Not Your Father’s Medical Humanities

By Delese Wear & Therese Jones

No one would argue that the definitions of “health” and “medicine” are different.  However,  when some of us began to urge a change regarding those words as modifiers—as in medical humanities being replaced by health humanities—there have been varied responses:  from expressions of puzzlement to charges of academic nitpicking.

Words matter—an assertion often glossed over in academic medicine.  For example, consider the thousands of words written about the important differences between “compliance” and “adherence” (though compliance is still commonly used) as well as an equally large number on the effects of derogatory labels of patients (many of those also still said and heard).  Moreover, the sloppy, varied, and ubiquitous use of educational trends labeled as “professionalism,” “reflection,” and “competencies” has made significant pedagogical deployment and evaluation of them almost meaningless in medical education…
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My Family Doctor

Hearing the Call:  A Feature on How Physicians and Medical Educators Came to Understand their Vocation

By Janet Piskurich

I grew up in a small steel town not knowing about the immune deficiency that caused me to spend more time in my family doctor’s office than most girls my age.  I still remember the mirror on his forehead, the way his mustache moved when he examined my throat and that he always remembered to ask about the high school football game where I had spent too much time screaming cheers.  My mother was busy at our house and didn’t always accompany me.  The doctor’s office was only a few blocks away, and I could be trusted walk that far and not lose the five dollar bill she gave me to pay him…

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What’s Laremy Tunsil Got To Do With It? Professionalism, Social Media, and Medical Education

By Mark Kuczewski

On April 28, 2016, ten minutes before the NFL draft of college players was to begin, the Twitter account of Laremy Tunsil of the University of Mississippi, displayed a video of him wearing a gas mask and smoking from a bong.  Mr. Tunsil was a talented prospect widely believed about to become the second player drafted.  He had done an imprudent action at some point and, allegedly, a hacker made the video record available to the world.  A panic swept through the NFL executives making selections for their teams.  Mr. Tunsil was not selected second as predicted but was passed over until the Miami Dolphins took him with the number thirteen pick in the draft.  Because higher draft picks receive larger contracts than those drafted later, commentators estimate that the drop in draft rank likely cost Mr. Tunsil at least $8,000,000…

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What is a Doctor and What is a Nurse? As Patients, We Have the Answer

By Aaron Michelfelder and Fran Vlasses

As the health care professions struggle with defining a “doctor,” a “nurse,” and all of the other remarkable people comprising the health-care team, it is clear to us that the most important perspective is that of the patient.  Who better to contribute to the conversation than a physician and a nurse who are patients themselves?

The Patient (a physician) on “What is a Nurse?”

It was the outpatient nurse whom I nervously called for an appointment with the surgeon, and who compassionately found a reasonably soon appointment time. At the visit, it was her gentle voice that immediately calmed me, and she who corrected the medication errors in my electronic chart. Later, as I lay on the hospital gurney awaiting surgery, it was the pre-op nurse who recognized the fear on my stoic face. She was the one who squeezed my hand and whispered, “Everything will be alright.” In the operating room through a haze of machines, bright lights, sedatives, and scattered voices, it was the pacemaker nurse, whom I have come to know well over many years, who triggered in me a wave of relief as she deactivated my defibrillator in preparation for surgery.  Before the anesthesia, her face was the last I remember seeing, and hers was the first I saw when groggily recovering as she reactivated my defibrillator She who first relayed the good news of the successful surgery. It was the shaking hands of the student nurse, who attempted to change the IV bag, and his confident nurse professor who together, did everything right. At home, it was the surgical nurse practitioner who called to check on my recovery, and whose compassion and support bubbled through the phone.  All of these extraordinary individuals have different training, duties, and approaches to health care; and yet as a patient, I recognize each of them as a nurse…
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Illness As An Opportunity for Reflection: Enabling the Unseen To Be Seen

By David Leach

On March 1st my aortic valve was replaced. I received extraordinary care, was discharged on the third postoperative day, and am doing very well. When I arrived from the operating room to the intensive care unit I had an endotracheal tube, two chest tubes, an arterial line, a jugular vein Swan-Ganz catheter, two 14 gauge intravenous lines, a urinary catheter, various chest leads monitoring my heart rhythm, a pulse oxygen monitor and I have rarely felt better. In fact I was filled with joy. The Society of Thoracic Surgeons rates the 1300 plus cardiovascular surgery programs in the U.S. and I was happy to discover that my local thoracic surgery program was highly rated. I was grateful to have a disease that was fixable and a surgeon who knew how to fix it. I was also terrified at what I would have to go through to get it fixed. I did not anticipate joy…
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