Hektoen International

A Journal of Medical Humanities

Tag: Vignettes at Large

  • Fixed schedules and no kissing: Child rearing according to Drs. Holt and Watson

    Howard FischerUppsala, Sweden “Trust yourself. You know more than you think you do.”– Benjamin Spock, MD Child rearing “experts” first appeared at the end of the nineteenth century. L. Emmett Holt, MD (1855–1924), graduated from the College of Physicians and Surgeons in 1880. He decided to devote himself to pediatrics, which was not yet a…

  • On orchids and testes

    Howard FischerUppsala, Sweden “You like orchids?…Nasty things. Their flesh is too much like the flesh of men, their perfume the rotten sweetness of corruption.”– John Steinbeck Orchids belong to a widespread group of flowering plants. There are about 28,000 species of orchids worldwide.1 The underground tubers of many European orchids—which contain the plant’s reserve food…

  • Of lice and men

    Howard FischerUppsala, Sweden “By consistently tormenting them / with reminders of the lice in their children’s hair, the / School Physician first brought their hatred down on him / But by this familiarity they grew used to him, and, so / at last, they took him for their friend and adviser.”– “The Poor,” William Carlos…

  • Doctors’ husbands

    Howard FischerUppsala, Sweden “Enjoy when you can, and endure when you must.”– Johann Wolfgang von Goethe The stereotypical image of the “medical couple” is changing: it is no longer the doctor-husband and his nonphysician-wife. This change is permanent and will accelerate, since 60% of American medical students1 and 54% of physicians2 are women. Eighty percent…

  • Paruresis: “Shy bladder” syndrome

    Howard FischerUppsala, Sweden “Keep calm and carry on.”– British motivational poster, 1939 Paruresis is the fear of being unable to urinate without privacy. It is more than simple shyness or embarrassment, but is rather an “intermittent idiopathic form of urinary retention.”1 In severe cases, the individual can only urinate at home, alone. The term “paruresis”…

  • Drapetomania: A “disease” that never was

    Howard FischerUppsala, Sweden “Slavery is next to hell.” – Harriet Tubman “And before I’d be a slave,I’ll be buried in my grave…”– Oh, Freedom, African-American spiritual Slavery arrived in what later became the United States in 1619. Slaves were used mainly as agricultural laborers. In the US South, that meant working with tobacco and cotton…

  • Medical marijuana, caregivers, and jail time

    Remi AlliUnited States Did you know that under current laws in the United States, if you deliver medical marijuana, there is a chance you could land in jail? In some states, a caregiver can be found guilty of illegal possession of marijuana even if it has been approved for medical use. State medical marijuana acts1…

  • Chinese footbinding: A millennium of mutilation

    Howard FischerUppsala, Sweden “Foot binding is the most incendiary and least controversial subject in modern Chinese history.”1– Dorothy Ko, professor of History and Women’s Studies, Barnard College Foot binding was practiced in China from the tenth century through most of the twentieth century. It involved breaking the bones and tightly binding the feet of young…

  • “Phossy jaw”: an industrial horror story

    Howard FischerUppsala, Sweden “The greatest tragedy in the whole story of occupational diseases.”1– Donald Hunter, M.D. (1898–1978) The development of cheap, reliable, and reasonably safe matches became possible with the addition of white phosphorus (P4O10) to the match head mixture. The first factory to use white phosphorus (also called “yellow phosphorus”) in match manufacturing opened…

  • Isaac Bashevis Singer describes koro

    Howard FischerUppsala, Sweden “When I was a little boy, they called me a liar, but now that I am grown up, they call me a writer.”– Isaac Bashevis Singer I. B. Singer (1903–1991) was born in Warsaw, Poland. He lived there and also in rural Poland during the First World War. In 1935 he immigrated…