Hektoen International

A Journal of Medical Humanities

Category: Doctors Patients and Diseases

  • Medical education and family caregiving in immigrant populations

    Mahnoor AyubDetroit, Michigan, United States According to the Kaiser Family Foundation,1 1 in 4 children in the US has an immigrant parent. South Asian (SA) countries are one of the main sources of international migration.2 The SA immigrant population in the US is heterogeneous and includes people from countries such as Pakistan, India, Nepal, Bhutan,…

  • The privilege of caring for three Nobel laureates and learning from another

    Kevin LoughlinBoston, Massachusetts, United States My experience with Nobel laureates began on Monday, July 2, 1979. The previous weekend, I had started my urology residency at Peter Bent Brigham Hospital in Boston. The outgoing resident had signed out the urology service to me the evening before and mentioned, “Doctor Harrison has a suprapubic prostatectomy booked…

  • The birds of death

    Edward TaborBethesda, Maryland, United States I got to know the children’s hospital when I was in my second year of medical school and was assigned to the pediatric rotation. From one perspective, the building had the wrenching sadness of childhood disrupted by illness. But it also had benevolent stories: most of the children who arrived…

  • Waking dream

    Jeffrey HauckHouston, Texas, united States I found myself in a grassy field. Lush green below, sapphiric blue above. My mother was with me, and we walked through endless space discussing trivialities that I am sure were important at the time. I turned to her at one point, and she gave me a bizarre look—clearly, something…

  • Ernest A. Codman and the idea of medical accountability

    Curtis MargoTampa, Florida, United States There are few treatises in the annals of history that have noticeably altered the course of medicine. The first and most conspicuous would be The Corpus, a collection of more than fifty essays attributed to Hippocrates of Cos.1 Among its many gifts to the healing arts was the notion that…

  • The truth, the whole truth, and nothing but the truth: But to what end?

    Hugh Tunstall-PedoeDundee, Scotland Different variants of the doctors’ Hippocratic Oath swear to a virtuous life, honoring their patients and respecting their confidences, but not specifically promising to tell them the truth! Until recent decades it was not uncommon for doctors to avoid telling their patients specifically what was wrong, if serious, in order to avoid…

  • Forty years a watchdog: Sidney Wolfe, M.D.

    Howard FischerUppsala, Sweden “Somebody has to look out for the people who are being manipulated by hospitals, doctors, insurance and drug companies.”– Sidney Wolfe, MD, 1993 Sidney Wolfe, MD, (1937–2024) was the co-founder in 1971 of the Health Research Group (HRG), a consumer and health advocacy lobbying organization. After earning his medical degree from what…

  • Dying young: Bob Marley (1945–1981)

    Howard FischerUppsala, Sweden “In the community of living tissues, the uncontrolled mob of misfits that is cancer behaves like a gang of perpetually wilding adolescents. They are the juvenile delinquents of cellular society.”– Sherwin Nuland, MD, How We Die Bob Marley (1945–1981) was a Jamaican singer, songwriter, musician, and the son of a Jamaican mother…

  • Passing sentence 

    Anthony PapagiannisThessaloniki, Greece  The man facing me across the desk is outwardly calm. He gives an innocent enough history of a vague pain in his back which eventually led his family physician to send him for a chest film. Something did not look right, and a computed lung scan followed. This was the reason for…

  • Room 460

    Megan RizerGainesville, Florida, United States Every time I walked by Mr. L’s hospital room, I heard the Game Show Network blasting on television. The Price is Right, Press Your Luck, Wheel of Fortune—some rerun of an old game show was always on. I had been helping to take care of him for several weeks, rounding…