Auscultation

Auscultation

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Auscultation episodes

  • E46 The Death of Ivan Ilyich by Leo Tolstoy

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    Description: 
    An immersive reading of The Death of Ivan Ilyich by Leo Tolstoy with reflection on incontinence, caregivers, and existential distress.

    Website:
    https://anauscultation.wordpress.com

    Work:

    The Death of Ivan Ilyich by Leo Tolstoy translated by Richard Pevear and Larissa Volokhonsky.

    Special arrangements were also made for his stools, and this was a torment to him each time. A torment in its uncleanness, indecency, and smell, in the awareness that another person had to take part in it. 

    But in this most unpleasant matter there also appeared a consolation for Ivan Ilyich. The butler's helper, Gerasim, always came to clear away after him. 

    Gerasim was a clean, fresh young muzhik, grown sleek on town grub. Always cheerful, bright. At first the sight of this man, always clean, dressed Russian style, performing this repulsive chore, embarrassed Ivan Ilyich. 

    Once, having gotten up from the commode and being unable to pull up his trousers, he collapsed into the soft armchair, looking with horror at his naked, strengthless thighs with their sharply outlined muscles. 

    Gerasim, in heavy boots, spreading around him the pleasant smell of boot tar and the freshness of winter air, came in with a light, strong step, in a clean canvas apron and a clean cotton shirt, the sleeves rolled up on his bared, strong, young arms, and without looking at Ivan Ilyich¾obviously restraining the joy of life shining on his face, so as not to offend the sick man¾went to the commode. 

    "Gerasim," Ivan Ilyich said weakly. Gerasim gave a start, evidently afraid he was remiss in something, and with a quick movement he turned to the sick man his fresh, kind, simple young face, only just beginning to sprout a beard. 

    "What, sir?" 

    "I suppose this must be unpleasant for you. Excuse me. I can't help it. " 

    "Mercy, sir." And Gerasim flashed his eyes and bared his young, white teeth. "Why shouldn't I do it? It's a matter of you being sick." And with his deft, strong hands he did his usual business and went out, stepping lightly. And five minutes later, stepping just as lightly, he came back.

    References:

     

    The Death of Ivan Ilyich: https://web.stanford.edu/~jsabol/existentialism/materials/tolstoy_death_ilyich.pdf 

    Tolstoy, Leo, The Death of Ivan Ilyich and Other Stories (Vintage, 2010)

     

    Charlton B, Verghese A. Caring for Ivan Ilyich. J Gen Intern Med. 2010 Jan;25(1):93-5.

     

    Lucas V. The death of Ivan Ilyich and the concept of 'total pain'. Clin Med (Lond). 2012 Dec;12(6):601-2.

    17 min
  • E45 Long Neglect Has Worn Away by Emily Bronte

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    E45 Long Neglect Has Worn Away by Emily Bronte 

    Description: 

    An immersive reading of Long Neglect Has Worn Away by Emily Bronte with reflection on transience and permeance, tuberculosis and facial maladies. 

    Website:

    https://anauscultation.wordpress.com

    Work:

    [Long Neglect Has Worn Away] by Emily Bronte

    Long neglect has worn away
    Half the sweet enchanting smile;
    Time has turned the bloom to gray;
    Mold and damp the face defile.

    But that lock of silky hair,
    Still beneath the picture twined,
    Tells what once those features were,
    Paints their image on the mind.

    Fair the hand that traced that line,
    “Dearest, ever deem me true”;
    Swiftly flew the fingers fine
    When the pen that motto drew.

    References:

    Emily Bronte: https://www.poetryfoundation.org/poets/emily-bronte 

    Bansal R, Jain A, Mittal S. Orofacial tuberculosis: Clinical manifestations, diagnosis and management. J Family Med Prim Care. 2015 Jul-Sep;4(3):335-41.

    Quaranta N, Petrone P, Michailidou A, Miragliotta L, Santantonio M, Del Prete R, Mosca A, Miragliotta G. Tuberculous otitis media with facial paralysis: a clinical and microbiological diagnosis-a case report. Case Rep Infect Dis. 2011;2011:932608.



    16 min
  • E44 Tanka and Haiku by Sadakichi Hartmann

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    Description: 
    An immersive reading of Tanka and Haiku by Sadakichi Hartmann with reflection on tanka, haiku, and aging. 

    Website:
    https://anauscultation.wordpress.com

    Work:

    Tanka and Haiku by Sadakichi Hartmann

    Tanka IX
    Were we able to tell 
    When old age would come our way,
    We would muffle the bell,
    Lock the door and go away
    Let him call some other day

    Haikai IV
    Oh, red maple leaves,
    There seem more of you these eves 
    Than ever grew on trees

    References:

    Tanka and Haikai: 14 Japanese Rhythms (Author’s Edition, 1916): https://www.thehaikufoundation.org/omeka/files/original/007ef74e882c8829c0ec2e7f7eac2f6b.pdf  

    Sadakichi Hartman: https://www.poetryfoundation.org/poets/sadakichi-hartmann 

    Sadakichi Hartman: https://aaww.org/sadakichi-hartmann-missing-link/ 

    Tanka: https://poets.org/glossary/tanka 

    Haiku: https://www.poetryfoundation.org/education/glossary/haiku-or-hokku 

    14 min
  • E43 A Prayer to the Ashvins by Ghosha

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    Description: 
    An immersive reading of A Prayer to the Asvins by Ghosha translated by H. D. Griswold with reflection on physician gods, Gosha, leprosy, praise and gift exchange. 

    Website:
    https://anauscultation.wordpress.com/

    Work:
    A Prayer to the Asvins
    Ghosha translated by H. D. Griswold

    Your car, the swiftly-rolling:, circumambient,
    To be saluted day and night by worshippers,
    Asvins, that car of yours we here invoke,
    Just as the name of father, easy to entreat.

    Arouse the lovely hymns and make our thoughts to swell,
    Stir up abundant riches, — that is our desire ;
    Make glorious our heritage, ye Asvin pair ;
    Yea, make us for our princes like the Soma dear.

    Ye are good luck for her who groweth old at home ;
    The slow — yea even the slowest one — ye help him on ;
    Ye two are called physicians, healers of the blind,
    Yea of the feeble and the one with broken limbs.

    I call to you, O Asvins, listen to my cry,
    And give your help to me as parents to a son ;
    Friendless am I, bereft of relative, and poor,
    Save me, O save me from the curse which rests on me.

    Upon your chariot ye did bring to Vimada,
    To be his consort, Purumitra's lovely maid ;
    Came to the weakling’s wife in answer to her call.
    And to Puramdhi gave the boon of motherhood.

    Unto the singer Kali, who had reached old age,
    Ye gave anew the boon of fresh and youthful strength ;
    ’Twas you that lifted Vandana from out the pit ;
    Ye gave to Vispala the power at once to walk.

    [...]

    Come on that chariot which is speedier than thought.
    That chariot, Asvins, which the Ribhus built for you;
    On yoking which the daughter of the sky is born.
    And from Vivasvat the auspicious day and night.

    This praise-song have we made for you, O Asvins,
    Have fashioned it as Bhrigus build a wagon ;
    Have decked it as the bride is for the bridegroom,
    Presenting it to you as our own offspring.

    References:

    Poem: https://archive.org/details/in.ernet.dli.2015.110065/page/n49/mode/2up 

    Wendy Doniger. Hindu Myths Penguin Classics 1975

    https://chs.harvard.edu/douglas-frame-the-myth-of-return-in-early-greek-epic-6-evidence-for-the-meaning-of-the-indo-european-root-nes/ 

    Cartwright, M. (2016, June 30). Ashvins. World History Encyclopedia. Retrieved from https://www.worldhistory.org/Ashvins/  

    Rig Veda: http://ancientvoice.wikidot.com/src-rvs:rv10-h30 

    Hyde, L. (2007). The gift: Creativity and the Artist in the Modern World. Vintage.

    19 min
  • E42 Hope by Joseph Zarconi

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    Description: 
    An immersive reading of Hope by Joseph Zarconi with reflection on hope, goal concordant care, chemotherapy, and patients with young children. 

    Website:
    https://anauscultation.wordpress.com

    References:

    Zarconi J. Hope. Ann Intern Med. 2024 Apr;177(4):541

    https://www.acpjournals.org/doi/10.7326/M23-2289

     

    Feldman DB, Corn BW. Hope and cancer. Curr Opin Psychol. 2023 Feb;49:101506.

    19 min
  • E41 On Being Ill by Virginia Woolf

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    Description: 

    An immersive reading of On Being Ill by Virginia Woolf with reflection on language, health humanities and bipolar disorder.

    Website:

    https://anauscultation.wordpress.com

    Work:

    Excerpts from On Being Ill by Virginia Woolf

    Finally, to hinder the description of illness in literature, there is the poverty of the language. English, which can express the thoughts of Hamlet and the tragedy of Lear, has no words for the shiver and the headache. It has all grown one way. The merest schoolgirl, when she falls in love, has Shakespeare or Keats to speak her mind for her; but let a sufferer try to describe a pain in his head to a doctor and language at once runs dry. There is nothing ready made for him. He is forced to coin words himself, and, taking his pain in one hand, and a lump of pure sound in the other (as perhaps the people of Babel did in the beginning), so to crush them together that a brand-new word in the end drops out. Probably it will be something laughable. […] Yet it is not only a new language that we need, more primitive, more sensual, more obscene, but a new hierarchy of the passions; love must be deposed in favour of a temperature of 104; jealousy give place to the pangs of sciatica; sleeplessness play the part of villain, and the hero become a white liquid with a sweet taste—that mighty Prince with the moths' eyes and the feathered feet, one of whose names is Chloral.

    References:

    On Being Ill: https://www.gutenberg.net.au/ebooks15/1500221h.html#ch3 

    Bantel C, Sörös P. On pain - Virginia Woolf and the language of poets and patients. Br J Pain. 2021 Nov;15(4):497-500.

    Munday I, Kneebone I, Newton-John T. The language of chronic pain. Disabil Rehabil. 2021 Feb;43(3):354-361. 

    Pett S. Rash Reading: Rethinking Virginia Woolf's On Being Ill. Lit Med. 2019;37(1):26-66. 

    Dalsimer K. Virginia Woolf (1882-1941). Am J Psychiatry. 2004 May;161(5):809. 

    Koutsantoni K. Manic depression in literature: the case of Virginia Woolf. Med Humanit. 2012 Jun;38(1):7-14.

    Bazin, N. T. (1994). Postmortem diagnoses of Virginia Woolf's 'madness': The precarious quest for truth. In B. M. Rieger (Ed.), Dionysus in literature: Essays on literary madness (pp. 133-147). Bowling Green State University Popular Press. 

    17 min
  • E40 Sonnet – To Science by Edgar Allen Poe

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    Description: 
    An immersive reading of Sonnet – To Science by Edgar Allen Poe with reflection on sonnets, science, and Greek and Roman mythology. 

    Website:
    https://anauscultation.wordpress.com/ 


    Work:
    Sonnet—To Science
    By Edgar Allen Poe

    Science! true daughter of Old Time thou art!
       Who alterest all things with thy peering eyes.
    Why preyest thou thus upon the poet’s heart,
       Vulture, whose wings are dull realities?
    How should he love thee? or how deem thee wise,
       Who wouldst not leave him in his wandering
    To seek for treasure in the jewelled skies,
       Albeit he soared with an undaunted wing?
    Hast thou not dragged Diana from her car,
       And driven the Hamadryad from the wood
    To seek a shelter in some happier star?
       Hast thou not torn the Naiad from her flood,
    The Elfin from the green grass, and from me
    The summer dream beneath the tamarind tree?

    References:

    Poem: https://www.poetryfoundation.org/poems/48625/sonnet-to-science 

    Hirsch, E. (1999). How to read a poem: And Fall in Love with Poetry. HarperCollins. 

    Sonnet: https://www.poetryfoundation.org/articles/70051/learning-the-sonnet 

    15 min
  • E39 Open Windows by Sara Teasdale

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    Description: 
    An immersive reading of Open Windows by Sara Teasdale with reflection on mobility, pain, trees and wonder.  

    Website:
    https://anauscultation.wordpress.com/

    Work:
    Open Windows
    by Sara Teasdale

    Out of the window a sea of green trees
    Lift their soft boughs like the arms of a dancer,
    They beckon and call me, "Come out in the sun!"
    But I cannot answer.
    I am alone with Weakness and Pain,
    Sick abed and June is going,
    I cannot keep her, she hurries by
    With the silver-green of her garments blowing.
    Men and women pass in the street
    Glad of the shining sapphire weather,
    But we know more of it than they,
    Pain and I together.
    They are the runners in the sun,
    Breathless and blinded by the race,
    But we are watchers in the shade
    Who speak with Wonder face to face.

    References:

    Sara Teasdale: https://www.poetryfoundation.org/poets/sara-teasdale 

    Ulrich RS. View through a window may influence recovery from surgery. Science. 1984 Apr 27;224(4647):420-1.

    Mihandoust S, Joseph A, Kennedy S, MacNaughton P, Woo M. Exploring the Relationship between Window View Quantity, Quality, and Ratings of Care in the Hospital. Int J Environ Res Public Health. 2021 Oct 12;18(20):10677.

    13 min
  • E38 Suicide Note and Sick Room by Langston Hughes

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    Description: 
    An immersive reading of two poems, ‘Suicide’s Note’ and ‘Sick Room,’ by  Langston Hughes with reflection on suicide, locations of illness and the personification of death.

    Website:
    https://anauscultation.wordpress.com/ 

    Work:

    Suicide’s Note
    By Langston Hughes

    The calm,
    Cool face of the river
    Asked me for a kiss.


    Sick Room
    By Langston Hughes

    How quiet
    It is in this sick room
    Where on the bed
    A silent woman lies between two lovers—
    Life and Death,
    And all three covered with a sheet of pain.

    References:

    The Weary Blues: https://en.wikisource.org/wiki/The_Weary_Blues 

    Langston Hughes: https://poets.org/poet/langston-hughes 

    Harkup, K. (2020). Death by Shakespeare: Snakebites, stabbings and Broken hearts.

    Novotney, A. (2020, March 24). The risks of social isolation. Monitor on Psychology, 50(5). https://www.apa.org/monitor/2019/05/ce-corner-isolation 

    16 min
  • E37 excerpts from Arabian Nights attributed to Scheherazade with translation by Edward William Lane

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    Description: 
    An immersive reading of excerpts from Arabian Nights attributed to Scheherazade with translation by Edward William Lane with reflection on leprosy, the ideal clinician and cutaneous treatments.

    Website:
    https://anauscultation.wordpress.com/ 

    Work:

    The Story of King Yoonan and the Sage Dooban from The Thousand and One Nights attributed to Scheherazade with translation by Edward William Lane. 

    in former times, in the country of the Persians, a monarch who was called King Yoonán, possessing great treasures and numerous forces, valiant, and having troops of every description; but he was afflicted with leprosy, which the physicians and sages had failed to remove; neither their potions, nor powders, nor ointments were of any benefit to him; and none of the physicians was able to cure him. At length there arrived at the city of this king a great sage, stricken in years, who was called the sage Doobán: he was acquainted with ancient Greek, Persian, modern Greek, Arabic, and Syriac books, and with medicine and astrology, both with respect to their scientific principles and the rules of their practical applications for good and evil; as well as the properties of plants, dried and fresh, the injurious and the useful: he was versed in the wisdom of the philosophers, and embraced a knowledge of all the medical and other sciences. […]

    He […] hired a house, in which he deposited his books, and medicines, and drugs. Having done this, he selected certain of his medicines and drugs, and made a goff-stick, with a hollow handle, into which he introduced them; after which he made a ball for it, skillfully adapted; and on the following day, after he had finished these, he went again to the King, and kissed the ground before him, and directed him to repair to the horse-course, and to play with the ball and goff-stick. The King, attended by his Emeers and Chamberlains and Wezeers, went thither, and, as soon as he arrived there, the sage Doobán presented himself before him, and handed to him the goff-stick, saying, Take this goff-stick, and grasp it thus, and ride along the horse-course, and strike the ball with it with all thy force, until the palm of thy hand and thy whole body become moist with perspiration, when the medicine will penetrate into thy hand, and pervade thy whole body; and when thou hast done this, and the medicine remains in thee, return to thy palace, and enter the bath, and wash thyself, and sleep: then shalt thou find thyself cured: and peace be on thee.

    References:

    1001 Nights: https://www.gutenberg.org/files/34206/34206-h/34206-h.htm  

    Leprosy: https://www.cdc.gov/leprosy/index.html 

    Grzybowski A, Nita M. Leprosy in the Bible. Clin Dermatol. 2016 Jan-Feb;34(1):3-7. doi: 10.1016/j.clindermatol.2015.10.003. Epub 2015 Nov 17.

    Eather N, Wade L, Pankowiak A, Eime R. The impact of sports participation on mental health and social outcomes in adults: a systematic review and the 'Mental Health through Sport' conceptual model.

    Oja P, Titze S, Kokko S, Kujala UM, Heinonen A, Kelly P, Koski P, Foster C. Health benefits of different sport disciplines for adults: systematic review of observational and intervention studies with meta-analysis. Br J Sports Med. 2015 Apr;49(7):434-40.

    19 min

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Add a bit of joy and perspective to your practice of healthcare with this humanities-inspired podcast that focuses the lens of art and literature to find fresh views on wellness and illness.…