front cover of Gangrene and Glory
Gangrene and Glory
Medical Care during the American Civil War
Frank R. Freemon
University of Illinois Press, 1998
This unusual history of the Civil War takes a close look at the battlefield doctors in whose hands rested the lives of thousands of Union and Confederate soldiers and at the makeshift medicine they were forced to employ.
 
A medical doctor and a credentialed historian, Frank R. Freemon combines poignant, sometimes horrifying anecdotes of amputation, infection, and death with a clearheaded discussion of the state of medical knowledge, the effect of the military bureaucracy on medical supplies, and the members of the medical community who risked their lives, their health, and even their careers to provide appropriate care to the wounded. Freemon examines the impact on major campaigns--Manassas, Gettysburg, Vicksburg, Shiloh, Atlanta--of ignorance, understaffing, inexperience, overcrowded hospitals, insufficient access to ambulances, and inadequate supplies of essentials such as quinine.
 
Presenting the medical side of the war from a variety of perspectives--the Union, the Confederacy, doctors, nurses, soldiers, and their families--Gangrene and Glory achieves a peculiar immediacy by restricting its scope to the knowledge and perceptions available to its nineteenth-century subjects. Now available for the first time in paperback, this important volume takes a hard, close look at a neglected and crucial aspect of this bloody conflict.
 
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Gender Inequalities in Health
A Swedish Perspective
Piroska Ostlin
Harvard University Press, 2001

This revised volume, originally published in Sweden, consolidates multidisciplinary research on gender inequalities in health. Reviewing previous research and presenting new empirical data from Sweden and elsewhere, the authors examine basic concepts, possible hypotheses, explanatory models, and policy solutions for the biological and social causes of the differences in health between men and women. Along with discussions of reproductive, mental, and occupational health, this book reviews critical issues such as violence and asks important questions, such as why men are dying younger.

The volume also analyzes how Sweden’s labor market, social structure, and health care system have contributed to these gender differences, and what effects these factors will have in the future. Sweden’s experience as a pioneer in health achievement and gender equality provides valuable insights into the health-related challenges remaining for the rest of the world.

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Gender, State, and Medicine in Highland Ecuador
Modernizing Women, Modernizing the State, 1895-1950
A. Kim Clark
University of Pittsburgh Press, 2012
In 1921 Matilde Hidalgo became the first woman physician to graduate from the Universidad Central in Quito, Ecuador. Hidalgo was also the first woman to vote in a national election and the first to hold public office.

Author Kim Clark relates the stories of Matilde Hidalgo and other women who successfully challenged newly instituted Ecuadorian state programs in the wake of the Liberal Revolution of 1895. New laws, while they did not specifically outline women’s rights, left loopholes wherein women could contest entry into education systems and certain professions and vote in elections. As Clark demonstrates, many of those who seized these opportunities were unattached women who were socially and economically disenfranchised.

Political and social changes during the liberal period drew new groups into the workforce. Women found novel opportunities to pursue professions where they did not compete directly with men. Training women for work meant expanding secular education systems and normal schools. Healthcare initiatives were also introduced that employed and targeted women to reduce infant mortality, eradicate venereal diseases, and regulate prostitution.

Many of these state programs attempted to control women’s behavior under the guise of morality and honor. Yet highland Ecuadorian women used them to better their lives and to gain professional training, health care, employment, and political rights. As they engaged state programs and used them for their own purposes, these women became modernizers and agents of change, winning freedoms for themselves and future generations.


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Global Movements, Local Concerns
Medicine and Health in Southeast Asia
Edited by Laurence Monnais and Harold J. Cook
National University of Singapore Press, 2012
The development of medicine in Southeast Asia over the past two centuries has not been a simple imposition of European scientific medicine, but a complex and negotiated process that drew on Southeast Asian health experts, local medical traditions, and changing national and popular expectations. The contributors to this volume show how the practices of health in Southeast Asia over the past two centuries were mediated by local medical traditions, colonial interests, governments and policies, international interventions, and by a wide range of health agents and intermediaries. Their findings call into question many of the claims based on medicalization and biopolitics that treat change as a process of rupture. While governments, both colonial and national, instituted policies that affected large numbers of people, much health care remained rooted in a more interactive and locally-mediated experience, in which tradition, adaptation and hybridization is as important as innovation and conflict. "Semi-subaltern" Western-trained doctors and varied traditional healers, many of them women, were among the cultural brokers involved in the building of healthcare systems, and helped circulate mixed practices and ideas about medicine and health even as they found their place in new professional and social hierarchies in an era of globalization.
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The Gold Standard
The Challenge Of Evidence-Based Medicine
Stefan Timmermans and Marc Berg
Temple University Press, 2003
Few things make people react more strongly to the changes going on in health care than the word standardization. Critics shudder at the mindless sameness of standards, while supporters dream of a world in which standardized "best practices" open up a world of efficient health care delivery. The Gold Standard takes up this debate to investigate the real meaning of standardization and how it affects patients, doctors, and the institution of medicine.Showing that standards are not about less or more skills, or more or less uniformity, but rather about a redefinition of autonomy, patients, and relationships, Timmermans and Berg show instead that they are about creating new worlds of medical treatment. Cutting through the hype and fears, the authors show where the true powers of standardization lie. The Gold Standard will become a classic for students of medicine and health care policy, and will be a welcome book for anyone concerned with the future of our system of care.
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Good Medicine, Hard Times
Memoir of a Combat Physician in Iraq
Edward P. Horvath, MD
The Ohio State University Press, 2022
Good ​Medicine, Hard Times is the moving memoir of one of the most senior-ranking combat physicians to have served on the battlefields of the second Iraq war. Former US Army Colonel Edward P. Horvath, MD, brings readers through the intricacies of war as he relates stories of working to save the lives of soldiers, enemies, and civilians alike and shares the moral dilemmas faced by medical professionals during war. Enlisting in the Army as a fifty-nine-year-old physician, Dr. Horvath knew that he had a greater calling in life: to save the “neighbor’s kid”—no matter who that neighbor or the kid might be. Over his three deployments, he strived to do that amid cultural clashes, insurgent attacks, military controversy, and the suffering of children caught in the crossfire. In his clear-eyed, empathetic, and unforgettable accounthe shows what it means to provide compassionate care in the most trying of circumstances, always keeping in mind that every person he cares for is someone’s child.
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