The Clinic and The Person is a podcast developed to summon or quicken the attention of health care professionals, their educators, researchers and others to the interests and plights of people with specific health problems aided through knowledge and perspectives the humanities provide. We are guided by how physician-writer Iona Heath sees the arts adding a view to biomedicine “that falls from a slightly different direction revealing subtly different detail” and how that view applies to particular health care situations. Our aim is to surface these views, and our desire is to present them in ways that encourage and enable health care professionals to fully engage, to consider all sources, not just biomedical, in their roles helping people with their particular health problems.
“The Clinic” represents all that Biomedicine brings to bear on disease processes and treatment protocols, and “The Person,” represents all that people experience from health problems. Our episodes draw from works in the humanities—any genre—that relate directly to how people are affected by specific clinical events such as migraine headaches, epileptic seizures, and dementia, and by specific health care situations such as restricted access to care and gut-wrenching, life and death choices. We analyze and interpret featured works and provide thoughts on how they apply in patient care and support; health professions education; clinical and population research; health care policy; and social and cultural influences and reactions.
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The renowned English social realist and portrait painter, Luke Fildes (rhymes with “childs”), created The Doctor in 1891 after Henry Tate commissioned a painting from him for his new museum, the Tate Britain. The subject of the painting was Fildes’ choice. Despite a poor reception among art critics when it was first exhibited, the painting quickly became iconic as the physician ideal. Over its 133-year history, the painting has been used for a variety of purposes, including inspiration, education, propaganda, and politics. During that time, the ways in which the painting represents the physician ideal changed. We talk about these aspects of the painting with Hannah Darvin from Queen’s University in Kingston, Ontario, Canada. She has conducted extensive research into the painting and its creator.
Hannah Darvin’s description of her research for the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
John Brewer Eberly’s diptych rendering a modern version of The Doctor in which computer technology is interjected between doctor and patient.
The next episode will feature opera and how as an art form it can render illnesses in ways that elaborate on bioscience texts and teachings. For examples, we will draw from two operas featuring female characters with tuberculosis (“consumptive heroines”), namely, La Traviata and La Bohème. Joining us will be Linda Hutcheon and Michael Hutcheon, who have combined their expertise in comparative literature and medicine, respectively, with their love for opera into an expansive body of scholarly work making both opera and medicine more interesting and better appreciated.
The scope and intensity of health care products and services available today make it necessary for us to have thoughts about how much of our way of life we would be willing to give up for them. Finding the balance that works for people is a daunting task. They feel the gravitational pull of health care providers and related industries, and they face the pressures family, friends, and cultural attitudes and expectations can put on them to use all the health care services available. We consider this subject as three essayists thought about it. The essayists are Barbara Ehrenreich, Ezekiel Emanuel, and Michel de Montaigne. We identify some of these forces and discuss how the essayists reacted to them in their writings.
Primary Sources:
Ehrenreich, Barbara. Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer; Twelve, 2018.
Emanuel, Ezekiel J. "Why I Hope to Die at 75." The Atlantic, Oct. 2014.
de Montaigne, Michel. The Complete Works. Translated by Donald M. Frame, introduction by Stuart Hampshire. Everyman's Library; Alfred A. Knopf, 2003.
While in Oslo, Norway visiting family, Russell Teagarden went to the National Museum (Nasjonalmuseet) to speak with Øystein Ustvedt, who is a curator and noted expert on the art of Edvard Munch. The interview concentrates on Munch’s work expressing emotional dimensions of anxiety, illness, grief, and suffering. Ustvedt talks about how Munch’s life story explains the sources for his empathy and artistic inclinations, identifies and discusses the paintings particularly effective in expressing emotions illness and suffering generate, and considers how Munch’s work could benefit health professions students and practitioners. Russell’s 5½-year-old granddaughter teaches him how to say, “National Museum” and “goodbye,” in Norwegian, with varying success.
The millions of families dealing with Alzheimer’s disease produce millions of their own stories. We focus on two particular elements that can be part of a family’s story about dementia. One, from a collection of autobiographical stories, centers on an adult daughter with a long-standing, and justifiable antipathy towards her mother, who nevertheless finds a way to aid her when dementia takes hold. And, while doing so, she finds a new relationship with her mother and takes delight in the personality dementia produces for a time. The other, drawn from a novel, centers on various forms of denial a wife exhibits over several years of her husband’s dementia progression.
Featured Content Sources:
Stories from, The Faraway Nearby, by Rebecca Solnit, Penguin Books, 2014
Novel, We Are Not Ourselves, by Matthew Thomas, Simon & Shuster, 2014
What could it be like to have dementia? We can’t know. But the arts can imagine what people with dementia could be going through, and many works have been produced for that purpose. We feature a literary novel (The Wilderness), and a play (The Father) and its movie adaptation, offering sophisticated renderings of dementia for consideration. In the course of our conversation about these works and how they imagine dementia, we include: how an illusionist was part of the creative team in The Father to produce a sense of disorientation among audience members; how the metaphor of “the wilderness” is used in the novel and more broadly in various texts from the beginning of civilization; and how well the psalm used in the novel worked and builds on the place of psalms as texts for understanding how people react when threatened by significant life events.
The Father (play), Florian Zeller playwright, Doug Hughes director, Christopher Hampton translator, NYC Broadway 2016 + tour sites, London West End 2015 + tour sites.
The Father (movie), Florian Zeller screenwriter and director, Christopher Hampton translator, Trademark Films, release date US – 2/26/21, available through many streaming services.
We look to three sources, a movie (The Mountain), a documentary film (The Lobotomist), and a nonfiction book (Desperate Remedies), for perspectives on human fallibility and folly in American asylum psychiatry during the first half of the 20th century. We focus in particular on the consequences of the overconfidence asylum psychiatry exhibited, the problem of medical knowledge in play, and the vulnerability of affected people from an absence of agency. These sources pointed to lobotomies, dental extractions, abdominal eviscerations, insulin comas, and other like illustrative interventions as case studies of what were once hailed as best medical practices that became horrors later. Recognizing that human fallibility and folly are an unchangeable feature of the human condition, we muse about whether we are any less exposed to such horrors today and forever.
Content Sources:
The Mountain – writer / director Rick Alverson, Vice Studios, 2018.
The Lobotomist – writer Barak Goodman, producers and directors Barak Goodman and John Maggio / American Experience (PBS) /available online at Vimeo, 2008.
Desperate Remedies: Psychiatry’s Turbulent Quest to Cure Mental Illness – author Andrew Scull / Belknap, 2022.
Audio clips from the documentary film, The Lobotomist, credits here.
We look at two literary descriptions of self-poisoning through the novels, Belladonna and Madame Bovary, and compare them with classic biomedical texts. We focus on how vividly the literary texts depict what people can go through after having poisoned themselves with belladonna or arsenic, how well these descriptions represent or elaborate on biomedical texts and teaching, and the applications they offer to health care practitioners, students, and the general public.
We are joined by Dr. Kamna Balhara and Dr. Andrew Stolbach, both of whom are associate professors and emergency medicine physicians at Johns Hopkins Medicine. Dr. Balhara also holds undergraduate and graduate degrees in French studies, is a founder and co-director of Health Humanities at Johns Hopkins Emergency Medicine (H3EM), and is a member of the Johns Hopkins Center for Medical Humanities and Social Medicine. Dr. Stolbach is also a medical toxicologist and holds a Master’s Degree in Public Health. Better guests for this episode could not be found. Their expertise on and enthusiasm for the topic and content sources make for an engaging episode.
Links to content sources:
Literary:
Belladonna, by Daša Drndić, translated by Celia Hawkesworth, New York, New Directions, 2017. Madame Bovary, by Gustave Flaubert, Translated by Geoffrey Wall. New York, NY: Penguin Classics; 2003.
Biomedical:
If Pain Were Coupled with Light: The Novel The Illumination with Dr. Ron Boeding
“To have great pain is to have certainty; to hear that another person has pain is to have doubt,” Professor Elaine Scarry has said, and furthermore stipulates that, “Physical pain not only resists language, but actively destroys it.” She has suggested “fictional analogs” could have application in conveying the existence of pain where there is doubt. We consider whether the speculative novel, The Illumination, could serve as a fictional analog. The novel centers on a sudden phenomenon in which a light shines from the part of anyone’s body where there is pain, and so erases any doubt. Though the author’s motivation for the phenomenon was not based on Scarry’s premise, we contemplate possible applications for it in Biomedicine and other realms where people in pain seek help.
We are joined by Dr. Ron Boeding from the iSpine Clinics located in the Minneapolis-St. Paul, Minnesota metropolitan area, serving patients from Minnesota and western Wisconsin. The clinics specialize in spine, neck, and extremity pain disorders and offer comprehensive pain management, interventional procedures, and physical medicine services. Dr. Boeding is board certified in family medicine and interventional pain management.
Sources:
Primary The Illumination by Kevin Brockmeier, Pantheon, 2011. It was named a Best Book of the Year in 2011 by National Public Radio, The Seattle Times, The Kansas City Star, and Philadelphia City Paper.
Secondary The Body in Pain by Elaine Scarry, Oxford University Press, 1985 by John B. Morris, University of California Press, 1991Link:Please send us comments, recommendations, and questions to: russell.teagarden@theclinicandtheperson.com.Thanks for listening, and please subscribe to wherever you get your podcasts, or visit our .
How Terrible it Was: Three Takes on the AIDS Crisis with Dr. Ross Slotten
On this episode, we talk with Dr. Ross Slotten about his memoir, Plague Years: A Doctor’s Journey through the AIDS Crisis. He covers the time from when he entered family medicine practice just as AIDS was emerging, through the crisis, and the decades since as both a physician and a member of the at-risk community of gay men on the north side of Chicago. We also talk with Dr. Slotten about two other sources covering the early years of the AIDS crisis: a documentary film about the first country’s first AIDS unit at San Francisco General Hospital, and a literary novel about a group of gay men with AIDS or at risk for AIDS in Chicago.
We feature four different angles addressing the opioid crisis, mostly as the opioid product OxyContin is involved and as the Appalachian region is affected. Our objective is to show how realms outside Biomedicine—the Humanities, in this case—can provide a range of perspectives suited to preferences, interests, and needs for understanding a particular issue. The four angles we feature are: nonfiction investigative journalism; nonfiction dramatization; narrative nonfiction; and literary fiction. We consider different approaches to selecting the best choice or the best order among available options.
Source Citations:
Macy B. Dopesick. New York; Little, Brown, and Company, 2018 Strong D. Dopesick. John Goldwyn Productions, 2021 (streamed on Hulu) Keefe PR. Empire of Pain. New York; Doubleday, 2021. Kingsolver B. Demon Copperhead; Harper, 2022. (Winner of the 2023 Pulitzer Prize for Fiction)
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The next episode will feature Luke Fildes’ painting, The Doctor (1891) with Hannah Darvin from Queen’s University in Toronto, Canada. Here is the link to the painting from the Tate Britain Museum in London, England. We will focus on how the painting has been viewed as a work of art and how it has served as an ideal of medicine when it was created and since.
Claudia Chaufan, Brooke Hollister, Jennifer Nazareno, Patrick Fox. Medical ideology as a double-edged sword: The politics of cure and care in the making of Alzheimer’s disease. Soc Sci Med 2012;74:788-795.
Please send us comments, recommendations, and questions to: russell.teagarden@theclinicandtheperson.com.
Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.
Executive producer: Anne Bentley
Desperate Remedies
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