The ABC of Acid-Base Chemistry provides physiologists, medical students, and physicians with an intelligible outline of the elements of physiological acid-base chemistry.
This new edition of Horace W. Davenport's standard text takes into account different ways of looking at the problems of acid-base derived from new instrumentation. The exposition has been modified to allow the student to apply his understanding to other systems of description of the acid-base status. Although the pH system has been retained, there is increasing emphasis on the use of hydrogen ion concentration.
Topics discussed include: partial pressure of gases, composition of alveolar gas, transport of oxygen and carbon dioxide in the blood, buffer action of hemoglobin and seperated plasma, oxygenated whole blood and reduced blood, concepts of base excess and base deficit, and chemical regulation of respiration.
"Any reader who clearly understands the subject matter of this book will have a firm grounding in the principles of the subject; I find it the clearest text of this type that I have read."—British Journal of Hospital Medicine
"This little book is of great value to chemically trained physicians and medical students who want to get a clearer idea of the physiology of acid base chemistry in the blood."—The Journal of Gastroenterology
Affirmative action programs have significantly changed American medicine for the better, not only in medical school admissions and access to postgraduate training but also in bringing a higher quality of health care to all people. James L. Curtis approaches this important transition from historical, statistical, and personal perspectives. He tells how over the course of his medical education and career as a psychiatrist and professor--often as the first or only African American in his cohort--the status of minorities in the medical professions grew from a tiny percentage to a far more equitable representation of the American population.
Advancing arguments from his earlier book, Blacks, Medical Schools, and Society, Curtis evaluates the outcomes of affirmative action efforts over the past thirty years. He describes formidable barriers to minority access to medical-education opportunities and the resulting problems faced by minority patients in receiving medical treatment. His progress report includes a review of two thousand minority students admitted to U.S. medical schools in 1969, following them through graduation and their careers, comparing them with the careers of two thousand of their nonminority peers. These samples provide an important look at medical schools that, while heralding dramatic progress in physician education and training opportunity, indicates much room for further improvement.
A basic hurdle continues to face African Americans and other minorities who are still confined to segregated neighborhoods and inferior school systems that stifle full scholastic development. Curtis urges us as a nation to develop all our human resources through an expansion of affirmative action programs, thus improving health care for everyone.
James L. Curtis is Clinical Professor Emeritus of Psychiatry, Columbia University College of Physicians and Surgeons.
The Wounded Knee Massacre of December 29, 1890, known to U.S. military historians as the last battle in "the Indian Wars," was in reality another tragic event in a larger pattern of conquest, destruction, killing, and broken promises that continue to this day.
On a cold winter's morning more than a century ago, the U.S. Seventh Cavalry attacked and killed more than 260 Lakota men, women, and children at Wounded Knee Creek in South Dakota. In the aftermath, the broken, twisted bodies of the Lakota people were soon covered by a blanket of snow, as a blizzard swept through the countryside. A few days later, veteran army surgeon John Vance Lauderdale arrived for duty at the nearby Pine Ridge Indian Reservation. Shocked by what he encountered, he wrote numerous letters to his closest family members detailing the events, aftermath, and daily life on the Reservation under military occupation. He also treated the wounded, both Cavalry soldiers and Lakota civilians. What distinguishes After Wounded Knee from the large body of literature already available on the massacre is Lauderdale's frank appraisals of military life and a personal observation of the tragedy, untainted by self-serving reminiscence or embellished newspaper and political reports. His sense of frustration and outrage toward the military command, especially concerning the tactics used against the Lakota, is vividly apparent in this intimate view of Lauderdale's life. His correspondence provides new insight into a familiar subject and was written at the height of the cultural struggle between the U.S. and Lakota people. Jerry Green's careful editing of this substantial collection, part of the John Vance Lauderdale Papers in the Western Americana Collection in Yale University's Beinecke Library, clarifies Lauderdale's experiences at the Pine Ridge Indian Reservation.
Alice Hamilton (1869-1970), a pioneer in the study of diseases of the workplace, a founder of industrial toxicology in the United States, and Harvard's first woman professor, led a long and interesting life. Always a consummate professional, she was also a prominent social reformer whose interest in the environmental causes of disease and in promoting equitable living conditions developed during her years as a resident at Jane Addams's Hull-House.
This legendary figure now comes to life in an integrated work of biography and letters that reveals the personal as well as the professional woman. In documenting Hamilton's evolution from a childhood of privilege to a life of social advocacy, the volume opens a window on women reformers and their role in Progressive Era politics and reform. Because Hamilton was a keen observer and vivid writer, her letters--more than 100 are included here--bring an unmatched freshness and immediacy to a range of subjects, such as medical education; personal relationships and daily life at Hull House; the women's peace movement; struggles for the protection of workers' health; academic life at Harvard; politics and civil liberties during the cold war; and the process of growing old. Her story takes the reader from the Gilded Age to the Vietnam War.
“This is a splendid diary of a man and physician during the late antebellum years, sure to interest not only historians of medicine but also historians of gender, the South, and antebellum politics. . . . An exceptionally useful historical document as well as a good read.” —Steven M. Stowe, Indiana University
Elijah Millington Walker began to keep a diary midway through his medical apprenticeship in Oxford, Mississippi. He composed a lengthy preface to the diary, in which he remembered his life from the time of his family’s arrival in north Mississippi in 1834, when he was ten years old, until late 1848, when the University of Mississippi opened and Walker’s diary begins.
On one level, the diary records the life of a bachelor, chronicling the difficulties of an ambitious young physician who would like to marry but is hampered by poverty and his professional aspirations. Walker details the qualities he desires in a wife and criticizes women who do not measure up; a loyal wife, in Walker’s highly romanticized image, remains a true helpmeet even to the most debased drunkard. On another level, Walker describes various medical cases, giving readers an idea of the kinds of diseases prevalent in the lower South at mid-century, as well as their treatment by orthodox physicians. In this vivid chronicle of everyday life in antebellum Mississippi, Walker also finds space to comment on a wide range of topics that affected the state and the region, including pioneer life in north Mississippi, evangelical Protestantism, the new state university at Oxford, the threat of secession in 1849–50, Henry Clay’s Compromise of 1850, foreign affairs, and local railroad development. A strong defender of the Union at mid-century, Walker nonetheless defended slavery and distinctively Southern institutions.
A Bachelor’s Life in Antebellum Mississippi brings to the public one of the few diaries of a very intelligent yet “ordinary” man, a non-elite member of a society dominated by a planter aristocracy. The author’s frankness and flair for writing reflect a way of life not often seen; this volume will thus prove a valuable addition to the body of primary documents from the early republic.
Lynette Boney Wrenn has taught history at Memphis State University and Southwestern College. She is the author of Crisis and Commission Government in Memphis: Elite Rule in a Gilded Age City and Cinderella of the New South: A History of the Cottonseed Industry, 1855–1955. Wrenn lives in Greensboro, North Carolina.
From a wealth of vivid autobiographical writings, Emmanuel Le Roy Ladurie reconstructs the extraordinary life of Thomas Platter and the lives of his sons. With masterful erudition, Le Roy Ladurie deepens and expands the historical contexts of these accounts and, in the process, brings to life the customs, perceptions, and character of an age poised at the threshold of modernity.
"Le Roy Ladurie paints a remarkably contemporary picture of life in the sixteenth century. . . . It's a good story, told with a deft narrative touch."—Michael S. Kimmel, The Nation
"Le Roy Ladurie is a master of the representative detail and uses the Platters' lives as a means to see a whole century 'through a glass, darkly'."—The Independent
"Le Roy Ladurie has not only thoroughly sketched out the Platters' particular brand of gusto, he has also made it seem a defining characteristic of the sixteenth century."—The New Republic
"All [of] the drama and pathos of a Disney film."—Emily Eakin, Lingua Franca
In 1847, young Dr. Abraham Van Norstrand left Vermont to seek his fortune in the West, but in Wisconsin his business ventures failed, and a medical practice among hard-up settlers added little to his pocketbook. During the Civil War he organized and ran one of the army’s biggest hospitals but resigned when dark rumors surfaced about him. Back home, he accepted with mixed feelings the one prestigious position available to him: superintendent of the state’s first hospital for the insane.
Van Norstrand was a newcomer to the so-called “Hospital Movement,” perhaps the boldest public policy innovation of its time, one whose leaders believed that they could achieve what had long been regarded as impossible, to cure the insane. He was a driven man with scant sympathy for those he considered misfits or malingerers. Even so, early observers were impressed with his energetic, take-charge manner at the hospital. Here at last was a man who stood firm where his predecessors had weakened and foundered. But others began to detect a different side to this tireless ruler and adroit politician. It was said that he assaulted patients and served them tainted food purchased with state money from his own grocery store. Was he exploiting the weak for personal gain or making the best of a thankless situation? Out of this fog of suspicion emerged a moral crusader and—to all appearances—pristine do-gooder named Samuel Hastings, a man whose righteous fury, once aroused, proved equal to Van Norstrand’s own.
The story of Abraham Van Norstrand’s rise and fall is also the story of the clash between the great expectations and hard choices that have bedeviled public mental hospitals from the beginning.
Sir Charles Bell (1774–1842) was a medical reformer in a great age of reform—an occasional and reluctant vivisectionist, a theistic popularizer of natural science, a Fellow of the Royal Society, a surgeon, an artist, and a teacher. He was among the last of a generation of medical men who strove to fashion a particularly British science of medicine; who formed their careers, their research, and their publications through the private classrooms of nineteenth-century London; and whose politics were shaped by the exigencies of developing a living through patronage in a time when careers in medical science simply did not exist. A decade after Bell’s death, that world was gone, replaced by professionalism, standardized education, and regular career paths.
In Charles Bell and the Anatomy of Reform, Carin Berkowitz takes readers into Bell’s world, helping us understand the life of medicine before the modern separation of classroom, laboratory, and clinic. Through Bell’s story, we witness the age when modern medical science, with its practical universities, set curricula, and medical professionals, was born.
One of the premier writers of the Harlem Renaissance, Rudolph Fisher wrote short stories depicting the multifaceted black urban experience that are still acclaimed today for their humor, grace, and objective view of Harlem life. Through his words, wrote the New York Times Book Review, “one feels, smells, and tastes his Harlem; its people come alive and one cares about them.”
A definitive collection of Fisher’s short stories, TheCity of Refuge offers vibrant tales that deal with the problems faced by newcomers to the city, ancestor figures who struggle to instill a sense of integrity in the young, problems of violence and vengeance, and tensions of caste and class. This anthology has now been expanded to include seven previously unpublished stories that take up such themes as marital infidelity and passing for black and also relate the further adventures of Jinx and Bubber, the comic duo who appeared in Fisher’s two novels.
This new edition also includes two unpublished speeches and the popular article “The Caucasian Storms Harlem,” describing the craze for black music and dance. John McCluskey’s introduction has been updated to place the additional works within the context of Fisher’s career while situating his oeuvre within the broader context of American writing during the twenties.
Fisher recognized the dramatic and comic power in African American folklore and music and frequented Harlem’s many cabarets, speakeasies, and nightclubs, and at the core of his work is a strong regard for music as context and counterpoint. The City of Refuge now better captures the sounds of the city experience by presenting all of Fisher’s known stories. It offers a portrait of Harlem unmatched in depth and range by Fisher’s contemporaries or successors, celebrating, as Booklist noted, “the complexity of black urban life in its encounter with the dangers and delights of the city.” This expanded edition adds new perspectives to that experience and will enhance Fisher’s status for a new generation of readers.
In 1759 the British Museum opened its doors to the public—the first free national museum in the world. James Delbourgo recounts the story behind its creation through the life of Hans Sloane, a controversial luminary with an insatiable ambition to pit universal knowledge against superstition and few curbs on his passion for collecting the world.
A Confederate Chronicle presents the remarkable life of Thomas L. Wragg, who served in both the Confederate army and navy and endured incarceration as a prisoner of war. After the war, he undertook a series of jobs, eventually becoming a physician. In 1889, he died tragically at the hands of a man who mistakenly thought he was defending his family’s honor. Pamela Chase Hain uses Wragg’s letters home to his family, friends, and fiancée, as well as his naval notebook and newspaper articles, to give readers direct insight into his life and the lives of those around him.
The son of a respected Savannah physician, Wragg was born into a life of wealth and privilege. A nonconscripted soldier, he left home at eighteen to join the front lines in Virginia. From there, he sent letters home describing the maneuverings of General Joseph E. Johnston’s army in and around Harpers Ferry and Winchester, culminating with the Battle of Bull Run.
In the fall of 1862, Wragg joined the Confederate Navy and trained on the ironclad CSS Georgia before transferring to the CSS Atlanta. Hain uses the notebook that he kept during his training in ordnance and gunnery to provide a rare glimpse into the naval and artillery practices at the time. This notebook also provides evidence of a fledgling Confederate naval “school” prior to the one established on the James River on the CSS Patrick Henry.
The crew of the unfortunate Atlanta was captured on the ship’s maiden voyage, and evidence in the Wragg family papers suggests the capture was not the result of bad luck, as has been claimed. Wragg and the other officers were sent to Fort Warren Prison in Boston Harbor for fifteen months. Wragg’s POW letters reveal the isolation and sense of abandonment the prisoners felt as they waited in hopes of an exchange. The correspondence between Wragg and his fiancée, Josie, after the war illustrates not only the mores of nineteenth-century courtship but also the difficulty of adjustment that many Confederate war veterans faced.
Sadly, Wragg’s life was cut short after he became a successful doctor in Quincy, Florida. Cover-up and intrigue by influential citizens prevented Wragg’s wife from bringing the murderer to justice. A Confederate Chronicle offers an unprecedented look at how the Civil War affected the gentry class of the South. It gives readers a personal view into one man’s struggle with the chaos of life during and after the war, as well as into the struggles of the general society.
Medical confidentiality is an essential cornerstone of effective public health systems, and for centuries societies have struggled to maintain the illusion of absolute privacy. In this age of health databases and increasing connectedness, however, the confidentiality of patient information is rapidly becoming a concern at the forefront of worldwide ethical and political debate.
In Contesting Medical Confidentiality, Andreas-Holger Maehle travels back to the origins of this increasingly relevant issue. He offers the first comparative analysis of professional and public debates on medical confidentiality in the United States, Britain, and Germany during the late nineteenth and early twentieth centuries, when traditional medical secrecy first came under pressure from demands of disclosure in the name of public health. Maehle structures his study around three representative questions of the time that remain salient today: Do physicians have a privilege to refuse court orders to reveal confidential patient details? Is there a medical duty to report illegal procedures to the authorities? Should doctors breach confidentiality in order to prevent the spread of disease? Considering these debates through a unique historical perspective, Contesting Medical Confidentiality illuminates the ethical issues and potentially grave consequences that continue to stir up public debate.
Dealing with Medical Malpractice asks two interrelated questions: What are medical malpractice systems like in other societies, particularly in "publicly owned" health care systems? What is the relationship between professional autonomy of the medical profession and the characteristics of a society's malpractice system? The author's investigations in England and Sweden resulted in a well-researached and carefully analyzed study of approaches to malpractice in these Western industrialized countries. Rosenthal also provides insight into issues of professional autonomy in a system in which physicians are employees of a state health care system.
This groundbreaking book explains prognosis from the perspective of doctors, examining why physicians are reluctant to predict the future, how doctors use prognosis, the symbolism it contains, and the emotional difficulties it involves. Drawing on his experiences as a doctor and sociologist, Nicholas Christakis interviewed scores of physicians and searched dozens of medical textbooks and medical school curricula for discussions of prognosis in an attempt to get to the core of this nebulous medical issue that, despite its importance, is only partially understood and rarely discussed.
"Highly recommended for everyone from patients wrestling with their personal prognosis to any medical practitioner touched by this bioethical dilemma."—Library Journal, starred review
"[T]he first full general discussion of prognosis ever written. . . . [A] manifesto for a form of prognosis that's equal parts prediction-an assessment of likely outcomes based on statistical averages-and prophecy, an intuition of what lies ahead."—Jeff Sharlet, Chicago Reader
"[S]ophisticated, extraordinarily well supported, and compelling. . . . [Christakis] argues forcefully that the profession must take responsibility for the current widespread avoidance of prognosis and change the present culture. This prophet is one whose advice we would do well to heed."—James Tulsky, M.D., New England Journal of Medicine
This early feminist novel is a wickedly funny slice of mid-nineteenth-century Americana peppered with details of the era’s freakish medical tactics and leavened with a smart and sassy commentary about the societal restraints on women’s physical and intellectual abilities.
First published in 1852, Delia’s Doctors is one of four known novels by Hannah Gardner Creamer, an American writer whose life and career have been all but absent from the annals of American history. In the book, eighteen-year-old Delia Thornton is ill. Her condition, more psychological than phy-sical, worsens during the bitter winter, even as doctor after doctor attempts to cure her.
As Delia typifies the female heroine whose sickness is aggravated by listlessness and inactivity, her brother’s fiancée, Adelaide Wilmot, is Delia’s more robust counterpart. Adelaide thinks she could do anything, if only she were a man, and she dreams of being a physician. Quick to point out the shortcomings of male doctors in treating female illnesses, Adelaide saves Delia and delivers a series of arguments against New England patriarchy.
Demanding Medical Excellence is a groundbreaking and accessible work that reveals how the information revolution is changing the way doctors make decisions. Michael Millenson, a three-time Pulitzer Prize nominee as a health-care reporter for the Chicago Tribune, illustrates serious flaws in contemporary medical practice and shows ways to improve care and save tens of thousands of lives.
"If you read only one book this year, read Demanding Medical Excellence. It's that good, and the revolution it describes is that important."—Health Affairs
"Millenson has done yeoman's work in amassing and understanding that avalanche of data that lies beneath most of the managed-care headlines. . . . What he finds is both important and well-explained: inconsistency, overlap, and inattention to quality measures in medical treatment cost more and are more dangerous than most cost-cutting measures. . . . [This book] elevates the healthcare debate to a new level and deserves a wide readership."—Library Journal
"An involving, human narrative explaining how we got to where we are today and what lies ahead."—Mark Taylor, Philadelphia Inquirer
"Read this book. It will entertain you, challenge, and strengthen you in your quest for better accountability in health care."—Alex R. Rodriguez, M.D., American Journal of Medical Quality
"Finally, a health-care book that doesn't wring its hands over the decline of medicine at the hands of money-grubbing corporations. . . . This is a readable account of what Millenson calls a 'quiet revolution' in health care, and his optimism makes for a refreshing change."—Publishers Weekly
"With meticulous detail, historical accuracy, and an uncommon understanding of the clinical field, Millenson documents our struggle to reach accountability."—Saty Satya-Murti, M.D., Journal of the American Medical Association
Diary of Our Fatal Illness
Charles Bardes University of Chicago Press, 2017 Library of Congress PS3602.A775265D53 2017 | Dewey Decimal 811.6
This moving prose poem tells the story of an aged man who suffers a prolonged and ultimately fatal illness. From initial diagnosis to remission to relapse to death, the experience is narrated by the man’s son, a practicing doctor. Charles Bardes, a physician and poet, draws on years of experience with patients and sickness to construct a narrative that links myth, diverse metamorphoses, and the modern mechanics of death. We stand with the doctors, the family, and, above all, a sick man and his disease as their voices are artfully crafted into a new and powerful language of illness.
Doctors are obviously influential in determining the costs of their services. But even more important, many believe, is the influence physicians have over the use and cost of nonphysician health-care resources and services. Doctors and Their Workshops is the first comprehensive attempt to use economic analysis to understand some of the physician effects on nonphysician aspects of health care.
A suffragist who wore pants. This is just the simplest of ways Dr. Mary Walker is recognized in the fields of literature, feminist and gender studies, history, psychology, and sociology.
Perhaps more telling about her life are the words of an 1866 London Anglo-American Times reporter, "Her strange adventures, thrilling experiences, important services and marvelous achievements exceed anything that modern romance or fiction has produced. . . . She has been one of the greatest benefactors of her sex and of the human race."
In this biography Sharon M. Harris steers away from a simplistic view and showcases Walker as a Medal of Honor recipient, examining her work as an activist, author, and Civil War surgeon, along with the many nineteenth-century issues she championed:political, social, medical, and legal reforms, abolition, temperance, gender equality, U.S. imperialism, and the New Woman.
Rich in research and keyed to a new generation, Dr. Mary Walker captures its subject's articulate political voice, public self, and the realities of an individual whose ardent beliefs in justice helped shape the radical politics of her time.
The thirteen essays in Educating for Professionalism examine the often conflicting ethical, social, emotional, and intellectual messages that medical institutions send to students about what it means to be a doctor. Because this disconnection between what medical educators profess and what students experience is partly to blame for the current crisis in medical professionalism, the authors offer timely, reflective analyses of the work and opportunities facing medical education if doctors are to win public trust.
In their drive to improve medical professionalism within the world of academic medicine, editors Delese Wear and Janet Bickel have assembled thought-provoking essays that elucidate the many facets of teaching, valuing, and maintaining medical professionalism in the middle of the myriad challenges facing medicine at the dawn of the twenty-first century.
The collection traces how the values of altruism and service can influence not only mission statements and admission policies but also the content of medical school ethics courses, student-led task forces, and mentoring programs, along with larger environmental issues in medical schools and the communities they serve.
Stanley Joel Reiser
Peter C. Williams
Frederic W. Hafferty
Lois Margaret Nora
Mary Anne C. Johnston
Tana A. Grady-Weliky
Cynthia N. Kettyle
Edward M. Hundert
Norma E. Wagoner
Frederick A. Miller
William D. Mellon
Edward J. Eckenfels
Lucy Wolf Tuton
Claudia H. Siegel
Timothy B. Campbell
Contrary to twentieth-century criticism that cast them as misguided dabblers, English virtuosi in the seventeenth and early eighteenth centuries were erudite individuals with solid grounding in the classics, deep appreciation for the arts, and sincere curiosity about the natural world. Reestablishing their broad historical significance, The English Virtuoso situates this polymathic group at the rich intersection of the period’s art, medicine, and antiquarianism.
At the heart of this profoundly interdisciplinary study lies the Royal Society of London for the Improvement of Natural Knowledge, which from its founding in 1660 served as the major professional organization for London’s leading physicians, many of them prominent virtuosi. Craig Ashley Hanson reveals that a vital art audience emerged from the Royal Society—whose members assembled many of the period’s most important nonaristocratic collections—a century before most accounts date the establishment of an institutional base for the arts in England. Unearthing the fascinating stories of an impressive cast of characters, Hanson establishes a new foundation for understanding both the relationship between British art and science and the artistic accomplishments of the late eighteenth and nineteenth centuries.
Sarah Gwyneth Ross Harvard University Press, 2016 Library of Congress CB361.R67 2016 | Dewey Decimal 940.21
Revealing an Italian Renaissance beyond Michelangelo and the Medici, Sarah Gwyneth Ross recovers the experiences of everyday people who were inspired to pursue humanistic learning. Physicians were often the most avid professionals seeking to earn the respect of their betters, advance their families, and secure honorable remembrance after death.
The American Medical Association asked RAND Health to characterize the factors that affect physician professional satisfaction. RAND researchers sought to identify high-priority determinants of professional satisfaction by gathering data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis.
An initiative of the Indiana Academy of Family Physicians and the Indiana Academy of Family Physicians Foundation, Family Practice Stories is a collection of tales told by, and about, Hoosier family doctors practicing in the middle of the twentieth century. The stories celebrate that time in America considered to be the golden age of generalism in medicine---a time that conjures up Norman Rockwell’s familiar archetypal images of the country family doctor and a time when the art of healing was at its zenith.
Wilson R. Bachelor was a Tennessee native who moved with his family to Franklin County, Arkansas, in 1870. A country doctor and natural philosopher, Bachelor was impelled to chronicle his life from 1870 to 1902, documenting the family's move to Arkansas, their settling a farm in Franklin County, and Bachelor's medical practice. Bachelor was an avid reader with wide-ranging interests in literature, science, nature, politics, and religion, and he became a self-professed freethinker in the 1870s. He was driven by a concept he called "fiat flux," an awareness of the "rapid flight of time" that motivated him to treat the people around him and the world itself as precious and fleeting. He wrote occasional pieces for a local newspaper, bringing his unusually enlightened perspectives to the subjects of women's rights, capital punishment, the role of religion in politics, and the domination of the American political system by economic elite in the 1890s. These essays, along with family letters and the original diary entries, are included here for an uncommon glimpse into the life of a country doctor in nineteenth-century Arkansas.
On its initial publication, Forgive and Remember emerged as the definitive study of the training and lives of young surgeons. Now with an extensive new preface, epilogue, and appendix by the author, reflecting on the changes that have taken place since the book's original publication, this updated second edition of Charles L. Bosk's classic study is as timely as ever.
From Popular Medicine to Medical Populism presents the history of medical practice in Costa Rica from the late colonial era—when none of the fifty thousand inhabitants had access to a titled physician, pharmacist, or midwife—to the 1940s, when the figure of the qualified medical doctor was part of everyday life for many of Costa Rica’s nearly one million citizens. It is the first book to chronicle the history of all healers, both professional and popular, in a Latin American country during the national period. Steven Palmer breaks with the view of popular and professional medicine as polar opposites—where popular medicine is seen as representative of the authentic local community and as synonymous with oral tradition and religious and magical beliefs and professional medicine as advancing neocolonial interests through the work of secular, trained academicians. Arguing that there was significant and formative overlap between these two forms of medicine, Palmer shows that the relationship between practitioners of each was marked by coexistence, complementarity, and dialogue as often as it was by rivalry. Palmer explains that while the professionalization of medical practice was intricately connected to the nation-building process, the Costa Rican state never consistently displayed an interest in suppressing the practice of popular medicine. In fact, it persistently found both tacit and explicit ways to allow untitled healers to practice. Using empirical and archival research to bring people (such as the famous healer or curandero Professor Carlos Carbell), events, and institutions (including the Rockefeller Foundation) to life, From Popular Medicine to Medical Populism demonstrates that it was through everyday acts of negotiation among agents of the state, medical professionals, and popular practitioners that the contours of Costa Rica’s modern, heterogeneous health care system were established.
When Barney Clark received the Jarvik-7 artificial heart in 1983 and Cold Fusion came under fire in 1989, Chase Peterson, as the University of Utah president, was inevitably pulled into these campus events. While these episodes may be the best known in Peterson’s professional history, they are certainly not the only stories that make his autobiography worth reading.
The Guardian Poplar tells of a man who grew up in small-town Utah and carried his pioneer and Mormon heritage to a New England prep school and later to Harvard. He then returned to Utah as a doctor, but unexpectedly found himself back at Harvard as its dean of admissions, handling issues such as the Vietnam War and racial and gender reform. The book explains how Peterson’s home state recruited him back to become an administrator at the University of Utah and how he would eventually become the university president, taking on new issues and challenges. Peterson recounts these years by drawing on anecdotes that recall the people he served and the moments that brought his life meaning.
This autobiography is a compelling account of how Peterson has managed to balance family and career, handle the tensions that have arisen between his faith and his scientific training, and remain solid in the face of his newest challenge—cancer. The book’s engaging prose and honest reflections are sure to intrigue and inspire readers who know the man well, as well as those readers who simply want to know a man who can be described as dedicated, faithful, hardworking, and hopeful about the future.
“When I first met Chase Peterson as a Harvard freshman—along with our joint friend and brother David Evans—something deeply touched me. It was not only his sincere smile and open embrace but also a sense that here was a kind and courageous man comfortable in his own skin, secure in who he was yet eager to encounter new persons, new experiences, and new challenges. . . . He was from Utah but in New England, a Mormon in old Harvard, and a medical doctor in the deanship of admissions. Little did I know that his journey would enhance and enrich my own—owing to his critical allegiance to his family, his faith, his friends, and to his citizenship of country and world. His prophetic witness at Harvard in the turbulent ‘60s and ‘70s, his promotion of black priesthood in the Mormon church, his support of antiapartheid protests in the ‘80s, and his steadfast defense of academic freedom in the Cold Fusion controversy in the early ‘90s all express his quiet and humble effort to be true to himself—a self grounded in, but
not limited by, a rich Mormon tradition.”—from the foreword by Cornel West
This book illuminates issues in medical ethics revolving around the complex bond between healer and patient, focusing on friendship and other important values in the healing relationship. Embracing medicine, philosophy, theology, and bioethics, it considers whether bioethical issues in medicine, nursing, and dentistry can be examined from the perspective of the healing relationship rather than external moral principles.
Distinguished contributors explore the role of the health professional, the moral basis of health care, greater emphasis on the humanities in medical education, and some of the current challenges facing healers today.
How Many Doctors Do We Need?
Duncan Yaggy and Patricia Hodgson, eds. Duke University Press, 1986 Library of Congress RA410.7.P75 1985 | Dewey Decimal 331.129161069521
This volume addresses the public and private policies affecting physician supply in the United States, focusing on the physician surplus, market forces, and geographic distribution of physicians, life-style choices and evolving practice patterns, market influences of foreign medical graduates, the university's role in establishing priorities for medical education, and other pertinent topics.
Medical professionals are often viewed as a special breed of stoic figures whose tough grace allows them to stay strong as they confront human frailty and tragedy on a daily basis. Human is a new anthology that aims to dispel this unhelpful line of thought, revealing a more realistic picture of individuals shaped by forces—good and bad—just like the rest of us. Collecting writing from medical students around the world, Human aims to demystify medical education by showing the vulnerability in a group typically viewed as indestructible. It also seeks to remind medical trainees that, even though it may feel like their lives have been put on hold for the sake of their education, they are continually growing and evolving, and as worthy of love and a full life as anyone else—in short, that they are human.
How do we know when physicians practice medicine safely? Can we trust doctors to discipline their own? What is a proper role of experts in a democracy? In the Public Interest raises these provocative questions, using medical licensing and discipline to advocate for a needed overhaul of how we decide public good in a society dominated by private interest groups. Throughout the twentieth century, American physicians built a powerful profession, but their drive toward professional autonomy has made outside observers increasingly concerned about physicians’ ability to separate their own interests from those of the general public.
Ruth Horowitz traces the history of medical licensure and the mechanisms that democratic societies have developed to certify doctors to deliver critical services. Combining her skills as a public member of medical licensing boards and as an ethnographer, Horowitz illuminates the workings of the crucial public institutions charged with maintaining public safety. She demonstrates the complex agendas different actors bring to board deliberations, the variations in the board authority across the country, the unevenly distributed institutional resources available to board members, and the difficulties non-physician members face as they struggle to balance interests of the parties involved.
In the Public Interest suggests new procedures, resource allocation, and educational initiatives to increase physician oversight. Horowitz makes the case for regulations modeled after deliberative democracy that promise to open debates to the general public and allow public members to take a more active part in the decision-making process that affects vital community interests.
To doctors, cancer means cells growing out of control; to patients, cancer means a life spinning out of control. Janet R. Gilsdorf, who writes with quiet but devastating honesty about her experience with breast cancer, offers an eye-opening glimpse, through her unique dual perspective as physician and patient, of both sides of the medical divide.
The medical system delivers cures, answers, and relief from pain to those who seek its help, but it can also offer misinformation, shattered expectations, horrible options, and inhumane consideration of the people it is supposed to serve. As Gilsdorf takes us on a journey across the terrifying landscape of cancer, she discovers that there are oases of unfathomable beauty to be found.
Inside/Outside is compelling, sometimes scary, reading as it puts us inside Gilsdorf’s skin. It ponders a vast array of profound choices most of us will be confronted with in our lives: thinking versus feeling, knowing versus not knowing, hanging on versus letting go, loving versus hating, and the immeasurable territories of life between the poles. Even as it touches on these universal human themes, ultimately Inside/Outside is a story of one person’s courage, hope, and survival in the face of terrifying odds.
Janet R. Gilsdorf, M.D., is Professor of Pediatrics and Communicable Diseases, Division of Infectious Diseases, Medical School, and Professor of Epidemiology, School of Public Health, at the University of Michigan. She is also Director of Pediatric Infectious Diseases, Mott Children's Hospital; Director of the Cell and Molecular Biology in Pediatrics Training Program; and Director of the Haemophilus influenzae Research Laboratory.
Smith Ely Jelliffe (1866-1945) was a distinguished American physician who became one of the first psychoanalysts in the world. This book, an account of his life and times, also includes his unpublished and hiterto unknown correspondence with Sigmund Freud and C. G. Jung, a correspondence of nearly thirty years which continued long after the historic break between Freud and Jung. John Burnham, a well-known historian of medicine and psychoanalysis, and William McGuire, the executive editor of Jung's collected works, have based this book on the recently discovered Jelliffe papers, an important collection once believed to have been lost in a fire.
Jelliffe's colorful and versatile career led him from botany and neurology (he was coauthor of a neurology text that remained standard for some forty years) to psychiatry, psychoanalysis (of which he was a founding father in the United States), and psychosomatic medicine (in which he also pioneered). Jelliffe also made outstanding contributions to medical journalism. With William Alanson White he founded the Psychoanalytic Review, and his work as editor of the Journal of Nervous and Mental Disease from 1902 to 1944 may have set a record for editorial longevity. Jelliffe was a charismatic speaker and teacher who in all his roles induced physicians and other thinkers to explore new ideas and ways of thinking.
Jelliffe's correspondence with Jung and Freud illuminates the personal and professional lives of the three men. The letters help to clarify concepts in both the Jungian and Freudian schools. The shifting emphasis of Jelliffe's relationships with the two masters of psychoanalysis—first when the two were colleagues, then for the greater span of time when they were rivals and adversaries—is revealing of Jenlliffe's own flexible views.
Jelliffe, furthermore, provides insights into the history of medicine and medical institutions and customs through Jelliffe's frank accounts of the developing medical profession in America. Jelliffe describes, for example, what it was like for a young M.D. to set up an economically viable practice in the 1890s. In addition, Burnham explores the problem of measuring the influence of a man like Jelliffe upon the history of ideas and institutions.
Julien Offray de la Mettrie, best known as the author of L’Homme machine, appears as a minor character in most accounts of the Enlightenment. But in this intellectual biography by Kathleen Wellman, La Mettrie—physician-philosophe—emerges as a central figure whose medical approach to philosophical and moral issues had a profound influence on the period and its legacy. Wellman’s study presents La Mettrie as an advocate of progressive medical theory and practice who consistently applied his medical concerns to the reform of philosophy, morals, and society. By examining his training with the Dutch physician Hermann Boerhaave, his satires lampooning the ignorance and venality of the medical profession, and his medical treatises on subjects ranging from vertigo to veneral disease, Wellman illuminates the medical roots of La Mettrie’s philosophy. She shows how medicine encouraged La Mettrie to undertake an impiricist critique of the philosophical tradition and provided the foundation for a medical materialism that both shaped his understanding of the possibilities of moral and social reform and led him to espouse the cause of the philosophers. Elucidating the medical view of nature, human beings, and society that the Enlightenment and La Mettrie in particular bequethed to the modern world, La Mettrie makes an important contribution to our understanding of both that period and our own.
In the midst of a fast-paced profession, it is increasingly a challenge to pause and reflect on where a person’s life is heading. All can feel overwhelming. In these moments, when nothing seems stable, it can be instructive to pause and study individuals from previous generations who lived fully and left a lasting legacy. To find valuable lessons and perspective on the present, author Dr. Phillip Diller has often turned to man, citizen, writer, educator, and physician, Dr. Daniel Drake, who lived from 1785-1852.
Leaving a Legacy: Lessons from the Writings of Daniel Drake is a selective collection of excerpts from the vast writings from the nineteenth-century doctor and medical pioneer Daniel Drake. From Drake’s life, documented here in his own words from excerpts of lectures, personal journal entries, presentations, speeches, books, and letters to his children, readers learn about the scope of his accomplishments in medicine, contributions to his community, and dedication to his family. Diller goes beyond biography to contextualize Drake’s life choices and what made him a role model for today’s physicians. Diller selected one hundred and eighty thematically arranged excerpts, which he paired with original reflection questions to guide the reader through thought-provoking prompts. In doing so, Diller presents the lessons from Drake’s remarkable life and work as a guide for others who wish to build an enduring legacy.
Designed to appeal to early and mid-career professionals, particularly those in the medical field, Drake and Diller offer readers a way to enhance life with small actions that can leave a legacy in any community—professional or personal. Documented previously as a man whose life was remarkable for the breadth and depth of his professional accomplishments, Drake’s countless contributions are showcased here to demonstrate the impact he truly had in his time and for generations to come. Engaging with Drake and Diller’s thoughtful and principled voices provides a lasting perspective for those trying to find their purpose in the present.
Physicians retire at all ages—older doctors forsake medical practice when tired of it or when forced to do so by age or illness; younger practitioners leave because of burnout, disillusionment with the medical system, or a desire to engage in new activities. But research and literature about physician retirement is scanty. Given the limited resources available, many physicians who want to retire from medicine remain mired in indecision, wondering how their life might be different if they left medicine. Sharon Romm has written the definitive guide to help health care professionals of all ages prepare for the joys and challenges ahead.
U.S. health care has changed dramatically during the past century. A new breed of physicians use new machines, vaccines, and ideas in ways that have touched the lives of virtually everyone. How and why did these changes occur?
The biographical essays comprising this volume address this question through the stories of six scientific innovators at the University of Michigan Medical School. Michigan was the first major U.S. medical school to admit women, to run its own university hospital, and, by the turn of the century, was recognized as one of the finest medical schools in the country. The people whose stories unfold here played a central part in defining the place of medical science at the University of Michigan and in the larger world of U.S. health care.
Introductory sections are followed by biographical profiles of George Dock, Thomas Francis, Albion Hewlett, Louise Newburgh, Cyrus Strurgis, and Frank Wilson. Drawing on extensive archival research, the authors provide a richly textured portrait of academic medical life and reveal how the internal content of science and medicine interacted with the social context of each subject's life. Also explored is the relationship between the environment (the hospital, the university, and the city) and the search for knowledge.
These narratives expand our perspective on twentieth-century medical history by presenting these individuals' experiences as extended biopsies of the period and place, focal points illuminating the personal nature of medicine and locating the discipline within a social and institutional setting.
Joel D. Howell is Associate Professor, Department of Internal Medicine, Department of History, and Department of Health Services Management and Policy, University of Michigan.
From practical to philosophical considerations, this succinct, clear presentation of medical malpractice issues is a valuable resource for the classroom and the reference shelf. Frank M. McClellan illustrates the multitude of considerations that impact the merit of each case, never losing sight of the importance of preserving human dignity in malpractice lawsuits.
Early chapters urge the evaluation of legal, medical, and ethical standards, especially the Standard of Care. Part II focuses on assessing and proving compensatory and punitive damages, Part III sets out guidelines for intelligence gathering, medical research, choosing expert witnesses, and preparing for trial.
Students of law, medicine, and public health, as well as lawyers and health care professionals, will find in Medical Malpractice a valuable text or reference book. "Problems" in twelve of the thirteen chapters illustrate the range of issues that can arise in malpractice suits. An appendix lists leading cases that have shaped medical malpractice law.
American health care is in crisis because of exploding medical malpractice litigation. Insurance premiums for doctors and malpractice lawsuits are skyrocketing, rendering doctors both afraid and unable to afford to continue to practice medicine. Undeserving victims sue at the drop of a hat, egged on by greedy lawyers, and receive eye-popping awards that insurance companies, hospitals, and doctors themselves struggle to pay. The plaintiffs and lawyers always win; doctors, and the nonlitigious, always lose; and affordable health care is the real victim.
This, according to Tom Baker, is the myth of medical malpractice, and as a reality check he offers The Medical Malpractice Myth, a stunning dismantling of this familiar, but inaccurate, picture of the health care industry. Are there too many medical malpractice suits? No, according to Baker; there is actually a great deal more medical malpractice, with only a fraction of the cases ever seeing the inside of a courtroom. Is too much litigation to blame for the malpractice insurance crisis? No, for that we can look to financial trends and competitive behavior in the insurance industry. Are these lawsuits frivolous? Very rarely. Point by point, Baker—a leading authority on insurance and law—pulls together the research that demolishes the myths that have taken hold about medical malpractice and suggests a series of legal reforms that would help doctors manage malpractice insurance while also improving patient safety and medical accountability.
President Bush has made medical malpractice reform a priority in his last term in office, but if history is any indication, legislative reform would only worsen the situation and perpetuate the gross misunderstanding of it. The debate surely will be transformed by The Medical Malpractice Myth, a book aimed squarely at general readers but with radical conclusions that speak to the highest level of domestic policymaking.
We have all had experiences with sickness, care giving, physicians, medical emergencies, hospitals, and doctors’ offices. Health concerns are not solely the domain of medical students, physicians, or nurses—we all deal with our personal well-being and the health of our loved ones on a daily basis. Sometimes these health problems cause us to consider larger social and ethical issues. How do we respond and relate to such matters? In order to help both lay people and medical professionals consider various health care issues, East Carolina University's Brody School of Medicine developed a medical readers' theater program. Compiled for the first time in a single text, Medical Readers’ Theater: A Guide and Scripts provides a vehicle for those who wish to engage in discussions among citizens and professionals about important, topical issues in contemporary medicine.
Consisting of fourteen readers’ theater scripts, a step-by-step guide to performing readers’ theater, and questions for post-performance discussions, this volume utilizes stories by William Carlos Williams, Susan Onthank Mates, Arthur Conan Doyle, Pearl Buck, and many more. Physician/patient relationships, organ donation, chronic illness, race and ethnicity, death and dying, and aging are just a few of the topics covered in this valuable text.
Medical Readers’ Theater can be used in classrooms, hospitals, libraries, or other community settings where citizens can consider views on issues of common concern in the medical world.
William G. Anlyan, a dedicated doctor and gifted administrator, was a leader in the transformation of Duke University Hospital from a regional medical center into one of America’s foremost biomedical research and educational institutions. Anlyan’s fifty-five-year career at Duke University spanned a period of extraordinary change in the practice of medicine. He chronicles those transformations—and his role in them—in this forthright memoir.
Born in Alexandria, Egypt, in 1925, and schooled in the British tradition, Anlyan attended Yale University as an undergraduate and medical student before coming to the relatively unknown medical school at Duke University in 1949 for an internship in general and thoracic surgery. He stayed on, first as a resident, then as a staff surgeon. By 1961, he was a full professor of surgery. In 1964, Anlyan was named dean of the medical school, the first in a series of administrative posts at the medical school and hospital. Anlyan’s role in the transformation of the Duke University Medical Center into an internationally renowned health system is manifest: he restructured the medical school and hospital and supervised the addition of almost four million square feet of new or renovated space. He hired outstanding administrators and directed a staff that instituted innovative programs and groundbreaking research centers, such as the Cancer Center and the Physician’s Assistant Program.
Anlyan describes a series of metamorphoses in his own life, in the world of medicine, in Durham, and at Duke. At the time of his prep school upbringing in Egypt, medicine was a matter of controlling infectious diseases like tuberculosis and polio. As he became an immigrant medical student and then a young surgeon, he observed vast advances in medical practice and changes in the financing of medical care. During his tenure at Duke, Durham was transformed from a sleepy mill and tobacco town into the “City of Medicine,” a place where patients routinely travel for open-heart surgery and cutting-edge treatments for cancer and other diseases.
Anyone interested in health care, medical education, and the history of Duke University will find Anlyan’s memoir of interest.
In this expanded edition, an accomplished physician and teacher of medicine discusses the importance of being a caring doctor, especially now that the focus of medicine is increasingly on technological innovation and health care costs.
With wisdom and compassion, Dr. Jerome Lowenstein tells stories about relationships between medical students and their teachers, physicians and their patients. He reflects on what doctors learn from treating chronic illness; how they respond to patients' needs for reassurance; how they bear the burden of treating patients with life-threatening or degenerative disease; whether the distinction between traditional and "alternative" medical treatment is ultimately beneficial or destructive; and many other issues. Dr. Lowenstein's ruminations on humanistic approaches to learning and practicing medicine will be treasured by physicians, medical students, and patients alike.
The Monkey and the Inkpot
Carla Nappi Harvard University Press, 2009 Library of Congress QH21.C6N37 2009 | Dewey Decimal 508.0951
This is the story of a Chinese doctor, his book, and the creatures that danced within its pages. The Monkey and the Inkpot introduces natural history in sixteenth-century China through the iconic Bencao gangmu (Systematic materia medica) of Li Shizhen (1518 - 1593). In the first book-length study in English of Li's text, Carla Nappi reveals a "cabinet of curiosities" of gems, beasts, and oddities whose author was devoted to using natural history to guide the application of natural and artificial objects as medical drugs.
In the nineteenth century, infants were commonly breast-fed; by the middle of the twentieth century, women typically bottle-fed their babies on the advice of their doctors. In this book, Rima D. Apple discloses and analyzes the complex interactions of science, medicine, economics, and culture that underlie this dramatic shift in infant-care practices and women’s lives.
As infant feeding became the keystone of the emerging specialty of pediatrics in the twentieth century, the manufacture of infant food became a lucrative industry. More and more mothers reported difficulty in nursing their babies. While physicians were establishing themselves and the scientific experts and the infant-food industry was hawking the scientific bases of their products, women embraced “scientific motherhood,” believing that science could shape child care practices. The commercialization and medicalization of infant care established an environment that made bottle feeding not only less feared by many mothers, but indeed “natural” and “necessary.” Focusing on the history of infant feeding, this book clarifies the major elements involved in the complex and sometimes contradictory interaction between women and the medical profession, revealing much about the changing roles of mothers and physicians in American society.
“The strength of Apple’s book is her ability to indicate how the mutual interests of mothers, doctors, and manufacturers led to the transformation of infant feeding. . . . Historians of science will be impressed with the way she probes the connections between the medical profession and the manufacturers and with her ability to demonstrate how medical theories were translated into medical practice.”—Janet Golden, Isis
The sixteenth century saw an unprecedented growth in the number of educated physicians practicing in German cities. Concentrating on Nuremberg, A New Order of Medicine follows the intertwined careers of municipal physicians as they encountered the challenges of the Reformation city for the first time. Although conservative in their professed Galenism, these men were eclectic in their practices, which ranged from book collecting to botany to subversive anatomical experimentations. Their interests and ambitions lead to local controversy. Over a twenty-year campaign, apothecaries were wrested from their place at the forefront of medical practice, no longer able to innovate remedies, while physicians, recent arrivals in the city, established themselves as the leading authorities. Examining archives, manuscript records, printed texts, and material and visual sources, and considering a wide range of diseases, Hannah Murphy offers the first systematic interpretation of the growth of elite medical “practice,” its relationship to Galenic theory, and the emergence of medical order in the contested world of the German city.
Quack, conjurer, sex fiend, murderer—Simon Forman has been called all these things, and worse, ever since he was implicated (two years after his death) in the Overbury poisoning scandal that rocked the court of King James. But as Barbara Traister shows in this fascinating book, Forman's own unpublished manuscripts—considered here in their entirety for the first time—paint a quite different picture of the works and days of this notorious astrological physician of London.
Although he received no formal medical education, Forman built a thriving practice. His success rankled the College of Physicians of London, who hounded Forman with fines and jail terms for nearly two decades. In addition to detailing case histories of his medical practice—the first such records known from London—as well as his run-ins with the College, Forman's manuscripts cover a wide variety of other matters, from astrology and alchemy to gardening and the theater. His autobiographical writings are among the earliest English examples of their genre and display an abiding passion for reworking his personal history in the best possible light, even though they show little evidence that Forman ever intended to publish them.
Fantastic as many of Forman's manuscripts are, it is their more mundane aspects that make them such a priceless record of what daily life was like for ordinary inhabitants of Shakespeare's London. Forman's descriptions of the stench of a privy, the paralyzed limbs of a child, a lost bitch dog with a velvet collar all offer tantalizing glimpses of a world that seems at once very far away and intimately familiar. Anyone who wants to reclaim that world will enjoy this book.
In 1848 an English physician, Nathaniel Trennant, accepts an offer to serve as doctor on a ship carrying immigrants to America. When arriving in Baltimore, Trennant stumbles onto its slave market and witnesses the horrors of human bondage. One night in a boardinghouse he discovers under his bed a runaway slave. Disturbed and angered by the selling of human lives, he offers to help the young man escape, a criminal action that will put the fugitive slave and physician into flight from both the law and opportunistic slave hunters.
Traveling by foot, horse, stage, canal boat, and steamer, Nathaniel and Nicodemus explore the backcountry and forge a deep friendship as they encounter a host of memorable characters who reveal the nature of the American experiment, one still in its early stages but already under the stress of social injustices and economic inequities.
Western literature has had a long tradition of physician-writers. From Mikhail Bulgakov to William Carlos Williams to Richard Selzer to Ethan Canin, exposure to human beings at their most vulnerable has inspired fine writing. In his own inimitable and unpretentious style, David Watts is also a master storyteller. Whether recounting the decline and death of a dear friend or poking holes in the faulty logic of an insurance company underling, The Orange Wire Problem lays bare the nobility and weakness, generosity and churlishness of human nature.
With disarming candor and the audacity to admit that practicing medicine can be a crazy thing, Watts fills each page with riveting details, moving accounts, or belly-laughs. As the stories in this work unfold, we are witness to the moral dilemmas and personal rewards of ministering to the sick. Whether the subject is the potential benefits of therapeutic deception or telling a child about death, Watts’s ear for the right word, the right tone, and the right detail never fails him.
From The Orange Wire Problem and Other Tales from the Doctor’s Office:
We were lingering in the outer office. He mentioned again, no biopsy. I knew that. And I knew there would be no chemotherapy.
Maybe it's like that Orange Wire Problem, I said.
Yes exactly, he said, and four years from now when we're all sitting around the campfire we'll remember the Orange Wire Problem. . .
And I thought to myself, my brother did that. Spoke of the time ahead as he was dying of lung cancer. Six months from now he had said, we'll be glad we did all those drug therapies—as if to speak of the future laid claim to the future.
Over the past decade, there have been substantial and rapidly changing developments in the treatment of eating disorders. Grounded in the most recent literature, The Outpatient Treatment of Eating Disorders balances general and pathology-specific research to emphasize outpatient treatment. The contributors provide an overview of the full range of eating disorders and offer clinical recommendations for a comprehensive treatment plan for patients with these disorders.
These distinguished contributors present case studies and hands-on treatment models based on cognitive behavioral techniques. Using three vignettes-a woman with anorexia nervosa, a woman with bulimia nervosa, and a man with binge eating disorder-the authors offer practical approaches, including extensive nutritional information for dietitians, for treating these three major forms of eating disorders. Designed for all health care workers who deal with eating disorder patients, this indispensable guide will be useful for psychiatrists, other physicians, psychologists, social workers, exercise physiologists, and dietitians as well as those who suffer from eating disorders.
Contributors: David W. Abbott, U of North Dakota; Roslyn Binford, U of Minnesota; Carol Brunzell, Fairview-University Medical Center; Scott Crow, U of Minnesota; Mary Hendrickson-Nelson, HealthPartners of Minnesota; Susan Jack, Fairview-University Medical Center; Pamela K. Keel, Harvard U; Melissa Pederson Mussell, U of St. Thomas; Carol Peterson, U of Minnesota; Claire Pomeroy, U of Kentucky; LeAnn Snow, U of Minnesota; Stephen A. Wonderlich, U of North Dakota; and Martina de Zwaan, University Hospital, Vienna.
John Hill Brinton (1832–1907) met, observed, and commented on practically the entire hierarchy of the Union army; serving as medical director for Ulysses S. Grant, he came into contact with Philip H. Sheridan, John C. Frémont, Henry W. Halleck, William A. Hammond, D. C. Buell, John A. Rawlins, James Birdseye McPherson, C. F. Smith, John A. McClernand, William S. Rosecrans, and his first cousin George Brinton McClellan. John Y. Simon points out in his foreword that Brinton was one of the first to write about a relatively obscure Grant early in the war:
"Brinton found a quiet and unassuming man smoking a pipe—he could not yet afford cigars— and soon recognized a commander with mysterious strength of intellect and character."
Positioned perfectly to observe the luminaries of the military, Brinton also occupied a unique perspective from which to comment on the wretched state of health and medicine in the Union army and on the questionable quality of medical training he found among surgeons. With both A.B. and A.M. degrees from the University of Pennsylvania and postgraduate training in Paris and Vienna at a time when most medical schools required only a grammar school education, Brinton was exceptional among Civil War doctors. He found, as John S. Haller, Jr., notes in his preface, "the quality of candidates for surgeon’s appointments was meager at best." As president of the Medical Examining Board, Brinton had to lower his standards at the insistence of Secretary of War Edwin Stanton. Haller points out that one "self-educated candidate for an appointment as brigade surgeon explained to the board that he could do ‘almost anything, from scalping an Indian, up and down.’" Brinton assigned this singular candidate to duty in Kansas "where Brinton hoped he would do the least amount of damage." Throughout the war, the dearth of qualified surgeons created problems.
Brinton’s memoirs reveal a remarkable Civil War surgeon, a witness to conditions in Cairo, the Battle of Belmont, and the Siege of Fort Donelson who encountered almost every Union military leader of note.
Brinton wrote his memoirs for the edification of his family, not for public consumption. Yet he was, as Haller notes, a "keen observer of character." And with the exception of Brinton’s acceptance of late nineteenth-century gossip favorable to his cousin General McClellan, Simon finds the memoirs "remarkable for accuracy and frankness." His portrait of Grant is vivid, and his comments on the state of medicine during the war help explain, in Haller’s terms, why the "Civil War was such a medical and human tragedy."
We all have a good idea of how we want things to go when we visit a physician. We expect to be able to explain why we are there, and we hope the physician will listen and possibly ask questions that help us clarify our thoughts. Most of us hope that the physician will provide some expression of empathy, offer a clear, nontechnical assessment of our problem, and describe "next steps" in a way that is easy to understand. Ideally, we would like to be asked about our ability to follow treatment recommendations. Some experts say that these expectations are not only reasonable but even necessary if patients are to get the care they need. Yet there is a growing body of research that suggests the reality of physician communication with patients often falls short of this ideal in many respects.
A careful analysis of the findings of this research can provide guidance to physician educators, health care administrators, and health policy makers interested in understanding the role that improved physician communication can play in improving quality of care and patient outcomes. Physician Communication with Patients summarizes findings from the academic literature pertaining to various aspects of this question, discussing those findings in the context of current pressures for change in the organization and delivery of medical services.
Physicians and Hospitals addresses an issue of concern and one of fundamental importance to the American health care system. While the ranks of physicians continue to swell and hospitals continue to expand their facilities, federal, state, and local governments remain determined to control health care expenditures. As a result, checks on the supply of services and facilities have been implemented that strain the physician-hospital relationship, often placing physicians and hospital administrations in conflict. The implications for American health care are the subject of disagreement and vigorous debate.
Playing Doctor is an engaging and highly perceptive history of the medical TV series from its inception to the present day. Turow offers an inside look at the creation of iconic doctor shows as well as a detailed history of the programs, an analysis of changing public perceptions of doctors and medicine, and an insightful commentary on how medical dramas have both exploited and shaped these perceptions.
Drawing on extensive interviews with creators, directors, and producers, Playing Doctor is a classic in the field of communications studies. This expanded edition includes a new introduction placing the book in the contemporary context of the health care crisis, as well as new chapters covering the intervening twenty years of television programming. Turow uses recent research and interviews with principals in contemporary television doctor shows such as ER, Grey's Anatomy, House, and Scrubs to illuminate the extraordinary ongoing cultural influence of medical shows. Playing Doctor situates the television vision of medicine as a limitless high-tech resource against the realities underlying the health care debate, both yesterday and today.
From 1877 to 1892, Dr. Thomas Neill Cream murdered seven women, all prostitutes or patients seeking abortions, in England and North America. A Prescription for Murder begins with Angus McLaren's vividly detailed story of the killings. Using press reports and police dossiers, McLaren investigates the links between crime and respectability to reveal a remarkable range of Victorian sexual tensions and fears. McLaren explores how the roles of murderer and victim were created, and how similar tensions might contribute to the onslaught of serial killing in today's society.
Medicine has always been an emotionally and spiritually challenging profession. Today, confronted with the rapid progress of technology, the shifting sands of health care economics, and glaring disparities in health care and human rights, physicians experience challenges that grow constantly more demanding. As a result, many doctors attempt to build into their lives opportunities for reflection and self-awareness. It is in this context that medical poetry has blossomed.Primary Care, the second anthology of physician poems edited by Angela Belli and Jack Coulehan, proves that the poetry movement in medicine continues to flourish. Fifty-two contemporary physician poets contribute one hundred poems that explore medical practice, interpersonal relationships, and the modern world. Their poems record instances of pain and suffering, joy and grief, humor and irony. Their subjects range from caregivers, patients, trainees, and teachers to poverty, injustice, and war throughout the world.In some cases we find the poets in their professional milieu as they reveal interactions with patients and colleagues. Other poems address private worlds and family relationships. In others the poets turn outward and direct their attention to social and global concerns. Characterized by an immense and kind-hearted sympathy for and empathy with those who are suffering, the poets recognize that everyone’s life is diminished by the trauma of illness and death.
Reexamines the nature of death and dying as seen from the physician's point of view. Unlike other treatments of the subject, this study is concerned not with what physician's should do for the critically ill, but with their actual behavior. Based on extensive interviews with physicians in several medical specialties, more than 3000 questionnaires completed by physicians in four specialties, and studies of the records of actual hospital patients, the book shows that while withdrawal of treatment in certain types of cases is widespread, euthanasia is rare.
Marli F. Wiener skillfully integrates the history of medicine with social and intellectual history in this study of how race and sex complicated medical treatment in the antebellum South. Sex, Sickness, and Slavery argues that Southern physicians' scientific training and practice uniquely entitled them to formulate medical justification for the imbalanced racial hierarchies of the period. Challenged with both helping to preserve the slave system (by acknowledging and preserving clear distinctions of race and sex) and enhancing their own authority (with correct medical diagnoses and effective treatment), doctors sought to understand bodies that did not necessarily fit into neat dichotomies or agree with suggested treatments.
Focusing on Southern states from Virginia to Alabama, Weiner examines medical and lay perspectives on the body through a range of sources, including medical journals, notes, diaries, daybooks, and letters. These personal and revealing sources show how physicians, medical students, and patients--both free whites and slaves--felt about vulnerability to disease and mental illnesses, how bodily differences between races and sexes were explained, and how emotions, common sense, working conditions, and climate were understood to have an effect on the body.
Physicians' authority did not go uncontested, however. Weiner also describes the ways in which laypeople, both black and white, resisted medical authority, clearly refusing to cede explanatory power to doctors without measuring medical views against their own bodily experiences or personal beliefs. Expertly drawing the dynamic tensions during this period in which Southern culture and the demands of slavery often trumped science, Weiner explores how doctors struggled with contradictions as medicine became a key arena for debate over the meanings of male and female, sick and well, black and white, North and South.
This biography recounts the remarkable life of a Prussian/Polish Jew who immigrated to the United States as a teenager in the 1850s and became one of the nation’s best-known physicians by the turn of the century. After medical study in South Carolina and Virginia on the eve of the Civil War, Baruch served the Confederacy as a surgeon for three years, twice undergoing capture and internment. Despite economic hardships while practicing in South Carolina during Reconstruction, he helped to reactivate the State Medical Association and served as president of the State Board of Health.
In 1881 he joined the exodus of southern physicians and scientists of that period, taking up residence in New York City, where he rose to prominence through his advocacy of surgery in one of the early operations for appendicitis and through is role as the protective physician in a widely publicized “child cruelty” case involving the musical prodigy, Josef Hofmann. Baruch became a leader in the nationwide movement to establish free public baths for tenement dwellers and in the development of expert medical journalism. Although his advocacy of such natural remedies as water, fresh air, and diet often made him appear unaccountably iconoclastic to his contemporaries, he has gained posthumous recognition as a pioneer in physical medicine.
Bernard N. Baruch, one of his four sons, has memorialized this work through endowments for research and instruction in physical medicine and rehabilitation. Ward reconstructs the life of a medical student in the South at the opening of the Civil War, the adventures of a Confederate surgeon, and the difficulties of a practitioner in Reconstruction South Carolina. Simon Baruch’s physician’s registers and his correspondence with colleagues afford the reader an immediate sense of the therapeutic dilemmas facing physicians and patients of his era. Baruch’s experiences while establishing himself in New York City after 1881 reflect the challenges facing those trying to break into what was then the nation’s medical capital—as well as that city’s rich opportunities and heady intellectual atmosphere. His energetic campaign for free public baths illustrates one of the most colorful chapters of American social history, as immigrants flooded the cities at the turn of the century. As medical editor of the New York Sun from 1912 to 1918, Baruch touched on most of the health concerns of that period and a few—such as handgun control—that persist to this day.
Marc Straus Northwestern University Press, 2000 Library of Congress PS3569.T69213S95 2000 | Dewey Decimal 811.54
In this second book of poems, oncologist Marc J. Straus addresses the hopes and the tragedies of his profession. The work is a commentary on his experience in the medical field and a collection of rich, vivid monologues written from the points of view of both doctor and patient. These poems show a rare sensitivity not only to those who are suffering but also to the details that distinguish each life.
In the sixties, Fitzhugh Mullan was an activist in the civil rights struggle. While in medical school, Mullan was shocked by gaps in what the students learned, and the lack of humanity in the classroom. Later, Dr. Mullan was outraged at the conditions he discovered when he began to practice. He helped found the Student Health Organization, organized the Controversial Medical Collective at Lincoln Hospital in the Bronx, and struggled to offer improved medical care to those who needed it most and could afford it least.
This landmark book charts the state of medical school and practices in the 1960s and 70s. This new edition is updated with a preface in which Dr. Mullan reflects on the changes in the medical field over the last thirty-plus years.
Fitzhugh Mullan is Murdock Head Professor of Medicine and Health Policy at George Washington University. He worked at the U.S. Public Health Service where he attained the rank of Assistant Surgeon General (1991-1996). Dr. Mullan is the co-founder of the National Coalition for Cancer Survivorship and the author of numerous books, including Plagues and Politics: The Story of the United States Public Health Service, and his most recent book, Narrative Matters: The Power of the Personal Essay in Health Policy.
The Wounded River takes the reader back more than 130 years to reveal a marvelous, first-hand account of nineteenth-century warfare. In the process, the work cuts the legends and mythology that have come to frame and define accounts of America's bloodiest war. Of equal significance, Peter Josyph's editorial work on this superb collection of letters from the Western Americana Division of Yale University's Beinecke Rare Book and Manuscripts Library enhances and clarifies Lauderdale's experinces as a surgeon aboard the U.S. Army hospital ship D. A. January.
The reader looks on while Lauderdale, a New York civilian contract surgeon, operates on hundreds of Confederate and Union wounded. The young doctor's clear writing style and his great compassion for these unfortunate men whose bodies were ripped apart by bullets, shell fragments, and bayonets permits us to catch a disturbiing glimpse of what modern warfare does to humanity. Finally, we learn of Lauderdale's motives for volunteering, his impressions of the "hospital ship" D. A. January, Confederate morale, the Abolitionist cause, and black slavery. The Wounded River is a must read for anyone interested in the real American Civil War.