This essay is composed of five stories written by practicing physician
s about their patients. Each clinical story describes a challenging et
hical condition-potential abuse of medical power, gravely ill and prob
ably over-treated newborns, iatrogenic narcotic addiction, deceived dy
ing people. Rather than singling out one ethical conflict to resolve o
r adjudicate, the authors attempt, through literary methods, to grasp
the singular experiences of their patients and to act according to the
deep structures of their patients' lives. Examining these five storie
s with simple literary tools-attention to narrative frames, time, plot
, and desire-reveals the mechanisms through which acts of writing and
reading contribute to clinical clarity and ethical actions.