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How to learn from stories of disease, in three simple steps

Despite the veneer of scientific objectivity, medicine and the medical sciences are built on stories. From therapeutic emplotment and narrative reasoning in clinical encounters (e.g. Cheryl Mattingly’s work) to patient histories and illness narratives (e.g. Arthur Kleinman) to the metaphors we use to describe disease (e.g. Susan Sontag, Emily Martin), stories at once help us…

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Why our forgotten history of emergency medicine can teach us about how hard it is to change medical culture

I stumbled across Kevin Hazzard’s book “American Sirens” after listening to the 99% Invisible podcast episode on the Freedom House Ambulance Service. It was an excellent stumble. Can you even imagine a time before ambulances, CPR, emergency medicine? When the assumption about emergencies was that patients had to be moved as fast as possible to…

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The power of telling a story from an unexpected perspective

Madeline Miller’s works The Song of Achilles and Circe are powerful, expertly-written retellings of stories that have been passed down and re-told across centuries. What makes them so striking? In part, I think, because they are so firmly grounded in her expertise in Greek mythology – while they are works of fiction, they are clearly…

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The importance of relationships in complex systems

This triplet of short pieces, recommended by my excellent former colleague Bill Bannear, offers some great provocations around the importance of human relationships in complex systems. Bill’s piece on relationships and emergence starts with his reflections about the challenges of working with government clients who struggle to find value in the creation of relationships as…

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How far we’ve come with women and medicine (and how far we have to go)

I love reading two books at once, and bringing them into conversation with each other. I don’t always choose pairings deliberately; with this pairing it was simply because they arrived at the same time. Together, they made for a powerful read about women and health. “The Doctors Blackwell: How two pioneering sisters brought medicine to…