You’ll just have to trust me on this one.

I’ll even show you the lyrics—in a minute.

Let’s start with the woman who doesn’t rest, like ever.

That’s how, during the highest-grossing concert tour of all time, she worked on two albums (technically three, as the first had 31 songs).

Then, when the tour ended, rather than sleep, she married the man with the goofy smile—you’ll see that in a minute, too.

Like she said:

You only need to find one person in this entire world

Who doesn’t find you completely insufferable

And I have an important announcement to make

I found mine

(My wife is still deciding about me.)

Anyway, that man, who catches footballs for a living, happens to be from Cleveland Heights, an inner-ring suburb of Cleveland.

And that’s how the most famous person in the world just released a song called “Cleveland!”

You’ll find it on The Life of a Showgirl (one of the aforementioned two albums), The Encore edition to be exact.

When you read the lyrics, as promised, you won’t find any mention of New York, LA, Chicago, and Miami.

What you will see, after a shoutout to the haters, is a love story, with references to a childhood porch, Cleveland, and The Heights.

It’s a veritable Rust Belt romance.

The lyric video is even rife with images of The Land.

This is something that the Great Lakes, minus Chi-Town and Toronto, never see.

Just run the list, west to east, starting with Duluth, then Milwaukee, Toledo, Detroit, Erie, and Buffalo.

No one famous is crooning about those burgs anymore.

Yet thanks to holy matrimony, we now have the mediocre pop tune “Cleveland!”

That gift, however, does leave one glaring question:

Why, Mr. Kelce, could you not have been from Rochester?

The post Why “Cleveland!” Is My New Favorite Song appeared first on ComposeMD.

And that’s where the similarities end.

He doesn’t know me.

And I don’t know him, even after reading the book he just released.

It’s not necessarily a literary masterpiece.

But it does tell his story—and his version of events.

And it left me with all sorts of questions.

Why did anyone care when an individual kneeled during the national anthem?

Isn’t the right to protest what keeps us from being North Korea?

Why is Colin Kaepernick so obsessed with identity anyway?

Must he describe every single person with an adjective referencing skin color?

Isn’t that archaic?

By doubling down on flawed categories, is he actually moving us forward?

Or backward?

Isn’t identity complicated?

On some level, isn’t it fabricated?

How can anyone argue that NFL owners didn’t collude to keep Kaepernick out of the league?

How can anyone who understands business blame them?

Does anyone actually think the NFL cares about things like player safety and social justice?

Would Kaepernick have been signed if he were playing better?

Did his divisiveness plus mediocrity make him expendable?

Was his way of protesting police brutality the best way?

Could he have gone a different route?

Should he have gone a different route?

Has he accomplished anything?

Didn’t he have an obvious point?

Isn’t police work remarkably dangerous?

Was the backlash proof of racism?

Did the backlash turn a simple act into a national crisis?

Do I need to pick sides?

Is it not okay to see all perspectives?

Isn’t a binary view of the world oversimplified and juvenile?

Why do they play the national anthem before these silly games?

Isn’t that disrespectful of the national anthem?

Why do I keep watching the NFL?

Why do fans embrace those with domestic violence and murder charges?

Yet they shun those who peacefully protest?

Do I agree with Kaepernick?

Do I disagree with Kaepernick?

Will I ever be as brave as Colin Kaepernick?

The post The Truth About Colin Kaepernick appeared first on ComposeMD.

But when you’re immersed in Great Lakes segregation, it’s easy to know when you’re not.

This all started on September 21, 2026.

I was somewhere in the Rochester metro area, partly lost, as the space was new—to me.

Thankfully, I had help.

My first guide came from near Islamabad, the capital of Pakistan. We talked briefly of his love for hip hop, agreeing that Kendrick had bested Drake.

The second guide was from Fort Erie, Ontario, just across the Niagara River from Buffalo. The trade war, mercifully, was not affecting the flow of humans.

We devised a game plan, a divide and conquer, if you will.

As I made my way through the maze, I flipped between English and Spanish. Punjabi would have come in handy as well, but that would be a project for a different time.

I stumbled upon a duo with hijabs speaking Arabic. We smiled, introduced ourselves, and discussed a management strategy—in English, of course.

Here, the housing segregation that had decimated the region seemed, if only for a moment, like a mirage. Suburbia bled into the urban, the blend sprinkled with hints of rurality.

Melanin dosing spanned the spectrum, from the no-dose to the low-dose to the intermediate to the frankly dark.

A quick listen could tell you if an exchange was with an African American or an African. The same, I suppose, was true for those differentiating actual Asia from somewhere like Milwaukee.

When hunger called, which it always does, I ordered the Italian option, served by a Ukrainian.

The process took an extra minute, as income levels were no barrier to intellectual conversation.

Because in the most diverse place in Rochester, we all shared a common goal.

Some focused on prolonging life.

Others discussed dying in peace.

But mostly, what I felt was hope.

The post The Most Diverse Place in Rochester (NY) appeared first on ComposeMD.

It’s just that, as I looked into her eyes, I couldn’t tell if she could see me back.

What I wanted to say, it required eye contact.

How do you tell a 36-year-old, one leg down from the sugar, that the other may have to go too?

Of course, being a nephrologist, I didn’t know for sure. But the smell told me more than any vascular surgeon could.

My job, mostly, revolved around blood cleaning, also known as prolonging life.

It sounds fancy, but that was the easy part.

No one prepares you for the poverty.

No one tells you about the depression.

Then, there was the tobacco, clogging the pipes that were already clogged by the sugar. That’s why the limbs would fall off.

Type I diabetes, in that world, meant death by subtraction—with clean blood.

It was 2021, and I had decided to come up for air, something known in human resources as work part time.

It wasn’t so much the oxygen that I needed, just a view outside the rabbit hole.

I had a lot of catching up to do, as the molecular mechanisms of kidney disease don’t necessarily teach you about what’s going on in the world.

I started to devour books, followed by the internet. It was the pre-ChatGPT era, and I was the guy scraping blogs, Reddit, and YouTube, all for my very human brain.

Categories had to be filled.

History.

Language.

Music.

Sports.

I stumbled across all sorts of stories.

I learned about a girl from the Bronx, pretty smart I’m sure.

She landed at Princeton—and then on the Supreme Court.

Sonia Sotomayor is now 72.

She’s been living with type I diabetes since age seven.

I also learned about a kid from New Jersey, pretty talented I’m sure.

He wrote tunes with his brothers and then on his own.

Nick Jonas is now 34.

He’s been on insulin since age 13.

Finally, in my desire to be more worldly, I learned about a boy from Hamburg, Germany, rather athletic I’m sure.

He had a particular gift for tennis.

Alexander Zverev is now 29.

He’s been a diabetic since age four.

And he just won his second Grand Slam.

Being a nephrologist, I learned, can come with hope.

You just have to know where to look.

The post How Being a Nephrologist Jaded Me appeared first on ComposeMD.

No one, making it perfect for this site.

Let’s dive in.

It’s 2026, meaning there are still eight US states that border the Great Lakes. Those eight account for a whopping 12 NFL teams, aka 37.5 percent of the league, a statistic that should end any discussion about the demise of said states.

But alas, you know I’m cheating.

New York: New York Jets, New York Giants, Buffalo Bills

No one in their right mind would consider the Jets or Giants to be a Great Lakes team. A map and home games in New Jersey cement that conclusion, leaving only Buffalo.

Pennsylvania: Philadelphia Eagles, Pittsburgh Steelers

Philly—no. Pittsburgh is more complicated—Rust Belt, yes, but Great Lakes not so much. Only pesky Erie can claim that status in the Keystone State.

Ohio: Cincinnati Bengals, Cleveland Browns

Cincy is way too Kentucky to be Great Lakes. Cleveland, on the other hand, basically plays in Lake Erie.

Indiana: Indianapolis Colts

Sorry, but Indy is too far from Gary to legitimately enter the discussion.

Michigan: Detroit Lions

Technically, Detroit is on a river, but c’mon now.

Illinois: Chicago Bears

The (current) stadium in Chicago is, for all intents and purposes, on Lake Michigan.

Wisconsin: Green Bay Packers

Green Bay, as in the water, is an appendage of Lake Michigan. Enough said.

Minnesota: Minnesota Vikings

Lake Superior and Duluth are a hike, leaving Minneapolis out in the cold.

All told, there are five teams that can undeniably be considered Great Lakes teams: the Buffalo Bills, Cleveland Browns, Detroit Lions, Chicago Bears, and Green Bay Packers.

Have a look.

In terms of the whole NFL preview thing, I’m equipped to make only one set of predictions:

• The Bills will make the playoffs.
• They will win a game or two.
• Then, prior to the Super Bowl, they will lose in absolutely devastating fashion.
• My son and/or daughter will cry.
• The kids will also be somewhat happy that they don’t have to see me in that slightly-too-tight Bills T-shirt until the next season.

The post The 2026 Great Lakes NFL Preview appeared first on ComposeMD.

Back in 1993, he opposed the North American Free Trade Agreement (NAFTA), arguing it would accelerate the loss of American manufacturing jobs and drive down wages by incentivizing companies to move operations to Mexico.

Then, in 2000, he stood firmly against Permanent Normal Trade Relations (PNTR) with China, arguing again that it would simply allow corporations to offshore factories to low-wage nations and result in an epidemic of factory closures domestically.

Starting about a decade later, he fought against the Trans-Pacific Partnership (TPP), citing the benefit to multinational corporations at the expense of the American worker.

And when Trump 1.0 tore up NAFTA and drafted the United States-Mexico-Canada Agreement (USMCA), he opposed the new deal as well, stating it was a continuation of failed policies.

In his words, a major reason for the decline of the American middle class and the increase in wealth and income inequality in the United States is our trade policies.

On another occasion, he wrote, Let’s be clear: one of the major reasons that the middle class in America is disappearing, poverty is increasing, and the gap between the rich and everyone else is growing wider and wider is due to our disastrous unfettered free trade policy…we must rebuild our manufacturing sector and, once again, manufacture products that are made in the United States of America.

That was in 2011.

The man is a classic progressive, the East Coast dripping from every word he says.

He’s pro-tariff, in a targeted way, provided Congressional approval is part of the picture.

Some call him a tree-hugging socialist.

He prefers to be called Bernie Sanders.

Back in 2016 and 2020, he and Trump both campaigned against free trade agreements.

Are they crazy?

Or are they onto something?

The post The Other Guy Who Hates Free Trade Agreements appeared first on ComposeMD.

Sorry, Sohan.

You shouldn’t have grown up with introverted parents in Western New York. This is what happens.

But bear with me for a moment.

I’ve had a front row seat to something special, something that has flooded the household with all sorts of tunes.

Your mom and I have wondered for years if this was meant to be a gift for us or if it was meant to be shared.

In all honesty, our joy has already been delivered.

You, as a man, have opted to share. (In even more honesty, we love that decision.)

That gets me to now, September 4, 2026, the day you officially released your first single, not including the ones you sent out in boomerang fashion.

It’s called “Him Instead”.

After spending a decade and a half listening to you tinker, I didn’t know what to expect.

I’ve heard you shredding Beethoven on the piano.

And I’ve heard you doing Brubeck on the sax.

Just to please me (but not the neighbors), you banged out some grunge on the drums.

When you took a keyboard to Boston to dabble in funk, you came back playing the guitar instead.

And then I heard those Green Day covers—on the bass.

More recently, you decided to learn a new instrument, the kind that requires vocal chords.

All this, over time, has made its way through the filter that is your brain.

What could the result possibly be?

There’s only one word for it: Sohan.

As your vocals continue to meet your innate musicianship, and as my vocals (otherwise known as unsolicited comments) continue to drift into the background, something tells me that your mom and I won’t be the only ones who know what you can do.

No matter what, thank you for giving me my favorite song from Rochester.

The post My Favorite Song From Rochester (NY) appeared first on ComposeMD.

According to reports, the man did not appear to have Indigenous features, looking almost white except for the distinctly brown skin.

When confronted regarding his actions, the man insisted he had been born in Milwaukee along Lake Michigan and simply enjoyed the Great Lakes.

He went on to claim that his American accent was not a fake—apparently, he just talked like that.

After being taken in for formal questioning, his account of events raised further suspicion.

The brown man repeatedly pointed to his large gut, asking, Is this not American?

He insisted on hating all Canadians except for a former neighbor from Nova Scotia who had once invited his family over for snacks.

Get me a Garbage Plate, he requested. Actually, get me two—one with Zweigle’s white hots and the other with cheeseburgers. I eat beef dammit.

He went on to start naming various Buffalo Bills.

I even know the offensive linemen!

Increasingly desperate, his biography began to lose credibility.

I like Morgan Wallen.

I have family who are members of Mar-a-Lago.

My son is at a Christ-centered school in Tennessee.

I shot guns with a former Marine.

Unimpressed, the authorities asked him to really prove he was American.

What’s the name of the lake we’re on? they asked.

Lake America, the man replied.

Who won the 2020 Presidential election?

White man, said the brown man.

What’s your favorite song?

“God Bless the U.S.A.”

What’s your favorite book?

The Turner Diaries.

After conferring with their superiors, the authorities released the man on the condition that he refrain from eating samosas for one month.

The post Indian Man Found Wandering Along Lake America appeared first on ComposeMD.

That includes me, the wannabe coastal elite with the superiority complex.

It comes with the territory, I suppose, when your formative years are in a place like Connecticut.

That’s where I “met” Dolly Parton the caricature, the one with the blonde wig, feminine silhouette, and love for attention.

In my world of conformity and college degrees, I had her all figured out.

My world, however, was not particularly worldly.

I learned this in Missouri, courtesy a girlfriend who never could get rid of me, resulting in an invitation to her Appalachian hometown of Williamson, West Virginia.

There, Dolly Parton, born just a few hours away in Sevier County, Tennessee, figuratively took my hand.

She knew what I saw—coal mines, outhouses, tobacco, and poverty.

And she showed me, slowly, what else there was to see—intellect, sunshine, music, and creativity.

Eventually, at the local bowling alley, along with gutters and pins, I saw entrepreneurship and ingenuity.

That, of course, was just the beginning.

Armed with a few degrees, I entered the real world, fully understanding concepts like feminism thanks to a women’s studies class.

I had read Gloria Steinem and Betty Friedan and intellectualized a New-York-City version of progress.

Then, Dolly, via Sarah Smarsh, showed me a different version of feminism.

In this version, the word was never uttered—it was lived.

It came with all sorts of humor, self-deprecation, and independence.

Prose, in this case, was replaced by lyrics and business ventures.

That education, as time moved on, began to blend with my son’s education.

And Dolly, as she tended to do, gave me yet another hand.

As I grappled with a question—what is a kid of Indian origin raised without religion by doctor parents in the Northeast doing at a Christian school known for music in the middle of Tennessee—she was there with an answer.

It was August 2025, and Dolly: A True Original Musical—destined for Broadway—was having its world premier at Belmont University, my son’s school of choice.

As I soaked in the familiar life and the familiar tunes, I took solace in one of Dolly’s simple quotes:

You’ll never do a whole lot unless you’re brave enough to try.

Twelve months later, in August 2026, as I dropped my son off in Nashville for year two, Dolly herself was just down the street—at Vanderbilt-Ingram Cancer Center.

Her time had come, but her hand, and her words, will always remain.

The post When Dolly Parton Held My Hand appeared first on ComposeMD.