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The environmental legacies left behind by industrial production are pervasive in the air, the soil, and the water. This elemental elixer surrounds us.

In the field of STS, it is perhaps obvious to suggest that institutions have cultures, norms, standards, and professional ways of being. Yet, what are we to make of the results of industry telling its own past publically. The corporate origin story could be a footnote in Joseph's Campbells work. The allure of the lone individual working tirelessly until an innovation is produced and the market takes over. 

Yet, the Wood River Refinery tells a different story. One about place, about people, about the terrible minutia of life lived within bureaucracy. Yes, the story told is glossy and teleological, but the question emerges. What can be learned about the stories industry tells about itself? What do these artifacts contribute to histories and what weight do we give to these stories within the Anthropocene?

The factory at Wood River is both a place where labor is maximized for profit, but also where worker devote 40 precious hours of their week. Lives persist and even thrive in the factory. Are the stories of these lives at Wood River? 

1) “Repeatedly, I have been surprised by the impact that even lightly sketched case histories can have on readers.”

2) “But even the manifesto conceded that less formal expertise would remain important in the areas of practice that had not been subject to high-level testing. THAT confession covers much of the territory.”

The author conducted his research by personal experience and reference to case examples.

The main point of the article is that doctors need individual stories about patient success stories but that the current medical community has largely done away with this. His argument is that that are needed because of their impact on patients, their use in identifying problems like depression, knowing others have felt the same or have the same condition can give hope, and they can inspire research agendas.

Dr. Kramer refers to various people in various medical cases but redacts their names.

The Journal of the American Medical Association and the medical community as a whole embraced “evidence based medicine” back in the 90s and claimed that individual case stories were inferior, antiquated, and a thing of the past.

Oxford University press and the New England Journal of Medicine started writing case reports embracing stories.

The author addresses public health by making the case that “evidence based medicine” is not always there for every type of case nor is it always infallible. This effects emergency response where there are so many variables and there are no datasets, protocols, or studies for some cases.

1) “Repeatedly, I have been surprised by the impact that even lightly sketched case histories can have on readers.”

2) “But even the manifesto conceded that less formal expertise would remain important in the areas of practice that had not been subject to high-level testing. THAT confession covers much of the territory.”

I looked into how EMS operates in situations that are beyond protocols, standing orders, and medical control. I also looked into how story cases are used by other medical professionals. Further I looked into how “evidence” based approaches are formulated for studies and research.

• "For a variety of reasons, including a heightened awareness of medical error and a focus on cost cutting, we have entered an era in which a narrow, demanding version of evidence-based medicine prevails. "
• "No formal research can offer a 40-year lead-in or a 19-year follow-up. Few studies report on both symptoms and social progress. Research reduces information about many people; vignette retains the texture of life in one of its forms."
• "Beyond its roles as illustration, affirmation, hypothesis-builder and low-level guidance for practice, storytelling can act as a modest counterbalance to a straitened understanding of evidence."
• "We need storytelling, to set us in the clinical moment, remind us of the variety of human experience and enrich our judgment."

The author is a psychiatrist who specializes in clinical depression. He conducted his research for this article with anecdotes and personal experience. He references other studies regarding clinical depression and refers to doctors that used stories and personal experiences to help shape their diagnosis.