Hemingway’s Study- Chaos and Creativity

updated April 11, 2026

Ernest Hemingway wrote some of his popular novels, including To Have and Have Not, in the study of his Key West, Florida home.

The house, on the National Register of Historic Places, has been preserved as it was when he and his wife Pauline lived there and is open to visitors, like myself, when I visited there years ago.

the study of Ernest Hemingway, with a cat sleeping on the floor

Chaos

This entire house, and especially the narrative of his life (as related to us by our verbose tour guide) is itself a study of a man whose life and career were largely shaped by mental illness.

Ernest Hemingway displayed mood swings and abused drugs and alcohol. Despite numerous psychiatric hospital stays where he was treated with ECT, electroconvulsive therapy, he struggled with chronic depression.

He died from a self-inflicted gunshot wound to his head in 1961.

CATWALK

Creativity

While dealing with mental illness and traumatic brain injuries, he continued to write prolifically and successfully, winning the Nobel Prize for literature in 1954 for The Old Man and the Sea.

He wrote acclaimed novels, several of which became major movies. His personal life was not so successful; three of his four marriages ended in divorce.

photos of Ernest Hemingway displayed at his Key West home

personal photos filled this wall in the home, here and below

Ernest Hemingway’s novels and movies 

(an affiliate link, if you use it, at no additional cost, this blog will earn funding.)

The Challenge of Mental Illness

Mental illness often runs in families. Ernest’s father, Dr. Clarence Hemingway, a gynecologist, suffered from manic-depression and died by suicide.  Ernest and his siblings likely inherited it from their father.

2016-06-16 10.05.16

Sadly, it did not end with him. His granddaughter, Margaux Hemingway, a fashion model and actress, dealt with depression, alcoholism, and bulimia.

She died from an apparent intentional drug overdose at age 42.

Her sister Mariel reflected on her family’s troubled history in Finding My Balance .

“A lonely life”

SOLITARYWRITER

Ernest Hemingway could not attend the ceremony to receive his Nobel Prize. He wrote a short speech which was read by John C. Cabot, the Ambassador to Sweden. In that speech he wrote, 

“Writing, at its best, is a lonely life.

Organizations for writers palliate the writer’s loneliness but I doubt if they improve his writing. He grows in public stature as he sheds his loneliness and often his work deteriorates

For he does his work alone and if he is a good enough writer he must face eternity, or the lack of it, each day.”

HEMINGWAY'S STUDY-CHAOS AND CREATIVITY

Hemingway’s Cats

At least 40 to 50 cats live on the grounds of the Hemingway House;  many of them are descendants of Ernest Hemingway’s cats. They live peaceful, serene lives, far different from the people who lived there long ago.

a dozing cat sitting on a big rock
A cat named Humphrey Bogart, after an actor who played in one of Hemingway’s movies

What you should know about suicide from the

 NIH: National Institute of Mental Health

  • Suicide is the tenth most common cause of death in the United States.
  • People may consider suicide when they are hopeless and can’t see any other solution to their problems.
  • Suicide may occur with  serious depression, alcohol or substance abuse, or a major stressful event.
  • People who have the highest risk of suicide are white men.
  • Women  and teens report more suicide attempts.
  • Therapy and medicines can help most people who have suicidal thoughts. Treating mental illnesses and substance abuse can reduce the risk of suicide.
  • If someone talks about suicide, you should take it seriously.
  • Urge them to get help from their doctor or the emergency room, or call the

Crisis Lifeline -call 988

988lifeline.org

available 24/7

Keys to Coping with Bipolar Disorder

At this link, a psychiatrist, Dr. Melissa Welby, says this about managing bipolar disorder(a form of chronic depression).

“A key to managing bipolar disorder is to recognize early relapse warning signs. Medication will minimize, but not eliminate, mood swings for many people coping with bipolar disorder. “

Understanding Mental Illness

Warning signs of mental illness

“Major mental illnesses such as schizophrenia or bipolar disorder rarely appear “out of the blue.” Most often family, friends, teachers or individuals themselves begin to recognize small changes or a feeling that “something is not quite right” about their thinking, feelings or behavior before one of these illnesses appears in its full-blown form.”

Technology and the future of mental health treatment
Suicide prevention

“The most important thing to remember about suicidal thoughts is that they are symptoms of a treatable illness associated with fluctuations in the body’s and brain’s chemistry. They are not character flaws or signs of personal weakness, nor are they conditions that will just go away on their own. “

Exploring the HEART of Health

Thanks for joining me to tour the unique home of Ernest Hemingway, using photos I took myself.

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man and woman with Key West visitor sign
My husband and I upon arriving in Key West, Florida the farthest south city in the U.S.A.
Dr. Aletha

The surprising new doctors caring for you

Who will be your next doctor? What will your future doctor look like?

Your doctor within the next 10-20 years is likely in medical school or a residency program in a United States medical center right now. Within 1-10 years, they will join the ranks of practicing physicians, while some currently in practice will change to a non-clinical job, retire, or die.

Who will be your next doctor? What will your future doctor look like?

Find out at the updated version of this post-here is the link.

Meet the new doctors caring for you soon

Your doctor within the next 10-20 years is likely in medical school or a residency program in a United States medical center right now. Within 1-10 years, they will join the ranks of practicing physicians, while some doctors currently in practice will change to a non-clinical job, retire, or die.

More women physicians are coming

For the academic year 2016-2017,  83,000 students, attended United States medical schools ,  slightly more males than female. However, in 2017, the entering class of medical students was slightly over 50% female, for the first time ever.

CELEBRATE WOMEN IN MEDICINE MONTH#WIMmonth

According to the Association of American Medical Colleges, since 2015 the number of women students has increased by 9% while the number of men has decreased by 2 %.

And already, the majority of  young practicing physicians-under age 40 years old-are female.

So you are likely to be treated by a female physician eventually, if you haven’t already,  especially if you go to a primary care doctor. Gynecology and pediatrics  residency programs are now overwhelmingly comprised of female residents.

Ethnic diversity is still low but is improving

Entering classes at the nation’s medical schools continue to diversify.

From 2015 to 2017, black or African American students increased by 12.6%, and those  who were Hispanic, Latino, or of Spanish origin rose by 15.4%.

a male doctor holding a tablet

However,  medical students and residents, both male and female, are still predominantly white. The ethnic percentages of most other students is far below their representation in the general population. Based on self-identification, race and ethnic origin of medical residents includes

  • White-60%
  • Black- 7%
  • Hispanic(any race)- 6%
  • Asian-26%
  • Multiracial- 3%
  • Unknown/other-7%
  • Native American/Alaskan/Pacific Island -less than 1%

How many U.S. physicians are foreign born ?

Will your physician come from another country?

Female doctor looking at an xray

70% of  U.S. medical residents are native citizens,  8% are naturalized citizens and 6% are permanent residents. ( adds to less  than 100% due to some status’ unknown.) 

Credentials of today’s physicians

The average grade point of entering medical students was 3.56.

77% had done some type of volunteer medical service .

77% have experience in medical research.

These statistics gleaned from JAMA, December 19, 2017 

Goals of new physicians

An Association of American Medical Colleges  annual survey of entering medical students found:

  • More students indicated that having a work-life balance rather than a “stable, secure future” or the “ability to pay off debt” was an “essential consideration” in their career paths after medical school.
  • Nearly 30% of new medical students indicated plans to eventually work in an underserved area.

The specialization of medical care- the good and the bad

March 16 was Match Day. Not a match as in color choice for an outfit nor a match as in finding a spouse, but the concept is similar.

On Match Day,  graduating medical students learn which  residency program they will enter through the National Resident Matching Program , which “matches” them with available positions in residencies at medical centers all over the United States. A kind of medical “matchmaking” you could call it.

Why should you care? This matching process determines who will care for our medical needs in the next 30-40 years; our family physicians, internists, pediatricians, general surgeons, obstetricians, and the multitude of other medical specialties. Most doctors will continue in the same speciality their entire career, although some  switch after a few or many years.

doctor talking to a woman
Ted Epperly, M.D., consults a patient at his practice in Boise, Idaho.photo compliments American Academy of Family Physicians

Some medical students know what speciality they want to pursue before they enter medical school, while others decide after trying the different types of medicine while students. We still have the traditional specialities that most students enter- (there are also many subspecialities under each of these categories.)

Primary care 

  • Family medicine
  • Internal medicine -(adult medicine)
  • Pediatrics-children and adolescents
  • Obstetrics/Gynecology- care of women’s health and pregnancy

Surgical specialities

  • General Surgery-  surgery on skin and internal organs
  • Orthopedics-bones and joints
  • Otorhinolaryngology- ear, nose, throat
  • Ophthalmology-eyes
  • Neurosurgery-the brain, spine, nerves
  • Plastic and Reconstructive surgery
  • Cardiac and vascular surgery

Others 

  • Dermatology-skin
  • Psychiatry-mental health
  • Anesthesiology-surgical sedation and pain relief
  • Emergency medicine- emergencies and trauma
  • Radiology- xrays and other imaging-CT, MRI, US
  • Pathology-laboratory medicine
  • Allergy
  • Physical medicine and rehabilitation
  • Oncology-treatment of cancer
  • Integrative and complementary medicine

As medical care has become more complex and technological, so have the specialties of physicians. This has produced a plethora of new highly specialized fields of practice.

  • Sleep medicine
  • Medical genetics and genomics
  • Pain management
  • Geriatrics- care of the elderly
  • Palliative care-managing diseases that cannot be cured and are likely terminal
  • Hospital medicine-care of patients admitted to a hospital
  • Critical care medicine-care of patients in an ICU (intensive care unit)
  • Aerospace medicine
  • Wound management
  • Medical informatics – use of computers and medical software in medicine
  • Bariatrics- treatment of obesity with or without surgery
  • Sports medicine-treatment of athletic injuries and fitness training
  • Transplant medicine- surgery to transplant organs and after care
  • Addiction medicine

A recent viewpoint in JAMA suggested that we need a new specialty, virtual medicine, to describe physicians who treat patients through a virtual medium, telemedicine or  web based, on a computer or a mobile app.

Consider that in the early 1970s, there were only 20 medical specialties !

THE SURPRISING NEW DOCTORS CARING FOR YOU
photo from Lightstock.com(affiliate link) graphic created with Canva

What this means for you as a patient

According to the New England Journal of Medicine,

“the progress of biomedical science is a major factor in the emergence of new subspecialities. There are some patients who benefit from highly focused knowledge and skills.”

All of these specialities mean more medical  knowledge and experience will be  available to both treat and prevent a diverse and growing  variety of disorders.

Today’s new specialist will have a high degree of expertise in their field, making them better able to treat your problem in the most efficient, effective, safest way.

You may find your doctor recommends more testing which may lead to more treatment than might otherwise have happened; some of which may not necessarily improve outcomes. More specialized testing and treatments may increase the cost of medical care.

Dr. Sandeep Jauhar addresses this issue in this article

One Patient, Too Many Doctors: The Terrible Expense of Overspecialization

With a more narrow focus of experience, that doctor may be less familiar with other aspects of your medical status.

So, to close this gap, primary care physicians have become increasingly important to oversee and coordinate care, especially for complex patients.

So there was good news in the Match this year. The upward trend in students matching into family medicine continued for the ninth consecutive year . In 2018 more students matched into family medicine than in any  previous year, 3,535 compared to 3,237 in 2017. 

“The number and proportion of U.S. medical graduates going into family medicine is the strongest indicator of the future of the primary care workforce because family medicine is the only specialty completely devoted to primary care,”

said Michael Munger, MD, president of the American Academy of Family Physicians.

Michael Munger, M.D., consults a patient at his medical office in Overland Park, Kan.
Michael Munger, M.D., consults a patient at his medical office in Overland Park, Kan. Photo compliments of American Academy of Family Physicians

My specialty-Family Medicine

I’ve often been asked ,”Why didn’t you specialize?” My answer, “I did. I specialize in Family Medicine.”

Once called “general practice”, Family Medicine is now a recognized specialty, requiring a residency and certification by  the American Board of Family Medicine.

Dr. Sandeep Jauhar wrote about his first year as a resident in

Intern: A Doctor’s Initiation

“In Jauhar’s wise memoir of his two-year ordeal of doubt and sleep deprivation at a New York hospital, he takes readers to the heart of every young physician’s hardest test: to become a doctor yet remain a human being.” ― Time

Lightstock photos

Unless otherwise stated, the doctor photos in the post are from the Lightstock.com collection . Get 5 free downloads at this affiliate link. (This blog can earn a commission if you buy photos which helps support the mission of Watercress Words.)

Thank you for joining me to explore the surprising new doctors caring for you. I hope you’ve learned something. Please contact me about topics you want to read about.

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my regards, Dr. Aletha