Nise: The Heart of Madness

Nise: The Heart of Madness (Portuguese- Nise: O Coração da Loucura)  Commentary Nise da Silveira was born in Brazil in 1905. She was a lot of things – the only female student of her graduating class in medical school, a student of Carl Jung and a pioneer of occupational therapy in Psychiatry. In this film, Nise: Read More …

Deplorable consequences

The chief danger lies in the possibility of a spontaneous rupture of the uterus… Spon-tan-e-ous… If in introducing his hand into the uterus the obstetrician encounters any hindrances to penetrating to the foot, whether from lack of space or as a result of a contraction of the uterine wall, he should refrain from further attempts Read More …

A change of heart

A doctor’s visit, Anton Chekhov (1898) ‘I have palpitations of the heart’ she said, ‘It was so awful all night….I almost died of fright! Do give me something.’ ‘I will, I will; don’t worry yourself.’ Korolyov examined her and shrugged his shoulders. ‘The heart is all right’, he said; ‘it’s all going on satisfactorily; everything Read More …

Laughs ironic, Byronic, and sardonic

27th May 1892 Three incidents have made me laugh to-day: the laugh ironic, the laugh Byronic, and the laugh sardonic! Firstly, on visiting an elderly patient who has suffered acutely for many years from a form of tic douloureux, I found her overjoyed at the wonderfully beneficial effects of some pills which I had prescribed. Read More …

In this room I had pronounced patients dead

When breath becomes air. It was my primary care doctor, calling with the chest X-ray result: my lungs, instead of being clear, looked blurry, as if the camera aperture had been left open too long. The doctor said she wasn’t sure what that meant. She likely knew what it meant. I knew. Lucy picked me Read More …

What did I gain in my training?

First, I had mastered the practical basis of my profession, the art and craft of Medicine, which begins and develops only after a man leaves University and Hospital. Secondly, I had endured an extremely severe training and initiation: the very best I could have had. It not only made one exact, punctual, and methodical; but Read More …

The last 1000 days

The last 1000 days, Molly Case Commentary As we slowly make the shift to practice realistic medicine, where “patients are at the centre of decision making”, it’s more important now to understand what’s truly important to those who are at the receiving end of medical care. The poem The last 1000 days is written in a language Read More …