The Clinic & The Person
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.
The Clinic & The Person
Six Kopeks or Your Life: Two Short Stories about Health Care Professionalism and Access
We draw from two short stories published long ago, but recently discovered, that help us discern whether current problems associated with professionalism in health care and access to health care are unique to our time, or whether they have always been with us in one form or another. One of the stories is Anton Chekhov’s At the Pharmacy, written in 1885 and found in the late 1990s, and the other story is Raymond Chandler’s It’s All Right – He Only Died, written in the late 1950s and found in 2017. A throughline from these stories led us to the classic, 1978 satirical novel, The House of God, by Samuel Shem. We consider its importance to health care professionalism at the time—including our own professional behavior—and whether its influence persists. We conclude musing about how the perspectives these sources offer can be used in modern-day health care.
Links:
See Russell Teagarden’s blog postings at According to the Arts for further analysis of the short stories featured in this podcast, At the Pharmacy (Chekhov) and It’s All Right – He Only Died (Chandler).
At the Pharmacy is included in the anthology, The Undiscovered Chekhov: Thirty-Eight New Stories, as is the story of how the translator, Peter Constantine, found these unpublished works more than a century after they were written. An online version of At the Pharmacy is published in the weekly newsletter, Falltide.
It’s All Right – He Only Died, was published in The Strand Magazine, along with the story of its discovery sixty years after it was first written.
The version of The House of God we referenced in the podcast is the Berkley trade paperback edition, 2010.
After the podcast was released, the New York Times published an investigative report concerning the operation of the New York University emergency department on December 22, 2022 indicating that what Chandler described in his short story is still in practice. And a Kaiser Family Foundation report published on December 21, 2022 concerning the policies and practices many individual hospitals apply in collecting money their patients owe them shows how the issues raised in Chekhov's story still exist.
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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 us at https://www.theclinicandtheperson.com.
Executive producer: Anne Bentley
