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Pulling Back the Curtain Uwe Platzbecker, MD In this edition, Uwe Platzbecker, MD, shares his long and winding path to hematology – from a stint in the East German army, to a period as a heart surgeon, and finally to the last 20 years as a hematologist specializing in myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) research. Dr. Platzbecker is professor of Translational Hematology in the Department of Internal Medicine I and head of the Section of Hematology at the University Hospital Carl Gustav Carus in Dresden, Germany, where he also serves as chair of the medical ethics committee at the teaching university. He is co-founder and chairman of the European MDS Studies Coordination Office and co-chairman of the European Hematology Association’s Scientific Working Group on MDS. at school. At the time, if you wanted to study medicine, law, or another popular subject, the arrangement was that you had to spend three years in military service. In a sense, the East Ger- man government said, “Well, if you want something from us, you need to give us something back.” The typical length of duty was only 18 months, but I offered to serve in the army for three years so that I could study medicine after I finished high school. In 1989, two years into my military service, the revolution in East Germany took place, the Berlin Wall came down, and Ger- many was unified. So, my time in the army was cut short, but I wasn’t too disappointed. Dr. Platzbecker with his daughters on a vacation in France. We have spoken with hematologists who took alternative paths to their eventual careers, but yours is quite unusual. Can you tell us how you came to pursue a career in medicine? I was born in East Germany, the former German Democratic Re- public, which was a communist state. Obviously, my life then was very different than what it is now for my children. While there were many opportunities for work, they were all linked to the communist system. For example, if one want- ed to become a lawyer, it meant studying within the structure of Communist law and the East Ger- man constitution, or becoming a journalist meant writing within the heavily censored, Communist- controlled media. These jobs exist- ed, but the entire system in which we worked was wholly different 18 ASH Clinical News from how we work now. Medicine, though, offered in- dependence from the Communist system and, thus, was something many of my classmates were inter- ested in pursuing. It also offered the likelihood that you might be able to travel – at least once in your life – to West Germany for a congress or professional meet- ing. This was extremely appealing because, as many readers probably know, travel between the two Germanys was severely restricted until the German reunification in 1989. To study medicine, though, one had to make certain compro- mises. This was a job that many, many people wanted and there were more applicants than open- ings in the universities. The first prerequisite, of course, was to excel at school – which I did. But this was not enough – many people were good What was the next step after leaving the army? Did you go to medical school? I was finally out of the army, but there were no openings. So, I had to find something to do while I waited for an opportunity. My first job was as a nursing assistant (something between an orderly and a nurse’s assistant), and I worked for almost a year in an orthopedic hospital. Again, I knew I wanted to study medicine, so I chose to work in a hospital to get some real-world experience. I was basi- cally an untrained guy who went wherever I was needed: I helped patients bathe, assisted nurses in administering injections, and everything in between. I did that for nine months before I was able to start my medical training. I went to medi- cal school for six years, and spent the last year of my internship in Johannesburg, South Africa. After completing the internship, I trained as a cardiac surgeon. Yes, it was an unexpected move, but, again, I went where the opportunities were. When I completed my internship, there were no available positions in hematology/oncology. I wanted to do something innovative and exciting – in other words, not a boring type of medicine. So, I chose heart surgery. I did quite well there, and it gave me the opportunity to complete my education, which I was grateful for because I knew I wanted to try something else in the future. So, I applied again for hematology/oncology positions, and again, with so many doc- tors vying for limited spots, there were no jobs available. That time, though, I resigned from my job in heart surgery. I had to wait four more months before I could find a position in hematology/oncology. And, after that stint, did you finally settle into hematology? Well, I had a few months of unem- ployment, so I occupied my time by training in abdominal ultra- sound. I worked in a radiology practice for three months. Then,