Exam Topics and Questions (the Final Diagnosis)

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The biography of Arthur Hailey

A. Hailey was born in England, served in the Royal Air Force from the start of World War II in 1939 until 1947, Soon he went to live in Canada. Most of his novels were written in the period between 1960s and 1990s. These are Flight into Danger, "Hotel," "Wheels," The Final Diagnosis. Hailey was best known for writing "Airport. Several of them were made into TV shows and films. "Airport" was adapted to the big screen in 1970 and helped launch the disaster movie genre. Airport became a blockbuster movie with stunning visual effects. His stories are thrilling and read well. He would spend about one year researching a subject, followed by reviewing his notes and, finally, writing the book. Each of his novels has a different industrial or commercial setting and includes, in addition to dramatic human conflict, carefully researched information about the way that system functions and how these affect society and its inhabitants. In his books Aurthur Hailey takes his readers behind the scenes in a hospital, an airport, a motor plant or a bank.

His books received rather indufferent reviews from critics, but were hits with the public. However, he was so popular with readers that his books were guaranteed to become best-sellers.

| | 2. Comment on the title
The Final Diagnosis is a story of the life and death struggles in a large hospital, it focuses on Joe Pearson, the chief pathologist who must make the final diagnosis on every patient, and eventually on himself. So the title is of a double level. The primary level concerns Joe Person's diagnosis on Vivian which proves to be right. Its metaphoric meaning relates himself and is also right. In fact it is a thorough and honest summing up of his professional carrier. What is more he doesn't spare his self esteem and shares his experience with the young doctor. However it rarely helps the young generation to escape the mistakes of previous generations in contrast to the pathology lab wisdom “The dead teach the living”

The final diagnosis is a story of people who take decisions which could mean life or death to others ,but mostly it's a story of realization. Medicine needs  practitioners  stay up to date. Just because you have those two letters meaning some degree in front of your name doesn't provide you immunity from the crime of losing touch with  newer research. But the idea could certainly be extended beyond medicine.

Q 3
A typical USA provincial hospital in the 1960s is described in the novel The Final Diagnosis. What Kent O'Donnel first saw in the Three Counties hospital appalled him. The hospital was run down physically, its organization slack, its medical standards—with a few exceptions—low. Money was scarce. But it was not only the question of money. The chiefs of surgery and medicine had held their posts for years; O’Donnell had sensed that their objective in life was to preserve an amiable status quo. The administrator—key man in the relationship between the hospital’s lay board of directors and its medical staff—was incompetent. The hospital’s intern and resident training program had fallen into disrepute. There was no budget for research. Conditions under which nurses lived and worked were almost medieval. In fact it was a second line backwater hospital. Once the Three Counties Hospital was progressive, modern, and rated high in the state, It had fallen a victim to complacency. The chairman of the board had been an aging man who most of the time had delegated responsibility to someone else. The lack of leadership was felt at all levels. Heads of divisions had mostly held their posts for many years and wanted no change. Younger men beneath them soon had become frustrated and moved elsewhere. Finally the hospital’s reputation became such that...
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