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  • Format: ePub

This collection of medical stories explores ethical dilemmas, moral courage, and human dignity through the eyes of physicians working in challenging environments. The stories are linked by themes of institutional corruption, professional duty, and the complex relationships between doctors, patients, and hospital administrators.
Key themes include:
- The tension between medical ethics and institutional pressures, especially around patient care vs. profit
- The human cost of administrative decisions and systemic failures
- Acts of moral courage by medical professionals, often at
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Produktbeschreibung
This collection of medical stories explores ethical dilemmas, moral courage, and human dignity through the eyes of physicians working in challenging environments. The stories are linked by themes of institutional corruption, professional duty, and the complex relationships between doctors, patients, and hospital administrators.

Key themes include:
- The tension between medical ethics and institutional pressures, especially around patient care vs. profit
- The human cost of administrative decisions and systemic failures
- Acts of moral courage by medical professionals, often at personal cost
- The particular challenges faced by marginalized patients and healthcare workers
- The lasting psychological impact of medical trauma on caregivers

Notable stories include a new intern facing an understaffed hospital ("A World Famous Place"), a doctor protecting a terminal patient's dignity ("Since You're Going to Die Anyway"), and healthcare workers confronting racial violence during the 1967 Detroit riots ("Body Forty-Four"). The collection concludes with "The Nurse Killer," which examines the risks faced by frontline medical workers during disease outbreaks.

Throughout, the collection highlights how medical institutions can either support or undermine the fundamental mission of patient care, while celebrating those who maintain their humanity and ethical principles despite systemic pressures.


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Autorenporträt
Detroit, the city of my youth, was muscle cars, Motown music and Tiger baseball.

Then the 1967 riots or civil insurrection and the Algiers Motel incident exposed a city of which I was unfamiliar. It concerned me that Detroit could hold this degree of internecine hatred and violence.

The following year I ventured downtown and started boxing. I was sixteen, and old enough to compete in the Detroit Golden Gloves tournament. My goal was to achieve some understanding and insight into the root cause of racism and perhaps win a trophy. Although I did not win a trophy, the experience has influenced and enlightened me in many positive ways

I went to Michigan State University during the turbulent 1960's and early seventies. It was a time of the lunar landing but also the assassinations of Martin Luther King and Robert Kennedy. The Vietnam War would take 55,000 lives. (average age nineteen)

This influenced me as well, some positive and some negative.

College appealed to me and I hung around as long as I could. I graduated from the Michigan State University College of Human Medicine in 1977 with an MD. Then an internship at the Mayo Clinic, internal medicine residency at the University of Virginia and a fellowship at the Massachusetts General Hospital with a Harvard appointment for the study of kidney disease and clinical nutrition.

I returned to Detroit and have been in the practice of medicine since 1983.

The patients and my colleagues inspire my writing and suggest its themes.