Auscultation

By: Auscultation Podcast
  • Summary

  • Add a bit of joy and perspective to your practice of healthcare with this humanities-inspired podcast that focuses the lens of art and literature to find fresh views on wellness and illness. Christopher Schifeling, a geriatric and palliative care physician and poet, shares immersive readings and viewings of artwork with a dose of humor. Enriching for any and everyone in healthcare: physicians, nurses, therapists, social workers, pharmacists, first responders, patients, etcetera.
    © 2025 Auscultation
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Episodes
  • E46 The Death of Ivan Ilyich by Leo Tolstoy
    Feb 4 2025

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    Description:
    An immersive reading of The Death of Ivan Ilyich by Leo Tolstoy with reflection on incontinence, caregivers, and existential distress.

    Website:
    https://anauscultation.wordpress.com

    Work:

    The Death of Ivan Ilyich by Leo Tolstoy translated by Richard Pevear and Larissa Volokhonsky.

    Special arrangements were also made for his stools, and this was a torment to him each time. A torment in its uncleanness, indecency, and smell, in the awareness that another person had to take part in it.

    But in this most unpleasant matter there also appeared a consolation for Ivan Ilyich. The butler's helper, Gerasim, always came to clear away after him.

    Gerasim was a clean, fresh young muzhik, grown sleek on town grub. Always cheerful, bright. At first the sight of this man, always clean, dressed Russian style, performing this repulsive chore, embarrassed Ivan Ilyich.

    Once, having gotten up from the commode and being unable to pull up his trousers, he collapsed into the soft armchair, looking with horror at his naked, strengthless thighs with their sharply outlined muscles.

    Gerasim, in heavy boots, spreading around him the pleasant smell of boot tar and the freshness of winter air, came in with a light, strong step, in a clean canvas apron and a clean cotton shirt, the sleeves rolled up on his bared, strong, young arms, and without looking at Ivan Ilyich¾obviously restraining the joy of life shining on his face, so as not to offend the sick man¾went to the commode.

    "Gerasim," Ivan Ilyich said weakly. Gerasim gave a start, evidently afraid he was remiss in something, and with a quick movement he turned to the sick man his fresh, kind, simple young face, only just beginning to sprout a beard.

    "What, sir?"

    "I suppose this must be unpleasant for you. Excuse me. I can't help it. "

    "Mercy, sir." And Gerasim flashed his eyes and bared his young, white teeth. "Why shouldn't I do it? It's a matter of you being sick." And with his deft, strong hands he did his usual business and went out, stepping lightly. And five minutes later, stepping just as lightly, he came back.

    References:

    The Death of Ivan Ilyich: https://web.stanford.edu/~jsabol/existentialism/materials/tolstoy_death_ilyich.pdf

    Tolstoy, Leo, The Death of Ivan Ilyich and Other Stories (Vintage, 2010)

    Charlton B, Verghese A. Caring for Ivan Ilyich. J Gen Intern Med. 2010 Jan;25(1):93-5.

    Lucas V. The death of Ivan Ilyich and the concept of 'total pain'. Clin Med (Lond). 2012 Dec;12(6):601-2.

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    16 mins
  • E45 Long Neglect Has Worn Away by Emily Bronte
    Jan 7 2025

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    E45 Long Neglect Has Worn Away by Emily Bronte

    Description:

    An immersive reading of Long Neglect Has Worn Away by Emily Bronte with reflection on transience and permeance, tuberculosis and facial maladies.

    Website:

    https://anauscultation.wordpress.com

    Work:

    [Long Neglect Has Worn Away] by Emily Bronte

    Long neglect has worn away
    Half the sweet enchanting smile;
    Time has turned the bloom to gray;
    Mold and damp the face defile.

    But that lock of silky hair,
    Still beneath the picture twined,
    Tells what once those features were,
    Paints their image on the mind.

    Fair the hand that traced that line,
    “Dearest, ever deem me true”;
    Swiftly flew the fingers fine
    When the pen that motto drew.

    References:

    Emily Bronte: https://www.poetryfoundation.org/poets/emily-bronte

    Bansal R, Jain A, Mittal S. Orofacial tuberculosis: Clinical manifestations, diagnosis and management. J Family Med Prim Care. 2015 Jul-Sep;4(3):335-41.

    Quaranta N, Petrone P, Michailidou A, Miragliotta L, Santantonio M, Del Prete R, Mosca A, Miragliotta G. Tuberculous otitis media with facial paralysis: a clinical and microbiological diagnosis-a case report. Case Rep Infect Dis. 2011;2011:932608.



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    15 mins
  • E44 Tanka and Haiku by Sadakichi Hartmann
    Dec 3 2024

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    Description:
    An immersive reading of Tanka and Haiku by Sadakichi Hartmann with reflection on tanka, haiku, and aging.

    Website:
    https://anauscultation.wordpress.com

    Work:

    Tanka and Haiku by Sadakichi Hartmann

    Tanka IX
    Were we able to tell
    When old age would come our way,
    We would muffle the bell,
    Lock the door and go away
    Let him call some other day

    Haikai IV
    Oh, red maple leaves,
    There seem more of you these eves
    Than ever grew on trees

    References:

    Tanka and Haikai: 14 Japanese Rhythms (Author’s Edition, 1916): https://www.thehaikufoundation.org/omeka/files/original/007ef74e882c8829c0ec2e7f7eac2f6b.pdf

    Sadakichi Hartman: https://www.poetryfoundation.org/poets/sadakichi-hartmann

    Sadakichi Hartman: https://aaww.org/sadakichi-hartmann-missing-link/

    Tanka: https://poets.org/glossary/tanka

    Haiku: https://www.poetryfoundation.org/education/glossary/haiku-or-hokku

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    14 mins

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