Hektoen International

A Journal of Medical Humanities

Tag: diagnosis

  • Drs. Joseph Bell, Arthur Conan Doyle, William Osler, and the method of Zadig

    Howard FischerUppsala, Sweden “The whole of medicine is observation.”– William Osler, M.D. M. de Voltaire, the pen name of François-Marie Arouet (1694–1778), was an Enlightenment historian, philosopher, and writer. He opposed France’s absolute monarchy and the power of the church. He wrote 2,000 books and pamphlets, was imprisoned twice, and was once exiled to England…

  • A celebrated occasion

    Eli EhrenpreisChicago, Illinois, United States She arrives at the office early, looking as if she stepped from a portrait. Her blue eyes glimmer with tears. “My gynecologist has been treating me for hemorrhoids, but the bleeding has been getting worse. It started when I had my boys.” This is not usually a serious problem at…

  • 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…

  • Parkinson’s

    Glen P. Aylward Springfield, Illinois, United States In Parkinson’s, the colors express the emotional intensity and frustration experienced by those with Parkinson’s Disease, while the inflammation and anatomic components of the disease are also depicted by the shapes. I have experienced these emotions and symptoms since my diagnosis of PD 8 years ago. The painting is…

  • A jigsaw puzzle

    Julia NguyenPhoenix, Arizona, USA Imagine yourself browsing the Entertainment section at the local store. Of all the sections you could possibly be in—Beauty, Grocery, Household, Pharmacy—here you are at the Entertainment section, looking for a jigsaw puzzle. There are so many choices: outdoor scenery or abstract? A 1,000-piece puzzle or just 500? Whatever you choose,…

  • “The GBM in Room 9”: On the objectifying power of naming and diagnosing

    Atara MessingerToronto, Ontario, Canada I wheeled the patient through the double doors into the operating room. As I parked the hospital bed next to the operating table, I quickly glanced at the patient’s chart. NAME: ‘J.’ AGE: 28. HISTORY: Progressive headaches, visual changes, and right-sided weakness. IMAGING: MRI of the brain shows contrast-enhancing mass with…

  • Naming diseases

    JMS PearceHull, United Kingdom I tried to unveil the stillness of existence through a counteracting murmur of words, and, above all, I confused things with their names: that is belief.— Jean-Paul Sartre, The Words Disease implies the converse of health, but even health itself is difficult to define. With the gifts of technology the practice…

  • Joseph Bell, supreme diagnostician

    The professor produced a vial filled with a bitter amber-colored liquid and asked the medical students to dip a finger in it and taste it, so he could determine how many of them had developed their powers of observation. The students grimaced but did as they were told, and the professor likewise dipped his finger…

  • Quickly now, where does it hurt?

    Chris SumbergClinton, Tennessee, United States In Life on the Mississippi, Mark Twain chronicled his difficult apprenticeship as a steamboat captain, relating his transition from simple observer who admires the beauty of the Mississippi River to designated protector of passengers and property, one who views eddies of water not as beautiful things in themselves but as…