Hektoen International

A Journal of Medical Humanities

Tag: Vignette

  • From gout to rheumatoid arthritis

    Although the English physician William Musgrave described the symptoms of rheumatoid arthritis in his 1715 publication De Arthritide Symptomatica, credit is usually given to the twenty-year-old French physician Augustin Jacob Landré-Beauvais (1772–1840). Working at the Saltpêtrière in Paris, he described a disease somewhat different from gout or degenerative joint disease. It affected the poor more…

  • Errare humanum est

    Bob ScottScotland “Erring is human; not to, animal”– Robert Frost, The White-tailed Hornet Why is it so difficult to face up to our shortcomings? It is more than 300 years since Alexander Pope wrote1 that a defining characteristic of humankind was to err, while granting forgiveness was at the discretion of a god. Robert Frost’s…

  • Dying young: Bob Marley (1945–1981)

    Howard FischerUppsala, Sweden “In the community of living tissues, the uncontrolled mob of misfits that is cancer behaves like a gang of perpetually wilding adolescents. They are the juvenile delinquents of cellular society.”– Sherwin Nuland, MD, How We Die Bob Marley (1945–1981) was a Jamaican singer, songwriter, musician, and the son of a Jamaican mother…

  • Passing sentence 

    Anthony PapagiannisThessaloniki, Greece  The man facing me across the desk is outwardly calm. He gives an innocent enough history of a vague pain in his back which eventually led his family physician to send him for a chest film. Something did not look right, and a computed lung scan followed. This was the reason for…

  • Book review: Saving Freud: The Rescuers Who Brought Him to Freedom

    Howard FischerUppsala, Sweden “A nation that produced Goethe could not possibly go to the bad.”– Sigmund Freud, 1930 In March 1938, Austria became part of the Greater German Reich. Nazi antisemitism and the exclusion of Jews from society began at once. Dr. Sigmund Freud (1856–1939), the creator of psychoanalysis, could no longer deny what was…

  • The discovery of urea and the end of vitalism

    Mostafa ElbabaDoha, Qatar In history, ancient chemistry is known as “alchemy.” It is different than modern chemistry since it was mixed with philosophy and pseudoscience, although it is considered a protoscience. Alchemy failed to explain the nature of matter and its transformations. However, by experimentation and recording the results, alchemists set the stage for modern…

  • Additional French surgeons

    By the close of the fourteenth century, France emerged as the preeminent center of European surgical practice. Its early pioneers included Theodoric Borgognoni of Lucca (1205–1296), who played a pivotal role in elevating surgery from a craft to a respected medical discipline; Guido Lanfranc of Milan (1250–1315), who further refined surgical techniques; and Henri de…

  • It was the best of times, it was the worst of times

    It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of light, it was the season of darkness, it was the spring of hope, it…

  • Thomas Guy and his statue

    Arpan K. BanerjeeSolihull, England Thomas Guy was probably the greatest charitable benefactor in eighteenth-century Britain. At his death, he had amassed a fortune of over two hundred thousand pounds (worth around 500 million pounds in today’s money). His largesse was directed primarily at Guy’s Hospital in Southwark, London. As a governor of St Thomas’s Hospital,…

  • Unequal encounter: An initiation

    Hugh Tunstall-PedoeDundee, Scotland In October 1961, I started at Guy’s Hospital Medical School in London for three years of clinical training. I was at the very bottom of the clinical hierarchy and put straight onto a surgical ward as a first-year ward clerk responsible for clerking admissions, junior to the third-year senior dressers on the…