Showing 421 - 428 of 428 annotations tagged with the keyword "Professionalism"

Annotated by:
Ratzan, Richard M.

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Dr. Raman, a fictitious physician in the imaginary South Indian city of Malgudi that is the microcosm for many of Narayan's stories, is renowned for his diagnostic acumen and "certain curt truthfulness; for that very reason his opinion was valued; he was not a mere doctor expressing an opinion but a judge pronouncing a verdict." When Dr. Raman is called upon to make a house call and subsequent operation on his dearest friend, Gopal, he faces a very difficult professional ethical dilemma.

For Gopal is very sick (dying in Dr. Raman's judgment) and requests a truthful prognosis in order to settle his will and avoid the "endless misery for his wife and children" that an unsettled will would entail, a realistic eventuality with which Dr. Raman concurs. Yet, if Dr. Raman reveals his pessimistic opinion, which he does to his assistant, i.e., that Gopal will not survive the night, then it would "virtually mean a death sentence and destroy the thousandth part of a chance that the patient had of survival."

Dr. Raman does "a piece of acting" and assures his friend and patient that he will live. Gopal replies, "If it comes from your lips it must be true . . . . " Gopal lives and Dr. Raman remarks to his assistant, "How he has survived this attack will be a puzzle to me all my life."

View full annotation

Doctor Thorne

Trollope, Anthony

Last Updated: Dec-19-1996
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Frank Gresham is the squire of Greshambury Manor in the fictional county of East Basetshire. His wife is the aristocratic Lady Arabella, daughter of Earl de Courcy. Because Lady Arabella's and her husband's tastes are more expensive than their means, Gresham goes heavily into debt and has to sell part of his property to the uncouth, but extremely wealthy, Sir Roger Scatcherd.

Thus, it is determined by Lady Arabella that their son, Frank Gresham Jr., must marry an heiress to restore the family fortunes. Doctor Thomas Thorne is the senior Gresham's close friend and advisor. Doctor Thorne is a bachelor who has raised his niece Mary as if she were his own daughter. In reality, she is the illegitimate daughter of Sir Roger's sister and the Doctor's brother. (Sir Roger had killed Henry Thorne in a fit of passion over his sister's shame; the Doctor sent Scatcherd's sister to America; and Scatcherd served time in prison before going from rags to riches in the railroad contracting business.)

The novel tells the story of the apparently hopeless romance between Mary Thorne and Frank Gresham; and Gresham's mother's attempts to have him marry into a wealthy family. Ultimately, both Sir Roger and his reprobate son, Sir Louis, die of complications of alcoholism. It then turns out that Mary Thorne is sole heir (as the "eldest child" of his sister) to Sir Roger's fabulous fortune. Eventually, Frank and Mary marry and establish their home at Boxall Hill, which is actually built on the land that Gresham had sold to Scatcherd.

View full annotation

A Trip into the Blue

Berczeller, Richard

Last Updated: Oct-25-1996

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

Berczeller was a Hungarian doctor who was forced into exile by the Nazi occupation. He traveled to Paris, to Morocco and finally got a medical license in the United States. A Trip Into the Blue is a collection of ten short stories about his experiences originally written for the New Yorker.

In "The Morphinist" he writes about the first time he was left in charge of the small hospital where he first practiced. A corpse was brought in that turned out to be alive. The man had tried to kill himself with morphine and Berczeller spent all night keeping the man awake and preventing him from trying to suicide again.

"Paternity" recounts an experience Berczeller had while setting up a practice in his rural hometown. His patients wanted more from him than simply medical expertise; he had to become a moral judge and counselor. In "Sodom and Gomorrah" he recounts how he almost became a film star instead of a doctor.

View full annotation

Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Collection (Letters)

Summary:

This collection arranges Chekhov's letters into three periods, each introduced by a short biographical essay: 1885-1890, the years during which Chekhov established himself as a writer; 1890-1897, which begins with his trip to Sakhalin Island and includes the years he spent living at Melikhovo; and 1897-1904, the final years during which his health declined, he rose to prominence as a playwright, and he married Olga Knipper.

In her general introduction, Lillian Hellman writes, "Chekhov was a pleasant man, witty and wise and tolerant and kind, with nothing wishywashy in his kindness, nor self-righteous in his tolerance, and his wit was not ill-humored. He would have seen right through you, of course, as he did through everybody, but being seen through doesn't hurt too much if it's done with affection." This image of Chekhov radiates from the letters collected in this volume.

Most of the letters are written to family members and a few close friends and associates, especially Alexei Suvorin, the editor of "New Times," a leading St. Petersburg newspaper; Maxim Gorki, the famous writer; and, later, the actress, Olga Knipper. The topics include family matters and business affairs; comments on his own writing and that of others; and his travels, especially the adventurous trip across Siberia to the penal colonies on Sakhalin Island in 1890.

View full annotation

Time's Arrow

Amis, Martin

Last Updated: Oct-17-1996
Annotated by:
Marta, Jan

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Tod Friendly awakens from death, rejuvenates, and becomes a surgeon. In New York he becomes John Young. He travels to Lisbon and a privileged existence as Hamilton de Souza. He leaves Lisbon for Salerno, then Rome. As Odilo Unverdorben he travels north to Auschwitz Central where he resumes his surgical career and conducts research. Through this time he has a series of affairs until he joins his wife. Their daughter dies, they marry, then court. Odilo works as a doctor, then attends medical school. He joins a youth organization and lives with Father and Mother. Finally, he enters Mother.

View full annotation

Heirs of General Practice

McPhee, John

Last Updated: Oct-17-1996
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Originally a three-part series in the New Yorker, this is an account of McPhee's six months of observing rural family doctors in Maine. It is both an engaging portrait of a kind of family practice increasingly rare in America, and implicitly an argument that those involved in professional medicine consider the tradeoffs in choosing between urban, high-tech, specialization and rural family practice where they know whole families in the context of community over time.

The narrative, based on interviews with physicians, some patients, and observations of clinical encounters, follows the daily routines and decision-making of several rural practitioners who consciously chose against the more lucrative, prestigious option of urban private practice, specialization, or academic medicine.

View full annotation

Dr. Rapallo

Menick, Stephen

Last Updated: Oct-17-1996
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The story begins with Dr. Frank Rapallo's son recalling his father's funeral and then progresses with a series of vignettes that show us who Dr. Rapallo was and how he died. Rapallo was an old time doctor who loved his work and whose patients told him "everything."

The boy was only seven when his father had radiation treatment for a cancer of his shoulder; subsequently, he had surgery to try to save the arm, but this left a hole "big enough to fit my hand." The hole never healed. He lost the arm anyway, but continued to perform operations with the assistance of Matthew, his young Japanese partner. The son reflects on his father's experiences in World War II--he was profoundly moved by the destruction in Japan and by the courage of Japanese physicians.

A strong, dedicated doctor, Rapallo was painstakingly honest, both with his patients and himself. In the end, he developed an incurable infection in his incurable wound. With characteristic dignity, Dr. Rapallo set about doing his last things--seeing patients for a few hours, visiting with his old friend Finch--and then in the evening took the contents of the vial he had prepared, and died.

View full annotation

Annotated by:
Willms, Janice

Primary Category: Literature / Fiction

Genre: Novel

Summary:

This is the tale of the rise and fall of a gullible young woman who comes under the tutelage of a "quack," a practitioner of faith healing. Phillida firmly believes that she has the gift of healing and the reader finds herself wanting to warn her that she is about to unwittingly harm herself and others. The polemic against this form of medical charlatanism is only thinly veiled in the "art" of the romance form in which it is written. The plot itself is much less intriguing than the cast of characters Eggleston creates to expose the methods of late nineteenth century spiritual mesmerism as a means of public exploitation.

View full annotation