Although written in late nineteenth century, the lessons and motifs in The Death of Ivan Ilych, by Leo Tolstoy, remain appropriate to our ever-changing world1. This novella chronicled the life of Ivan Ilych, delving deep into his psyche. The impending death of Ivan served as the main theme of the novella. Death is a consequence of human existence; for life to exist, so too must death. In particular, doctors and those within the health-care field deal with death regularly. Ivan interacted with many physicians after the onset of his pain and the analysis of these interactions aid in understanding Ivan’s prognosis. This theme of death and how Ivan interprets and conceives his mortality adds to the timeless nature of this novella. Prior …show more content…
Ivan’s main question, which is most likely all patient’s main question when feeling ill or diagnosed with something unsettling, involved understanding the severity of his situation. He continuously thought and asked, “was his condition serious or not?”15. Yet his doctors ignored his questions and only focused on medical aspects of his case. They seemed apathetic and indifferent, showing no sympathy towards the issue that their patient considered to be of vital importance. They spoke to Ivan with snobby attitudes, insinuating that they had all the answers. Ivan was forced to “translate all those vague, confusing scientific terms into simple language” in order to understand his condition, answer his questions, and explain his situation to his family16. The doctors’ use of elaborate medical jargon only indicated how intelligent they were. The fact that they were unable to adequately get their point across to their patient further cements that they were mediocre physicians. It seemed as if these doctors were unable to engage with their patient on a personal …show more content…
In the case of Ivan Ilych, if his doctors had answered his questions, Ivan’s outlook on his pain could have been completely different. His doctors could begin to treat Ivan’s actual problems as opposed to what they think the problem is. It is evident that Ivan’s psychological outlook on his sickness changed drastically with his first doctor’s appointment. If the doctors had treated him with kindness and compassion, perhaps Ivan would have a completely different
The Death of Ivan Ilyich by Leo Tolstoy tells the story of Ivan Ilyich, a man who deals with a mysterious illness through introspection. Until his illness, he lived the life he thought he was supposed to live. Like Candide, he was living in blind optimism. He assumed that what he was doing was the right thing because he was told as much. He had a respectable job and a family. Happiness, if it did occur to him, was fulfilling his duties as a husband and father. It was his sudden illness that allowed him to reflect on his choices, concluding that those choices did not make him happy. “Maybe I have lived not as I should have… But how so when I did everything in the proper way” (Tolstoy 1474)? Ilyich had been in a bubble for his entire life, the bubble only popping when he realizes his own mortality. This puts his marriage, his career, and his life choices into perspective. Realizing that he does not get to redo these choices, he distances himself from his old life: his wife, his children, and his career. All that is left is to reflect. This reflection is his personal enlightenment. He had been living in the dark, blind to his true feelings for his entire life. Mortality creates a space in which he can question himself as to why he made the choices he made, and how those choices created the unsatisfactory life he finds himself in
Tolstoy provided us with two perspectives to view Ivan’s life in “The death of Ivan Illyich”: an omniscient narrator and Ivan himself. What I plan to do is give another perspective, not necessarily to view his life, but rather to his experiences after he realized he was dying. This perspective will be an analytical and psychological; the perspective from Kubler-Ross’s Stages of death (or stages of grief, as they are better known for). These stages occur when we are faced with an event that is usually connected with death. The “normal” order in which these five stages occur, though may not go doctrinally in this order, are as such: Denial, Anger, Bargaining, Depression, and Acceptance.
Though illness stripped both Morrie Schwartz and Ivan Ilych of their hope for survival, their dissimilar lifestyles led each to a much different end. Morrie found himself in an overflow of compassion while surrounded by family, friends and colleagues. Ivan, on the other hand, found only the obligatory company of his wife and the painful awareness that no one really cared. Both characters ended their lives the way they lived them, as Ivan acknowledges: "In them he saw himself" (Ivn, 149). While Morrie poured himself into every moment of life and every relationship he pursued, Ivan skirted the dangers of emotion to live "easily, pleasantly, and decorously" (Ivn, 115). In the spirit of such an opposition, the two stories become somewhat like responses to each other. Morrie Schwatrz, proclaimed...
Ivan pretty much avoids the idea of death because he did not think it would happen to him so soon. Death to Ivan is something that deceased people experience. Ivan and his family did not see death has a common experience for all beings. This thought is seen in Ivan as he transitions. Ivan had a routine for his life. He enjoyed working, playing bridge, and keeping his house luxurious. Tolstoy says Ivan’s life was “most simple and most ordinary and therefore most terrible.” In the beginning of the story, the readers are presented with Ivan’s funeral. The people attending Ivan’s funeral want the whole ordeal to be over. This entire death has been an inconvenience for all of his friends and family. Death is something that Ivan battles with as he gets closer to that point in his life. The fall off of the ladder is the reason for him dying. This fall triggers unbearable pains for Ivan. Ivan is very irate towards his wife and screams due to the pain he experiences. On his death bed, Ivan struggles with dying. He is truly afraid of what is going to happen to him. “Suddenly some kind of force struck him in the chest and on the side, his breath was constricted even more, he collapsed in to the hole and there at the bottom of the hole some light was showing.” This excerpt expressed the moment in which Ivan converts. He feels a spirit that told him how to mend things with his family. In Ivan’s case, death is the only way to help his family move
Why does the story begin with the death? Most books use mystery in the beginning and announce the death at the end. But Tolstoy used a different chronology, he started with the death of Ivan and then uses a flashback to show the reader what really happened. Also he chooses to start with the death to make the story seem real and not fictional. At Ivan’s funeral, nobody seemed devastated by the loss of Ivan, which gave the reader an understanding of how little Ivan’s life meant to the people even the ones close to him. Later in the reading, but before his death Ivan questions how he lived his mortality life and what if he lived his life properly. Before his death he had come to the realization that his death would benefit all the others around him. "The Death of Ivan Ilyich" begins with the death of Ivan in order to get it out of the way. In essence the
This internal conflict is a result of the mistakes a physician makes, and the ability to move on from it is regarded as almost unreachable. For example, in the essay, “When Doctors Make Mistakes”, Gawande is standing over his patient Louise Williams, viewing her “lips blue, her throat swollen, bloody, and suddenly closed passage” (73). The imagery of the patient’s lifeless body gives a larger meaning to the doctor’s daily preoccupations. Gawande’s use of morbid language helps the reader identify that death is, unfortunately, a facet of a physician’s career. However, Gawande does not leave the reader to ponder of what emotions went through him after witnessing the loss of his patient. He writes, “Perhaps a backup suction device should always be at hand, and better light more easily available. Perhaps the institutions could have trained me better for such crises” (“When Doctors Make Mistakes” 73). The repetition of “perhaps” only epitomizes the inability to move on from making a mistake. However, this repetitive language also demonstrates the ends a doctor will meet to save a patient’s life (73). Therefore, it is not the doctor, but medicine itself that can be seen as the gateway from life to death or vice versa. Although the limitations of medicine can allow for the death of a patient to occur, a doctor will still experience emotional turmoil after losing someone he was trying to
Leo Tolstoy, author of The Death of Ivan Ilyich, suffered numerous tragic losses such as his parents and his aunt, Tatyana Ergolsky who created a tremendous impact during Tolstoy’s childhood. Overtime, Tolstoy was cultured and for Tolstoy it was common within his community. During the 1840, Tolstoy developed a strong, eager interest for the studies of moral philosophy. In The Death of Ivan Ilyich, Tolstoy suggests that although people can find happiness in materialism, they need spirituality during a crisis.
Biographical Information: Leo Tolstoy was born into an aristocratic family in 1828. He lost both his parents at a young age, and was sent to live on the family estate with his siblings. The estate, Yasnaya Polyana, was located 130 miles from Moscow. This isolation from the aristocracy is truly what set Tolstoy a part from his peers. He cultivated a genuine love and appreciation for the peasants (surfs) that lived on his family’s land. As he grew up he became a deeply moral person, and found it difficult to take part in the socially acceptable debauchery of his peers.
In “Should Doctors Tell the Truth?” Joseph Collins argues for paternalistic deception, declaring that it is permissible for physicians to deceive their patients when it is in their best interests. Collins considers his argument from a “pragmatic” standpoint, rather than a moral one, and uses his experience with the sick to justify paternalistic deception. Collins argues that in his years of practicing, he has encountered four types of patients who want to know the truth: those that want to know so they know how much time they have left, those who do not want to know and may suffer if told the truth, those who are incapable of hearing the truth, and those who do not have a serious diagnosis (605). Collins follows with the assertion that the more serious the condition is, the less likely the patient is to seek information about their health (606).
Tolstoy immediately absorbs you into the novel by beginning with Ivan’s death. The actual death scene is saved until the end of the novel, but he shows you the reaction of some of Ivan’s colleagues as they hear the news of Ivan’s death. You are almost disgusted at the nonchalant manner that Ivan’s “friends” take his death. They are surprised by his death, but immediately think of how his death will affect their own lives, but more importantly, their careers. “The first though that occurred to each of the gentlemen in the office, learning of Ivan Ilyich’s death, was what effect it would have on their own transfers and promotions.” (pg 32) As a reader, you have to wonder how Ivan must have had to live in order for people close to him to feel no sadness towards the loss or even pity for his wife. In fact, these gentlemen are exactly like Ivan. The purpose of their lives was to gain as much power as possible with n...
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
Although we as a society have advanced and made people’s lives easier, our mental suffering is as present as ever, due to our incessant need to have everything perfect. We seem to forget that the fascination of living comes from the imperfect and the unexpected. In her essay “On the Fear of Death” Elisabeth Kubler-Ross suggests that the modern age, while increasing life span and ease of life, has at the same time given way to a “rising number of emotional problems,” amongst the living (Ross 407). She also suggests that because of modern society’s progress, there has been an increased anxiety towards death. While Ross is writing for twentieth century society her ideas apply to the nineteenth century as well, when Tolstoy wrote The Death of Ivan Ilych.
accept treatment. Third, it can be distressing to see what a young patient has to suffer
According to Kubler-Ross’s theory, the first cycle is denial. Denial in this case is the individual denying that they are dying. When the individual resists the reality that they are going to die. “Then where shall I be when I am no more? Could this be dying? No I don’t want to!” (Tolystoy, “TdofII” p127), Ivan may have felt that he would be leaving too much behind if he were to die: worrying about where he’ll after he dies and refusing to something that cannot be stopped. Concerned mostly about losing his luxuries, he was clearly afraid and couldn’t accept he was dying as shown in this quote. “In the depth of his heart he knew he was dying, but not only was he not accustomed to the thought, he simply did not and could not grasp it.” (Tolystoy, “TdofII” p129).