Tag Archives: Medicine

Week 7: Guest Speaker- Dr. Janet R. Gilsdorf

This week, we had the pleasure of welcoming Dr. Janet R. Gilsdorf to join our class discussion. Dr. Gilsdorf is a pediatric infectious disease doctor at the University of Michigan. She is  a breast cancer survivor. She is a writer, an author of two books: Inside/Outside: A Physician’s Journey with Breast Cancer (Conversations in Medicine and Society) and Ten Days. And she took the time to speak with the students in my class.

Having a guest speaker created a different dynamic for our class discussion, one that I think made some of the concepts we had discussed more real. Conversation ranged from Dr. Gilsdorf’s experiences and role in medicine to her time as a patient to her passion for reading and writing. It was a privilege for us to have the opportunity to speak with her.

Lesson Plan Week 7

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“The Heart of Medicine”: Published in The Intima, A Journal of Narrative Medicine

This month, my artwork I Will Wear My Heart Upon My Sleeve was published on the front page of The Intima: A Journal of Narrative Medicine! Check it out here:

The Intima, I Will Wear My Heart Upon My Sleeve

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Filed under Miscellaneous Musings, Narrative Medicine Research, Uncategorized

Grand Rounds Week 1: Introduction, Syllabus, and Welcome to Blogging

One week ago was the first day of my Honors 135 course, Grand Rounds: Exploring the Literary Symptoms of Illness through Narrative. It was exciting to start and to meet all my students, and I’m really looking forward to an interesting and enlightening semester.

I’ve been struggling to decide exactly how I would like to showcase my course and my thoughts about teaching on this blog. For the time being, I’ve decided to focus on my own instruction materials. I might discuss new ideas that arise in class, but to honor the sanctity of our classroom discussion, I might withhold these thoughts until the end of the semester and reflect on the course as a whole at that time.

And so, here are the openly licensed materials from our first day of class:

Honors 135 Syllabus

Lesson Plan Week 1

How to Create WordPress Blog

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Bioartography: Art Inherent in Science

Microscopic slides = masterpieces.

Bioartography is a joint venture by scientists and artists across the University of Michigan campus. This program identifies the artistic nature of scientific studies and illuminates them through a microscopic lens. A panel of artists and scientists contribute their perspectives, and the profits of these sales fund scientific research. Some of these creations have even been adapted and pieced together as quilts by the Healing Quilts in Medicine program. By far, an art fair favorite.

Inspired by Bioartography, I created this collage.

A collection of tissue slides in the shape of a heart, although ironically not from the heart.

I <3 Histology

<kidney, mammary glands, liver,  prostate>

A collection of tissue slides in the shape of a heart, although ironically not of the heart.

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Jessica Beels Design: The Dimensions of Disease

Disease exists in three-dimensional space. Sculptures allow our depictions of pathology to inhabit the world as such. With metal and broken shards of glass, Jessica Beels brings disease to life. From the microscopic HPV virus to blood clots and galaxies of neurons, Beels crafts the symbolic works of art with an understanding of their scientific significance.

These works were designed specifically for an exhibit called Pulse: Art and Medicine, “a multi media investigation of medicine as an inspiration for art, and the inherent artistry involved in the medical sciences.”

What I love about Beels’ creations is that they embody all aspects of this mission. The multiplicity of medium, incorporating  ordinary tools of art alongside the extraordinary. Understanding how medicine, the springy resilience of blood cells or the withering effects of Alzheimer’s on neurons, are influence  these creations. And, at the same time, how this art reflects the natural and unnatural of the human body.

It is the thought and care behind these works that empowers them. Beels outlines the flow of her ideas, inviting the viewer to understand the decisions she made in shaping each creation. She clearly respected this feat of stepping into the world of science and drawing upon art to explore. Beels seems to devote herself to each of these works, allowing each component to bring its scientific merit into art.

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Regina Holliday’s The Walking Gallery: Connecting the Dots Between Policy and Patients

Sometimes the tendency to wear your heart on your sleeve, to openly express your emotions, can be suffocated by  the medical profession. But wearing your heart on your back is becoming increasingly appreciated.

The Walking Gallery is “the Gallery that walks. The Patients that wear our stories on our back” (Holliday).

Image courtesy of Ted Eytan under a Creative Commons license: BY-SA.

Image courtesy of Ted Eytan under a Creative Commons license: BY-SA.

It’s this revolutionary idea that art can provide a window into the patient experience, one that can be displayed by the clothes on a person’s back. This offers mobility to art, a method of transportation that escapes the confinements of wall hangings and pervades into inevitable lines of vision. This increased accessibility allows “patients,” as embodied by this artwork, to enter into places and discussions that they have never before been a part of. Now, patient experiences can be visible and  actively remembered in the decision spaces  that often influence but do not include patients.

Image courtesy of Ted Eytan under a Creative Commons license: BY-SA

Image courtesy of Ted Eytan under a Creative Commons license: BY-SA.

The work of Regina Holliday, the artist who brought this exhibit of sorts to life, is inspirational. She not only has a way with art, but also a way with language: her overwhelmingly powerful talk at Stanford incredibly moved me, and she has piqued my interest in exploring the place of art in medicine. Holliday is one of the first artists that I’ve come across in the field of patient advocacy, and her creations have gathered incredible force for this movement.

What I love about the Walking Gallery is that it takes a step forward to putting a story to the patient experience. These jackets and the images that they bear evoke emotions buried within medicine.  And The Walking Gallery is not limited to patients: physicians, policy makers, and others associated with health care all have stories to share. Despite the distinct roles in medicine, art overcomes these boundaries with brushstrokes and splashes of color. We can wear our experiences, the good and the bad and the in-between, the joys and sorrows, the triumphs and trials. Boldly.

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Reflecting and Reframing: Becoming a .com site

The past month has been a flurry of wrapping up the semester and delving into the medical school application process, but I’ve also felt as though I was suspended within a strange state of liminality. I’ve been trying to define my research in the immediate future, but I’ve also been looking beyond that to try to figure out what I hope to accomplish with my passion for illness narratives and how far I can take it through my career in medicine.

I’ve come to realize that ultimately, my primary goal is to become a practicing clinical physician: currently, I hope to be a pediatric oncologist, but I recognize and accept the fact that all that may change in medical school. At the same time, the deeper I delve into the intersection of literature and medicine, the more aware I become of the illness narratives that surround our culture, the more I realize that this semester-long independent study barely scraped the surface. Although I sampled the genres of illness narrative theory, short story, novel, autobiography, memoir, poetry, art, dance, film, and more, there is just so much more for me to explore.

My interest in illness narratives is three-fold: learn, research, teach.

  1. LEARN: Studying illness narratives has helped me to better understand the experience of illness, and I believe that this exploration is vital to making me a better physician.
  2. RESEARCH: Making sense of existing illness narratives and conducting research to promote the generation of new ones has helped me to understand literature, to understand medicine, and to understand their intertwinement.
  3. TEACH: Exposure to illness narratives has entirely changed my understanding of medicine, and I believe that this awareness and perspective is crucial for prospective doctors, so I hope to share my knowledge about this field with others and to promote the general education of illness narratives.

Through all this, it’s become clear to me that no matter where I go for medical school, I am entirely keen on continuing to study illness narratives. And I’ve realized that I can share the process of learning, researching, and teaching in this field with others through the wonderful world-wide web. And so, my blog has abandoned the ‘.word press.’ in favor of simply ‘.com.’

My blog has always been for me, a somewhat personal space where I can reflect naturally, and I hope to preserve my original intent with an added twist. I never wanted to publicize my blog because I was writing only for me, but as I’ve watched people from around the world stumble across it, I’ve realized that there might be other illness narrative enthusiasts who just haven’t quite found the field yet. By turning my blog into a website (I still can’t believe the domain name was even available!), I hope that I can create a centralized space based on the familiarity that I’ve gained with the field.

Six months later, my journey is just beginning. And I’m excited to see how this narrative unfolds.

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The Genesis of Illness Narrative Research

For 5 years, I have spent my Friday evenings volunteering with pediatric oncology patients at Mott Children’s Hospital. I admire these children, and their abilities to cope with their situations astound me. I have been fascinated by coping activities such as the Beads of Hope activity, where children make a necklace with beads that each represent a hospital procedure or milestone event in the course of their treatment. These activities give children an outlet to talk about their illness and to tell their story. By spending time with these patients, I have come to greatly value efforts to improve the patient experience and to support these children through their illnesses.

When I came to college with a fascination for medicine and a love for literature, I was uncertain about how to pursue both. I discovered the field of narrative medicine that embodies both these interests: it encourages an exploration of the “and” between literature and medicine. I am fascinated by how literature enables patient expression and provides others with insight into illness. As I explored illness narratives through an independent study, I became interested in studying the illness narratives of children with cancer for my thesis. There seemed to be a void of published narratives written by kids with cancer, and since I am fascinated by the therapeutic nature of the writing process, I crafted my own research project to approach these ideas. My research project is designed to give children the opportunity to explore the mediums of writing, drawing, and speaking to express their experience with cancer.

In the early stages of the project, I talked to individuals from a variety of disciplines in order to shape this interdisciplinary research. Scholars and researchers in the fields of English, Anthropology, Psychology, Child Life, Pediatric Palliative Care, and Pediatrics Hematology/Oncology all provided invaluable input to help me shape this project. I reached out to MPublishing through the UM Medical School to ensure that participating children will be even be provided with the opportunity to publish the narratives that they create in a compiled book.

The current status of this project is that with the help of my pediatric oncologist PI, Dr. Rajen Mody, and my faculty advisor, Melanie Yergeau, the IRB application has been submitted to IRB-MED. This project has received funding through the Honors Program in LSA and the English Department. The months of May and June will be spent developing recruitment materials and preparing for data collection, which will begin in July. The project will be an ongoing two year study and is estimated to include up to 100 patients. Narratives created in the months of May and June will be compiled and published as a narrative collection by as early as the end of 2013, and I hope that we can create multiple collections throughout the course of the study.

As an aspiring pediatric oncologist, I am incredibly excited to have the opportunity to conduct this research. I believe that not only will patients benefit from this therapeutic means of expression, but the created narratives will illuminate the experience of childhood cancer. This research will allow health professionals, parents, and even other children with cancer to better understand the illness. I look forward to interacting with these patients and using a literary lens to better understand their illness experience.

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Filed under Chronicling Childhood Cancer: Illuminating the Illness Experience through Narrative