



The Story of Lacho
A Transcript of Conversations with Lacho and Family in the Summer and Fall ot 2021
I was the great joy of my parents. Probably the first memories that I have was when I was three years old, not earlier than that. But at three years old, the most I remember is everybody was saying how white he is like milk. So I was always a smiling little boy and the joy of everyone. As I grew up, well, started interaction with my older brother. The eldest that we got into fights may have been at five years old. For one reason or another, we'd get in the fight and I would run after him. I could never catch him because he was older.
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We would just get into fist fights until we both would be on the ground. My parents, when they would realize that, well, my mother was screaming, "Hey, guys, you're going to kill yourselves." My father would just take the belt and run after us. We would be running. He could never catch us, running to the patio. Then after everything, we are all friends again. But that's usual story for were most kids when you have siblings that are ... we've got two years difference in between us.
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When we were fighting. I remember that my thoughts were, "When I grow up, I will be a policeman to get my brother, to just catch him." So this is the earliest that I can remember. Well, my older brother is Cacho, and my name, Haracio. I would assume that when they started sayin g Horacio, Racio, Lacio, Lacho. They say, "How is your name Haracio? Lacho?" So Cacho y Lacho. That was the only explanation that I have. But in Rosario, there have been couple of other Lachos that I have known. So it's not totally unusual.
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Well, we went to school, it was a school in a little town where we were living. I know with all the other children, there were no Jewish kids. It was all the locals. The teacher was Jewish, and the director of the school was Jewish. They were husband and wife. Well, next to my house, there was a church. Then we just go to ... There was a sidewalk. Then the next block was the school. All the kids going with white coats. Yeah, long coats. There was a general store that was owned by a family by the name of Shreyer. They had three children, the daughter that was older and then one in the middle and another younger one. I was friends with the young boys. We played. Actually, we spent a lot of time together, the three. It was also close by, walking. The family was very good to me and my brother, and they were good people.
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Then there were younger people, young kids from another Jewish family that they were related to the school, where the father was director of the school, and the mother was a teacher. I had this girl that we used to play and i was playing the doctor by the hill. We were discovering things, very innocent and naive. But looking at each other, showing things. Then when I was eight years old, my younger brother came to this world. Did my primary school where I was born the first few years. Not first few years, probably the first year, because when I was five, we moved to Rosario.
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We were initially in a small town called Santo Domingo, where is the place where I was born. Next to my house was a church where they would get together every Sunday and would show movies of how Hitler was advancing in Europe. There was a percentage of German population in Santo Domingo. That was, let's say, the most powerful financial viewpoint, German descent. They were pretty much Nazis.
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There was another Jewish family, the Merkins, that they were very good Jews. I wouldn't say Orthodox, but he was very well read. He had a library of all Jewish books and Jewish history. He was very good one. The wife was also good, and they were good with us and with the goyim, too. She was very, very social with the kids. The kids loved her because anybody then would be even going to the store, she would be, there was a kid and said, "Oh, come and have this cookie." All this, they talk Spanish and English, of course. To me, they will love her, and they wouldn't say a cookie. They would say a pletzel.
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MOSESVILLE
This is where we are all from in those days. Two, three generations up, they were the first immigrants to Argentina. When the girls were old enough I said: What we have to do is go to Argentina, and we'll visit Moisés Ville, and you will see what it is. And we did. We got the three girls. We went to Argentina. We got to Rosario, all the cousins that they were born in Argentina and they lived in Argentina and they have never been in Moisés Ville. Kids. My brother's children, they didn't know what Moisés Ville is. It's just unthinkable.
But anyhow, I got them all together. We were 19 in all, and I rented a bus with a driver and we went to Moisés Ville. We had few connections in Moisés Ville. Moisés Ville has the museum of the colonization. Director of the museum was a lady, Eva Gelbert, I think, that was the director of this museum. We contacted her. She was a distant relative of Rosie. We came as a surprise. She said, "Well, you want to know your Jewish roots? First thing you have to go is to the cemetery."
So she arranged so they could open the cemetery and we just walking and we saw the relatives that we already hear all the anecdotes. They were in this cemetery. We saw these seven people tomb. Life, let's say, in the immigration was interesting. My great grandparents, my zaide's father was a Shershefski, orthodox and truly orthodox. My father's grandfather, these were the immigrants. Well, they lived one across the street from the other. They had to walk a mile to get to the shul. So this Shershefski, he was religious, but he had a bad temper, a guy that gets upset and he's fighting already, fired up easily.
So they would go talking very friendly to neighbors, walking to the shul. In the shul, they would get into fights in between them. They would just get upset one to the other, and then were coming back to the houses, one on each side. We say Moisés Ville, but was the whole area. My zaide Shershefski was in another little town close by, in Las Palmeras. In Las Palmeras, where my mom was the oldest daughter. They had very primitive ways of working the harvest. Nowhere, no nothing. Weather didn't help. So they were not wealthy. They didn't speak the language.
My mom was born in 1914 and was at the time of the First World War. She was educated locally in primary studies. There were no kindergarten. Then five years later, they had another girl. She was born in Las Palmeras. My grandmother died from the childbirth. So my grandfather was left with one newborn, one that was five years old. No language, no means, nothing. Okay? So he arranged the relatives came in, trying to help.
There were relatives in Buenos Aires that were wealthy, had all the means to help. One of them took my aunt, and she grew up in the other family basically, but close to everyone. She became a dentist. She married a good guy, an ophthalmologist in Buenos Aires. They had two daughters, the family. He has these stories that are interesting. But my mother ended up with some uncles, aunts in Buenos Aires, and she been a few years there. Then she went to Cordoba, where she did dental school and became also a dentist.
Then she met my father and they got married and they went to Santo Domingo, which is my birthplace. They must have known each other from, I will assume from the dances in the community room or with the holidays probably at some point, even though there was not a lot of traveling then. They had a lot in common. Families lived one in front of the other in the early days. They had in common, the history of the Jewishness in that area.
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SOCIAL LIFE IN MOISESVILLE
In the community room, they had dances because they were youngsters. They were the older couples, too. They would go, and that was the recreation besides the holidays and with shul, community room, whatever was everything. Eventually, they formed a band that was called the Orquesta Katz. These Katz musicians, they would play. There was no time limitation over there. If they were coming around, they would continue to play, and the young people kept dancing
. These guys were old guys, older musicians, but they would play for hours, to the point that they get tired. They will be sleeping and playing on the trumpet or just sleeping.
People continued to dance. There were mostly foreigners over there dancing and in these parties. So these guys will play and all of a sudden, the repertoire is finished. So they will play the national anthem and even over there, dancing at the national anthem, the foreigners didn’t even know and still they would dance. There were some other areas in Argentina that were also promoted by Baron Hirsch in the province, Buenos Aires province, Santa Clara. There was another third one, Entre Ríos, also organized some Jews. There are many that originated from those areas.
In Entre Ríos, we have a relative that sailed over there, that is the father of one of my nephews. They have a lot of children and they are all ... What happens is this, these people were the first generation. Second generation, they just moved to the cities. Some became business people. The ones who went to study, my father became a physician. Mother, a dentist. The first selection of who will have the opportunity to go out and the community will help. The first selection was done by the teacher.
There was, let's say one teacher for all grades. He would point to who had the ability to learn quickly and to be the smarter guy, and he would just pick him up and say, "Okay, well, this guy, we have to help him" and send it to him. My father went to Buenos Aires that way. Some of the people, they became very good businessman with the agriculture and cattle raising and all these things. Many of these were smart people, poets, good writers, the descendants, the second generation.
One that married one of my, I would say, great aunts was a famous writer, Carlos Grünberg. He wrote books and was an editor of all the Jewish magazines. In fact, his son, two, three years ago called me because he's writing a book on the Shershefski family. Then we talked. Daniel Grünberg is his name. We talked and we met and all this, but I remember this guy because when we came to United States, we didn't know anybody. The only thing we have as a contact was this Daniel Grünberg in Washington, DC.
So when we came to the United States in 1970, one day talking to Rosie, he said, "Well, we have to call this guy, Daniel Grünberg." He started with questions and this. He didn't want to talk to us. He didn't recognize who we were. He didn't know. Of course, we never knew him. So basically, we said goodbye and that's it. So it went like 30 years until he called. So we got together and I asked him, "Do you remember the call in 1970 when I wanted to connect with somebody in the family?"
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He said, "Yes, I remember." Well, in those days you didn't pay attention to me at all. He said, "Well, listen, at that time, I was," he said, "40 years old, was going through a divorce, had working problems, job problems." He's an engineer that worked for the government for many years, probably nowhere to stay and a divorce. He said, "The last priority for me was to find another relative." It was a good explanation.
I get all the time emails from the Shershefski family that is so numerous, every part of the world, every part of Latin America, every part of Europe, Israel, South Africa, you have a Shershefski, and they are all connected through email. Every holiday, well, you get all these beautiful congratulations to everyone and wishes. They send documents of the family, things that they wrote. Just to follow the Shershefskis is a job.
Now, Carlos Grünberg was a very known poet, and he was also influential in the government and an open Jew, despite governments that were not very friendly with the Jews. The first generation that arrived immigrants, it was their dream. They found the difficulties. They sorted all the problems. They survived all the difficult situations. Then the children, some stayed over there and became far farmers or whatever, ranchers, and some went out and became businessmen in the cities or professionals. Then my generation, we had a little easier because we didn't have language problems. We didn't have financial problems. So it was pretty good.
The third generation were, there are many that went to Israel, land in Israel and their families grew up over there and we've seen them. We got to know them in Israel because they got no other relation. Now it's only since we are not traveling that much, the only way is the internet. Argentina has been an unstable country from the standpoint of government. So there were times where the Jews were not accepted very nicely, times in which the economics of the country, these up and downs, created a lot of poverty. So many Jews said, "Well, why should we be here? Let's just get out." Israel was the target. So they went to Israel.
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Then once they had a lot of relatives in Israel, it was attractive for some more to come in, and a few went to Israel and came back to Argentina. It was not for them exactly as what they expected for a promise land. My father ... not my father, my younger brother of my father, Moishe, he went to Rosario in medical school. Then all my cousins, all my brothers, everyone went into the same school. It was called in those days, University National de Litoral. Litoral means that region, but then it changed to University of Rosario. There were many of the institutions because the Jewish population of Rosario were probably ... oh, I think it's 250,000 in my days.
So there were many Jewish institutions, and some had the name of Baron Hirsch and they were in different sections, temples, shuls. We do have a book that talks to the immigrants to Argentina that is way before that stream. It is said that some of the famous people in Argentina, the heroes that fought for Argentina, many of them were Jews. Who knows? There's another people that said that even Columbus, Cristóbal Colón, was a Jew. It is likely because they had to, when they lived in Spain, they had to find way to get out of Spain alive. By him offering the queen the possibility of gold coming from South America, from new lands, she says, "Okay, here is your sail boat. Just go." So it is said that he might have been a Jew.
LACHO THE BUS DRIVER
When I was about 12, 13, was the revolution, the revolution that ousted Perón. They had several attempts to get rid of him. They all failed until one was a very organized revolution. There was a revolutionary organization that got him out of power. He left the country, went to Paraguay. Perón was a dictator that had been for many, many years, 40, 50 years of dictatorship in Argentina. When he was ousted, there was a command that took care to manage everything in the cities and all the government offices. The Peronists were a significant number. So from time to time, they would have ways of disturbing the new government that was military. On one occasion, they organized a strike, a general strike in all the unions. Mostly, the most important was transportation because if they didn't have public transportation, many people could not get to work. So they figure out they put the lot of emphasis on transportation.
So when we learned this, a few buddies of mine and myself, we went to pick up the buses from the city. We didn't have even a driver's license. Pick up the bus in the city and right there, and drive them wherever they were supposed to go in the city and carrying people, because we were to make several task to strike, to defend the newly established military government. So I didn't face any resistance, let's say, people throwing rocks to me or shooting at me. But some of my friends did. But I was driving a big MAN, M-A-N, the German buses, big one going through the city. I drove pretty well through the city, and I drove pretty well. We’d stop, load people, we didn't charge tickets. Take them, do our... When they say stop, we stop. I think it would've been successful actually in making the strike failure. We were just one factor in this failure of the strike, but we contributed. But of course, the Peronistas were in many different areas, and they were still powerful in numbers, like Trump here. Still powerful, he has a lot of people.
When I got home, I found outside waiting for me a next door neighbor that was some big shot in the union, and my father, and they were talking and they saw me. "And what did you do?" And this and that, they knew. Well, I had to hide for a few months, because I said, by doing what I did, I was on a black list. So somebody will shoot me.
Well, I stayed away from the light, and everything went through, and the revolution was successful, successful in taking power, but not successfully in making the country any better. Okay. Anyhow, it was good to get rid of Perón. Perón did a lot of good things for the very poor people, but was a very dictatory government. They pushed people to do whatever they wanted, and it was not always the right thing. They had influence in education, and every aspect of life.
There used to be an organization that was a union of high school students. This union was in every city that had a high school. And this union was mostly sport events. And every student had obligation to participate, to be member of the UES, Union of Estudiantes Secundarios. We had to belong to this. If you did not belong to the high school union as a student, you're arrested from school, it was obligatory.
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And there were a few meetings that they had, that from time to time that you had to go. They directed what you had to do in accordance to government. All this disappeared with the revolution. So it was the time of revolts here and there, shooting, people being killed, fighting for one side or the other and this kind of thing. And eventually finished. They had a schooling. They had a medical school, medical school was very politicized in those days in the sense that there were groups that were leftists that were always creating difficulties in school, And their goal was to interrupt the normal functioning of everything. It took a long time to stabilize the military that came at that time. They remain in power until 1982, so for many, many years.
And the one that won the election, the first election that was done to bring democracy to the country, was the father-in-law of Eduardo, Raul Alfonsin. He became the president by acclamation. He had his popularity, he was phenomenal. He came to power 1980. I was already in United States. We were here. In fact, we came to United States in 1970. For some time, this guy Raul, Alfonsin, came to visit Eduardo and it was more than a visit, he was just hiding because they were wanted to kill him, because he was preaching democracy and he was military government.
He came to visit them in the United States, but just hiding, trying to hide because he was sleeping every night in different place in Argentina, so nobody would know what he is. He was a great guy. He's been this place here sitting many times. And we had great time together, drank a lot of wine. When he used to come to then being president, he used to come to the United States, the first thing "Take me to Lacho," because we always had a great time.
For number of years, there were changes, but within the same military rule, and then came Alfonsin, and Alfonsin had the first democratic government in many, many years. He was not successful though in economics for the country. And they banished the Peronists. They managed to get together and eventually take over the unions, and created a situation, economic situation that was very difficult for the country, and Alfonsin had to resign before finishing his term. So that was very unfortunate, because that was probably the only decent man that we could tell. Think he got sick. He came here for treatments, chemotherapy for lung cancer, become metastasis and eventually died. And when he died, he had all the honors of a burial in Recoleto in Buenos Aires.
So the years of high school, in Rosario, have been very happy years. We have a lot of friends. Yeah. We still keep the friendship over the years. We don't see each other very frequently, but from time to time, they come here or we go over there, and we always had fun together. They are professionals now, some of them, some of them now, most of them retired.
Well, we had these gathering, the nice people who get together in homes. And as you know, the homes in the single homes in Argentina, they have a terrace, the roof, is like a big area where you could, so the dances were always in the homes. And with lights, color lights and loud music, and people dancing. And one of the music that I remember was very popular was The Platters. And then over the years, well, I like the romantic music, Boleros, some of the Cubans and Xavier Cugat mambo. We were not too much into tango in those days. The story of my love of tango started when I was 24, 25, when I became interested in tango, because there were many situations that I would just consider really personal, and I just identified with some of the tango.
OPERA
The first time I was exposed to operas was in Rosario. There were no places like you would say I go buy a suit when I was a kid. So you had to go to the tailor to get a suit. So my father would take myself, would my older brother to the tailor. And he will measure us for a suit. And the tailor, he will take the measurements wherever he has to do. And for every suit we have to go probably four or five times, to try to do this and correct... Okay. So since we were three people going, we went many, many times Diloreto's, the tailor, Italian guy, Diloreto. You imagine. And he always had operas playing, always opera playing. And we went so many times when I was a child that, well, I just started to enjoy it. This is why listening, you get to enjoy it.
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ROSI ENTERS THE PICTURE
The first time I put my eyes on Rosie, I was 18 years old in Tucumán, and she was 11 years old. And she came to visit the aunt that we gather. She had, and I had different wave of relatives, but we did have, and I said, "What cute girl?" I thought she impressed me and really impressed ever since. Then over the years, she came to Rosario with no idea who I was, but I met her, and we went out and then we went dancing, and we got things going. That was the beginning. And a couple years later got married, came to the United States. There was a time that when we got married, see, I did not have an Argentina formal residency, surgical residency. That was not the way of training then. You train just by working in a surgical ward, or in the operating room in hospital, but there was no organized residency in Rosario.
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That's the way I learned, and by the time that I was 23, 24, I felt myself that I could do anything. I got an association with the internal medicine guy that was very good, we put both some money and we set up like a little hospital, and we would see patients there, and we would operate on patients. And if the patients would come from Rosario, that was like 40 miles from Rosario in peripheral place, and we had a practice over there. I had good friends during my single times over there, and then got married and Rosie came over.
So eventually when we decided to come to United States, Rosie was a senior student in chemical engineering in Tucumán. And when we got married, she came to Rosario, and we didn't know have chemical engineering in Rosario, so she was frustrated, she was a very good student. And I was always with the idea of getting formal training, that had to be the United States, because there was no other place unless Europe. And since I had the contacts, the previous America field service, and got a little bit of everything with the United States. And I always put my eyes in the United States, I always been a student at the Argentinian English Association.
After awhile, when we got married, we said, "Well, we are going to United States," and I passed the exam, and when I was all ready after the exam, I started getting invitation from hospital. One hospital was in Massachusetts. And to me, Massachusetts was like a one little place. I said, "Oh, Massachusetts, United state, must be good." So I contacted out of the different places that were offering positions for me to go in for training. The one in Massachusetts, I answered, and they put me in contact with the director of medical education. They were one Argentinian guy that was a resident over there in medicine, that he talked to me. He was not very helpful because he hated the United States. He was doing the residency, but he was just longing the day that he would just getting anxious to get back to Argentina. There are guys that never get adjusted to the new life, and everything that I saw that was phenomenal from here, her said this was garbage. So depends on how you look at things. He was very unhappy here and he left. He finished his training and he left. I asked the medical director where there was chemical engineering any place close by, said "We have one of the leading places in chemical engineering," the place where the guy that invented the jet system, the retro-propulsion, Goddard.
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Well, there is a monument to him, because he was a professor at the Worcester Polytechnic Institute. So he told me, we have a Worcester Tech chemical engineering. It's very important. And here is where Godard gave a name to Worcester Tech. And I said, "Well, this is what my wife needs." And this is what we did. We came here to Worcester Massachusetts. Came to Worcester, get settled, I did my residency. Of course, the first two weeks, I said, "Why the hell did we come here?" Didn't understand the word of a Massachusetts English. Got to go. I don't know.
And Rosie went to apply to school and they said, "Well, get all the information together," and she did. And they looked at the curriculum, what she had done, and said, "Well, you need a year or two to finish, but you need to really use the time you need to improve your English." So she studied a little bit, and watching the soap operas, 'All My Children', was the beginning of all my children. And she continued seeing life long until it ended a few years ago. At home, Rosie with the girls. And Rosie will anticipate what will happen next. And the girls will all watch- there was a lot of excitement with 'All My Children'.
Anyway it was a family, and the years went by very quickly.
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ROSIE REMEMBERS:
We learned from experience. We were not very good readers in the sense like my kids. Even for the kids growing up, they talk to people, they get ideas, we didn't have the English, and we didn't talk to anyone. I married when I was 20, and things, even when I had kids, it was just a matter of trying to day by day, because we moved here. I didn't have kids when we moved to United States, Sandra was born six months later, and I wanted to start college. I wanted to finish college. It was very hard with the baby. So my mom sent me a lady that she had in the house to help me out, and we didn't know that she was pregnant. So we ended up having two babies, in the house in a very small condo. So it was not really enough to keep two babies, but she stayed until I graduated, and then she went back with the kid.
I think I'm hands-on and mathematics was always easy for me. We don't know in the schools in United States, I realized that what I did was the same as United States, because I got into a school that was kind of exclusive, because they didn't have that many kids, but the director brought plans from France, according to her. And what she did, which was not, and still now, I don't think they using other schools. The elementary school was from first grade to sixth grade. So she took the sixth grade and made it what is here now middle school, made the second part, sixth, seven and eighth, which I didn't realize that that was really actually middle school, but it was in the same school. But it happened to be like middle school, sixth, seven and eighth. And after the eighth grade, the were enforcing new plans. You had to pick which branch you wanted to go in. And one was technology or math, science, the other was English, and the other was like commercial. And I picked science. We had professor from college and we had physics, chemistry, pretty advanced, and mathematics.
So when I graduated from there, at that time, you didn't go to study any place else, you would live at home, and you didn't have that many choices either. I wanted to be teaching mathematics or in science, there was not that many choices. So I picked chemical engineering. I like chemistry and I like math. And there was a pre-course to get into college for a month, and then you had a test in chemistry, math, and physics. And there were like 80 candidates, and I got number one in all three. Competing with other kids coming from other school, I had a background in science. So I was ahead of the game.
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And I studied until met him. He wanted to get married, I was in the third year of college, and there was no chemical engineering in the city he lived, Rosario. So we decided to come to the States. And when we came to the states, the first thing I did, I went to college. The college, we had close by in Worcester, and I said I need to finish. And they didn't understand me, so they sent me to study English. Actually I went outside, it was the snow, it was January, and there was snow up to here. And he actually went out the building and showed me where to go for English, because I couldn't understand what he was saying.
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So I would start English, and go every day to... It was like English for immigrants, I guess. I went every day to English. And then I went back in the summer, and he said, well, okay, they took me in and I started, but then Sandra was two months old, and then I couldn't keep up with the English and the school, and I didn't have the babysitter yet. So I went back to college, and I said, "Look, I can't do the full that I need for the semester, all the credits. I can take two subjects." And they say, "Well, we don't have part-time students, you have to come at night. I said, "No, at night they don't have the courses I need. I need to come here and take two courses now until I can get help." And they say, "Well, you have to go night." No, no. At night, no, it out of the question. Said, okay, we'll take you this semester, but the next semester you have to be full time. I said, okay.
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So everything was a negotiation, and even getting in college with negotiation, because I didn't take the test to get into college. I say, "I have to come here because my husband is here. I can't go anywhere else." So I got to study here. So they took me in. So everything was a negotiation for me. And they did. I did two subjects the first semester, and then I got into full time. I got help, and then I started full-time. They tried to explain me, but because I didn't understand the English, it was like, "I don't understand what you're saying. I need to come to this college." Maybe they tried to explain me that I had to take a test, that it wasn't that simple, but since I didn't know about the test to get into college, I didn't know anything about that. And I say I had to come here. So I guess they couldn't explain to me, so finally they said okay.
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And then a professor, with whom we became very good friends, came out from the room he was teaching, and I was there with the director of the college. And he heard me, and he convinced him, "Just take her in. She will be fine," whatever. So it was a little bit like the good willing for the people, and me insisting that I didn't have any other choice. This is it, I don't have any other choice. And then in college, it was funny because I couldn't talk too much, so I kept up myself apart from the students.
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And one student felt, I think he felt sorry for me because he saw me in a corner trying to study or whatever, or waiting for the next class. And he invited me to go out, and I had to tell him, "Look, I'm married. I have a baby," but I wasn't talking because I didn't have the English. ... I was not part of the students because I wasn't living in college, and I was going back home. So they didn't know anything about me, and I kept a little to myself. The taking on material was fine, the only problem I had was English. And they were very good with me, and I had to write it. See, I didn't even know you could have someone to write for you, but I tried to write, it was terrible. And then I had people help me, but people that were also immigrants. I managed, and they were nice to me, and they had passed the English, but the chemical part, no, that was fine. It was okay. Chemistry or physics, thermodynamics, or these things like that.
Actually, I help Benny with his homework one time in physics, and he couldn't believe it. And he went back to school and I said, "My grandma helped me with the physics problem." I used to stay until three, four in the morning studying at night.
I couldn't do it, But when you were young, I think you put your... I promised when I got married, my mom said you're never not going to graduate, because my brother and sister didn't graduate from college. My brother went into business and that's it. And I say I will graduate. And it almost was like a goal. I told her I was going to graduate. I will graduate.
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And I graduated with honors, I think I got, not honors, distinguished or whatever. I got a three out of four. So anyway, but I finished. And throughout my career, it was a way to say, I'm not that stupid, it's the English, but look, I'm a chemical engineer. It was kind of more like a background type, and also for the kids. Because it's interesting, I used to work in Maryland, the assistants were talking. "And how did you do for your kids to go to college?" Someone said they had to convince their kids to go to college. And I said, "I didn't do anything." It was understood they were going to go to college.
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EDUARDO MILA, LACHO”S FRIEND AND COLLEAGUE
Well, Lyndon Johnson was president, and the Vietnam war was at it's peak of everything. They realized they needed physicians, because the medical school schools in the United States don't fulfill all the need for physicians. So he signed an order for the next 10 to 15 years, to bring to the United States about 25 Southern physicians at that time. And that's how we got in, because of that, because not only part of the problem with Argentina is there is lot of production of doctors. So doctors are so many, that their value goes down. So you are not needed in Argentina, no matter where you go, unless you go to a place far away from everywhere that nobody wants to be there, but in a city like Rosario, Buenos Aires, you're not needed. Instead, in the US, you are needed, and they want you and they respect you. So that's how we got in here.
And we also owe to Lyndon Johnson, he's not one of my idols but I like him, and we owe him Medicare, which now we are using almost on a daily basis. So he played a very important role in our lives. And the other thing that I learned a few years, at least I went to the University of Buenos Aires, which is very well known in Latin America and all over the world, and it's respected. That single university graduates more physicians than the entire United States. Now, on top of that, there are about another 25 to 30 medical schools in Argentina, like the one he went, and in other cities, and other big cities and so forth. And in Buenos Aires there's at least four or five medical schools, some private, some public and so forth.
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So they produce so many doctors, the same goes for dentists, the same goes for lawyers, that there's no need, it's overcrowded, and that's how you find doctors and dentists driving taxes, because they can't find a job. And what that does, it brings quality of whatever you do down, because you don't like it, get the hell out, we'll get somebody else that will replace you. And there's a long line of guys behind you, and everybody wants your job. So in a way, for us to leave Argentina, it was almost the need. We needed to go somewhere, because it was so saturated. What could you do? You were not wanted anywhere. Maybe in a small town, where there's nothing there. And like Haracio says, you go there, Rosie didn't like it, the small town he went. And how long would he have stayed there? Maybe a little longer, but there's nothing on those small towns. There's nothing to keep you there. So, life is not only your job. Life is a lot of things, and you can have a job, but you don't have a life.
LACHO:
But you have to consider that the number one situation where you work, is because you have to make a living, number one. And then the rest is a quality of life. Well, I remember when I was finishing my fellowship, I talked to my mentor, Dr. Dunlop, and he was a serious guy, he knew what was doing, he had been president of the American College of Surgeons. And I said, "Well, I'm facing a situation, what to do now? Where to go and practice?" And this and that. He said, "Haracio, you go find a place that they need you, and they will treat you well." And he was right. We're treated well in Oklahoma. In Oklahoma. And we were the only two that were foreigners, in town.
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EDUARDO:
Well, there used to be an oil distillery in town. So with the oil boom, everything was flourishing and growing. And there was a lot of activity and so forth. Now that lasted a few years, until the oil went bust, again. So everything closed down, and the town became [inaudible 01:01:52]. Until, when I, for different reasons, I moved out, if you moved out the same year I did, because really, the future was terrible in that town. Up to the point where the hospital we used to work, it's closed now. There's no more hospital. And we could envision that after the oil went bust, that things were only going to get worse and worse. But fortunately, we were able to move out. Because that's another thing we learned, that it's very easy to go to Oklahoma, but it's very hard to get out of Oklahoma, because you know, you are nobody, and everything is far, and you've got to go here and there and everybody will say, "What the hell were you doing in Oklahoma?" And you have to explain yourself. And that was horrible. Yeah.
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LACHO:
But it was useful for me to spend a few years to get my visa straightened out.
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EDUARDO:
Oh, that doesn't mean we didn't have a good time in our own ways. I had the best... We, we both had probably the best houses we ever lived in the US. He had a huge, very modern house, that you only see in Miami Beach.
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LACHO:
Took 12 years to sell the house.
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EDUARDO:
And I had a home that was so beautiful. I think when I bought it, was the most expensive house in town, but the bank gave me all the money. So I didn't have to put down any money. And when I left, I couldn't leave for a while, because I couldn't sell the house, until I made friends with a lawyer. And I explained my situation that I wanted to get out of town, I was stuck, I couldn't leave the house empty.
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So he said, "Don't worry, I'll take care of you. You buy your tickets tomorrow, and you go anywhere you want." And I gave the house to the bank, and got rid of it, and lost money. Okay. You make it, you lose it, you spend it, or whatever. But it was horrible. A horrible feeling that you feel you're at the bottom of the hole, there's very little help to get out of there. And once they know that you want to leave, that makes it worse, in town. Some people don't want to talk to you. Some people don't want to do this and that, but it was part of our life. It wasn't bad. Our children were young. They grew up in a peaceful town. So, you always have something positive. This was a particular town which was divided in three. Blacks, Indian and whites. They even had three rodeos, one for each one, which they all participated in. Whites and blacks and Indians, they would all go, but they would have three rodeos. Everything was divided in three. So it was kind of fun and interesting, for some time. Some of the best patients we had, were the ones that came from the Indian reservations, because they had money from the federal government, and they will pay in full, your charges and everything, which was not the same with insurances or other people that had no insurance, and so forth, which was very hard to collect. But my best patients were the Indian.
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LACHO:
No, that was a good source. Dr. Bowen, remember Dr. Bowen? He was a friend of ours. And he was the chief of the Indian service for all the area. Yeah. He referred to me all the surgical cases. So I've been good with the Indians.
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EDUARDO
And the other thing is, it was such a small town, you have nothing to do. You have no way of spending money. There was only one good restaurant, and one Walmart. And that was it. You couldn't do anything. So we didn't mind it, because once again, we were young, we were trying to get along, build a future, and so forth. But there was nothing. Nothing there. The only thing close was Tulsa, which was about an hour away, and it's close, but it's far. You couldn't go for dinner and come back the same... You had to have something else to do. It was a good time, we were young, the kids were young, it was peaceful. They could go anywhere at any time.
LACHO:
But he went to Argentina.
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EDUARDO
I went for two years, yeah.
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LACHO
Because his father-in-law was the president.
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EDUARDO:
And in spite of that, I didn't like it, either. So less than two years after we moved back, we decided to come back. Fortunately enough, my wife agree with me, and she felt that she had lost a lot of freedom, and we were very dependent on everything. And my children were going to a school during the first year, where there was a bomb threat, almost on a daily basis. So we had to have police escorts and this and that, which at the beginning, you figure, "Hey, listen, the guys, I have a chauffeur." But after a while, you say this is bullshit. I don't like anything. Fortunately, we came to both of us, we've got to get the hell out of here. And she said, "Yeah, I agree with you." So we still had friends here, and I called them from Buenos Aires, and they said, yeah, there's some opportunities here and there. So I moved a little further north. Lacho stayed in Hollywood, but I went up north. And once again, you were needed. They wanted you. They pay for my move from Buenos Aires to here. They pay for the airline tickets, we were four. So, those things don't happen in Argentina.
LACHO AND HIS DAUGHTERS:
Many years ago, we were going to have some kind of event in the house, and we used to bring musicians. So I called the musician that I wanted. So he said, "Well, I'm working, right now. So we cannot talk." But I said, "Call me when you finish working." Four in the morning, I get a call. And he said, "Well, you said call me when you finished working. I just finished." Musicians' time.
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SANDRA:
But you were awake, right? And you were finishing surgery, at that hour?
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LACHO:
No, probably not. No.
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BRENDA:
No?
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LACHO:
I was asleep. Otherwise, I would remember.
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SANDRA:
I remember that story, because he woke me up. When I was in college, daddy would call me at three in the morning. "Hi, what's going on?" I'm asleep.
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LACHO:
No!
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SANDRA:
Yes, you would!
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LACHO:
You know what? My office was booked for a couple of months ahead. My surgeries were booked solid for every day. The emergencies were things that could not be left undone. Not emergency, but sometimes dialysis and things that you cannot wait, because the machine has to be hooked in right away. So the non-emergency things, but things that had to be done the same day, I had to put them after office hours. So it's after office time or after my surgery got scheduled.
BRENDA:
So my dad didn't want other physicians operating on his patients. So if there was an emergency and it was his patient, it didn't matter that he wasn't on call. He wanted to do the surgery. Right?
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LACHO:
Well, because I wanted it right.
SANDRA:
So it has to be done right, he has to do it himself.
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LACHO:
But anyhow... So anything that came, that was not in the schedule, was to be done later on. I couldn't leave it for the next day, because next day will be the same. And next month it would be the same. It was just a continuous. And when you shadowed me in the hospital, tell me the stories.
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SANDRA:
Oh, do you remember that one time we went to the ER and all of the surgeons are standing around this lady who had fallen back against the airboat in the middle of the night? Do you remember the case?
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LACHO:
Yeah, I remember.
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BRENDA:
I remember I went to one operation, the three of us, three daughters went, and we stood there and I stood on... I think I was... I must have been younger. I don't know. I remember standing on a stool to be able to look over his head, so I could see what he was doing. And at some point, not too far in, I was like, "I don't feel well." He had to take me out of the room. So the other two were happy. Brenda and Sandra were excited to be there.
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SANDRA:
I went to a lot of surgeries.
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LACHO:
You remember that?
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SANDRA
I don't remember that one, but I went to a lot of surgeries.
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BRENDA:
That was the only one I went to.
LACHO:
And then sometimes... It was all good... When it was fun, it was fun. Like you would play music, and everyone was laughing, and-
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SANDRA:
But we did have a ruptured aneurysm once- sometimes things would get complicated and messy, or the person was elderly and the tissue was too fragile and would fall apart. And then if there was a resident in the room, then things got quiet. And then when it got quiet, if the resident screwed up, my dad, who was usually really calm and... He would start yelling at the resident. Then it was a different person in the room, all of a sudden, that the guy was screwing up, and he was not going to let that happen. You would take it out of his hand. You would start moving his hand. You would..
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LACHO:
I don't know. It all belongs to the past. It went very quickly.
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SANDRA:
No, you talked to the people who worked with him, they said there was no other surgeon like him. People came from everywhere to see him. There were never complications, very rarely complications. Everything was clean, no messiness, meticulous.
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BRENDA:
I spent a lot of time going to the hospital with him, and being in the doctor's lounge and things like that. And I was treated like royalty, being his daughter. It was like, "Oh, what can we get you? Anything you want, for Dr. Schalaen's daughter."
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LACHO:
Well, I can tell you that I had so many opportunities to give work to other guys. And I just felt obligated to the patients, not to decrease the standard. So I would rather do it. If he's responsible for something... So you cannot delegate that kind of responsibility.
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SANDRA:
Now there's a lot of thought about creating balance in medicine, and finding a place to be able to take care of yourself and take care of patients. To take care of patients and take care of yourself. But that wasn't something that was a thing, then?
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LACHO:
I never had a balance, in that aspect. And I don't have a balance, now, in my own aspect. I never got balance.
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SANDRA:
What is balance, again?
LACHO:
But probably the most sacrifice of all, the most important of all, was the family. Many times that was family time. It was for surgery time. But this is in the past. So what can you do? There's no remedy.
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COMING TO AMERICA
Okay, there was a regulation for immigration. You cannot have two visas. You cannot apply to a visa, if you have one. You cannot have two visas ongoing, at the same time. So we used to come back to Argentina, and then go back to United States with the same visa, during my residency, that was a J1, that is exchange visitor, which I never knew that this visa expires when you get out of the country. Was to get in the country, but if you go out, it expires. You need a new one. But we went and came back and never had any problem in the consulate. Never had to do anything with the consulate, or anything. But one day, that was in 1974, '75. I was going to be the chief resident in my program. There was a special program. There was a position that was very much looked into, by a lot of people, that they wanted to get into that position.
Well, we went to Argentina. When we tried to come back, the guy said, "No, you have no visa. How come you don't have a visa?" "We have a J1." "No, the J1 expires when you get out of the country. So you have to get a new J1 visa." "Okay, we'll get a new visa.” I went to get a new J1 visa and they said, "You have an application to be a resident of the United States. So if you have one visa going on, you cannot have another one." So, "Well, let's talk to the consul." Consul said, "No way. You don't get to the United States. You have to wait for your residence visa, outside the country. Wait in your country, and then you come back."
So we started pulling here and there. And we got in bad terms, because I wanted to put force, saying that I was going to be chief resident. That was a position that was very important. Was the pinnacle of my career, anyhow. And without that, I wasted four years of training. The guy said, "Well, you doctors are liars, anyhow." And I don't believe that. Mr. Hitchcock said that. So we were in tight relationship, ever since. So I said, "Well, we will figure out." And he said, "What I could do, is I will sign the visa for Mrs. And..." We had two children. We have, Brenda was a few months old, six months old. And Sandra was four years old. In those days, if you have to go to a consulate, you had to go four in the morning, and be in one block long line, to get to the American consulate. With an American passport, you bypass the whole thing. You just go and say, "American born." So Sandra had to be with me, to be able to access the consulate.
So, had many times tried to talk to the consul, this and that. And we were in bad terms. So he wouldn't listen. He said "the law is the law, and I don't care." So Rosie came back to the United States with Brenda. Marcella was not existing, then. With Brenda, that was six months old. And she started moving the lawyers, and the lawyers connected to politicians. And the Senator, Brook, from Massachusetts, that eventually died of brain cancer. And Senator Kennedy, Ted Kennedy, they talked to the Department of State, and convinced the secretaries, this is all managed by secretaries, convinced the Secretary of State, that I should come back to the United States.
So Kissinger sent a telegram. There was no other communication. Telegram saying, well, that regardless, he authorizes me to come in. So I go to the consulate. Rosie tells me on the telephone that this telegram went to the embassy. And I go to the consulate, and the consul said, "No, listen, I'm not going to believe you. You're lying. You will never get back to the United States." This is what he had said. And we got to a point that I said, I lived in the United States for four years, and I know what America is, but you do not represent America. You represent the shame of America. That was pretty bad. And I was going to beat him. Actually, I was going to beat him, but I held myself, and in a few minutes, where I had the two guards, some military from the embassy, they came and pick, one on each arm, and say, "Well, you get out of here." So I went.
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So I was desperate, because I talked to Rosie on the phone, and Ross said, "Well, I have a copy of the telegram. We have to get you the copy of the telegram." And I don't know how I got a copy. And I went with a copy of the telegram in my hand, authorizing me to come back to the United States, Henry Kissinger. Go to the consulate. I went seven in the morning, and get in the consulate. They made me wait until 6:00 PM, before closing, and he said come in. He's punishing somebody. That's unfair. But anyhow, we were in bad terms. Another thing is, that in those days, there was a prime news on a consul in a plane crash that was killed by somebody. Okay. So the guys were very careful. Well, I faced the guy, and he said, "I don't have anything here." And I said, "Well, you better look around, because I have a copy right here, of the telegram." And he went inside, and came back after a while, with the paper and said, "Okay, you know that this is all false, and we'll get back to you..." Something.
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And he did, because I had my residence approved, had the physical examination for the immigration. And he said, "Well, listen, the whole thing is being held, because of an accusation of a consul." So, had to be postponed. And then in the meantime, we moved out of Boston. So, had to even change, we went to Oklahoma. So we had to... The central immigration office was in Texas. We had to change all the paperwork to Texas, but eventually, we got it.
And then got into United States. And like anybody else, once you are in the United States, the immigration service has no function. You fall into the Department of State. The Department of State applied for a change of visa. And that's it. Most of it was personal, I think, if we got into... So, Mr. Hitchcock, we looked him up in Google, and he died a few years ago.
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LACHO AND FAMILY MOVE TO OKLAHOMA
"Why?" This is what everybody asked, in Boston, when I said I want to go to Oklahoma. And the reason is that I had problem with the visa, was unresolved. Unresolved problem with a visa. So I had to go to a place where visa is of no consequence. Nobody knew what a visa is. So nobody ever asked me, "What visa do you have?" Or "Show me your visa." Here, it's the first question they ask. In coastal areas, it is the first question. "What kind of visa do you have?" Over there, nobody knows about visa.
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So we were working in Okmulgee, then in Tulsa, but in Tulsa, I could not get adjusted. I was just not happy with the thing. Okay. And then we came to Florida. That was exactly nine years, I would say, after having had my flex. Flex is the national boards. It's the same two, three days of exams, that goes through different parts of the career, for the national boards that I did during my residency. And 10 years is the duration. So if you go over 10 years, you have to go again, through the same thing, before you could apply to a license. At least in Florida. So when we decided that Florida was a good thing for us, and we looked, we were in Oklahoma, that is not a Jewish area. Even though there were some Jews. In Tulsa, there was a fairly nice Jewish community, but were in Tulsa a short time.
And we had friends coming to visit us. And the friends, all these from Florida, telling, "What are you doing here?" They had to take two flights to go to visit us. People from Argentina, big trouble to get to Tulsa. Plus, every investment we have in Oklahoma, went down. We put money in our oil. It just... Zero. Wasted. Put it in part-time offices that is now so fashionable. There was beautiful building and beautiful thing, money, and that. It was too early. Nobody was using those. It was like an innovation. And now it's very popular, and they make a lot of money with it. So, had some other things that we managed to avoid losing money with. Some others that we lost money. And these people from Florida, they were all telling us, "Oh, yeah, the house that I bought, I sold it for double the price. The business we did, we built this and that." Yeah. Making money. Everything was making money. "And what are you guys doing in Oklahoma? It's away from the world."
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So we decided we'll try to go to Florida. So we did have friends, connections, here, I could have used. And we looked at my papers, and I was almost the 10 years that is time that the expiration for the flex exam to be able to get the license. So Rosie said, "Well, you go urgently to get the license." We didn't have time to do it by May, to go apply personally. So I flew to Tallahassee. That was an adventure, because I flew to West Palm Beach, in West Palm Beach, took one of these twin engine propeller planes, go to Tallahassee, did all the paperwork, signed this, everything. And we had to wait for this to be approved. And it was all set. Okay. But there wasn't time.
In the plane, I was in the position of the co-pilot. We had a second seat. There was only one guy in the plane, with a few passengers. Plane was full, but it was probably 10 people. And I look at the thing, and I say, "Look at this, the needle, and the oil pressure in one of the engines is down." He says, "Oh, no, no, the gauge is not working properly." He said, "No, we have plenty of power. We have no problem." And he just flew and he was going nicely. We landed, had no problem. When I came back, a few days later, there was a notice, a plane went down. Must have been the same flight. Went down and killed everyone there.
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So they took the license of the airline. Took the license. I don't know, they did an investigation, and they said, "Well, you guys cannot fly anymore." So it was all an adventure. So I came here, and visited with a few surgeons that we arranged before time. Neither one was very, very interesting. One was a general surgeon, but he wanted to incorporate vascular surgery in the practice. That was not a good deal, because I didn't know what the environment is, and who I have to compete with. How do you know that it's going to develop a practice?
I went to visit. It's not existing anymore. What was it called? The Miami Heart Institute. There was a very high reputation for cardiac surgery in those days. I went to visit, and the surgeons wanted to start a program of peripheral vascular surgery. And my connection was with a guy that was the director of the vascular laboratory in the Mass General, in Boston. And he had moved as director of the research section of the Miami Heart Institute. And we were very good friends with him. So he said, "Come over here. Come over here. We'll introduce you to the Miami Heart Institute. They are the best people." And the interview was in the upbringing room. The guy was changing, and [inaudible 01:29:05] with valves and everything, here, and talking to me at the same time. It was great. The guy was doing superb. Then, getting of the place, the parking lot of the doctors, there was a line. All these partners, they had one sport Mercedes each. So it was very affluent thing.
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But again, it was starting a thing. I didn't know whether I would really fit there, so I didn't want it. So I came back to Florida, then it came time for vacation. The girls were going in the summer. They were going to Argentina. The girls, by themselves. Sandra and Brenda. And instead of flying them to... Because we had to do it personally, They couldn't take two flights. They're kids, okay. To come to Miami, put them on the plane to Argentina. We had to come personally. So we came with a van that we had. A converted van, was just beautiful.
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HaSo we came to Miami and I think it was the first night that we left the kids in the airport, and I came back to the hotel with Rosie. I said, "How about if I will talk to Jeff and see, to say hello to him?" He's my old friend from Massachusetts. I talked to him and he said, "Oh, thank you for calling me, and returning the call. I was just crazy calling you to Tulsa. Your secretary doesn't know where you are, nor when you will be back." "Well, I'm telling you I'm here in Miami, and I just wanted to spend some time with you, and let's go for dinner." He said, "Well, listen, I cannot, now. But the reason I was looking for you, is because there is a vascular surgeon, highly reputed vascular surgeon with a huge practice, that is looking for a partner. An, of course, associate, and then eventually, partner.
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So he introduced me to this doctor. There was a crazy guy. He was a good surgeon, but he was ousted from the hospitals, because of the psychiatric behavior, throwing things in the operating room and just going explosions and just totally neurotic. He knew exactly the thousand types of needles and threads to sow up vessels. They were all in some kind of arm wire with everything in boxes. He knew exactly a location. And when he would ask for something and the nurses were there, trying to find it, he would just go with her, because he knew. "You have to look there." He knew exactly where everything... Just very, very... I don't know. Compulsive. Crazy.
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Anyhow, I talked to him on the telephone and he said, "Well, I'm going to visit with you tonight." So he came to the hotel, we sat down with coffee, and we just ended up talking 'til four in the morning. Rosie was there, too, talking to both of us. And we talked and he said, "Well, you are the guy that we are taking. The only thing we need, is to have to talk to the partners." Okay. Next day, I went, met the partners, and I got the job. And this is the way I started with surgical associates. That was 1985, probably. 1985.
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I started right away, working, and just breaking my ass, working to succeed. In Oklahoma, I did general and vascular surgery, but I did pretty much a lot of vascular surgery, because I was the only one General, there were other general surgeons, but vascular, I was the only one. So I did have interesting cases, but mixed with general. Which was not bad. I was very good at general surgery. And when I came here, the regulations, the hospitals required that if you are a surgeon specialist on something, you have to cover for general surgery emergencies for the first 10 years. Which I did. So on top of my bachelor, I had general surgery, here, for 10 years, but I never had an appointment made in the office, for me, on elective vascular surgery. It's always the emergencies, for the patient that I operated on emergency, and follow-up in the office, but never had a new patient for elective general surgery.
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And then vascular surgery became so busy that I couldn't even handle. But then was 10 years. I quit the general surgery in the emergency room, and all this, and do my vascular. And I've been in vascular, ever since.
Training in surgery and also in vascular surgery, like in all surgeries, is progressive responsibility. And the responsibility you get, is in the proportion, in the measure that your attending believes you do. If you're doing well, they will let you do more. If you're not doing well, you don't do that much. I've been lucky that I always had lots of cases to do, with my attendings. And they got all confidence on me. Even in general surgery. And as in vascular surgery. It happens that one of my sponsors for general surgery, was a pioneer vascular surgeon, that it was known everywhere. And he's been president of the American College of Surgeons. And when he went for the meetings, I would just take care of his patients. And then we would communicate on the telephone from Chicago. So [inaudible 01:35:40] vascular surgery, the same thing. By the time I got to a fellowship, I have done everything in vascular surgery, during my general surgery time, because this Dr. Dunlop, he had a huge practice, and he was very good at everything. Very neat. You had to be very clean in the way you do things, with him. He had to know what you did.
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So by the time I was a fellow, I pretty much was already to the point that my fellowship at the Mass General, you know how much I made in the year? $10,000 a year. Okay. That was barely enough to pay for the garage for the car. So the fellowship came with a couple of moonlights.
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One was surgical consultant in a rehabilitation hospital, where you could go at any time. I used to go at night, and see consults. That was another place to operate. And you give the advice, is 10 minutes per patient. You see one, another one, you go with a list of consults. And they were very well paid. That was one moonlight.
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The other moonlight was being an emergency room doctor in a hospital in Southbridge. Southbridge, you know where Southbridge is? It's probably 40 or 50 miles on the turnpike, west from Boston. So, Southbridge. Carrington Memorial Hospital. I would just be the emergency room doctor for Saturday and Sunday. Got paid $1,000 for the weekend. That was money, for me. And that's the way we survived in Boston. And one day, they bring a patient in shock, with a ruptured aneurysm, at the hospital. When I was in the emergency room. Made a diagnosis immediately, and called the vascular surgeon. Vascular surgeon is out of town. Was only one vascular surgeon. Relatively small city, one vascular surgery. The rest of the guys were general surgeons. So I figured out, "Well, do we have anesthesia?" "Yeah. Anesthesia, we have." "Do we have all the equipment for a ruptured aneurysm?" "Yeah, we have the equipment, because he done vascular surgery here in the hospital."
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He's out of town for the weekend, and the patient's not transportable, because he's in shock, he's going to die on the way. So I said, "Well, let's take him to the operating room." And it's a transgression, because no malpractice insurance. No... But it was a salvage measure. So I did a ruptured aneurysm. That was the first ruptured aneurysm by myself, without supervision, where I was a master, and had the general surgeon helping. So we did the ruptured aneurysm. The guy recovered. After Sunday evening, the vascular surgeon arrived to town. He took over the care on the patient. And I left, because I got to my fellowship. I was in training. Okay. So the guy recovered very well, did very well, and went home. So it was a salvage on something that has 50% mortality, then.
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So I was ready to work independently, because I had done pretty much everything. Still, as a young surgeon, when you're in practice, you have, always, the uncertainty, what is coming. You don't know. You know how to do it, but you don't know what you might encounter. And you have, always, this uneasy feeling that, what will happen if things do not go well. It's something that, over the years, you learn to... That you do the things the right way, you know how to do it under different circumstances, and there are surgeries that are longer, surgeries that are shorter, there is no difficult case, there are cases that are more complex or less complex, but you just work according to the circumstances.
And well, that's been the law, for the rest of the trip. You've never seen me nervous. No. Always calm to do things. And very fast. Because the speed is not the waste motion. When you do something that is not necessary, it takes time. And if you have the precise movement for what you will be doing, surgery goes quickly, without seeing your hand moving. You see surgeries that they don't save any time. So we had fun, all these years. The emergencies that you see, that, well, you do the best you can. I remember a few cases over the years, where we did everything right, and everything are good. And the patient, well, didn't have much chance. And they don't survive the post-op.
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I've seen that in these emergency... Mostly ruptured aneurysms. You do what you have to do. So that's.. It bleeds. If you cannot clamp, well, just pack it, and then take control. So many times, I've been called by urologists, by gynecologists, that they are in the middle of surgery, doing something, and just hit the vessel, and it just bleeds and bleeds and they try to put clamps and tried to sow up this and that. And they cannot stop the bleeding, is in an awkward position. And I say, well, just pack it as strong as you can, until I come, because it have to be a few minutes, and in a few minutes, you've got to examine the person. So we pack it, I come, and find the vessel above, the vessel below, put a clamp here, clamp here, take the pack, let them breathe, and fix what you have to fix.
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You cannot do it with nerves. You have to do it very calm. That's the way you become respected. I had once, they called me, I was in the hospital. They called me, a lady delivered the baby, and she had some placenta accreta that is ingrown into the uterus, and it was bleeding. They couldn't stop the bleeding. So they did an emergency hysterectomy. It was bleeding everywhere. So, obviously, it was a dilution and the patient bled so much, and they give so much fluids to replace everything, but you don't have the clotting factors. So you have to work in a way that you stop the bleeding, so you could replace the factors that are missing, so the blood will be clottable, again. Okay. And then we will figure out what to do. So I came back to the operating room, looked at the thing, and was just... The uterus was not there. The vessels were thick as... This. Immediately after pregnancy, the vessels are enormous. The hypogastric artery, just like a finger. So, they said, "Well, we have to tie the artery" No, well, before we tie these big vessels, if we could preserve from time. So put a temporary control, with vessel loops in one side, and the other, kept pressure, replaced all the clotting factors, platelet transfusion, fresh frozen plasma, cryo precipitate, the whole thing. How much, whatever is in the hospital. Just bring it over. Just loading the patient with clotting factors. The result is that you took the pack, and he doesn't bleed. And then, instead of tying the arteries, just let them go, and we individualize the two, three places that bled, and we just oversow, and that's it.
Well, you feel moved by the fact that you have in your hands, the young lady's life. So it's a little bit emotional, but doesn't affect the fact of what you do. These are people that will be looking at you always. Yeah. You have lots of those.
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QUESTIONS AND ANSWERS FROM THE FAMILY
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BRENDA:
I often tell people that I grew up in the operating room, and I really feel that I grew up watching you round on patients, going to the operating room... One summer during college, I was the scheduler in the operating room. And whenever I could take breaks, or at lunchtime, I would go in to see you operate, or see one of your friends operate. That played a huge role in my deciding to become a doctor. How did you decide to become a doctor? And did you ever consider studying something other than medicine?
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LACHO:
No. I will start with the last question. No, I never had to figure out what else would be. Been always in medicine. That was the only thing that I was interested in.
Now, in reference to your time as scheduler in the operating room, I must say that I hope you forgave me for being late to the operating room, to my schedule in the operation, that I kept people waiting. Well, that's okay. Sometimes it is with good experiential, sometimes without good experiential. But the fact is that, several times she reprimanded me for being late to the operating room, like you did to all other surgeons. You tried to be strict to your job. And I appreciate you. That's very good.
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ANDREW:
Lacho, I remember your once saying that surgery should have as little blood as possible. And I'd like to know about the surgeon who trained you, and his philosophy, and what it took for you to be a great surgeon.
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LACHO:
My mentor was Dr. George Dunlop. He felt that the surgery should be the cleanest possible, and should be very little blood lost in surgery. And so it was a way of teaching the residents to pay attention to hemostasis. And so we had to, from the moment you take the knife, you have to be just taking care of little vessels. And we were not allowed to use [inaudible 01:47:29] with him, because he wanted us to just tie everything that we see bleeding. So we used to just tie threads of different materials. It's not a bad idea, but surgery, let's say in practice, you cannot do that, because you have to rely on the hemostasis that comes from nature, because otherwise, surgeries will take too long to do. And George Dunlop used to come to the room, he would just go, have coffee, come back and see how things are going. The first thing he will look, is at the bucket, and see how many red sponges are. That will tell whether you did a good job or not.
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BENJAMIN:
Zeyde, what is the most memorable surgery that you have ever had?
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LACHO:
Well, for everyone that I did surgery, that was the most memorable. For a patient, it was the most memorable. The fact, the ones that are dramatic and were successful, and the ones that were dramatic and succumbed. And the number in between, is countless. So it's just nothing in particular.
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ELLIE:
What do you think has stayed the same, about you, throughout life? And what do you think has changed?
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LACHO:
Well, the only thing that stayed the same, is the principles of willing to do the best we can for others, the best for myself, and for the family. So this remained the same. The difference is the means of accomplishing things. By coming to the United States. We had a more organized learning system, studying system, working system, than it was, in Argentina.
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BRENDA:
What were your favorite foods to have? And what holidays did you look forward to, when you got to eat them?
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LACHO:
My favorite food was the potato [inaudible 01:49:38] in [inaudible 01:49:39], because that was the most, I would say, consistent food, with the time. The other holidays was whatever.
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ELLIE:
What three words do you want people to describe you as?
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LACHO:
I would like to be described? Well, that's a challenging question. That is a challenging question. However, I would say that most people would say that they want to be seen by others as a good person, a decent person, responsible individual, and very ethical, in every aspect of life.
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LIAT:
Who was your best friend, going to school?
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LACHO:
Well, my best friend, going to school, was a Jewish boy by the name of Abel. Okay. When I was... Up until the age of six, I would say. And we played together, probably every day. He was a nice guy from a nice family. He lives in Israel, now. And he has a family. Wife and children, grown up children. And I saw him a couple of times, in Israel.
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LIAT:
What was the best party you went to?
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LACHO:
Best party... I would say it's been my wedding. My wedding party is been memorable. It's been a lot of people. It's been everything that we may ever wish. And it was my and my wife's party.
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ARIANA:
Can you tell me about the doctor's office that you had out of your home, when you were living in Argentina?
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LACHO:
The way my house was organized in Argentina, in my younger days, the lower level of the house, was two levels. The lower level was my mother's office and my father's office, and the waiting room, which was the entrance to the house. And in the lower level, was also a kitchen with a den. And the apple level, from there, was a set of stairs to the upper level, that were all the bedrooms and bathrooms.
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So the question was regarding what I remember about the kind of patients, and what we see. Well, we didn't see patients. I didn't see patients. My parents was... They had a waiting room and there were patients waiting. And on occasions, at night, people would just ring the bell, because they had some kind of emergency, or they had children that they had some acute illness that required attention.
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And so my room was facing the outside, the front portion of the house. So I would just open the curtain, pull the curtain up, stick my head through the window, and look who's ringing, who's calling. And this happened countless times. That was a primitive way of practicing, in the sense that there was just the office in the same home, and no secretaries or anything, they would just come in, get in the waiting room, or if it was at night, they would just ring the bell. And my father would take care of this, at any time.
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JONAH:
I love the food you make, and I want to know the story of where you learned to make such good food.
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LACHO:
Well, I learned by myself, Jonah. And little by little, just being interested in cooking, little by little, some for fun, some for necessity. Learned to cook, and then depending on your mood, is how well-spiced it is, or the herbs you use. If you're in a good mood, usually food comes better.
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ELLIE:
What do you think has stayed the same, about you, throughout life? And what do you think has changed?
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LACHO:
Well, the only thing that stayed the same, is the principles of willing to do the best we can for others, the best for myself, and for the family. So this remained the same. The difference is the means of accomplishing things. By coming to the United States. We had a more organized learning system, studying system, working system, than it was, in Argentina.
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ELLIE:
What's your biggest fear?
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LACHO:
Oh, no. In our youth, we've got no fear to anything. Coming to another country is such a challenge. To settle in another place, is such a challenge. And, no fear. It's just... Do what you have to do.
Speaker 8:
What's your biggest fear?
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JONAH:
Have you ever broken a bone, as a child? And please tell me the story.
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LACHO:
Yes. Yes, I did. I had a fall in my bicycle, and fractured my wrist. Had an occult fracture. My hand was turned up, just bend backwards. And before I had pain, when I saw my hand, bended backwards, well, I started screaming, because immediately, immediately, you don't have pain. It's just the view of the malposition of the fractured wrist. I was taken care of.
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RANDY:
I wonder if you believe in God, or what you believe about God? Do you think that there is some higher power? Do you think that this higher power controls things in human life? What kind of God do you believe in?
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LACHO:
Whether I believe in God? Okay. Yes, I do. I have great faith, even though it doesn't show, because I don't go to the temples, or I don't do real praying, or... However, I communicate every day with my God, into wishing good for anything that we want to. If there is somebody sick, just asking for help. If it is something that we are going to an inmate, the surgical days when I had something major, that I would say I considered was a significant risk, I would just appeal to my helper. So I do believe in something superior, that is above of us, that is the master of everything. And our faith is on him. And we depend on that.