Medical Ethics

2009 Physicians Literature and Medicine Schedule

A light dinner will be served at 6:15 p.m.
Discussion begins at 6:30  p.m.

The meetings are held at:

  • LDS Hospital, Amicus Board Room    

Call 801-581-7170 for more detailed directions.
 
The books are available at The King's English Bookstore and at the University of Utah Health Sciences Bookstore, 581-3755.
The King's English offers a 10% discount to book club members.


December

LDSH Amicus Boardroom

Book: The Secret Scripture, by Sebastian Barry
Facilitator: Aden Ross, PhD

Aden Ross, PhD, writes: "Short-listed for the 2009 Booker Prize, The Secret Scripture, by Sebastian Barry, is a treat to read on all levels--for its perceptive psychology, its stark history, its endearing characters, its surprising plot twists, and its stunningly beautiful style.
 
Roseanne Clear is a 100-year-old Irish woman who has been confined to an insane asylum for decades on end and who is scribbling her story on scavenged paper. Dr. William Grene, the senior psychiatrist at the asylum, must decide which patients will move to a new institution and which ones will be set free, all the while writing his own journal.  The novel turns on the complex, mysterious rapport between the doctor and the patient, on Dr. Grene's attempts to understand both Roseanne and himself and on her remarkable happiness in spite of a life spanning a century of "mad Ireland's" vicious and heartbreaking history.  For both, personal fate and national fate are intimately bound, as are their two narratives.
 
The novel poses important questions, such as who determines who is "sane," especially in the midst of relentless public war and private revenge?  Who determines what is "right," especially between a brutal Catholic ethic and an equally violent Protestant one?  What kind of physician is Dr. Grene?  Given what has happened to Roseanne, how can she possibly be happy?  Most important, what is the "secret scripture" behind the narratives in this novel?"
November selection is cancelled
October 14 LDSH Amicus Boardroom Book: Pygmalion, by George Bernard Shaw
Facilitator: Mark Matheson, D. Phil 

Our facilitator, Mark Matheson, writes: “We know George Bernard Shaw’s Pygmalion (1914) as the source of “My Fair Lady,” one of the most popular musicals of the twentieth century.  The play is built on the ancient myth of the Pygmalion, a sculptor who carves a statue of a beautiful woman – and then proceeds to fall in love with it.   Henry Higgins is the Pygmalion of the play, as he teaches manners and upper-class speech to Eliza Doolittle, a common flower girl.  The charged relationship between them, in which a wealthy and learned man attempts to transform an indigent and uneducated young woman, is the heart of the play.  The asymmetry of power between these two characters is patent, and in this respect it’s not unlike many relationships in the world of health care.  Higgins speaks of the project as an “experiment,” and  the morality of his actions is openly questioned in the play.  The text puts forward some wonderfully provocative topics for our discussion: early twentieth-century feminism, the class and social functions of language, “middle-class morality,” male narcissism, and the dynamics of marriage.  Eliza – famously – does not marry Prof. Higgins at the end of the play.  In his preface, Bernard Shaw refers to Pygmalion as a thoroughly didactic work, and we might consider the lessons it teaches.  But the play is not only didactic, and I look forward to discussing its rich and sympathetic analysis of the evolving relationship between Eliza and Higgins.” 
September 15 LDSH Pugh Boardroom Book: Inside the Halo, by Maxine Kumin
Facilitator: Susan Sample, MFA

Susan Sample, writes: “The title Maxine Kumin selected for her memoir and the word she chose to describe her survival—“a miracle”—might suggest an inspirational account of how the then seventy-three-year-old triumphed over an accident suffered while training for a horse competition.  But the Pulitzer Prize-winning poet is neither sentimentalist nor confessional; her work is acclaimed for its unflinching observations of human frailty and the natural world, especially the New Hampshire farm where she lives with her husband.  Loss and survival are predominant themes she explores with honesty and strength.  Her memoir is no exception.  One reviewer in the New York Times Book Review noted that it “is rarely poetic in the usual sense of heightened metaphor or compacted image.”  While Inside the Halo and Beyond might not be considered transcendental, it is arguably transformative for the writer as well as for readers.  Does that include physicians and health-care professionals? A good place to begin our discussion may be section three in which Kumin details interactions with numerous specialists and the language they use.  To round out our discussion, we’ll read several poems she wrote during recovery to compare and contrast with her memoir. 
August 12 LDSH Amicus Boardroom

Book:  An experiment in reader's theatre with 2 short plays (no prior reading required): "Indian Health Service" by Aden Ross and "Imelda" by Richard Selzer
Facilitators: Aden Ross, PhD and Jay Jacobson, MD

Using a readers' theater format, we will perform and discuss two short plays.  The first, "Indian Health Service," is a play Aden Ross wrote a few years ago which was published and produced in several settings, including one for U of U medical students.  Jay Jacobson will portray an Anglo doctor his own age, and Aden Ross will play a Ute woman elder who is very ill.  The second play, "Imelda," is a short story by Richard Selzer adapted to readers' theater.  For this piece, Aden will ask for volunteers to read the roles and will distribute scripts at the time.

July 8 LDSH Amicus Boardroom

Book: Equus, by Peter Shaffer
Facilitator: Aden Ross, PhD

Our facilitator, Aden Ross, PhD, writes: ""Equus," by Peter Shaffer, dramatizes the journey of a compassionate psychiatrist and his 17-year-old patient, a stable boy who has plunged a steel spike into the eyes of six horses.  Based on an actual event, this incomprehensible crime prompted Shaffer to explore issues ranging from medicine to religion to sexuality, as well as their interrelationships.
 
Ultimately, who defines "normalcy" or "good health"?  How do those definitions impact doctors and patients, both positively and negatively?  Detailing struggles of will on many levels, the play asks if our "gods" enslave or liberate us.  Does our religion (medicine, family, church) console us, or does it encourage us to become god, at once a superior being and the scapegoat for others' pain? "

June 10

LDSH Amicus Boardroom

Book: The Sexual Politics of Sickness, by Barbara Ehrenreich
Facilitator: Mark Matheson, D. Phil.

Our facilitator, Mark Matheson, PhD, writes: “In "Complaints and Disorders: The Sexual Politics of Sickness," Barbara Ehrenreich and Deirdre English offer a feminist critique of the medical profession.  The date of publication was 1973, but the text is not simply a future-looking political manifesto.  In fact the authors devote most of the work to a history of how medicine treated women during the late 19th and early 20th centuries.  They assert that during this period sexist gender ideology was often imposed under the guise of science, and medicine generally played a debilitating and reactionary role in women's lives.  Their analysis is as sensitive to issues of social class as it is to gender, and they claim that medicine "constructed" rich and poor women in substantially different ways.  After completing their historical survey, Ehrenreich and English offer their judgment that the deep ideological drives of medicine had not greatly changed by 1973, though the emphasis had shifted from identifying women as prone to physical invalidism to seeing them as given to mental illness.  The authors conclude with a call for more power for women in making decisions about their own bodies--and in the political process that affects their options and their capacity to make these decisions.  

May 13

LDSH Amicus Boardroom

Book: Life in the Balance: A Physician’s Memoir of Life, Love and Loss with Parkinson’s Disease and Dementia,  by Thomas Graboys and Peter Zheutin
Facilitator: Susan Sample, MFA 

Our facilitator, Susan Sample, writes: “Boston physician Thomas Graboys was at the peak of his career--director of the Lown Cardiovascular Center and clinical professor at Harvard Medical School—when, at age 58, he was diagnosed with Parkinson’s disease (PD) and Lewy body dementia.  Unlike many illness memoirs that follow a chronological narrative, each chapter in Graboys’ is a rumination on issues he has confronted and continues to on a daily basis:  the denial and discomfort of colleagues as they react to his disability; the public persona of disease and performance he feels he must stage among social friends; the impact of a chronic progressive disease on the emotional and physical landscape of his second marriage; the pros and cons of assisted suicide; and the essence of the doctor-patient relationship, among others.  Ultimately, Graboys’ memoir is an unflinching yet inspiring guide for patients, their families, and physicians on how to live with hope.  As a physician-reviewer noted in The New York Times, “This is the kind of book inevitably given to medical students to inoculate them in the humanistic dimensions of medicine.  I wouldn’t waste it on them.  Save it for older doctors, still at the top of their game, gleaming and self-confident.  Each of them could use this textbook of the graceful and courageous exit.”        

March 11 LDSH Classrooms A,B,C

Book: The March by EL Doctorow
Facilitator: Aden Ross, PhD


Our facilitator, Aden Ross, writes: “The March, E. L. Doctorow's prize-winning novel, has as its central character not a single protagonist but one horrendous event in the Civil War--General Sherman's infamous march through Georgia and the Carolinas, destroying everything in its wake.  Among Doctorow's characters, many of whom appear and disappear in the random chaos of the conflict, are former slaves, con men, deserters, photographers and Col. Wrede Sartorius, a Union doctor described as "some god trying to staunch the flow of human disaster."  In this war, like modern ones, the doctor's role is ethically complicated by the ways large-scale human suffering can actually advance medical knowledge and techniques.
 
"War is hell," Sherman famously observed.  And Doctorow asks correlative questions:  What is left after hell?  What can we learn from war, essentially a primeval affliction humans bring on themselves?  What does Sherman's march reveal about contemporary American views on racism, the military, and gender politics?
   

February 11

The Good Thief

LDSH Amicus Boardroom

Book: The Good Thief by Hannah Tinti
Facilitator: Rachel Borup, PhD

Hannah Tinti's The Good Thief is a gothic adventure novel about a one-handed orphan boy who is "adopted" by a conman who puts the boy's disability to all kinds of nefarious uses.  The story is set in hard-scrabble nineteenth-century New England and Tinti's style may remind readers of older authors like Charles Dickens and Mark Twain.  Medical professionals will be fascinated (and horrified) by the story's depiction of the nineteenth-century "resurrection" trade wherein thieves exhumed recently buried bodies and delivered them in dark of night to teaching hospitals in exchange for great sums of money.  Despite all the gore and black humor, this is a heart-warming story with a loveable character at the center.

 January 14

The Tempest

LDSH Amicus Boardroom Book:The Tempest by William Shakespeare
Faciltator: Mark Matheson, D.Phil

This year we'll be considering a variety of texts that deal with the theme of power.  To introduce this series of readings we'll begin with Shakespeare's "The Tempest," which is one of his very last plays.  In it he seems to reflect on many of the great subjects that had preoccupied him as a playwright:  monarchy, usurpation, revenge, forgiveness, the life of the spirit, and the mystery of love.  In the play Prospero, the usurped duke of Milan and a Renaissance magus or magician, uses his magical powers to bring his enemies to his mercy.  Recent readers of the play have focussed on the relationship between Prospero and Caliban, who was the only inhabitant of the island on which Prospero and his daughter were exiled twelve years before the play begins.  Shakespeare wrote the play at a time when European powers were beginning to spread their colonial dominion across the globe, and the Prospero-Caliban relationship in the play's world bears a clear resemblance to that between contemporary European colonizers and colonized peoples in other countries.  This and other power relationships--familial, governmental, personal--are explored with great subtlety in the play.  You might pay special attention to Prospero's famous "revels" speech (4.1.146-63), which is often quoted by itself but which we have the opportunity to read in the context of the play as a whole.  Consider also Prospero's renunciation of his magical powers in act 5--perhaps the most mysterious and significant action in the play.  The epilogue spoken by Prospero continues the drama's sustained engagement with issues of power, bondage, freedom, and forgiveness.  If we read it as embodying a wisdom precipitated through the play's conflicts, how might we interpret the sum of this wisdom?


Physician Literature and Medicine Group

Amicus Boardroom, LDS Hospital

2009 Discussion Schedule

 

January

Wednesday, January 14, 2009 at 6:30 p.m.  

Literature:  The Tempest, William Shakespeare

Facilitator: Mark Matheson, D.Phil                   

February

Wednesday, February, 2009 at 6:30 p.m.      

Literature: The Good Thief, Hannah Tinti

Facilitator: Rachel Borup, PhD

March

Wednesday, March 11, 2009 at 6:30 p.m.     

Literature: The March,E.L. Doctorow

Facilitator: Aden Ross, PhD

**Location Exception: LDS Hospital Classroom A, B & C.

April

Wednesday, April 1, 2009 at 6:30 p.m.          

Literature: A Mercy,Toni Morrison

Facilitator: Rachel Borup, PhD

May

Wednesday, May 13, 2009 at 6:30 p.m.        

Literature: Life in the Balance: A Physician’s Memoir of Life, Love and Loss with Parkinson’s Disease and Dementia, Thomas Graboys and Peter Zheutin

Facilitator: Susan Sample, MFA

June

Wednesday, June 10, 2009 at 6:30 p.m.        

Literature:The Sexual Politics of Sickness,Barbara Ehrenreich

Facilitator: Mark Matheson, D.Phil

July

Wednesday, July 8, 2009 at 6:30 p.m.           

Literature:Equus,Peter Shaffer

Facilitator: Aden Ross, PhD

August

Wednesday, August 12, 2009 at 6:30 p.m.

Literature: A Reader's Theater: "Indian Health Service," by Aden Ross and "Imelda" by Richard Selzer "

Facilitators:Aden Ross, PhD and Jay Jacobson, MD

September

Tuesday, September 15, 2009 at 6:30 p.m. (Note: in LDSH Pugh Boardroom)

Literature:Inside the Halo, Maxine Kumin      

Facilitator: Susan Sample, MFA

October

Wednesday, October 14, 2009 at 6:30 p.m.

Literature:  Pygmalion, George Bernard Shaw

Facilitator: Mark Matheson, D.Phil

November

Wednesday, November 11, 2009 at 6:30 p.m.

Literature: A Personal Narrative  (This session is CANCELLED and  being re-scheduled into 2010)

Facilitator: Brooke Hopkins, PhD

December

Wednesday, December 9, 2009 at 6:30 p.m.

Literature:  The Secret Scripture, Sebastian Barry

Facilitator: Aden Ross, PhD

 

                      

Books are available at:

 

The King’s English bookstore

1511 South 1500 East, Salt Lake City, UT 84105 Tel: (801) 484-9100
and

The University of Utah Health Sciences Bookstore

Located in the HSEB Tel: (801) 581-8049