Showing 611 - 620 of 906 annotations tagged with the keyword "Doctor-Patient Relationship"

Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

For those who have enjoyed his previous collections, this edition of new and collected poems (22 new, the rest culled from collections published from 1972-1998) will be a welcome and rich sampling of Stone's work, wide-ranging in style and subject. The three sections of new poems include a series about incidents in Serenity Gardens, his mother's nursing home; a series of "Reflections from the Middle East" that chronicle moments evocative of classical and biblical story and ethos as well as touching, comic incidents in the life of a 60-something tourist; and a short series of poems based on memories from childhood and young adulthood.

The poems tend toward narrative; many are little stories complete with plot in one to two pages of short lines; Stone's gifts for both chronicle and condensation give many of the poems a lively tension: what is told suggests how much isn't.

As a collection it is possible here to trace the stylistic development from the early poems in The Smell of Matches with their strong autobiographical focus and sense of intimate scene and situation to the recent ones, still strongly personal, but reflective, sometimes ironic, with lines that render the self-awareness of the older poet in sometimes comic flashes.

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Amends in Halak-Proot

Padilla, Ignacio

Last Updated: Jun-30-2004
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A medical school graduate, E. A. Talbot, fails twice his qualifying examination for a position as British Army surgeon. He leaves England and vows never to return to Europe. He lands a job working for the Dutch government as the administrator of Halak-Proot, a psychiatric hospital that houses about 100 mentally ill officers and some colonists. It is located in the jungle of Java. The institution is a magnet for madness. Patients never improve and sometimes get worse there. The soldiers are more inclined to feign psychosis than return to battle.

When his father dies, Talbot inherits property. He sells it and uses the money to transform the psychiatric hospital into a luxurious estate. Cases of dementia soon plummet. The facility no longer accepts any patients except those who are indisputably insane. Soldiers somehow discover their sanity and are refused entry. Talbot grows old in his exclusive paradise that now has room for only him, a guard, and a custodian.

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Talking to the Family

Stone, John

Last Updated: Jun-25-2004
Annotated by:
Chen, Irene
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The physician prepares himself to deliver the news of a death to a family. His white coat symbolizes this role in his professional life; and when he takes it off at home, he becomes only a man with chores to do around the house. Yet that chore, replacing a lightbulb, seems to symbolize rebirth and the sustenance derived from personal life which allows the physician to continue in his often difficult role.

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The Blood Doctor

Vine, Barbara

Last Updated: May-27-2004
Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Martin Nanther is a member of the British House of Lords, having inherited his title from his great-grandfather, Henry. Physician to Queen Victoria, Henry specialized in hemophilia, the disease that Her Majesty was known to have passed to her son, Leopold, and other descendants. While the House of Lords considers a Bill to abolish hereditary peerage and Martin's much younger, second wife is obsessed with becoming pregnant, he escapes into his slow research for a biography of Henry

His patient genealogical investigations uncover deaths in infancy of several young boys in his own family, and Martin soon realizes that hemophilia (rather than the family's legendary tuberculosis) is the cause. Was that irony merely a coincidence? Or was hemophilia in his own lineage the impetus for his grandfather's research and position in life? And why was the disease hushed? Was it possible that his grandfather deliberately sought a bride with the trait in order to investigate it in his own progeny?

Martin soon finds himself wondering if this well-respected, medical man actually committed murder, or was he merely waylaid by unexpected love? Without giving too much away, suffice it to say that the answers prove so surprising and so disturbing, that Martin decides to abandon the biography of his ancestor, even as he learns that his inherited peerage has been revoked and that his next child will soon be born.

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The Consultation

Selzer, Richard

Last Updated: May-25-2004
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A surgeon attending a medical meeting becomes bored and hires a prostitute. When he awakens next to her in bed the following morning, he first observes, then palpates a suspicious lump in the right breast of the sleeping woman. Although he informs her of the abnormality and the need for further evaluation and treatment, the surgeon cannot bring himself to divulge the possibility (or even likelihood) that the breast lump is malignant.

It is the prostitute who acknowledges (and eventually proclaims) that the lump might be cancer. She realizes that breast cancer might prove fatal to her livelihood as well as her life. The surgeon appears less upset by the diagnosis and potential suffering associated with it than the realization that both he and the tumor were rivals, "each feeding on her flesh" in a competition to consume the woman.

He pays the prostitute one hundred dollars for her services and cannot wait to exit the room. She offers him ten dollars for his consultation, but the surgeon refuses the fee with the excuse that he doesn't make house calls.

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In Another Country

Hemingway, Ernest

Last Updated: May-12-2004
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The narrator of this story, a wounded American soldier, is recuperating from his injury in Milan, Italy. He receives treatments delivered by machines each afternoon at the hospital. His doctor seems overly optimistic. "You are a fortunate young man," he tells the narrator, promising the soldier that his injured knee and leg will recover well enough for him to play football again.

The physician's prognosis for another patient, an Italian major receiving treatment for a shriveled hand, is also dubious. The officer was once a renowned fencer and is now angry and bitter. His invalid condition and the recent death of his young wife from pneumonia have sapped his will. He professes no faith in the machines treating his hand injury and does not believe in bravery.

Injury fosters camaraderie and the narrator socializes with four other young men undergoing treatment at the hospital. The narrator admits his injury was not the result of heroic action but merely an accident. The medals he received were undeserved. Life may be a series of random events but some people have it worse than others. The only certainty in the lives of these characters is the fact that "the war was always there."

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Neighbour Rosicky

Cather, Willa

Last Updated: May-11-2004
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The diagnosis is delivered in the opening sentence: "a bad heart." Anton Rosicky is an immigrant to the United States from Czechoslovakia. The 65 year old man and his wife, Mary, own a farm in Nebraska. They have five sons and a daughter. Rosicky is an ordinary fellow with one remarkable quality--a genuine love for people. He is attached to his family, the land, and hard work. His physician, Doctor Ed Burleigh, writes a prescription for Rosicky and instructs him to avoid strenuous activities.

The young doctor is quite fond of Mr. and Mrs. Rosicky and speculates that tender and generous people like this couple are more interested in relishing life than getting ahead in it. Although he knows better, one day Rosicky overexerts himself raking thistles and bringing some horses into the barn. He experiences chest pain accompanied by shortness of breath. His daughter-in-law, Polly, helps him into bed and applies moist hot towels to his chest.

Unfortunately, Dr. Ed is out of town--his first vacation in seven years. Rosicky appears to recover from the episode but the following day after enjoying breakfast with his family, the chest pain recurs and he dies at home. When Dr. Ed returns from his trip, he stops at the graveyard near the farm. He realizes that the natural beauty and serenity of the landscape make a fitting final resting place for a farmer like Rosicky and a man whose life was not only rich with love but deeply fulfilling.

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The City

Updike, John

Last Updated: May-11-2004
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

While on an airplane, Carson experiences abdominal pain. He is a divorced man in his fifties and a sales representative for a computer and information technology firm. He spends much of his time traveling and fancies himself "a connoisseur of cities." The increasingly severe stomach pain forces Carson to reschedule his business meeting and retreat to his hotel room.

His suffering mounts and he decides to visit the emergency department of the city hospital. Carson is evaluated by two young male doctors and later a middle-aged female physician. Despite blood tests and X-rays, his diagnosis remains murky and a surgical consultation is obtained. The surgeon suspects appendicitis. He postulates that Carson may have a retrocecal appendix and explains that in such cases the anatomical location of the organ often confounds the diagnosis.

Carson undergoes surgery. His appendix is indeed retrocecal and rupturing. He spends five days convalescing from the operation. During that time he acquires an intimate knowledge of the city from his stay at the hospital. The experience revitalizes him. Carson reasons that the world is miraculous in part because it is so simple yet still spectacular.

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Emergency

Johnson, Denis

Last Updated: May-11-2004
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

For three weeks the narrator has been working as a clerk in the emergency department. His good friend, Georgie, is a hospital orderly. Both men abuse drugs, and Georgie steals them from the hospital. The ER staff includes Nurse (an overweight woman who shakes) and the Family Service doctor (a physician with limited competence who is not well-liked).

At 3:30 A.M., a man named Terrence Weber arrives at the ER. He has a hunting knife stuck deep in his eye. Ironically, his other eye is artificial. Weber's wife apparently tried to blind him because he ogled the woman next door. The doctor immediately decides the situation is beyond his expertise and calls for an ophthalmologist, neurosurgeon, and anesthesiologist.

Meanwhile Georgie is prepping Weber for surgery. The drugged-up orderly, who cannot even tie his shoe at this point, somehow removes the knife by himself. Weber's vision is fine. Later on, the narrator and Georgie get lost while driving around in a pick-up truck without headlights. The truck runs over a jackrabbit on the road. Intent on making rabbit stew, Georgie cuts the animal open with the hunting knife he had earlier removed from Weber's eye. The rabbit is pregnant with eight miniature bunnies inside her.

Georgie decides to save the babies. Unfortunately the narrator forgets about the rabbits and accidentally squashes them to death. At the end of the story the two men encounter a hitchhiker who has gone AWOL from military service. Georgie promises to take him to Canada.

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Annotated by:
Holmes, Martha Stoddard

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

This story of one exceptionally accomplished family's discovery of their past and future relationships with Huntington's Disease (HD) is also the story of how the Wexler family changed the cultural narrative of HD for other families at risk for this genetically-transmitted and currently incurable disease. The HD diagnosis of Leonore Wexler (the author's mother) inspires Milton Wexler, a psychologist, to create a major foundation for HD research, which develops critical mass and influence as Leonore Wexler's condition deteriorates, and after her death. The book interweaves the story of the Wexlers' emotional and other negotiations with HD and the story of their efforts to create an HD community comprised of those with active symptoms of HD, family members, advocates, and researchers.

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