Abraham Verghese
Encyclopedia
Abraham Verghese is Professor for the Theory and Practice of Medicine at Stanford University Medical School and Senior Associate Chair of the Department of Internal Medicine. He was born in Ethiopia
Ethiopia
Ethiopia , officially known as the Federal Democratic Republic of Ethiopia, is a country located in the Horn of Africa. It is the second-most populous nation in Africa, with over 82 million inhabitants, and the tenth-largest by area, occupying 1,100,000 km2...

 to parents from Kerala
Kerala
or Keralam is an Indian state located on the Malabar coast of south-west India. It was created on 1 November 1956 by the States Reorganisation Act by combining various Malayalam speaking regions....

, India
India
India , officially the Republic of India , is a country in South Asia. It is the seventh-largest country by geographical area, the second-most populous country with over 1.2 billion people, and the most populous democracy in the world...

 who worked as teachers. He is a Syro-Malabar Christian
Syro-Malabar Catholic Church
The Syro-Malabar Catholic Church in India is an East Syrian Rite, Major Archiepiscopal Church in full communion with the Catholic Church. It is one of the 22 sui iuris Eastern Catholic Churches in the Catholic Church. It is the largest of the Saint Thomas Christian denominations with more than 3.6...

. Verghese, his father's Christian name, being Malayalam for George, is a very common Suriyani name. In 2009, Knopf published his new book and first novel, Cutting for Stone. in 2010, Random House published the paperback version of the book and since that time, it has risen steadily up the bestseller charts, and as of March 13, 2011, ranked #2 on the New York Times trade paperback fiction list.

Medical training and early career

Verghese began his medical training in Ethiopia, but his education was interrupted during the civil unrest there when the Emperor was deposed and a military government took over. He came to America with his parents and two brothers (his elder brother George Verghese is now an engineering professor at MIT
Massachusetts Institute of Technology
The Massachusetts Institute of Technology is a private research university located in Cambridge, Massachusetts. MIT has five schools and one college, containing a total of 32 academic departments, with a strong emphasis on scientific and technological education and research.Founded in 1861 in...

) and worked as an orderly for a year before going to India where he completed his medical studies at Madras Medical College in Madras, now Chennai
Chennai
Chennai , formerly known as Madras or Madarasapatinam , is the capital city of the Indian state of Tamil Nadu, located on the Coromandel Coast off the Bay of Bengal. Chennai is the fourth most populous metropolitan area and the sixth most populous city in India...

. In his written work, he refers to his time working as an orderly in a hospital in America as deeply influential in confirming his desire to finish his medical training; the experience had given him a deep understanding of the patient's hospital situation with its varying levels of treatment and care. He has said the insights he gained from this work helped him beome a more empathetic physician and resulted in the motto, "Imagining the Patient's Experience," that defined his later work at the Center for Medical Humanities & Ethics in San Antonio, Texas, which he directed for five years from 2002 to 2007.

After finishing his medical degree (MBBS) from Madras University in 1979, and then completing his internship there, he came to the United States as one of hundreds of foreign medical graduates, or FMGs, from India seeking open residency positions. As he described it in a New Yorker article, "The Cowpath to America," many FMGs often had to work in the less popular hospitals and communities, and frequently in inner cities. He opted for a residency in a brand-new program in Johnson City, Tennessee
Johnson City, Tennessee
Johnson City is a city in Carter, Sullivan, and Washington counties in the U.S. state of Tennessee, with most of the city being in Washington County...

 affiliated with East Tennessee State University
East Tennessee State University
East Tennessee State University is an accredited American university located in Johnson City, Tennessee. It is part of the Tennessee Board of Regents system of colleges and universities, the nation's sixth largest system of public education, and is the fourth largest university in the state...

. He was a resident there from 1980 to 1983, and then secured a coveted fellowship at Boston University School of Medicine in 1983, where he worked for two years at Boston City Hospital and where he saw the early signs of the urban epidemic of HIV
HIV
Human immunodeficiency virus is a lentivirus that causes acquired immunodeficiency syndrome , a condition in humans in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive...

 in that city. Returning to Johnson City in 1985 as assistant professor of medicine (he later became a tenured associate professor there), he encountered the first signs of a second epidemic, that of rural AIDS
AIDS
Acquired immune deficiency syndrome or acquired immunodeficiency syndrome is a disease of the human immune system caused by the human immunodeficiency virus...

. His work with the patients he cared for and his insights into his personal transformation from being "homoignorant," as he describes it, to having an understanding of his patients resulted a few years later in his first book, My Own Country
My Own Country
My Own Country, Abraham Verghese's first book and a New York Times Notable Book the year it appeared in 1994, has been in print since it was published...

.

New direction: writing

Exhausted from the overwhelming nature of his work with his patients, with his first marriage under strain and by then having begun to write seriously, he decided to take a break. He applied to and was accepted to the prestigious Iowa Writers Workshop at the University of Iowa. He cashed in his retirement plan and his tenured position to go to Iowa City with his young family. There, he honed his writing skills and earned a Master of Fine Arts degree in 1991. After Iowa, he accepted a position as Professor of Medicine and Chief of the Division of Infectious Diseases at Texas Tech Health Sciences Center in El Paso, Texas, where he lived for the next 11 years. Despite his title, he was the sole infectious disease physician for a busy county hospital—Thomason Hospital—for many years. His skills and commitment to patient care resulted in his being awarded the Grover E. Murray Distinguished Professorship of Medicine at the Texas Tech School of Medicine.

During these years in El Paso, he also wrote and published his first book, the bestseller My Own Country: A Doctor's Story
My Own Country
My Own Country, Abraham Verghese's first book and a New York Times Notable Book the year it appeared in 1994, has been in print since it was published...

, about his experiences in East Tennessee, but also pondering themes of displacement, Diaspora
Diaspora
A diaspora is "the movement, migration, or scattering of people away from an established or ancestral homeland" or "people dispersed by whatever cause to more than one location", or "people settled far from their ancestral homelands".The word has come to refer to historical mass-dispersions of...

, responses to foreignness and the many individuals and families affected by the AIDS epidemic. This book was one of five chosen as Best Book of the Year by Time magazine and it was later made into a movie by Mira Nair
Mira Nair
Mira Nair is an Indian film director and producer based in New York. Her production company is Mirabai Films.She was educated at Delhi University and Harvard University. Her debut feature film, Salaam Bombay! , won the Golden Camera award at the Cannes Film Festival and also earned the nomination...

 with Lost
Lost (TV series)
Lost is an American television series that originally aired on ABC from September 22, 2004 to May 23, 2010, consisting of six seasons. Lost is a drama series that follows the survivors of the crash of a commercial passenger jet flying between Sydney and Los Angeles, on a mysterious tropical island...

star Naveen Andrews
Naveen Andrews
Naveen William Sidney Andrews is a British American actor. He is best known for portraying Kip in the movie The English Patient and Sayid Jarrah on the American television series Lost.-Early life:...

 playing his role.

His second book, The Tennis Partner: A Story of Friendship and Loss
The Tennis Partner
The Tennis Partner is the second of Abraham Verghese's books. Published in 1999, when he was a physician practicing internal medicine in El Paso, Texas, this is an autobiographical memoir, and Abraham Verghese writes of his experience moving to El Paso in the midst of an unraveling marriage...

,
also written during his time in El Paso, is another eloquently written personal story, this time about his friend and tennis partner, a medical resident in recovery from drug addiction. The story deals with the ultimate death of his friend and explores the issue and prevalence of physician drug abuse. It also concludes the account of the breakdown of his first marriage, an integral part of the narrative in both My Own Country and The Tennis Partner. This book was reissued in 2009. Verghese has three children, two grown sons by his first marriage and a third by his second marriage.

Bedside medicine

Verghese became founding Director of The Center for Medical Humanities & Ethics at the University of Texas Health Science Center at San Antonio
University of Texas Health Science Center at San Antonio
The University of Texas Health Science Center at San Antonio is an institute of health science education and research, located in the South Texas Medical Center....

 in 2002. His focus here was on medical humanities as a way to preserve the innate empathy and sensitivity that brings students to medical school but which the rigor of their training frequently represses. In San Antonio, besides developing a formal humanities and ethics curriculum that was integrated into in all four years of the medical school program, he invited medical students to accompany him on bedside rounds as a way of demonstrating his conviction about the value of the physical examination in diagnosing patients and in developing a caring, two-way patient-doctor relationship that provides benefits not only to patients and their families but to the physician, as well. At San Antonio, he held the Joaquin Cigarroa Chair and the Marvin Forland Distinguished Professorship.

After a relatively short, five-year tenure in San Antonio, he was recruited to Stanford University School of Medicine in late 2007 as tenured professor for the Theory and Practice of Medicine and Associate Chair of Internal Medicine. His deep interest in bedside medicine and his reputation as a clinician, teacher and writer have continued to define his role at Stanford, where he is deeply involved with patients at Stanford Hospital and directs the third-year medical student clerkship. His writing and work continue to explore the importance of bedside medicine, the ritual of the physical examination in the era of advanced technology, where, as he notes frequently in his writing, the patient in the bed is often ignored in favor of the patient data in the computer. He is renowned at Stanford for his weekly bedside rounds, where he insists on examining patients without knowledge of their diagnosis to demonstrate the wealth of information available from the physical exam. This emphasis has led to the development of The Stanford 25, a new initiative at Stanford designed to showcase and teach 25 fundamental physical exam skills and their diagnotic benefits to interns.

Cutting for Stone

His first novel, Cutting for Stone
Cutting for Stone
Cutting for Stone is a novel written by Ethiopian born medical doctor and author Abraham Verghese. It is a saga of twin brothers, orphaned by their mother's death at their births and forsaken by their father.-Critical reception:...

, is set in Ethiopia and the United States and written of a time in Ethiopia when the old order gave way to the new, a time of great loss for the author himself, who as an expatriate had to leave the country even though he had been born there. An epic autobiographical novel of sweeping proportions, Cutting for Stone has remained a #1 bestseller on the Independent Booksellers list and high on the "New York Times" Fiction and "USA Today" Bestsellers lists. It was recently optioned as a movie.

Verghese's writing has also appeared in The New Yorker, Texas Monthly, Atlantic, The New York Times, The New York Times Magazine, Granta, Forbes.com, "Daily Beast" and The Wall Street Journal.

External links

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