Bert Hansen Lecture

Eugene Smith, photo of Maude Callen from the Nurse Midwife series for Life Magazine, 1951

Eugene Smith, photo of Maude Callen from the Nurse Midwife series for Life Magazine, 1951

I thoroughly enjoyed Bert Hansen’s talk on   representations of medical issues last week. As noted, he found 1100 articles devoted to medicine in his study of Life Magazine. His focus on Life Magazine thoroughly reinforces how this publication was a leader in a golden period American news photography (1930s-1950s). Henry Robinson Luce launched Life Magazine in 1936 using the key strategy of the photo essay, a group of photographs arranged to explore a theme or tell a story. As Hansen notes, Luce wanted Life Magazine to be a pleasure to look because this will help promote “information that sticks.” The combination of word and text was a powerful means to humanize politics and science. The actual format of the magazine enhanced the pleasure of looking and reading, most notably it’s large -size format and the use of a heavier coated stock with a glossy sheen.  These effects aren’t so evident when you’re looking at slide reproductions so I’ll bring in copies to our next meeting. The images in Life Magazine are exceptionally vivid, such at the one by Margaret Bourke-White of Fort Peck Dam that graces the cover of the first issue of Life. Bourke-White was the first woman photojournalist to work for Life (she was also the first woman photographer to work in combat zones during World War II).  What needs to be contextualized for the impact of Life Magazine’s entry into the publishing world, is that it’s first issue is published during the Great Depression. Therefore, something so beautifully produced would have looked exceptionally luxurious. Lastly, Luce was brilliant with spearheading the way to combine photos and text to tell stories powerfully to mainstream America. To this end, he hired some of the premier photographers of his time, including Eugene Smith who photographed for the 1948 series of the Country Doctor and the 1951 series on the Nurse Midwife. You can see the entire series online on the Life Magazine’s website, including images that were not published.

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Kara’s “Vision”

I wanted to thank Kara for all the works of art she presented on her piece viewing the practitioner through the lens of the humanities. Fascinating stuff! I really enjoyed all of it! Bravo! I discussed some of the work in class this afternoon, bringing up paintings, and the students were enthralled. Working with all of you has been an immense pleasure, and one of the most wonderful collaborations imaginable.

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We are accepted to UNM mentoring conference!!

A group of 4 of the NEH fellows will be presenting on our Grant at the UNM mentoring conference this Fall – Nov 1 st is our day – I believe.

A short paper on our experiences with the Grant and Peer mentoring was also accepted for publication in the conferences Journal.

We will post the article and our presentation slides after the conference.

We are excited that we will be able to disseminate our work and look forward to another collaborative paper at the end of this experience.

 

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My Monstrous Child Talk tomorrow

FYI, I’m giving a lecture on representations of child deformities of the early modern period “Looking at Monstrous Children: From Prodigy to Nature’s Artifice.” It’ll be held in Atrium 631 at 1 PM on Thursday, September 12th.  Here’s a short abstract:

Popular beliefs surrounding monstrous births undergo a transition in the early modernperiod.  Once recognized as prodigies, portents sent by God to warnagainst sin, monstrous births become recognized as reflections of Nature’sbreadth.  Publications such as Ambroise Paré’s publication Des monstres et Prodiges (1575) reveal an interest in considering natural causes for deformed births.  This lecture examines visual representations of monstrous children to demonstrate how the reasons for deformity were sought in the studyof Nature rather than the divine.  It will also show how the rise ofrepresentations of deformities reflects a contemporary desire on the part of artists and scientists alike to better understand the mechanics of Nature. Images of deformed children appear with increasing frequency in medical texts, on popular broadsheets, and in artistic output.  Despite their diverse functions, these images present an interpretation of Nature as a supreme artificer, capable of inventing both the beautiful and the monstrous.

Monstrous Child Lecture Poster 2013

 

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NYT article mentioning Dr. Charon

Hi all,

As promised, here’s the link to the NYT article that Shauna brought in, Juliann Carey’s “When Doctors Discriminate,” an opinion piece in the August 10, 2013 issue of the New York Times.

Click here to go to the NYT website.

Lastly, we have a temporary avatar up for us, it’s a picture of “healing rocks,” and will stay up until we come up with something better!

 

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Describing Our Grant to My Students

I wrote this piece in my blog, The Dearly Departed,  to tell my students about the exciting work we’re doing and how it is affecting them.  In it, you can see images of some of the objects we viewed at the Metropolitan Museum of Art.

 

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End of Module One- Culture in Health and Illness

Dear Fellows

We had an intense and exciting discussion this past week!

Rita Charon’s book Chapter 6 “close reading” led us to “close scrutiny ” Dean Barbara Grumet gave us some additional clarification

“. . . participants [in a narrative writing seminar for oncology service] provided short prose or poems they had written about patients on the unit.  (We met with hospital counsel before starting the seminar and, upon their advice, told our participants not to use patients’ names, unit numbers, or any identifying details).  Anything a clinician writes about identifiable patients, counsel warned, is potentially discoverable.”
This  is in a section called “Narrative Oncology”.  I don’t have a page number on my Kindle but it is about 3/4 of the way through the book.
I haven’t found the passage where she describes legal approval for the Parallel Chart format, but I’m sure she got clearance for it.  There is room in a chart, particularly in a teaching hospital, for this type of material.
This is from the NYS Department of Health website:

Department of Health Memorandum

Access to Patient Information

Patients and other qualified persons have a right to access patient information under Section 18 of the Public Health Law. Section 18 contains the procedures for making records available and the conditions under which a provider can deny access. If access is denied, the patients or other qualified persons are afforded the right of appeal to a Medical Record Access Review Committee (MRARC).  . . .

Personal Notes and Observations

Section 18 of the Public Health Law permits providers to deny access to personal notes and observations. The law defines personal notes and observations as “a practitioner’s speculations, impressions (other than tentative or actual diagnosis) and reminders, provided such data is maintained by a provider.”

It has been suggested that handwritten portions of health care records may all be considered “personal notes and observations” and may be withheld from qualified persons, but this interpretation is “overbroad.” Consequently, Subpart 50-3 of the Department of Health’s Rules and Regulations states “Handwritten notes and observations shall not be presumed to be personal notes and observations.”

As I understand the Parallel Chart, it would fall under the “personal notes and observations” exception to routine sharing of patient records with other providers, insurance companies, and the patient or family, but of course could be subpoenaed.  However the malpractice literature also advises that the best way to prevent malpractice is to make the patient feel that you treating him/her with professionalism, dignity, respect, and honesty.  So if the Parallel Chart helps with this, I say go for it!!!

So , dear Colleagues , hopefully this will help us in our own practices for (the health care providers)  and with our students.

 

Our discussion When the Spirit Catches You showed compassion and sensitivity to both parents and the medical providers. I believe we learning as much from each others disciplines as we are from the readings. The time we have together goes by quickly.We try and ensure all voices are heard.

Like our students we are a most interesting and diverse group!

We are looking forward to the next module ..

Images of Death and Dying

We have our reading packets and movie lists.

I am looking forward to our field trip to the Metropolitan  Museum of Art. I have not been there in over 10 years – I used to visit at Christmas time to see the tree with my children.  I have never gone with colleagues, at this late stage in my life it feels so very Cosmopolitan.

 

 

 

 

 

 

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article on Teaching By Rita Charon

Charon Hermann Commentary A Sense of Story or Why Teach

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Charon

Rita’s articleCharon NEJM Nov15 2012 Reciprocity of Recognition

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Jim & Joy’s Presentation

NYCTT Presentation 2

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