Showing 81 - 90 of 130 annotations tagged with the keyword "Drug Addiction"

Doctors' Wives

Slaughter, Frank

Last Updated: Aug-23-2006
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The story takes place in the town of Weston, the site of Weston Medical School, with its teaching hospital and private faculty clinic. The main characters are a group of seven men (six physicians and one administrator) who met while serving together in the Army during the Korean War and later joined to form the nucleus of Weston Medical School. These men all occupy prestigious positions as chiefs of various clinical departments and conduct lucrative private practices at the clinic.

Their wives meet regularly in what they call the "Dissection Club." While the women are said to be friends, their meetings consist primarily of backbiting, cattiness, and expressions of profound boredom. Mostly, they are bored with their sex lives. While the wives generally engage in small-scale infidelities (including a medical student in one case), Lorrie Delman, the wife of the biochemist, is exceptional because of her voracious sexual appetite, about which she is highly vocal. Lorrie obsessively "sleeps around." In fact, she proposes that the group devise a regular sequence of husband swapping, a suggestion that her friends vote down in favor of a more random approach to adultery.

The drama commences when Mort Delman catches his wife in bed with Paul McGill, the dermatologist. Delman shoots a single bullet that goes through Lorrie's back and chest, killing her (she is lying on top of Paul) and then lodges in her lover's heart. Marissa Feldman, the brand new female physician, accurately diagnoses and treats Paul's life-threatening cardiac tamponade in the emergency room, after which Anton Dieter, the cardiac surgeon, removes the bullet lodged in the victim's right ventricle. Needless to say, Paul McGill recovers uneventfully, and Drs. Feldman and Dieter engage in a sexual escapade.

Meanwhile, members of the "Dissection Club" begin to re-assess their lives and loves. After all, they conclude, any of their husbands could have been caught at Lorrie Delman's house having some "afternoon delight." Perhaps the wives should pay more attention to their husbands, or otherwise enhance the meaningfulness of their lives. While this is going on, Mort Delman, the biochemist-killer, has no fear of languishing in jail because he has a perfect "impassioned husband" defense. In addition, he also manages to pull off a scheme to extort money from the other physicians in return for his leaving town and not revealing everyone's secrets. If this isn't enough to whet your appetite, Doctors' Wives also features additional plot twists and a surprise ending.

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Annotated by:
Davis, Cortney

Primary Category: Literature / Poetry

Genre: Anthology (Poems)

Summary:

This extraordinary anthology of 65 poems examines the relationship of parents to their grown children from the parents’ point of view. The poets are well known (among these, Grace Paley, Ruth Stone, Kumin, Maxine , Marilyn Hacker, Alicia Suskin Ostriker, Linda Pastan), and lesser known, female and male ( Dick Allen, Raymond Carver, Hayden Carruth, and Robert Creeley), but all poems deal head on with situations that often confront parents.

Situations examined are: the addiction of grown children ("To My Daughter"), their illnesses ("Pittsburgh," "Anorexia"), their own visible aging ("The Ways of Our Daughters"), the frustration of poor communication ("Lowater Bridge," "Harmonies for the Alienation of My Daughter," "Listen," "Potentially Fatal Toes," "Letter to a Son I Once Knew"), the way parents aren’t really the people their children think they are ("The Children"), and the joy when, even for a moment, love and safety reign ("Time, Place, and Parenthood," "Visual Ritual").

In these poems parents stand at the doorway and watch their children caring for their own children ("Sometimes," "Practicing") and they invoke family histories ("The Blessing," "Girl Children," "On an Old Photograph of My Son"). They dread the ringing of the phone ("Hours After Her Phone Call," "Long Distance Call from the Alone & Lonely") and they worry over children’s marriages, physical pains, and the disasters in their lives that parents cannot fix but feel they might have caused ("What I Need to Tell You," ""Letter: Thursday, 16 September," "Love is Not Love").

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Dr. Haggard's Disease

McGrath, Patrick

Last Updated: Aug-17-2006
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

In this first person narrative, Dr. Edward Haggard addresses his story to James, the son of his former lover Fanny Vaughn. Haggard, once a surgical registrar at a major hospital in London, has isolated himself in a coastal town, where he serves as a general practitioner. The "present" of Dr. Haggard’s story is the early stages of World War II, when James Vaughn, a Royal Air Force pilot, lies dying in Edward Haggard’s arms.

The story’s "past" has multiple dimensions. The outermost, framing story recounts the relationship between James and Edward that began several months before the war and a year or so following Fanny Vaughn’s death from kidney disease. James sought out the reclusive Dr. Haggard to discover the "truth" about Haggard’s relationship with his mother.

The inner story consists of Haggard’s description of his reckless and passionate love affair with Fanny, an ultimately hopeless liaison between a young registrar and the wife of the hospital’s senior pathologist. Their few brief months of happiness ended when Dr. Vaughn learned of the affair, and Fanny made the realistic choice to remain with her husband and adolescent son. In a confrontation between the two men, Vaughn knocked Haggard to the floor, causing a leg injury that resulted in chronic pain and permanent disability.

Haggard resigned from the hospital and withdrew to a solitary life, in which "Spike" (the name he gives to his deformed and painful leg) is his only companion. He must constantly "feed" Spike with intravenous morphine to quell the emotional, as well as physical, pain. The situation only worsens when Haggard learns of Fanny’s death from kidney failure.

The obsession worsens further still after James Vaughn shows up at his door. As Haggard treats the young pilot for a minor wound (he has become the local RAF surgeon), he notices that James has a feminized body habitus--gynecomastia, lack of body hair, broad hips, narrow shoulders, and pre-pubertal penis. He interprets this as "a pituitary disorder" and attempts to convince James that he needs treatment. James is repulsed by these advances, which eventually escalate.

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Annotated by:
Belling, Catherine

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

This film traces the shared career and dissolution of Beverly and Elliot Mantle, male identical twins (both played, thanks to seamless special effects, by Jeremy Irons) who are gynecologists, running a successful fertility clinic in Toronto in the 1980’s. They share both work and personal lives; Elliot, the dominant twin, lectures at the hospital, accepts awards, plays the smooth professional--and seduces women. Beverly, the quiet one, sees patients, does research--and sometimes has affairs with women his brother passes on to him.

They usually draw the line at patients, not because of ethics, but because "it’s not safe." Their dealings with women have to be carefully compartmentalized, for the ambiguous intimacy of the gynecological doctor-patient relationship is difficult and dangerous for the twins, who form a psychologically unstable and deeply interdependent relationship on their own, likening themselves to the original Siamese twins, Eng and Chang, whose names they eventually take on, too.

Their symbiotic system is disrupted when a television actress, Claire Niveau (Genevieve Bujold), consults them about her infertility. She has a trifurcate uterus--the twins call her a "mutation"--and will never have children. Elliot, fascinated, seduces her, and then gives her to Beverly, who falls in love, with disastrous consequences. When Claire discovers that they’ve deceived her and temporarily leaves, Beverly becomes addicted to the amphetamines and sleeping pills that Claire habitually abuses.

The drugs impair his work, he begins to hurt patients, is hospitalized, and after a calamitous breakdown in the operating room (where Beverly attempts to use the monstrously beautiful surgical instruments he designed himself

"for operating on mutant women") both brothers keep their hospital privileges only on condition that they don’t use them. Elliot tries to rehabilitate Beverly, but realizes that the need to do so comes from their absolute interdependence--they might as well be physically joined. So Elliot begins taking drugs as well, and when Claire returns and Beverly goes back to her, Elliot breaks down completely.

The rest of the film traces Beverly’s failed attempt to become a separate individual. The instruments he invented are now, he says, "for separating Siamese twins," and, in a terrifying surgery scene, the drugged Beverly "operates" on his conscious though equally drugged brother, apparently disemboweling him. Next morning, Beverly leaves the apartment where his dead brother lies and calls the woman he loves, but he cannot talk to her. He goes back, his bid for independent identity a failure, and the film ends on a shot of the two, dead, in an embrace echoing the Renaissance anatomical illustrations of in utero twins which illuminate the film’s opening credits.

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A Million Little Pieces

Frey, James

Last Updated: Jan-30-2006
Annotated by:
Henderson, Schuyler

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

At 23 years old, James is brought by his parents to a drug and alcohol rehabilitation center in Minnesota to get treatment for his alcoholism and drug addictions. Physically and emotionally shattered, he slowly recuperates, sometimes insistently conquering his addictions with his own willpower, and at other times with the help of those around him. The consequences of his addictions, his struggle against the platitudes of the Twelve Step programs, and his relationships with his counselors build the tension in the book; his relationship with his family and several of his fellow addicts forms the heart of it.

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My Friend Leonard

Frey, James

Last Updated: Jan-30-2006
Annotated by:
Henderson, Schuyler

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

Note that this annotation contains spoilers. The sequel to A Million Little Pieces (see this database), Frey's follow-up memoir begins with James serving time in an Ohio prison for crimes he had committed while an addict. On his release, he goes to Chicago where he plans to reunite with his girlfriend, Lilly, and start a new life. As soon as he arrives at the halfway house where she was living, he discovers that she had committed suicide the night before. Shattered again, he tries to establish himself in Chicago without relapsing (with notable bravado: working as a bouncer in various bars).

His friend and "father" Leonard, a mobster who unofficially adopted him during their stint in rehab together, as chronicled in A Million Little Pieces, tries to help him get on his feet financially. After a period as a runner for the mob, James decides to move to Los Angeles to become a writer, with some success. Leonard remains a benevolent father-figure and as their friendships develops, the larger-than-life Leonard and his mob henchman meet James's friends, his family, his girlfriends, even his girlfriends' families--until Leonard disappears. James eventually locates Leonard, and discovers that Leonard is gay, has AIDS, and the two of them spend Leonard's last few days together.

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Summary:

This collection contains all the stories in Arthur Conan Doyle's Round the Red Lamp, six additional medical tales (three of which are from the Sherlock Holmes oeuvre), and the published version of "The Romance of Medicine" (1910), an awards ceremony address to the medical students at St. Mary's Hospital Medical School.

Round the Red Lamp (see annotation in this database) received almost universally negative reviews when it was published in 1894. They deplored the fact that Conan Doyle wrote about such "nauseating" and "ghastly" topics. All but one of the stories deal with doctors, disease, or medical practice. (The exception is a gothic tale that has a medical student as its hero.)

For example, "Behind the Times" contrasts the behavior of old fashioned humanistic physicians with that of modern scientifically-oriented physicians; "The Doctors of Hoyland" conveys a very positive image of women physicians; "His First Operation" depicts a first-year medical student fainting in the operating room; and "A False Start" presents a humorous account of Conan Doyle's difficulties in starting his own medical practice.

The three Sherlock Holmes stories are "The Dying Detective" (1913), "The Creeping Man," (1923) and "The Blanched Soldier" (1926). "The Romance of Medicine" is an inspirational essay on professionalism and medical history, somewhat similar in tone to, and contemporaneous with, the essays of William Osler.

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What Patients Taught Me

Young, Audrey

Last Updated: Jan-17-2006
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

This collection of stories describes "a medical student's journey" (the subtitle) through the difficult terrain of clinical education. In Audrey Young's case, this is also a geographical odyssey from Seattle to Swaziland to Pocatello, Idaho, as she completes her University of Washington clinical rotations and electives. In one sense the main characters of these narratives are the patients the author encounters in clinics and hospitals. As she writes in the Preface, "Patients teach things that the wisest and most revered physicians cannot, and their lessons are in this book."

In another sense, of course, Dr. Young herself is the central character of these stories; this is an account of her journey into doctoring. The author first takes us to Bethel, a Yupik Eskimo town on the Bering seacoast of Alaska, where she had her initiation into clinical experiences in the form of a summer preceptorship. There she learns that patients are far different from textbook examples, as she confronts the social and cultural factors that influence illness and its amenability to treatment. We follow the author to assignments throughout the WWAMI network. WWAMI is the University of Washington's decentralized clinical training program (Wyoming, Washington, Alaska, Montana, and Idaho).

In Spokane she delivers a baby for the first time, supervised by an opera-loving attending physician. In Pocatello she takes care of her first critically ill neonate. In Missoula her life becomes "one of resigned solitude" in her internal medicine clerkship, where she experiences sleep deprivation and experiences sunlight only "through dusty windows."

During her fourth year, the author finds herself treating desperately ill AIDS patients without a supervising physician (he had gone to Zaire for a funeral and might be back the following week) and also without anti-retroviral drugs. However, it is in Swaziland that she learns the deep power and dignity of medicine, as exemplified by a patient who invites her to a dinner in her honor that requires killing one of his precious chickens.

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The Moonstone

Collins, Wilkie

Last Updated: Dec-29-2005
Annotated by:
Moore, Pamela

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Warning: this annotation reveals the solution of the novel's mystery. The Moonstone is typically read as one of the first detective novels in British fiction. Published serially in 1868, the novel sets out to identify the thief who steals an expensive gem, the moonstone, from the heroine, Rachel Verinder. Franklin Blake, Rachel's love interest, turns out to be the thief. He stole the gem while under the influence of a dose of opium slipped to him by the local doctor. He has no memory of the deed.

Blake is able to solve the mystery--and win Rachel--with the help of Ezra Jennings. Jennings is also a doctor, but his unorthodox appearance and methods make him a pariah. Jennings is addicted to opium, which he began prescribing for himself to reduce the pain of a chronic illness. He uses his knowledge of the drug to re-create Blake's state on the night the jewel disappeared. Blake again tries to take the jewel and the mystery is unraveled.

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Morphine

Long, David

Last Updated: Oct-04-2005
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Gerald Wilcox is an otolaryngologist who lives with his wife and daughter in a small town in Montana in 1959. Dr. Wilcox has a weakness for women, alcohol, and, lately, morphine (with which he injects himself about once every six weeks). He enjoys writing in his journal almost every evening yet rarely reviews what he has previously written.

Although high on morphine, Dr. Wilcox repays a debt by making a house call late one night to treat a young boy with mastoiditis. On returning home, the doctor decides to bake a coffee cake for his wife at 5 o'clock in the morning while musing on what will happen to his journals after he dies.

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