Showing 91 - 100 of 608 annotations tagged with the keyword "Physician Experience"

Annotated by:
Aull, Felice

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

The author, an experienced surgeon, believes that we will be less frightened by the prospect of death if we understand it as a normal biologic process. He points out that 80 percent of deaths in this country now occur in hospitals and are therefore "sanitized," hidden from view, and from public comprehension. He describes the death process for six major killers: heart disease, stroke, AIDS, cancer, accidents/suicide, and Alzheimer's disease.But the power of the book is in its intensely personal depiction of these events and in the lessons which Nuland draws from his experiences. The message is twofold: very few will "die with dignity" so that (1) it behooves us to lead a productive LIFE of dignity, (2) physicians, patients, and families should behave appropriately to allow nature to take its course instead of treating death as the enemy to be staved off at any cost. Only then will it be possible for us to die in the "best" possible way--in relative comfort, in the company of those we love/who love us.

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Irene

Coulehan, Jack

Last Updated: Oct-06-2015
Annotated by:
Aull, Felice
Chen, Irene

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

The author poetically describes the neurological deficits left by his patient’s third stroke. Her misshapen words are "small stones and loose particles of meaning "as he attempts to understand her. Her husband, however, states that "her gulps don’t make no sense," emphasizing his perception of the hopelessness of the situation.

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Anatomy Lesson

Coulehan, Jack

Last Updated: Oct-06-2015
Annotated by:
Aull, Felice
Chen, Irene

Primary Category: Literature / Poetry — Secondary Category: Literature / Poetry

Genre: Poetry

Summary:

This poem describes how, during the anatomy lesson, the medical student feels curiosity about the wonders of the human body. He is torn between his desire for knowledge and the horror he feels in cutting up a dead body: "the violence of abomination." This marks a transitional point in the student’s medical career path.

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What the Body Told

Campo, Rafael

Last Updated: Oct-06-2015
Annotated by:
Terry, James

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

Many of these poems are confessional accounts of gay love and sexuality. Another group clearly draw on the author’s clinical experiences as a physician. A few poems (e.g. "For You All Beauty", "Her Final Show") mix those broad categories in talking about the care of AIDS patients.The 11 short poems under the sequence title "Ten Patients, and Another" are the most clinical. They mimic clinical presentations during rounds in several ways: individual poems under patient initials--Mrs. G, John Doe; opening lines with the patient’s age, race, and gender; even presenting complaints with hospital shorthand. For example, in "Kelly" Campo begins: "The patient is a twelve-year-old white female. / She’s gravida zero, no STD’s. / She’s never even had a pelvic. One / month nausea and vomiting. No change / in bowel habits. No fever, chills, malaise." But in this poem and others of the sequence, the clinical gradually turns to the personal: "Her pelvic was remarkable for scars / At six o’clock, no hymen visible, / Some uterine enlargement. Pregnancy / Tests positive times two. She says it was / Her dad. He’s sitting in the waiting room."The cumulative effect of the series is a kind of horror at hospital cases and how they get there: a three-year-old who’s ingested cocaine, a homeless man with eyelids frozen shut, one man beaten, another man shot, an abused wife, a suicide, a drug overdose. To feel empathy for these cases, and to turn them into poetry, Campo has practiced the art of medicine as a form of love.Campo also writes as a patient who has experienced a serious arm fracture and subsequent threat of cancer in the 16-poem sequence "Song Before Dying." This changes his perspective on care-giving, as he writes in "IX. The Very Self." " . . . more dying waits / Downstairs for me. I almost hear their groans. / Same hunger, bones. Same face we all consumed. / As I examine them, I find the tomb / Toward which they lead. I know it is my own."

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Technology and Medicine

Campo, Rafael

Last Updated: Oct-06-2015
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

A short (13 line) poem in which the poet-as-doctor describes his "transformation" from flesh-and-blood person into a machine in which "My hands are hypodermic needles, touch / Turned into blood . . . ." This doctoring-machine desires "a kind of intimacy / That won't bear pondering." For example, his mouth turns into "a dry computer chip" that cannot touch or feel or even say consoling words.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

The subtitle of this collection is "A Voyage to the New World." In the first section, Campo begins his voyage to a new world of self-understanding by experimenting with the language of family, intimacy, healing, and magic. In "I Don’t Know What I Can’t Say, or, Genet on Keats," the poet writes: "There are two sides to life. The side where life / Remains unconsummated, reticent" and the other, which is "the act itself laid bare--a hand / Inside the lion’s mouth . . . . " Campo chooses the latter.In the next section, his voyage takes him through several connected series of 16-line sonnets; each of these series plumbs the depths of a different intimate relationship: Song for My Grandfather, for My Father, for My Lover, and for Our Son. Some of Campo’s finest poems are in this section, including (just a handful from the many) "Grandfather’s Will," "Anatomy Lesson," "Planning a Family," "My Father’s View of Poetry," "Translation," and "Political Poem."In the final section, Campo brings the insight of a seasoned voyager to his day-to-day life experience as a gay Latino physician: "To teach me my own life, to share my grief." ("Planning a Family," p. 49)

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The Distant Moon

Campo, Rafael

Last Updated: Oct-06-2015
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

A four-part poem that begins with glimpses of a man suffering the ravages of AIDS: "He stayed / Four months. He lost his sight to CMV." The man connects with his doctor through the stories he tells, but also through blood: "I'm drowning in his blood . . . . "The doctor at first tries to maintain distance from his patient ("I can't identify with him.") and even feels "residual guilts" when the patient says it's okay that "doctors could be queer." In the end, though, the healer has formed a bond with his patient. After the man dies, the doctor further identifies with him: "His breath, / I dreamed, had filled my lungs--his lips, my lips / Had touched."

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The Stethoscope

Abse, Dannie

Last Updated: Oct-06-2015
Annotated by:
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

The physician-narrator ponders the symbolic significance of the tool that typifies his profession, the stethoscope. Through it he has heard "the sound of creation"--the sound of life to be born--and the absence of sound that signals death. Should he, therefore, treat the stethoscope as if it were a religious icon?"Never! Yet I could praise it." Were he to praise it, he would "celebrate my own ears" that can hear "Night cries / of injured creatures" and "the wind / traveling from where it began."

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Case History

Abse, Dannie

Last Updated: Oct-06-2015
Annotated by:
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

The physician-narrator examines a bigoted patient. As the patient maligns Welshmen, Jews, and liberals--all of which the doctor in fact is--the physician imagines prescribing deadly drugs. "Yet I prescribed for him / as if he were my brother." The encounter is not, however, over yet. The poem ends: "Later that night I must have slept / on my arm: momentarily / my right hand lost its cunning.".

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Towards Curing AIDS

Campo, Rafael

Last Updated: Oct-05-2015
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

A patient is dying of AIDS. The physician-speaker repositions a drain in the patient's wound, taking care "to slap on latex gloves" before he does so. Another physician, "a hypocrite / Across the room complains that it's her right / To walk away . . . ." She acknowledges no obligation as a physician to care for this patient. Does she think it is too risky? What kind of risk? Might contact with this dying man somehow upset her ordered world and expose her vulnerability? Of course, nothing she could do "Could save him now." Even the physician-speaker must leave the patient "pleading" and continue with his other work: "There's too much to do."

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