Tag: patients
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Compassion in the emergency room
Raymond Bellis Stony Brook, New York, United States Photo by JacksonDavid on Pixabay. Yet another shift in the Emergency Department—between the frenzied rush of staff, the constant pinging of monitors, and the chaotic overhead announcements, I didn’t find the environment particularly conducive to healing. But as a dedicated student in my third year…
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Morning rounds
Alan Blum Tuscaloosa, Alabama, United States During my internship, residency, and fellowship in the late 1970s, I kept a visual journal, filling several notebooks with patients’ stories, clinical vignettes, snippets of overheard conversations, and sketches. The two collages in this gallery, drawn in my usual medium of black ballpoint pen on small index cards,…
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Notes on a first abortion
Henry Bair Stanford, California, United States Mother and Child by the Sea. Johan Christian Dahl. 1830. Metropolitan Museum of Art. Public Domain. The first time I saw a late-term abortion by dilation and evacuation, I was surprised that it was a fairly minor procedure. I was to observe the termination at twenty-three weeks of…
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Not-so-natural history
Anthony Papagiannis Thessaloniki, Greece Photo by Anthony Papagiannis Physicians learn about chronic disease by watching its natural history and attempting to modify it with therapies. Cardiologists record episodes of ischemic disease, oncologists follow the progression of malignancies, and pulmonologists note changes in respiratory function over time. When patients are first seen, the disease is…
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Thriving in the face of uncertainty
Sally Mather Chris Millard Ian Sabroe Sheffield, England The experience of uncertainty has appeared as a frequent narrative in articles, autobiographies, and memoirs written by doctors over the last century. A persistent belief that better training, tests, evidence, and pathways will reduce uncertainty has not been borne out in the experience of contemporary clinicians.…
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Great expectations
Anthony Papagiannis Thessaloniki, Greece Summer Calm—image by the author “Doctor, I want you to treat her as a forty-year old!” What is the appropriate answer to a demand like that from a daughter about the treatment of her eighty-eight-year-old mother? Any suggestion that her mother might not do well even with the best treatment…
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Heartbreak in the nursery
Shruthi Ravishankar Chennai, India Image description: Cherry red spot as seen in Tay Sachs disease. The center of the fovea appears bright red because it is surrounded by a milky halo. Photo by Jonathan Trobe, MD. 6 September 2011. Public Domain. Source I began the long drive to the pediatric hospital on a route peppered…
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Washing our hands
Anthony Papagiannis Thessaloniki, Greece Winter Sunshine, Halkidiki, Greece. Photo by the author Ever since Pontius Pilate, the Roman governor of Judea, washed his hands before condemning Jesus Christ to death by crucifixion, this simple act of personal sanitation has been used as the figurative icon of a disclaimer, the denial of responsibility. Today, in…
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“A Veritable Angel of Mercy”: the sardonic representation of Nurse Ratched in One Flew Over the Cuckoo’s Nest
Mariella Scerri Mellieha, Malta Group photograph of the first twenty Navy Nurses, appointed in 1908. Naval Photographer. 1908. Wikimedia. Public Domain. Critical acclaim and popular opinion have elevated Kesey’s first novel, One Flew over the Cuckoo’s Nest published in 1962, to something of a modern classic, much read and written about as well as adapted…