Showing 21 - 30 of 80 annotations in the genre "Essay"

Annotated by:
Woodcock, John

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

In this rich opening chapter of his work on the Nazi doctors, Lifton lays out the groundwork for answering the question of how German doctors became the agents of Hitler’s vision of the purified Aryan race, sterilizing involuntarily several hundred thousand citizens with a variety of mental and physical deficiencies. His answer, in brief: a romanticized genetics coupled with total political control.

Amazingly, the Nazi medical atrocities were carried out not against the opposition of Germany’s medical establishment, but with its approval. (Of course, there were individual dissenters, the more vocal of whom were removed from positions of authority or put to death). Nazi leaders worked hard to convert medical people to the official position. This was accomplished partly by force, but also partly by metaphor, as the normal language of medicine was used to hide the unethical nature of what doctors were being asked to do.

Individual patients were replaced by the racial term "Volk," meaning the (Aryan) people, and their rights were superceded by their doctors’ new duty to assure the health of this collective political idea. According to Nazi publicity, the Aryan race was in grave danger of "Volkstod," of dying out, because its genetic pool had been contaminated both by the transmission of inherited genetic defects and by the "foreign invasion" of Jews and their intermingling with members of the "superior" Aryan race.

To save their new patient, German doctors were expected to carry out the sterilizations, medical experiments, and, later, the euthanasia required by Nazi doctrine, which, in the words of one Nazi writer, declared that "misery can only be removed from the world by painless extermination of the miserable." Doctors were urged not to worry about ethical issues, because Nazi medicine was "nothing but applied biology."

In these ways, says Lifton, Hitler’s racial policies were ’medicalized’ and their evil made less obvious. Those who went along were billed as the "saviors of mankind," the "alert biological soldiers" whose actions would restore the purity of the Aryan race. Jewish doctors were not invited, of course, their research having been officially discredited in the mid-1930s, Lifton tells us, and their medical licenses revoked in 1939--in spite of the fact that they made up half the doctors in some large cities.

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Annotated by:
Henderson, Schuyler

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Nick Hornby's introduction to the anthology, Speaking with the Angel begins with an explanation of why he wanted to produce this book of short stories: he humbly compares this rather small project benefiting a school for autistic children to the global ambitions of Bono. He then discusses how his son Danny has achieved so much because of the school, and places this in the larger context of the children with autism who will not be getting this specialized education. As he does so, he describes gently but evocatively the challenges parents face when trying to provide an education for their autistic children. The essay then asks that the reader imagine "a child who slept for maybe five or six hours last night", and Hornby briefly describes how some parents feel trying to look after their autistic child.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The author lists 173 twentieth century physician-writers, including both well-known and relatively obscure figures. The roster features each author’s dates, nationality, gender, year of medical degree, medical specialty, and his or her literary genre (fiction, poetry, drama, and non-fiction). The information about each author is documented by a reference to source material. The article also contains tables indicating (1) the percentage of physicians in the United States who were published physician-writers by decade from 1930 to the present; (2) a breakdown of physician-writers by medical specialty; and (3) literary genres by medical specialty.

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On Being Ill

Woolf, Virginia

Last Updated: Sep-05-2006
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Woolf wonders why illness "has not taken its place with love and battle and jealousy among the prime themes of literature." After all, illness is a consuming personal experience that brings about great "spiritual change." Why do we write only about the mind and ideas? Why not the body?

Woolf takes us through the experience of lying in bed ill; the world looks different, feels different, is different. "It is only the recumbent who know what, after all, Nature is at no pains to conceal--that she in the end will conquer." Toward the end of this short essay, Woolf discusses how illness changes our reading habits. We turn to poetry, instead of prose.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

This is a selection from "The Call of Stories" in which Robert Coles argues for a medical ethics rooted in particular lives and particular situations, rather than (or to supplement) the ethics of abstract rules and principles. He tells the tale of an "uppidy nigger" in Clarksdale, Mississippi, in 1967 who took issue with her clinic doctor because he was insulting and condescending toward his patients: "I told him I expected more of him. Isn’t he a doctor? If he can lord it over people, being a doctor, then he ought to remember how our Lord, Jesus Christ behaved . . . did He go around showing how big and important He was . . . ?"

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Vessels

Raeburn, Daniel

Last Updated: Aug-22-2006
Annotated by:
Wear, Delese

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Daniel Raeburn tells the story of watching the birth of his infant daughter Irene who had died in utero three days before and the weeks and months following the event, spent at the intersection of immense grieving, trying to understand why, and attempting to live in a world without his daughter.

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from The Pleasure of Reading

Fowles, John

Last Updated: Aug-21-2006
Annotated by:
Wear, Delese

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Fowles, and many other well-known Anglo-American writers in this collection, provide marvelous personal rationales for reading: what it has meant in their lives, and most important for our discussion, how reading can work against the "atrophy of the imagination" brought on by this century’s fervor for electronic media.

This essay can be used early in Literature and Medicine courses to discuss the very different experiences of reading fiction and nonfiction, to show how their aims are opposed in many ways. According to Fowles, this includes: "learning to dream awake, against learning to absorb hard facts; almost, to be subjective, to learn to feel, to be oneself--or to be objective, become what society expects . . . . Talking about reading [fiction] is like talking about flight in a world rapidly becoming flightless; like raving about music to the deaf, or about painting to the color-blind."

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A Fortunate Man

Berger, John; Mohr, Jean

Last Updated: Aug-21-2006
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The subtitle of this photographic essay is "The Story of a Country Doctor." Berger and Mohr give the reader an imaginative portrait of Dr. John Sassall, an English general practitioner who lives and practices in a remote rural community. The book begins with several stories of Sassall’s work with patients, gradually introducing the man himself and revealing his thoughts about his profession, his life, and the nature of healing.

Berger explores what people in the community think about this unusual doctor who has given up his chance to "get ahead" in the world in order to remain with them. They are sure he is a "good doctor," but what does that mean? How does one judge "goodness" in a physician? Berger comments in an impressionistic way on the nature of Sassall’s relationships with patients--a complex mixture of authority, fraternity, and intimacy.

The latter part of the essay expands its focus to the community as a whole and the nature of contemporary medicine. Throughout the book, Jean Mohr’s photographs serve as indispensable features of the story.

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Summary:

Shortly after the American Civil War, neurologist S. (Silas) Weir Mitchell became interested in a certain group of women, whom he describes as "of a class well known to every physician,--nervous women, who, as a rule, are thin and lack blood." Mitchell’s basic premise was that these women, largely between the ages of 20 and 30, have lost their vitality as a result of some form of prolonged strain--which has caused them to become thin, of insufficient blood, and unable to perform their regular duties.

In his long essay, essentially a compilation of case studies, he further characterizes these patients and outlines the treatment which he found to be unfailingly successful in returning them to normal activity. The treatment he utilized had the following essentials: seclusion and rest; massage; electric stimulation, a high-fat and high-calorie diet. His patients were not allowed to see their families, nor to read, write or otherwise strain themselves. The average duration of therapy was six weeks, usually carried out in an institution or private retreat.

Of interest is the single male who Mitchell felt met the criteria for his treatment plan. This patient, who had some (to the modern reader) lung findings suggestive of tuberculosis, allegedly was cured after three months of bed rest and frequent feedings.

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Whose Body is it Anyway?

Gawande, Atul

Last Updated: Oct-04-2005
Annotated by:
Kohn, Martin

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Atul Gawande, a surgical resident at Harvard Medical School, asks in his well written essay, "when you see your patient making a grave mistake, should you simply do what the patient wants?" (p. 86) He answers this question by sharing a number of cases from his training that suggest that the orthodoxy of 'absolute respect for patient autonomy' may interfere with good patient care.

Gawande also gives the reader insight into the difficulties that young residents especially have in developing an artful approach to medical practice. He suggests that part of respecting autonomy is (at appropriate times) allowing patients to cede that autonomy to an authority figure. He argues further that, "patients frequently don't want the freedom that we've given them." (p. 89)

He also shares in his essay a personal experience with his youngest child. She was a premature baby who at eleven days old ended up in the intensive care unit. He was glad to put the ultimate decision(s) of how to care for his daughter in the hands of physicians--"they could live with the consequences, good or bad." (p. 90)

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