Showing 741 - 750 of 837 annotations tagged with the keyword "Patient Experience"

The Cancer Ward

Solzhenitsyn, Aleksandr

Last Updated: Mar-05-1998
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The story takes place in the men's cancer ward of a hospital in a city in Soviet Central Asia. The patients in Ward 13 all suffer from cancer, but differ in age, personality, nationality, and social class (as if such a thing could be possible in the Soviet "classless" society!). We are first introduced to Pavel Rusanov, a Communist Party functionary, who enters the hospital because of a rapidly-growing neck tumor.

We soon learn, however, that the book's central character is Oleg Kostoglotov, a young man who has recently been discharged from a penal camp and is now "eternally" exiled to this particular province. Only two weeks earlier, he was admitted to the ward in grave condition from an unspecified tumor, but he has responded rapidly to radiation therapy. Among the doctors are Zoya, a medical student; Vera Gangart, a young radiologist; and Lyudmila Dontsova, the chief of radiation therapy.

Rusanov and Kostoglotov respond to therapy and are eventually discharged; other patients remain in the ward, get worse, or are sent home to die. In the end Kostoglotov boards a train to the site of his "eternal" exile: "The long awaited happy life had come, it had come! But Oleg somehow did not recognize it."

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An Anthropologist on Mars

Sacks, Oliver

Last Updated: Mar-05-1998
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Collection (Case Studies)

Summary:

This book, which is subtitled "Seven Paradoxical Tales," contains seven of Oliver Sacks' clinical stories of persons whose unusual neurological deficits teach us something about the way the brain (and, therefore, the mind) works. In "The Case of the Colorblind Painter" an artist learns to adapt to a completely black-and-white world after sustaining trauma to his occipital lobe.

"The Last Hippie" portrays a man whose ability to form new memories was destroyed by a massive midline brain tumor; he still "lives" in the 1960's. "A Surgeon's Life" depicts a Canadian surgeon with Gilles de la Tourette Syndrome, showing how he is able to live as a respected member of the community and practice surgery despite this disabling condition. "To See and Not See" tells the tale of a man in his 50's who is suddenly able to see after being blind since early childhood.

In "The Landscape of His Dreams" Sacks introduces a painter who, after a serious illness in the 1960's, apparently developed extraordinary and persistent "waking visions" of Pontito, his hometown in Italy. For many years he has obsessively painted remarkably accurate scenes of Pontito. "Prodogies" and "An Anthropologist on Mars" both deal with autism. The first tells of an autistic boy from England who has remarkable skill in visual memory and drawing; the second is about an autistic woman with a Ph.D. in animal science, who teaches at Colorado State University.

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Bedside Manners

Shorter, Edward

Last Updated: Mar-05-1998
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

This study explores the history of physician-patient relationships, especially as it relates to the ascendancy of science in medicine. The book begins by describing traditional physician-patient relationships in the 18th century. The focus, however, is on the "modern" doctor (beginning in the 1880's) and the "postmodern" doctor (beginning in the 1950's).

The author describes the transition from modern to postmodern doctor and a corresponding transition from modern to postmodern patient. A "sympathetic alliance" between physician and patient was essentially a development of the modern period (1880's - 1950's).

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Barren Woman

Plath, Sylvia

Last Updated: Mar-03-1998
Annotated by:
Belling, Catherine

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The speaker, the "barren woman" of the poem, describes her state as empty. She likens herself to a deserted space, a "museum without statues," at its center a fountain which, rather than issuing life, recycles its water, which "sinks back into itself." She imagines herself as a mother, but recognizes that "nothing can happen." The only one who pays attention is the moon, silently but ineffectually trying to soothe her. (10 lines)

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Past Wildflowers

Charach, Ron

Last Updated: Feb-19-1998
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This is the third volume of poetry by Ron Charach, who is a psychiatrist in Toronto, Canada. Charach's poems evoke a wide array of experiences and topics, ranging from surreal dream poems to images of family vacations, from an adolescent biker ("White Laces") to medical imaging techniques ("MRI" and "The Use of Contrast to Study the Spine"). Charach's tone is generally light, frequently insightful, and often surprising.

While "healing" poems are scattered throughout the book, one section ("The Calling") focuses on images of Charach's medical specialty, psychiatry. In "Psychiatrists on the Subway" the poet imagines an off-duty psychiatrist who "sets his ears / on the night table / and prays for a night of long silence / from a God who prefers / to listen." In "Newton" he invites the reader to glimpse the professional life--but with a grain of salt--as he muses about a colleague who "gave so much Electro-Convulsive therapy / he wore wooden cufflinks and rubber-soled Wallabies."

"The Naked Physician" presents an image of a kind and gentle doctor whose failure to be a good husband and father "will be recorded in the final light." Other outstanding poems in this collection include "She Will No Longer Take Her Food," "Equipoise," "Someone Else's Fire," "Labour and Delivery," and "Past Wildflowers."

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Rab and His Friends

Brown, John

Last Updated: Jan-24-1998
Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The narrator recalls a boyhood encounter with Rab, a majestic dog. Rab causes the lad to make friends with his master, James Noble, a simple horse-cart driver. Six years later, James brings his beautiful old wife, Ailie, to the hospital where the narrator is now a medical student. She has breast cancer and the surgeon tells her that it must be operated the following day. James and the dog are allowed to remain nearby.

Ailie endures the operation in brave silence, commanding silent respect from a lively group of students. James nurses her tenderly, but she develops a fever and dies a few days later. Shortly after her burial, he too falls ill and dies. Rab refuses to eat, becomes hostile, and is killed by the new driver.

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Tuesdays with Morrie

Albom, Mitch

Last Updated: Jan-24-1998
Annotated by:
Kohn, Martin

Primary Category: Literature / Nonfiction

Genre: Journal

Summary:

Tuesdays with Morrie is a series of lessons a former (and now current) student has with his teacher (and now mentor) about facing one's death and living one's life. The author, Mitch Albom, is an award-winning sports columnist with the Detroit Free Press. A chance encounter propels Albom, guiltily and fearfully, to the bedside of Morrie Schwartz, his sociology teacher at Brandeis University nearly twenty years ago. [This chance encounter occurs electronically--Albom saw Morrie speaking about dying from ALS (amyotrophic lateral sclerosis) with Ted Koppel on the Nightline television program].

Once together again, teacher and student decide to extend the visit over the remaining months of Morrie's life. Their Tuesday "seminars" explore perennial value issues of everyday life: "Family," "Emotions," "Money," "Marriage," "Our Culture," Fear of Aging," etc. The interchanges, fortunately, are studded with "pearls of wisdom" from Morrie.

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Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Canadian artist, Robert Pope (d.1992), devoted the last years of his short life to documenting his decade-long experience as a patient with Hodgkin's Disease. Shortly after his diagnosis he was influenced by the 1945 autobiographical novel of Elizabeth Smart, By Grand Central Station I Sat Down and Wept. Pope's early work explored the interconnectedness and pain of individuals bound by an imperfect love, in Smart's case for a married man. After his disease went into remission, he began to paint the patient's perspective on illness, hospitals, visitors, family, and health-care providers in a series of images that suggest the lighting of de la Tour, the photographic immediacy of Doisneau, and the menacing surrealism of de Chirico. His book, Illness and Healing: Images of Cancer (1991), became a bestseller.

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Goya Attended by Dr. Arrieta

Goya, Francisco

Last Updated: Jan-20-1998
Annotated by:
Winkler, Mary

Primary Category: Visual Arts / Painting/Drawing

Genre: Oil on canvas

Summary:

Goya has painted his own portrait as he was during an illness in his old age. The ailing artist sits upright in an olive-green dressing gown; his face is pale and is hands clutch at the sheet against which the carmine blanket glows as the most vivid color element in the painting. He is surrounded and supported by his physician who offers him medicine in a clear glass. The background is both dark and dense, revealing two shadowy figures behind Dr. Arrieta's elbow.

An inscription runs along the bottom border of the canvas, forming a kind of ledge or barrier. It reads in translation: "Goya thankful, to his friend Arrieta: for the skill and care with which he saved his life during his short and dangerous illness, endured at the end of 1819, at seventy-three years of age. He painted it in 1820."

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Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The author is a fourth year medical student dealing simultaneously with the rigors of medical training and the difficulties of living with diabetes. She has discovered that when she tries to interact with patients she over-identifies with them. When she reads about diabetes in medical textbooks, which present a rigid equation for balancing diet, exercise, and insulin need, she tries to adopt this approach to her personal diabetes management, convincing herself that emotions, fatigue, stress and other factors have no effect on her diabetes control. When this biomedical approach fails, she feels deep shame and frustration.

Only over time does she develop the confidence to realize that it is not shameful to admit one's personal needs even in medical training, that disease is a part of all humans and is not an enemy, that she need not be defined solely by her disease (or her profession), and that blurred boundaries between doctors and patients are not as dangerous as she was first led to believe.

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