Showing 791 - 800 of 829 annotations tagged with the keyword "Patient Experience"

Summary:

This book offers an insightful, well-reasoned interpretation of the nature of medicine. Hunter, an English professor who teaches and coordinates humanities programs at a medical school, observed first-hand how an academic medical center functions--she joined various teams during their multiple rounds and conferences for two years. In sum, she "behaved rather like an ethnographer among a white-coated tribe." The resultant book details the profound importance of narrative in medicine.

Narrative is integral to the medical encounter, to communications by and about the patient, and to the structure and transmission of medical knowledge. For example, the patient's story is told to and interpreted by the physician, who then tells another story of the patient, in case format to other physicians, and records that story in a formulaic chart entry. Hunter observes that most of the rituals and traditions of medicine and medical training are narrative in structure, and explains why narratives such as cautionary tales, anecdotes, case reports and clinical-pathological conferences are central, not peripheral, to medicine. The thesis is further developed to maintain that, if the narrative structure of medicine is fully recognized by physicians, they will attend to their patients better and acknowledge the details and importance of their patients' individual life stories.

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Raising the Dead

Selzer, Richard

Last Updated: Jan-28-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

Selzer developed Legionnaire's disease and was comatose for 23 days in 1991. In this short book, he describes his illness and prolonged convalescence. The time of his stay in the ICU is lost to him, so he invents the story of what (might have) happened when he was comatose and delirious. In fact, he invents his own death and resurrection.

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Doctors and Other Casualties

Massad, Stewart

Last Updated: Jan-28-1997
Annotated by:
Wear, Delese

Primary Category: Literature / Fiction

Genre: Collection (Short Stories)

Summary:

This is a collection of short stories by a young physician, Stewart Massad, who completed a residency in obstetrics and gynecology and a fellowship in gynecologic cancer. The stories are all written in the first person, all physicians. The subjects include the physical/emotional demands of residency ("Fatigue"), especially as they strain a marriage; the motivations of a doctor who runs an abortion clinic ("Healers"); and a young doctor facing his own fatal illness and his experience as a patient ("Casualties"). While the stories do portray the difficulties (and often angst) of training, they do so without the despair/cynicism often found in other accounts of the same experience.

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Casualties

Massad, Stewart

Last Updated: Jan-28-1997

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

An intern is on duty in a cancer ward. He especially deals with leukemia. He tells one of his patients that he understands how she feels as she cries, facing death. She turns on him, telling him that he can't possibly understand. A short time later, the intern grows weak and ill. He is diagnosed as having leukemia. He spends months in the hospital, feeling helpless as his old classmates treat him. He makes them promise to let him die peacefully when his time comes. He dies when an intern accidentally pierces his spleen while trying to tap his lung.

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Outpatient

Warren, Rosalind

Last Updated: Jan-28-1997
Annotated by:
Squier, Harriet

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

This is a light-hearted short story about an attractive, middle-aged female hypnotist who has a minor respiratory infection and visits the doctor. At first she hypnotizes the nurses so that they will put her in the examining room without a wait, and convinces them that her vital signs are different from what they had originally measured.

After this initial, good-natured experiment, the narrator waits a full 45 minutes for the doctor. He is abrupt and impersonal. Out of frustration, she hypnotizes him, and learns that he is afraid to be warm with patients, and is afraid to take time with them, because he needs to maintain control. She has him undress, put on a gown, and then leaves him to shiver in the exam room. She tells him that he will never forget what this humiliating experience feels like.

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Fallback

Booth, Philip

Last Updated: Jan-28-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

This is a lovely poem about an elderly married couple who share a room at a nursing home. The woman is confined to bed because her backbone is "so thin / the doctor jokes that X-rays can't find it." Her husband's mind is gone. The woman reflects on the morning activities, especially those of the "night girl" who brings the breakfast trays and, later, bends down to take her husband's tray, "the perfume / still lingering from whatever went on / before last night's shift." The woman asks herself: How would this young girl of 20 know that the two elderly people she is caring for once "made love / in the sweetfern high on an island."

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Dibs: In Search of Self

Axline, Virginia

Last Updated: Jan-28-1997
Annotated by:
Woodcock, John

Primary Category: Literature / Nonfiction

Genre: Case Study

Summary:

This is the story of a successful use of play therapy with an emotionally disturbed five-year-old boy named Dibs. In nursery school Dibs is very withdrawn and resists his teachers' attempts to engage him. Dibs' parents and teachers had all but given him up as mentally retarded. Axline is brought in as a last resort, and in a series of play therapy sessions over a period of several months, cures him. (Dibs turns out to have an IQ of 168.) Axline takes an emotionally neutral approach to her patient, in spite of his obvious need for emotional support, in order not to interfere with his discovering of the self that had been severely repressed at home.

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Revelation

O'Connor, Flannery

Last Updated: Dec-31-1996
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Mrs. Turpin and her husband enter their doctor's waiting room and immediately Mrs. Turpin begins to assess the other patients present: a pleasant, well-dressed lady; a "white trash" woman and her mother and son; a fat adolescent with acne. She and the pleasant woman strike up a conversation about the importance of refinement and good disposition. They discuss, for example, how you have to be nice to "niggers" to get them to do any work. The "white trash" woman counterpoints with comments that indicate her ignorance and poor breeding.

Suddenly, the fat adolescent throws her book at Mrs. Turpin and tries to strangle her. The girl is subdued by the nurse and her mother and the doctor sends her by ambulance to the hospital, but before being taken away, she whispers to Mrs. Turpin, "Go back to hell where you belong, you old wart hog." At home, Mrs. Turpin confronts God. Was this experience a message from Him? She demands of God, "Who do you think you are?" As the sun sets, a "visionary light" comes over her and she has a vision in which the "niggers" and "white trash" march on the bridge to heaven ahead of good, respectable people like her.

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Summary:

These three short plays (approximately 30 minutes each) were commissioned for use in readers' theatre (see Commentary). Each addresses a specific patient/provider concern at the end of life. "Journey Into that Good Night" by Berry Barta is the story of a dying adolescent coming to terms with her mortality. Her physician demonstrates gratifying sensitivity in his understanding of her emotional struggle and the girl's mother progresses perceptibly in her own grief process in the course of the dialogues.

Marjorie Ellen Spence offers "Stars at the Break of Day," set in a nursing home where a middle aged man dying of cancer is confined. The reader meets a spectrum of elderly residents whose antics provide the humor necessary to keep the piece from becoming maudlin. There is discussion about assisted suicide as well as a view into one mode of accepting pain and impending, albeit untimely, death.

The third play, "Time to Go," by C. E. McClelland, is a fantasy which combines comic whimsy with a penetrating and profound sense of reality. The central issue is that of "letting go" of a son who has long lived in a persistent vegetative state following an accident. The victim's story is articulated in conversations between him and visiting "Friends" from another realm. Without introducing theology or politics, the conversations direct the reader to focus on the parents' reluctance to make a decision to discontinue life support.

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The Death of Socrates

David, Jacques-Louis

Last Updated: Dec-30-1996
Annotated by:
Bertman, Sandra

Primary Category: Visual Arts / Painting/Drawing

Genre: Oil on canvas

Summary:

Condemned to death, Socrates, strong, calm and at peace, discusses the immortality of the soul. Surrounded by Crito, his grieving friends and students, he is teaching, philosophizing, and in fact, thanking the God of Health, Asclepius, for the hemlock brew which will insure a peaceful death. His last words are "a cock for Asclepius!"

The wife of Socrates can be seen grieving alone outside the chamber, dismissed for her weakness. Plato (not present when Socrates died) is depicted as an old man seated at the end of the bed. The pompous "medical celebrity"--as Tolstoy might describe him, were he one of Ivan Ilyich's five consults (The Death of Ivan Ilyich, see this database)--is pontificating on his rounds about the pharmacological details of the medication.

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