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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.
Filomena is the wife of the miller, Malaquias. She is miserable with labor pains and has been bedridden for three days. Her childbirth is failing to progress, and death seems likely for both mother and baby. A tiny hand protrudes from Filomena's vagina signifying the stalled process of birth and the urgent need for medical assistance. The midwife in this Portuguese village is not capable of performing such a difficult delivery. The local doctor is ill. He advises Malaquias to fetch a physician from another town but the cost is too great.
The Catholic priest, Father Gusmao, makes a nocturnal procession carrying the Holy Eucharist to the miller's home. He intends to administer Communion and Last Rights to Filomena. The priest examines her and discovers that Filomena's baby is in the breech position. He has little choice but to attempt delivering the baby by himself. Although Father Gusmao read a medical manual long ago, it is primarily intuition that steers his daring act. First a foot, then the body, and finally the head of a baby boy emerge from the birth canal. Mother and child survive. All the while, the Holy Eucharist in a pyx sits on top of a chest of clothes near Filomena's bed witnessing (or perhaps guiding) the entire sequence of events.
James and Elizabeth Morison and their two sons, 13-year-old Robert and 8-year-old Peter, called by his nickname, Bunny, live in a town in Illinois. It is 1918, the end of World War I.
The first third of the novel is narrated from Bunny's point of view. His mother, to whom he is deeply attached, lets him know that she is expecting a new baby. Her vivacious sister, Irene, separated from her husband, arrives for dinner. There is talk about the influenza epidemic, and Bunny remembers that on Friday a boy at his school fell ill. Later that evening, Bunny develops a high fever and is put to bed with the flu.
The second part of the book is from Robert's point of view. Bunny is seriously ill. The schools have been closed because of the epidemic and Robert is not allowed to go and play with his friends. His boredom is alleviated when a sparrow gets into Bunny's room and he is allowed to use a broom to drive it out. To his horror he realizes that, while he was fetching the broom, his mother had gone into Bunny's room and sat on the bed, even though the doctor had said she must stay away for fear of infection.
Bunny recovers, and the boys are sent to stay with their Aunt Clara while their parents travel by train to Decatur where Elizabeth will have the baby. At Aunt Clara's they learn that both parents have contracted the flu, and then that, after giving birth to a boy who will live, Elizabeth has died.
The last part of the book is from James's point of view. Returning home without his wife, he is certain that he will be unable to live in the house or take care of his sons. He decides that Clara and her husband should raise his children. Irene arrives and disagrees, telling him that the dying Elizabeth had told her she did not want this. Irene has meantime almost reconciled with her husband (as a small child, Robert had a leg amputated after being run over by the husband's buggy). Irene now tells James that she has decided instead to stay with him and help raise her nephews.
The novel ends with Elizabeth's funeral. The doctor has reassured Robert that he was not responsible for his mother's illness, though James continues to be haunted by the possibility that if he had chosen a different train, they would have avoided infection. At the same time, he recognizes Elizabeth's ordering and determining power, and how it will continue to shape his and his sons' lives.
Summary:The devoted, and antagonistic, bond between a dramatic, charismatic widow (Shirley MacLaine) and her quietly rebellious daughter (Debra Winger) is the focal point of this film's exploration of a range of human relationships and their changes over time and under various pressures, including that of serious illness. The major focus of the last part of the film is the illness and death of the daughter from cancer and its impact on her mother, her husband and children, and their immediate circle of friends and lovers.
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.
A chance meeting with her former and most compassionate fertility doctor brought Wendy Wasserstein (at age 48, and after 8 years of effort) back to his fertility clinic. Two weeks later she got the news that she was pregnant, and six months after that, just as she was getting ready to tell her friends "that the twenty pounds I had gained were not the result of bad habits and anxiety," she developed preeclampsia and was hospitalized.
What follows in this ’Annals of Motherhood’ memoir is an account of her hospitalization; her subsequent delivery 16 days later of 1lb., 12oz. daughter, Lucy Jane (Lucy’s waving hand sonogram picture reminded Wasserstein of "Lucy in the Sky With Diamonds"); and her separation from Lucy, who spent two months in the neonatal intensive care unit.
The italicized sentence under the title of this New Yorker essay summarizes it well: "Wanted: Highly accomplished young women willing to undergo risky, painful medical procedure for very large sums." Mead traces the phenomenon of women selling their eggs through the experience of Cindy Schiller, a 26-year-old law student who was "donating" her eggs for the third time.
In addition to Schiller's observations, the article is full of information about the clinical dimensions of egg donation--the donor shuts down her ovaries so that none of her eggs ripen and none of her follicles develop, followed by injections of follicle-stimulating hormones, followed by eggs that are "sucked out, one by one," and whisked away to be fertilized in a petri dish. Most of the article addresses the legal and ethical dimensions of egg donation, the hopes and expectations of those seeking donors, and the new-found marketing strategies of the American fertility industry.
In 1950 London, lower middle-class (but upper middle- aged) Vera Drake (Imelda Staunton) devotes herself to family and "helping" others. With empathic cheeriness, she visits shut-ins, provides tea for the bedridden, feeds lonely men, and "brings on their bleeding" for girls in trouble. She also tends her cantankerous, ailing mother, who has never revealed the identity of Vera’s father.
The men in Vera’s life are bruised and confused by end of the war. Exuding affection, she cooks, irons, sews, and listens to their litanies of loss and derring-do. Her son, Sid, is an extroverted clothing salesman and her dowdy daughter, Ethel (Alex Kelly), is a pathologically shy factory-worker; neither seems adequate for the task of living alone. But Vera and her husband, Stan (Phil Davis), are happy in each other, their offspring, and their modest existence.
Only the friend, Nellie, knows of the help for young girls. She extracts a secret two-guinea fee for advising the girl, but Vera receives not a penny. Over the years, the two women have solved problems for mothers with too many children, mothers with no man, and mothers who were raped. They also safely abort insouciant party girls who are blas?about men, sex, and consequences.
But a young girl falls seriously ill following an abortion and is sent to hospital. Under pressure from police, the girl’s mother divulges Vera’s name. The police barge in to arrest her just as the Drake family celebrates Ethel’s engagement to one of the lonely men, Reg (Eddie Marsan).
The criminal charges come as a complete surprise to the family. Sid seethes with anger and disbelief, but Stan’s implicit faith in his wife brings him and the others to support her through the long trial. The judge hands her a stiff thirty-month sentence intended "as a deterrent." But in prison, Vera meets two other abortionists who tell her that she is lucky: both are serving much longer, second sentences, because their "girls" had died.
In 17th Century Dutch depictions of "scenes from everyday life," the so-called genre paintings, the single most popular medical representation is the "Doctor's Visit." Among the most comical and complex are those of Jan Steen, who painted at least 18 works with this theme. Typically the patient is a young female, often suffering from a variety of illnesses related to love, either "love sickness," erotic melancholy, or pregnancy. [See relevant paintings by Steen at the Web Gallery of Art: "The Doctor and His Patient," "Doctor's Visit," and "Love Sickness," at http://www.wga.hu/frames-e.html?/welcome.html. Select "S" from Artist Index, scroll down for Steen, select "Page 1".)
In this painting, the doctor looks with concern at his patient, a young girl, dressed in silk and leaning on a table, as he takes her pulse. Behind her stands a smirking young man who holds a holds a herring in one hand and two small onions in the other. At her feet is an opened letter, alongside a bowl with a piece of burnt ribbon, and a heating box filled with coals, known as a brazier. Behind the physician, a woman playing a harpsichord smiles at the young girl. Behind her, a maidservant beckons a tall, dark, and handsome young man in a red cloak to enter the room.
Voluptuousness rules begins this oval, oviparous, oracular poem about "whale women" lying around on cushions, practicing pushing the bodies of babies from their bodies into the body of the rest of the universe. Turkish music, undulant arms, bulging breasts, the rhythm of secrets, the beginning of being ready to give birth--this, my friends, is a succulent poem!
"Antenatal Class" ends not with the moralistic healthiness of the typical Lamaze class, but with the body breathing, "tasting, hearing, through armpits, hair / and speaking softly oh oh oh / in letters it shapes with its pelvis." [22 lines]