Showing 631 - 640 of 901 annotations tagged with the keyword "Empathy"
It is a summer night on the steppe and two shepherds are lying on the ground as their sheep sleep. A man on a horse stops to ask them for a light for his pipe, but stays to chat. They discuss the recent death of Yefim Zhmenya, an old man who had sold his soul to the Evil One. You could tell he was evil because people walking past his garden could hear his melons whistle. The older shepherd tells another story about Yefim, whom he had seen appear as a bullock one stormy night.
One of the men observes that there are many treasures buried in the local hills. "Yes," says the old shepherd, "but no one knows where to dig for them." But then he tells them about a map to the treasure and indicates that he knows precisely where to dig. However, when the horsemen asks him what he would do with the treasure if he finds it, the old shepherd can't answer.
A prosperous lawyer (Skvortsoff) encounters a ragged beggar, who claims to be a teacher fired unjustly from his job. Skvortsoff, however, remembers that he saw the same man the other day, when he had claimed to be an impoverished student. The beggar (Luskoff) breaks down and admits that he is simply a drunk without work. Skvortsoff offers him a job chopping wood, which he reluctantly accepts. Olga, the cook, takes Luskoff out and shows him the wood stack.
After that, Luskoff returns frequently to do odd jobs, and eventually Skvortsoff sets him up with a clerical position. Two years later, Skvortsoff sees the former beggar at the theater. He prides himself for having "saved" Lushkoff from a life of drunkenness, but Lushkoff reveals that it was Olga who saved him--she chopped the wood, and the compassion she showed led to a change in his heart.
Dmitri Dmitrich Gurov is lolling around on the beach at Yalta when he spies a lovely young woman with a Pomeranian dog. Gurov is a family man, nearly 40 years old, but his wife and children are home in Moscow, and he regularly dabbles in extramarital affairs. Thus, he sets out to make a conquest of Anna Sergeyevna, whose husband, it turns out, is a "good, honest man, " but a "flunkey" in the provincial town where they live.
They succumb to their passion and become lovers, but after a few weeks, Anna is called home, and Dmitri also returns home. Surprisingly, he cannot forget her. He is tortured by a desire to see her again, eventually arranging a trip to her hometown, where he encounters his lover at the opera. They fall into one another's arms again.
Anna Sergeyevna then begins to visit Moscow every few months so they can spend a few hours in a hotel room together. Their love has grown into tenderness: "They forgave each other for what they were ashamed of in the past, they forgave everything in the present . . . " In the end they decide to make a plan to remain together, realizing that "the most complicated and difficult" part of their road is just beginning.
Told from the perspective of a thirteen-year-old girl, this story about a single mother with two daughters who moves, marries, and dies of breast cancer handles a variety of difficult issues with sensitivity and spunk. A list of those issues--absent father, new stepfather, a thousand-mile move to a new social environment, first menstruation, sibling rivalry, an uncle with incestuous impulses, family secrets, sexual experimentation, cancer, and death--might make it sound like a catalogue of the trials of contemporary suburban young adulthood, but in fact the point of view of Tilden, the main character, keeps the story grounded in very believable, sometimes amusing, often poignant, recognizable truth about what it is to come into awareness of the hard terms of adult life.
The mother's cancer is narrated largely in terms of Tilden's experience of it: secrecy, eventual disclosure, partial information, losses of intimacy, feelings of betrayal, confusion about caregivers' roles, and in the midst of it all, the ordinary preoccupations of early adolescence. The generous and understanding stepfather and neighbors with limited but ready sympathies lighten some of the novel's darker themes.
The author of this chapbook of poems is the chaplain of a large geriatric outpatient unit in Iowa City. Her In Strange Places is a series of 23 "poem portraits," each one of them a short narrative that speaks for one of the patients who is "not to be defined by illness and years and deserve(s) to be free of the condescending devaluing attitudes" that the elderly often encounter." (p. 3)
The poems are particularly eloquent in speaking of the progressive losses of aging. For example, there is "At Ninety: Embers of a World," which depicts two elderly persons as they "decompensate in sorrow." (pp. 8-9); and "Of Late I Have Taken to Falling," in which a patient describes her recent falls, but concludes, "I shall not / fall again." (p. 16-17).
Other portraits deal lovingly with an "impressively calm" dying matriarch ("CHF and the Matriarch, p. 6) and "The Good Storyteller" (pp. 18-19), who "wants her life / to begin again / to call her out / to play her part / once more with / cleaner closets / open doors." In "Funeral Plan" (p. 22), we meet an elderly woman carefully considering the magnificent array of flowers she plans to have at her funeral, "no hot house roses please," but great expanses of seasonal flowers: "ditch lilies / apple blossoms / naked ladies . . . " and so forth.
This small collection opens with a quotation from Mary Oliver's poem, "The Journey": "And there was a new voice / which you slowly / recognized as your own . . . " These poems reveal a new voice, which in John Wright's case, is perhaps heard best in his pastoral retreat on Decatur Island, one of the smaller San Juan Islands of Puget Sound.
Most of the poems depict scenes from Decatur; for example, the annual community sheep shearing ("The Shepherds"); a glimpse of a young girl crossing a field toward the poet's house carrying "cherry plums" (crab apples, "The Gift"); and a morning spent picking blackberries with his wife in the hills ("The Right Moves").
Other poems arise more purely from the geography of the heart. One of these is called "Praise," in which the poet confesses, "This quiet elation that comes, finally, / At seventy-one . . .
It's something akin to a leaf-bare maple, / Its upraised limbs."
The first line of this short poem sets the stage: "It is easy to be fascinated with death." The next four lines sketch the play or tableau: "We pretend to prepare," children trying on our parents oversized clothes in front of a mirror and making believe that we are going to go out into the fancy nighttime world of adulthood. But the next line throws open our safety valve, "Yet we trust we are not truly going to dinner." In fact, it's all just a game: the clothes are really too big, our hands are much too small to handle the glasses and silverware, and we are just little kids, after all. [8 lines]
The narrator's father is in the hospital awaiting surgery that might be his last. She and her sister have been coming to the hospital regularly during his prolonged stay, and have become familiar with the cast of characters there, including an old man in a state of dementia who wanders the halls asking directions. The narrator reflects on her family, what can be spoken of and what can't, the different reactions they have to hospital regulations, crisis, impending loss.
She longs to tell her father she loves him, but is constrained by family reserve. As the family gathers at his bed before the surgery, she comes to realize some things will never be fully expressed, but must remain implicit. The unspoken is part of the loss she recognizes as she faces her father's death.
When literature and cultural studies professor Michael Bérubé's son James was born in 1991, he was diagnosed with Down Syndrome. Negotiating various medical, social, and educational environments and the identities each assigns their son, Bérubé and Janet Lyon (his wife, a literature professor and former cardiac-ICU nurse), become effective advocates for Jamie and embark on a course of questions about the social systems that produce disabled identities and administer to those human differences termed significant ones. Bérubé engages these questions with a mixture of family experience (his own, and that of other families with disabilities), historical research, critical theory, and sophisticated critical analysis.
This masterful collection of essays was written by Gawande while he was a general surgery resident. The book consists of fourteen essays divided into three sections: Fallibility, Mystery, and Uncertainty. Although some of the essays fall clearly within the boundaries of the section title (such as "When Doctors Make Mistakes" and "When Good Doctors Go Bad" in the Fallibility section), others cross boundaries or don’t fall as squarely in these general themes ("Nine Thousand Surgeons," an anthropological essay on the cult and culture of a major surgical convention, is also located in the Fallibility section). Nevertheless, the many pleasures of the individual essays, the range of topics explored in depth, and the accuracy of the medicine portrayed are the true strengths of this work.
The book begins Dragnet-style with an Author’s Note: "The stories here are true." (p. 1) And it is this attention to fidelity that makes the essays so compelling. Because even when the truths are hard--the terrible acknowledgment by the medical neophyte about lack of skill and knowledge, the mistakes in judgment at all levels of doctoring, the nature of power relations and their effects on medical pedagogy and on the doctor-patient relationship, the gnawing uncertainties about so many medical decisions--the author confronts the issues head on with refreshing rigor, grace and honesty.
Many of the essays reference scientific and medical research (historical and current) as part of the exploration of the topic. This information is imbedded within the essay, hence avoiding a dry recitation of statistical evidence. Typically, the reader’s interest in an essay is immediately piqued by a story about a particular patient. For example, the story of an airway emergency in a trauma patient, her oxygen saturation decreasing by the second as Gawande and the emergency room attending struggle to secure an airway, surgical or otherwise, sets the scene for "When Doctors Make Mistakes."
This leads to a meditation on not only the culture of the Morbidity and Mortality Conference, with its strange mix of third-person case narrative and personal acceptance of responsibility by the attending physician (see Bosk, Charles, Forgive and Remember: Managing Medical Failure, U. Chicago Press, 1981 for an in depth analysis of this culture), but also a positive examination of the leadership role that anesthesiologists have played in improving patient safety via research, simulator training and systems improvement.
Gawande’s journalistic verve takes him beyond the confines of his own hospital and training to interview patients and physicians on topics as diverse as incapacitating blushing ("Crimson Tide"), chronic pain ("The Pain Perplex"), malpractice and incompetence ("When Good Doctors Go Bad") and herniorraphy ("The Computer and the Hernia Factory"). In addition, he visits his own post-operative patients at home ("The Man Who Couldn’t Stop Eating" and "The Case of the Red Leg") which gives a longer view of postoperative recovery and a broader exposure to patients’ perspectives.
Some of the most telling moments come with the introduction of his children’s medical problems into the text. These range from the relatively straightforward (a broken arm, but a chance to comment on detection of child abuse in the emergency room) to the downright parental nightmare scary (severe congenital cardiac defect in their oldest child and a life-threatening respiratory infection in their prematurely born youngest).
These last two experiences are introduced to provide an angle on issues of choice. Choice of a fully trained, attending physician rather than a fellow to provide follow-up cardiac care for their oldest, and the choice to opt out of the decision-making process for whether to intubate the trachea of the youngest and hence leave the medical decisions up to the care team.