Baltimore medical school to host play by local physician
Johns Hopkins Medical School in Baltimore, Md., will host the play "Marginalia," written by Hot Springs physician and playwright Dr. Richard Pellegrino, as part of the "Art of Medicine" project at 6 p.m. April 6.
The centerpiece of the event is a staged reading of "Marginalia," followed by a Q&A conducted by Pellegrino and including JHMI faculty and actors from the play. The project adresses the fact that medicine has both a scientific and a human side. Diagnosing a disease properly is of paramount importance and requires keen analytical skills, a news release said. Discussing these issues with patients and understanding the effect on their lives is an art and requires an understanding of the human condition.
Pellegrino wrote a series of poems about his experiences with patients while he was a medical resident in the 1980s. He saved them and Incorporated these and other experiences into "Marginalia."
"Marginalia" is about a prominent physician who finds himself haunted by the memories of former patients whom he feels he let down. His unease becomes acute when he develops a serious illness. He is compelled to face these difficult memories head on and be held accountable for his actions. Ultimately, it is these very patients that help him understand the power of hope, and rediscover the emotions and ideals that called him to medicine in the first place.
The play has been produced at the Wildwood Park for the Arts Theater in Little Rock, and offers many opportunities to explore important issues regarding the doctor-patient relationship. It will be produced as a showcase in New York City before going to Baltimore. Pellegrino's other works include "Taking Back the Future," a documentary on the patient experience with multiple sclerosis, which premiered at the Hot Springs Documentary Film Festival; "I Love You Not," an original play that also premiered in Hot Springs; and "Point Source," a medical thriller about a mysterious outbreak of multiple sclerosis in rural Arkansas.
Johns Hopkins has pioneered the concept of using art as a teaching tool in medicine for more than 110 years through its Department of Art as Applied to Medicine. The department focuses mainly on the visual arts. The "Art of Medicine" project seeks to extend this concept to the theatrical arts, using the power of story to start conversations about the human side of medicine.
"Baltimore medical school to host play by local physician." The Sentinel Record [Hot Springs, AR] 11 Mar 2016: Entertainment. Print.
"Alumni Notes." Yale School of Drama [New Haven, CT] 2013-2014: 76. Print.
Point Source Rivets the Reader
By John M. Williams
I love reading thrilling novels packed with international intrigue, suspense, action, conundrums, arrogance, murder, ambition, character development, independence, subliminal messages and contemporary political history. In Point Source by Dr. Richard G. Pellegrino, readers are treated to a unique medical thriller with the qualities that I love in a novel. Readers are swiftly carried from day-to-day and event-to-event over three months in the lives of people who accidentally stumble unto an international terrorist plot by North Korea’s Kim Il Sung, one of President George W. Bush’s three Axis of Evil leaders, to assassinate South Korean statesman and candidate for the presidency of South Korea Bo Li Yeung. The weapon of choice is a biological weapon of mass destruction.
The author has two missions in the novel. One is to awaken the readers to the symptoms and the daily physical and mental challenges accompanying MS, and to illustrate the courage it takes to adapt to the progressive limitations of the disease. The second mission is to entertain the reader with a who-done-it mystery that operates on several levels. He succeeds with both missions. Unlike any other book I have read that covers MS, Point Source provides personal insights into the disease, and celebrates the courage; struggles, determination, and sense of humor people require to deal with it. The characters with MS are convincingly human, and when I finished the book I did not have the impression that MS individuals are supermen and women performing Herculean feats. Instead, I learned that MS affects 2.5 million people worldwide. Through the sometimes contentious relationship between Dr. Angela Donatelli and her mother Marie, who has MS, the reader discovers that this progressive disorder of the nervous system is far from well understood. The deterioration of motor control is a central symptom of the disease, but there is a mental dimension as well; one that affects a patient's cognitive functions, from memory to the ability to complete complex tasks. Not everyone with MS experiences such cognitive impairment, and for those who do, the effects are usually very subtle. While I know there is no cure for MS, I learned the cause of MS is equally unknown.
The book educates the reader on the evolving struggles that people with MS face daily. It exposes the imperative of finding a cure. Knowing what I do about the promise of stem cell research, then I believe stem cell research should be funded, not only because it might help with finding a cure for MS, but also for its potential in curing or alleviating a host of other immune-system and degenerative diseases. The book also shows the hope that people with MS have in the medical profession’s efforts to discover, treat and eventually cure the disease.
Dr. Pellegrino is one of the country’s top neurologists, and he specializes in working with MS patients. In this medical thriller he shows his intimate knowledge of the disease by imagining the onset of neurological disease among an extraordinary number of patients who are developing MS symptoms in Hammerstone, Arkansas. His understanding of the psychological and physical effects of MS is expressed primarily through Linda Tackett and Marie Donatelli. Both llive with MS, and both want to remain independent, as long as they can, before their disease debilitates them. They exemplify the way that MS individuals draw strength and support from their families and friends to deal with the effects of the disease, and the personal bond between these two women clearly illustrates the benefits of such support.
Linda and Marie are invigorated by assisting Angela in discovering the cause of this seemingly inexplicable mass outbreak of MS symptoms. Angela, one of the book's two principal characters, is a neurologist like the author, and her experience in dealing with MS certainly comes from Dr. Pellegrino’s. In reading about Linda and Marie's daily struggles with MS, I found myself rooting for their courage and praising their independence. Angela’s coming to terms with her mother’s MS is one of the underlying themes of the book, and Dr. Pellegrino does an excellent job in showing how their relationship is strengthened through communication, education, and love, as well as by Angela’s personal realization that Marie fiercely defends her independence for the sake of her own psychological benefit.
In the back of this book are letters to Dr. Pellegrino from people with MS expressing their eelings about the disease. Having worked with people with MS, the writer poignantly conveys the hopes and fears in Point Source’s characters. The book’s characters and letters reveal true profiles in courage.
I was entertained by the book’s characters and plot. Linda and Marie introduce Angela to the prospects that an extraordinary epidemic of MS may be sweeping through Hammerstone. Persuaded by Linda and Marie to solve this puzzle, Angela is medically challenged to discover how so many people, all from the same small community, could suddenly begin showing MS symptoms. We learn that the medical emergency was caused when Luke Yancy unsuspectingly opens a Pandora’s Box he should not have touched. Intellectual innocence can cause disasters, and though a man, Luke has the innocent intelligence of a child unable to realize the consequences of his disastrous curiosity.
The humanitarian in Angela compels her to find the mysterious causes of these symptoms. This takes her to Hammerstone, where the mystery expands to include the murder of a former medical colleague, Jack Burns, whose thirst for fame has led him to develop a new and horrible biochemical weapon. Burns’ death produces a plethora of questions for Angela. Does his death have anything to do with the tidal wave of people developing MS symptoms? What is it that is causing the outbreak of these symptoms? Are these symptoms temporary or permanent? Can the causes of MS finally be explained?
The megalomaniacal Burns was once a viral researcher and a former colleague of Angela’s, who had loved titillating her by developing computer riddles for her to solve. Before his death, he had e-mailed her a riddle that, once solved, explains his work and his crime. Now Angela faces a life and death challenge to solve the riddle, entering his program, and discover the secrets hidden therein. Unlocking the riddle is the challenge of a lifetime for Angela, who realizes that if she fails many others will die. To find a solution to the task before her, she enlists the help of the Hank McLain, Hammerstone's chief of police, and calls in the Center for Disease Control in Atlanta.
In Hammerstone, Police Chief McLain enters not just the mystery but Angela’s life as well. Motivated by the death of his brother Mark, who died fighting the fire that killed Burns, career officer McLain is obsessed with finding out who is responsible for his brother’s death. He is a detective’s detective, and he persistently searches for clues and assistance in both Hammerstone and Little Rock. You know that, through sheer grit, his analytical powers, and his willingness to accept help in solving his brother’s murder that he will ultimately triumph. As a character, Hank seems more appropriately suited for big-city detective work, rather than sidelined in a small town like Hammerstone. In future novels, I would like to see him working in a big city.
Hank meets Angela at the ruins of Burns’ house and, after some joshing, they become friends. Bonded by common pursuits, these two self-determined individuals develop a strong relationship that one concludes will eventually consummate in romance. Still, while the relationship blossoms, the two stay focused on their quests to learn the causes of both the disease outbreak and the violent death of Burns.
The book brings out the close-knit relationships that people in small communities where everyone knows everyone. For instance, when forced to send his deputy Thelma Wilkins out to warn local residents to watch what they eat and drink, the names Jennifer, Merle, Stedmans, and Jimmy McMasters roll off Hanks lips as easy as breathing. You know he is their protector, savior, and friend. Point Source also brings out the scarcity of resources that small towns have and the need to send crime scene evidence to larger cities for testing.
One of the strengths of this book is the single-minded focus that both protagonists bring to discovering answers to their questions. Angela and Hank won’t be stopped by any authority, including the federal government, as they try to solve their cases. Their focus is aggravated by FBI Special Agent John Holmes, an arrogant, self-centered Darth Vader carrying a badge. Holmes is determined to establish a possibly criminal relationship between Jack Burns and Angela, although the facts do not support the charge. His “I am above reproach attitude” shows why a post-Patriot Act America must curb the powers of ambitious police who think they are above the rule of law. In his pursuit of Angela to discover what she is working on he says, “These are federal search warrants and a subpoena for her medical files. We’re going in hard, we’re going in fast, and we’re going to find out just what our little local doctor has to tell us.” Later, at Angela’s house to discover potentially damming information against her, Holmes’ Gestapo style is useless in the face of Marie's charm and hospitality when she uses both to defuse a potentially explosive situation. Dealing with MS daily requires creativity and a sense of humor, and this situation shows how Marie has developed both.
Holmes's behavior spurs Angela and Hank to solve their mysteries. In the course of their investigation, they succeed in humbling the arrogant FBI agent at several key moments, and I cheered each time. He reminds me of J. Edgar Hoover, a pompous idiot, who was more egotist than policeman.
In a further touch of realism, Dr. Pellegrino adds intrigue to the plot by having his North Korean conspirators pose as Chinese. This is a subterfuge that North Koreans have used in recent years with some success. It is not uncommon for North Korean agents to assume Japanese and Chinese identities when spying undercover. Pellegrino says he intentionally used this ploy to call attention to this insidious policy.
Point Source brings home the reality that a biochemical-terrorist attack can strike any time and any place, and that fanatics don’t care about their lives and the people they kill, whether individually or in mass. The book tells us that biochemical weapons are deadly and readily available to the highest bidder. I believe the author is telling us subliminally that the country needs to be vigilant in our war on terror.
Point Source a classic story of good triumphing over evil, both medically and judicially. Angela and Hank are confident, thoughtful, courageous professionals, with a strong understanding of right and wrong, and who utilize their backgrounds in a climatic way to prevent an international incident involving bio-chemical weapons in Little Rock. The book does not mention whether their government honors them for their heroism. However, we know that Angela is honored by the people whose lives she saves. And Hank? What is his reward? Read the book for an answer.
Angela and Hank are stoic anti-heroes who have other adventures in front of them. I look forward to reading more of them.
Point Source is Dr. Pellegrino’s first novel, and I hope it is not his last.
John M. Williams. "Point Source Rivets the Readers." Review of Point Source by Dr. Richard G. Pelelgrino. 23 December 2004.
Oransky, Ivan. "From narratives of illness to "edutainment"." Lancet. 9 October 2004: 1305-1306. Print.
Dr. Pellegrino, and part of his staff, at his clinic and research facility in Hot Springs
When the lights go down at the Malco Theatre for the premiere screening of Taking Back the Future: Voices of MS, it will signal the culmination of an extraordinary project for Richard Pellegrino, M.D., Ph. D. But the showing of this film at the Hot Springs Documentary Film Festival is only the beginning, and only a part of a much larger mission.
"This documentary has work to do, and we're going to put it to work," Dr. Pellegrino explained in a recent interview.
As the President of a Hot Springs clinical research center, multiple sclerosis clinic and an inpatient physical rehabilitation program for people with MS, Dr. Pellegrino became acutely aware of the need to educate the public on the challenges of those diagnosed with chronic incurable diseases.
Several years ago he hit on the unusual idea of using various art forms as pathways to promote understanding. "Stories have been used for centuries as a vehicle for teaching. And if the story's good enough, we may even enjoy the teaching," he says.
TO allow people a media voice addressing the disease and its conditions, Dr. Pellegrino opened a website, YourMovieProject.com, several years ago. Hundreds of MS patients from all fifty states and six countries responded, writing narratives about their experiences.
Whereas Pellegrino had previously been limited to his scientific knowledge of the disease, the website allowed him to "get inside the heads" of the people who actually lived with MS. "The letters provided much insight that was useful for my documentary, but that's not all. They inspired me to try my hand at a novel..."
The documentary films works in tandem with MS: Behind the Scenes, a live show, and Point Source, a fictional medical thriller already in print.
Directed by Ken Mandel, Taking Back the Future: Voices of MS centers around eight of these patients in different stages of MS and uses a fictional character, Margaret, to pull these stories together.
Well-known celebrities such as Joe Pesci, Ed Marinaro, Dennis Farina, James Darren, Helen Gurley Brown, Frankie Avalon, Jacklyn Zeman and Tom Dressen are featured reading actual letters submitted by MS patients to the website, but the real "stars" of the film are the patients themselves, whose everyday lives are affected. "In Hot Springs, MS stands for Movie Star," Dr. Pellegrino tells his patients.
Hot Springs is a key factor in many aspects of this project. The Documentary Film Institute was instrumental in the production of the film, namely in matching the producer and director.
This area is also the location for the book. The protagonist, Dr. Angela Donatelli runs a MS clinic and research center in Hot Springs. When an unusual outbreak of the disease breaks out in the fictional town of Hammerstone, twenty miles away, Dr. Donatelli enlists the help of her MS patients in unraveling the mystery. They all become embroiled in the intrigue of an international conspiracy as the plot unfolds.
In Point Source, the first of a series of Dr. Donatelli mysteries, the author has successfully used fiction as a forum for education. Dr. Jack Burkes, the Chief Medical Officer at the Multiple Sclerosis Association of America, wrote in the forward of the book, “He brings together his medical training and a profound appreciation of rural Arkansas and its people. His characters are well-drawn, his plotting is fast-paced, and his portrayal of the disease of MS and its impact on patients and the people who love them is insightful.”
After the Hot Springs Documentary Film Festival, Pellegrino will take his show on the road in an expanded format. MS Behind the Scenes is a live show that combines entertainment by stage veteran and founder of the Bath House Show, Tom Wilkins, with scientific lectures by Pellegrino. Long-time friends, the pair has teamed up to get a message out in an entertaining way. “We give the audience something positive to hook into,” Pellegrino explains. “The show is entertaining and educational, but most of all, it’s fun.”
Wilkins, who has been an entertainer for over 20 years, warms the crowd up with music and family-oriented laugher, then Pellegrino talks to the audience about the disease in an informative manner.
Designed to draw two audiences, MS patients and their families plus the arts community, the show concludes with the powerful document.
Pellegrino is working with the Multiple Sclerosis Association to draw audiences across the country. Presentations, with no admission charge, are planned for cities in Arkansas, Tennessee, Texas, and Mississippi in the coming months.
"Art on a Mission for MS". The Springs Magazine. October 2004: 5. Print.
Gregory, Mark. "Doctor, musician aim to educate, entertain." The Sentinel Record [Hot Springs, AR] 5 September 2004: Print.
A GOOD AGE: Film helps Motivate people with MS, their families
A 15-year-old girl in Massachusetts sits down to write a letter to a doctor in Arkansas whom she has never met but feels an immediate connection.
“I am an actress and my mother has progressive multiple sclerosis, “ she begins.
The doctor is a neurologist who has specialized in MS for 20 years. He has decided the best way to advocate for people with MS is by making a film. Not a documentary or short drama. A full length feature film, a regular medical thriller.”
An article in “The Motivator,” the magazine of the Multiple Sclerosis Association of America, describes Dr. Richard Pellegrino’s film project and invites people with MS to help him develop the script.
In Newbury, Robin Moulton, 45, who has had MS since she was 25, spots the write up and shows it to her oldest daughter, Rebecca. The next day, the high school sophomore sends off her letter.
“If your are interested in using a young actress who has a lifetime experience with MS, I would love to become part of the project,” the letter says. “I love to act, dance, sing—I know quite a lot about MS.”
Pellegrino came to the Boston area recently to stir up interest in his project. It was his first stop on a national tour, and at the Thayer Public Library in Braintree, a dozen people touched a lot of bases in less than two hours.
Rebecca was the youngest one there, but she connected with people two and three times her age. The different generations shared and learned from each other. “Life experiences can bring out a maturity in young people,” Rebecca’s mother , Robin said later.
In her letter, which Pellegrino described as extraordinary, Rebecca condensed years of emotional struggle, daily responsibilities and triumphs. She described how until she was 9, her mother could do almost anything—ski, skate, play tennis. Then things went bad. Her mother began falling. “There were lots of trips to the doctor, more pill bottles in the pill basket.” Her mother needed a leg brace, then a cane, and eventually a wheelchair.
The worst thing was when her father left. There were now financial pressures as well. Rebecca’s chores increased; sometimes she felt resentment,; she and her mom argued. But she also realized that her mom was trying hardest to give her and her younger sister a normal life.
Rebecca wrote; “Through all the pain and difficult times she goes through, she always seems to pull through for us. It’s been one rough trip, but somewhere in the middle we grew closer to each other. It’s true I wish my mom didn’t have MS and that she was like my friends’ mothers, but I can’t change anything, only help to make it better. My mom is the best person in my life and I love her, MS and all.
In his tour around the country, Pellegrino is looking for examples of how people meet the obstacles, overcome the frustrations. He found other rich material at the Braintree meeting.
Jennifer Bayuk, 25, said that like Rebecca, she also grew up with the illness when her father , Tom, was diagnosed at age 42. She was 7.
“It made me more compassionate—it really made me the person I am today,” Jennifer told the group. Tom Bayuk, now 60, said the shock was tremendous 18 years ago when his diagnosis came out of the blue. “It was like a movie—I thought my life was over,” he said. “At first, all the uncertainty and fear stopped me from living.” But he learned how to manage the symptoms and concluded, “I’ve had a great life, and in some ways, the last 18 years have been the best part.”
There were murmurs of recognition when Anita Anderson of Brockton gave a vivid example of the everyday predicaments people with MS must overcome. The day before the meeting , she said, she came out of her house in her motorized scooter to get into her van, which has special controls, to run an errand. She raised herself into the driver’s position and her leg got caught. She couldn’t slide into the driver’s position, couldn’t shut the door, couldn’t reach for the cell phone. She sat. And sat.
Anita Anderson of Brockton has led an independent life despite having multiple sclerosis for 26 years.
“One hour went by,” she said. “Then two. Then three.” She kept her composure, waiting, watching. Then she saw Larry, the mailman, coming down the street, and called out to him. He saw her helped her get free.
Pellegrino listened to the story and found this message: “She didn’t conclude ’I’m totally helpless.’ I know people who have concluded that for a lot less.
Scheible, Sue. "A GOOD AGE: Film Helps Motivate People with MS, their Families." The Patriot Ledger [Quincy, MA] 14 October 2002. Print.
Arkansas Democrat-Gazette
Caillouet, Linda. "Hot Springs doctor shares prestigious honor." Arkansas Democrat-Gazette [Little Rock] 15 Jan 1995: Print.