Hektoen International

A Journal of Medical Humanities

Tag: stroke

  • Saying goodbye

    Anthony PapagiannisThessaloniki, Greece Her head is bald, her face pale. Only a couple of weeks have passed since her latest cycle of chemotherapy, which imposed its ravages but offered no benefit. The disease is marching relentlessly ahead, the survival horizon drawing closer each day. She is alive only with the help of strong medications that…

  • Hemiplegic migraine, the monster

    Ceres Alhelí Otero PenicheMexico City, Mexico The authors of great literary works allow their readers to enter into the very precincts of their imaginations, leading them to the most fantastical places they could have ever imagined. Sadly, however, the authors who create these magical works are just as prone to suffer from the same terrible…

  • The beginnings of cell theory: Schleiden, Schwann, and Virchow

    JMS PearceHull, England Every schoolchild is taught in biology about cells and their elemental importance. Students of biological and medical sciences also learn about the Schwann cell sheath that invests nerve fibers. What is less well known is how these two are related. Schwann, a physician by training, and Schleiden, a botanist from Hamburg, were…

  • Diagnosis: Neurosyphilis. Treatment: Malaria, iatrogenic

    Howard FischerUppsala, Sweden “The syphilitic man was thinking hard…about how to get his legs to step off the curb and carry him across Washington Street. Here was his problem: His brains, where the instructions to his legs originated, were being eaten alive by corkscrews.”– Kurt Vonnegut, The Breakfast of Champions Julius Wagner-Jauregg, M.D. (1857–1940) graduated…

  • Samuel Johnson: “The great convulsionary”

    JMS PearceHull, England, United Kingdom This paper reproduces in an abridged form an earlier article by its author1 appraising the evidence that Samuel Johnson suffered from Tourette’s syndrome. Several authors have commented on the many eccentricities of Dr. Samuel Johnson (Fig 1).2 Thomas Tyers, for example, has written as follows: His gestures, which were a…

  • Stitches as mending, stitches as healing

    Kelley SwainOxfordshire, England Knitwear designer and disability-access advocate Kate Davies writes of discovering her love of knitting at university: “The movement of your hands helped you to find a different kind of mind space. You lost yourself in the rhythm of your own industry. You made a thing.”1 There is something extraordinary about taking one…

  • The derailment of Franklin Pierce

    Jacob Appel New York, New York, United States Few subjects have attracted as much attention from medical historians, both well-founded and speculative, as the health of United States presidents. Considerable debate exists over the extent of impairment caused by Lincoln’s bouts of melancholia,1 Grant’s alcoholism,2 Wilson’s stroke,3 and Coolidge’s depression4—to name only those chief executives from…

  • Goals of care

    Leah Grant Portland, Oregon It was the beginning of my intern year and I felt like an impostor. Facing new responsibilities in both the hospital and clinic, I was aware of my lack of experience when patients asked for my medical opinion. But as I began to see the same patients again and again in the…

  • General Robert E. Lee’s myocardial infarction: Did illness impact the Battle of Gettysburg?

    Lloyd KleinSan Francisco, California, United States Ascribing the loss of the Battle of Gettysburg to an illness of General Robert E. Lee became common among historians thirty years ago. The legend of his apparently poor judgment in ordering Pickett’s Charge, when appraised in view of his other outstanding military results, has baffled historians, thus appearing…

  • Intubation incarceration: A true tale of torture

    Abram GabrielPiscataway, New Jersey, United States For five days, I could not speak at all. In November 2010, I had a brainstem stroke resulting from an arteriovenous fistula. I spent nearly a month in a coma in a regional teaching hospital, and seven weeks in an acute rehabilitation center. While my mind is now clear,…