Summary of On Call by Anthony Fauci ( Keynote reads )
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Anthony Fauci, a revered doctor, is a key figure in American medicine. His memoir, ON CALL, chronicles his six-decade career in high-level public service, including his role in guiding America through the COVID pandemic and advising seven presidents on key issues. Fauci's memoir, which traces back to his childhood in Brooklyn, New York, is praised for its eventful narrative and its portrayal of "speaking truth to power" with dignity and results. It serves as an inspiration for readers and those aspiring to emulate his legacy.
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PREFACE
On November 8, 2020, the author and his wife Christine were enjoying a chilly evening in their neighborhood, surrounded by friends and family. The pandemic had already caused 10 million infections and over 230,000 deaths in the US. The only hope was in vaccines, and several were being tested in clinical trials. The author, Tony Bourla, was informed by Albert Bourla, CEO of Pfizer, that the DSMB had found that the COVID vaccine trial had more than 90% efficacy. This was a significant development, as influenza vaccines typically have 40-60% effectiveness at best.
The author was not expecting to receive a vaccine so quickly, but it was expected that the mRNA vaccine would be the ultimate game changer for the US and the world. Pfizer and its German partner, BioNTech, released the results of the trial the next day, and Moderna announced its mRNA vaccine also had more than 90% efficacy. The two companies put in for emergency use authorization with the FDA, saving millions of lives.
The author's life has been an amazing journey, and this book tells the story of that journey, starting in Brooklyn, New York.
PART ONE
FROM BENSONHURST TO WASHINGTON
Brooklyn Boy
On December 24, 1940, Anthony Stephen Fauci was born to Stephen Anthony Fauci and Eugenia Abys Fauci in Brooklyn. Both parents were first-generation Italian Americans, born in the Little Italy section of downtown Manhattan. They moved from Manhattan to Brooklyn when the author was children. The Fauci family lived in a two-bedroom apartment on the third floor of a four-story building across the street from New Utrecht High School.
The Fauci family was independent, individualistic, and strongly family-oriented. They met in elementary school at Public School 163 on Bay Fourteenth Street and fell in love in eighth grade. They attended Our Lady of Guadalupe elementary school, which was seven blocks from home. The neighborhood was close-knit and protective, making it safe for children to walk alone to and from school.
The nuns of the order of Saint Dominic were in charge of Our Lady of Guadalupe School, which introduced the author to the experience of tough love and excellent work habits. The author's mother was keen on striving for excellence and held high expectations for her performance in school. Although the father was extremely bright, he left the academic pushing to the mother, and the author soon realized how much they enjoyed school and learning even without outside pressure.
At eight years old, the author's father bought a pharmacy and two-story building in Brooklyn, moving them out of Bensonhurst and into the lower end of Dyker Heights. They lived in a three-bedroom apartment and moved to St. Bernadette parish, which did not have its own elementary school at the time. The author was the top student in their class and was allowed to stay at Our Lady of Guadalupe.
The author's love for basketball and baseball began at age nine and became more intense as they became teenagers. They enjoyed the competitive nature of team sports and enjoyed street games like stickball. The neighborhood was mostly athletes who never deliberately bothered anyone but were not serious troublemakers.
The author's mother was soft-spoken and somewhat reserved, with kindness and empathy for the suffering of others. When the first photographs of the mushroom cloud appeared on the front page of the New York Daily News following the dropping of the atomic bombs on Hiroshima and Nagasaki, she was crying. The author's father was a shy man with a strong sense of ethics, integrity, and kindness. He was religious and conscientious, working long hours to run the drugstore.
Despite these long hours, the family was a close-knit, happy family. The author's mother, sister, and the author helped at the store during after-Mass rush and delivered prescriptions on their Schwinn bicycle.
Every Sunday afternoon, Italian American families held family dinners at their homes or grandparents' houses, where the language switched to Italian. The children picked up much of what was being said, even though none of the children could speak Italian. Growing up, the family focused on the concept of consideration for and taking care of others, as their father taught them that making money should not be a primary goal in life.
The author's parents were strongly motivated to care for others, which had a profound influence on their career choice. Growing up in a household where both parents were strongly motivated to care for others had a profound influence on their career choice.
In New York City, the most academically elite Catholic high school was Regis High School, run by Jesuit priests. The entering ninth-grade class was selected based on a written test given to the top male student at every Catholic elementary school in the five boroughs of New York City and parts of New Jersey. The Jesuits then offered a full four-year scholarship to the top students, who made the cut. The author initially was ambivalent about accepting the offer, but after talking with his parents, he was convinced that this was a unique opportunity and that Regis High School had an excellent basketball team. The Dominican nuns of Our Lady of Guadalupe would probably have persuaded Pope Pius XII to excommunicate him if he had turned down the offer.
The author describes his experiences at Regis High School in Brooklyn, where he attended the Jesuits. He was introduced to Father Michael Flanagan, the assistant principal and dean of discipline, and was introduced as Tony Fauci. The school was steeped in intellectual curiosity and academic excellence, with a curriculum heavily weighted on classics such as classical Latin and Greek, French, ancient history, and theology. The Jesuits expected mature behavior and emphasized respect for others, and discipline was swift when behavior was breached.
Regis used the Jesuit motto Men for Others,
emphasizing service to the public, regardless of profession. The author felt at home and studied hard, learning a lot, and performing well. They were also enamored with the classics and humanities, which greatly influenced their behavior and choices in their medical career.
In basketball, the author played for the freshman team and became a high-scoring starting point guard and captain. He was excited about playing New York City high school basketball and playing against teams throughout the city's five boroughs. However, his hope of becoming a serious basketball player and playing on a Division I college team was unrealistic. His major assets were sharp reflexes, coordination, and an accurate two-handed set shot. However, his height and height made it difficult for him to compete with other players.
During summer camp,