Showing 161 - 170 of 529 annotations tagged with the keyword "Aging"

Summary:

This is a collection of 91 poems on medical topics by medical students, physicians in training, and attending physicians; two are Canadian and the rest American. The poems are organized by six traditional groups of medical training and advancement in the profession: Medical Student, First Year; Medical Student, Second Year, Medical Student, Clinical Years; Intern; Resident; and Attending. There are no sections for pre-meds, retired doctors, or other programs (naturopath, chiropractor).

The editors have done a good job of picking well crafted and evocative poems. A dozen have been previously published. For the most part, the poems are short, easily fitting on one page. Almost all are in free verse, although there is one group of haiku, one prose poem, and an impressive sequence of ten Shakespearean sonnets “Breughel at Bellevue” by Anna Reisman.

Many poems treat dramatic moments in training: the anatomy lab, first gynecological exams, physician-patient relationships, especially when a patient is gravely ill or dying. Several poems in the first three sections comment on the differences between the normal social world and the intense medical world of the hospital. Throughout there are references to the pressures of high-tech, unfeeling medicine. Indeed Jack Coulehan sounds this theme in his introduction; he writes that "steadiness and tenderness" are both needed in medical practice.

 

View full annotation

Skin: A Natural History

Jablonski, Nina

Last Updated: Apr-05-2007

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

As an anthropologist with training in comparative biology, Jablonski is particularly interested in the natural history of humans: how did humans evolve to gain the varied appearances we see today? In particular, she investigates how our skin developed into a covering that is unique among animals in three ways: (1) it is naked--effectively hairless--and sweaty, (2) we come in a wide array of colors (not just the traditional four), and (3) we use our skin as a surface for decoration, a "social placard," which we cover or bare at will, and on which we put make-up, tattooes, scarifications, and piercings, all ways of expressing cultural and personal values.

Our ability to sweat allowed us to cast off the usual mammalian fur coat and to be active even in the heat of the day (when many creatures take shelter). Humans, therefore, could do more and be more as thinkers, builders, and social creatures.

As to our color variations, Jablonski argues that the main root of modern humans came out of East Africa; these people were black, because a lot of melanin in their skin was the best way to avoid too much ultraviolet radiation, although some is needed to create Vitamin D. As humans migrated to the north and the south, Darwinian selection favored lighter skin pigmentation in order to use the lower levels of sunlight.

Jablonski writes, "Dark skin or light skin, therefore, tells us about the nature of the past environments in which people lived, but skin color itself is useless as a marker of racial identity" (p. 95). And, noting an irony: "Naturally dark people in many parts of the world are increasingly seeking ways to lighten their skin, while the naturally light-skinned are trying to find new ways to darken theirs" (p. 159).

We often take our skin and all its functions for granted; our consciousness can change quickly, however, if we experience a skin disease, a sunburn, or a thermal burn (see Carter and Petro, Rising from the Flames: The Experience of the Severely Burned). Jablonski discusses a variety of illnesses, including burns, dermatitis, and skin cancers. Other topics include the importance of touch, how skin relates to emotion and sex, and experiments in artificial skin, useful for covering patients with severe burns.

Jablonski presents a dozen color plates, 44 figures, and maps to enliven her text.

View full annotation

Annotated by:
Bertman, Sandra

Primary Category: Visual Arts / Painting/Drawing

Genre: Oil on canvas

Summary:

A suspended skeleton and a beautiful nude woman face one another. The skeleton, perhaps used by medical students or artists, hangs by its skull from a wire. At its feet are cluttered a few pieces of debris – a stone head and foot. A label attached to the skull reads “La Belle Rosine.”

Opposite the hanging bones stands a nude young woman with a garland in her hair. Her eyes look upwards toward the vacant sockets of the skull. Her contemplative expression suggests that she may perhaps be reflecting on her mortality. In her left hand, she loosely holds a garment.

View full annotation

The Stone Angel

Laurence, Margaret

Last Updated: Feb-05-2007
Annotated by:
Clark, Stephanie Brown

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Ninety year old Hagar Shipley is as proud, independent, and clever as when she was a young girl growing up through the Depression and afterwards in a prairie town in Manitoba. Now in Vancouver, she suffers from arthritis, memory loss, incontinence and abdominal pain that make it impossible for her to be cared at home by her eldest son Marvin, aged 64 and his wife Doris.

She is ill and fearful but shares none of this with anyone. Unwilling to leave her house and move to a nursing home, Hagar slips away to a cottage she remembers from summers ago, and secretly find her way back to it.

On this journey, her present life continually blurs with remembrances from her past, as a self-assured "peacock" daughter of Jason Currie, a tough, disapproving Scottish Protestant store owner who values propriety, refinement and friends of social standing. Hagar defies her father by marrying Bram Shipley, an unsuccessful farmer with coarse manners. Their stormy marriage produces two sons, Marvin and John, whom she dominates. The harsh frontier life in the 1930s and the couple's incompatibilities cause her to leave her husband and go to Vancouver. Consistently Hagar's fierce independence and pride prevent her from expressing emotion or accepting weaknesses in her family, and in herself.

Eventually she is found by her son Marvin. By then she has become ill and disoriented, and is hospitalized. She is dying and must come to terms with her past and her present life and accept the death that is her future.

View full annotation

Only Yesterday

Gloag, Julian

Last Updated: Feb-02-2007
Annotated by:
Ratzan, Richard M.

Primary Category: Literature / Fiction

Genre: Novel

Summary:

When Rupert Darley, a twice married writer and teacher, shows up unannounced at his elderly parents’ home in rural Southeast England for a weekend, having just left his second wife, he has little reason to suspect that it will be the eventful weekend that it is. In only 170 pages, he is joined by his medical student daughter, Miranda (also called Milly), whose visit to her grandparents is expected by them but not by Rupert; he must come to grips with the harsh realities of aging, most especially that of his suddenly quite old and frail parents, whom he calls by their given names, Oliver and May; he and his daughter discuss for the first and most honest time their lives and those of their family; and they all must deal with the crisis of sudden unannounced illness.

Oliver is a well known architect who is stodgy and well aware of his eccentricities, tolerated but not allowed free range by May, his arthritic wife who is probably stronger in spirit than Oliver. The four of them discuss - jointly and in various permutations of groupings - a costly stair lift for May, Rupert's marriages and current (extended) mid-life crisis, Oliver's quixotic project to build a huge pyramid city complex, the vicissitudes of aging and approaching death (which is the elephant in the parlor in this book), health, illness and societal change.

Of interest to literature and medicine readers, Milly has frank conversations regarding end of life choices, to Rupert's initial dismay, with both grandparents individually and accompanies Oliver to the hospital in an ambulance when he has a heart attack at the end of the book.

View full annotation

Mr. Flood's Party

Robinson, Edwin Arlington

Last Updated: Jan-10-2007
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

One night Old Eben Flood is climbing the hill from town to his home. At one point he stops and invites himself to take a drink from the jug he went to town to fill. As he walks the lonely road, he continues to talk to himself, inviting himself to have a drink in honor of his return, and for old time's sake, for "There was not much that was ahead of him, / And there was nothing in the town below -- / Where strangers would have shut the many doors / That many friends had opened long ago."

View full annotation

The Waking

Roethke, Theodore

Last Updated: Jan-09-2007
Annotated by:
Aull, Felice
Chen, Irene

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The poet characterizes, with the tranquility and rhythm of a lullaby, his drifting states of sleep and awareness: "I wake to sleep, and take my waking slow," also hinting at his knowledge and acceptance of impending death. He seems to become one with Nature and the unknowable, ending the poem with a sense of peace and resolution: "I learn by going where I have to go."

View full annotation

Persimmons

Lee, Li-Young

Last Updated: Jan-09-2007
Annotated by:
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poem

Summary:

In the poem, persimmons are a symbol of several elements that have figured importantly in this Chinese narrator's life: they stand for painful memories of cultural barriers imposed by language and custom, and for a present-day loving connection to an elderly, blind father. The poet begins with a schoolboy incident in which he was punished for not knowing the difference between "persimmon" and "precision" and makes a play on other words which sound similar and "that got [him] into trouble." He takes revenge later, when the teacher brings to class a persimmon that only the narrator knows is unripe, as he "watched the . . . faces" without participating. Persimmons remind him of an adult sensual relationship with Donna, a Caucasian woman, and of his attempts to teach her Chinese words which he himself can no longer remember.

The second part of the poem describes the role persimmons have played in his father's life and in their relationship. To comfort his father, gone blind, the narrator gives him a sweet, ripe persimmon, so full and redolent with flavor that it will surely stimulate the senses remaining. Later yet again, the father and he "feel" a silk painting of persimmons, "painted blind / Some things never leave a person."

View full annotation

35/10

Olds, Sharon

Last Updated: Jan-09-2007
Annotated by:
Nixon, Lois LaCivita

Primary Category: Literature / Poetry

Genre: Poem

Summary:

In this vanitas poem a mother's brushing of her pubescent daughter's "dark silken hair" becomes an occasion for meditation on the "story of replacement": the child's impending womanhood and her own mortality.

As the speaker's own skin begins to dry, the daughter's "purse" fills with "eggs, round and firm as hard-boiled yolks." The purse, the speaker knows, is about to snap its reproductive clasp. In her child's handheld mirror the biological differences are noted when the narrator observes her graying hair and folds in her neck that are clearly visible.

View full annotation

Annotated by:
Wear, Delese

Primary Category: Literature / Fiction — Secondary Category: Literature / Fiction

Genre: Novel

Summary:

This novel by the Nobel-prize winning author chronicles the half century of love entwining three people: Florentino, a poet and businessman who has remained unmarried and has been in love with Fermina, who has had a long, sturdy, reasonably satisfying marriage to Juvenal, a prominent physician and one of the most illustrious men of his time. After fifty years of unrequited love, Florentino declares his love once again to Fermina, now a widow. They become lovers, finally, on a boat cruising up a river without cargo or passengers and with a phony yellow plague flag flying to avoid every port and all human contact.

View full annotation