Showing 771 - 780 of 840 annotations tagged with the keyword "Doctor-Patient Relationship"

Operation Wandering Soul

Powers, Richard

Last Updated: Sep-18-1997
Annotated by:
Poirier, Suzanne

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Richard Kraft is about as burnt-out as a fifth-year resident in pediatric surgery can be. Overwhelmed by his stint in an inner-city, public hospital in Los Angeles, he seeks to hide from the misery of his patients by avoiding any personal connection with them. Then he meets twelve-year-old Joy, an Asian immigrant trying desperately to learn the puzzling ways of her new culture. She speaks words that trigger memories from Kraft's own childhood as the son of a U.S. agent in Joy's country, and he loses his distance.

He performs surgery on a life-threatening cancer in her leg, pulling back at the last minute in an unreasonable fear that he will hurt her if he cuts too deep. The implied result: incomplete excision of the cancer and a death sentence for the child he now tries, unsuccessfully to avoid. His avoidance is repeatedly foiled by Linda Espera, the physical therapist with whom he is falling in love and who will not let him abandon the emotional needs of any of the children in Joy's ward.

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The Night-Side

Skloot, Floyd

Last Updated: Sep-16-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Collection (Essays)

Summary:

This book is a series of essays about the illness experience. The author developed chronic fatigue syndrome (CFS) after a viral illness in 1988. Suddenly, this 41-year-old public policy analyst, who was also a successful writer and a competitive runner, was thrust into the world of severe disability. He developed subtle but extensive neurological deficits that affected his concentration and memory. For months he could hardly get out of bed. He discovered that not only was the cause of CFS unknown, many physicians did not even believe it was a "real" illness.

"Double Blind" tells the story of Skloot's participation in an ill-fated clinical trial of Ampligen, an experimental treatment for CFS. Other essays describe the author's experience with alternative medicine, including an intensive course of Ayurvedic "detoxification" ("Healing Powers") and a visit to Germany to encounter Mother Meera, an avatar of the Divine Mother ("Honeymooning With the Feminine Divine").

"Home Remedies" presents his comic experience with helpful calls and letters telling him how to get rid of the illness. Other essays deal with Skloot's learning to cope with chronic disability. A final section includes poems about the illness experience of several composers and artists (e.g. Carl Maria von Weber, George Gershwin, and Vincent van Gogh).

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Kitchen Table Wisdom

Remen, Rachel Naomi

Last Updated: Sep-15-1997
Annotated by:
Willms, Janice

Primary Category: Literature / Nonfiction

Genre: Collection (Essays)

Summary:

The author, a pediatrician by training who has gradually moved into psycho-oncology and training others in relationship centered care, writes about life in this collection of short vignettes and analyses. She blends stories of her own experiences as patient and as woman with those she has gathered from a long history of patient encounters. There is no temporal sequence, but the work is grouped into thematic segments. The author shares selected, carefully garnered and assessed narratives of life events intended to be spiritually healing to those who are ill or who care for the sick.

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The Universal Donor

Nova, Craig

Last Updated: Sep-15-1997
Annotated by:
Belling, Catherine

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Dr. Terry McKechnie works in the emergency room in a Los Angeles hospital in the early 1990’s, and is having an affair with Virginia Lee, the new wife of an old friend of his from medical school. Virginia works with snakes. She is attracted to danger. She falls in love with Terry immediately after deciding to marry the reliable Rick, with his predictable dermatologist’s hours and habits.

Virginia is bitten by a rare snake and drives herself to Terry’s hospital. The drive is terrifyingly described, time seeming to move at two speeds at once, as Virginia sits stuck in traffic trying not to panic, the terse prose capturing her efforts at clarity even as the rapid effects of the venom begin to cloud her thoughts. Because she is allergic to horses, the antivenom, made of horse serum, cannot be given to her, and she begins to bleed. Unfortunately, she also has an extremely rare blood type.

As well as being a doctor, Terry is a "universal donor": his blood can be given to people with most other blood types without danger of rejection. His gift fails him at this point, however: Virginia must be given blood of her own type. One person has such blood: a psychopath on the run from the police whom Terry had previously allowed to escape. The novel’s plot culminates in Terry’s search for and encounter with the convict, in which he persuades him to give his blood (and, necessarily his freedom--he is arrested in the hospital) and Virginia survives.

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Summary:

In 1831 Edinburgh, Cabman John Gray (Boris Karloff) delivers a paralyzed little girl and her mother to the office of Dr. Wolfe "Toddy" MacFarlane (Henry Daniell). A body snatcher by night, Gray has a special hold over the doctor, who has lost his clinical nerve and hides in the teaching of anatomy. The earnest medical student, Donald Fettes (Russell Wade), is on the verge of abandoning medicine, but MacFarlane notices his good bedside skills with the little girl, makes him his special assistant, and initiates him into the business of grave-robbing. His wife (Edith Atwater) is opposed to this action, complaining that the student will be "ruined."

Fettes is unaware that Gray and MacFarlane narrowly missed conviction for murder in the Burke and Hare affair of 1823. Obsessed with helping the child, Fettes begs Gray to find a subject on which they can practice spinal surgery. Gray complies by "burke-ing" (murdering) a well-known street singer. MacFarlane forces Fettes to remain silent and they begin their research, but they are overheard by the servant, Joseph (Bela Lugosi), who then tries to blackmail Gray only to be "burked" himself.

The child's operation does not supply immediate results and in a fit of frustration MacFarlane murders Gray as he cries: "you'll never be rid of me." Buoyed up by the news that the child has finally begun to walk and mostly to prove to himself that he does not need Gray, MacFarlane robs a fresh grave.

On the return journey from the cemetery in a driving night rain, MacFarlane is tormented by Gray's last words; the elderly woman's corpse changes into the partially animate body of Gray. The doctor loses control, his horse breaks loose, and the carriage plunges down a bank where Fettes finds the doctor dead beside the woman's corpse.

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Annotated by:
Willms, Janice

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

Showalter identifies clusters of syndromes, or mini-epidemics, which she suggests represent late-twentieth century manifestations of the entity which was called hysteria in nineteenth century western culture. Opening with the history of psychiatry's involvement in hysteria in the time of Charcot and Freud, she traces the replacement of hysteria or conversion reaction by modern hysterical analogues such as: chronic fatigue syndrome, recovered memory, Gulf War syndrome, multiple personality syndrome, satanic ritual abuse, and alien abduction.

In separate chapters she examines each of these entities--how it presents, how it fits into her theory of mass hysteria as a cultural response to the millennium, and how it is being handled by health care professionals. Showalter contends that "Redefining hysteria as a universal human response to emotional conflict is a better course than evading, denying, or projecting its realities." (p. 17)

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Annotated by:
Sirridge, Marjorie

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

This film is based on Anton Chekhov? play, Uncle Vanya (see literature annotation). It started out as an acting exercise and the actors worked on it for five years before the actual filming was done. The film is set in a crumbling Times Square theater, where the actors perform with no costumes and very few props. Andre Gregory plays himself, the play's director.

The story centers on a provincial Russian family whose lives are all upset when an aging professor retires to their country estate, bringing along his beautiful young wife, Elena (Julianne Moore). The result is that he is dissatisfied and people are brought together who are bored and in love with people who can? love them back. Astrov, the family doctor (Larry Pine) who falls in love with the young wife, is more interested in ecology than in medicine.

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One True Thing

Quindlen, Anna

Last Updated: Jul-24-1997
Annotated by:
Sirridge, Marjorie

Primary Category: Literature / Fiction

Genre: Novel

Summary:

This is a truly beautiful novel; its many stories remain with the reader for a long time. It is the semi-autobiographical story of the myriad of issues which are manifest as one family deals with the terminal illness of the mother from cancer.

A daughter, who has never considered herself close to her mother, is forced by her father to leave her job as a journalist in New York, to come home and become the primary caregiver. Over a period of several months the mother has chemotherapy and eventually gives up to the slow deterioration of the disease. During this time the mother and daughter rebuild a relationship and come to have mutual respect for each other. One poignant aspect of the relationship is their establishment of "The Gulden Girls Book and Cook Club" as they read old classics together and the mother teaches the daughter the cooking secrets which she has cherished.

The father, a college professor and former mentor of the daughter, absents himself from the home as much as possible, unable to deal with the issues. The female oncologist is very helpful and understanding with both the patient and the daughter. A wonderful hospice nurse gives welcome support. The question of assisted suicide becomes an issue after the mother's death; the daughter is arrested. There is a surprise ending which should not be revealed here, but offers a good forum for discussion.

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Woyzeck

Buchner, Georg

Last Updated: Jun-19-1997

Primary Category: Literature / Plays

Genre: Play

Summary:

Woyzeck is the all-purpose servant of a German Captain. The Captain considers him amoral and stupid, largely because Woyzeck is poor. Woyzeck also makes money by allowing the Doctor to experiment on him. He has eaten nothing but peas in order to prove some unstated scientific premise.

Woyzeck discovers his girlfriend, Marie, with whom he has had a son, having an affair with the drum major. He brings Marie to the side of a pond and slits her throat. After getting drunk, Woyzeck realizes that people are looking at him suspiciously and he returns to the pond and presumably drowns himself.

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Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Nonfiction

Genre: Biography

Summary:

This lively biography is a work of love based on newspaper accounts and an abundance of local anecdotes about "Doc Susie," Susan Anderson, who received her M.D. from the University of Michigan in 1907, and who maintained a single-handed rural practice in the almost inaccessible heights of the Rockies from shortly after her training was completed to 1956. She lived to tell a great many stories about arduous and ill-equipped visits to out-of-the-way sites in lumber camps and makeshift farmhouses in several feet of snow through dangerous mountain passes.

After her death at the age of 90 in 1960 her survivors added their recollections to the body of lore. An authentic hero tale about what made it worth her while to withstand tuberculosis, unreliable transportation and supplies, impoverished patients, snow, and solitude, this book may remind readers of a quality of "gumption" that is one of the still admirable aspects of the American pioneer legacy.

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