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Archives for June 2018

Humour: a tool to knock you off your pedestal

June 25, 2018 1 Comment

Alexander Torrie

For hundreds of years doctors have been placed on a pedestal, achieving a form of celebrity and authority over the lay person. Only doctors, went the logic, understood the confusing puzzle that is the human body. Only doctors could translate its strange signs and symptoms into a language that made sense. This attitude gave rise to paternalistic medicine, a system that implies that an individual’s healthcare is the sole responsibility of the physician. Paternalistic medicine gives the physician the power to make whatever decision they think is in the patient’s best interests, regardless of the actual capacity or desires of the patient.

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Filed Under: Education, Humour, Medical Humanities

The revolutionary pencil

June 25, 2018 3 Comments

Annette Rose

'Tremors' by Jilleen Brice.
‘Tremors’ by Jilleen Brice.

There’s nothing remarkable about a pencil, one would think. But simply by drawing off the page and over the edges of the desk and along the floor and up the walls and out the window and off over the fields, a person can draw a new horizon to aspire to … who knows how radical a doodle can be? Drawing can be a revolutionary act.

My sister has recently taken up that revolutionary pencil. She used to draw and take photographs but life’s demons had dragged her down and she had not done so since the 1970s. Now, however, despite a body crippled by multiple sclerosis (the “glass half-full” kind, slowly progressing), a mental state depleted by depression and chronic post-traumatic stress, and a spirit broken by 30,000 earthquakes (she lives in Christchurch), every day she manages to get up and settle at the kitchen table to do her ‘Arting’, as she calls it. As Franz Kafka wrote:

You do not have to leave your room.  Remain sitting at your table and listen.  You do not even have to listen, simply wait.  Do not even wait, be quiet, still and solitary.  The world will freely offer itself to you to be unmasked …”

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Filed Under: Art, Mental health, Multiple sclerosis, Natural disaster

Song for Rosaleen: “the heartbreak that is dementia”

June 25, 2018 3 Comments

Sue Wootton

song for rosaleenA memoir, by definition, is composed of memories. It is almost unbearably poignant, then, that Song for Rosaleen is a memoir that exists only because of memory loss. Written by Wellington oral historian and editor Pip Desmond, it documents her mother’s slide into vascular dementia and the effects of this on the entire family.

Perhaps this sounds grim – and of course in many ways it is. But Song for Rosaleen is gripping. It is at one level a personal account, at another a meditation on memory itself, and at yet another an erudite critique of how our society treats the frail, dependent and voiceless. For this latter reason alone it should be essential reading for everyone who works in health: management, non-clinical and clinical staff alike.

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Filed Under: Aging, Alzheimer's Disease, Dementia, General Practice, Memoir, Public health, Review

The conversation that includes everything

June 18, 2018 6 Comments

Richard Anderson

conversation“I want some help with a friend of mine because she has mental health problems and you have your own lived experience of mental health issues.”

The whispers of the past pick holes inside me as the conversation continues and I despair, as I listen to my friend’s story, that another person, somewhere out there, has to go through this stuff.

 “Does she have a good relationship with her GP? Does she do the basics right? The eating, sleeping and exercising bit? Does she have any drug issues with alcohol or other drugs? What is her support network like? Are her family and friends close? Does she have a job, money coming in? Does she live alone or with people?

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Filed Under: Care, General Practice, Memoir, Mental health, Psychiatry, Psychology

Laughing over an open body

June 18, 2018 1 Comment

Nicole Walters

human brainFor any medical student, there’s something quite hard to forget about walking into the anatomy lab for the very first time. My shoes squeaked against the blue linoleum floor as I wove my way through rows of grey body bags lying on stainless steel trolleys under that harsh fluorescent white light. What I found challenging about my first encounter with a corpse was that it was so undeniably and certainly human. Structurally there was not much difference between me and the body that lay on the trolley.

Nevertheless, although the body felt so similar to me, so human, the fact of death was so stark, so confronting and so permanent. Even as we all stood around for the introduction, the body seemed more like an object on display than a person.

[Read more…]

Filed Under: Death, Education, Humour, Medical Humanities

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