Hektoen International

A Journal of Medical Humanities

Category: Vignettes at Large

  • Addiction a century ago

    “Addiction, mainly in the upper classes, was viewed with sympathy. It was not a criminal offense to buy or sell morphine. Freud for a time prescribed cocaine to some of his excitable patients, and we know that Sherlock Holmes, when he was bored, injected himself with a 7% solution. Soon after their accession, the tzar…

  • It could be bad

    Paul RousseauCharleston, South Carolina, United States The doctor poked and probed and prodded and pinched and rubbed his chin and clicked his pen and rose from his stool and breathed a groan, “Something is wrong, and it could be bad, is plausibly bad, is certainly bad, but not cancer bad, but bad heart bad, and…

  • Spoilsports

    Anthony PapagiannisThessaloniki, Greece The weekly grand rounds was the central educational event at the big teaching hospital. Everybody who could get away from clinical duties, regardless of specialty, attended the Tuesday lunchtime event at which we aspired to present our interesting or puzzling patients, or earn brownie points by hitting the obscure diagnosis that had…

  • Tashima syndrome

    Howard FischerUppsala, Sweden “Let us now praise famous men.”— Ecclesiasticus 44:1 It has been a tradition in medicine to name a disease, a syndrome, a new treatment, or a surgical instrument after the person who describes it in the medical literature or invents it. Thus, we have Alzheimer’s disease, von Recklinghausen disease, Fanconi syndrome, Cornelia…

  • Louis Braille: wondrous gift, punishing recipe

    Lauren HillWalnut Cove, North Carolina, United StatesJack RiggsMorgantown, West Virginia, United States “… as need, the mother of all inventions, taught them …”— Thomas Hobbs, from Leviathan Helen Keller is reputed to have said, “We the blind are as indebted to Louis Braille as mankind is to Gutenberg.”1 The life of Louis Braille (1809–1852), complete…

  • An avalanche of white tissues

    Gail GhaiSarasota, Florida, United States He gives me a golden pearl to vanquish the sputtering sputum cough. A red tablet to quell the scarlet flushing, and an ivory capsule to squash the bronchial terrorists that have invaded the walls of my chest. He crushes ice for lemonade to drown the cactus spines in my throat.…

  • Hieroglyphics

    Gail GhaiSarasota, Florida, United States The room shuffles nervously as the oncologist takes the microphone. He’s the first speaker at the breast cancer lecture and he does not hesitate. Opens with a memorable phrase: Cancer comes to the warm parts of the body. I’ve read that ancient Egyptians noted how malignancy loved those cozy corners…

  • Vigil

    Terri EricksonPfafftown, North Carolina, United States In a care home in Göteborg, Sweden, my husband’s sister, Jensina, sits vigil at the bedside of their Aunt Astrid, who is dying. She holds her hand, speaks to her as if everything is as it was, the two of them talking in Astrid’s apartment, her sharp mind and…

  • Two words in the patient portal

    Paul RousseauMount Pleasant, South Carolina, United States He lost twenty pounds from January to June. Not purposely. Still, he was pleased; at seventy-nine, he looked svelte, and younger. He lost another twelve pounds from July to December. His lips grimaced. He was a stick figure, his bones rising like periscopes amidst clumps of sallow skin.…

  • Discrimination: From Blues to Amazing Grace to sleeves

    Lauren E. HillWalnut Cove, North Carolina, United StatesJack E. RiggsMorgantown, West Virginia, United States “Collective fear stimulates herd instinct, and tends to produce ferocity toward those who are not regarded as members of the herd.” – Bertrand Russell, from “An Outline of Intellectual Rubbish” “Now I know you’re a Blue, but these old eyes don’t…