Open Heart (59 page)

limitations in,
15
–
17
,
21
,
26
,
87
–
92
,
249
,
271

media hype of “breakthroughs,”
27
,
38
,
45
,
114
–
15
,
133

of neurology,
87
,
216
,
268
–
69

paradigm shifts,
92

rise of clinical science,
168
–
69

role of serendipity,
114
,
268
,
270
–
71

medical school

additional training needs: disease prevention,
163
,
173
; end-of-life care,
163
; evaluation of heart sounds,
35
–
36
; history of medicine,
163
; new technologies,
37
–
38
,
133
; public health,
163

courses on the physician-patient relationship,
164

economic aspects,
166
,
169
–
70

efficacy,
170

mentoring,
170

overview of coursework,
170

percent of physicians who would repeat,
226

Medicare,
163

medications.
See also
drug industry;
specific brand names

adherence to the regimen,
41
,
153
–
54
,
180
–
81

antibiotics.
See
antibiotics

antidepressants,
43
,
97
,
154

antipsychotics,
105
,
150
,
268

antiretrovirals,
40
–
41
,
255
,
282
–
83

aspirin,
70
,
252
,
259

beta-blockers,
69
,
70

calcium channel blockers,
123
,
263

cholesterol-lowering,
29
,
31
–
32
,
99
,
133
,
260
,
262
–
63

clot-busters,
43
,
94

colchicine,
140
,
141

discovered through serendipity,
114
,
268
,
270
–
71

“lifestyle,”
97

to minimize possibility of heart attack,
4

“pharmacological forgiveness,”
180

prior to 1940,
86
–
94
,
109
–
10

for treatment of mental illness,
105
–
6
,
150

vasodilators,
70

Melman, Dr. Arnold,
139
–
42
,
143
,
145
,
146
–
47

men

communication style in relationships, vs. women,
125

mortality rate for heart disease,
28
–
29

prostate cancer,
33
,
300

mental decline

Alzheimer's disease,
62
,
98
–
99
,
272
,
284
–
85

with coronary bypass,
9
,
44

mental illness

belief in recovery,
149
–
50

importance of humane treatment,
20
,
103
,
148
,
150

isolation with,
82
,
148
,
150

leading conditions which cause disability,
205
–
6

learning to live with,
103

need for skill as well as compassion,
20

patient is not the disease,
147
–
48

role of medications,
105
–
6
,
268
,
269

symptoms vs. causes of,
87
,
269

mentoring,
170

Mevacor,
29

mind-body connection,
114
,
See also
family; friends; social aspects

conditions that reflect,
156

paragenetics,
264
–
65

placebo effect,
153
–
57
,
264

reaction to physician's presence,
161

miracles,
85

mitral regurgitation,
70

Montaigne, Michel de,
151
,
152

mortality.
See also
death; life expectancy

AIDS,
41
,
43

associated with control of infectious disease,
109
–
10

cancer,
28
,
91
,
112

changes in major causes of,
86
–
94

coronary bypass,
44

drug-resistant infections,
26
,
255

effects of inferior medical care,
39
–
40

heart disease,
91
,
119
: heart attack,
25
,
28
–
29
,
154
; and weight as an infant,
30

infant,
94
,
102
–
3
,
108
,
109
,
181
–
82
,
286

open-heart surgery,
44

mother, author's

Alzheimer's disease,
62
,
98
–
99

caretaking of,
42

childhood memories,
52
,
76
,
77
,
197

long life of,
5

MRI (magnetic resonance imaging),
33
,
95
,
231

Muhlestein, Dr. Joseph B.,
256

multiple sclerosis,
234
,
268
,
297

muscular dystrophy,
250
,
268

myocardial infarction.
See
heart attack

National Academy of Sciences,
11

National Health Service Corps,
166

natural selection,
253
–
55
,
272

nausea,
5

neonatal intensive care,
294
–
95

Neugeboren, Aaron (son)

heart condition,
36
,
68

at the hospital after author's surgery,
299

at the hospital during author's surgery, il,
14
,
84

move to author's home after surgery,
17
,
120
–
21

in Northampton,
7

reaction to author's diagnosis,
79

Neugeboren, Eli (son)

in Brooklyn,
7

childhood,
120

at the hospital during author's surgery,
11
,
14
,
84

reaction to author's diagnosis,
79
–
80
,
81

trip to Israel,
135
,
145

trip to London,
52
,
53
–
54

visit with author after surgery,
17

visit with Friedland,
281
,
282
,
284

Neugeboren, Jay

as caregiver,
5
,
13
,
58

childhood and adolescence,
11
,
12
,
45
,
72
,
185

family history,
5
,
9
,
24
,
45
,
241

family medical history,
5
,
57
,
59
,
60
,
80

friends.
See
Friedland, Jerry; Helfant, Rich; Rudy, Arthur; Yarnell, Phil

Hodgkin's disease,
5
,
76
–
77
,
135

initial doctor's visit,
1
–
6
,
See also
diagnosis: of the author

medical history of good health,
5
,
52

move to New York City,
22
,
121
,
122
,
298

nickname,
6

nodules on penis.
See
Peyronie's disease

open-heart surgery.
See
coronary bypass: of the author

relationship with children,
9
,
14
,
120
–
21
,
130
,
300

as a single parent,
7
,
12
,
41
–
42

trip to Alaska,
178
,
179

trip to Israel,
135
,
145

trip to London,
52
,
53
–
54

trip to Norway,
177
–
79

who will be caregiver for,
42
,
58
,
65

writings by.
See
writing career

Neugeboren, Miriam (daughter)

at the hospital during author's surgery,
13
,
14
,
84

reaction to author's diagnosis,
79
,
81

trip to London,
52
,
53
–
54

visit with author after surgery,
17

in Washington, D.C.,
7

wedding,
12
,
57
,
130

Neugeboren, Robert (brother)

author as caretaker for,
13
,
42

conversation during author's recovery,
19

effects of caring relationships on,
150

effects of medications,
150
–
51

humane care at Bronx State,
19
–
20

life in New York City,
285

move to New York City,
58
,
128
–
29

notification about the surgery,
13

neurological conditions

from coronary bypass,
44

impact of new treatments,
43

importance of family,
41

swelling,
222
–
23

traumatic injury,
105
,
220
–
23
,
268
–
69

neurology,
216
,
218
,
229
–
30

Nigeria,
179
–
84

Nightline
interview,
17
,
51

nitroglycerine,
64
,
65
,
70

Northampton, move from,
22
,
121
,
122
,
128

Norvasc,
123

nosocomial infection,
26
,
255

nuclear cardiology,
33
,
263

O'Brien, Dr.,
68

One Renegade Cell: How Cancer Begins
(Weinberg),
115
–
16

open-heart surgery.
See also
coronary bypass

general procedure,
4

historical background,
277
–
80

risks and benefits,
43
–
44

organ transplantation,
95

and antibiotic-resistant bacteria,
288

economic aspects,
290

first heart transplant,
281

immune response,
149

importance of heart-lung machine,
277

obsolescence with cure for atherosclerosis,
44

Osler, William,
36
–
37

osteoporosis,
272

outcome studies,
33

oxygen

decreased body temperature and,
4
,
246

supply to the heart,
245
–
46
,
257
–
58

PABA (potassium para-aminobenzoate),
138
,
140
,
143
,
145

pacemakers,
94

palpitations,
5

Pam, Dr. Alvin,
19
–
20

paradigm shifts,
92

paragenetics,
264
–
65

patient medical history of the author,
5
,
57
,
59
,
60
,
80
,
247

correct diagnosis from the,
38
,
202
–
3
,
229
,
243
–
44

as risk factor for cancer,
17

taking time to get,
38
,
169
–
70
,
175

patients

with disease that is a unique entity,
33

experience of illness vs. disease,
156

ignored by physician,
68
,
138
–
39
,
147

importance of listening to.
See
listening to the patient

listening to their own body,
61

need for persistence,
39
,
45

not a set of symptoms or disease,
20
,
95
–
96
,
147
–
48
,
167

relationship with the physician.
See
physicians, relationship with the patient

as unique individuals,
21
,
88
,
149
,
176
,
229

Paxil,
97

Peace Corps,
180
,
182

peak flow meter,
56