Attending Others: A Doctor's Education in Bodies and Words
Volck, Brian
Primary Category:
Literature /
Nonfiction
Genre: Memoir
-
Annotated by:
- Carter, III, Albert Howard
- Date of entry: May-30-2017
- Last revised: May-30-2017
Summary
Volck’s
memoir describes his medical practice and learning in a variety of settings
(Cleveland, Baltimore, Cincinnati), but, more importantly, in non-metropolitan
places, such as Tuba City on the Navajo Reservation in Arizona and rural
clinics in Honduras. He suggests that his knowledge of medicine has largely
come as he has practiced it and not from his formal education. Further, he
believes that best medical practice is not primarily high-tech, urban, or
industrial. Each of the 15 chapters has a title—a topic, a person, or a
theme—but also one or more locations specified. For example, we have “Chapter
One, A Wedding, Navajo Nation, Northern Arizona,” suggesting the importance of
culture and locale. Further, the chapters include personal associations from
several realms beyond the topic and place as Volck seeks to understand medicine,
healthcare, and how we live in the world.
Of the first seven chapters, five are set in Navajo land, where Volck is an outsider by his cultural heritage and his profession, a doctor with a pediatrics specialty. From time to time he reflects on his training, the English verb “to attend,” and specific patients, such as two-year-old Alice in Tuba City and eight-year-old Brian in Cleveland. Both children died while in his care. Working on the front-line of medicine, he considers the weaknesses of our modern attitudes toward death and our wishes for control. He also wrestles with personal lifestyle issues of balancing medicine, family, and an urge to write.
Other chapters describe restlessness in his profession, the growth of his family (including the adoption of a Guatemalan baby girl), hiking in the Grand Canyon, camping in the rain, and a retreat with Benedictine monks. Chapter 11 “Embodying the Word” discusses literature and medicine, lectio divina (a Benedictine reading practice), and the need to listen carefully to patients’ stories.
The final chapter returns to Cincinnati, Honduras, and Tuba City. Volck has found more projects in the Navajo Nation, including a youth service project from his church. With permission, he conducts interviews and plans a book on the Navajo, “drawing on cultural history, anthropology, history, medicine, and politics” (p. 201).
Of the first seven chapters, five are set in Navajo land, where Volck is an outsider by his cultural heritage and his profession, a doctor with a pediatrics specialty. From time to time he reflects on his training, the English verb “to attend,” and specific patients, such as two-year-old Alice in Tuba City and eight-year-old Brian in Cleveland. Both children died while in his care. Working on the front-line of medicine, he considers the weaknesses of our modern attitudes toward death and our wishes for control. He also wrestles with personal lifestyle issues of balancing medicine, family, and an urge to write.
Other chapters describe restlessness in his profession, the growth of his family (including the adoption of a Guatemalan baby girl), hiking in the Grand Canyon, camping in the rain, and a retreat with Benedictine monks. Chapter 11 “Embodying the Word” discusses literature and medicine, lectio divina (a Benedictine reading practice), and the need to listen carefully to patients’ stories.
The final chapter returns to Cincinnati, Honduras, and Tuba City. Volck has found more projects in the Navajo Nation, including a youth service project from his church. With permission, he conducts interviews and plans a book on the Navajo, “drawing on cultural history, anthropology, history, medicine, and politics” (p. 201).
Miscellaneous
The book’s major themes —of love, of culture, of
reverence—are also suggested in two pieces of art. The painting on the cover shows
the head of a young woman in profile; she is swaddled by colorful bedclothes. In
the final pages we learn that this is 20-year-old Temma, daughter of Tim and
Sherrie Lowly and that Tim is the artist. Volck came to know this family
through the art. He is not the doctor to Temma, although he has treated other
similar children. While Temma would be medically styled as “profoundly
disabled,” Volck sees her as “broken and beautiful, damaged and dignified” (pp.
184, 185).
The second image is the black-and-white frontispiece (p.
vii). It shows Temma lying on her back and carried by six women described as “a
community lightly bearing her” (p. 185).
Volck comments, “My profession…habitually defines conditions
and states by what a person lacks rather than what she is” (p. 184).
Publisher
Cascade Books
Place Published
Eugene, Oregon
Edition
2016
Page Count
206
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