Showing 451 - 460 of 489 annotations tagged with the keyword "Medical Ethics"
Nnu Ego is the daughter of a great Nigerian chief. She is expected to have many sons. With her first husband who beats her, she has no children. She leaves him and is married to a man who works on the coast in a British colony. Her life there is miserable. She and her husband slowly lose their village values and begin a daily battle for food and money.
Nnu Ego nevertheless becomes pregnant. Her infant son dies suddenly and she nearly goes mad. She recovers and produces many children, including two sons. Her eldest son goes to school in America, marries a white woman, and rarely contacts his mother. Certainly, he does not financially support her as village ethics demand. Her younger son follows in his brother's footsteps. Nnu Ego is considered a success in her village, but she dies alone. Her eldest son returns to Nigeria and pays for a big funeral in order to prove what a good son he is.
This novel was inspirational for several generations of pre-medical and medical students. It follows the hero, Martin Arrowsmith, from his days as a medical student through the vicissitudes of his medical/scientific career. There is much agonizing along the way concerning career and life decisions. While detailing Martin’s pursuit of the noble ideals of medical research for the benefit of mankind and of selfless devotion to the care of patients, Lewis throws many less noble temptations and self-deceptions in Martin’s path. The attractions of financial security, recognition, even wealth and power distract Arrowsmith from his original plan to follow in the footsteps of his first mentor, Max Gottlieb, a brilliant but abrasive bacteriologist.
In the course of the novel Lewis describes many aspects of medical training, medical practice, scientific research, scientific fraud, medical ethics, public health, and of personal/professional conflicts that are still relevant today. Professional jealousy, institutional pressures, greed, stupidity, and negligence are all satirically depicted, and Martin himself is exasperatingly self-involved. But there is also tireless dedication, and respect for the scientific method and intellectual honesty.
Martin’s wife, Leora, is the steadying, sensible, self-abnegating anchor of his life. In today’s Western culture it is difficult to imagine such a marital relationship between two professionals (she is a nurse). When Leora dies in the tropics, of the plague that Martin is there to study, he seems to lose all sense of himself and of his principles. The novel comes full circle at the end as Arrowsmith gives up his wealthy second wife and the high-powered, high-paying directorship of a research institute to go back to hands-on laboratory research.
Dr. Cassell examines the social and cultural forces that encourage the practice and teaching of a medicine that is governed by the disease theory. This theory discounts the impact of illness on the patient and ignores the suffering that the patient is experiencing. Cassell does not debunk science and technology, rather he encompasses them within the moral enterprise of medicine as tools for helping patients.
The ability to provide compassionate attention to the patient as individual (i.e., with unique values, life experiences, family interactions, etc.), trustworthiness and self-discipline are required characteristics of a "good physician." Cassell illustrates and personalizes the philosophical shift towards focusing on the sick person with stories and anecdotes.
Reade was known for writing "novels with a cause." Here, as in several other of his novels, his cause is the deplorable condition of mental hospitals in the early to mid-nineteenth century. Until late in the century, many considered the mentally ill untreatable. Hospitals were more like prisons than places for treatment. Admission policies were also fairly lax. Reade records a common fear that healthy people would be incarcerated.
In Hard Cash, a father incarcerates his son in order to cover up a crime. The doctors who admit him have a kickback scheme worked out with the hospital--they get money for each patient admitted. Once in the hospital, the hero tries to prove his sanity but finds it impossible to battle against doctors who refuse to look past the diagnosis that caused his admission to his actual mental condition. He also must negotiate with the head of the hospital, a woman who is madly in love with him and refuses to allow him out of her sight.
He cannot prove his sanity and only escapes when there is a fire in the asylum. There is one "good" doctor in the story who refuses to bleed patients, deny them food, or admit the sane to mental hospitals. The other doctors think him a quack, but he saves several lives.
Summary:This 14 line poem deals with a physician's compassion for a hopelessly ill patient ("An apparatus not for me to mend--") and his participation in active euthanasia. The patient, Annandale, was "a wreck . . . and I was there." The narrator asks the reader to view himself or herself "as I was, on the spot-- / with a slight kind of engine." (This "engine" is a hypodermic needle.) He concludes, "You wouldn't hang me? I thought not."
The story begins with a philosophical discussion about how science (especially phrenology) understands human beings. It is the narrator's contention that science develops a priori. One first decides on the basic needs of humankind, then ascribes to certain organs the role of satisfying those needs. The narrator thinks this is backwards: "It would have been wiser, it would have been safer to classify . . . upon the basis of what man usually or occasionally did, and was always occasionally doing, rather than upon the basis of what we took for granted the Diety intended him to do."
One major trait scientists have overlooked is perversity. Men often do things for no better reason than that it will hurt themselves or others. The narrator then tells how he murdered a man and lived contentedly with the knowledge for many years until he was suddenly, perversely compelled to confess.
In this long poem (47 quatrains), Annandale visits his doctor after years of absence and tells the doctor his story. When his wife Miriam died, he mourned her, "wept and said that all was done." Then he met Damaris, "who knows everything, / Knows how to find so much in me." Damaris, who became his second wife, comforts and accepts him. Even though sometimes "her complexities / Are restive" and she becomes angry, soon "She folds her paws and purrs again.
Annandale tells this story of late life happiness, then leaves the doctor's office. He never reaches home: "There was a sick crash in the street, / And after that there was no doubt, / Of what there was." In the last five quatrains, the doctor reflects on what he did for Annandale after the accident ("the one thing to do")--euthanasia.
Summary:The story is told from the perspective of an obstetrician's wife. She encourages her husband as he finishes school and gets his first job. Then she becomes pregnant. She tells of the changes in her body and in her perspective. Her husband is busy treating other women, while she goes to childbirth classes alone. He arrives just at the end of the birth. She wants him to be with her more often, but understands his need to be with his patients.
Summary:The male narrator works in an abortion clinic. On a daily basis he faces taunts from protesters and the bloody fragments of fetuses. His only consolations are his loving dog and a female lover. He says that he sticks with the job because he loves women and can't turn them down when they ask for his help. One day, he comes home from work to find that a protester has killed his dog. His lover comes and comforts him.
Summary:Old Doc Rivers is an old-time doctor who believes in prompt decisions and quick action. Although he is recognized as an alcoholic and drug abuser, the people in the community still hold him in high esteem and often turn to him for help when all else has failed. His story is told from the perspective of several people in his home town after his death.