A British photographer and educator, Spence was a transforming voice in the arts of the last century. Her documentary-style photo albums dealt with themes of class struggle, conformity, and feminism. In 1982, she was diagnosed with breast cancer. A few years later, leukemia also set in. This cancer was not just in her blood and bones — it had seeped into her existence. It hijacked her arteries of security; it exiled her into grey plains of isolation she had never known before. Her whole career, she had sought to catch that special look — that nuance in a scene that told another story. But could she capture this tyrant phantom of disease now in her photos? How to express something for which words falter? ...continue reading →
Kayla Simms is a Psychiatry Resident (R1) at McMaster University who graduated from medical school at the University of Ottawa in 2017
Compartmentalization is to medical knowledge as bread is to butter: patients, divided into sub-types; the body, separated by systems; the physician, detached from the pain.
Or so I once thought.
In medical school, I walked into patients’ rooms and stood idly at the bedside, intimately embedding myself into the darkest spaces of strangers’ lives. The bedside, like a carpenter’s work bench, is where I mastered concepts of sound and touch: the absence of bowel sounds auscultated in an obstructed state. The warmth of inflammation against the back of my hand.
The bedside is where I grew accustomed to asking questions like, “How is your pain today?” and learned to de-humanize the experience with the help of a 10-point scale. ...continue reading →
Swiss primary care research has a very bright future, from what I could see at the early career researchers meeting (TAN HAM) that I attended recently in Bern. Oliver Senn put together a superb programme but the key to its success was the commitment and contribution of the researchers. It was their programme and, not only did they present their work with skill and style, and almost exclusively in English, but each research presentation was chaired by one of their peers as the senior academics looked on from the side lines. The presentations were fantastic, covering a range of topics, as described below. But I thought the peer chaired sessions were an innovation worth replicating at other national and international meetings.
Many countries are struggling to recruit and retain a family medicine workforce and Switzerland is little different. ...continue reading →