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9780743201537

On Doctoring; New, Revised and Expanded Third Edition

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  • ISBN13:

    9780743201537

  • ISBN10:

    0743201531

  • Format: Hardcover
  • Copyright: 2001-08-07
  • Publisher: SIMON & SCHUSTER

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Summary

Few subjects hold more universal appeal than that of medicine, and surely few books have evoked medicine's drama and magic more powerfully thanOn Doctoring.In its many forms, from age-old ritual to the cutting edge of modern science, medicine concerns us all. It is a human profession, practiced by people who have dedicated their lives not only to science but also to humanity. In the words of the great physician-writer Sir William Osler, "The physician needs a clear head and a kind heart; his work is arduous and complex, requiring the exercise of the very highest faculties of the mind, while constantly appealing to the emotions and higher feelings." It is the humanity in medicine that has inspired the pens of countless writers, and that has now been captured in this remarkable anthology of medical literature.This newly expanded edition ofOn Doctoringis an extraordinary collection of stories, poems, and essays written by physicians and non-physicians alike -- works that eloquently record what it is like to be sick, to be cured, to lose, or to triumph. Drawing on the full spectrum of human emotions, the editors have included selections from such important and diverse writers as Anton Chekhov, W. H. Auden, William Carlos Williams, John Keats, John Donne, Robert Coles, Pablo Neruda, Ernest Hemingway, Raymond Carver, Alice Walker, Kurt Vonnegut, and Abraham Verghese. Among the new authors included in this edition are Rainer Maria Rilke, Lisel Mueller, and May Sarton.In this era of managed healthcare, when medicine is becoming more institutionalized and impersonal, this book recaptures the breadth and the wonder of the medical profession. Presenting the issues, concerns, and challenges facing doctors and patients alike,On Doctoringis at once illuminating and provocative, a compelling record of the human spirit.

Table of Contents

Introduction 13(6)
It Is Still a Privilege to Be a Doctor
19(3)
Carola Eisenberg
Death, Be Not Proud
22(2)
John Donne
This Living Hand, Now Warm and Capable
24(1)
John Keats
The Stethoscope Song, A Professional Ballad
25(2)
Oliver Wendell Holmes
There's Been a Death
27(1)
Emily Dickinson
Surgeons Must Be Very Careful
28(1)
I Heard a Fly Buzz
28(1)
``Hope'' Is the Thing with Feathers
29(1)
Tell All the Truth
29(1)
Because I Could Not Stop For Death
30(2)
Aphorisms
32(4)
Sir William Osler
Misery
36(6)
Anton Chekhov
In Flanders Fields
42(1)
John McCrae
``Out, Out---''
43(2)
Robert Frost
Excerpt from The Summing Up
45(6)
W. Somerset Maugham
Going Blind
51(1)
Rainer Maria Rilke
The Practice
52(6)
William Carlos Williams
The Artist
58(1)
Between Walls
58(1)
Le Medecin Malgre Lui
59(1)
The Birth
60(1)
The Last Words of My English Grandmother
61(1)
The Girl with a Pimply Face
62(11)
The Use of Force
73(3)
Complaint
76(1)
The Watch
77(1)
Frances Cornford
The Steel Windpipe
78(8)
Mikhail Bulgakov
Baptism by Rotation
86(9)
The Old Gray Couple (I)
95(1)
Archibald MacLeish
The Old Gray Couple (II)
95(2)
The Immortals
97(5)
Jorge Luis Borges
Indian Camp
102(3)
Ernest Hemingway
Hills Like White Elephants
105(5)
A Summer Tragedy
110(9)
Arna Bontemps
My Most Humiliating Jim Crow Experience
119(2)
Zora Neale Hurston
Larynx
121(3)
Pablo Neruda
Musee des Beaux Arts
124(2)
W. H. Auden
The Art of Healing
126(2)
Stop All The Clocks
128(1)
Give Me a Doctor
129(1)
A Worn Path
130(8)
Eudora Welty
Sheep
138(1)
Josephine Miles
Conception
138(2)
The Tides
140(1)
May Sarton
Wanting to Die
141(1)
The Ender, the Beginner
141(2)
Glaucoma
143(2)
Edward Lowbury
House Calls
145(6)
Lewis Thomas
Do Not Go Gentle Into That Good Night
151(1)
Dylan Thomas
Next Day
152(2)
Randall Jarrell
The X-Ray Waiting Room in the Hospital
154(1)
Washing Your Feet
155(2)
John Ciardi
The Bean Eaters
157(1)
Gwendolyn Brooks
Excerpt From Coming into the End Zone
158(8)
Doris Grumbach
Doctor, Talk to Me
166(7)
Anatole Broyard
Faith Healing
173(2)
Philip Larkin
Fortitude
175(16)
Kurt Vonnegut
A Man Told Me the Story of His Life
191(2)
Grace Paley
X-Ray
193(1)
Dannie Abse
Case History
194(1)
Carnal Knowledge
194(3)
In the Theatre
197(2)
Diabetes
199(3)
James Dickey
The Cancer Match
202(2)
Talking to Grief
204(1)
Dennise Levertov
Death Psalm: O Lord of Mysteries
205(2)
Monet Refuses the Operation
207(2)
Lisel Mueller
Men at Forty
209(2)
Donald Justice
A Deathplace
211(2)
L. E. Sissman
Mercy
213(4)
Richard Selzer
Imelda
217(12)
The Exact Location of the Soul
229(5)
The Last Decision
234(1)
Maya Angelou
Excerpt from Her Long Illness
235(1)
Donald Hall
Children Imagining a Hospital
236(1)
U. A. Fanthorpe
The Doctor
237(2)
A Day in the Life of an Internist
239(9)
Richard C. Reynolds
Excerpt from the Call of Stories
248(3)
Robert Coles
Medical Ethics and Living a Life
251(8)
Little Elegy: For a Child Who Skipped Rope
259(1)
X. J. Kennedy
Going
260(1)
Miller Williams
A Day in the Death
261(1)
One More Time
262(2)
Patricia Goedicke
Warning
264(2)
Jenny Joseph
The Five Stages of Grief
266(2)
Linda Pastan
Notes From The Delivery Room
268(1)
Remission
268(2)
The Tenth Circle
270(1)
Paul Zimmer
The Explanation
271(1)
The House Officer's Changing World
272(5)
Joseph Hardison
University Hospital, Boston
277(1)
Mary Oliver
The Black Snake
278(1)
Beaver Moon-The Suicide of a Friend
279(2)
Gaudeamus Igitur
281(4)
John Stone
Talking to the Family
285(1)
The lost Baby poem
286(1)
Lucille Clifton
Poem to my uterus
287(1)
Don't Touch the Heart
288(14)
Lawrence K. Altman
What the Doctor Said
302(1)
Raymond Carver
My Death
303(1)
Errand
304(10)
The Woman Who Could Not Live with Her Faulty Heart
314(2)
Margaret Atwood
Everything Is Going to Be All Right
316(1)
Derek Mahon
There Is No Such Thing As the Moment of Death
317(2)
Marilyn Krysl
35/10
319(1)
Sharon Olds
Miscarriage
320(1)
The Knitted Glove
321(1)
Jack Coulehan
Good News
322(1)
Medicine
323(2)
Alice Walker
Mistakes
325(12)
David Hilfiker
The Dawn of Wonder
337(6)
Melvin Konner
Otherwise
343(1)
Jane Kenyon
Let Evening Come
344(1)
Let's Talk About It
345(2)
David Rinaldi
What Hell Is
347(2)
Heather McHugh
Laundry
349(5)
Susan Onthank Mates
Touching
354(4)
David Hellerstein
Duty
358(2)
David L. Schiedermayer
Excerpt from My Own Country
360(8)
Abraham Verghese
Invasions
368(5)
Perri Klass
Hospital Sketchbook: Life on the Ward Through an Intern's Eyes
373(9)
Elspeth Cameron Ritchie
Lullaby
382(1)
Jon Mukand
First Payment
383(2)
We Are Nighttime Travelers
385(13)
Ethan Canin
El Curandero
398(2)
Rafael Campo
What the Body Told
400(1)
The Shot
401(1)
Gregory Edwards
Excerpt from As I Remember Him
402(1)
Hans Zinsser
Suggestions For Further Reading 403(1)
Additional Resources 404(1)
Permissions 405(6)
Illustration Credits 411(1)
Index of Authors 412(2)
About The Editors 414

Supplemental Materials

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The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

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Excerpts

Introduction

It's the humdrum, day-in, day-out, everyday work that is the real satisfaction of the practice of medicine; the million and a half patients a man has seen on his daily visits over a forty-year period of weekdays and Sundays that make up his life. I have never had a money practice; it would have been impossible for me. But the actual calling on people, at all times and under all conditions, the coming to grips with the intimate conditions of their lives, when they were being born, when they were dying, watching them die, watching them get well when they were ill, has always absorbed me.

In these few sentences from William Carlos Williams's autobiography, he has captured very well the human splendor of medicine. We have tried to do the same in compiling this anthology, which contains stories, poems, essays, excerpts, and memoirs. In the process of caring for their patients, physicians have a unique -- and privileged -- window on the full range of human emotions. Literature, too, is rich in its descriptions of individual illnesses and plagues, in its capacity to reveal patients' reactions to illness and doctors' dilemmas in providing care. In its own way, literature defines the medical profession and fits into the larger society. Legacies and traditions, which are an important part of medicine, are often best manifested in the literature of a given period of history. Many of our selections were written by physicians. Williams and Anton Chekhov, W. Somerset Maugham and Lewis Thomas are only a few of the physician-writers who have relied on their medical backgrounds to help them understand better the frailties and strengths, the wonderment of the human condition. Some carried on a lifelong practice of medicine while simultaneously achieving literary recognition. Dr. Williams is a fine example -- his work, it seems fair to say, changed the face of American poetry, even as he carried on a large medical practice (he delivered over three thousand babies, for example). Somerset Maugham, although he discontinued his medical practice after internship, gave full credit to the experience in his autobiographicalThe Summing Up: "I do not know a better training for a writer than to spend some years in the medical profession." Others, so well known for their writing, were also trained in the medicine of their day. It is not generally known, for example, that the Romantic poet John Keats did a five-year apprenticeship with a surgeon. During those years he delivered so many babies that he was not required to take obstetrics and gynecology during the hospital phase of his training.

Of course, one need not be trained in medicine in order to make cogent and crucial observations about what it is like to be sick, hence vulnerable; to witness and record the isolation and alienation that comes eventually to all of us -- finally, we are all patients. Consider the poems of the late Jane Kenyon and her husband, Donald Hall. Their writings poignantly describe the time before their ultimate separation by her death, in 1995. Their poems are human documents without parallel. In his compelling short story "The Immortals," Jorge Luis Borges (also not a physician) comments trenchantly and presciently on some of the major ethical dilemmas of our time, those centering on organ transplants and utilization of scarce medical resources.

We have included many poems in this anthology. Poems recommend themselves to the editors of such a work because of their economy of form: in a few words a poem can communicate a complete experience. Read aloud Margaret Atwood's "The Woman Who Could Not Live with Her Faulty Heart." In its rhythms one can hear the heart, first regular, then skipping. Or listen to the courage embodied in James Dickey's "The Cancer Match." Read Emily Dickinson's short poems, which transcend time and place to speak to us in completely modern -- and human -- terms. And share with Patricia Goedicke (in "One More Time") the universal experience of having an X ray taken: "When the technician says breathe / I breathe."

Nor have we neglected the wisdom gathered in essays from major clinical figures and teachers over the years; hence, Lewis Thomas's "House Calls" is included. We begin this book, in fact, with just such an essay, one that impressed us from the first time we encountered it in the pages of theNew England Journal of Medicine: Carola Eisenberg's "It Is Still a Privilege to Be a Doctor." The reader will find his or her own favorites among the many others we have included.

This third edition ofOn Doctoringprovided us with the chance to add other voices to those previously included: remarkable writing from physician-writers Mikhail Bulgakov and Susan Onthank Mates, for example. Many writers new to this anthology are well known and widely published: Rainer Maria Rilke, Mary Oliver, Paul Zimmer, Donald Justice, Derek Mahon, and Jenny Joseph. We note with pride that our youngest author ever is included in these pages: Gregory Edwards was ten years old when he wrote his insightful -- and humorous -- poem called "The Shot."

Each one of us, of course, has a vast and vested interest in what goes on in the myriad arenas of medicine -- and in the nature of the individual doctor-patient encounters explored within the pages of this book. This is all to the good: physicians and patients must continue to talk and listen together -- and literature can help in that exchange. As editors, we are pleased to have had some part in this dialogue: prior editions ofOn Doctoringhave had a combined readership of two hundred thousand.

Henry David Thoreau wrote, "To affect the quality of the day -- that is the highest of arts." Both medicine and literature have the capacity to affect the quality of the human day. Resonances between these two disciplines offer us a unique view of the human condition that neither one alone can provide. Read. And enjoy.

The Editors

Copyright © 1991, 1995, 2001 by The Robert Wood Johnson Foundation



Excerpted from On Doctoring
All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.

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