Summary:

This is a story about Bea, a single woman professor who has just had a caeserian section for an 11 pound boy, and her hospital roommate, Corinne. Bea describes her own discomfort with Corinne’s race, while admiring Corinne’s pride and nurturance toward her newborn son. As the story progresses, Corinne is betrayed by the medical world in a multitude of ways: misdiagnosis, racist treatment, denial of medical treatment, and incompetent care, resulting in Corinne’s sepsis and her son’s eventual death.

At the end of the story, after Corinne and Bea are discharged from the hospital, Bea tries to visit Corinne and deliver the pictures of her child that Corinne hadn’t been able to afford. But at the last minute, Bea turns away. Although she wants to help, she feels wholly inadequate, and believes she will only cause Corinne pain. Ironically, Bea remembers her last night in the hospital, how she covered her ears as Corinne’s baby whimpered, and as her own breasts surged with milk for the crying child. Even though her instincts and body tell her what to do for Corinne, she is not able to listen.

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Matvey Terekhov lives with his cousin Yakov, who runs an inn. Matvey was once extremely religious and ascetic, but now has left asceticism behind. Yakov, on the other hand, is obsessively religious. At one point Matvey initiates an argument with Yakov about a religious issue. Yakov is overcome with anger and Aglaya, Yakov’s wife, hits Matvey over the head with a bottle, and kills him. Husband and wife are sent to prison in Siberia. While Yakov loses his faith after the murder, he regains it in prison.

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The New Medicine and the Old Ethics, in Albert Jonsen’s own words, is a "secular aggadah." Jonsen explains that one Talmud reviewer defined aggadah as "a magical rabbinic mode of thought in which myth, theology, poetry and superstition robustly mingle" (4). The book begins with a personal essay entitled "Watching the Doctor." Jonsen establishes his premise that the moral history of Western medicine is best understood as a paradox between altruism and self-interest, a paradox alive and well entering the 21st Century.

He then takes the reader on his "secular aggadah," blending history, myths, and stories that trace important moral developments in the practice of Western medicine. In "Askelepios as Intensivist," we learn of the early Greek values of competence in shaping medical practice. Through the influence of the Church in the medieval period, Western medicine incorporates the value of compassion through the Biblical Good Samaritan, struggles with problems of justice in the care of the poor, and further elaborates the meaning of benefit.

In "The Nobility of Medicine," Jonsen describes the contribution of Sir William Osler and other knighted medical men of the 19th Century who established the ethics of noblesse oblige in the medical profession. He traces this noble tradition to the medieval Knights Hopitallers of Saint John of Jerusalem, a group of religious who provided hostels for pilgrims to the Holy Land and cared for the sick. With essays on John Locke and Jeremy Bentham, Jonsen brings us to the 20th Century and the play of individual rights and utilitarian values in the moral life of Western medicine.

In the final essays, Jonsen describes the mingling of these traditions as a means to establish a moral frame for Western medicine in our current times where technology and science have achieved and threatened so much. Ethics, he argues, "is disciplined reflection on ambiguity" (130). In the last essay, "Humanities Are the Hormones," Jonsen brings his "secular aggadah" full circle.

He argues that the paradox of altruism and self-interest that runs through the moral history of Western medicine must continually be vitalized and examined through the Humanities. The Humanities are "the chemical messengers that course through the complicated institution of medicine and enable it to respond to the constantly changing scientific, technological, social, and economic environment" (147).

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Summary:

Anne (Sarah Polley) is 23 years old, is married with two small daughters, lives in a trailer in her mother’s yard, and works as a nightshift cleaner. She is diagnosed with advanced ovarian cancer and told she has no more than three months to live. She decides to tell no one that she is dying and makes a list of things to do in the time she has left.

She records birthday messages for her daughters, looks for a new wife for her husband (Scott Speedman), explores her troubled relationship with her mother (Deborah Harry), and has an affair with a man she meets in a laundromat (Mark Ruffalo). The last stages of her illness and her death are not shown; the focus is on how she chooses to live a life that has a new shape, both curtailed and illuminated by the knowledge of how soon it will end.

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A doctor is riding through the desolate steppe at twilight and loses his way. He comes to a hut along the new railroad where two men, an engineer and his young assistant, are spending the night. After they all have a few drinks, the engineer marvels over the beauty of lights in the distance, while the young man says the lights remind him "of something long dead, that lived thousands of years ago." (p. 607) He sees no point in human love or accomplishment because, after all, we all have the same fate--death. This encourages the old engineer to tell a tale of his youth.

Once, when visiting his hometown on business, he had come across a childhood friend, a woman who was unhappily married. He looked forward to having a brief affair with her, but she considered him her savior. She desperately wanted him to take her away. The engineer agreed, but then callously abandoned her.

Later, he realized that "I had committed a crime as bad as murder." (p. 635) He went back and "besought Kisotchka’s forgiveness like a naughty boy and wept with her . . . " (p. 639) At the end of "Lights," the doctor rides off at sunrise toward home. All around him nature seems to be saying, "Yes, there’s no understanding anything in the world!"

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Summary:

Mrs. Tucker, Her Daughter Emily and Dr. Duff features Raymond Duff, M.D. as the storyteller. Dr. Duff was a pioneer in neonatology and produced many scholarly works in that field. One of his areas of research was grief and bereavement. However, his interests and this story go well beyond "grief resolution" to an exploration of the boundaries of the clinician-patient relationship.

The pseudonymous Tucker family and Dr. Duff share together a number of deaths and their aftermaths over a short period of time. In recounting the lessons learned from and privilege of being a part of the Tucker family "drama," Ray Duff reminds viewers "that although there inevitably is loss in what they encounter through their work in the health professions, there also is hope."

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Helen McNulty (Laura Dern) is a reporter. She and her photographer boyfriend, Jan, are on assignment in an unnamed Central American country when they witness militia shooting at protesters. They are both arrested/abducted.

The story picks up a year later. Helen is back in the United States, working on a story about Dr. Anna Lenke (Vanessa Redgrave), a psychiatrist who runs a clinic for survivors of torture. Dr. Lenke herself was raped and tortured at Auschwitz. Helen interviews her, and goes to stay at the clinic to work on her story. Anna recognizes at once that Helen, too, has been tortured.

Helen gradually comes to acknowledge what happened to her. The process culminates in her narrating, and our seeing in flashback, her torture and the murder of her boyfriend. Helen’s recovery is intertwined with and complicated by the story of Tomas Ramirez (Raul Julia), who also identifies himself as a survivor of torture and is at the clinic not only for therapy but because he is in hiding. Helen and Thomas become friends, then lovers, and he is instrumental in her recovery.

As a journalist, though, Helen delves into Thomas’s background and learns that he was not a victim but a perpetrator of torture. Helen turns him over to the authorities and he is arrested. Dr. Lenke’s last words about Tomas, that only once he has confessed can he again be human, rings hollowly: he has already confessed, to her and the other torture survivors at the clinic, and no court of law can present a harsher judge.

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Summary:

Brilliant, liberated Iris Murdoch (Kate Winslet/Judi Dench) captures the utter devotion of awkward John Bayley (Hugh Bonneville/Jim Broadbent), whom she inexplicably chooses to be her life partner. The film transfers often between their earliest adventures as students, when Murdoch reveled in shocking the more conventional young man--to stages in the inexorable deterioration of her mind and Bayley’s attempts to keep her going as a writer and a human being.

Memorable scenes include Bayley’s continued admiration of the mature woman’s brilliance, his midnight rage against their lot, and underwater swimming that contrasts nubile daring youth with clumsy, terrified age. In the final minutes, Iris is left in a light-filled institution with kind attendants; her death is hidden. The viewer realizes that this is his tale, not hers.

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Summary:

This anthology frames a rich selection of fiction and nonfiction with astute and helpful introductions to issues in nineteenth-century medicine and the larger culture in which it participated. The fiction is comprised of Mikhail Bulgakov’s The Steel Windpipe in its entirety; Sir Arthur Conan Doyle’s story, "The Doctors of Hoyland" from Round the Red Lamp; and selections from George Eliot’s Middlemarch, Gustave Flaubert’s Madame Bovary, Sarah Orne Jewett’s A Country Doctor, Sinclair Lewis’s Arrowsmith, Thomas Mann’s Buddenbrooks, W. Somserset Maugham’s Of Human Bondage, George Moore’s Esther Waters, Robert Louis Stevenson’s Strange Case of Dr. Jekyll and Mr. Hyde, Eugène Sue’s Les Mystères de Paris, and Anthony Trollope’s Doctor Thorne [the full-length versions of many of the above have been annotated in this database]. The nonfiction consists of two versions of the Hippocratic Oath, two American Medical Association statements of ethics, and selections from Daniel W. Cathell’s The Physician Himself (1905).

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Summary:

The contents include dramatized versions of the following classic stories, many of them in this annotated in this database: William Carlos Williams’s A Face of Stone, The Girl with a Pimply Face, The Use of Force, (annotatd by Felice Aull and by Pamela Moore and Jack Coulehan), Old Doc Rivers, Richard Selzer’s Fetishes, Imelda, and Whither Thou Goest, Susan Onthank Mates’s Ambulance, and Laundry, Pearl S. Buck’s The Enemy, Arthur Conan Doyle’s Round the Red Lamp, Katherine Anne Porter’s "He”; Mary E. Wilkins Freeman’s "A Mistaken Charity”; Margaret Lamb’s "Management”.

All but the last three stories enjoy separate entries in this database. Porter’s story is of a family who copes with a handicapped son. Freeman’s describes how local do-gooders move elderly sisters from their dilapidated home. Lamb writes of an aging African American woman living on social security in dangerous surroundings.

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