Showing 281 - 290 of 510 annotations tagged with the keyword "Hospitalization"
Summary:Written with controlled elegance, this is an absorbing autobiographical account of psychiatric hospitalization. Twenty-five years after the fact, the author describes the two years during her late adolescence in which she "slip[ped] into a parallel universe." The surreal nature of the experience is reflected in darkly comedic recollections of her inner life, the other patients, their families, the staff, and of forays into the outside world.
The author came to Houston in 1962 as a visiting professor. While there, he and his wife decided to become volunteers at "J.D." (Jefferson Davis), the county hospital. They found that the hospital was overcrowded, understaffed, over-bureaucratized, and very poorly supported by the county. In particular, they found that the volunteer corps (Women-in-Yellow) was primarily involved in clerical work, rather than providing service to patients.
Marjorie de Hartog wished to form a group that would feed and nurture infants in the nursery, but the hospital authorities thought that was out of the question. This book is an account of how the de Hartogs, their Quaker community, and other Houston citizens developed a significant volunteer presence at "J.D." and, in the process, became aware of the frightful state of patient care. They became activists supporting the opening (and better funding) of a new public hospital.
This documentary, narrated alternately by the daughter-filmmaker and mother whose stories it tells, focuses on how two women move apart and together while experiencing, respectively, adolescence and mid-life. The mother has cancer, a mastectomy, and then rheumatoid arthritis, and these experiences intertwine thematically and structurally with the narrative of the mother-daughter relationship.
Another provocative juxtaposition cross-cuts scenes from the daughter's modeling career (and the social and erotic body that context constructs for her) with scenes of the mother's illness, stigmatization, and erotic daydreams. Both women come to a new awareness of the social meaning of mastectomy within heterosexual and same-sex contexts by the documentary's end; they also come to a place of recognition of the mother's personal and social value and the nature of their relationship.
In the early 1950's, Milan, Georgia is a racially divided town where secrets are plentiful and the meaning of justice is muddled. J. T. Malone, a 40-year-old pharmacist who failed his second year of medical school, is diagnosed with leukemia and told he has only 12-15 months to live. In some ways, Malone's last year of life parallels the declining fortunes of the town's leading citizen, Judge Fox Clane, an overweight and elderly former Congressman who suffers from diabetes and a previous stroke. Judge Clane's wife died of breast cancer, his only son committed suicide, and his daughter-in-law died during childbirth. He raises his grandson, John Jester Clane, and aspires to restore the grandeur of the South in conjunction with redeeming his personal hoard of Confederate currency.
Judge Clane hires Sherman Pew, a "colored boy" and orphan, as his personal assistant, but Sherman eventually resigns from the position when he can no longer tolerate the Judge or his prejudice. Sherman moves into a house located in a white neighborhood. A group of townspeople including the Judge plots to get rid of him. A local man bombs the building and Sherman dies. Shortly after his death, the United States Supreme Court announces its decision supporting school integration.
The Judge is infuriated and goes on the radio station to express his opinion, but he has not prepared a speech. Instead, he begins babbling Lincoln's Gettysburg Address. The radio station cuts him off. Malone has been listening to the Judge on the radio, but his wife turns it off. Integration no longer matters to Malone. Near the end of his life, Malone finds solace in the renewed love for his wife, Martha. He finally appreciates the order and simplicity of life. The pharmacist dies peacefully in his own bed.
This is an ambitious and far-ranging book, the result of years of thinking, teaching, and working with patients. An internist at the College of Physicians and Surgeons at Columbia University, Charon sees a wide range of patients in an urban setting. Also a Ph.D. in English literature, Charon has devised a "Parallel Chart" and other means for caregivers to write personally about the dynamics between healer and patient, to read texts--narratives in particular--and, as a result, to listen better to patients, thus improving the delivery of medical care.
Charon defines narrative medicine as "medicine practiced with these skills of recognizing, absorbing, interpreting, and being moved by the stories of illness" (4). She calls this a "new frame" for medicine, believing that it can improve many of the defects of our current means of providing (or not) medical care. Caregivers who possess "narrative competence" are able to bridge the "divides" of their relation to mortality, the contexts of illness, beliefs about disease causality, and emotions of shame, blame, and fear.
Charon finds that medical care and literature share five narrative features; she argues that careful reading of narratives builds skills that improve medical care, including intersubjectivity between caregiver and patient, and ethicality. Beyond the theory, there are powerful and persuasive examples of interactions between caregiver and patient, many from Charon's own practice. A mother of a sick daughter experiences stress that makes her ill; when she sees a narrative connection, she begins to heal.
Charon sees wider applications. As caregivers understand better concepts of attention, representation, and affiliation, they become more ethical, more community minded, and better healers to their patients. Patient interviews will be different: instead of following a grid of questions, physicians will converse with patients in an open-ended way. What is most important will emerge and emerge in ways that are most beneficial to the patient. Yes, this method will take more time but it will be more efficient in the long run. Bioethics, Charon argues, has been limited by legal approaches and philosophical principles. For her, narrative bioethics offers more human values in how people feel, experience reality, and relate to each other. Finally, there are implications for social justice: why are the poor underserved in this country and in many others?
One of the most exciting and radical formulations comes late in the book: ". . . practitioners, be they health care professionals to begin with or not, must be prepared to offer the self as a therapeutic instrument" (p. 215). This notion links up fruitfully with concepts of energy medicine (v1377v), therapeutic touch (Tiffany Field), and intentionality (Wayne W. Dyer).
Henry Earlforward runs a crowded, dusty bookstore. He meets his neighbor, Mrs. Violet Arb, when they haggle over the price of a cookbook. She refuses to buy the book as she finds every price too high. Henry is a miser and admires her steadfastness. They eventually marry.
Henry is outraged at the cost of the wedding breakfast and grows increasingly annoyed as his new wife insists on spending even more money to celebrate. Sensing a threat to his savings, Henry grows more miserly than ever, refusing to light the stove and eating almost nothing. Violet insists that the maid, Elsie, cook steaks and omelets for them. When her husband refuses to eat them, Violet refuses too.
Henry finally becomes ill. Dr. Raste urges him to go into the hospital, but Henry fears losing his autonomy and his life. He only consents after much arguing. When the doctor arrives to pick him up, however, Violet is much more ill than her husband. She is taken to the hospital, while Henry resolutely refuses to go.
To Dr. Raste, the family is ridiculous and annoying. They are business he must put up with. Henry still holds his purse-strings tight and Elsie is forced to steal money from him to send for news of Violet. Violet dies after an operation for the removal of fibroids from her uterus. She was too undernourished to handle the intervention.
Henry still refuses to change his ways and even leaves his bed to check on his books. He discovers Elsie’s theft. Neighbors find his body on the floor of his office. Elsie and her lover Joe go to work for Dr. Raste.
The site of the multiple stories interwoven in this novel is a teaching hospital in San Francisco. One of the featured characters is a young single mother who comes in with a swollen arm and finds herself in more medical trouble than she anticipated. She suffers a mild stroke after debatable treatment. Two doctors attend her, but differ markedly in their ideas of how to treat her and their human responses to her. One ends up having a brief affair with her that changes his life.
In addition to these there are stories of a comatose young man and the family that refuses to believe he will not awaken (he does); a volunteer coordinator who observes the politics of hospital life from a privileged margin, and sundry staff people who represent alternative points of view. The single mother recovers, but only after a stay in the hospital has convinced her she may not yet be too old to go to medical school to find a life not in marrying a doctor, but in being one.
Subtitled "New and Selected Medical Poems," this volume includes poems on illness and healing from Downie's three previous collections, along with several new poems. A longer piece called "Learning Curve Journal" serves as a framework for the book.
Beginning with the desperate voice he hears on his first night as a "suicide line" volunteer, the poet reveals the shape of his own medical learning curve, moving poem by poem from "Orientation" through the realm of "Patient Teaching" and "Teaching Rounds" to "Pronouncing Death." Among the many strong poems in this collection are "Diagnosis: Heart Failure," "Louise," "Sudden Infant Death," "Wishbone," "Living with Cancer," and "Ron and Don."
Summary:At 23 years old, James is brought by his parents to a drug and alcohol rehabilitation center in Minnesota to get treatment for his alcoholism and drug addictions. Physically and emotionally shattered, he slowly recuperates, sometimes insistently conquering his addictions with his own willpower, and at other times with the help of those around him. The consequences of his addictions, his struggle against the platitudes of the Twelve Step programs, and his relationships with his counselors build the tension in the book; his relationship with his family and several of his fellow addicts forms the heart of it.
After being struck by a speeding car while riding his bicycle, Paul Rayment suffers extensive damage to his right leg. An above-knee amputation is performed by a young surgeon, Dr. Hansen. Paul is a 60-year-old former photographer who lives in Australia. Divorced and childless, he has no one to assist him with the activities of daily living after he is discharged from the hospital. He refuses a prosthesis. Paul's accident and loss of a limb have triggered a reexamination of his life. He now regrets never having fathered a child. Paul's life is further complicated by three unusual women.
He hires a Croatian lady, Marijana Jokic, as his day nurse and aid. He is attracted to and dependent on the much younger Marijana. Although she is married and has three children, he lusts for her. He offers to act as a godfather for Marijana's children and provide funds for their education. Drago, Marijana's oldest child, lives with Paul for a while. Drago and his father build a customized cycle to convey Paul, but the crippled man doubts he will ever ride it.
Paul has a single sexual encounter with a woman blinded by a tumor. Her name is Marianna. He is blindfolded during the affair and pays her afterwards. A novelist with a weak heart, Elizabeth Costello, intrudes on Paul. The elderly woman is mysterious. She pesters him, occupies his apartment without an invitation, and peppers him with questions. In time, all three females fade from his world, leaving Paul still struggling to adapt to loss and a new life.