Internal Medicine A Doctors Stories

Named one of the Best Books of the Year by Kirkus Reviews and BookPage “Illuminates human fragility in tales both lyrical and soul-wrenching.” —Danielle Ofri, New York Times Book Review In this “artful, unfailingly human, and understandable” (Boston Globe) account inspired by his own experiences becoming a doctor, Terrence Holt puts readers on the front lines of the harrowing crucible of a medical residency. A medical classic in the making, hailed by critics as capturing “the feelings of a young doctor’s three-year hospital residency . . . better than anything else I have ever read” (Susan Okie, Washington Post), Holt brings a writer’s touch and a doctor’s eye to nine unforgettable stories where the intricacies of modern medicine confront the mysteries of the human spirit. Internal Medicine captures the “stark moments of success and failure, pride and shame, courage and cowardice, self-reflection and obtuse blindness that mark the years of clinical training” (Jerome Groopman, New York Review of Books), portraying not only a doctor’s struggle with sickness and suffering but also the fears and frailties each of us—doctor and patient—bring to the bedside.

A patient's job is to tell the physician what hurts, and the physician's job is to fix it. But how does the physician know what is wrong? What becomes of the patient's story when the patient becomes a case? Addressing readers on both sides of the patient-physician encounter, Kathryn Hunter looks at medicine as an art that relies heavily on telling and interpreting a story--the patient's story of illness and its symptoms.

First published in 2002. Routledge is an imprint of Taylor & Francis, an informa company.

How patients heal doctors In Patients and Doctors, physicians from around the world share stories of the patients they'll never forget, patients who have changed the way they practice medicine. Their thoughtful reflections on a variety of themes--from suffering to humor to death--help us to understand the experience of doctoring, in all its ordinary and extraordinary aspects. In settings as diverse as Slovenia and Sweden, Cambodia and New Jersey, we learn what makes the healer feel graced with insight or scarred with misadventure. In Washington State, we anguish with patient and doctor alike when a young resident removes a screw from a little boy's foot; on the Israeli-Jordanian border, a woman goes into labor just as the air-raid sirens signal the beginning of the Gulf War. These compelling accounts remind us what is at stake in doctoring, reinforcing the value of stories in the teaching and practice of medicine: to calm, to validate, and to illuminate the human experience. "These stories illustrate humane physicians at their best."--Sharon Kaufman, author of The Healer's Tale

This is a practical and comprehensive guide to communication in family medicine for doctors nurses and staff in the primary healthcare team. It brings together all facets of communication in healthcare including involvement of patients staff and external workers. It shows how to address all aspects of communication in relation to one-to-one situations teaching and groups and encourages the reader to reflect on their own clinical and work experience. Using think boxes exercises and references this is an accessible guide relevant to all members of the practice team.

A NEW YORK TIMES BESTSELLER FINALIST FOR THE 2022 NATIONAL BOOK AWARD FOR NONFICTION Named one of the BEST BOOKS OF 2022 by The New Yorker “Remarkable.” –Andrew Solomon, The New York Times Book Review "At once a rigorous work of scholarship and a radical act of empathy.”—Esquire "A ray of light into those isolated cocoons of darkness that, at one time or another, may afflict us all.” —The Wall Street Journal "Essential."—The Boston Globe A landmark exploration of one of the most consequential and mysterious issues of our time: the rise of chronic illness and autoimmune diseases A silent epidemic of chronic illnesses afflicts tens of millions of Americans: these are diseases that are poorly understood, frequently marginalized, and can go undiagnosed and unrecognized altogether. Renowned writer Meghan O’Rourke delivers a revelatory investigation into this elusive category of “invisible” illness that encompasses autoimmune diseases, post-treatment Lyme disease syndrome, and now long COVID, synthesizing the personal and the universal to help all of us through this new frontier. Drawing on her own medical experiences as well as a decade of interviews with doctors, patients, researchers, and public health experts, O’Rourke traces the history of Western definitions of illness, and reveals how inherited ideas of cause, diagnosis, and treatment have led us to ignore a host of hard-to-understand medical conditions, ones that resist easy description or simple cures. And as America faces this health crisis of extraordinary proportions, the populations most likely to be neglected by our institutions include women, the working class, and people of color. Blending lyricism and erudition, candor and empathy, O’Rourke brings together her deep and disparate talents and roles as critic, journalist, poet, teacher, and patient, synthesizing the personal and universal into one monumental project arguing for a seismic shift in our approach to disease. The Invisible Kingdom offers hope for the sick, solace and insight for their loved ones, and a radical new understanding of our bodies and our health.

Clinical medicine, as a thinking discipline, is concerned not only with what clinicians do, but why. When physicians act in medicine they have some purpose or goal in mind. What they actually do and how they go about it is in the service of their purposes and their goals. Such goals cover a wide range of topics centering on patients, the doctor-patient relationship, the acts of doctoring patients, and the goals involved in being a physician among other physicians working within the institutions of medicine. The Nature of Clinical Medicine takes its direction from a catalog of goals of medicine that range from the expected diagnosis and treatment of diseases to wider concerns for patients, for physicians, and for medicine itself. The chapters are specific in teaching the kinds of knowledge that clinicians require in order to be able to achieve these goals. The central focus of the clinician and of this book is the patient. According to Eric Cassell, everything else, including the disease, is secondary. Using many examples from real-life medical practice, each chapter examines the different kinds of thought involved in caring for the patient. Cassell takes on a variety of difficult issues, from thinking about values to developing wisdom. The care of the dying, what thinking itself is, and finally, why would one want to do this exciting and rewarding but difficult work, come under discussion in this book.

A riveting exploration of the most difficult and important part of what doctors do, by Yale School of Medicine physician Dr. Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration for the hit Fox TV series House, M.D. "The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it—on some level—restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer." A healthy young man suddenly loses his memory—making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment—only to have their symptoms mysteriously return. A young woman lies dying in the ICU—bleeding, jaundiced, incoherent—and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis. Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness—the diagnosis—revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives.

The idea of human dignity is central to any reflection on the nature of human worth. However, the idea is a complex one that also takes on many different forms. This unique collection explores the idea of human dignity as it arises within these many different domains, opening up the possibility of a multidisciplinary conversation that illuminates the concept itself. The book includes essays by leading Australian and International figures.

Easily navigate through the complicated and challenging world of daily on-the-job human interactions, with Health Professional and Patient Interaction, 9th Edition. Covering strategies for effective communication, this time-tested guide offers the tools you need to establish positive patient and interprofessional relationships built on respect. It not only covers respectful actions and good decision-making, but also demonstrates how those decisions directly shape your on-the-job success. Practical examples and authentic scenarios highlight how to apply respect and professionalism to coworkers and patients of various ages and various backgrounds across a wide spectrum of healthcare environments. It’s the foundation you need to effectively and successfully communicate on the job. Overall emphasis on respect sets up a basis for building positive relationships with patients and fellow health professionals through good decision-making. UNIQUE! Authentic scenarios and examples demonstrate strategies and tools for effective communication with patients of all ages in a wide range of health care settings. UNIQUE! Interdisciplinary approach addresses issues that apply to many different healthcare disciplines to help you identify with your specific field as well as recognize themes that apply across the healthcare spectrum. Authentic patient cases give you a more personal connection as to how the various communications and actions discussed in the text affect the patient. Reflections Questions throughout the text challenge you to apply critical thinking skills and your personal experience to different scenarios. Questions for Thought and Discussion at the end of each section help you apply your knowledge to a variety of situations. UNIQUE! New chapter on respectful interprofessional collaboration and communication discusses best practices for respectfully interacting with one’s coworkers across the professional health team. NEW & UNIQUE! Clearer integration of respect throughout the text underscores its necessity across the many different types of interactions between the health professional and patient. NEW! Introduction on how respect impacts a professional’s practice has been added to Part One of the text and covers critical topics such as establishing a professional identity and creating healthy, respectful relationships while being mindful of boundaries within such relationships. NEW! Updated photos feature health professionals engaged in authentic clinical activities.

Health, illness and disease are topics well-suited to interdisciplinary inquiry. This book brings together scholars from around the world who share an interest in and a commitment to bridging the traditional boundaries of inquiry. We hope that this book begins new conversations that will situate health in broader socio-cultural contexts and establish connections between health, illness and disease and other socio-political issues. This book is the outcome of the first global conference on "Making Sense of: Health, Illness and Disease," held at St Catherine's College, Oxford, in June 2002. The selected papers pursue a range of topics from the cultural significance of narratives of health, illness and disease to healing practices in contemporary society as well as patients' illness experiences. Researchers and health care practitioners now live in the age of interdisciplinarity, which has transformed both health care delivery and research on health. The essays in this collection transcend the traditional boundaries of biomedicine and draw attention to the many ways in which health is embedded in socio-cultural norms and how these norms, in turn, shape health practices and health care. This volume is of interest not only to researchers but also to those delivering health care.

Medical care of the terminally ill is one of the most emotionally fraught and controversial issues before the public today. As medicine advances and technologies develop, end-of-life care becomes more individualized and uncertain, guided less by science and more by values and beliefs. The crux of the controversy is when to withhold or withdraw curative treatments--when is enough, enough? Political debates rage about when treatment is no longer effective; difficult cases are contested in courts; and the media devour the most sensational aspects of end-of-life care. In all this excitement and controversy, what is sadly overlooked is the extreme pressure that care of the terminally ill puts on medical staff as they deal with patients and their families and make life-or-death decisions. That pressure--the psychological strain and continuing uncertainties--is magnified when the patients are children. David Bearison looks at this controversial issue from the perspective of the medical staff caring for dying children. Not just doctors, but nurses and counselors as well. By capturing their stories--as no other book has, Bearison is able to move beyond broad, abstract ideas about end-of-life care to convey the situated contexts of such care, including the complications, disagreements, frustrations, confusions, and unexpected setbacks. In addition to a discussion of questions surrounding whether to withhold or withdraw curative treatments, When Treatment Fails explores the crucial concerns of those medical practitioners who care for dying children: education and training, relation with one another, communicating with patients and families, and finally, coping and moving on. Ultimately, the threads connecting these themes are the great costs and rewards of this difficult work, and the lessons that can be drawn from the nitty-gritty experiences of medical practitioners who struggle to find the balance between trying to defeat death and trying to provide comfort.

TRUE STORIES FROM THE NEAR SOUTH is a collection of short fi ction set for the most part in the rural Mid-South. Some of the stories have more urban settings, but all take place in that long-ignored and little-understood area of America where the South meets the mountains. In time, they are set in the mid-twentieth century. They span the period from early industrialization to the invasion of modern American culture carried on the wings of television. Some are sad and some funny, but all tell of a people lost in the middle of American culture.

This handbook summarizes the research on communicative processes as they relate to health and health care, and provides directions for future research. For scholars & professionals in health communication, public health, psychology, & related areas.

Adds 21 new essays and drops some that appeared in the 1984 edition (first in 1978) to reflect recent scholarship and changes in orientation by historians. Adds entirely new clusters on sickness and health, early American medicine, therapeutics, the art of medicine, and public health and personal hygiene. Other discussions are updated to reflect such phenomena as the growing mortality from HIV, homicide, and suicide. No index. Annotation copyrighted by Book News, Inc., Portland, OR

Our personalities and our identities are intimately bound up with the stories that we tell to organize and to make sense of our lives. To understand the human meaning of illness, we therefore must turn to the stories we tell about illness, suffering, and medical care. Stories of Sickness explores the many dimensions of what illness means to the sufferers and to those around them, drawing on depictions of illness in great works of literature and in nonfiction accounts. The exploration is primarily philosophical but incorporates approaches from literature and from the medical social sciences. When it was first published in 1987, Stories of Sickness helped to inaugurate a renewed interest in the importance of narrative studies in health care. For the Second Edition the text has been thoroughly revised and significantly expanded. Four almost entirely new chapters have been added on the nature, complexities, and rigor of narrative ethics and how it is carried out. There is also an additional chapter on maladaptive ways of being sick that deals in greater depth with disability issues. Health care professionals, students of medicine and bioethics, and ordinary people coping with illness, no less than scholars in the health care humanities and social sciences, will find much value in this volume. Unique Features: *Philosophically sophisticated yet clearly written and easily accessible *Interdisciplinary approach--combines philosophy, literature, health care, social sciences *Contains many fascinating stories and vignettes of illness drawn from both fiction and nonfiction *A new and comprehensive overview of the "hot topic" of narrative ethics in medicine and health care

From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services. Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory. They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.

This reference defines the rapidly emerging interdisciplinary field of literature and science. An introductory essay traces the history of the field, its growing reputation, and the current state of research. Broad in scope, the volume covers world literature from its beginnings to the present day and illuminates the role of science in literature and literary studies. This volume includes over 650 A-Z entries on: topics and themes, significant writers and scientists, key works, and important theories and methodologies.

Both the actualities and the metaphorical possibilities of illness and medicine abound in literature: from the presence of tuberculosis in Franz Kafka's fiction or childbed fever in Mary Shelley's Frankenstein to disease in Thomas Mann's Death in Venice or in Harold Pinter's A Kind of Alaska; from the stories of Anton Chekhov and of William Carlos Williams, both doctors, to the poetry of nurses derived from their contrasting experiences. These are just a few examples of the cross-pollination between literature and medicine. It is no surprise, then, that courses in literature and medicine flourish in undergraduate curricula, medical schools, and continuing-education programs throughout the United States and Canada. This volume, in the MLA series Options for Teaching, presents a variety of approaches to the subject. It is intended both for literary scholars and for physicians who teach literature and medicine or who are interested in enriching their courses in either discipline by introducing interdisciplinary dimensions. The thirty-four essays in Teaching Literature and Medicine describe model courses; deal with specific texts, authors, and genres; list readings widely taught in literature and medicine courses; discuss the value of texts in both medical education and the practice of medicine; and provide bibliographic resources, including works in the history of medicine from classical antiquity.

This book reports the results of a linguistic analysis of reflective written texts, produced during medical education or practice. It explores the topics and communication skills the authors write about, how the narratives develop, how these texts are shaped, what genres influence their composition, how relational work surfaces in them and how the writers linguistically create their identities as experts or novices. It is clear that both experienced and trainee medics grapple with the place of emotions in their communicative acts, and with the idea of what it means to be a doctor. The book makes a valuable contribution to genre analysis, interpersonal pragmatics and the study of linguistic identity construction, and will be essential reading for those involved in teaching doctor–patient communication skills.