Hektoen International

A Journal of Medical Humanities

Tag: End of Life

  • The self-destructive urge

    JMS PearceHull, England Preservation of life is often an unwritten axiom of medical practice. Sections on therapeutics in medical books and papers usually assume the obvious: aim to preserve or extend life. They rarely discuss the alternative harm or good that results from allowing nature to take its course unhampered. There are elements in humans…

  • Book review: Why We Die: The New Science of Ageing and the Quest for Immortality

    Arpan K. BanerjeeSolihull, England The subjects of ageing, death, and immortality have long preoccupied human thoughts and culture. The ancient Egyptians practiced mummification out of a belief in an afterlife. Buddhists and Hindus believe in reincarnation with the immortal soul living on in another body. Christianity, Judaism, and Islam also have rites and rituals that…

  • No one is speaking

    Nina SokolDenmark A translated excerpt from the poetry collection No One Is Speaking by Danish writer Birte Kont, depicting when her husband underwent cancer treatment. The collection has received considerable praise in Denmark in its honest portrayal of what loved ones and close kin endure when a family member is diagnosed with cancer. The loved…

  • The lady in red

    Mary Liz OvercashGalveston, Texas, United States The long-term care facility was tucked in the back of a strip mall, behind restaurants and sporting goods stores, as if someone had hidden it away. As I wandered through the halls looking for my patient’s room, I didn’t see a single other person. I knocked softly on the…

  • Plato’s and Bacon’s views on the role of medical care for chronic diseases

    (Abstracted from the essay on Francis Bacon by Lord Macaulay) “To Plato, the science of medicine appeared to be of very disputable advantages. He did not indeed object to quick cures for acute disorders, or for injuries produced by accidents. But the art which resists the slow sap of a chronic disease had no share…

  • Fear of being buried alive

    Howard FischerUppsala, Sweden “Cremation eliminates all danger of being buried alive.”– “Short reasons for cremation,” an Australian pamphlet, c. 1900 It has been said that one of our most common fears is being buried alive.1 Someone is mistakenly thought dead, placed in a coffin, and buried. We will not discuss other forms of alive burials,…

  • The sophia and phronesis of modern medicine

    Meaghan O’ConnorDurham, North Carolina, United States My first clinical experience was working as a hospice aide my sophomore year of college. During that experience I watched my first patient suffer—physically and spiritually—and eventually die. Not bound by the time constraints of more formal medical settings, I was able to walk with my patient through her…

  • Reclamation

    Natalie PerlovPhiladelphia, Pennsylvania, United States Like many people, my first experience with death was losing a grandparent. I remember my parents organizing my late grandfather’s affairs, noting our religious practice of having as few people as possible touch the body before the burial. Our culture emphasizes community and togetherness in life, yet my grandfather died…

  • A time to live and a time to die

    Amera HassanMinneapolis, Minnesota “Well to be honest, doc, I don’t quite care whether I do live or die.” He said it so nonchalantly and he was smiling too, a crow-footed wrinkle on either side of his eyes. When this patient was first admitted to the floor, he was in an undignified state, with flies wafting…

  • Medicalization of death and dying: Room for growth in end-of-life care

    Rose ParisiAlbany, New York, United States In recent years, the way in which Americans cope with death and dying has evolved considerably and become institutionalized and over-medicalized. Whereas over time people have died in their homes, untethered to wires and machinery, modern medicine has turned people into patients and handed them over to medical professionals…