen, or member of Judaism’s high priest caste, so perhaps he used this signature as a matter of course.)

Wednesday Sept 17

by


Ruchale is feeling
a little better, but
Josale is still coughing
much.

May the Allmighty speed
p boths recovery

———

Matt’s Notes

This is the third day Papa has discussed the illnesses of his sister Nettie’s children, Ruchale and Josale, and prayed for their recovery. He doesn’t mention what they had, but a 1924 New York Times article on childhood mortality rates cites measles, scarlet fever, whooping cough and diptheria among the most fearsome (it also credits “Schick testing and the injections of toxin-antitoxin to approximately 500,000 children” with a sharp drop-off in diptheria-related deaths).

I expect Papa was most worried about whooping cough or tuberculosis, but if you know more about this subject please drop a comment.

Monday October 6

by

Am so worried, Philip is
unable to work, and Josale
is sick. Oh God speed their
recovery

————-

I know I must help Nettie and Philip but where will I find the means? So many want so much from me. My father olam haba faced these burdens each day. Oh God give me his strength so I may help others, it should never upset me so.

Let those who come after me never know such thoughts.

————–

I can only speculate on what Papa decided not to write down at this time. We know he helped his sister Nettie and her husband Philip negotiate life in America, and this included financial support. We know he felt bursts of resentment when his family in the old country unceremoniously demanded money of him, but he went into debt to accommodate them. We know he admired his father and hoped to live by his example, but he also feared he inherited his father’s life of unyielding poverty and endless worry over how to provide for his family.

Did Papa ever wish for everything to stop, for all his troubles and all the people around him and all their demands to disappear? He never said it, yet in this, his most difficult year of change and self-reflection, he surely felt his generous character tested. And so I ask again: how did he cast such thoughts aside and finally become the effortlessly selfless person we all knew? What would I be if I knew the answer?

Wednesday Oct 8

by


Right after the prayers this
evening, I called the Dr. to
examine Yosale, and according
to him he is seriously ill,

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Matt’s Notes

As my mother noted a while back, Papa’s whole family depended on him for support even though he was the second-youngest of seven children. This entry gives us a small but matter-of-fact demonstration of his caretaker’s role: though he has been fasting and attending services all day for Yom Kippur, it still falls to him to call a doctor for Yosale, his sister Nettie’s infant son. It’s certainly understandable because Nettie’s husband, Philip, spoke little English and had recently suffered a debilitating injury to his hands, Nettie probably didn’t want to leave her son’s side for a moment, and Papa likely had the best line in to a decent doctor. (I would guess the doctor he called was associated with one of the landsmanshaftn, or mutual support societies, that immigrant Jews like Papa depended on for various essential services.)

I wonder, too, if Nettie asked Papa to call the doctor of if he acted on his own in this instance. Yosele was, after all, named for Papa’s father Joseph, who had died just a few months before. Since much of Yom Kippur involves intensive mourning for the dead (fasting and non-stop prayer ratchets up the emotion) Papa may well have emerged from services feeling especially compelled to protect his father’s namesake.

Thursday Oct 9

by


Yosale is a little better today
and gradually improving
Received 2 letters from home

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Matt’s Notes

Back in May, in one of the more dramatic episodes in Papa’s year thus far, Papa received notice of his beloved father’s death just hours after his nephew Yosele was born. I’ve always wondered if this confluence of events, along with the fact that Yosele was named a variation of “Joseph” after Papa’s father, made Papa especially attached to Yosele.

For example, the first thing Papa did yesterday after Yom Kippur services ended was call a doctor for Yosele, who’d been sick for a while. Is it possible, as we discussed yesterday, that having spent the day fasting, praying and mourning his father, Papa felt overly concerned for Yosele and called a doctor when it might not have been entirely necessary? Could it be that Yosele’s not really any better today at all, but, with Yom Kippur over, Papa’s perspective on Yosele’s condition is a little less exaggerated?

In that vein, I imagine Papa’s Yom Kippur prayers, so focused on his father, also made him think at length about his childhood, and the childhood home he missed so much. If that was the case, the two letters he received from the old country on this day must have felt especially welcome, as if, perhaps, a higher authority than the U.S. Postal Service had a hand in their arrival.

Monday Oct 27

by


At home.

Ruchale was operated
on tonsils last week and
is still so weak and
Yosale is still ill. Oh
Allmighty speed their recovery.

Those constant pre election
speeches almost get my
goat, and all the
candidates seem to flock
to my block every night
and disturb my rest.

—————————

Matt’s Notes

I don’t think Papa has ever mentioned Ruchale, his sister Nettie’s daughter, without referring to some kind of illness. Sadly, her newborn brother Yosele (who was born right after Papa’s father died and was named for him) took after her and started coughing incessantly when he barely a month old. This wouldn’t have been too unusual; childhood illnesses like whooping cough, measles and diptheria were on the wane in the 1920’s, but they still haunted the halls of New York’s tenements. I wonder, too, if something was particularly wrong with the ventilation, gas jets or other environmental conditions in Nettie’s home.

Then again, with Nettie’s husband Phil also recovering from a recent, debilitating injury to his hands, I’m tempted to say, as Halloween approaches, that Nettie’s life was just cursed. As we’ve discussed before, Ruchale would not survive a later bout of meningitis and Nettie would one day die by her own hand. (This made her only the second of four wives Phil would eventually see die under tragic circumstances, earning him the nickname “The Serial Killer” among certain members of my family.) I don’t really believe in curses, but I certainly do detect an absence of blessings here.

The thought of Ruchale’s surgery immediately conjures images of unsanitary Victorian operating theaters, but the 1920’s were pointedly post-Victorian and, in fact, the period was witness to a bit of a tonsillectomy/adenoidectomy renaissance. According to an abstract for an article called “The rise and decline of tonsillectomy in twentieth-century America” in The Journal of the History of Medicine and Allied Sciences, tonsillectomy/adenoidectomy was the most frequently-performed operation in the United States between 1915 and the 1960’s. If you don’t believe that, the Web site for the American Academy of Otolaryngology−Head and Neck Surgery says this type of procedure accounted for 33% of all U.S. surgeries performed between 1920 and 1960. Quoth:

Tonsillectomies were typically performed in response to hypertrophy, recurrent tonsillitis, and enlarged cervical lymphatic glands. Ether vapor was often used as anesthesia. If local anesthesia was preferred, cocaine, novocaine, or bisulphate of quinine was usually used. A mouth gag held open the mouth and retracted and elevated the tongue. A gauze pack was placed in the nasopharynx to block the entry of blood, saliva, and/or vomit into the tonsil area. The tonsils themselves were normally removed by sharp dissection – no snares or tonsillotomes. Black silk was used to suture the area.

This still strikes me as worrisome, and I’m sure Papa would have lost sleep over it even if he wasn’t kept awake by politicians hawking their candidacies until all hours. It looks like the campaign onslaught was particularly intense in New York City, with Democratic Presidential nominee John W. Davis, Republican Vice Presidential nominee Charles Dawes, incumbent New York State Governor Al Smith and his challenger, Colonel Theodore Roosevelt (the eldest son of the former President of the same name) all in town for a final push before the November 4th elections.

Radio was just emerging as a campaign tool for the first time in 1924, but old-fashioned, street-clogging hawkers, brass bands and loudspeaker-equipped autos were still the preferred broadcast media of the day. By the last week in October, the city was so full of campaign-related traffic that a marching band hired by a Republican group accidentally found itself leading a Democratic torchlight parade. I can only imagine what the Lower East Side, which had more than its fair share share of flyer-waving union reps, Socialists, Democrats and Zionists running about and shouting, must have been like.

Yet note how Papa says such activity “almost,” but not completely, gets his goat. He was an inherently tolerant soul, but he was also no stranger to expressing his own political passions. With that in mind, he probably thought it best to remember his own days of street campaigning, contemplate the joys of democracy, and fold a pillow over his ears.

————–

Update:

My cousin Ken, the dentist (who I only just met after he read about Papa’s Diary Project in the New York Times and found his grandfather’s name in it) says:

Tonsillectomies were very common up until probably the late 1960’s. I had mine removed, so did my sister and probably most people my age. I didn’t realize they were so common in the early 20th century. When kids got numerous colds and sore throats, doctors thought a tonsillectomy would help because the tonsils would enlarge and become very swollen and they thought their removal would decrease the number and severity of their infections. We now know that tonsils play an important role in fighting infections in the throat and their removal doesn’t affect the number of colds a person gets. When they swell up they are just doing their job of fighting the infection.

Today they would be removed only if they became chronically so enlarged they caused problems with breathing or sleep apnea. I had my tonsils removed as outpatient surgery. The person you are writing about probably was given ether or another anesthetic gas and the tonsils(and usually the adenoids at the same time) would be cut out(the tonsils are on each side of the throat at the base of the tongue). I don’t know if they cauterized the area to stop the bleeding back then, as they do now.

I guess it was a more serious procedure when she had them because they did not have many antibiotics(maybe sulfa?) and one could die from an infection. The tonsillectomy probably made her breathe better when she had a cough or cold but did not lessen the number or severity of illnesses she developed. Doctors today realize that tonsillectomies are one of those common procedures that were overdone and didn’t really help most patients.

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References from the New York Times archive: