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Q and A

Joseph Caravalho, Jr.

“No shorts and t-shirts here.”

Talking story with the top U.S. medical officer in Iraq

Joseph Caravalho, Jr. / Ka-ne’ohe native Joseph Caravalho, Jr., is halfway around the world and one-third of the way through his second tour of duty in Iraq, where he is the multinational force’s top medical official. Brig. Gen. Caravalho is also cardiologist to David Petraeus, commander of the multinational force in Iraq, and other senior military leaders. During a break from all that and while he wasn’t busy heading up a complete overhaul of the war-torn country’s healthcare system, the Saint Louis School alum found time to speak with Adrienne LaFrance via satellite link from Baghdad, where apparently it’s a little warm these days.

First of all, congratulations on earning your first star.

“It’s an exciting opportunity for me to continue to contribute in the army. I really enjoy being a soldier.”

So what is it like in Iraq, the day-to-day of living there?

“It’s very hot, that would be the first thing. It’s a very hot, arid area with a number of beautiful houses across the country, and very nice, cordial and polite people to work with.”

How hot is “very hot”?

“It’s well up into the 120s. Really very hot.”

And you have to wear uniforms with long pants and long sleeves every day, don’t you?

“Right. No shorts and t-shirts here.”

What’s something that might surprise people about Iraq–not necessarily within the context of war, but just the place itself? What surprised you most when you first arrived?

“How hot is was. Really. It’s so hot that a breeze is like a hairdryer blowing on you. But what else was surprising? There are a number of canals here. They have a great canal system that they use to move water from the Tigris River throughout the country, and lots of very large artificial lakes that make for a very attractive picture. Some times when I’m being driven around, I’ve noticed the very wide streets and it makes me think I’m in Kailua. I’ve thought of that a few times.”

What do you eat?

“We eat contractor-prepared food, so it’s all that wonderful standard, college-dorm type food. But when I eat with the Iraqis, we have lamb and grapes and a number of local foods that are delicious.”

What’s the biggest threat to our troops’ safety? We hear a lot about roadside bombs. What injuries occur most?

“Well I am the senior medical officer in Iraq, so I work on General Petraeus’ staff. I am more on the administrative side of things, I’m responsible for managing all of the healthcare that we provide to the troops, I also work with the Iraqi Ministry of Health to improve the healthcare system here.”

That’s quite a job. What’s your main area of focus for improving healthcare for Iraqis?

“We’re looking to help increase the number of physicians and nurses, building new hospitals and clinics, and restructuring the business practice of medicine throughout the country. Essentially, we’re trying to improve the accessibility and quality of healthcare throughout the country.”

What’s it like working with Gen. Petraeus?

“He is a super commander and leader. He is doing great things on behalf of the multinational force. Both he and Lt. Gen. Lloyd Austin are extremely intelligent and dynamic leaders.”

I realize you’re in cardiology, but talk to me about how advances in medical technology have improved treatment options for wounded troops? I understand that pretty amazing things are being done with prosthetics, etc.

“Yes, that’s true. We have a team of surgeons and surgical specialists who track all the numbers and data on those who sustain trauma here in Iraq. Through that and through great scientific research done at our centers, and with the help of great leaders, we’ve been able to change the way that trauma is managed throughout the country. We’re making improvements that have advanced the entire field.”

So back to roadside bombs for a moment; Are they the main threat to troops’ safety?

“Well let me just say this. There’s still danger. And there’s danger when traveling around. But the number of attacks have decreased [significantly] from what they were before. We are making significant headway and improvements just since we got here and started this tour. It’s very exciting to know we’re making these improvements, but it’s not irreversible. The progress is still fragile but it is very encouraging to see the number of attacks decrease.”

What do you miss most about Hawai’i?

“My family is still there. I miss them more than anything. Then there are the Ko’olaus and how green they are, and how blue the ocean is, I miss those things. I miss visiting with family, and just having get-togethers, that was always a fun thing. And I miss jogging through Ka-ne’ohe.”

Just in your opinion, how much longer do you think U.S. troops will stay in Iraq?

“The most important way to answer that is to say that we’ll leave when the conditions are right. We’re making headway. It’s fragile, you don’t want to do something prematurely and have the good people of Iraq lose ground. I trust our leadership will wait until Iraq is ready.”

You’re a local guy, Obama’s a local guy–Is he gonna get your vote?

“He didn’t go to Saint Louis [laughter]–he went to our arch-rival school. But I am very pleased to consider Obama a local.”

So you don’t want to tell me who you’re voting for?

“I actually haven’t decided. We have great candidates. And like a good voter, I am going to read up on them before I vote.”

Do you think that the American people have a valid understanding of the current situation in Iraq? What misconceptions would you like to clear up?

“Congressmen come through on a regular basis and, in my experience, they always leave here understanding that we’re making significant headway. It’s important that people back home know that the people of Iraq are very nice, loving people. What we’re doing here on behalf of the nation is a noble and honorable thing. This is the right thing to be doing.”

Anything else you want to add?

“Well, what I want to say is that I am very proud to be from Hawai’i. I am very proud to be an American. I am exceptionally proud of what our soldiers, sailors, airmen and marines are doing here and I am very grateful to the good people in Hawai’i and across America for their support. In all of this, I am happiest with how proud my mom and dad in Ka-ne’ohe are with what I have done.”



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This week

2013 Summer Books

On a breezy May evening, in the courtyard of the state library, local publishers, writers and book designers gathered to celebrate the 2013 Ka Palapala Pookela Awards, sponsored by the Hawaii Book Publishers Association. The place was packed, and I was struck by such a healthy showing for an industry whose demise has been predicted since before the advent of Amazon.

Unlikely Pairings

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A Long Lost Era

Kabuki Boy, a novel, reads almost like an autobiography filled with vivid details that transport us to 19th-century Japan during the “Tokugawa Era.” Fast-paced and humorous, it aptly dramatizes an ancient dramatic art. The hierarchy between the social classes of samurai, geisha, peasants and monks comes alive from the page, seen through the eyes of Myo, a young boy aspiring to become a kabuki actor.

Panek Point

Calling this big fat novel Hawaii was bound to raise eyebrows. Hey, come run to the schoolyard to watch Mark Panek throw down!

Inward Journey

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Gardens

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Brotherly Tears

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Community

In a poetry class I teach at Windward Community College, a student recently did a presentation on coming-out poems and presented her own. One of her peers asked a thoughtful question: “If you are a gay, are you automatically part of the gay community?” It’s a question I’ve had about being Asian American–and a poet.

Cruelty

In Wing Tek Lum’s poem “The Red Circle,” a sergeant teaches his soldiers how to use a bayonet during Japan’s infamous occupation of Nanjing, China in 1937: “With a nub of red chalk / our sergeant marks off / a crude circle in the center / of the chest.” The men are instructed to stab everywhere, except the heart. A quick death would be too kind–too merciful.

Wit

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The Romance of Sunset

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Love Lore

In Huna Magic: The Hawaiian Odyssey, Dawn Star puts on a modern spin on Hawaiian mythology and folklore. Set in ancient Hawaii, the book starts off with the classic forbidden love story between a young woman, Kuulei ke Anuenue and a handsome man, Kai, who happens to be the chiefess’s love slave.

Reassembling

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Green Noir

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Decolonizing Our Future

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Navigating Selves

Leilani Holmes’s richly chronicled journey toward a reconnection with her Kanaka Maoli culture opens with the epigraph: “For those who came before us. In hopes that we act on behalf of your bones.” Ancestry of Experience is a thoroughly researched and deeply genealogical journey.

Think Pink

There’s something foreboding about the cover of Pink Globalization. It’s a dark, monochromatic picture of an enormous grey Hello Kitty gazing ominously into the night in front of a corporate-looking building. The picture is certainly intriguing and symbolic–Hello Kitty is taking over the world.

Hardships, Loneliness, Triumphs

A deeply researched and careful weaving of previously unheard voices can be found in Mai Lepera, adding another layer about leprosy patients exiled to settlements at Makanalua peninsula in the 19th century. Keri A.

Transcending Prejudice

If resiliency spoke of a group of people, the Japanese population of the then-Territory of Hawaii during World War II claims the description. With one specific attack on December 7, 1941, an island-wide prejudice against all immigrant Japanese was born, painting a picture of angry nationals who plotted Hawaii’s demise.

Mano

An ambitious, immensely rewarding product of nearly five decades’ research and teaching (beginning when the author was l3 years old), Patrick Vinton Kirch’s A Shark Going Inland is my Chief bids fair to be a definitive, almost exhaustive look at “the island civilization of ancient Hawaii.” Divided into three major parts, Shark starts with Cook’s arrival when Hawaii was four major kingdoms in the midst of creating stratified societies.Kirch deals with religion, evolving social structures and belief systems to make ancient Hawaii come alive. Especially noteworthy are beautiful descriptions of the making of canoes, particularly the vaka moana, capable of transporting families.

Charts for the Band

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Racism of Record

Compiled by Christopher LaVoie, Annexation! presents the imperialist agendas of the U.S.

Charting Our Ancestral Past

Hawaiki Rising by Sam Low tells the epic saga of voyaging on the Hokulea, which, as every Island schoolchild should know, is a traditionally constructed Hawaiian sailing vessel that is steered by observing natural elements, without instruments or maps. Low, a part-Hawaiian anthropologist who participated in three voyages, follows the Hokulea through conception, construction, and navigation.

From the Outside

The feeling of being an outsider in one’s beloved homeland is the theme underpinning Pamela Frierson’s fluid and honest nature writing. In her books, The Last Atoll: Exploring Hawaii’s Endangered Ecosystems and The Burning Island: Myth and History in Volcano Country, Hawaii, Frierson explores Hawaii’s unique ecosystems, while also searching for personal relevance where she grew up very aware of being merely a “second-generation colonist.” The shadows of a world unknown drive the writer, teacher and homesteader to attach to the landscape, pursuing a deeper understanding of Hawaii’s natural order, and, through those experiences, a sense of belonging.

Bearded beauties

Donald Hodel’s Loulu: The Hawaiian Palm is winner of this year’s Ka Palapala Award for Excellence in Natural Science. Loulu the Hawaiian Palm Donald R.

Missed Connections

Charlotte A. Tomaino, neuropsychologist and former nun, started with the intriguing concept of explaining how grace and spirituality can “awaken” the brain to a fuller potential through expanded consciousness.

The Naked Truth

Sharon Hicks’ How Do You Grab a Naked Lady recounts the relationship between Hicks, her mentally ill mother and idealist father. We meet Hicks at age 16 as she witnesses her mother parading around a mall in the buff, yelling and cursing–one of many manic episodes we’ll see during the book.

Last Train to Ho’opili?

One paradox of TheLast Train to Zona Verde, Paul Theroux’s 46th book and his latest about Africa, is that it’s also one of the best meditations on Hawaii you’ll ever read. But first, why Africa?

Every Reader for Himself

Confirming rumors, Barnes & Noble’s (B&N) Kahala Mall bookstore will close when its lease expires in January 2014. There are no current reports concerning B&N’s Ala Moana location, but it’s probably a matter of when, not if, management installs a T-shirt store.

Island Girl

Last weekend, Susanna Moore was in town to read from her new novel, The Life of Objects. A striking beauty–high cheekbones, fine features, long white hair with an inky streak that matches her brilliant black eyes–she wore a sleeveless blouse, full cotton skirt and rubber slippers.

A Traveling Light

We were out at Tongg’s surf break when the world’s best-traveled writer paddled past in a kayak. I said, “Paul Theroux?” Mindy nodded.

CIVIX

KAKAAKO MEETINGS The HCDA will host a series of meetings to discuss the Kakaako redevelopment plan and how rail will fit in with those plans. The meetings are open to the public.

Make Our Day

On May 13, Common Cause Hawaii assembled a panel, titled “The Good, the Bad and the Ugly,” to deconstruct lessons from the recently ended 2013 Legislative Session. Commentators included Rep.

Homeless Plan

Mayor Caldwell is winding down his public town-hall meetings campaign. The meetings are designed to update the public on the progress of the Mayor’s major first-year initiatives: repaving the roads, getting TheBus routes restored, making the city’s parks beautiful, fixing Honolulu’s sewer infrastructure, building rail better and, most recently, solving homelessness.

Pacific Pivot

During a 2011 speech to the Australian Parliament, President Obama declared: “The United States will play a larger and long term role in shaping [the Pacific] region and its future.” On May 10, the Center for Strategic and International Studies (CSIS) Pacific Forum hosted a panel discussion that sought to determine what a U.S. “pivot” toward the region would look like and what the reaction to increased U.S.

The homeless experience

I picked up your May 15 issue with great anticipation because on the cover was a photo of a person experiencing homelessness who I have had numerous interactions with (“Derelict Downtown,” May 15). He is someone I have always found to be articulate and friendly–an ideal person to talk to if one wishes to learn about experiencing homelessness.

Hawaiian rights

The puppetmasters controlling the creation of the Hawaiian Nation have manipulated Hawaiians who have signed up for any Hawaiian registry to become captive members of Kanaiolowalu, the Native Hawaiian Roll Commission. Those bills were heard this session and were passed by the Senate in the Tourism and Hawaiian Affairs Committee chaired by Brickwood Galuteria and the Judiciary and Labor Committe chaired by Clayton Hee, although the forced enrollment is unconstitutional.

Money over land

The Land Use Commission, the Honolulu Planning Commission, the Zoning Variance Commissions and all the other BS commissions are hijacked by big business (“Hoopili Miss,” May 15). Judge Rhonda Nishimura’s head is buried in the sand if she doesn’t recognize the votes were bought.

Cinema for all

I try to not miss a Redford film, and, of course, I can relate to events of the ’60s (“Last Round-Up,” May 8). It is disappointing that The Company You Keep is being shown only at Kahala Theatre.

Tea time

Aloha, I am Elyse. Please let me know if you have any questions, I would love to answer them (“Just Our Cup of Tea,” May 15).

Corrections

In last week’s “Derelict Downtown” (May 15), we mistakenly listed Kirk Caldwell’s campaign phone number. To contact the Mayor, please call 768-4141.