Literature Annotations


Groopman, Jerome E.
The Last Deal


Genre Case Study (12 pp.)
KeywordsArt of Medicine, Cancer, Caregivers, Death and Dying, Doctor-Patient Relationship, Physician Experience, Suffering, Survival
Summary

A desperate patient visits a renowned oncologist with hope for a miraculous cure of his kidney cancer. The patient, a venture capitalist, doesn't want to die--can't face his death. He is willing to take whatever risk is necessary to survive. After a grueling course of experimental treatment and an expected period of remission, the cancer returns, leaving the patient (according to the physician-author) with an awful ending to his life--a death filled with regret.

What is revealed as Groopman deliberately walks "along the milestones" of his patient's life is more than the patient's story, however. For in addition to a chronicle of the disease's effect on his patient, the physician himself, and his concerns about the proper use of his knowledge and powerful tools also are revealed.

CommentaryGroopman very successfully blends clinical information, personal musings and doctor-patient conversation in this case study. It is one of eight case studies of catastrophic illness in his book, The Measure of Our Days: New Beginnings at Life's End.
SourceThe New Yorker
PublisherCondé Nast
Edition35681
Place PublishedNew York
Alternate SourceThe Measure of Our Days: New Beginnings at Life's End
Alternate PublisherViking Penguin
Alternate Edition1997
Place PublishedNew York
MiscellaneousDr. Groopman is the Recanati Professor of Medicine at Harvard Medical School. The story was published in published in The Measure of Our Days: New Beginnings at Life's End as Kirk. It was the basis for much of the first episode of the television series "Gideon's Crossing," titled "The Gift," in October 2000.
Annotated by Kohn, Martin
Date of Entry 10/30/97
Last Revised 10/04/05