Showing 201 - 210 of 3223 annotations
Summary:In this collection (80 pages), Marc Straus speaks of the inadequacy of communication and knowledge in medicine; the pauses, the distance, the hesitations. You think you know what you are doing, "But no, they always ask the question / I never knew." ("The Log of Pi") "The question / might be so simple, so clear / that you’re unprepared to answer." ("Questions and Answers") Though words are in one way inadequate, the medical word carries great power: " . . . I knew that moment / I would say one word for her and nothing / would ever be the same again." (One Word, annotated in this database.)The poet comes to understand that he represents both sides of medicine, both the detached and distant Dr. Gold, and the warm and trustworthy Dr. Green. (See annotation of Dr. Gold & Dr. Green) Unfortunately, this knowledge only comes about after the patient has died ("Dr. Gold & Dr. Green, II"). We learn from experience, sometimes too late.
Summary:The speaker reflects that "life is sometimes reduced / to a single word . . . . " He remembers one incident at a bus stop, another interviewing a man "for a job in my lab." Then there was the time a woman "walked / into my office for one thing . . . . " He discovered a "fullness" in her neck and knew that the word he would say to her, the one word, would change her life: "nothing / would ever be the same again."
Summary:This fine collection of work by Audrey Shafer is subtitled "Poems by a Doctor/Mother." The book begins with a section containing poems of personal history and experience ("that I call home"), descends into the nether world of anesthesia ("not quite sleep"), and in the final section returns to the light with a new perspective on the texture and occurrences of ordinary life ("okay for re-entry").Among the more medically oriented poems, see especially "Spring," "Anesthesia," "Three Mothers," Monday Morning (see annotation in this database), "Gurney Tears," "Center Stage," and "Reading Leaves." "Don’t Start, Friend" takes up the topic of substance abuse among anesthesiologists (or physicians, in general).
Summary:The poet, an anesthesiologlist and mother, describes her early morning departure from home as she prepares to begin her professional day, leaving behind her little son and the physical and emotional warmth of their relationship. After arriving at work, she readies the operating suite for her first patient, taking pleasure in "the rote motions," noting that "all is bright pristine ordered."Having made the transition from home to work she tries to remember her son’s "just-awakened warmth." The poem ends with the arrival of her patient, who is naked and ready to be put to sleep (anesthetized), inverting the opening image of her sleepy, naked child and their leave-taking.
Summary:The author, an experienced surgeon, believes that we will be less frightened by the prospect of death if we understand it as a normal biologic process. He points out that 80 percent of deaths in this country now occur in hospitals and are therefore "sanitized," hidden from view, and from public comprehension. He describes the death process for six major killers: heart disease, stroke, AIDS, cancer, accidents/suicide, and Alzheimer's disease.But the power of the book is in its intensely personal depiction of these events and in the lessons which Nuland draws from his experiences. The message is twofold: very few will "die with dignity" so that (1) it behooves us to lead a productive LIFE of dignity, (2) physicians, patients, and families should behave appropriately to allow nature to take its course instead of treating death as the enemy to be staved off at any cost. Only then will it be possible for us to die in the "best" possible way--in relative comfort, in the company of those we love/who love us.
Summary:The author, Professor of Psychiatry at Johns Hopkins University School of Medicine, is an authority on manic depressive illness. With this powerful, well-written memoir she "came out of the closet," publicly declaring that she herself had suffered from manic depressive illness for years. Jamison describes the manifestations of her illness, her initial denial and resistance to treatment with medication, attempted suicide, and her struggle to maintain an active professional and satisfying personal life.The author was "intensely emotional as a child," (p.4) and in high school first experienced "a light lovely tincture of true mania" (p.37) during which she felt marvelous, but following which she was unable to concentrate or comprehend, felt exhausted, preoccupied with death, and frightened. (pp. 36-40) Interested in medicine as an adolescent, she pursued her goal in spite of mood swings and periods of mental paralysis. Jamison completed graduate work in clinical psychology; shortly after obtaining a faculty appointment "I was manic beyond recognition and just beginning a long, costly personal war against a medication that I would, in a few year’s time, be strongly encouraging others to take [lithium]." (p. 4)Jamison eventually, through strong support from friends and colleagues, excellent psychiatric care, and her own acceptance of illness, has been able to reach a state of relative equilibrium--tolerable levels of medication (fewer side effects) and dampened mood swings. But she makes clear that she must stay on lithium and remain vigilant.
Summary:Children wasting away, in pain, infected with parasites whose life cycle continues "bodies to fingers, / fingers to lips, of lips to eggs / and eggs to worms." That cycle is echoed in the human experiences of "loneliness to pangs of loss" and of "deep escape to deep connection." The actual parasites take on symbolic significance and become the worm that inhabits us all, whether we be sick kids or weary health care providers.
Summary:Father reappears 28 years after deserting the family and living like a "tumbleweed"--playing bit parts in movies and drifting around alone. The son finds him strapped into a chair, drooling into a cup, dying of a lung disease. His father tells him, "A loner’s like a tumbleweed; / he breaks off, blows away, dries up."
Summary:The poet movingly describes the sunset of his father’s life in the context of their relationship, now, and in the recollected past. Now the son brings his crippled father to see a beautiful beach sunset, but the process is so difficult that they settle in too late to catch it. When he was younger, the son imagined that he would one day take his father on excursions to wild and beautiful places, where they would talk intimately about important matters and death was not a concern. "When I was young, I dreamed we arrived . . . with plenty of time before sunset. / The sky was glorious, and he could stand."
Summary:The extraordinary image of a six hundred pound man, spread across two beds, dying, whom the doctor might at first find to be grotesque, is transformed in the doctor's dream. In that dream he sees the man as the center of a ceremony in which healers "wrestle the souls of old bodies back to bones . . . back back to their beginnings." The doctor comes to realize that this "worthless and alien" body is beautiful.