Showing 401 - 410 of 906 annotations tagged with the keyword "Doctor-Patient Relationship"

Brigid's Charge

Lamb, Cynthia

Last Updated: Dec-14-2006
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Based on historical records, family archives, and established New Jersey folklore, this story about Deborah Leeds, 18th century midwife and healer, reconstructs the events that led to her being identified as the bearer of the "Jersey devil." An English immigrant brought to Burlington County to marry, "Mother Leeds" worked as herbalist and caregiver in a largely Quaker--and therefore unusually tolerant--community while bearing her own thirteen children. Her extraordinary skill seemed to bespeak not only careful study but powers that some associated with witchcraft.

After 30 years of faithful service, during which time she shared her work with two other women and with her daughter, her position was challenged by a newly arrived Edinburgh-educated physician who undertook to discredit her work and breed distrust among her neighbors by implications of witchcraft. His efforts came to a head when, at the birth of her thirteenth child--who died shortly after birth--he claimed to have seen the child turned to a flying demon, grow scales, and escape into the night. The story is told with great sympathy for the woman's predicament and a lively imagination for the situation of powerful women healers whose mysterious gifts both blessed and threatened their communities.

View full annotation

The Law of Similars

Bohjalian, Christopher

Last Updated: Dec-14-2006
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Leland Fowler, a small-town Vermont attorney, is raising his small daughter alone two years after his wife's death in a car accident when he meets Carissa Lake, a homeopath, and falls in love. He originally seeks her services because of low-grade cold symptoms that won't go away. She attempts to keep their relationship purely professional, but finally advises him to see another homeopath so they can pursue a more intimate relationship.

She starts him on a regimen of highly dilute arsenic solution that helps him immediately. In the meantime another patient of Carissa's, a young family man suffering from severe athsma and allergies, has gone into a coma as a result of eating cashews to which he is violently allergic. The man's wife brings legal action against Carissa since it was under her care that Richard, the patient, started taking a homeopathic solution derived from cashews and apparently was motivated to try the cashews themselves by dint of misunderstanding the "law of similars"--that "like cures like"--that is a central homeopathic principle.

Leland's law firm prosecutes after Richard dies, and Leland is forced to keep his relationship to Carissa secret while he himself struggles with his own doubts about homeopathy. To protect Carissa, because he believes her innocent, he helps her doctor her casenotes. Eventually the case is dropped; Carissa leaves town; and Leland is left to ponder the forces that drive medical, legal, and personal decisions.

View full annotation

Summary:

This unusual collection of contemporary art features full color prints of what might be termed comic doctor archetypes. Entitled by specialty, paintings feature doctors in a variety of incongruous settings that constitute fantastic anachronistic commentary on the situation of the doctor relative to different social groups or social expectations.

"The Internist," for instance, is represented as a modern female doctor in a medieval setting, commenting ironically on the various institutional pressures that come to bear upon women in the medical profession and expectations of the internist in particular. "The Pathologist" is featured getting his comeuppance as the doctor who usually has "the last word" in a confrontation with the figure of death--a skeleton straddling a Jungian snake among a horde of rats on the office floor. Each of the paintings is accompanied on the opposite page by a brief, but informative and insightful commentary by Spence.

View full annotation

Summary:

This fine collection of short memoirs and stories by doctors offers a variety of narratives about memorable moments in medical education and practice that raise and explore practical and ethical issues in medicine. An explicit aim of the editors was to focus on some of the rewards in medical life as well as the struggles it entails--those often being inseparable.

Starting with a section on medicine and poetry which includes memories of William Carlos Williams by two of his well-known students, Robert Coles and John Stone, and a reflection on illness in poetry by Rafael Campo, the collection is then divided into two major sections: "Grand Perspectives" and "Intimate Experiences." The former includes narratives that show the development of practices, conflicts, or learning over time spent in hospitals and clinics, observing the careers of elders in the profession or the parade of patients whose expectations and needs stretch the physician's creative resources. Several, including Perri Klass and David Hilfiker write about particular patients whose cases became personal landmarks.

In the latter section, stories focus on single cases or incidents in the lives of doctors, some humorous, some tragic, some bemusing, all attesting to the chronic ambiguities of the work of healing and to the very human tensions that arise in institutions that both enable and inhibit the compassion all good doctors want to exercise.

View full annotation

Saying the World

Pereira, Peter

Last Updated: Dec-14-2006
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This three-part collection of poems offers powerful images and vignettes from the life of a family practitioner living and working among the urban poor. The first section is the most explicitly medical in theme, including poems that pay painful tribute to a mother after stillbirth, a hydrocephalic child, an addict covered with boils, a young man murdered at eighteen, an old man with a failing heart.

The second section weaves images from the writer's personal story together with those from his life as physician, and the third focuses primarily on life lived as a gay man among the sick and dying, patients to be treated and friends to be mourned while life remains to be claimed and savored.

Despite the pain and grief attested to in many of the poems, a lively voice of clarity, compassion, and consent to the goodness of life even on hard terms gives the collection a defining note of celebration. Pereira's lines about a bereaved Cambodian seamstress suggest something true about his own work: ". . . she joins the circle / of other Khmer women to sew. / Punctuating the fabric / with yellow thread, finding her remnants / into a piece that will hold." ("What is Lost")

View full annotation

Hanging On

Liveson, Jay

Last Updated: Dec-14-2006
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This collection by a physician-poet covers a wide spectrum in topic and tone. The poems in the first of the four sections speak in voices of those waiting surgical outcomes, those whose loved ones are about to undergo invasive and dangerous procedures, those who are coming to terms (partly clinical terms) with death. The poems in the second section focus more explicitly on Jewish experience, and on experiences of suffering that take place in the wider context of biblical tradition and recent history.

The third section features lighter-hearted poems, many rhymed, that make playful reference to moments in domestic life and relationship which, while not free of suffering and anxiety, are also the stuff of laughter. The fourth focuses on love--erotic, romantic, familial--and death, which includes the ordinary losses that living through time entails. Elegiac, wistful, musing, and poignant, they end the collection in a complex, sustained key that holds an elegant tension between sorrow and hope.

View full annotation

Love in the Driest Season

Tucker, Neely

Last Updated: Dec-14-2006
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

Neely Tucker, a white journalist from Mississippi on assignment to Zimbabwe, and his wife, Vita, an African American from Detroit, volunteer to spend time with orphaned and abandoned children, many victims of the desperation caused by AIDS. In the orphanage, where a distressing number of children die due to lack of medicines or basic materials, or lack of adequate staff training, they come upon and find themselves deeply drawn to a particularly tiny, sick, vulnerable baby, abandoned in the desert. The director of the orphanage picks a name for her as she does for the other orphans: Chipo.

The Tuckers arrange to take her home, first for weekend care visits, hoping thereafter to do a more permanent foster care arrangement and then adopt her. A long story of struggle with Zimbabwean bureaucracy ensues, through which one learns much about suspicion of white Americans who want children, the ways in which child care becomes one more issue in partisan politics, and how abandoned children are caught in adults’ power struggles. Interspersed with this moving story are brief accounts of sometimes harrowing trips to other parts of Africa, including sites of major warfare in Rwanda and Uganda.

Tucker also intersperses memories of encounters with families in Bosnia during his work there. Ultimately, and only after much persistence, empathetic individuals in the system, and some newly learned under-the-table skills, the adoption papers come through and the family makes its way back to American where Tucker begins his ongoing assignment at the Washington Post.

View full annotation

Lethal Dose

Snodgrass, Steven

Last Updated: Dec-12-2006
Annotated by:
Taylor, Nancy

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Jeff Taylor, a young surgeon whose career was cut short by a hand accident, decides, after finishing a residency in anesthesia, to enter the newest residency program offered by Northwest Regional Hospital: a program in euthanasia. The novel features three residents and their superior; a reporter for a tabloid who tapes hospital conversations; Pennington, a wealthy conservative who wants to increase pressure on those performing abortions; and Micah Chaine, an ex-priest hired by Pennington to work behind the scenes setting up demonstrations and setting off bombs.

Chaine, feeding on his own religious beliefs, decides those involved in the euthanasia program must die. When Pennington wants out of their deal, Chaine kidnaps Pennington's wife and one of the euthanasia residents and sets bombs for the others.

View full annotation

Invisible Man

Ellison, Ralph

Last Updated: Dec-12-2006
Annotated by:
Stanford, Ann Folwell

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Ellison uses the trope of invisibility in this novel that traces the Invisible Man’s journey from idealism to a grim realism about the racism that confronts him every step of his way. Every episode ends with the Invisible Man’s escape from near disaster, brought about by his naiveté and the virulent racism in which he must function. By novel’s end, the hero is living clandestinely in the basement of a large building, burning hundreds of lights at the expense of the electric company, and planning for an eventual re-emergence.

View full annotation

Mama Day

Naylor, Gloria

Last Updated: Dec-12-2006
Annotated by:
Stanford, Ann Folwell

Primary Category: Literature / Fiction

Genre: Novel

Summary:

A story with roots in Shakespeare's The Tempest, Mama Day recounts the lives of Miranda, "Mama" Day, her sister Abigail, Abigail's grown granddaughter, Ophelia (Cocoa), and her love affair and marriage to George. Told in the voice of George (from the grave), Cocoa's voice, and an omniscient narrator's voice, the novel explores the tragic past of Mama Day's forebears as well as the present in which Mama Day functions as healer and wise woman of the small community just off the coast of Georgia.

Among other things, Mama Day helps Bernice heal from misuse of fertility drugs and helps her conceive a baby through a combination of natural medicine and "helping nature out." Cocoa and George court in New York, marry, and eventually visit Willow Springs during which time the obsessively jealous Ruby poisons Cocoa with nightshade and works a spell on her that causes her to come quite near death.

A powerful storm strands George and Cocoa in Willow Springs when the bridge goes out. George cannot believe the cause of Cocoa's illness and the means of her cure and dies in the process of trying to help her. His sacrifice and Mama Day's healing powers combine to effect Cocoa's healing. The novel is constructed as a conversation between George's spirit and Cocoa (and a narrator), looking back years after the event actually took place.

View full annotation