Hektoen International

A Journal of Medical Humanities

Tag: Spring 2019

  • The anthropology of chronic pain

    Charles PaccioneOslo, Norway The global burden of chronic pain is large and growing. About 25% of patients treated at primary care settings throughout Asia, Africa, Europe, and the Americas report persistent pain and as many as 1 in 10 adults are newly diagnosed with chronic pain each year.1 Nearly half of those being treated receive…

  • A quiet night

    Henry BairPalo Alto, California, United States It was the end of the week, the middle of the night, and the beginning of my ER shift. All was quiet, and I was studying at the nurses’ station, still riding the high of having just aced a cardiology exam that was widely regarded as one of the…

  • Gilgamesh and medicine’s quest to conquer death

    Anika KhanKarachi, Pakistan “O Uta-napishti, what should I do and where should I go?A thief has taken hold of my [flesh!]For there in my bed-chamber Death does abide,and wherever [I] turn, there too will be Death.”—From The Epic of Gilgamesh, The Standard Version, Tablet XI1 “O Uta-napishti, what should I do and where should I…

  • Ushers of life

    Genevieve KupskyWashington, D.C., USA “You are on holy ground. Time is sacred, and the veil is thin.” The chaplain left the newly-oriented volunteers with these words as we completed our training. My mind was spinning with the implications of this experience. Each patient we interacted with would have a prognosis of six months to live…

  • The talk

    Akshay KhatriValhalla, New York, United States I walked into the emergency department with a sense of trepidation. The patient I was evaluating was Mrs. G, a woman whom I had cared for in the hospital a few months earlier. Now she was back from the nursing home with more shortness of breath. Having received a…

  • The lost art and the hidden treasure

    Jennifer BinghamPittsburgh, Pennsylvania The puzzle box is empty and the pieces are scattered across the table. After all, a puzzle was never meant to stay in the box. The trouble begins when a few pieces have fallen off the table. The excitement of seeing the purpose and design of the puzzle distract from the realization…

  • The night the troubles erupted in Belfast

    Alun EvansBelfast, United Kingdom When I qualified in medicine at the Queen’s University of Belfast in 1968, Northern Ireland was a curious cocktail of sectarianism and garden parties. I soon discovered that winning the medal in surgery was not such a bright idea when I began my postgraduate career as Professor Harold Rodgers’ single-handed house…

  • Climate trauma in Monique Roffey’s Archipelago

    Lucille MiaoNew Jersey, United States In recent years, the idea of ecological catastrophe has captured the artistic imagination and infiltrated popular culture through novels such as Paolo Bacigalupi’s The Water Knife and television series like teen drama The 100 (2014–). These stories often tell of a post-apocalyptic future in which human-induced climate change has devastated…

  • Bibliotheca Sibbaldiana

    Colin McDowallEdinburgh, Scotland On 5 February 1723 a crowd gathered at the house of the late Sir Robert Sibbald, noted Edinburgh physician, for the auction of his personal library. Sibbald was a considerable collector of books and after his death in August 1722 the sale of his surviving library garnered considerable attention. Although printed as…

  • Wilhelm Werner’s life unworthy of life: A voice from the Nazi Euthanasia Program

    Erika SilvestriBerlin, Germany The medical-scientific sector was among the first to adhere to National Socialism: in 1933, nine doctors sat in Parliament in the ranks of the party.1 After a century of scientific dynamism and in opposition to religious dogma, the eugenic ideal had spread throughout Europe and the United States, taking on the appearance…