Showing 471 - 480 of 487 annotations tagged with the keyword "Art of Medicine"
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.
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.
In this poem a patient speaks to "Dr. Green," commenting on how much she likes him compared to her earlier doctor, "Dr. Gold," who wore a long face and would never smile. "Dr. Gold has track shoes on" but to Dr. Green she says: "You never seem / to be in a hurry even // though you're so busy . . . . " The patient would like "a little rest / before the next treatment, at least till / I'm stronger."
In the companion poem, "Dr. Gold & Dr. Green, II" (also found in One Word), the physician responds to his patient, Eleanor, who presumably wrote the first poem. He realizes that he himself is actually Dr. Green and Dr. Gold. Even though he tries to spend time with his patients, he now realizes that sometimes he must have appeared hurried and distant: "You tried / to say that each of us has two sides. / I wish I understood this before you died."
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.
Summary:Sometimes communication is best served when it doesn't communicate baldly and precisely. In this 12 line poem "a daughter comes in late / and you don't say exactly what you feel . . . ." You tell a patient "the x-ray showed / little change, knowing they won't ask / if the lesion's a little smaller or larger."
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.
Summary:In Montaigne's final essay he expounds upon the results of his long search for self knowledge via life experience. He uses disease, health, medicine and doctors as prime arenas for demonstration of what he has learned from living. On physicians: to be a "right" physician, one must have experienced every illness, accident or mishap one seeks to treat. On going to stool: to have a right bowel movement, one must have peace, quiet, punctuality and privacy to avoid unruliness of the belly. On treatment: "I hate remedies that are more troublesome than the disease itself." On the most preferable ailments: here the essayist writes of the advantages of stone: that is, the agony always ends, the disease does not portend death or worse, the sufferer spends more time feeling well than hurting, and it has political advantages for allowing a show of stoicism. And there is more.
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.