Hektoen International

A Journal of Medical Humanities

Month: May 2019

  • The other kingdom

    Jamie SamsonDublin, Ireland “Everyone who is born,” Susan Sontag wrote in Illness as Metaphor, “holds dual citizenship, in the kingdom of the well and in the kingdom of the sick.”1 While the passport denoting health and vigor might get us through customs most of the time, we eventually reach that unwelcome day when it is…

  • Philadelphia’s plague

    Hayat El BoukariTetouan, Morocco On August 3, 1793, a young French sailor rooming at Richard Denney’s boarding house was desperately ill with a fever.1 As he was a poor foreigner, no one bothered to find out his name. His fever worsening, he died a few days later, as also did eight residents from two houses…

  • Medical innovations made by doctors during the Napoleonic Wars

    Craig StoutAberdeen, Scotland The Napoleonic Wars (1799 to 1815) brought great upheaval and turmoil to Europe, with as many as 2.5 million soldiers and 1 million civilians losing their lives. French military physicians, principally Dominique Jean-Larrey, made significant contributions to medicine, saving many lives and helping to develop modern medical practices for future generations. The…

  • A love-driven model of suicide prevention

    Kate BaggottSt. Catharines, Ontario, Canada The suicide barrier on the Bloor Street Viaduct in Toronto is called the Luminous Veil. The beauty of the title is that it is intentional and intelligent. Construction of the barrier started in 2003 after more than a decade of advocacy. It was installed just a few years after the…

  • A form of pain

    Ifediba NzubePort Harcourt, Nigeria For Yewande, pain is Èsù slapping her head like a bata drum. But no one sees that; they see only a tumor pushing out her left eye, up her palate, and through her nostrils. Most days she smells like meat gone green. The other patients can tolerate the smell but they…

  • To all the books that saved my life

    Dannie OngMelbourne, Australia On the way to therapy, I am reading The Four Hour Work Week by Tim Ferris. I try not to think about the irony of it all – no job, no degree, not even a life, depending on who you asked – and there I am, filling pages with notes on morning…

  • The Korean soldier

    Charles HalstedDavis, California, United States A fifty-five-year-old Korean man arrived at the emergency room of our teaching hospital after suddenly vomiting blood during the night. Called next morning to consult in our intensive care unit, I reviewed his chart and pulled back the curtain surrounding his bed. I found him barely responsive with moderate tachycardia…

  • When a medical student becomes a patient

    Andrew GallagherBurlington, Vermont, United States Elliot pointed to the ultrasound monitor. “What is this?” he said slowly, trailing off. His finger was on the large, black sac occupying the entire bottom of the screen. We both said nothing, attempting to recall our anatomy. “Wait, where is your kidney?” I stared at the screen, disoriented. “I…

  • Health care in Nigeria

    Obinna Ejide Port Harcourt, Rivers State, Nigeria A brilliant young student at the University of Calabar in Cross Rivers State, Nigeria, died recently during a strike of the doctors at the university teaching hospital. This is not the first time that such an incident has occurred in Nigeria. In September 2017 a pregnant woman died…

  • Not all heroes wear capes

    Cross De Idialu Port Harcourt, Nigeria It was the year 2014, and an unknown deadly disease was eating deep into the western region of the African continent. The first case was said to have occurred on December 26, 2013 when a little boy who most likely had contact with wild animals fell ill and died…