Category: Vignettes at Large
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Why do physicians write so badly?
Peter ArnoldSydney, Australia An old joke is that pharmacists are the only people who can read physicians’ handwriting. This piece is not about handwriting, but about writing style. Compared with great medical authors, like Somerset Maugham, Conan Doyle, Anton Chekhov, John Keats, and Friedrich von Schiller, most physicians are not good writers. (I could have…
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The two doctors
In the crowded center of an ancient city with churches and minarets, with fragrant spices and fluttering chickens for sale, there practiced two friends who finished medical school in the same year. The one who had graduated at the bottom of the class had a huge practice. The one who came first had very few…
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The old ice box
A popular doctor once had in his office an old icebox that had long ceased to fulfill the function for which it had been created. It was disconnected from electrical power but spacious enough to allow a person to sit in it. The physician would tell his worried, well patients that this was an X-ray…
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The last iron lungs
Charles HalstedDavis, California, United States In the springtime of my internship year, I rotated onto the polio ward where I learned that poliomyelitis could kill by paralyzing the muscles of breathing. Eight years before, Salk had shown that injection of his vaccine of inactive virus could prevent polio about half the time. By nineteen sixty,…
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Our celiac boarder
Charles HalstedDavis, California, United States I listened with care to her history of weight loss, grain aversion, abdominal cramps, and frequent diarrhea. Her great-grandfather was an early California settler who had experienced the same symptoms for many years before he died. My patient, now in the middle years of her life, appeared normal, except for…
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Munchausen by Proxy
Charles HalstedDavis, California, United States My last patient of the morning was a teenage girl, just turned eighteen. She walked in slowly, her face in agony, apprehensive. Her mother said the pain had begun at age twelve, about when she started to menstruate, yet it never let up, periods or not. Refusing food, she began…
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Heart failure
Charles Halsted Davis California, United States By the time I completed my third medical school year, I had learned the basics of physiology and biochemistry, but had never been face-to-face with a person who depended upon my skills to survive. I had never heard a racing heart nor the sounds of gurgling lungs. I was assigned…
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Schistosomiasis
Charles Halsted Davis, California, United States She was admitted to Ain Shams Hospital in Cairo after vomiting blood, having slipped into Nile mud while harvesting sugar cane eighteen months before. Surprisingly, she had not fallen into the current, but had regained her footing and survived her fall. Although all seemed well for the next year…
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Kwashiorkor
Charles Halsted Davis, California, United States An eleven-month-old Egyptian infant sat wailing on a cot, his abdomen pouched out and covered by spider-like purplish veins. His tiny arms and legs were like sticks, except for his swollen ankles. He was brought in by his mother who knew that his food and care would be free,…
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Lucid interval
Emma ManuelEshwar RajeshChennai, India Even during the height of the COVID-19 pandemic, some people like me were silently grateful for the opportunity to spend some time with their family. Born as a single child whose parents got frequent transfers, I had lived with my grandparents to get proper schooling, and then some twenty years passed…