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June 2005
Volume 69
Number 6

New Orleans, or Is It Really ‘The Big Easy’?

Mack A. Thomas, M.D., Chair
Committee on Local Arrangements


ew Orleans has a rich history with the influence of the French, who were supposedly some of the earliest settlers along the southern shore of the Mississippi River. The river bends as if it were creating a crescent curvature, therefore one will hear New Orleans referred to as “The Crescent City.” The French were the early settlers, and hence they laid a foundation in what is known today as the French Quarter. The French Quarter is a fascinating reminder of the city’s history. In landmarks such as the historic St. Louis Cathedral, located in the heart of the French Quarter and bordered by Jackson Square, you will find artists as well as peddlers of whatever you may desire. Probably no other city has been influenced by as many diverse ethnic groups as has New Orleans. There are the Spanish, Italian, Irish and many other groups, creating the Creole, which is unique to New Orleans.

One of the deepest pleasures of the Big Easy is that it is old, really old. It is a town that one will return to and find a store or restaurant that has been in the same place for 150 years. You also will see much that is new along the Riverwalk adjacent to the Morial Convention Center with a gentle breeze frequently present as you stroll the walkway along the Mississippi River.



Lions, Tigers, White Alligators, Oh My!

Audubon Zoo is one of the most highly regarded in the nation. Photo courtesy of NewOrleansOnline.com


The city has a reputation for “anything goes,” and if you have been to a Mardi Gras, you will know what is meant by such a statement. You will see things at the many festivals that are unheard of in any other city. But there are sights for the whole family, from children to us in the Medicare years of our lives. The Audubon Zoo underwent a total renovation that transformed it into one of the best in the country. The setting is one of subtropical plants, waterfalls and lagoons along with some 1,800 animals who live in their natural habitat. You can reach the zoo by streetcar, which is another unique feature of the city. By the way, the city has recently re-established the Canal Street cars, which had been absent for some time. Another attraction for the family is the Audubon Aquarium of the Americas, which displays a million-gallon tank. This attraction is equally entertaining for adults as well as children. It is an easy walk from the French Quarter or the convention center. The many exhibit areas provide a veritable ocean of aquatic life and probably the only white alligator in captivity. Within the aquarium, the IMAX theater shows two to three films daily. If you are looking for something more for the kids, there is City Park nestled in the Esplanade area, which features a “Toyland” and a restored merry-go-round that is a real beauty to be admired by all. There also are paddleboat rides available since several lakes are within the confines of the park.

Constructed in 1795, the Cabildo was the seat of the Spanish government in New Orleans. It is the site of the signing of the Louisiana Purchase, which allowed the United States to gain all of the land west of the Mississippi River to the Pacific Ocean. The museum traces the history of Louisiana from exploration through reconstruction from varied perspectives. Topics include antebellum music, mourning and burial customs and the changing roles of women in the South. There are many museums with rather intriguing treasures such as the New Orleans Historic Voodoo Museum, Madame John’s Legacy, which survived the fire of 1794 and is a rare example of Creole architecture. There are many other museums to suit the taste of multiple generations. If antebellum homes are of interest to you, stroll the Garden District, which may not have significant historic buildings but has a beauty of its own amid lush foliage and gorgeous homes. Magazine Street is only a few blocks away from the Garden District. Here you will find restaurants, antique shops and curios of various types.

One of the most important and fascinating places you do not want to miss is the National D-Day Museum. Opened on June 6, 2000, it is the creation of best-selling historian and author Steven Ambrose. Mr. Ambrose is the biographer of President Dwight D. Eisenhower. Mr. Ambrose met President Eisenhower in the late 1950s. Eisenhower is said to have told Mr. Ambrose that if it were not for the “Higgins” boat, designed and manufactured in New Orleans, the outcome of WWII may have been changed. The boat allowed the transport of troops to the beachheads from the troop-carrying ships for the D-Day attack and many other beachfront landings during WWII. It is said that Andrew Higgins, who initially was a small-boat builder, worked with several draftsmen to whom he gave the job of solving the landing boat project. After hours of seclusion, they reported that they were unable to create a workable design for the project. Mr. Higgins then took a cigar box and cut the end so that it would flip open and could be closed. Armed with this blueprint, the draftsmen created the mechanics, and the Higgins boat was created. It is said that Higgins Industries employed more than 15,000 workers at the peak of its operation. The boats were said to be tested in the bayous of the New Orleans City Park. There are many stories of those soldiers who landed on the shores and lived to recount their experiences.

There are several other museums of note. The Ogden Museum of Southern Art is considered by some as the premier collection of southern art in the United States.

If you want nightlife or you wish to try your luck at the gaming tables, Harrah’s Casino is settled in the midst of the Annual Meeting area. Harrah’s offers entertainment as well as many ways to stimulate your tastes for games of chance. Who knows, you may be the one to “break the bank.”

There will be many places that you will find music like no other in the country, from jazz to Cajun. Check out the local scene, and see who is playing where.

There are many other sights and sounds to interest visitors of all ages. Lake Pontchartrain tours, New Orleans cemeteries, where most graves are above ground due to the fact that parts of the city are “under water,” provide a clue to the history and longevity of New Orleans. There are swamp tours, riverboat tours, plantation tours and many historic churches to please the tastes of all comers. Music and food are the heart of the city with many well-known entertainers such as the Neville family, Dr. John and the Marsalis family, who are known the world over.

Food is, of course, one of the real pleasures of any visit to New Orleans.

There are foods found in New Orleans that cannot be replicated in any other city in the world. There are at least 50 eating places within a radius of a quarter mile of the convention center. Others are short cab rides from the downtown area.

The city is known for Creole and Cajun food. A few words that may give insight into the reason why the food is unique: The area is blessed with superb seafood, meaning a wealth of fresh fish from local waters and, of course, the so-called big four: oysters, shrimp, crab and crawfish. Creole and Cajun foods are rich in seasonings that create an intensity of flavor not seen in good old American food. One of the common characteristics of New Orleans food is that much of it begins with: “First you make a roux.” Roux is a blend of flour, oil, butter or other fat cooked to various shades of brown. It is the active ingredient in dishes ranging from gumbo to oysters Rockefeller. I am told by some local “experts” that the roux is becoming much lighter, probably due to the recommendations from health care givers.

Traditionally certain foods were not recommended at certain seasons of the year. Due to the development of “seafood farms,” though, much of the seafood is available and retains quality on a year-round basis. The following are the traditional seasons:

Crabs, soft shell and otherwise — April through October
Crawfish — Christmas through the fourth of July
Oysters — Good year round
Shrimp — Only poor month is March
Speckled trout — October through January
Tuna — May through September
Pompano — July through October.

As stated previously, most seafood is of excellent quality year-round due to the development of fish farms. No restaurant in New Orleans will ever serve seafood that is not fresh, but it is helpful if you inquire if the food was local or shipped frozen, which will be a rarity.

Always check for reservations, and the earlier the better. Some restaurants do not accept reservations and are on a come-first basis.

It also is fortunate for our group that October is probably the best month to visit New Orleans since the weather is usually great, especially for patio dining, and food supplies are at their best. Here is some information regarding specific eateries. The following are among the more well known and will be familiar to many:

Commander’s Palace — the “queen of desserts” is the bread pudding soufflé that you should order when placing your entree. Creole cuisine that is consistently excellent.

Arnaud’s — Creole and the best remoulade sauce in the city. Also an interesting museum of Mardi Gras gowns and memories of past parties.

Antoine’s — Classic Creole French, known for Oysters Rockefeller creations.

Galatoire’s — Run by the same family since 1905. Get seafood here. A local favorite, as many of the waiters have been there for generations. An unusual and probably one of the best dining experiences in the United States!

Emeril’s — The “Bam Man.” A popular local and tourist spot. Has created multiple dishes such as “lobster cheesecake” and multiple oyster dishes.

Delmonicos — An Emeril creation with an interesting tasting menu. Give it a try. It is also expensive, but you are on a business trip and need to have stimulating foods to think and create safer anesthesia care!

 

For more than 160 years, Antoine's Restaurant has served the best French-Creole food in the world. Photo courtesy of NewOrleansOnline.com

Other excellent choices for a New Orleans experience can be found in the following eating places:

Café Degas — A French bistro that does not emphasize fried food. An informal atmosphere known for salads and quiches.

Dickie Brennan’s Steakhouse
— Steaks and chops, as good as it gets.

Drago’s
— Located in Metairie, a suburb only about 15-20 minutes from downtown New Orleans. You must inhale the charbroiled oysters that are not to be found at any other place in the United States. Excellent lobster and seafood of all types.

Christian’s
— Yes, just as the name indicates, it was a former church. The stained glass windows have been preserved, and the old altar is the waiter’s station. Many good seafood daily specials.

Cuvee
— Described as contemporary Creole, it is one of the newer restaurants that has been getting rave reviews from locals, who are the toughest critics. Pan-seared duck is one of their dishes, which you may not find in many New Orleans eating spots.

Restaurant August
— French, a taste of elegance (Frette linens and chandeliers, etc.), with a nouvelle twist on what is classic New Orleans cuisine. The food is fresh and has been described by some as “too pretty to eat”; however, I have never had that problem. Ask for the daily specials, and do not hesitate to request a change if you are a vegetarian.

Palace Café
— A Brennan family establishment. It is located on Canal Street, just a block or so from the Marriott. Multiple excellent choices, but I personally recommend the shrimp dishes, if you like the little fellows. They have several dishes with flavorful sauces that will tickle your tastes.

Mother’s
— A classic overstuffed po’boy sandwich. Long lines, but if you want the experience of having the queen of this tasty sandwich, you will remember it for a long time. If you can get there early, breakfast is one of the best in the city. Located on Poydras Street about four blocks from the convention center.

Brigtsen’s
— Cajun/ Creole; the setting is both elegant and homey. The menu changes daily. Chef Brigtsen does special things with rabbit. Give it a shot.

Clancy’s
— Located in one of the old New Orleans Uptown sections close to the Mississippi River. It is a favorite of locals and always delectable. The daily specials are outstanding. One of my favorites is the crab special. Excellent selection of multiple entrees, including fowl and beef.

Upperline — Creole; located in a small, charming house in a residential Uptown area. Imaginative food at reasonable prices with a very friendly staff.

Dick and Jenny’s
— Located in an out-of-the-way industrial-like area of town, but do not let that keep you away. They do not take reservations, so the wait can be long. The food, however, is excellent. Definitely get the oyster appetizer.

Bayona
— Described as international. One of the top new restaurants in the city (meaning less than 15 years old). Many outstanding dishes and a lovely courtyard add to the experience. Flavorful sweetbreads and grilled shrimp with cilantro sauce are a few of the intriguing appetizers.

K-Paul’s Louisiana Kitchen
— Paul Prudhomme ignited the Creole and Cajun revolution in the early 1980s. His specialty is blackened anything, so if you do not mind very spicy food, you will definitely find it here. Remember, no reservations, and there are always long lines. Maybe that is why they serve gigantic portions of whatever you order. Wear your most comfortable walking and waiting shoes.

For completeness I should mention that there are many ethnic establishments, and I will give a few examples: Northern Italian — Andrea’s, Bacco. For an unusual Italian experience and one that you will remember is a dinner at Mosca’s, which is located on the west bank, across the river on Interstate 90 west. You really need to contact one of your New Orleans friends to get there. They created the barbecued shrimp dish and the most unique oyster dish known as “Oysters Mosca.” If you never thought you could eat one of these slimy critters, you will love this dish. It is not a raw oyster dish but one that is baked in seasoned bread crumbs and garlic. An unusual salad consists of marinated vegetables and fresh lump crab meat prepared daily.

Shrimp remoulade with fried green tomatos is a New Orleans classic. Photo courtesy of NewOrleansOnline.com



Other ethnic choices include Lemon Grass Café, which is Vietnamese, Kung’s Dynasty (Chinese), Kyoto (Japanese), Bangkok Cuisine (Thai), Royal China (Chinese) and Genghis Khan (Korean).

If you are interested in Middle Eastern food, i.e., Lebanese, I would highly recommend Byblos, which has two locations, one on Metairie Road and the other on Magazine Street. Each is no more than 15-20 minutes by cab. I would strongly recommend the appetizer, Halloumi (fried cheese topped with tomato and olive oil), and for dessert, the Ashta (sweet cheese wrapped with phyllo dough topped with simple syrup). I know these well since my parents were both Lebanese, and my mother could cook anything and make it tasty.

Hopefully this information will be of help during your stay in New Orleans. This is an exciting year for ASA as we are celebrating a century of advances that have made for safer anesthesia care for our patients. As Immediate Past President Roger W. Litwiller, M.D., reminded us during his Presidential Address in 2004: “ It’s all about the patient.” So come enjoy the celebration, New Orleans charm and, of course, its culinary delights. If I can be of help, do not hesitate to contact me.



    Mack A. Thomas, M.D., is Staff Anesthesiologist, Ochsner Clinic Foundation, and Professor of Anesthesiology and Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Mack Thomas, M.D.

 


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