Methodist Journal

IN THIS ISSUE

Lipids and Lipoproteins

Vol 15, Issue 1 (2019)


FEATURED GUEST EDITOR

ISSUE INTRO

Lipids and Cardiovascular Disease: Putting it All Together

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RECOGNITIONS

Guest Editors Henry Pownall and Antonio Gotto Offer Insight and Expertise on the topic of Lipids and Cardiovascular Disease

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REVIEW ARTICLES See More

Cholesterol: Can’t Live With It, Can’t Live Without It

How Much Do Lipid Guidelines Help the Clinician? Reading Between the (Guide)lines

Statins: Then and Now

Poststatin Lipid Therapeutics: A Review

HDL and Reverse Cholesterol Transport Biomarkers

Revisiting Reverse Cholesterol Transport in the Context of High-Density Lipoprotein Free Cholesterol Bioavailability

High-Density Lipoprotein Subspecies in Health and Human Disease: Focus on Type 2 Diabetes

Gene Delivery in Lipid Research and Therapies

CASE REPORTS See More

Device-Related Thrombus: A Reason for Concern?

Retained Coronary Balloon Requiring Emergent Open Surgical Retrieval: An Uncommon Complication Requiring Individualized Management Strategies

Loperamide Mimicking Brugada Pattern

Reversed Pulsus Paradoxus in Right Ventricular Failure

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

Transcatheter Embolization of a Persistent Vertical Vein: A Rare Cause of Left-to-Right Shunt and Right-Sided Heart Failure

CLINICAL PERSPECTIVES See More

POINTS TO REMEMBER

Lipids and Renal Disease

EXCERPTA

Addressing the Feedback Loop Between Depression, Diabetes, and Cardiovascular Disease

POINTS TO REMEMBER

The Kidney as an Endocrine Organ

EXCERPTA

The Other Side of the Prescription

EDITORIALS

Letter to the Editor in response to “Role of Subcutaneous Leadless Implantable Cardioverter Defibrillator in Young Patients

Vol 15, Issue 1 (2019)

Article Full Text

POET'S PEN

“No man is an island entirely of itself”

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Article Citation:

Young JB. “No man is an island entirely of itself”. Methodist DeBakey Cardiovasc J. 2018;14(4):308.



Pick up any edition of Earnest Hemingway’s masterpiece For Whom the Bell Tolls, first copyrighted in 1940, and you will see on a front piece the John Donne work from which his title came:

No man is an iland, intire of it selfe; everyman

Is a peece of the Continent, a part of the maine; if a

Clod bee washed away by the Sea, Europe is the lesse,

as well as if a Promontorie were, as well as if a Mannor

of thy friends or of thine owne were; any mans death

diminishes me, because I am involved in Mankinde; And

therefore never send to know for whom the bell tolls;

It tolls for thee.

The “poem” is, more accurately, several lines from a prose work titled Devotions Upon Emergent Occasions and severall steps in my Sickness written in 1624 for Prince Charles, the son of King James the First. Donne was the Dean of St. Paul’s and had been very ill with “spotted fever.” Fearing death as he heard church bells tolling on the occasion of others’ deaths, Donne penned his meditations. Hemingway used the “for whom the bell tolls” line to entitle, and set the stage, for a major philosophical work that has become one of his most famous. The story line, as noted on the jacket of the used 1993 Book-of-the-Month club edition I bought some years ago as a re-read, was about “…love, death, honor, and betrayal.” And so it was. But recently I used the short poetic lines in a different manner. Yes, the poem is deeply steeped in our mortality and that of the patients we care for, but there is a much less sobering message here as well. The words serve to provoke us into contemplating our daily lives as healthcare providers, as part of that experience.

The wide audience of healthcare providers has morphed from a gladiatorial mano-a-mano sport into a complex intertwining of teams-of-teams. Certainly there have always been teams of one sort or another. But no longer is the patriarchal, dominating, hubristic pyramid that once was the practice of medicine the best model. And so it is that no man is an island unto itself. Everyone is a piece of the healthcare continent and a part of the “main.” There is a new model of healthcare provision that requires embracing teams. And that is why I remember Houston Methodist (AKA “THE Methodist Hospital”) as so accomplished—it has always taken a team approach. Yes, we should ponder “for whom the bell tolls.” But let us also appreciate that “no man is an island entirely of itself.”

 

James B. Young, M.D.
Chief Academic Officer, Cleveland Clinic
Professor of Medicine & Vice-Dean for Cleveland Clinic Academic Affairs
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Section Editor, Poet’s Pen, Methodist DeBakey Cardiovascular Journal

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