Showing 421 - 430 of 480 annotations tagged with the keyword "Medical Ethics"
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.
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.
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).
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.
Summary:This five-line poem poses a direct question of distributive justice to a mother faced with scarce resources. "Indian Poem" asks the mother to decide how she will divide what little she has among her children. She must choose between her strong son who has no immediate need, her weak son who is bound to die soon , and her daughter, "who is a girl anyway." The poem presents an imperative choice, but acknowledges that in choosing, the mother will also suffer along with her children.
The opening chapters of this sensational novel focus on "Mercy Merrick," a nurse in the Franco-Prussian War. Mercy's post is taken over by the Germans. Mercy meets the emergency with great skill and aplomb, comforting the wounded soldiers and ensuring their safe passage. Her bravery is set in opposition to the cowardly surgeon and a timid English gentlewoman on her way to England to claim an inheritance from relatives who have never before met her.
In the midst of the battle, the English woman is killed. Mercy determines to take over the dead woman's identity and claim her inheritance. She successfully does so. However, it miraculously turns out that the Englishwoman was not dead at all, merely stunned, and she arrives in England looking for revenge. It is impossible for her to prove her identity until Mercy confesses. Even then, the reader has sympathy for the desperation that caused her to take on the impersonation and her story ends happily as she goes off to a happy marriage and to nurse orphans.
Summary:A retrospective and reflective review of the last weeks in the life of the author's aging mother. Threaded throughout the chronicle of the progressive downhill course of the patient dying of cancer are flashbacks to the earlier relationships among the author, her sister, and their mother. The course of the illness enables the reader to view many of the common problems that inform the doctor-patient, nurse-patient, and parent-child relationship. The narrator, who is an accomplished writer, creates vivid and timely images of the hospital as experienced by the lay person.
In a South American town during the early years of this century, a retired doctor long known as an eccentric flatly refuses treatment to victims of a riot. Years later, the doctor hangs himself. For the vengeful town, the issue becomes whether he will receive a proper burial or be allowed to rot in the house where he had lately secluded himself.
This issue becomes the focal point of recollections, from many points of view, of fragments of the doctor's bizarre history. An old military man, who was originally the doctor's sponsor and host, braves the town's anger and forces his family members to help him carry out the burial. As it turns out, no one remembers the outrage apart from a few town officials, and the burial takes place without incident.
Summary:This story takes us to the fictional town of Port William, Kentucky where the traditions of family, farming, and freedom blend in a durable wholeness and wholesomeness of place. It is to this place that Burley Coulter is returned by his kin to die. In what turned out to be a mistaken expression of compassion, Burley's family took him to the doctor when, after eighty-two years, he fell ill. But then seeing him lying in the "mechanical room" of a hospital, attached to a life support system, his family conspires quietly and heroically to kidnap him so that he can die in his beloved woods.
Dr. Terry McKechnie works in the emergency room in a Los Angeles hospital in the early 1990’s, and is having an affair with Virginia Lee, the new wife of an old friend of his from medical school. Virginia works with snakes. She is attracted to danger. She falls in love with Terry immediately after deciding to marry the reliable Rick, with his predictable dermatologist’s hours and habits.
Virginia is bitten by a rare snake and drives herself to Terry’s hospital. The drive is terrifyingly described, time seeming to move at two speeds at once, as Virginia sits stuck in traffic trying not to panic, the terse prose capturing her efforts at clarity even as the rapid effects of the venom begin to cloud her thoughts. Because she is allergic to horses, the antivenom, made of horse serum, cannot be given to her, and she begins to bleed. Unfortunately, she also has an extremely rare blood type.
As well as being a doctor, Terry is a "universal donor": his blood can be given to people with most other blood types without danger of rejection. His gift fails him at this point, however: Virginia must be given blood of her own type. One person has such blood: a psychopath on the run from the police whom Terry had previously allowed to escape. The novel’s plot culminates in Terry’s search for and encounter with the convict, in which he persuades him to give his blood (and, necessarily his freedom--he is arrested in the hospital) and Virginia survives.