Epilogue

Cinema, MD ◽  
2020 ◽  
pp. 295-310
Author(s):  
Eelco F.M. Wijdicks

This epilogue summarizes how medicine has been depicted in cinema through the ages, providing another way to look at the many different histories of medicine. Cinema has used fictional and factual situations, and sometimes just single moments, to show the unpredictability of illness—all is well but then it is not—causing story twists and consternation. Filmmakers may glamorize, exaggerate, misrepresent, or even falsify the practice of medicine, distorting its complexity. Cinema of medicine does not approximate the practice of medicine, nor do practitioners live similarly to their celluloid counterparts. However, medicine as practiced onscreen is plausible with all its cinematic flourishes, and, on balance, salutary. We can learn from it and teach others.

2002 ◽  
Vol 17 (2) ◽  
pp. 57-58
Author(s):  
Alice G Brandfonbrener

Everyone involved in the practice of medicine is acutely aware that the nature of their work has changed dramatically over the past one to two decades. For one thing, given the requisites of dealing with managed care, Medicare, Medicaid, HMOs, and PPOs, there is a new language to be learned. The new systems often demand spending paperwork time in excess of that allowed for clinical work, filling out a myriad of constantly changing forms, and doing battle, not with one’s medical peers but with unseen gatekeepers trained in business not in medicine, in defense of treatment plans. To add insult to injury, and perhaps even more in conflict with the practice of good medicine, are those cases involving (1) workman’s compensation (WC) and (2) personal injury (PI) litigation. Most physicians presumably elected medicine over other professions, including business or law, and thus have reason to resent the proportion of their time taken from what they do best, taking care of patients, by the many administrative and legal aspects of practicing medicine.


Author(s):  
Richard Susskind ◽  
Daniel Susskind

In this chapter we change pace. We run through a group of different professions and offer a glimpse of the many ways in which they are changing, largely because of technology. The picture we present, although wide-ranging and varied, is not held out as comprehensive. It reflects activity only in particular parts of the world, predominantly the Anglo-American region, and at just one point in time—the middle of the second decade of the twenty- first century. In years to come, when we look back on the pages that follow, we will no doubt see, with the acuity of hindsight, that we missed some great case studies, that we included some which might better have been omitted, and that some of our exemplars no longer exist. This is to be expected. It would require many more volumes to carry out an exhaustive survey of technological change across the professions, and it would demand supernatural prescience to isolate the eventual winners. But to dwell on any particular case—success, failure, or omission—would be to misunderstand what we are trying to achieve in this chapter and through much of the book. To paraphrase the literary critic Harold Bloom, we are seeking to look beyond any particular ripple on the surface and, with a broad sweep through our chosen professions, to capture the deeper current of change that we sense is flowing below. In The Patient Will See You Now, Eric Topol, cardiologist and professor of genomics, anticipates that ‘[w]e are embarking on a time when each individual will have all their own medical data and the computing power to process it . . . from womb to tomb . . . even to prevent an illness before it happens’. There are many other commentators who are making predictions in this spirit. And the contrast with the current and long-established practice of medicine by doctors could not be starker. Traditionally, when people suspect something might be amiss with their health they book an appointment, they show up in person, they sit in one or more face-to-face interactions with individual experts, who in turn prescribe courses of action, often to be implemented by the patients once they leave.


2016 ◽  
Vol 25 (6) ◽  
pp. 651-666 ◽  
Author(s):  
Carol Sanger

This essay examines the complex and contradictory nature of how the issue of abortion is discussed in the U.S. today. In political debate, on conservative news stations, and outside abortion clinics, abortion is regularly shouted about loudly and with great conviction by those who want to see the procedure recriminalized. Yet at the level of individual experience, abortion is rarely discussed, even among close friends and relatives. How is it that a medical procedure, legal since 1973, remains a source of shame and secrecy? To answer that question, this essay identifies the categories into which the subject of abortion commonly falls and argues that so many things in the U.S. are about abortion because abortion itself is about so many things: medicine, religion, rights, regulation, morality, sex, gender, families, and politics. There are complicated views toward abortion within each area, and they complications increase when one area intersects with another -- religion and law, politics and reproduction, the practice of medicine and the regulation of abortion. Disaggregating the many factors about which citizens have strong beliefs reveals how the subject of abortion is an opaque slate upon which concerns not just about fetal personhood but about states’ rights or teenage promiscuity or women’s power can also be inscribed. Talking more openly about abortion will help normalize a decision made by millions of women each year so that the decision can be made outside the parameters of shame and secrecy that so often now set the scene for women with unwanted pregnancies.


1859 ◽  
Vol 5 (28) ◽  
pp. 257-285 ◽  
Author(s):  
C. Lockhart Robertson

[This paper was intended to have been read at the December Meeting of the Brighton anil Sussex Meclico-Chirurgic.il Society, of which the writer is a member. His aim was to present a brief outline of the data on which the physician basto form his prognosis in cases of mental disease, and he makes here no pretensions to add any new facts to those already familiar to the Psychologist; his object was rather to put together a few observations on this important subject which might interest his professional brethren—members of the society—engaged in the more general practice of medicine, and to serve to raise, during that evening, an interest in the probable results of treatment in his own specialty. Circumstances having arisen to prevent the communication being made in the proposed form, it is here printed in the hope of directing the attention of the members of the Association of Medical Officers of Asylums and Hospitals for the Insane to the many important questions in the general prognosis of mental disease, which their daily practice enables them to observe and to solve with a fulness and accuracy which the writer cannot hope from his own limited experience to have here attained.]


Author(s):  
MICHAEL MCFARLANE

This review aims to discuss the advances in artificial intelligence (AI) and the role it now plays in surgery. The discussion outlines the many capabilities of AI in improving the way in which surgery is conducted and a critical review of new AI developments. Artificial intelligence now well established in several industries has now begun to make a change with significant improvements in the practice of medicine. The use of algorithms that allow advanced computers to have cognitive functions that simulate human thought and actions has given rise to image and speech recognition, and autonomous robots that can perform unsupervised tasks relying on vast databanks of information. A transition from traditional laparoscopic surgery to robotic surgery has already taken place. Artificial intelligence is now beginning to extend the capabilities of surgical robots to encompass autonomy, which will allow them to use information from their surroundings, recognize problems and implement the correct actions without the need for human intervention. Advances in computing capability, machine engineering and robotics and the ever improving development of smart algorithms is allowing growth of the application of AI at a rapid pace. These developments have resulted in the development of nanorobots that function on a scale of nanometers and have become the next generation system to be integrated with AI and surgery. The use of this technology has resulted in advances in neurosurgery, vascular surgery and oncology. The future of surgery, like other fields in medicine will be data driven with a significant input from technology. Artificial Intelligence is one advancement that will play a significant role.


2017 ◽  
Vol 3 (2) ◽  
pp. 1-28
Author(s):  
Michelle Jamieson

Psychosomatic medicine was an interdisciplinary medical field established in the late 1930s in response to growing dissatisfaction with the Cartesianism assumed in both general medicine and psychiatry. Seeking a method that could address the many health conditions that fell outside the scope of any particular specialisation, advocates of this movement were doctors, psychiatrists and psychoanalysts who insisted on treating the organism as a whole. Among these was Helen Flanders Dunbar, an enigmatic psychiatrist and philosopher, who insisted that the success of medicine rested on its ability to apprehend the interrelationality of mind and body as an object in its own right. This article shows that Dunbar’s ambition to develop a practice of medicine that would more faithfully address the organism as whole, rather than fragment, evokes the larger issue of how we can know and study life objectively. Drawing on the works of feminist STS scholars Karen Barad and Donna Haraway, I show that Dunbar grappled with the situatedness of knowledge practices – and specifically, the relationship between object and method – as a central concern of her discipline. I argue that psychosomatic medicine is an example of feminist thought as science because its very practice relies on holding alive questions about the nature of objectivity, truth and the ontological entanglement of ‘what’ and ‘how’ we know


2018 ◽  
Vol 41 ◽  
Author(s):  
Wei Ji Ma

AbstractGiven the many types of suboptimality in perception, I ask how one should test for multiple forms of suboptimality at the same time – or, more generally, how one should compare process models that can differ in any or all of the multiple components. In analogy to factorial experimental design, I advocate for factorial model comparison.


2020 ◽  
Vol 43 ◽  
Author(s):  
David Spurrett

Abstract Comprehensive accounts of resource-rational attempts to maximise utility shouldn't ignore the demands of constructing utility representations. This can be onerous when, as in humans, there are many rewarding modalities. Another thing best not ignored is the processing demands of making functional activity out of the many degrees of freedom of a body. The target article is almost silent on both.


2020 ◽  
Vol 43 ◽  
Author(s):  
Michael Tomasello

Abstract My response to the commentaries focuses on four issues: (1) the diversity both within and between cultures of the many different faces of obligation; (2) the possible evolutionary roots of the sense of obligation, including possible sources that I did not consider; (3) the possible ontogenetic roots of the sense of obligation, including especially children's understanding of groups from a third-party perspective (rather than through participation, as in my account); and (4) the relation between philosophical accounts of normative phenomena in general – which are pitched as not totally empirical – and empirical accounts such as my own. I have tried to distinguish comments that argue for extensions of the theory from those that represent genuine disagreement.


1997 ◽  
Vol 161 ◽  
pp. 179-187
Author(s):  
Clifford N. Matthews ◽  
Rose A. Pesce-Rodriguez ◽  
Shirley A. Liebman

AbstractHydrogen cyanide polymers – heterogeneous solids ranging in color from yellow to orange to brown to black – may be among the organic macromolecules most readily formed within the Solar System. The non-volatile black crust of comet Halley, for example, as well as the extensive orangebrown streaks in the atmosphere of Jupiter, might consist largely of such polymers synthesized from HCN formed by photolysis of methane and ammonia, the color observed depending on the concentration of HCN involved. Laboratory studies of these ubiquitous compounds point to the presence of polyamidine structures synthesized directly from hydrogen cyanide. These would be converted by water to polypeptides which can be further hydrolyzed to α-amino acids. Black polymers and multimers with conjugated ladder structures derived from HCN could also be formed and might well be the source of the many nitrogen heterocycles, adenine included, observed after pyrolysis. The dark brown color arising from the impacts of comet P/Shoemaker-Levy 9 on Jupiter might therefore be mainly caused by the presence of HCN polymers, whether originally present, deposited by the impactor or synthesized directly from HCN. Spectroscopic detection of these predicted macromolecules and their hydrolytic and pyrolytic by-products would strengthen significantly the hypothesis that cyanide polymerization is a preferred pathway for prebiotic and extraterrestrial chemistry.


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