Louisville Medicine Volume 66, Issue 5 | Page 29

I f you’re lucky enough to be invited to a homebrewing session at the home of Dr. Gary Vitale, prepare first for the text messages. In particular, be prepared for their immediacy. It’s not uncom- mon to suddenly read “Thinking of beer making tomorrow, how many can make it?” or “I plan to make beer today around 2 p.m. to have ready by Derby.” The schedules of physicians and residents (the primary guests of these endeavors) are complex so, when the invite comes, your schedule had better be clear. The wait, or lack thereof, is very much worth it, as Dr. Vitale makes his home warm and inviting for all who attend, with a fascinating and educational pastime taking place during each visit. Walking into the home of Melodie and Dr. Gary Vitale during one of these spontaneous homebrewing nights, you’re likely to be struck by a unique aroma. That’s the smell of boiling barley tea. It has an earthy and pungent personality that seems to thicken the air of the kitchen. On the stove is a giant stainless-steel pot with three gallons of the brown simmering liquid. A mesh sock of grains is pinned to one side. The attached thermometer hovers around 160 degrees. “These grains create the sugar for the beer, the color and some of the flavors,” Dr. Vitale explained. “You’re taking the flavor from the grains through heat. Different temperatures produce different flavors.” Once the grains have seeped for 30 minutes to create the barley tea (officially known in the brewing world as “wort”), Dr. Vitale adds liquid and dry malt extracts. He and the residents then take turns stirring the giant pot of wort for an hour, adding hops as needed. As dinner nears, the smell of the wort merges with hamburgers and Melodie Vitale’s macaroni and cheese. Although she was traveling to see family during this brewing night, Mrs. Vitale kindly left all sorts of good things to eat. While someone stirs the wort, the house buzzes with the fast talk of residents getting recent cases off their chests. About 20 residents have stopped in for tonight’s session. Everyone is eating freshly grilled burgers, watching basketball or both. Though he talks fast, Dr. Vitale’s easygoing nature is striking. His voice barely raises a pitch while simultaneously preparing a meal for 20 people and boiling a 3-gallon pot of light Saison beer. He is, after all, a general surgeon. Hosting a homebrewing event is less stressful than his day job. In fact, he’s a little blasé to the entire process of beer making. After 11 years practicing the hobby, Dr. Vitale knows what to expect. “You’re going to find out,” he said both sarcastically and matter- of-fact, “that there’s nothing to do while brewing beer but watch the water boil. That’s why it’s perfect to make during basketball.” Still, the residents are excited by the process. Many take turns stirring, and everyone peers into the pot to see this night’s batch coming to life. FEATURE The flavors came out similar to the name brand, with just enough difference to recognize it as a home brew. In Dr. Vitale’s words, “It’s like a live concert. It’s not the same as a recording, but sometimes you can like the live album even better.” The second beer on tap was the intimidatingly named “Soulsuck- er Stout,” that had an alcohol by volume (ABV) percentage of 10.5. For comparison, a typical domestic light beer is four percent ABV. Despite its high ABV, the Soulsucker Stout was delicious - malty and not overbearing on hops or bitterness, with a deep well of flavors. “Some might say there’s a bit of conflict here, as all the surgery residents come and make alcohol with their pancreas doctor. Pan- creas is primarily the work I do, and alcohol has a negative effect on it,” said Dr. Vitale. From across the kitchen, a voice interjected, “That’s called drumming up business!” Woody, the cockatiel, chirped in agreement. After 60 minutes passed, the wort was taken off heat and dropped in a sink full of ice. This step is taken for a variety of reasons but in short, it keeps the beer’s yeast healthy and able to properly ferment. “You have to get the temperature to drop very quickly,” Dr. Vi- tale explained, noting that the initial 3-gallon batch is essentially beer concentrate. Two gallons of additional water are now added to bring the recipe to a proper concentration level. This 5-gallon concoction is then placed in a fermentation vessel and supplemented with dry yeast. Dr. Vitale places each brew in a plastic vessel for a week to allow primary fermentation. The beer will bubble as the yeast eats the sugars and transforms them to alcohol. When bubbling ceases, he transfers the brew to a glass container for secondary fermentation. In three weeks, the beer goes from wort to ready for consumption. If everything works out as planned, it will be extremely delicious. Each homebrewing night is commemorated by a card featuring both the recipe and the names of all in attendance. This allows Dr. Vitale to remember every guest who helped make his brews through- out the years. For the better part of a decade, UofL surgery residents have visited Dr. Vitale’s to blow off steam and share evenings with those going through the same grueling experiences. Doctors stop by, and neighbors too. “This is really a family event,” he explained. “All are welcome.” As the night wound down, residents began to leave. Many had early mornings fast approaching. But, sometime when they least suspect, their phones will buzz again, and Dr. Vitale’s home will open for another night of food and camaraderie. Aaron Burch is the communications specialist for the Greater Louisville Medical Society. There were two previously made beers available to sample upon this visit. The first was a clone of the popular Bell’s Two Hearted IPA. OCTOBER 2018 27