Showing 411 - 420 of 476 annotations tagged with the keyword "Medical Ethics"

A Question of Mercy

Rabe, David

Last Updated: Mar-26-1998
Annotated by:
Jones, Therese

Primary Category: Literature / Plays

Genre: Play

Summary:

This play dramatizes the story of Anthony, a character with AIDS, who implores a retired surgeon to end his suffering. Torn between his ethical beliefs and empathic response, Dr. Robert Chapman finally agrees to advise Anthony and his partner, Thomas, as to the method and means for committing suicide. Dr. Chapman's moral conflict is mirrored by Thomas's emotional one as he is caught between respecting a lover's wishes and fearing his premature death. The couple's friend, Susanah, reinforces Thomas's and Dr. Chapman's concern about criminal consequences. After a failed suicide attempt on his own, Anthony has a change of heart.

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The Chief of Medicine

Brody, Howard

Last Updated: Mar-10-1998
Annotated by:
Aull, Felice

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A woman medical student finds herself in a hierarchical dilemma while rotating through her internal medicine clerkship. She is helping to take care of a middle-aged man who has been hospitalized for a diagnostic work-up. As a consequence of invasive procedures ordered by his physicians to determine the cause of his symptoms, the patient has suffered serious complications and is moribund. The doctors are evasive with the patient and his family, who beseech the medical student for an explanation. Even though she has been instructed by the physicians to refer all issues back to them, she follows her own convictions and tells the truth: "Your father is dying."

As a result of this "insubordination," she is called in to see the head of the department, a man of "legendary diagnostic skill" with a long tenure at the hospital. He says that he will have her dismissed, and launches into a long diatribe, making the case for a paternalistic medicine in which the patient needs to believe that the physician is omniscient and possesses quasi-magical healing powers. "Miracle, mystery, and authority," he says, are at the heart of what physicians can do for their patients and to undermine these is to do harm to the vast majority of the sick. Having made his point, he terminates the interview but reinstates the student, who, it is suggested, is so grateful (for his advice or for not being dismissed?) that she kisses him.

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

Genre: Novel

Summary:

As a young woman, Fermina Daza kept a lengthy and passionate correspondence with Florentino Ariza, who was socially her inferior, but was desperately in love with her. They became engaged through their letters, exchanged through hiding places and telegrams in code.

But one day, when Fermina Daza comes close to Florentino Ariza in the market, she feels suddenly ill and tells him it was all a mistake. Instead, she marries Dr. Juvenal Urbino, a European-educated perfectionist, who falls in love with her on a medical visit. Their tumultuous but affectionate marriage lasts over fifty years, through a civil war, cholera outbreaks and the Doctor's brief affair with a patient. Juvenal Urbino distinguishes himself by instituting policies to combat cholera. He dies, falling from a tree as he attempts to catch his pet parrot.

Florentino Ariza comes to the wake. He is now about seventy and controls a wealthy shipping operation. After the other guests leave, he approaches Fermina Daza, saying, "I have waited for this opportunity for more than half a century, to repeat to you once again my vow of eternal fidelity and ever-lasting love."

She throws him out of the house, but continues to think of him. He becomes a regular visitor. Finally, they take a boat ride together, down the rivers that are being slowly drained and poisoned, listening for the cries of the manatees. They do not return, but prepare to sail on forever.

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The Cancer Ward

Solzhenitsyn, Aleksandr

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

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The story takes place in the men's cancer ward of a hospital in a city in Soviet Central Asia. The patients in Ward 13 all suffer from cancer, but differ in age, personality, nationality, and social class (as if such a thing could be possible in the Soviet "classless" society!). We are first introduced to Pavel Rusanov, a Communist Party functionary, who enters the hospital because of a rapidly-growing neck tumor.

We soon learn, however, that the book's central character is Oleg Kostoglotov, a young man who has recently been discharged from a penal camp and is now "eternally" exiled to this particular province. Only two weeks earlier, he was admitted to the ward in grave condition from an unspecified tumor, but he has responded rapidly to radiation therapy. Among the doctors are Zoya, a medical student; Vera Gangart, a young radiologist; and Lyudmila Dontsova, the chief of radiation therapy.

Rusanov and Kostoglotov respond to therapy and are eventually discharged; other patients remain in the ward, get worse, or are sent home to die. In the end Kostoglotov boards a train to the site of his "eternal" exile: "The long awaited happy life had come, it had come! But Oleg somehow did not recognize it."

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Inter Ice Age 4

Abe, Kobo

Last Updated: Mar-05-1998
Annotated by:
Fefferman, Stanley

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The prelude describes a tidal wave approaching Japan. The story is a first-person narrative by Professor Katsumi, inventor of a self-programming computer which can predict the future. Katsumi and his assistant, Tanamogi, plan to predict the future of a private, individual destiny. They choose a subject from the street and follow him. The next day's paper announces his murder.

To solve the case and forestall suspicion, Katsumi downloads the contents of the man's brain, reconstructs his existence, and questions him/it. The victim did not see his murderer, but he tells the team his mistress had sold her aborted foetus for 7000 yen. Then the mistress is murdered. Katsumi's wife has a forced abortion and receives 7000 yen. Katsumi suspects an organization. His assistant Tanamogi volunteers the name of an organization experimenting with extra-utero development of foetuses, and arranges for Katsumi to visit their lab. Gradually Katsumi learns of a vast conspiracy to create an underwater nation, complete with genetically altered water-oxygenating humans and animals, bred in anticipation of the predicted destruction of Japan by a tidal wave.

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A Personal Matter

Oe, Kenzaburo

Last Updated: Mar-05-1998
Annotated by:
Taylor, Nancy

Primary Category: Literature / Fiction

Genre: Novel

Summary:

A father whose child is born with a brain hernia tries to flee his responsibility for the child. In his shame, fear, and confusion he turns to alcohol and an old girlfriend and also agrees to give the child only sugar-water. The child wills to live, however, and finally the father, who has deserted others during his lifetime, realizes he cannot desert his son. He allows the surgeons to operate even though the child's future is uncertain.

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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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Annotated by:
Willms, Janice

Primary Category: Literature / Fiction

Genre: Novel

Summary:

This short narrative is told in the first person, the person of the quack. The tale opens with the narrator in the public hospital ward, suffering from what his doctors say is Addison's disease, composing the tale of his adventures which makes up the bulk of the work. The narrator tells us about his training as a physician and his first practice, which was sufficiently non-lucrative that he determines to alter his career direction.

He moves through a series of increasingly seamy scams in search of quick and easy money--including claiming to be a homeopathic physician, then an expert in vegetable remedies and "electromagnetic" treatment, falling through a multitude of suspect activities culminating in his setting up shop as a spiritualist. His shady career is cut short by his illness, from which he abruptly dies, thus ending the narrative.

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A Tidewater Morning

Styron, William

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

Primary Category: Literature / Fiction

Genre: Novella

Summary:

In 1938 a 13-year old boy lives through a late summer day in a small town in Tidewater, Virginia. As he delivers the day’s newspapers for Quigley, the local drugstore owner, his mother lies at home dying of cancer. She screams in unrelenting pain, but Dr. Beecroft won’t allow her to have a higher dose of morphine--"Jeff, I just don’t think I can give her any more." He does offer to try a bit of cocaine, but she soon sinks into a terminal coma.

Through the boy’s eyes and memory, we learn of the tension between husband and wife (both well educated people) and about their life in his home town among ignorant Rednecks. As German troops are massing along the border of Czechoslovakia, the boy’s mother dies. His father greets the sympathy of the local clergyman and his wife with a violent tirade against God (if he exists).

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Geek Love

Dunn, Katherine

Last Updated: Jan-24-1998
Annotated by:
Willms, Janice

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Geek Love is the saga of a traveling carnival, the owners of which try to save it from financial failure by using ingested chemicals and toxins to create the birth of amazing freaks for the show. The outcome is a family that is both proud and vain about its specialness. The narrative unfolds the intricacies of greed and jealousy that tear the family asunder, resulting in the deaths of some members, the madness of others, and the escape of one.

It is Olympia, the hunchback albino dwarf, who lives on to tell the story of the Binewski clan. Central to the heyday of the carnival is Doc P, a physician of questionable credentials who performs bizarre operations in the traveling hospital that moves with the carnival. The story moves relentlessly toward a climax and denouement that is sufficiently unimaginable to be consistent with the cast of characters.

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