Showing 861 - 870 of 892 annotations tagged with the keyword "Empathy"

Annotated by:
Shafer, Audrey

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

Dr. Cassell examines the social and cultural forces that encourage the practice and teaching of a medicine that is governed by the disease theory. This theory discounts the impact of illness on the patient and ignores the suffering that the patient is experiencing. Cassell does not debunk science and technology, rather he encompasses them within the moral enterprise of medicine as tools for helping patients.

The ability to provide compassionate attention to the patient as individual (i.e., with unique values, life experiences, family interactions, etc.), trustworthiness and self-discipline are required characteristics of a "good physician." Cassell illustrates and personalizes the philosophical shift towards focusing on the sick person with stories and anecdotes.

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The Lost Art of Healing

Lown, Bernard

Last Updated: Jan-31-1997
Annotated by:
Shafer, Audrey

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

This autobiographical account of Dr. Lown's five decades of practice and research in cardiovascular medicine is both a history of the field and a history of a man passionately interested in people and healing. The book is divided into six sections: Hearing the Patient: The Art of Diagnosis; Healing the Patient: The Art of Doctoring; Healing the Patient: Science; Incurable Problems; The Rewards of Doctoring; and The Art of Being a Patient.

The first three sections comprise the bulk of the book: Lown chronicles his early medical training and career through stories of memorable patients, anecdotes about key role models (particularly Dr. Samuel A. Levine), and histories of medical mistakes, diagnostic acumen, and his remarkable research innovations. These achievements include the introduction of intravenous lidocaine, cardioversion and defibrillation, and development of the coronary care unit.

The core of the book, however, is about how deeply Lown cares for his patients. He states, “This book is a small recompense to my patients, ultimately my greatest teachers, who helped me to become a doctor.” The book contains many reflections on medical practice, such as this definition of medical wisdom: “It is the capacity to comprehend a clinical problem at its mooring, not in an organ, but in a human being.”

In a thoughtful chapter on death and dying, Lown muses on his emotional and spiritual responses to encounters with death, and bemoans the medical profession's increasing tendency to “put technology between us and our patients, to spare us the grief of failing to confront our own mortality.” In the final chapter, Lown takes an unusual twist, and writes a treatise to patients on how to get the doctor to truly pay attention to them and what are reasonable expectations to have of one's doctor.

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On Studying Anatomy

Roston, Diane

Last Updated: Jan-30-1997
Annotated by:
Chen, Irene
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The poem depicts a fiercely wild and free woman who meets an untimely death in a motorcycle accident. The anatomy student views the cadaver as more than just "thirty-one-year-old female flesh," and fantasizes about what her life (and death) must have been like.

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As We Are Now

Sarton, May

Last Updated: Jan-30-1997
Annotated by:
Nixon, Lois LaCivita

Primary Category: Literature / Fiction

Genre: Novel

Summary:

As you are now, so once was I; Prepare for death and follow me. The novel's advisory epigram prepares readers for the realities of aging and death which affect both narrator and reader. Following surgery, Caro Spencer is delivered to Twin Elms, a nursing home in a rural New England setting. While this intelligent woman requires only short-term care, she is deposited, permanently, in an understaffed, sub-standard care facility by relatives unwilling to add her minor but time-consuming difficulties to their own.

It is not a pretty setting. The staff is overworked and demeaning, especially to the new resident who is well-educated and accustomed to better circumstances. The nursing home routine is careless of individual differences and needs, and set up to strip away autonomy and dignity through petty and cruel indignations.

Caro is able to survive by keeping a secret diary for observations, reflections, and interpretations; ultimately, this alone sustains her. While the voice is that of an elderly woman (as we are now), the journal is for us, those still able to manage their lives, but unable to predict or control end-of-life events.

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Sea Creatures and Other Poems

Rowe, Vernon

Last Updated: Jan-30-1997
Annotated by:
Shafer, Audrey

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

Sea Creatures is Dr. Vernon Rowe's first collection and contains forty-eight poems divided into two sections: "Creatures of the Inland Seas" and "Out Far and In Deep." The poems are succinct and focused. Much of the imagery is derived from nature, as in the title poem, where the poet-neurologist-helicopter pilot likens his descent through the sky to a dive into a deep and ancient ocean. Poems in the first section are directly related to the poet's life as a physician; works such as "Paralyzed" "Brahms' First, First Movement" and "Wasted" are empathic portrayals of patients.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

This 14 line poem deals with a physician's compassion for a hopelessly ill patient ("An apparatus not for me to mend--") and his participation in active euthanasia. The patient, Annandale, was "a wreck . . . and I was there." The narrator asks the reader to view himself or herself "as I was, on the spot-- / with a slight kind of engine." (This "engine" is a hypodermic needle.) He concludes, "You wouldn't hang me? I thought not."

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The Excrement Poem

Kumin, Maxine

Last Updated: Jan-29-1997
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The narrator observes that we all, from the worm to the brontosaurus, have excrement. As she cleans the horses' stalls of "risen brown buns," she contemplates that sparrows will come to pick "redelivered grain" from the manure, that mushrooms will "spring up in a downpour" from it, that "However much we stain the world," shit indicates that we go on.

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Primary Category: Literature / Nonfiction

Genre: Autobiography

Summary:

Laqueur writes about his experiences as a volunteer at the Home for Jewish Parents. The elderly he meets there have lived fantastically broad lives, many having fled from eastern Europe in front of the German armies of World Wars I and II. Laqueur explains how different their impressions of world events are from his.

He notes the variety of responses the residents have to their own aging process and that of others. Those who are still mobile and mentally alert avoid those who are not. Some residents cling to life and self-respect, others abandon it. Over all, Laqueur is reassured by his visits. If these people have made it this far through such a crazy century, certainly he, too, can go on.

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Dreams of a Doctor's Wife

Massad, Stewart

Last Updated: Jan-28-1997

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The story is told from the perspective of an obstetrician's wife. She encourages her husband as he finishes school and gets his first job. Then she becomes pregnant. She tells of the changes in her body and in her perspective. Her husband is busy treating other women, while she goes to childbirth classes alone. He arrives just at the end of the birth. She wants him to be with her more often, but understands his need to be with his patients.

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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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