Barbara Brookes
Recently, at the College of Physicians in Philadelphia, I opened a textbook on The Principles and Practice of Nursing by Joseph S. Longshore, published in 1842. Longshore’s book preceded Florence Nightingale’s much more famous 1859 Notes on Nursing. Joseph Longshore is the brother of a woman about whom I’m writing a biography. To my delight the fly page of the book was inscribed ‘To Hattie, With the Compliments of the Author’. Suddenly, with his handwriting there before me, I felt in touch with this remarkable man in a very personal way. To touch a page an author has inscribed is a tactile experience that digital archives lack.
[Read more…] about Dangerous innovations: health professions for women
All medical professionals will recognise a large number of patients who present with symptoms that are difficult to explain or are out of proportion to the condition from which they appear to suffer. These patients present a serious challenge to a medical system which has become increasingly guided by scientific evidence. Under this western medical model, a patient will present with symptoms which can be investigated with various tests or scans, the investigations will confirm a diagnosis and then appropriate treatment can be instituted. Appropriate treatment is considered to be that which has been proven beneficial by scientific method.
When I started my career shift from Hospital Medicine to Palliative Medicine in 2004, my mother asked me “Why in the world do you want to work with people who are going to die? That is so depressing.” My answer then and my answer now is the same. “I am a doctor, I already work with people who are dying—and I know it can be done better.”
originating in the forearm, specialised nerve endings (including Merkel’s discs, Pacinian, Meissner’s and Ruffini’s corpuscles and hair follicle receptor lanceolate endings) which detect light or deep pressure, position, vibration, shapes, edges—hands that are trained to grasp, squeeze, pinch, pat, poke, point, that can stroke a polished surface of marble or plaster or a young baby’s skin and on that smoothness feel the merest rough patch of, say, a tiny grain of salt. Yet by the time a child in our culture is about seven years of age, her hands are already semi-retired. Why?
‘The Faculty of Medicine is undertaking major course revision’. This statement is from a 1995 University of Otago memo. Part of this revision focus was a proposal that the Humanities Division provide a suite of Elective papers for third year medical students. There was already a self-directed option on offer, in which—in consultation with a willing staff member—students had 10 hours a week for five weeks to follow a particular interest. As classes had grown in size, this system had become unwieldy and it was suggested that a more systematic programme of Humanities Electives would broaden students’ appreciation of the art, as well as the science, of medicine.