Hektoen International

A Journal of Medical Humanities

Tag: Winter 2021

  • Schistosomiasis

    Charles Halsted Davis, California, United States She was admitted to Ain Shams Hospital in Cairo after vomiting blood, having slipped into Nile mud while harvesting sugar cane eighteen months before. Surprisingly, she had not fallen into the current, but had regained her footing and survived her fall. Although all seemed well for the next year…

  • Hospitals in Sir Thomas More’s Utopia (1516)

    “But they take more care of their sick than of any others; these are lodged and provided for in public hospitals. They have belonging to every town four hospitals, that . . . are so large that they may pass for little towns; by this means, if they had ever such a number of sick…

  • Kwashiorkor

    Charles Halsted Davis, California, United States An eleven-month-old Egyptian infant sat wailing on a cot, his abdomen pouched out and covered by spider-like purplish veins. His tiny arms and legs were like sticks, except for his swollen ankles. He was brought in by his mother who knew that his food and care would be free,…

  • Winston Churchill’s Illnesses

    Arpan K. BanerjeeSolihull, United Kingdom Winston Churchill was one of the most important political figures of the twentieth century. As such, it is not surprising that he has been the subject of many biographies that have chronicled his life and many achievements, most notably the comprehensive eight-volume opus by British historian and Churchill scholar, Martin…

  • The trouble with the belly button

    Tonse N. K. RajuGaithersburg, Maryland, United States It is a simple dimple in the mid-abdomen. Yet for medieval artists, it caused mighty headaches while painting portraits of Adam and Eve. Painting the dimple as a natural anatomic feature could be construed as sacrilegious, implying that Adam and Eve were connected by umbilical cords to their…

  • Hematoxylin and Eosin Abstraction

    Lily MahlerBirmingham, Alabama, United States Hematoxylin and Eosin Abstraction is a watercolor piece inspired by the histopathology of a liver affected by hereditary hemochromatosis. Bands of deep blue iron deposits cut through a verdant garden of hepatocytes in this composition. LILY MAHLER is a fourth-year medical student at the University of Alabama School of Medicine…

  • 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…

  • Lawson Tait, father of aseptic surgery and gynecology

    Robert Lawson Tait was fifth in a dynasty of pioneers who helped transform surgery from a primitive craft to a sophisticated life-saving art. They all worked for a time at the Edinburgh Royal Infirmary—James Syme (the “Napoleon of Surgery”), Robert Liston (“time me, gentlemen”), James Simpson (“made childbirth painless”), and Robert Lister (“antiseptic surgery”)—and with…

  • Milwaukee’s unlikely public health advocate

    Lea DacyRochester, MN, United States The story of my mother’s possible childhood episode of pertussis (also known as whooping cough) has lived on in family lore because of its link with a notorious legendary figure in Milwaukee history. One Sunday afternoon, Helen Cromell (she later changed it to Cromwell), or “Dirty Helen” as she is…

  • A note on medical metaphors

    JMS PearceHull, England When Winston Churchill memorably referred to his bouts of depression as “black dog,” in two words he painted a picture that embraced feelings, which otherwise would have taken hundreds of words to describe. I have to confess a liking for certain medical metaphors. Though they can be overused in medical and biological…