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The diagnosis and clinical management of various mental disorders are aided by knowing the predisposing, precipitating, and perpetuating factors in a given case. Both the themed album and the full-length movie of Pink Floyd’s, The Wall, depict these factors in the course of the main character’s—"Pink’s”— mental health deterioration through music and film. In this episode, we draw from selected songs on the album and from selected scenes in the movie connecting the three factors with particular behaviors Pink manifests. In the process, we show how they are used in medical education and training in real time.

Joining us is Dr. Anthony Tobia, who is the campus chair in the Department of Psychiatry at the Rutgers School of Medicine and is also the Service Chief of Psychiatry at Robert Wood Johnson Barnabas Health in New Brunswick, NJ. Dr. Tobia is certified by the American Board of Psychiatry and Neurology and is certified in internal medicine and psychosomatic medicine. He also holds a secondary appointment in the Division of General Internal Medicine at Rutgers. Dr. Tobia is the Director of Graduate and Interprofessional Education at Rutgers University Behavioral Health and has received the Outstanding Clinical Faculty Member Excellence Award in 2018 and 2019. He is an active contributor to the medical literature with publications, reviews, and abstracts. Dr. Tobia’s educational interests include the merging of popular culture and the field of behavioral medicine, which is evident from this episode and from his previous appearance on the podcast episode featuring The Who’s Tommy. Along with Dr. Tobia for this episode is Kevin Frederiks, who at the time of recording, was a fourth-year medical student at Rutgers.

Citations

For the recorded album: Pink Floyd. The Wall. Columbia Records, 1979.

For the movie: Parker, Alan, director. Pink Floyd The Wall. MGM, 1982.

Link

The movie, The Wall, is available on YouTube here.

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@gmail.com.

Thanks to Dr. Anthony Tobia and (by now) Dr. Kevin Fredriks for their interesting and insightful contributions to this episode.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

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The Clinic & Person podcast returns, and this short episode recounts the reasons for its return and what can be expected.

The general objectives of the podcast remain the same in that we will still draw from certain works such as literature, art, film, music, etc., but source content will also come from certain ideas or disciplines such as philosophy, ethics, sociology, economics, history, and the like. We talk briefly about episodes we have in the works, which derive from these and various other content sources

For the list of our previous 30 episodes, see The Clinic & The Person website. You can listen to them from that site or from many established podcast providers. They can also be accessed at medhum.org, where there is also a curated forum of reviews, interviews, and opinion pieces on the types of subject this podcast considers in addition to many more.

Get in touch

We would love to hear from you with any suggestions, comments, or questions. You can use the “Send us Fan Mail” link above, or to russell.teagarden@gmail.com

We hope you will join us again for new episodes, follow us where you get your podcasts, and tell all your friends and colleagues about us. Our next episode will be posted soon.

Episode image: One Open Window, Chris Downer (source: Wikicommons)

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We end the podcast after thirty episodes over three years. In this brief, last episode, we announce the end of this series, explain our reasons for ending it now, summarize what we covered over the thirty episodes, and express our appreciation for our listeners and the guests who came on the podcast. We also reveal what is next for us, which will involve similar interests but we will expand our sources beyond humanities in a narrow sense to encompass broader ideas relevant to health and biomedicine, such as philosophy, ethics, sociology, history, and religion, among others. While we will continue to produce audio programming, we will also produce written works such as essays, reviews, critiques, and reflections. Most of this work will be available through MedHum.org.

MedHum.org is an independent, online, multidisciplinary, and multimedia collaborative for identifying and generating critical thinking in health, culture, and the arts. It began in early 2024 following the discontinuation of the NYU Literature, Art and Medicine Database (LitMed), which had been a respected and consulted source around the world for perspectives on health and biomedicine drawn from the humanities. MedHum.org builds on the LitMed model and expands on the content sources and media used for its work. Look for us there, and subscribe to the MedHum.org newsletter for announcements of new contributions.

Links

• The Clinic & The Person website listing all episodes
• Russell Teagarden’s blog post with summary of each podcast episode
• MedHum.org site
• MedHum.org newsletter

Please send us comments, recommendations, and questions to this text link, or email to russell.teagarden@gmail.com

Thanks to all the listeners and to all our guests.

Image credit: Oscar Maugsch (1857–?) (architect); Beautiful Buildings Pics (photo), Public domain, via Wikimedia Commons

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Note: The story and the images in the book we cover in this episode could bring back memories of unhappy and traumatic events for some people who have experienced cancer in some way.

This episode centers on the fictional story of a forty-three-year-old woman’s course with recurrent, metastatic breast cancer. She has a coming-of-age-daughter and a treasured husband. The story is a common one in literature and in real life, but the way it’s told in Maddie Mortimer’s novel, Maps of Our Spectacular Bodies, is not common in that a lot of the narration—variously in first-, second-, and third-person forms—comes from the cancer itself, as that can be inferred. Nor is it common in Mortimer’s use of a variety of written and graphic forms. While these and many other aspects of the novel are worthy of attention, our interest was limited to what the cancer narration offers to the story and the understanding of cancer from the pathological to the personal.

Mortimer’s writing style and the literary forms she used made it possible for us to differentiate scenes and scenarios we described as clever, affecting, compelling, gorgeous, or beautiful from events and realizations we described as awful, obscene, terrible, scary, or hard. We worked to reconcile these antipodes as necessary for the complete and poignant portrayal of the course this cancer took and the effects it had on the characters. The distinction also assisted us in considering whether or not all or just parts of the book could be interesting and useful to various constituencies (e.g., patients, family, students, support groups, etc). While doing so, we often expressed astonishment that Mortimer, who was in her mid-twenties when she wrote the novel, and has no formal training in medicine, could possess such sophisticated and technical insights into the molecular biology, pathology, and pharmacology of cancer, and in the emotional torments and practical realities accompanying it.

We were joined by Dr. Laurel Lyckholm from West Virginia University Cancer Institute, who started her medical career as a registered nurse and later became a physician board certified in medicine, medical oncology, hematology, and hospice and palliative medicine. She has formal training and experience in medical ethics and medical humanities, and has a particular interest in support programming for adolescents and young adults with cancer and their families. Her work and dedication have won her many awards for teaching, leadership, and patient care. We were fortunate to have her with us and we thank her profusely for her valuable time and thoughtful perspectives.

Links

• Publisher (Simon & Shuster) website for Maps of Our Spectacular Bodies
• Video interview with Maddie Mortimer in which she describes how she created the novel.
• Russell Teagarden’s blog piece on doxorubicin infusion effects as the cancer describes them.

Audio source

Audio clips were from Maps of Our Spectacular Bodies audiobook available on Spotify.

Episode Image Credit

Greco, L.; Rubbino, F.; Morelli, A.; Gaiani, F.; Grizzi, F.; de’Angelis, G.L.; Malesci, A.; Laghi, L.; CC BY 4.0 , via Wikimedia Commons

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please follow The Clinic & The Person wherever you get your podcasts, or visit our website.

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Michael Pollan, a journalist long known for his work in food and nutrition, and as the author of The Omnivore’s Dilemma, shifted his attention to psychedelics when they were beginning to win favor again after having been shunned—legally and culturally—for three decades. Pollan’s interest took the form of “immersive journalism,” meaning he tried some of the psychedelics himself, and directed his investigation into “the potential for these molecules as a tool for both understanding the mind and, potentially, changing it.” The result was his 2018 book, How to Change Your Mind, and a companion documentary film. Taking our lead from his book, we focus on: consciousness, spirituality, and mysticism as what is at work in the effects psychedelics produce, and how they may delineate limits to biomedicine (rational or not), that is, how they brighten or blur the line between classic biomedicine and whatever isn’t.

Links

• Michael Pollan's website
• Trailer for Netflix documentary film based on How to Change Your Mind
• The UC Berkeley Center for the Science of Psychedelics cofounded by Michael Pollan
• Russell Teagarden’s blog pieces on his book, How to Change Your Mind, and on his book, This is Your Mind on Plants
• Video of Timothy Leary at Golden Gate Park Human Be – In (Jan 14, 1967

Our next episode will feature Maddie Mortimer’s novel, Maps of Our Spectacular Bodies. We are interested in this common, but tragic story of a mother and wife with terminal cancer and a daughter coming of age, told in an uncommon way with cancer cells serving as narrators at times and the use of graphics, poetry, and other forms of storytelling. Joining us will be Dr. Laurel Lykholm, who is a medical oncologist and who also works in medical ethics and medical humanities.

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please follow The Clinic & The Person wherever you get your podcasts, or visit our website.

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Susan Sontag has said, “Illness is the night-side of life, a more onerous citizenship. Everyone who is born holds dual citizenship in the kingdom of the well and in the kingdom of the sick.” Author Lina Meruane challenges the idea that people with illnesses are necessarily separated into a different kingdom than those who are not sick, asserting instead that illness can be part of anyone’s normality. She makes this case through her novel, Nervous System. The novel tells the stories of four family members and a boyfriend who, at one time or another, develop a serious illness or help take care of one of the others with a serious illness: it’s all illness, it’s all the time, it’s normal. We talk with Dr. Meruane about her idea of illness as normality as she presented it in the novel, and about how its atypical structure and its evocative and memorable prose contribute to the stories told and the ideas offered.

Source

Nervous System by Lina Meruane, translated by Meghan McDowell, Graywolf Press, 2021.

Links

• Lina Meruane’s bio
• Russell Teagarden’s blog piece about the novel, Nervous System, and his blog piece about the MRI scene in the novel.
• Russell Teagarden’s blog piece about Lina Meruane’s novel, Seeing Red.
• Video conversation between Lina Meruane and Meghan McDowell about Nervous System.
• Interview with Lina Meruane in LALT magazine about Nervous System.

A big thanks to Lina Meruane for sharing her thoughts on illness as normality and her writing processes.

Our next episode will draw from the journalist Michael Pollan’s books investigating the prospects for psychedelics in the management of various mental health problems, or even to make individuals and communities better than well.

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

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Four movies released between 1997 and 2002 picked up on the anger and resentment building among people encountering increasingly aggressive managed health care tactics aimed at reducing costs during that time. The four movies are: As Good As It Gets; The Rainmaker; Critical Care; and John Q. We talk about how they caught and depicted the rage as it was just reaching the surface of broad societal notice and concern. We note how the rage persists despite efforts on many levels to address it over the years, and wonder if it has reached its apogee with the gunning down of a health care insurance executive.

Links

Trailers for featured movies:

• As Good As It Gets
• The Rainmaker
• Critical Care
• John Q

Other movies mentioned:

• Damaged Care (no trailer available)
• Sicko

Russell Teagarden’s blog posting on the featured movies, with more about what is behind the managed care practices generating anger and frustration.

Russell Teagarden’s published article on proper uses and improper uses of prior authorization. If not available and of interest, contact him at russell.teagarden@gmail.com.

Previous podcast episodes mentioned:

• Consumptive Heroines: Opera and TB with Drs Linda and Michael Hutcheon (Episode 26)
• Life Imitates Art: Covid-19 Edition (Episode 16)

Additional Background

• Daniels N, Sabin JE. Setting Limits Fairly: Learning to Share Resources for Health. New York: Oxford University Press, 2008.
• Wynia MK, Schwab AP. Ensuring Fairness in Health Care Coverage: An Employer’s Guide to Making Good Decisions on Tough Issues. New York: AMACOM, 2007.
• Pearson SD, Sabin JE, Emanuel EJ. No Margin, No Mission. New York: Oxford University Press, 2003.
• Daniels N, Teagarden JR, Sabin JE. An ethical template for pharmacy benefits. Health Affairs 2003;22:125-137.

Our next episode will focus on illness as normality as we can grasp it from the inventive novel, Nervous System, and with the help of its author, Lina Meruane. Our discussion could lead to the question: Why can’t biomedical writing be more interesting?

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

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The trajectories of tuberculosis (TB) and opera met in the mid-nineteenth century most notably with the production of La Traviata in 1853, and then La Bohème near the century’s end. With eminent scholars Linda and Michael Hutcheon, we talk about how these trajectories converged and how these resulting two operas then brought attention to the medical effects of the infection and the sociocultural influences on its spread. We also discuss how the discovery of germ therapy during the time between the staging of these operas affected the way social behaviors changed accordingly, that is, from understanding TB as hereditary to understanding it as infectious. We play audio clips from parts of the operas pertinent to perspectives provided.

Links

• The combined bio for Linda and Michael Hutcheon.
• The New York Metropolitan Opera on-demand video service where you can get access to high-quality video productions of La Traviata and La Bohème among many other operas and performances. (There could be a 7-day free trial available).
• Homer Simpson performing as Rudolpho in La Bohème singing Oh Dio! Mimi!
• We covered the effects of TB as an aesthetic ideal of beauty during the nineteenth century as represented in paintings earlier in episode 5.

Audio Credits

La Traviata

Preludio (National Philharmonic Orchestra; Richard Bonynge cond London Records 1979)

Prendi, Quest’È L’Immagine (Orchestra of the Opera House, Rome; Tullio Serafin cond; Victoria de los Angeles (Violetta); EMI Records Ltd 1960; digitally remastered 1992)

La Bohème

O Soave Fanciulla (Berlin Philharmonic; Herbert von Karajan cond; Mirella Freni (Mimi); Luciano Pavarotti (Rudolfo); Rolando Panerai (Marcello); London Records 1972)

Si. Mi Chiamono Mimi (ibid)

Mimi È Una Civetta (ibid)

Mimi È Tanto Malata! (ibid)

A big thanks to Drs Linda and Michael Hutcheon who in addition to providing their expertise and perspectives during the podcast, also contributed ideas for the production.

Our next episode will feature four movies that picked up early—latter half of 1990s—on the building rage to managed care policies and practices in the US that recently took the form of deadly gun violence.

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.