This effect is heightened by a lavish use of semicolons that chop up the already short and forceful sentences into even smaller units. Typical of Kafka, however, the language reflects the complete union between dream world and reality; in fact, the horses, ghostly embodiments of irrational forces, seem to drive, besides the doctor, even the author farther on.
He had a surgeon explore the area, and the diagnosis was pancreatic cancer. This surgeon was one of the best in the country. He went home the next day, closed his practice, and never set foot in a hospital again.
He focused on spending time with family and feeling as good as possible. Several months later, he died at home. He got no chemotherapy, radiation, or surgical treatment.
For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves. They know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want.
But they go gently. But they know enough about modern medicine to know its limits. And they know enough about death to know what all people fear most: The patient will get cut open, perforated with tubes, hooked up to machines, and Country doctor essay with drugs.
All of this occurs in the Intensive Care Unit at a cost of tens of thousands of dollars a day. What it buys is misery we would not inflict on a terrorist. I have even seen it as a tattoo.
To administer medical care that makes people suffer is anguishing. The simple, or not-so-simple, answer is this: To see how patients play a role, imagine a scenario in which someone has lost consciousness and been admitted to an emergency room.
As is so often the case, no one has made a plan for this situation, and shocked and scared family members find themselves caught up in a maze of choices. Then the nightmare begins.
The above scenario is a common one. Feeding into the problem are unrealistic expectations of what doctors can accomplish. Many people think of CPR as a reliable lifesaver when, in fact, the results are usually poor. If a patient suffers from severe illness, old age, or a terminal disease, the odds of a good outcome from CPR are infinitesimal, while the odds of suffering are overwhelming.
Poor knowledge and misguided expectations lead to a lot of bad decisions. Doctors play an enabling role, too. The trouble is that even doctors who hate to administer futile care must find a way to address the wishes of patients and families. Imagine, once again, the emergency room with those grieving, possibly hysterical, family members.
They do not know the doctor. Establishing trust and confidence under such circumstances is a very delicate thing. People are prepared to think the doctor is acting out of base motives, trying to save time, or money, or effort, especially if the doctor is advising against further treatment. Some doctors are stronger communicators than others, and some doctors are more adamant, but the pressures they all face are similar.
When I faced circumstances involving end-of-life choices, I adopted the approach of laying out only the options that I thought were reasonable as I would in any situation as early in the process as possible.
If patients or families still insisted on treatments I considered pointless or harmful, I would offer to transfer their care to another doctor or hospital.The short story ‘a country doctor’ by Franz Kafka explores the challenges of a rural doctor.
The story is set in a poor and unde. 'Country Doctor' was an instant classic when first published in LIFE in , establishing W.
Eugene Smith as a master of the photo essay. There is something powerfully raw and vivid about Hannah Arendt’s essay that came out in the midst of Europe’s darkness in the Second World War, before the worst horrors inflicted upon the Jews were fully unveiled.
Originally published in January as “We Refugees” in a small Jewish journal called Menorah (shut down in ), . Essay Questions; Cite this Literature Note; Summary and Analysis A Country Doctor" (Ein Landarzt)" Bookmark this page Manage My Reading List. Summary. Kafka used an unusual technique for telling his story of "A Country Doctor": he wrote in the first person, thereby imparting an exciting degree of immediacy to the story.
The Country Doctor photo essay was an intimate portrait of life and death in the a small rural town of Kremmling, Colorado.
Ernest Ceriani was the doctor that Smith shadowed for 23 days, capturing the drama in everyday events in the small town.
A Country Doctor essays The writings of different authors can lead to a similar mode; a story of one can be the response or simply can be compared to the others. After reading "The Country Doctor" by Ivan Turgenev, and "A Country Doctor" by Franz Kafka, it can be seen that these.