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Outline

Extra vigilance required

2003, BMJ

https://doi.org/10.1136/BMJ.325.7378.1505

Abstract
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AI

The surviving works of museum art act as cultural capital, influencing notions of social justice and humanity. The transition of art patronage from state and church to the middle class altered the portrayal of the poor in art during the 19th century, with artists like Courbet and Daumier facing imprisonment for their political expressions. By the end of the century, art shifted from social narratives to personal emotions, leading to a decline in social realism, although the humanistic portrayals of poverty contributed to the rise of welfare states in Europe.

Through the artist’s eye survive war and decay, is to some extent random, to some extent an outcome of social and cultural construc- tion. None the less, the surviving works of museum art represent potent cultural capital from which nations and the international community can draw to reinforce common notions of social justice and humanity.5 For example, in a country that has suffered famine, such as Finland, the strong values embodied in the paintings of charity and social inclusion may have helped to reinforce their cross party policies of social welfare. By the middle of the 19th century, one of the reasons for the departure from earlier ways of portray- ing the poor was that patronage of the arts had moved away from institutions like the church and state and was almost entirely in the hands of middle class BRIDGEMAN ART LIBRARY patrons.6 Such patronage apparently did not inhibit a broad range of political opinions, although “the progressive artist, in popular opinion, was considered almost as dangerous to society as was the radical or revolutionary politician.”7 Painters like Courbet and Fig 5 Execution of the defenders of Madrid, 3rd May, 1808 (1814) by Francisco Goya Daumier were imprisoned for their political acts and opinions. Daumier died in poverty, having never had a states across Europe. Their prolific reproduction commission. since—in posters, books, and postcards—may have As the 19th century closed, painters were less helped to maintain the ties of civility and the idea that we interested in narratives and making the meaning in their share a common humanity with all people in society, paintings explicit; they became more interested in regardless of our present social position. representing intimate personal emotions or changing perceptions of the nature of reality itself. As art lost its Contributors: PHC developed the initial idea, which was elabo- social subject matter it seemed to become more rated jointly by PHC and JM. PHC is guarantor. personal and private.8 Realism of any kind, and Funding: University of Otago and Erasmus MC. especially social realism, became a marker of cultural Competing interests: None declared backwardness in the 20th century. Nevertheless, the pic- 1 Stevens MA, Dumas A. 1900: art at the crossroads. London: Royal Academy torial power of the 19th century artists who highlighted of Arts, 2000. 2 Halbwachs M. The collective memory. New York: Harper and Row, 1951. the experiences of the poor in Europe helped open the 3 Durkheim E. The division of labour in society. New York: Free Press, 1947. eyes of the public to the often terrible consequences of 4 Schama S. The embarrassment of riches: an interpretation of Dutch culture in the golden age. New York: Vintage Books, 1987. poverty. Many of these paintings created considerable 5 Varnedoe K. Northern light: Nordic art at the turn of the century. New Haven: controversy at the time as they were seen to challenge Yale University Press, 1988. 6 Hauser A. The social history of art. Vol 2. London: Routledge, Kegan Paul, the social order. But they also highlighted that poverty 1951. has consequences for the rich. The strong humanism of 7 Tomory PA. Foundations of European art. New York: Harry N Abrams, 1969. these paintings reinforced national feelings of solidarity 8 Schapiro M. Worldview in painting—art and society. New York: George and social inclusion that led to the rise of the welfare Braziller, 1999. Extra vigilance required While working as anaesthetists and intensive care specialists over 15. This is not surgical bleeding . . . are the blood products here the past few years, and in talking to our colleagues around the yet? world, we have noticed that extra vigilance and attention is 16. The intern will be closing. required when our surgical colleagues voice certain concerns or 17. It must be mostly irrigation. There is no way I lost so much comments. The list below is a compilation of those comments. blood. You know you should worry when the surgeon says: 18. I think we should start broad spectrum antibiotics. 1. She is 91 but otherwise healthy. 19. What do you mean she received 5 litres of crystalloid? 2. This will take me two minutes. I’ll just be in and out. 20. Let’s start some renal dose dopamine. 3. He was initially admitted to the medical service. 21. She needs a PA catheter STAT! 4. Just give him a quick general anaesthetic. 22. Do not feed him quite yet. 5. There is no need to intubate him; just put in an LMA. 23. The anastomosis is fine, but just to be sure, keep the BP 6. I need lots more relaxation. below 150. 7. Can you show me that computed tomogram one more time? 24. Just keep him in the intensive care unit one more day. 8. Are you sure you white balanced the scope? 25. In my personal experience . . . 9. This aorta is like paper. 10. How many units did you type and cross? Ruben J Azocar critical care fellow 11. You are not using nitrous oxide, are you? 12. Get me some suction that works. Alan Lisbon chief of division of critical care, Beth Israel Deaconess 13. Do we have that fibrin glue stuff? Medical Center, Harvard Medical School, Boston 14. These scissors are blunt. ([email protected]) BMJ VOLUME 325 21–28 DECEMBER 2002 bmj.com 1505
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