Getting the News from Poetry   Dean Gianakos, MD Lynchburg Family Medicine Residency November 10, 2010
Barn burned down.  Now we can see the moon. Basho 1644-94
Objectives <ul><li>Make connections between literature  and medicine </li></ul><ul><li>Deepen our understanding of the exp...
Today: <ul><li>Reading patients, reading poetry </li></ul><ul><li>Reading patients, reading stories </li></ul>
Main Goal <ul><li>Have fun! </li></ul>
It is difficult  to get the news from poems   yet men die miserably every day    for lack  of what is found there.
 
 
 
 
 
“ That is why as a writer I have never felt that medicine interfered with me but rather that it made it possible for me to...
The experience of illness
The Sick Wife
The Poor  <ul><li>By constantly tormenting them </li></ul><ul><li>with reminders of the lice in </li></ul><ul><li>their ch...
The Use of Force
 
Framework for resolving ethical dilemmas <ul><li>Medical facts </li></ul><ul><li>Patient values </li></ul><ul><li>Quality ...
Ethical Principles <ul><li>Beneficence </li></ul><ul><li>Autonomy </li></ul><ul><li>Justice </li></ul>
What the Doctor Said
 
 
Reading Patients, Reading Poetry <ul><li>Analysis and presence </li></ul><ul><li>The part and whole </li></ul><ul><li>Lang...
Reading Patients, Reading Poetry <ul><li>Meaning evolves as story unfolds </li></ul><ul><li>Detachment and empathy </li></...
Reading patients, reading poetry: differences <ul><li>Greater urgency </li></ul><ul><li>Face to face </li></ul><ul><li>Gre...
Why do doctors read poetry? <ul><li>Some of them think it’s fun! </li></ul><ul><li>Doesn’t necessarily make better doctors...
I was a late bloomer.  But anyone who blooms at all, ever, is very lucky.  Sharon Olds
Art is a lie that makes us realize truth. Picasso
Poem:  &quot;Philosophy&quot; by Daniel Hoffman  In sophomore year the great philosopher, Then ninety, out of retirement c...
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Getting the news from poetry 2010

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A Powerpoint presentation by Dr. Dean Gianakos of Lynchburg Family Medicine Residency on the ways in which poetry can be a vital source of knowledge for doctors. It was presented at Sweet Briar College on Nov. 10, 2010 to Professors John Gregory Brown and David Griffith's English 104 students.

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  • Original plan: making connections between the two. Will do that, and more. Look at poems, and look at patients. Idea of analysis and experience. Not a poet though I’ve dabbled in it. Original plan: Making connections between the two.
  • To put it another way
  • Who wrote it? News about what can help us. Truth, beauty, meaning. Anothers feelings that somehow help us feel less alone, more hopeful…Not the latest vitamin or medicine that can cure us, relieve our anxiety or depression, or ED…
  • 1883, Rutherford, NJ Mom lover of art and nature “Absolute value in things” 1902 U Penn med French Hospital, NYC children’s diseases, ob, and family practice scribbled lines of poetry on prescription pads in between patients
  • Industrial city Passaic River
  • What news?
  • Ray Carver 1938, Clatskanie, OR taught univ iowa, married a poet Tess Gallagher. Alcoholic. Short stories blue collar folks down on their luck. Poverty, alcoholism. Resolve Clear concise language died of lung cancer
  • Look at words, understand them, to get at meaning of poem. Then, use your imagination I thought about residents, having graduated, in middle of night, on their own, and can’t remember a thing from this lecture or any other faculty member’s- and have to make a decision. We’re on our own, especially family docs.
  • Getting the news from poetry 2010

    1. 1. Getting the News from Poetry Dean Gianakos, MD Lynchburg Family Medicine Residency November 10, 2010
    2. 2. Barn burned down. Now we can see the moon. Basho 1644-94
    3. 3. Objectives <ul><li>Make connections between literature and medicine </li></ul><ul><li>Deepen our understanding of the experience of illness </li></ul><ul><li>Learn how stories can help us to understand ethical dilemmas in medicine </li></ul>
    4. 4. Today: <ul><li>Reading patients, reading poetry </li></ul><ul><li>Reading patients, reading stories </li></ul>
    5. 5. Main Goal <ul><li>Have fun! </li></ul>
    6. 6. It is difficult to get the news from poems yet men die miserably every day for lack of what is found there.
    7. 12. “ That is why as a writer I have never felt that medicine interfered with me but rather that it made it possible for me to write. Was I not interested in man? There the thing was, right in front of me. I could touch it, smell it. It was myself, naked just as it was, without a lie telling itself to me in its own terms.”
    8. 13. The experience of illness
    9. 14. The Sick Wife
    10. 15. The Poor <ul><li>By constantly tormenting them </li></ul><ul><li>with reminders of the lice in </li></ul><ul><li>their children’s hair, the </li></ul><ul><li>School Physician first </li></ul><ul><li>brought their hatred down on him. </li></ul><ul><li>But by this familiarity </li></ul><ul><li>they grew used to him, and so, </li></ul><ul><li>at last, </li></ul><ul><li>took him for their friend and advisor. </li></ul>
    11. 16. The Use of Force
    12. 18. Framework for resolving ethical dilemmas <ul><li>Medical facts </li></ul><ul><li>Patient values </li></ul><ul><li>Quality of life </li></ul><ul><li>Cost, other considerations </li></ul>
    13. 19. Ethical Principles <ul><li>Beneficence </li></ul><ul><li>Autonomy </li></ul><ul><li>Justice </li></ul>
    14. 20. What the Doctor Said
    15. 23. Reading Patients, Reading Poetry <ul><li>Analysis and presence </li></ul><ul><li>The part and whole </li></ul><ul><li>Language </li></ul><ul><li>Looking for meaning </li></ul><ul><li>Individual interpretation versus universal one </li></ul>
    16. 24. Reading Patients, Reading Poetry <ul><li>Meaning evolves as story unfolds </li></ul><ul><li>Detachment and empathy </li></ul><ul><li>Listening </li></ul><ul><li>Tolerating ambiguity </li></ul><ul><li>Art and technique </li></ul>
    17. 25. Reading patients, reading poetry: differences <ul><li>Greater urgency </li></ul><ul><li>Face to face </li></ul><ul><li>Greater need for certainty </li></ul><ul><li>Need to make a decision </li></ul>
    18. 26. Why do doctors read poetry? <ul><li>Some of them think it’s fun! </li></ul><ul><li>Doesn’t necessarily make better doctors </li></ul><ul><li>Sharpen skills: language, observation, empathy </li></ul><ul><li>Expands world of feeling, language, and meaning </li></ul>
    19. 27. I was a late bloomer. But anyone who blooms at all, ever, is very lucky. Sharon Olds
    20. 28. Art is a lie that makes us realize truth. Picasso
    21. 29. Poem: &quot;Philosophy&quot; by Daniel Hoffman In sophomore year the great philosopher, Then ninety, out of retirement came, to pass His wisdom on to one more generation. Reading his last lecture to our class, That afternoon the mote-filled sunlight leaned Attentively with purpose through the tall Windows in amber buttresses that seemed To gird the heavens so they wouldn't fall. The blaze of his white mane, his hooded eyes, The voice that plumbed us from reflection's skies So far above temptation or reward— The scene has never left my mind. I wrote His lecture down, but, in an old trunk, my notes Have crumbled, and I can't recall a word.

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