Showing 221 - 230 of 242 annotations tagged with the keyword "Medical Advances"

Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

In 1984 Handler was a moderately successful 23 year old New York City actor, when he developed acute myelogenous leukemia. Strongly supported by his girlfriend and family, Handler underwent induction and, later, consolidation chemotherapy at Sloan-Kettering Memorial Hospital, where he also began his long experience (the "comedy of terrors" or, perhaps more appropriately, the "tragedy of errors") of a harsh, hostile medical environment populated by arrogant physicians, condescending nurses, and a host of unhelpful minor characters.

Handler carries us briskly through his first remission, the impact of his illness on his family and personal relationships, his experience with nonconventional healing (Simonton Cancer Center), his return to work on Broadway, his relapse, and the agony of a second round of induction chemotherapy at Sloan-Kettering.

Subsequently, he goes to Johns Hopkins Hospital to undergo the rigors of an autologous bone marrow transplant. At Hopkins he discovers to his surprise a medical setting far different from Sloan-Kettering: communicative, compassionate physicians and a patient-centered healing environment. Even the two hospitals' sperm banks reflect this radical difference in approach.

After surviving his transplant and a subsequent round of serious infections, Handler resumes his life. He realizes that most of the time nowadays he is not in touch with the sense of joy and gratitude for each moment that the illness taught him. Yet, these feelings exist below his consciousness; sometimes he steps through "a little doorway near the floor of my consciousness" and experiences his life in a simpler, more profound way.

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Summary:

William Morton first introduced ether anesthesia in 1846. This was followed shortly by nitrous oxide and chloroform. Within a few years, surgical anesthesia was being used throughout the United States. However, widespread acceptance did not mean universal usage. Physicians and surgeons debated the risks and benefits of anesthesia. Anesthesia was thought to be dangerous. Some argued that pain was a necessary part of life, that it made people stronger, and/or that it was a punishment from God. Others argued that anesthesia constituted an abuse of medical power.

Surgeons took care to select appropriate patients for anesthesia, while performing surgery without anesthetics on others. Women, people of higher social and economic classes, and people of the white race were thought to be more sensitive to pain than men, the poor, and Negroes and American Indians. Likewise, the young experienced pain more than the elderly. Certain procedures (e.g. major limb amputations and prolonged tissue dissection) were also thought to require more anesthetic than others (e.g. natural childbirth or ENT surgery). These beliefs carried over into practice, as evidenced by records from the Massachusetts General Hospital and other hospitals in the mid-19th century.

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Annotated by:
Willms, Janice

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

In his study, Professor Starr examines the evolution of the practice and the culture of medicine in the United States from the end of the colonial period into the last quarter of the twentieth century. His major concerns are with the development of authority, and the Janus image of professionalization as medicine has gained power, technical expertise, and effective modes of diagnosis and treatment and at the same time seems to be getting further from the patient.

At the time of publication, our society had finally begun to take a hard look at the impracticality and the inhumanity of continuing on the trajectory of American medicine developed one hundred years ago. Starr invites the reader to consider the impact of modern stress on the profession and, more intently, on the constituency it is dedicated to serve.

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Bedside Manners

Shorter, Edward

Last Updated: Mar-05-1998
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

This study explores the history of physician-patient relationships, especially as it relates to the ascendancy of science in medicine. The book begins by describing traditional physician-patient relationships in the 18th century. The focus, however, is on the "modern" doctor (beginning in the 1880's) and the "postmodern" doctor (beginning in the 1950's).

The author describes the transition from modern to postmodern doctor and a corresponding transition from modern to postmodern patient. A "sympathetic alliance" between physician and patient was essentially a development of the modern period (1880's - 1950's).

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This is a collection of humorous and insightful verse inspired by scientific articles published in medical journals, such as Journal of the American Medical Association and the New England Journal of Medicine. Pollycove is a "literary persona" who practiced internal medicine in rural Iowa for 30 years and "died from an acute coronary occlusion in October, 1990." This, according to the Introduction written by Pollycove's alter-ego, H. J. Van Peenen, an internist and pathologist who retired from academic pathology in 1990 and the publisher of this collection. Excerpts from the original articles alternate in the book with the poems that they inspired. The Literature is available from Goatfoot Press, 3910 Courtney Lane S.E., Salem, Oregon 97302.

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Tuberculosis

Abse, Dannie

Last Updated: Oct-02-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

In the past, "tuberculosis" was a taboo word. The poet reviews the disease's many names and its history. John Keats said, "Bring me a candle, Brown. / That is arterial blood, I cannot be deceived / in that color. It is my death warrant."

For centuries so many died of tuberculosis; physicians were so impotent to help. Now, a patient accepts the fact that his chest x-ray has cleared as unremarkable, "as his right / and is right."

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Brain Scan

Skloot, Floyd

Last Updated: Sep-16-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The urgent voice in this poem tells the patient to "Be still." The patient is about to undergo a brain scan (CT or MRI?) and the poem consists of a series of instructions. Don't worry about the discomfort or the side effects of the dye, the poem demands, "forget that your cradled head / may reveal a hard secret soon," the only thing that matters is "the subtle / shading of mass, some new darkness afloat / in the brindled brain sea." [16 lines]

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Annotated by:
Duffin, Jacalyn

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

Chris Cooper (Kevin McDonald) is a shy researcher working for a huge pharmaceutical firm with a team of sympathetic, but unusual personalities. He discovers a substance that makes people (and the company executives) very happy. Promoted as "Gleemonex," the new "brain candy" rapidly begins to make money, and Chris becomes a hero; however, the team soon realize that their wonder drug can render its users comatose.

Their "good" efforts to stop their own creation are opposed by their employer, especially the "bad" chief executive (Mark McKinney) and his cloying "yes-man" (Dave Foley), who relentlessly pursue sales to a craving market. After many tragicomic and slapstick escapades, good mostly prevails in the end.

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Annotated by:
Duffin, Jacalyn

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

The beautiful Polish student, Marie Sklodowska (1867-1934) (Greer Garson), is the only woman graduate student studying physics in Paris. She attracts the attention of her kindly professor by fainting in class. A father of two daughters, the professor realizes that she is both brilliant and poverty-stricken. He offers her a paid research project, and, without revealing her sex, arranges for her to occupy space in the laboratory of absent-minded Professor Pierre Curie (1859-1906) (Walter Pidgeon).

At first, Curie is annoyed by her presence, but he soon realizes that she is immensely gifted. When she decides to leave Paris (and physics) after standing first at her graduation, Curie is horrified and clumsily proposes marriage to stop her. Their union will be based on respect, reason, and physics, he claims, and she accepts. With his support, she embarks on an obsessive project to isolate what, she realizes, must be an unknown element in the compound pitchblende--a substance that emanates rays like light.

Four years of intense labor with few resources, inadequate facilities, incidental child-bearing, the threat of cancer, and many disappointments lead to the isolation of a minute quantity of radium in 1898. The Curies share the 1903 Nobel prize in physics with Henri Becquerel. Their future seems assured, but tragedy soon strikes: the distracted Pierre is run over by a horse-drawn cab and dies instantly.

Madame's grief is powerful, but she recalls her husband's prophetic words and returns to work. In the final scene, the elderly Madame Curie, now twice Nobel laureate (1911 chemistry), delivers an inspirational lecture on the promise of science to help "mankind" by curing and preventing disease, famine, and war.

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josie takes the stand

Herschberger, Ruth

Last Updated: Mar-21-1997
Annotated by:
Moore, Pamela

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Herschberger pretends to interview Josie, a female chimpanzee tested by Robert M. Yerkes. Yerkes used his observation of Josie's behavior to write his famous paper arguing that males are naturally dominant over females and that females naturally engage in prostitution. In the interview, Josie tells her side of the story, refuting Yerkes conclusions. She points out flaws in the experiment and offers a more woman-centered interpretation of her actions.

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