Monthly Archives: November 2012

His gastronomical practices

Continuing to catch up on our long backlog of BMJ pieces….In this one (subscription required) Dalrymple again introduces a multi-talented doctor:
A US magazine once asked me to write an article about doctors who had become political leaders: presidents, prime ministers, that kind of thing. What I discovered was that doctors were better at being dictators than democrats. By “better” I mean more fitted by experience and temperament, not better morally.
Doctors have always been prepared to step outside their professional field, in a wide variety of roles—for example, that of cook. The most famous medical cook was, perhaps, William Kitchiner (1775-1827), whose book, The Cook’s Oracle: Containing Receipts for Plain Cookery on the Most Economical Plan for Private Families, Being the Result of Actual Experiments in the Kitchen of William Kitchiner MD, went through many editions, was in print for decades after his death, and had sold more than 15 000 copies by 1822. Cookery book bestsellers, it seems, are not a new phenomenon.
….
Dr Kitchiner’s friend, William Jordan, wrote of his dinners that, “His medical and gastronomical practices were wonderfully combined in so much that his guests could not tell whether what was set before them was a meal or a prescription.”

At your service?

Dalrymple ponders a difficult (and unlikely) question about a recent experience with a government service: What made it so good?

I very much doubt that those who worked in it were well paid: they were certainly not in it for their own financial advancement. I think there were probably two conditions: first that the work was intrinsically meaningful and interesting to those who performed it, and second that the staff had a genuine desire to serve.

Dalrymple at The Hilarious Pessimist

Pick your own nits

This BMJ column (subscription required) discusses the versatile Australian W A Osborne and includes a reference to Robert Falcon Scott, two 19th Century types – the polymath and the English explorer – I always find so interesting:
If there is a single law of literary life, it is that nit pickers will have their own nits picked. My copy of Essays and Studies by W A Osborne establishes this clearly. Osborne (1873-1967) was professor of physiology at the University of Melbourne. Born of a Presbyterian clergyman in County Down, he was a rationalist with a particular dislike of Catholicism. He was an expert in nutrition, and advised Captain Scott before his ill fated Antarctic mission. Scott did not take his advice, however, with unfortunate results.
Osborne was also a literary scholar of distinction, speaking several languages fluently. He was undecided whether to take the chair of physiology or that of English, and perhaps preferred literary studies to scientific ones. He was always disappointed not to be elected to the Royal Society and that he received no decorations.

How Doctors Turn Their Patients into Drug Addicts


This piece at Pajamas Media looks at the pressure on doctors to overprescribe painkillers, which in turn makes drug addiction more likely. One reason pressure on doctors has increased:


The automatic credence placed in what a patient says — or credulity, if you prefer — is deemed inherently more sympathetic than a certain critical or questioning attitude towards it. And since it is now possible, indeed normal, for patients to report on doctors adversely and very publicly via the internet and other electronic media, doctors find themselves in a situation in which they must do what patients want or have their reputations publicly ruined. When in doubt, then, prescribe.

 

Pathological collectors


Dalrymple on the Joyce Carol Oates story The Museum of Dr Moses in the British Medical Journal (subscription required):



The story reminded me of a forensic pathologist whom I once knew. His room was that of a learned man, piled high with journals, papers, and textbooks. But also on the shelves were mementos of his work, such as bottled abortions, the ropes with which people had been hanged (both judicially and suicidally), the trouser buttons of rapists, knives and bullets, bottles of poison used for murderous purposes, and so on. In those days, no one worried how or why he had come by them; he collected them as other people collected plaster frogs or model hippopotamuses. I think he delighted in the thrill of horror that his room excited in the unprepared. They, of course, enjoyed their own feeling of horror.


Is it not strange that we enjoy fear even though we seek security? It is as though we need danger to reassure ourselves that our lives are not completely without import. In another of the stories in the collection in which The Museum of Dr Moses appears, a little boy, an only child, almost drowns in a suburban swimming pool. He has anoxia, is resuscitated by a doctor, and, like the famous case of Phineas Gage whose accident changed his character entirely, changes from sweet to sinister. He becomes feral, which is also the title of the story. Not only life, but character, hangs by a thread—and perhaps that is how we like it.

Ancient and/or Modern


In New English Review Dalymple reports on a poll demonstrating French preference for architectural preservation over forward-looking creativity, and identifies an ideological source for the disapproval expressed by the newspaper Le Monde:



The fact is that, after hundreds of years, the French have lost altogether the knack of building something that someone in the future might look upon with pleasure. They are not the only European nation to have done so; but their architects are definitely among the worst and most incompetent in the world.


….


That modernism in France was and is more than a merely aesthetic mistake, but was and is motivated by a mean-spirited, envious, ideological levelling impulse, is something that the article in Le Monde makes clear:


The classification or labelling [of buildings to be preserved], without regard to the social class protected, could be a brake on modernity… It also limits brave new forms in architecture. It promotes the process of gentrification, chasing the least well-off classes from the city centres when real estate prices rise with the growth of tourism.

It seems to me that this amounts to something like the following: I cannot, and will never be able to, afford to live in the best part of Paris, therefore I would prefer that no one should live in the best part of Paris, at least as it currently exists; I would prefer it to be the kind of place that I could afford to live in, that is to say much uglier and less desirable. For this to happen, it must be ruined by, for example, the kind of buildings erected in la cité de l’Etoile – a single one of which, incidentally, would be more than enough to destroy the appearance of whole quarters of Paris.

Loss & gain, or the fate of the book

The New Criterion has begun a series of articles on “the challenges posed by the digital revolution to the world of culture”, and the first piece in the series is by our man TD (h/t neunder). Ever the bibliophile, he writes about the future of the book, by which he means those sheets of paper that are bound together. He writes a bit about his own library, which Clint and I have had the pleasure of seeing in France, although he probably has one in Britain too. He and his wife refer to it as his dacha, which is clever because it’s only about 100 feet from their real home.
There is much to highlight in this piece, but I will quote this long passage about his library:
…I derive a certain comfort from looking over, and being surrounded by, my laden shelves. They are my refuge from a world that I have found difficult to negotiate; if it had not been for the necessity of earning my living in a more practical way, I could easily, and perhaps happily, have turned into a complete bookworm, or one of those creatures like the silverfish and the small, fragile, scaly moths that spend their entire lives among obscure and seldom disturbed volumes. I would have not read to live, but lived to read.
The shelves are an elaborate hieroglyph of my life that only I can read, and that will be destroyed after my death. Never having been a scholar of anything in particular, my life has been a succession of obsessions; as some murderers return to their crimes and become serial killers, I am a man of serial monomanias, each lasting a few months at most, and my books reflect this. A friend of mine, looking over them, said that anyone trying to discern from my books who I was or what I did would fail; for what has the history of Haiti to do with poisoning by arsenic, or the history of thought in nineteenth-century Russia with that of premature burial, plague, cholera, and the anti-vaccination agitation? Surprising numbers of books on all these matters are to be found on my shelves; and if I needed any reassurance of my own individuality, as the increasing number of people having themselves tattooed or pierced seemingly do, these shelves would supply it.
Read the whole piece here (purchase required)