front cover of The Deadly Truth
The Deadly Truth
A History of Disease in America
Gerald N. Grob
Harvard University Press, 2005

The Deadly Truth chronicles the complex interactions between disease and the peoples of America from the pre-Columbian world to the present.

Grob's ultimate lesson is stark but valuable: there can be no final victory over disease. The world in which we live undergoes constant change, which in turn creates novel risks to human health and life. We conquer particular diseases, but others always arise in their stead. In a powerful challenge to our tendency to see disease as unnatural and its virtual elimination as a real possibility, Grob asserts the undeniable biological persistence of disease.

Diseases ranging from malaria to cancer have shaped the social landscape--sometimes through brief, furious outbreaks, and at other times through gradual occurrence, control, and recurrence. Grob integrates statistical data with particular peoples and places while giving us the larger patterns of the ebb and flow of disease over centuries. Throughout, we see how much of our history, culture, and nation-building was determined--in ways we often don't realize--by the environment and the diseases it fostered.

The way in which we live has shaped, and will continue to shape, the diseases from which we get sick and die. By accepting the presence of disease and understanding the way in which it has physically interacted with people and places in past eras, Grob illuminates the extraordinarily complex forces that shape our morbidity and mortality patterns and provides a realistic appreciation of the individual, social, environmental, and biological determinants of human health.

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Differences in Medicine
Unraveling Practices, Techniques, and Bodies
Marc Berg and Annemarie Mol, eds.
Duke University Press, 1998
Western medicine—especially in contrast with non-Western traditions of medical practice—is widely thought of as a coherent and unified field in which beliefs, definitions, and judgments are shared. Marc Berg and Annemarie Mol debunk this myth with an interdisciplinary and intercultural collection of essays that reveals the significantly varied ways practitioners of “conventional” Western medicine handle bodies, study test results, configure statistics, and converse with patients .
Combining theoretical work with interviews and direct observation of the activities and interactions of doctors, nurses, technicians, and patients, the contributors to this volume provide comparative studies of specific cases. Individual chapters explore topics such as the contested domain of fetal surgery in a California hospital, the construction of gender identity before transsexual surgery in Germany, and differences in the treatment and definition of pain by two clinics in France. Differences in Medicine advances earlier studies on medicine’s social diversity and regional variations to expose significant differences in the presumptions and decisions that affect patients’ lives, and marks a dramatic development in both the study of medicine and in science studies generally.
Revealing the ways in which the bodies and lives of people are constructed as medical objects by practitioners, technologies, and textbooks, this collection calls for and initiates new, more textured investigations and theories of the body in medicine and the practice of science. It will open new discussions among medical and healthcare professionals as well as scholars in medical anthropology, science studies, sociology, philosophy, and the history of medicine.

Contributors.
Isabelle Baszanger, Marc Berg, Geoffrey C. Bowker, Monica J. Casper, Charis M. Cussins, Nicolas Dodier, Stefan Hirschauer, Annemarie Mol, Vicky Singleton, Susan Leigh Star, Stefan Timmermans, Dick Willems


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Dioscorides on Pharmacy and Medicine
By John M. Riddle
University of Texas Press, 1985

For 1,600 years Dioscorides (ca. AD 40–80) was regarded as the foremost authority on drugs. He knew mild laxatives and strong purgatives, analgesics for headaches, antiseptics for wounds, emetics to rid one of ingested poisons, chemotherapy agents for cancer treatments, and even oral contraceptives. Why, then, have his works remained obscure in recent centuries? Because of one small oversight (Dioscorides himself thought it was self-evident): he failed to describe his method for organizing drugs by their affinities. This omission led medical authorities to use his materials as a guide to pharmacy while overlooking Dioscorides' most valuable contribution—his empirically derived method for observing and classifying drugs by clinical testing.

Dioscorides' De materia medica, a five-volume work, was written in the first century. Here revealed for the first time is the thesis that Dioscorides wrote more than a lengthy guide book. He wrote a great work of science. He had said that he discovered the natural order and would demonstrate it by his arrangement of drugs from plants, minerals, and animals. Until John M. Riddle's pathfinding study, no one saw the genius of his system. Botanists from the eighteenth century often attempted to find his unexplained method by identifying the sequences of his plants according to the Linnean system but, while there are certain patterns, there remained inexplicable incoherencies. However, Dioscorides' natural order as set down in De materia medica was determined by drug affinities as detected by his acute, clinical ability to observe drug reactions in and on the body. So remarkable was his ability to see relationships that, in some cases, he saw what we know to be common chemicals shared by plants of the same and related species and other natural product drugs from animal and mineral sources.

Western European and Islamic medicine considered Dioscorides the foremost authority on drugs, just as Hippocrates is regarded as the Father of Medicine. They saw him point the way but only described the end of his finger, despite the fact that in the sixteenth century alone there were over one hundred books published on him. If he had explained what he thought to be self-evident, then science, especially chemistry and medicine, would almost certainly have developed differently. In this culmination of over twenty years of research, Riddle employs modern science and anthropological studies innovatively and cautiously to demonstrate the substance to Dioscorides' authority in medicine.

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Discovering Retroviruses
Beacons in the Biosphere
Anna Marie Skalka
Harvard University Press, 2018

Approximately eight percent of our DNA contains retroviral sequences that are millions of years old. Through engaging stories of scientific discovery, Anna Marie Skalka explains our evolving knowledge of these ancient denizens of the biosphere and how this understanding has significantly advanced research in genetic engineering, gene delivery systems, and precision medicine.

Discovering Retroviruses begins with the pioneer scientists who first encountered these RNA-containing viruses and solved the mystery of their reproduction. Like other viruses, retroviruses invade the cells of a host organism to reproduce. What makes them “retro” is a unique process of genetic information transfer. Instead of transcribing DNA into RNA as all living cells do, they transcribe their RNA into DNA. This viral DNA is then spliced into the host’s genome, where the cell’s synthetic machinery is co-opted to make new virus particles. The 100,000 pieces of retroviral DNA in the human genome are remnants from multiple invasions of our ancestors’ “germline” cells—the cells that allow a host organism to reproduce. Most of these bits of retroviral DNA are degenerated fossils, but some have been exploited during evolution, with profound effects on our physiology.

Some present-day circulating retroviruses cause cancers in humans and other animals. Others, like HIV, cause severe immunodeficiencies. But retroviruses also hold clues to innovative approaches that can prevent and treat these diseases. In laboratories around the world, retroviruses continue to shed light on future possibilities that are anything but “retro.”

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Discovery and Explanation in Biology and Medicine
Kenneth F. Schaffner
University of Chicago Press, 1993
Kenneth F. Schaffner compares the practice of biological and medical research and shows how traditional topics in philosophy of science—such as the nature of theories and of explanation—can illuminate the life sciences. While Schaffner pays some attention to the conceptual questions of evolutionary biology, his chief focus is on the examples that immunology, human genetics, neuroscience, and internal medicine provide for examinations of the way scientists develop, examine, test, and apply theories.

Although traditional philosophy of science has regarded scientific discovery—the questions of creativity in science—as a subject for psychological rather than philosophical study, Schaffner argues that recent work in cognitive science and artificial intelligence enables researchers to rationally analyze the nature of discovery. As a philosopher of science who holds an M.D., he has examined biomedical work from the inside and uses detailed examples from the entire range of the life sciences to support the semantic approach to scientific theories, addressing whether there are "laws" in the life sciences as there are in the physical sciences. Schaffner's novel use of philosophical tools to deal with scientific research in all of its complexity provides a distinctive angle on basic questions of scientific evaluation and explanation.
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front cover of The Discovery of Insulin
The Discovery of Insulin
Michael Bliss
University of Chicago Press, 1982
In a brilliant, definitive history of one of the most significant and controversial medical events of modern times, award-winning historian Michael Bliss brings to light a bizarre clash of scientific personalities. When F. G. Banting and J. J. R. Macleod won the 1923 Nobel Prize for discovering and isolating insulin, Banting immediately announced that he was dividing his share of the prize with his young associate, C. H. Best. Macleod divided his share with a fourth member of the team, J. B. Collip. For the next sixty years medical opinion was intensely divided over the allotment of credit for the discovery of insulin. In resolving this controversy, Bliss also offers a wealth of new detail on such subjects as the treatment of diabetes before insulin and the life-and-death struggle to manufacture insulin.
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Disease And Medical Care In The Mountain West
Essays On Region, History, And Practice
Martha L. Hildreth
University of Nevada Press, 1998

This collection of eight essays examines the health, disease, and medical care of the American West—an area flanked by the Rocky Mountains, Sierra Nevada, and Cascade Mountains. Topics include Mormons and the Thomsonian Movement in the nineteenth century, the silicosis epidemic in hardrock mining, Native American health, frontier nursing, and Chinese medicine.

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The Distressed Body
Rethinking Illness, Imprisonment, and Healing
Drew Leder
University of Chicago Press, 2016
Bodily pain and distress come in many forms. They can well up from within at times of serious illness, but the body can also be subjected to harsh treatment from outside. The medical system is often cold and depersonalized, and much worse are conditions experienced by prisoners in our age of mass incarceration, and by animals trapped in our factory farms. In this pioneering book, Drew Leder offers bold new ways to rethink how we create and treat distress, clearing the way for more humane social practices.
           
Leder draws on literary examples, clinical and philosophical sources, his medical training, and his own struggle with chronic pain. He levies a challenge to the capitalist and Cartesian models that rule modern medicine. Similarly, he looks at the root paradigms of our penitentiary and factory farm systems and the way these produce distressed bodies, asking how such institutions can be reformed. Writing with coauthors ranging from a prominent cardiologist to long-term inmates, he explores alternative environments that can better humanize—even spiritualize—the way we treat one another, offering a very different vision of medical, criminal justice, and food systems. Ultimately Leder proposes not just new answers to important bioethical questions but new ways of questioning accepted concepts and practices.
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The Doctor Who Would Be King
Guillaume Lachenal
Duke University Press, 2022
In The Doctor Who Would Be King Guillaume Lachenal tells the extraordinary story of Dr. Jean Joseph David, a French colonial army doctor who governed an entire region of French Cameroon during World War II. Dr. David—whom locals called “emperor”—dreamed of establishing a medical utopia. Through unchecked power, he imagined realizing the colonialist fantasy of emancipating colonized subjects from misery, ignorance, and sickness. Drawing on archives, oral histories, and ethnographic fieldwork, Lachenal traces Dr. David’s earlier attempts at a similar project on a Polynesian island and the ongoing legacies of his failed experiment in Cameroon. Lachenal does not merely recount a Conradian tale of imperial hubris, he brings the past into the present, exploring the memories and remains of Dr. David’s rule to reveal a global history of violence, desire, and failure in which hope for the future gets lost in the tragic comedy of power.
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Doctoring the Novel
Medicine and Quackery from Shelley to Doyle
Sylvia A. Pamboukian
Ohio University Press, 2012
If nineteenth-century Britain witnessed the rise of medical professionalism, it also witnessed rampant quackery. It is tempting to categorize historical practices as either orthodox or quack, but what did these terms really signify in medical and public circles at the time? How did they develop and evolve? What do they tell us about actual medical practices?

Doctoring the Novel explores the ways in which language constructs and stabilizes these slippery terms by examining medical quackery and orthodoxy in works such as Mary Shelley’s Frankenstein, Charles Dickens’s Bleak House and Little Dorrit, Charlotte Brontë’s Villette, Wilkie Collins’s Armadale, and Arthur Conan Doyle’s Stark Munro Letters. Contextualized in both medical and popular publishing, literary analysis reveals that even supposedly medico-scientific concepts such as orthodoxy and quackery evolve not in elite laboratories and bourgeois medical societies but in the rough-and-tumble of the public sphere, a view that acknowledges the considerable, and often underrated, influence of language on medical practices.
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front cover of DOCTRINE OF SIGNATURES
DOCTRINE OF SIGNATURES
A DEFENSE OF THEORY IN MEDICINE
Scott Buchanan
University of Illinois Press, 1991
"The Doctrine of Signatures
  is one of the first and most significant works in our time to show how closely
  connected the liberal arts are to clinical medicine. It is the seminal work
  in the recent history of the philosophy of medicine, a field that is enjoying
  a renaissance throughout the world today."
  -- Edmund D. Pellegrino, M.D.
 
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Donald Seldin
The Maestro of Medicine
By Raymond S. Greenberg
University of Texas Press, 2020

No one would have blamed Donald Seldin for running away. When he arrived at Southwestern Medical College in 1951, it was a collection of hastily repurposed military shacks creaking in the wind. On practically day one he became chair of the department of medicine—when the only other full-time professors departed.

By the time he stepped down thirty-six years later, Seldin had transformed a sleepy medical college into the University of Texas Southwestern Medical Center—a powerhouse of research and patient care and an anchor of the city of Dallas. Raymond Greenberg, a physician-scholar, tells Seldin's story of perseverance and intellectual triumph. Drawing on interviews with Seldin's trainees and colleagues—and on Seldin's own words—Greenberg chronicles the life of the Brooklyn boy who became one of Texas's foremost citizens and taught decades of men and women to heal. A pioneering nephrologist, Seldin devoted his career to developing the specialty; educating students, residents, and fellows; caring for patients; and nurturing basic research.

Seldin was a wildcatter in the best sense. He declined the comfortable prestige of Harvard and Yale and instead embraced a worthy challenge with an unflagging sense of mission. Graceful and richly detailed, The Maestro of Medicine captures an inspiring life of achievement and service.

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Dr. Golem
How to Think about Medicine
Harry Collins and Trevor Pinch
University of Chicago Press, 2005
A creature of Jewish mythology, a golem is an animated being made by man from clay and water who knows neither his own strength nor the extent of his ignorance. Like science and technology, the subjects of Harry Collins and Trevor Pinch's previous volumes, medicine is also a golem, and this Dr. Golem should not be blamed for its mistakes—they are, after all, our mistakes. The problem lies in its well-meaning clumsiness.

Dr. Golem explores some of the mysteries and complexities of medicine while untangling the inherent conundrums of scientific research and highlighting its vagaries. Driven by the question of what to do in the face of the fallibility of medicine, Dr. Golem encourages a more inquisitive attitude toward the explanations and accounts offered by medical science. In eight chapters devoted to case studies of modern medicine, Collins and Pinch consider the prevalence of tonsillectomies, the placebo effect and randomized control trials, bogus doctors, CPR, the efficacy of Vitamin C in fighting cancer, chronic fatigue syndrome, AIDS cures, and vaccination. They also examine the tension between the conflicting faces of medicine: medicine as science versus medicine as a source of succor; the interests of an individual versus the interests of a group; and the benefits in the short term versus success rates in the long term. Throughout, Collins and Pinch remind readers that medical science is an economic as well as a social consideration, encapsulated for the authors in the timeless struggle to balance the good health of the many—with vaccinations, for instance—with the good health of a few—those who have adverse reactions to the vaccine.

In an age when the deaths of research subjects, the early termination of clinical trials, and the research guidelines for stem cells are front-page news, Dr. Golem is a timely analysis of the limitations of medicine that never loses sight of its strengths.
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front cover of The Dynamics of Learning in Early Modern Italy
The Dynamics of Learning in Early Modern Italy
Arts and Medicine at the University of Bologna
David A. Lines
Harvard University Press, 2023

A pathbreaking history of early modern education argues that Europe’s oldest university, often seen as a bastion of traditionalism, was in fact a vibrant site of intellectual innovation and cultural exchange.

The University of Bologna was among the premier universities in medieval Europe and an international magnet for students of law. However, a long-standing historiographical tradition holds that Bologna—and Italian university education more broadly—foundered in the early modern period. On this view, Bologna’s curriculum ossified and its prestige crumbled, due at least in part to political and religious pressure from Rome. Meanwhile, new ways of thinking flourished instead in humanist academies, scientific societies, and northern European universities.

David Lines offers a powerful counternarrative. While Bologna did decline as a center for the study of law, he argues, the arts and medicine at the university rose to new heights from 1400 to 1750. Archival records show that the curriculum underwent constant revision to incorporate contemporary research and theories, developed by the likes of René Descartes and Isaac Newton. From the humanities to philosophy, astronomy, mathematics, and medicine, teaching became more systematic and less tied to canonical texts and authors. Theology, meanwhile, achieved increasing prominence across the university. Although this religious turn reflected the priorities and values of the Catholic Reformation, it did not halt the creation of new scientific chairs or the discussion of new theories and discoveries. To the contrary, science and theology formed a new alliance at Bologna.

The University of Bologna remained a lively hub of cultural exchange in the early modern period, animated by connections not only to local colleges, academies, and libraries, but also to scholars, institutions, and ideas throughout Europe.

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