Showing 451 - 460 of 473 annotations tagged with the keyword "Medical Ethics"
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."
These three short plays (approximately 30 minutes each) were commissioned for use in readers' theatre (see Commentary). Each addresses a specific patient/provider concern at the end of life. "Journey Into that Good Night" by Berry Barta is the story of a dying adolescent coming to terms with her mortality. Her physician demonstrates gratifying sensitivity in his understanding of her emotional struggle and the girl's mother progresses perceptibly in her own grief process in the course of the dialogues.
Marjorie Ellen Spence offers "Stars at the Break of Day," set in a nursing home where a middle aged man dying of cancer is confined. The reader meets a spectrum of elderly residents whose antics provide the humor necessary to keep the piece from becoming maudlin. There is discussion about assisted suicide as well as a view into one mode of accepting pain and impending, albeit untimely, death.
The third play, "Time to Go," by C. E. McClelland, is a fantasy which combines comic whimsy with a penetrating and profound sense of reality. The central issue is that of "letting go" of a son who has long lived in a persistent vegetative state following an accident. The victim's story is articulated in conversations between him and visiting "Friends" from another realm. Without introducing theology or politics, the conversations direct the reader to focus on the parents' reluctance to make a decision to discontinue life support.
Condemned to death, Socrates, strong, calm and at peace, discusses the immortality of the soul. Surrounded by Crito, his grieving friends and students, he is teaching, philosophizing, and in fact, thanking the God of Health, Asclepius, for the hemlock brew which will insure a peaceful death. His last words are "a cock for Asclepius!"
The wife of Socrates can be seen grieving alone outside the chamber, dismissed for her weakness. Plato (not present when Socrates died) is depicted as an old man seated at the end of the bed. The pompous "medical celebrity"--as Tolstoy might describe him, were he one of Ivan Ilyich's five consults (The Death of Ivan Ilyich, see this database)--is pontificating on his rounds about the pharmacological details of the medication.
Four men sit drinking in a British tavern. There is a sick man in the house and a famous London doctor has been summoned to treat him. When one of the men, Fettes, hears the doctor’s name, Wolfe Macfarlane, he wakes suddenly from his drunken stupor and rushes to see the doctor’s face. He recognizes and threatens the doctor, who flees. Doctor Macfarlane and his accoster, Fettes, had studied medicine together under a famous--but unorthodox--anatomist.
They were in charge of obtaining bodies for dissection. Fettes regularly received and paid for corpses late at night from the men who robbed graves for them. One night, the body of a woman he knew was brought to his door; he was certain that she had been murdered but he said nothing. One day he met Macfarlane at a tavern. He was being strangely heckled by a man named Gray. The next night, Macfarlane showed up with Gray’s body and demanded payment for it. He had evidently murdered the man. Fettes was shaken but acquiesced. Soon the body was dissected, so the evidence of murder was gone.
Later, Fettes and Macfarlane were sent to a country church yard to exhume a recently buried woman. They sat their package between them as they traveled back. Suddenly, they perceived a change in the body. Unnerved, they got out a light and uncovered the face of the corpse. It was Gray.
Mr. Utterson is a London lawyer who is a friend of Dr. Jekyll. Jekyll gave up his regular practice to experiment with non-traditional medicine. Utterson is concerned because Jekyll has written a will that leaves all his money to his new partner Mr. Hyde. Utterson has heard bad things of Hyde and disliked him at first sight. The lawyer thinks his friend is being blackmailed.
One day, the lawyer is asked to identify the body of a murdered man, Sir Danvers Carew, one of Utterson’s clients. Hyde is suspected of the murder, but he has disappeared. Jekyll swears that he has not seen Hyde and has broken with him forever. The case remains unsolved and Jekyll becomes more sociable than he had been.
Suddenly, though, he locks himself into his laboratory, yelling to the servants through the door, directing them to gather chemicals for him. The servants recognize a change in his voice and think that their master has been murdered; another man has taken his place in the lab. They call Utterson who breaks down the door. On the floor lies Hyde, who has killed himself with poison. Sadly, Utterson assumes Hyde returned and killed Jekyll, but the doctor’s body is nowhere to be found.
He does find, however, a letter in which Jekyll explains his relationship to Hyde. Jekyll had sometimes indulged in debauches which, if discovered, could have ruined his reputation and of which he is ashamed. Pondering this split in his personality, he decides to find a way to separate his two beings. Jekyll creates a potion that releases his evil side, Mr. Hyde. Hyde is shorter and smaller than Jekyll, having not had as much exercise.
For a while Jekyll enjoys his two bodies; he can do whatever he likes without fear of discovery. His pleasure is stunted when Hyde kills Carew in a nonsensical fit, and he resolves never to take the potion again. Hyde is now strong, however, and emerges whether Jekyll will have him or not. Indeed, Jekyll must use the potion to be rid of him if only for a moment. Jekyll knows that it is only by killing his body that Hyde’s body, too, will die.
The narrator remembers a science fair she participated in as a child. The projects presented were diverse. One boy weighed mice before and after killing them in order to measure the weight of the soul. Another made an atom smasher. A girl made cookies from Euglena. The narrator rubs the tar of cigarettes into the shaved backs of mice in order to discover the tremulousness of life.
The narrator says she recalled the fair because the dusky seaside sparrow just became extinct, though its cells are frozen at Walt Disney in case it is ever learned how they may be cloned. She concludes by noting that the cookies won the prize.
The book is a collection of 17 short stories, all of which center on physicians. "His First Operation" is about a student’s first view of surgery. He promptly faints. "A False Start" is about a doctor trying to establish a practice. He only succeeds by giving up the opportunity to treat the richest man in town, as he is the patient of another doctor. He and the doctor he thus honors become partners.
"The Doctors of Hoyland" deals with the issue of female doctors. Dr. Ripley has an established practice in Hoyland and when a famous doctor moves into the neighborhood he is secure enough to go visit him and offer him welcome. "He" turns out to be a woman, Dr. Smith.
Dr. Ripley is outraged; he thinks female doctors are a biological impossibility. Any woman who becomes a doctor must be unwomanly, otherwise how could she stand the sight of blood or inflict necessary pain? The woman doctor is courteous, but shows him the flaws in his thinking. The two are only reconciled when she is forced to treat his broken leg. He discovers how graceful, womanly, and skilled she is and asks for her hand, but she turns him down.
Sylvain Pons earns a meager living conducting at the ballet and giving private music lessons. He is very fond of fine food and fine art. Over the years, he has satisfied the latter craving by slowly accumulating pieces that now clutter the small apartment he shares with his friend Schmucke. Sylvain doesn’t know it, but the collection is worth a surprising amount of money. He satisfies his taste for fine food by frequently going to dinner at his cousin Marville’s house.
Marville’s wife dislikes having Sylvain at her table, for he is rustic and abrupt. He is finally kicked out completely when he tries to find a suitor for the Marville’s daughter, Cecile, and bungles the job. Shortly afterwards, Sylvain falls ill. His portress, Cibot, enters the rooms to nurse him, recognizes the value of his art collection and schemes to get it. She gets Remonencq, who runs a nearby pawn shop, and Elie Magus, a Jew with an eye for art, to help her.
The attack begins when Cibot convinces Schmucke to sell some of Sylvain’s paintings in order to pay for the doctor bills. The plot thickens as Sylvain’s doctor and an attorney get involved. The attorney goes to Madame de Marville and convinces her to fleece Sylvain or risk a smaller inheritance from Sylvain. Her husband regretfully agrees also.
Meanwhile, Sylvain has become suspicious of Cibot. He struggles out of his sick bed to find Magus studying the collectibles in his bedroom. The other rooms are empty. Sylvain realizes his friend Schmucke has been duped, and he plans a counter-attack. He writes a false will, leaving all his money to Cibot for her service at his final illness. He leaves it where she will see it. He then writes a second, true will that leaves his money to the crown on the condition that they grant Schmucke a lifetime annuity.
Sylvain then dies. Schmucke becomes the new target of the others’ greed. They nearly convince him to sign a paper forfeiting most of his inheritance, but when he realizes that the Marvilles are accusing him of having duped their cousin he falls ill and dies. The money passes on to the Marvilles. The attorney gets an important new job; the doctor gets a sinecure, and Magus gets the pictures. Even Cibot is rewarded; she gets an annuity and marries Remonencq after he kills her husband.
A young farmer's mother is dying. The farmer, Honore, is concerned about his mother but he is even more concerned about getting his wheat in before the rains come. He is prepared to leave her to die alone, but at the insistence of the doctor agrees to hire Mother Rapet to tend his mother. Mother Rapet is an old washerwoman who supplements her income by watching the dying and preparing them for burial. La Rapet offers to work for Honore for a daily wage. Honore refuses, for he knows how obstinate his mother is and fears she will take a long time to die making La Rapet's services expensive. He insists on a set rate and La Rapet eventually agrees.
After three days, the mother still has not died and La Rapet realizes that she is losing money. Taking matters into her own hands, she tells the dying woman that at the moment before death everyone sees the devil. She then wraps herself in a blanket, puts a pot on her head, and throws a pail across the room making a huge noise. The dying woman thinks she is the devil and struggles to leap out of bed; instead, she collapses on the floor, dead.
White-jacket is a sailor on the U.S. frigate Neversink. His nickname derives from a jacket stitched together from leftover scraps of rags. This jacket makes the other sailors superstitious and as the ship heads towards Antarctica his mess group kicks him out and he joins another group, serving under the much-liked petty officer, Jack Chase.
The journey is a dangerous one. A man falls overboard. There are constant floggings for the merest inkling of insurrection. All the crew members are forced to watch each flogging. A doctor stands by to stop the flogging if the victim's life is endangered, but he is so callous he doesn't stop a single one. The doctor also prescribes medications, but never attempts to change the conditions that cause the sailors' illnesses, like malnutrition and exposure.
When the ship lands in Rio de Janeiro, Dr. Cadwaller Cuticle boards. In order to show off to the ship's doctors, he amputates the healthy leg of a sailor, who is terribly frightened as the doctors discuss his impending fate in front of him. The man dies of shock. When the boat continues on its journey, White-jacket accidentally falls from the riggings. He barely escapes being speared when a ship-mate mistakes his jacket for a whale. He is fished out and sent up again to complete his task.