Showing 791 - 800 of 845 annotations tagged with the keyword "Doctor-Patient Relationship"
Although he could be a court physician in Macedonia, Hippocrates has returned to the island of Cos, at least temporarily, to take over his dead father's practice. He is summoned to the villa of a wealthy citizen to consult on the fits of a daughter of the house. Using precise clinical observation, he diagnoses hysteria instead of epilepsy. Then, he relates the girl's psychological problems to the neglect of her selfish and adulterous mother, Olympias, who prefers her handsome, athletic, but rather dense (and as it turns out, illegitimate) son, Cleomedes.
A marriage is to be arranged with Cleomedes's obsession, Daphne, the exquisitely beautiful and intelligent daughter of a physician from Cnidus. But Daphne falls in love with Hippocrates, and he with her. In between solving clinical problems, including a real case of epilepsy, a botched abortion, and a broken hip in his own grandmother, Hippocrates is led along a tangled path of intrigue, seduction, and false accusations.
A fire destroys the medical library of Cnidus, killing Cleomedes, who, for once in his life had risen to heroism in attempting to save an invalid woman and her son. When the newly orphaned child reveals that Olympias and her old lover have committed arson, Olympias leaps from the highest wall to her death. Hippocrates is now free to marry Daphne. Adopting the child as their own, they return to the island of Cos.
In early 1847, the young Quebec city doctor, Lauchlin Grant, struggles to extract a living from his boring practice and pines over his childhood sweetheart, Susannah. She is now the wife of a prominent journalist, Arthur Adam Rowley, who has charged Lauchlin with her care, while he travels in Europe to report on the ghastly potato famine in Ireland and his predictions for its effects on immigration.
Even as Rowley's letters are read at home, waves of starving Irish land at Grosse Ile in the St. Lawrence River where thousands are ill or will sicken of ship fever (typhus), and die. Lauchlin is called to help at the quarantine station. Of the hundreds in his care, he rescues only Nora. Having lost her family, Nora decides to remain as a nurse, because she is now immune.
Lauchlin sees Susannah only once more, learning that she too cares for victims of typhus, which is also ravaging the mainland, despite the quarantine. He senses her unspoken love for him and, filled with an inner peace, returns to Grosse Ile, only to contract typhus and die. Nora takes the doctor's belongings to Susannah's home, hoping to meet the woman whose name he had mumbled in his delirium. Instead, she finds Susannah's newly returned husband dreading the loss of his now dying wife.
A journalistic account of the CIA-funded experiments in "psychic-driving" of Dr. Ewen Cameron at Montreal's Allan Memorial Institute in the 1950's and early 1960's. Cameron investigated "treatment" for various forms of depression, consisting of high-dose electroshock (Page-Russell variant), heavy sedation, and the repetetive playing of patient's or the doctor's recorded voice.
Many patients did not respond; some were destroyed by the technique. Particularly moving is the story of Mary Morrow (Chapter 9), a physician-patient whose career was damaged by her experiences. Cameron held the most prominent positions in professional psychiatry; he died unscathed by his questionable research and in pursuit of yet another goal, a mountain peak.
Dick and Nicole Diver are a sparkling 1920’s expatriate couple with two small children. They are whiling their life away on the French Riviera. Dick is a psychiatrist who, when we first meet him, is not practicing. Nicole had been his patient at an exclusive clinic where she had been admitted after a "nervous breakdown" (schizophrenia) occasioned by an episode of incest with her father.
The first section of the book presents the Divers through the eyes of Rosemary Hoyt, a young actress who is vacationing with her mother and develops an ambiguous relationship with Dick. Later, in a long flashback section, we learn the story of Nicole’s illness and treatment, culminating in Dick’s marriage--with the support of her family--to the incredibly wealthy Nicole. In the interest of Nicole’s health, her sister (“Baby”) helps Dick purchase an interest in the clinic. The remainder of the novel describes a gradual role inversion, whereby Nicole grows strong, healthy, and sympathetic; while Dick gradually weakens, succumbs to alcohol, divorces Nicole, and is finally left drifting from practice to practice in upstate New York.
Doctor Richard Diver is a young neurologist already gaining great respect for his work. One day, he visits his friend Franz in Zurich. Franz is treating a young American girl, Nicole Warren, who was sexually abused by her father and has suffered a breakdown. Nicole is attracted to Diver and writes him letters after he leaves the clinic. When she is almost cured, Diver returns to the clinic and decides, rather haphazardly, to marry her. Nicole comes from a wealthy family and the couple begin to travel around Europe.
They settle briefly in a cabin by the French Riviera and aim to live quietly so that Dick can finish his great treatise. Nevertheless, Dick's easy-going, giving nature attracts a band of followers. When Rosemary, a budding American film star visits their town, she too is drawn to him. She tells him she loves him but Dick remains true to Nicole.
Several years pass during which Dick still does not finish his writing and indeed does very little towards that end. Nicole suffers several relapses. When Dick runs into Rosemary again, they have an affair. Nicole also takes a lover and finally leaves Dick who has become increasingly dissolute. He drinks most of the day and does nothing.
In this autobiographical novel, Plath's protagonist, Esther Greenwood, sinks into a profound depression during the summer after her third year of college. Esther spends the month of June interning at a ladies' fashion magazine in Manhattan, but despite her initial expectations, is uninterested in the work and increasingly unsure of her own prospects.
Esther grows disenchanted with her traditional-minded boyfriend, Buddy Willard, a medical student who “had won a prize for persuading the most relatives of dead people to have their dead ones cut up, whether they needed it or not . . . . ” Returning home to a New England suburb, Esther also discovers that she's been rejected from a Harvard summer school fiction course. Her relationship with her mother is painfully strained.
Suddenly, Esther finds herself unable to sleep or read or concentrate. She undergoes a few unsuccessful sessions with a psychiatrist, Dr. Gordon, as well as terrifying electroshock therapy. She becomes increasingly depressed, thinks obsessively about suicide, then attempts to kill herself by crawling into the cellar and taking a bottle of sleeping pills: "red and blue lights began to flash before my eyes. The bottle slid from my fingers and I lay down." Esther vomits, however, and so, does not die. She is taken to a city hospital and then, through the financial intervention of a benefactor, to a private psychiatric institution.
There, Esther begins gradually to recover. She enjoys the pleasant country-club surroundings and develops a closeness with her analytically-oriented psychiatrist, Dr. Nolan. Esther also undergoes a more successful regimen of shock therapy, after which she feels the "bell jar" of depression lifting.
The stigma of attempted suicide and hospitalization seems to free Esther to behave less traditionally; defiantly, she loses her virginity to a man she's met on the steps of Harvard's Widener Library. At the novel's end, Esther is preparing to leave the psychiatric hospital and is describing herself, optimistically, as transformed.
Summary:The poet undergoes a breast biopsy under local anesthesia: "I had thought my skin was a permanent seal. / Now I watch this layer of myself / . . . sprout red flowers . . . . " She observes the (male) surgeon closely, imagines her tissue on its journey to the pathology laboratory, and listens carefully to the surgeon's first words: "this man / who went beyond my skin / as no one else has . . . / as he made me for the first time, his."
A maiden aunt never marries because a river prawn bites her calf and, due to minimal treatment by her physician, nestles there to grow. She devotes her life to her nieces, making for them life-sized dolls on their birthdays and wedding days. When only the youngest niece is left at home, the doctor comes to see his patient and brings his son, also a physician. When the son realizes the father could have cured the leg, the doctor says, "I wanted you to see the prawn that has paid for your education these twenty years."
The young doctor becomes the aunt's physician and marries the youngest niece, taking her and her wedding doll to live in a house like a cement block, requiring his wife to sit on the porch so passersby can see he has married into society. The doctor sells the doll's diamond-eardrop eyes, and when he wants to sell its porcelain, his wife tells him the ants ate the doll because it had been filled with honey.
The doctor grows older, but his wife keeps the firm, porcelained skin she's always had. One night he watches her sleep and notices her chest isn't moving. Placing his stethoscope over her heart, he hears a distant swish of water. "Then the doll lifted up her eyelids, and out of the empty sockets of her eyes came the frenzied antennae of all those prawns."
Narrated in the style of an "advice" manual, this is the chronicle of a woman who undergoes a hysterectomy and removal of her ovaries. The tone is sardonic. The story begins with the office visit in which the doctor delivers the news and reassures her that she is too "intelligent and sophisticated" to associate her womanhood with her reproductive organs. The physician attempts to persuade the narrator to have her ovaries removed--preventive medicine against the possibility of ovarian cancer--and she finally agrees while groggy from pre-operative anaesthesia. Nothing has prepared her for the emotional and physical lability she experiences after surgery. Even her sexual relationship with her husband is changed.
As she returns for post-operative check-ups, she becomes increasingly conscious of the indignities of the office visit and physical examination: "it strikes [her] that this maximum-efficiency set-up [three cubicles with naked, waiting women] might serve equally well for a brothel and perhaps already does." She feels that she has made a terrible mistake in allowing the doctor to have talked her into anything and that as a male, "there is nothing he can tell you about how you feel, for the simple reason that he does not know."
Osler’s famous essay was first delivered as a valedictory address at the University of Pennsylvania School of Medicine in 1889. Osler urges the graduates to develop two qualities or virtues. First is the "bodily" virtue of imperturbability or "a judicious measure of obtuseness." This means the outward expression of calmness and coolness, even under difficult circumstances. This virtue suggests that physicians should be relatively "insensible" to the slings-and-arrows of patient care, always maintaining a degree of detachment from their patients.
The complementary "mental" virtue is aequanimitas, which is the personal quality of calmly accepting whatever comes in life. These virtues, however, should not lead to "hardness" in dealing with patients. Osler also urges his students and colleagues to develop the other gentlemanly virtues of courage, patience, and honor.