Abraham Verghese

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Abraham Verghese
Dr Abraham Verghese in 2023 06.jpg
Verghese in 2023
Born (1955-05-30) May 30, 1955 (age 68)
Addis Ababa, Ethiopia
OccupationProfessor of medicine, author
NationalityAmerican
Alma mater Madras Medical College
Period1980 to present
Genremedical book, autobiography, novel
Notable works My Own Country, The Tennis Partner , Cutting for Stone , The Covenant of Water
Website
www.abrahamverghese.org

Abraham Verghese (born 1955) is an American physician, author and Professor of the Theory and Practice of Medicine and Vice Chair of Education at Stanford University Medical School. [1] He is the author of four best-selling books: two memoirs and two novels. In 2011, he was elected to be a member of the Institute of Medicine. [2] He received the National Humanities Medal from President Barack Obama in 2015. [3] He is the co-host with Eric Topol of the podcast Medscape Medicine and the Machine. [4]

Contents

Background

Verghese was born in Ethiopia to Orthodox Christian parents from Kerala, India, who worked as teachers. [5]

Verghese began his medical training in Ethiopia. His education was interrupted by the civil unrest when emperor Haile Selassie was deposed and a Marxist military government took over. [6] He emigrated to America with his parents and two brothers. His elder brother, George Verghese, is an engineering professor at MIT and his younger brother, Phil Verghese, is a Staff Software Engineer at Google. Verghese worked as an orderly for a year. [7] In his written work, he refers to his time working as an orderly in a hospital in America as deeply influential in confirming his desire to finish his medical training. The experience gave him a deep understanding of the patient's hospital situation with its varying levels of treatment and care. He has said the insights he gained from this work helped him to become a more empathic physician and resulted in the motto, "Imagining the Patient's Experience", that defined his later work. [8]

He completed his medical studies at Madras Medical College and was awarded a Bachelor of Medicine degree from Madras University in 1979, finishing an internship there. He returned to the United States as a foreign medical graduate seeking an open residency position. [9] He joined a new program in Johnson City, Tennessee, affiliated with East Tennessee State University. He was a resident there from 1980 to 1983, and then took a fellowship at Boston University School of Medicine. He worked for two years at Boston City Hospital, encountering the early signs of the urban HIV epidemic. Returning to Johnson City in 1985 as assistant professor of medicine, he saw the first signs of a second epidemic, that of rural AIDS. His first book, My Own Country (1994) reflects on his work with the patients he cared for at this time and gives his insights into his personal transformation from being "homoignorant", as he describes it.

Verghese has three children, two sons by his first marriage and a third by his second marriage.

Writing career

Overwhelmed by the nature of his work with his patients, and with his first marriage under strain, he decided to take a break. He joined the Iowa Writers Workshop at the University of Iowa. He cashed in his retirement plan and his tenured position to move to Iowa City with his young family. He completed a Master of Fine Arts in 1991. [10] He then accepted a position as Professor of Medicine and Chief of the Division of Infectious Diseases at Texas Tech Health Sciences Center in El Paso, Texas, where he lived for the next 11 years. Despite his title, he was the sole infectious disease physician at Thomason Hospital. He was awarded the Grover E. Murray Distinguished Professorship of Medicine at the Texas Tech School of Medicine.

During these years in El Paso, he published My Own Country: A Doctor's Story , about his experiences in East Tennessee, pondering themes of displacement, diaspora, responses to foreignness and the many individuals and families affected by the AIDS epidemic. This book was one of five chosen as 'Best Book of the Year' by Time magazine and it was later made into a movie. His second memoir, The Tennis Partner: A Story of Friendship and Loss, was also written during his time in El Paso. It tells the story of his friend and tennis partner, a medical resident in recovery from drug addiction. The story deals with the ultimate death of his friend and explores the issue and prevalence of physician drug abuse. It also charts the breakdown of his first marriage, an integral part of the narrative in both My Own Country and The Tennis Partner. This book was reissued in 2009. [11]

In 2009, Knopf published his first novel Cutting for Stone. [12] In 2010, Random House published the paperback version of the book [13] and it remained on The New York Times list for over two years. [14] Cutting for Stone describes a period of dramatic political change in Ethiopia, a time of great loss for the author, who, as an expatriate, had to leave the country of his birth. [15] Cutting for Stone reached #1 on the Independent Booksellers list and was optioned as a movie. [16] Verghese's writing has appeared in The New Yorker, Texas Monthly, The Atlantic , The New York Times, Granta , Forbes and The Wall Street Journal . In 2014, Verghese received the 19th Annual Heinz Award in the Arts and Humanities.

The Covenant of Water was published in May 2023 by Grove Atlantic, becoming an Oprah's Book Club pick.

Bedside medicine

Verghese became founding Director of The Center for Medical Humanities and Ethics at the University of Texas Health Science Center at San Antonio in 2002. [17] His focus here was developing medical humanities as a way to preserve doctors' innate empathy and sensitivity. In San Antonio, he developed a formal humanities and ethics curriculum integrated into all four years of the medical school program. He also invited medical students to accompany him on bedside rounds as a way of demonstrating his conviction in the value of the physical examination in diagnosing patients and in developing a caring, two-way patient-doctor relationship that benefits not only patients and their families but also the physician. [18] At San Antonio, he held the Joaquin Cigarroa Chair and the Marvin Forland Distinguished Professorship. [19]

After a relatively short, five-year tenure in San Antonio, he joined Stanford University School of Medicine in 2007 as a tenured professor for the Theory and Practice of Medicine and Associate Chair of Internal Medicine. [20] He directs the third-year medical student clerkship and his work continues to explore the importance of patient-centered bedside medicine and the physical exam. [21] "The Stanford 25", is an initiative developed to showcase and teach 25 fundamental physical exam skills and their diagnostic benefits to interns. [22]

Verghese's emphasis on the physical examination has been dismissed by some as a form of irrelevant nostalgia. As Robert Goodman writes: "Lamenting lost clinical skills is possibly one of our profession's oldest pastimes, dating back centuries, if not millennia...Should we spend more time at the bedside? Certainly...But... we should spend this time not divining for ascitic fluid (ultrasound is better) but, instead, talking to our patients. [23]

Works

Awards and honors

Related Research Articles

The National Academy of Medicine (NAM), known as the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Sciences (NAS), National Academy of Engineering (NAE), and the National Research Council (NRC).

<span class="mw-page-title-main">Madras Medical College</span> Medical school and hospital in Chennai, India

Madras Medical College (MMC) is a public medical college located in Chennai, Tamil Nadu, India. Established in 1835, it is one of the oldest medical colleges in India, as well as in Asia.

<span class="mw-page-title-main">Richard Selzer</span> American surgeon and author

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<span class="mw-page-title-main">William H. Welch</span> American physician (1850–1934)

William Henry Welch was an American physician, pathologist, bacteriologist, and medical-school administrator. He was one of the "Big Four" founding professors at the Johns Hopkins Hospital. He was the first dean of the Johns Hopkins School of Medicine and was also the founder of the Johns Hopkins School of Hygiene and Public Health, the first school of public health in the country. Welch was more known for his cogent summations of current scientific work, than his own scientific research. The Johns Hopkins medical school library is also named after Welch. In his lifetime, he was called the "Dean of American Medicine" and received various awards and honors throughout his lifetime and posthumously.

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Edward ("Ted") Hance Shortliffe is a Canadian-born American biomedical informatician, physician, and computer scientist. Shortliffe is a pioneer in the use of artificial intelligence in medicine. He was the principal developer of the clinical expert system MYCIN, one of the first rule-based artificial intelligence expert systems, which obtained clinical data interactively from a physician user and was used to diagnose and recommend treatment for severe infections. While never used in practice, its performance was shown to be comparable to and sometimes more accurate than that of Stanford infectious disease faculty. This spurred the development of a wide range of activity in the development of rule-based expert systems, knowledge representation, belief nets and other areas, and its design greatly influenced the subsequent development of computing in medicine.

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<span class="mw-page-title-main">Narrative medicine</span> Medical approach

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<i>My Own Country</i> 1994 book by Abraham Verghese

My Own Country: A Doctor's Story is Abraham Verghese's first book. First published in 1994, it made that year's New York Times Notable Book list. It is used in colleges and medical schools throughout North America and across the world because of the way it communicates the sense of empathy and compassion so often missing in medical school education in an era of high technology and reliance on computers as primary diagnostic tools.

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<i>Cutting for Stone</i> 2009 novel by Abraham Verghese

Cutting for Stone (2009) is a novel written by Ethiopian-born Indian-American medical doctor and author Abraham Verghese. It is a saga of twin brothers, orphaned by their mother's death at their births and forsaken by their father. The book includes both a deep description of medical procedures and an exploration of the human side of medical practices.

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References

  1. Stanford Report: Physician returns to the art of healing in medicine
  2. "Three School of Med professors elected to Institute of Medicine", The Stanford Daily, October 19, 2011.
  3. "Remarks by the President at the Presentation of the 2015 National Medals of the Arts and Humanities". whitehouse.gov. September 22, 2016. Retrieved June 29, 2017.
  4. "Medicine and the Machine". Medscape. Retrieved May 16, 2023.
  5. "Novelist Abraham Verghese: Conversations from the Sun Valley Writers' Conference" (video). youtube.com. Idaho Public Television. December 1, 2023.
  6. Denise Grady, "Scientist at Work: Dr. Abraham Verghese", The New York Times, October 11, 2010.
  7. Bob Thompson, "Diagnosis: Author — Physician Turned To Writing to Heal Himself, Others", Washington Post, 16 February 2009. Retrieved 17 February 2009.
  8. "Abraham Verghese". Archived from the original on June 24, 2011. Retrieved March 13, 2011. Abrahamverghese.com.
  9. Abraham Verghese, Personal History, "The Cowpath to America", The New Yorker , June 23, 1997, p. 70. Retrieved 15 March 2009.
  10. "Abraham Verghese, MD, MACP" Archived February 11, 2012, at the Wayback Machine , CAP Profiles, Stanford Medicine.
  11. "Under the knife". The Economist. February 12, 2009.
  12. "/404". www.publishersweekly.com. Retrieved May 16, 2023.
  13. "Paperback Trade Fiction Books - Best Sellers - Books - The New York Times". The New York Times. Retrieved May 16, 2023 via NYTimes.com.
  14. Cowles, Gregory. "Print & E-Books". The New York Times.
  15. Wagner, Erica (February 6, 2009). "Doctors and Sons". The New York Times.
  16. Powers, Lindsay (February 1, 2011). "'Cutting for Stone' Optioned for Screen by Anonymous Content". The Hollywood Reporter.
  17. "Web Page Under Construction".
  18. "Abraham Verghese". Archived from the original on June 24, 2011. Retrieved March 13, 2011.
  19. "Gold Foundation: Humanism and Medicine Lecture". Archived from the original on January 30, 2012. Retrieved February 22, 2012.
  20. "Archived copy". Archived from the original on July 20, 2011. Retrieved March 13, 2011.{{cite web}}: CS1 maint: archived copy as title (link) Stanford Medical Center Report
  21. "Archived copy" (PDF). Archived from the original (PDF) on July 19, 2011. Retrieved March 13, 2011.{{cite web}}: CS1 maint: archived copy as title (link) New England Journal of Medicine 2008
  22. http://stanfordmedicine25.stanford.edu/the25.html Stanford Initiative in Bedside Medicine
  23. Goodman, Robert Lehr (2010). "Commentary: Health Care Technology and Medical Education: Putting Physical Diagnosis in Its Proper Place". Academic Medicine. 85 (6): 945–946. doi: 10.1097/ACM.0b013e3181dbb55b . PMID   20505391.
  24. Antonio Gonzalez Cerna (July 14, 1995). "7th Annual Lambda Literary Awards".
  25. "Heinz Awards - Abraham Verghese". Archived from the original on April 7, 2014.