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A seasoned cardiologist shares his experiences, opinions, and recommendations about heart disease and other cardiac problems.

A Strong and Steady Pulse: Stories from a Cardiologist provides an insider’s perspective on the field of cardiovascular medicine told through vignettes and insights drawn from Gregory D. Chapman’s three decades as a cardiologist and professor of medicine. In twenty-six bite-sized chapters based on real-life patients and experiences, Chapman provides an overview of contemporary cardiovascular diseases and treatments, illuminating the art and science of medical practice for lay audiences and professionals alike.

With A Strong and Steady Pulse, Chapman provides medical students and general readers with a better understanding of cardiac disease and its contributing factors in modern life, and he also provides insights on the diagnostic process, medical decision making, and patient care. Each chapter presents a patient and their initial appearance, described in clear detail as Chapman gently walks us through his evaluation and the steps he and his associates take to determine the underlying problem. Chapman’s stories are about real people dealing with life and death situations—including the physicians, nurses, medical students, and other team members who try to save lives in emergent, confusing conditions.

The sometimes hard-won solutions to these medical challenges combine new technology and cutting-edge research together with insights drawn from Chapman’s past experiences as an intern and resident in Manhattan during the AIDS epidemic, as a postdoctoral fellow at Duke University in the 1990s, and in practice in Nashville, Tennessee, and Birmingham, Alabama. Conditions addressed include the recognition and management of heart attack, heart failure, arrhythmia, valvular heart disease, cardiac transplantation, broken heart syndrome, hypertension, and the depression some people experience after a heart attack, as well as related topics like statin drugs, the Apple Watch ECG feature, and oral anticoagulants. Finally, the emergence of the COVID-19 virus and its disruption of normal hospital routines as the pandemic unfolded is addressed in an epilogue.

 

Taking on what one former U.S. ambassador called “the last ghost of the Vietnam War,” this book examines the far-reaching impact of Agent Orange, the most infamous of the dioxin-contaminated herbicides used by American forces in Southeast Asia. Edwin A. Martini's aim is not simply to reconstruct the history of the “chemical war” but to investigate the ongoing controversy over the short- and long-term effects of weaponized defoliants on the environment of Vietnam, on the civilian population, and on the troops who fought on both sides.

Beginning in the early 1960s, when Agent Orange was first deployed in Vietnam, Martini follows the story across geographical and disciplinary boundaries, looking for answers to a host of still unresolved questions. What did chemical manufacturers and American policymakers know about the effects of dioxin on human beings, and when did they know it? How much do scientists and doctors know even today? Should the use of Agent Orange be considered a form of chemical warfare? What can, and should, be done for U.S. veterans, Vietnamese victims, and others around the world who believe they have medical problems caused by Agent Orange?

Martini draws on military records, government reports, scientific research, visits to contaminated sites, and interviews to disentangle conflicting claims and evaluate often ambiguous evidence. He shows that the impact of Agent Orange has been global in its reach affecting individuals and communities in New Zealand, Australia, Korea, and Canada as well as Vietnam and the United States. Yet for all the answers it provides, this book also reveals how much uncertainty—scientific, medical, legal, and political—continues to surround the legacy of Agent Orange.

Examining the racial underpinnings of food, microbial medicine, and disgust in America

 

American Disgust shows how perceptions of disgust and fears of contamination are rooted in the country’s history of colonialism and racism. Drawing on colonial, corporate, and medical archives, Matthew J. Wolf-Meyer argues that microbial medicine is closely entwined with changing cultural experiences of digestion, excrement, and disgust that are inextricably tied to the creation of whiteness. 

Ranging from nineteenth-century colonial encounters with Native people to John Harvey Kellogg’s ideas around civilization and bowel movements to mid-twentieth-century diet and parenting advice books, Wolf-Meyer analyzes how embedded racist histories of digestion and disgust permeate contemporary debates around fecal microbial transplants and other bacteriotherapeutic treatments for gastrointestinal disease.

At its core, American Disgust wrestles with how changing cultural notions of digestion—what goes into the body and what comes out of it—create and impose racial categories motivated by feelings of disgust rooted in American settler-colonial racism. It shows how disgust is a changing, yet fundamental, aspect of American subjectivity and that engaging with it—personally, politically, and theoretically—opens up possibilities for conceptualizing health at the individual, societal, and planetary levels.

In the second half of the nineteenth century, American cities began to go dark. Hulking new buildings overspread blocks, pollution obscured the skies, and glass and smog screened out the health-giving rays of the sun. Doctors fed anxities about these new conditions with claims about a rising tide of the "diseases of darkness," especially rickets and tuberculosis.

In American Sunshine, Daniel Freund  tracks the obsession with sunlight from those bleak days into the twentieth century.  Before long, social reformers, medical professionals, scientists, and a growing nudist movement proffered remedies for America’s new dark age. Architects, city planners, and politicians made access to sunlight central to public housing and public health. and entrepreneurs, dairymen, and tourism boosters transformed the pursuit of sunlight and its effects into a commodity. Within this historical context, Freund sheds light on important questions about the commodification of health and nature and makes an original contribution to the histories of cities, consumerism, the environment, and medicine.