Hektoen International

A Journal of Medical Humanities

Tag: California

  • Mary Niles and the Canton rats

    Edward McSweeganKinston, Rhode Island, United States Bubonic plague arrived in Honolulu in December 1899. A month later it had spread to San Francisco, where the infection caused a series of deadly outbreaks until 1907.1 But for decades before plague reached the American west coast, it had burned through rural China. By 1893, the plague reached…

  • Death in the time of corona

    Nivetha SubramanianPalo Alto, California, United States When several years ago, a virus, continents away, barred grieving families from holding their loved ones, I thought how lonely it must be, to breathe a last breath, surrounded by masked strangers. I greet you this morning, pressing your weeping legs, listening to your drowning lungs, and frowning at…

  • Plagues and prejudice

    Anne JacobsonOak Park, Illinois, United States It was a calm, clear January morning on the gritty streets of paradise. Honolulu, the capital of the newly-annexed U.S. territory of Hawaii, was ushering out a century of upheaval that had included the arrival of explorers, missionaries, and deadly diseases such as smallpox and measles; the overthrow of…

  • A case of toxic blood

    Shruthi DeivasigamaniPhiladelphia, Pennsylvania, United States On a blustery winter day, a molecule of water condenses around a particle of dust in the air. The structure grows in size as it falls closer to earth, and before it hits the ground outside, it has crystallized into a perfect, six-sided snowflake. Miles away, a thirty-one-year-old woman is…

  • “I’m really bad with numbers”: Using the mini mental status examination among farm workers in rural California

    Bernardo NgImperial County, California, United States In 1975, Dr. Marshal F. Folstein and his colleagues at Tufts University published the seminal paper “Mini-mental state. A practical method for grading the cognitive state of patients for the clinician.”1 Since then, this test has been widely used by clinicians both to screen for cognitive deficits when a…

  • Hunters

    Nam NguyenPalo Alto, California, United States I led her well into the center of the Russian Market, holding her hand behind me so that I could navigate the two of us around curious eyes. I was careful to stay in the dark, aware that the market had not yet been entirely vacated. A group of…