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Turning Thirty: Stories

The 102 issues of the magazine have contained more than 400 features. Not surprisingly, it has been the stories—the articles with a narrative thread or a compelling point of view—that have occasioned the most comment. Here's a taste of seven such pieces.

Included here are the opening paragraphs of seven stories that have inspired particular comment. Some won prestigious writing awards. Some drew numerous letters to the editor. Some we still get requests for, even though they were originally published more than 10 years ago. To read the rest of any of these stories, go to this issue's . Or contact us at DartMed@Dartmouth.edu or 603- 653-0772—and give us your mailing address and tell us which article(s) you're interested in—and we'll be glad to send you copies of them.

Puzzling Over Medical Mysteries
By Laura Stephenson Carter
Modern medicine is so advanced, it's easy to assume nowadays that diagnostic and therapeutic choices are clear-cut. But there are still many medical mysteries, which doctors puzzle over in sessions called "morbidity and mortality" conferences. Here's an inside look at an "M&M" at DHMC.

"Good afternoon," says secondyear resident Nathaniel Hare, M.D. This week, it's his turn to relate a "mystery story" to a roomful of physicians, other health-care providers, and medical students at the Department of Medicine's Morbidity and Mortality (M&M) conference.

He'll pause in his narrative every so often, not so much to keep his audience in suspense as to give an opening to anyone who dares to solve the mystery before the end of the hour. But he knows it won't be easy. This is a case that had many of DHMC's top physicians stumped for weeks.

"The cases usually unfold like a puzzle, almost like a good mystery novel," says Donald St. Germain, M.D., acting chair of the Department of Medicine. "Everyone in the audience has the opportunity to be Sherlock Holmes as we look for clues and sort through the evidence."

"The format of the presentation permits the audience to walk in the shoes of the treating physician and struggle to understand what is going on with the patient . . .," explains neurologist James Bernat, M.D. . . .

To read the rest of this story, see this article's .

To the Outer Banks of the Soul
By Nancy Price Graff
We talk freely nowadays about many formerly tabu health topics—cancer, alcoholism, AIDS. The last bastion of "unmentionable" disease may be mental illness. A writer and editor who has been a patient on DHMC's psychiatric ward eloquently details her struggle with chronic depression, giving an enigma a very human face.

Several years ago, just about the time I stopped dreaming, two unusual phenomena began to disturb my nights. The first struck when I lay in bed at night waiting endlessly for sleep. Random images, vivid and surreal, would begin whipping past me, each lasting no more than a fraction of a second. Half of the images were fantastic but harmless: people I had never met hurtling through space toward me, packs of dogs running . . . The other half started off benign but turned grotesque. A tennis ball coming at me over the net might suddenly metamorphose into a hideous, disembodied face just as I swung my racket at it. . . .

The other phenomenon overcame me early each morning as I was waking, usually around 4:00 a.m., after a night of sleep so short and disturbed it left me irritable and ragged. In the pale light of every dawn, I had a powerful sense that I was underwater, struggling toward the surface. . . .

My descent into major depression was not linear . . .

To read the rest of this story, see this article's .

One More Byline
By Mary E. Daubenspeck
In which a writer chronicles her final struggle with cancer—illuminating a stormy course but elucidating what really matters in the human condition.

The late Mary Daubenspeck was many things—a dog lover, a sailor, an antique-car collector. And, above all, a writer. When she died in March of 2001, she left behind 17 volumes of personal journals. They contain descriptions of nature's unfolding glories, mundane but telling details of her daily life, and philosophical musings. And the last two chronicle her final struggle, physically and psychologically, with cancer. She had been successfully treated for cervical cancer in 1976 and breast cancer in 1991. In 1997, she was diagnosed with colon cancer. . . . Then, in March of 2000, her colon cancer recurred. In July of that year, she wrote in her journal:

"I am told it is useful for one to draft one's own obituary, at some point in one's later life. The admonition has been nagging at me, so here goes with this egotistical and presumptuous exercise:

" 'Mary E. Daubenspeck, 5?, died yesterday at her hillside aerie in Lyme Center, N.H. To the last, she was buoyed by the unfailing support of her five brothers and her mother and strove—as a Bryn Mawr English major—to leaven life in her engineering-oriented family . . .

To read the rest of this story, see this article's .

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