medicine | Platypus

Between Pain and Relief: Morphine’s Ambiguities in India

 Nick Surawy Stepney, Nishanth Kunnukattil Shaji  August 17, 2023

The root of the word morphine is Morpheus, the Greek god of dreams. Neil Gaiman’s contemporary reimagining of the character in his magnum opus Sandman likewise thrusts upon us a gothic titular figure, constantly morose, deeply troubled, and yet a benevolent god of dreams that embodies everything human. Perhaps it should be no surprise then that in the modern world this character’s namesake, morphine, the gold standard of medically prescribed painkillers (Ruiz-Garcia and Lopez-Briz 2008), offers a similarly troubling medical story, evoking in equal measure the contingent histories of pleasure and war, relief and addiction, commerce and regulation. In few places is this more apparent than in India. Legal opium is grown throughout certain regions of the country for the sole purpose of pharmaceutical production, yet irrespective of this robust industrial production, very little morphine is used within the country’s own hospitals (Rajagopal and Joranson 2007). This is a story that involves both the everyday impacts of restrictive regulation, and a local palliative care movement intent on widening access to the drug. (read more...)

Fake, Real, Real, Fake: Salvarsan on the US Medical Market

 Colin Garon  August 8, 2023

 Listen to a reading of this post.

1913, Chicago: A reporter, assuming the name Edward Donlin, enters a downtown medical establishment that has advertised widely in Midwestern newspapers offering Dr. Paul Ehrlich’s new miraculous cure for ‘blood poison’—syphilis—for a price. ‘Donlin’ pays $2 in fees, then the consultation begins. He feigns concern about recent hair loss, and the doctor (who, matching the picture in advertisements, wears a Van Dyke beard) laughs strangely then turns grave: it is certainly syphilis. He recommends a Wassermann test, a recently-invented syphilis diagnostic, for $20 and Ehrlich’s Salvarsan for $30. Pleading financial difficulty, the reporter holds him off with a $2 down-payment and departs. (read more...)

Monstrous Matter, Out of Place

 Rine Vieth  July 5, 2022

The following is an autoethnographic comic about my experiences re-understanding a new diagnosis through revisiting Mary Douglas’s Purity and Danger. (And yes, the final panel is from a conversation I did have with a grad student colleague and dear friend.) (read more...)

Swarming Syphilis: On the Reality of Data

 Eduardo Zanella  June 8, 2021

Este conteúdo está também disponível em português

(Editor’s Note: This blog post is part of the Thematic Series Data Swarms Revisited) Syphilis, an infection caused by the bacterium treponema pallidum, is an important disease. It starts as a skin lesion and develops until it deforms bones, compromises the central nervous system, and ultimately causes death. During pregnancy, the disease can also be transmitted from mother to child. It has accompanied our species at least since the Renaissance and generated various innovations in modern science throughout this history. It helped give rise to serology through the Wasserman Reaction (Fleck 2010), the first detection test, and it was crucial for the consolidation of somatological perspectives of mental illnesses in psychiatry (Carrara and Carvalho 2010). Due to sexual transmission of the disease, in the eighteenth and nineteenth centuries, it became the evil venereal illness par excellence in restrictive sexual regimes (Fleck 2010; Quetel 1986). Since that time, syphilis has laid the foundations for codes of social conduct and even for ideas of the “self” in western societies, for example in criminalizing prostitution (Carrara 1996; Bastos 2007) and shaping contagion theories and its relations of body-subject (Echeverría 2010). (read more...)

When You Can’t Look Away: Seeing and Difference in American Medicine

 Yesmar Oyarzun  November 16, 2020

When I interviewed her, Juliet was a third-year medical student and a dedicated member of her medical school’s interest groups on social justice. I interviewed her because her name came up in conversations with other medical students at her university, participating in anti-racist work in medicine. She had helped tally the results for her school’s racial justice report card the year I visited, and she cared deeply about issues of racial justice in medicine. She demonstrated in-depth knowledge and interest in our interviews as she discussed just how people of color were disadvantaged in medicine. (read more...)

Roundtable: “COVID-19: Views from the Field”

 Baird Campbell, Ashley Thuthao Keng Dam, Caitlyn Dye, Kristina Jacobsen, Rebekah Ciribassi, Sonia Qadir  May 20, 2020

We’re wrapping up our five-part series, “COVID-19: Views from the Field,” with a pre-recorded roundtable. This roundtable brought our authors into conversation with each other, across continents and timezones, to discuss conducting—or not conducting—fieldwork in places not understood as COVID-19 “hotspots.” Check out the video here, and follow the links below to read the whole series, also available in the language of each field site. (read more...)

Platypus Celebrates AAPI Heritage Month

 Baird Campbell  May 5, 2020

In celebration and recognition of Asian American and Pacific Islander Heritage Month, take a look back at some of our favorite past posts from and about the region. (read more...)

Cambodia in the time of COVID-19: Conceptions, perceptions, and approaches to the novel coronavirus

 Ashley Thuthao Keng Dam  April 16, 2020

*អត្ថបទនេះមានជាភាសាខ្មែរ។*

Editor’s note: This post is the first in our five-part series “COVID-19: Views from the Field.” Click here to read an introduction written by series organizer Rebekah Ciribassi. When I waved goodbye to my partner at Torino Caselle Airport in northern Italy on February 18th, 2020, I had no idea what was about to happen—people don’t tend to predict the eves of global pandemics. There were no particularly ominous signs to note, and I was heavily focused on the logistics of carrying out my PhD fieldwork in Cambodia. My research focuses on seasonal variations of the use and consumption of traditional Khmer medicinal plants during maternity by rural women living in Siem Reap Province, Cambodia. My aim is to identify medicinal plants used during different stages of pregnancy, how these medicinal plants are prepared as (or paired with) foods, and what the perceived effects of these traditional food-medicines have on treating symptoms associated with different stages of maternity. In addition to this, I’m also interested in the contemporary role and trajectory of Traditional Khmer Medicine (TKM) within rural community settings and how such traditional knowledge is shared. The overarching goal of this research was to support botanical work being done by the National Herbarium of Cambodia at the Royal University of Phnom Penh, nutrition and dietary research by the NGO Helen Keller International, as well as expand the inter-disciplinary cultural research by the Center for Khmer Studies in my role as a senior research fellow. (read more...)