Showing 661 - 670 of 824 annotations tagged with the keyword "Doctor-Patient Relationship"

Late-Blooming Flowers

Chekhov, Anton

Last Updated: Mar-20-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Young Prince Yegorushka has managed to squander his family's limited resources and now lies in a drunken stupor. His mother (Princess Priklonsky) and sister (Marusya) reluctantly send for Dr. Toporkov, the elegant and highly successful physician whose father was once a serf on their estate. The cold, haughty, and uncommunicative Toporkov appears, gives a few orders, and rushes away. Yet, the princess views the man as a savior and exclaims: "How considerate, how nice he is!"

Marusya also falls ill, and Toporkov makes several house calls, "walking importantly, looking at no one." Old Princess Priklonsky tries to ingratiate the doctor by providing him with a hefty bonus and inviting him to tea. But rather than warming up, Toporkov lectures them "with medical terms without using a single phrase which his listeners could understand."

Some time later, a matchmaker arrives with an astounding proposal--the doctor wishes to marry Marusya for a dowry of 60,000 rubles. (The truth is he will marry anyone for that price.) The Priklonsky family immediately turns the down proposition, ostensibly because of Toporkov's peasant background, but really because they don't have 60,000 rubles to their name.

Meanwhile, as time goes on, Marusya falls in love with the doctor. As she becomes sicker with consumption, the family's financial straits become worse. Finally, with her last five rubles, Marusya seeks help from Toporkov, throwing herself at his feet and proclaiming her love. The astounded doctor experiences an epiphany. He suddenly realizes the worthlessness of all his money-grubbing in an outpouring of love for the dying woman.

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Summary:

This collection contains all 52 of Williams’s published stories, together with a new introduction by physician-writer, Sherwin B. Nuland. The stories were first collected in one volume in 1961 under the title The Farmer’s Daughers (New Directions); that book, in turn, included three earlier collections, plus "The Farmer’s Daughters"(1956), Williams’s last published story.

Thirteen stories featuring physician protagonists were previously collected by Robert Coles and issued by New Directions as The Doctor Stories (1984). (That volume also includes several poems and an "Afterword" by Williams’s son.) Among the stories with medical themes are Old Doc Rivers, The Girl with a Pimply Face annotated by Jack Coulehan (also annotated by John A. Woodcock), The Use of Force annotated by Felice Aull (also annotated by Pamela Moore and Jack Coulehan), Jean Beicke(annotated by Felice Aull and also by Pamela Moore and Jack Coulehan--see Jean Beicke), A Night in June, and A Face of Stone. The tales of a nonmedical nature include such masterpieces as "The Knife of the Times," "A Visit to the Fair," "Life Along the Passaic River," "The Dawn of Another Day," "The Burden of Loveliness," and "Frankie the Newspaper Man."

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A Farewell to Arms

Hemingway, Ernest

Last Updated: Feb-05-2001
Annotated by:
Willms, Janice

Primary Category: Literature / Fiction

Genre: Novel

Summary:

One of Hemingway's war and love stories, this novel takes place in Italy during World War I and is tied closely to the author's own experience as an American Ambulance Driver for the Italian Army. The story opens during a lull in the action and the reader meets a group of men who work with the wounded during battle. In the course of waiting for action, the protagonist, Henry, meets and courts an English nurse stationed in Italy.

The core of the tale is the evolution of the love of these two in the face of increasing military involvement, including an engagement in which Henry is wounded and after his return to the front, an Italian retreat from which he barely escapes with his life. Ultimately, he and Catherine, his English love, defect and enter Switzerland to await the birth of their child. Baby and mother both die and Henry is left alone, his future left by the author unplotted.

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The Forbidden Zone

Borden, Mary

Last Updated: Dec-20-2000
Annotated by:
Willms, Janice

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

By the author's own admission, this memoir is a collection of fragments taken from her memory of bits and pieces of her four year experience as a nurse in an evacuation hospital unit following the front lines up and down the European theatre during World War I. The work is fragmented because this experience was fragmented.

The first few chapters are dream-like descriptions of the men marching into battle and crawling back, or being carried back. The second collection of short vignettes dips--just a wee bit--into some of the individual soldiers' immediate stories. The latter segment of the book deals in more detail with the operations of the field hospital, some of its personnel, and some of the patients. Finally, the author treats the reader to a handful of poems, perhaps unnecessary, since the entire memoir is like one giant poem.

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Summary:

Second Opinions, Jerome Groopman's second collection of clinical stories, illuminates the mysteries, fears, and uncertainties that serious illness evokes in both patients and doctors. The book is divided into 8 chapters, each a clinical story involving a patient with a life-threatening illness, plus a prologue and epilogue written by Groopman. The stories focus on people who face myelofibrosis, acute leukemia, hairy cell leukemia, breast cancer, and marrow failure of unknown cause. Two chapters are Groopman's personal accounts of his firstborn son's near fatal misdiagnosis, and of his grandfather's Alzheimer's dementia.

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Lying Awake

Salzman, Mark

Last Updated: Dec-06-2000
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Sister John of the Cross is a Carmelite nun who has lived in a California monastery for 28 years. She writes poetry and essays. In some ways, writing is nearly equivalent to prayer for her. Sister John is revered for her spirituality and visions. What she has long assumed to be special blessings from God turn out to be manifestations of temporal lobe epilepsy due to a small meningioma.

The nun is forced to confront the scientific explanation that her headaches, altered perception, and hypergraphia are secondary to a seizure disorder and not a gift of divine favor and spiritual ecstasy. Sister John agrees to undergo surgery to remove the tumor aware of the likelihood that a surgical cure will also eliminate her unique visions and insight. Postoperatively, she admits that life without epilepsy seems dull but realizes that "only in complete darkness do we learn that faith gives off light." [p. 178]

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The Last Angry Man

Green, Gerald

Last Updated: Oct-16-2000
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

By most accounts Dr. Sam Abelman is a failure in life, an irascible old general practitioner who lives in the same grimy Brooklyn neighborhood he has always lived in. He is truculent and tactless, an easy mark for the young specialists who steal his patients. One night a bunch of hoodlums drop a battered young woman on his doorstep. Abelman's nephew, a reporter, publishes a news item about the incident, "Doctor Saves Raped Girl."

Meanwhile, Woody Thrasher, vice president of an advertising agency, is looking for a new type of television show to sell to one of his clients. He comes up with Americans USA, a candid look at "ordinary" Americans who are just doing their jobs, but in an extraordinary way. He decides that Sam Abelman would be the ideal first subject.

Thrasher, a young, high-powered executive, meets Abelman, the last angry man, who summarizes his view on life by saying, "The bastards just won't let you live." The doctor's practice is declining, he can't afford to retire or move away, and the local people certainly don't seem to love him. They don't show gratitude for his services. They don't pay their bills. Many of them consider him a racist, and incompetent to boot. Abelman is clearly not a good candidate for "doctor of the year."

Yet, Thrasher soon finds himself intrigued. Abelman spends hours working in his miniature vegetable garden and reading Henry David Thoreau. He is a brilliant diagnostician, a devoted husband, and an endless campaigner against the "galoots" who think the world owes them a living. Abelman takes aim at "galoots" wherever he finds them, and he finds them everywhere.

The novel interweaves these two men's developing relationship, as Abelman agrees to do the show and Thrasher works to sell it to his bosses, with incidents from Abelman's earlier life. When it turns out that Americans USA will award its subjects their "heart's desire" (in Sam Abelman's case a new house), the doctor declines to go on, refusing to accept "charity" and claiming that Thrasher "tried to crap me up." In the end he agrees to do the show, but suffers a massive heart attack and dies.

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Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

After a stressful trip to cold-war Russia in 1964, Saturday Review editor Norman Cousins tells how he developed a debilitating illness which confines him to bed. He is admitted to hospital for tests and treatments, and is diagnosed with ankylosing spondylitis, but his condition deteriorates and he is given a gloomy prognosis. He notices that the depressing routine of hospital life tends to produce side effects that aggravate his condition.

With the blessing of one of his doctors, he checks out of hospital and into a comfortable (yet less expensive) hotel where the food is better and he can watch funny movies while he medicates himself with high doses of Vitamin C. He is convinced that the slow improvement in his condition is owing to his individualized methods of therapy and his having taken charge of his own situation.

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The Resurrection Machine

Gehrke, Steve

Last Updated: Aug-15-2000
Annotated by:
Sirridge, Marjorie

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This interesting and meaningful book of poems is difficult to describe and to classify. The author has had three kidney transplants and so is knowledgeable about chronic illness and its impact. Though he does write about dialysis and transplantation, he also writes about many other kinds of illness, including the chronic fatigue syndrome, dementia, autism, cancer, and mental illness.

"Three Doctors" describes the gathering of physicians each morning to check on their narrator/patient, regardless of who overhears their conversation. The "Non-verbal Autistic Man" traces the daily, lockstep gait of a human being who speaks only one phrase and who walks the same path over and over. Not all of the poems concern the failure of the body. There are also descriptive poems about the Midwest and about various well known personages. The constant reinvention of the individual, even in the face of difficulty and death, is a common theme of this collection.

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Kangaroo Notebook

Abe, Kobo

Last Updated: Aug-03-2000
Annotated by:
Poirier, Suzanne

Primary Category: Literature / Fiction

Genre: Novel

Summary:

One morning, while pondering the stress of his latest assignment at his uninspiring job, the narrator of Kangaroo Notebook feels an itching on his leg that seems to indicate an unusual hair loss. The next morning he wakes to discover that he is sprouting small radishes on his shins. After battling to be seen in his local medical clinic, he enters a hospital, where a physician prescribes hot-spring therapy in Hell Valley.

Hooked to a penile catheter and an IV bottle, the narrator begins a harrowing journey on his hospital bed through the underworld that seems to lie beneath the city streets. Here, he seeks health not so much as he seeks simple explanations for what is happening to him and the strange people he meets: abusive ferreymen, waiflike child demons, vampire nurses, a chiropractor who runs a karate school and works a sideline as a euthanist.

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