|On-Line Text and Audio|
|Keywords||Doctor-Patient Relationship, Medical Ethics, Physician Experience, Professionalism|
The physician-narrator examines a bigoted patient. As the patient maligns Welshmen, Jews, and liberals--all of which the doctor in fact is--the physician imagines prescribing deadly drugs. "Yet I prescribed for him / as if he were my brother." The encounter is not, however, over yet. The poem ends: "Later that night I must have slept / on my arm: momentarily / my right hand lost its cunning.".
The situation described here is clear enough: the doctor must treat a hateful patient and restrain himself from acting unprofessionally. But the last stanza of the poem is provocative and begs for interpretation. During the night, without conscious volition, the doctor's instrument--his hand--has lost its efficacy. Why?
On the one hand, if the doctor is physically unable to treat, then he is not responsible for withholding treatment. On the other hand, by being rendered professionally helpless (temporarily at least) perhaps he is being punished for not taking a moral stance against his patient. This interpretation seems to have validity because the last line recalls Psalm 137, which warns, "If I forget thee O Jerusalem, let my right hand forget her cunning."
The poem is useful for a discussion of how physicians and other caregivers feel about interacting with hateful patients, and where the limits of professional responsibility lie. [For drawing attention to the biblical reference I am grateful to Dr. Danielle Ofri and Lara DeLong, Class of 2001, both at NYU School of Medicine.]
|Source||Ask the Bloody Horse|
|Alternate Source||On Doctoring|
|Alternate Publisher||Simon & Schuster|
|Alternate Edition||1995, 2001|
|Alternate Editors||Richard Reynolds & John Stone|
|Place Published||New York|
|Annotated by||Aull, Felice|
|Date of Entry||03/26/98|