Showing 561 - 570 of 574 annotations tagged with the keyword "Physician Experience"
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.
The story begins with Dr. Frank Rapallo's son recalling his father's funeral and then progresses with a series of vignettes that show us who Dr. Rapallo was and how he died. Rapallo was an old time doctor who loved his work and whose patients told him "everything."
The boy was only seven when his father had radiation treatment for a cancer of his shoulder; subsequently, he had surgery to try to save the arm, but this left a hole "big enough to fit my hand." The hole never healed. He lost the arm anyway, but continued to perform operations with the assistance of Matthew, his young Japanese partner. The son reflects on his father's experiences in World War II--he was profoundly moved by the destruction in Japan and by the courage of Japanese physicians.
A strong, dedicated doctor, Rapallo was painstakingly honest, both with his patients and himself. In the end, he developed an incurable infection in his incurable wound. With characteristic dignity, Dr. Rapallo set about doing his last things--seeing patients for a few hours, visiting with his old friend Finch--and then in the evening took the contents of the vial he had prepared, and died.
Summary:A woman named Kitty calls the doctor and reports that her husband has died. "Can you come over?" she asks. At the house he finds that the husband has been shot in the head. It is evident that the wife has killed him. The doctor reflects that Kitty "held the record for most abused woman in Taylor County." He remembers how many times he has seen her badly beaten by her husband. In the end he decides to "play God." He calls the police chief and reports the death as a "clear" suicide.
Summary:This poem is in the surgeon's voice. He surveys his country's terrain, "a garden I have to do with--tubers and fruits / Oozing their jammy substances . . . . " He delves into the patient's organs, "I worm and hack in a purple wilderness." He admires the sunset-colored blood and the "blue piping" that conducts it through the body's intricate maze. When he removes a part of the body, it is sent to the lab ("a pathological salami") and "entombed in an icebox." The surgeon walks through the ward, casting his eyes on the sleeping patients: "I am the sun," he says, " . . . Grey faces, shuttered by drugs, follow me like flowers."
Summary:This poem is narrated by a physician (probably a young resident) trying to keep Alabama alive ("my stern professor . . . frowns at my attempts to stoke the boiler in her chest.") But Alabama wants to die and whispers to him "Let me go." The physician-narrator, however, is completely committed to keeping her alive, slapping her and saying, "Dammit, Live!"
An astrologer and palm-reader is about to close up shop for the day. He tries to induce one last client to buy his services. The man initially resists, but then gives in. The astrologer then reads in the man's past that he had once been stabbed and left for dead in his village. The man had all this time been searching for his assailant. The astrologer reveals that the assailant had ?died four months ago in a far-off town.? The client is relieved and goes home. When the astrologer returns to his home, he tells his wife that once he had tried to kill a man.
Summary:This is a powerful poem about the "ugly, grunting . . . disgusting creatures" the poet sees through his microscope. We know the creatures are dead, we know the creatures are sliced, we know they’re splayed on the pathologist’s slides. Are they microbes? Are they "bits of animals"? Are they cancer cells? No one asks "whether these creatures wouldn’t have preferred" to live "their disgusting life / in bogs / and canals" or to eat one another. No one asks any questions, "because it’s all quite useless . . . like everything else in this world," a world in which the poet meets "a lonely girl," a general, a rat, even "my own self at every step."
Summary:Snodgrass writes about an old veteran who took seven months to die. The voice in the poem is that of a hospital attendant who provided some of the tedious, technical care that kept Old Fritz alive all that time. Though Old Fritz's "animal" may have "grown / sick of the world," his "mind ground on its separate / way, merciless and blind." He endured, he kept on living. Old Fritz raged against death, although he also "whimpered" and cried "like a whipped child . . . . "
In the first stanza the speaker describes his experiences cleaning the autopsy room at night. Sometimes they left corpses or parts of corpses out on the table. Once they even left a woman's leg (he'd "seen them before").
At home, though, the speaker was so distracted by these experiences that he'd sit with his eyes closed, or stare at the ceiling, rather than interacting with his wife. He was distant and cold; she tried to warm him. His "fingers strayed to her leg. / Which was warm and shapely . . . . " But what about the woman's leg on the autopsy table? He ends with the paradox, "Nothing / was happening. Everything was happening." Life and death, beginning and end, warmth and coldness, closeness and distance, feeling and the denial of feeling: all are part of the whole.
Summary:In this avuncular poem the "recently alive" do their thing--lie "spread and silent / on the dented sink"--while the "aproned doctors" do their thing--"cut and weigh, / measuring / the diagnosis." The poem models the distance that sometimes develops between doctors and their feelings; the doctors insulate themselves from feelings. Contrast this with the protagonist of Carver's poem, The Autopsy Room (see this database; also annotated by Felice Aull).