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During the first half of the nineteenth century a major shift occurred in the medical treatment of illness in the United States, as physicians abandoned the use of “heroic” depletive therapies—the pukes and purges made famous in the 1790s by Dr. Benjamin Rush of Philadelphia—in favor of a let-nature-take-its-course approach to most diseases. Standard histories of American medicine have long attributed this shift to new theories and training methods as well as increased competition from homeopaths and botanical doctors. In this book, Catherine L. Thompson challenges that interpretation by emphasizing the role of patients as active participants in their own health care rather than passive objects of medical treatment.

Focusing on Massachusetts, then as now a center of U.S. medical education and practice, Thompson draws on data from patients' journals, medical account ledgers, physicians' daybooks, and court records to link changes in medical treatment to a gradual evolution of patient expectations across varied populations. Specifically, she identifies three developments—the increasing use of cash in medical transactions, growing religious pluralism, and the rise of malpractice suits—as key factors in transforming patients into active medical consumers unwilling to submit to doctors' advice without considering alternatives.

By showing how nineteenth-century patients shaped therapeutic practice “through the medical choices they made or didn't make,” Thompson's study alters our understanding of American medicine in the past and has implications for its present and future.

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.

The remarkable story of the physician whose public health victories changed the world.

Physician to the World by John M. Gibson is a study of the career of William Crawford Gorgas, focusing primarily on the 22 years from the Spanish-American War until his death at the age of 65. The book details the medical community’s gradual acceptance of the mosquito theory as the cause for yellow fever epidemics and follows Gorgas as his initial skepticism gave way to belief while he participated in Walter Reed’s massive cleanup of Havana. From this success Gorgas moved to the Panama Canal Zone and a bureaucratic quagmire as he attempted to apply sanitary principles there to control yellow fever and malaria. As canal construction proceeded, assorted red-tape and critics repeatedly thwarted Gorgas’s efforts. His particular nemesis was the imperious engineer George Goethals, who ruled the construction project with an iron hand. Gorgas’s dogged persistence to make Panama healthy for both Americans and natives eventually succeeded, enabling the project to be completed with minimum loss of life. During World War I Gorgas became U.S. Surgeon General, and finally his reputation equaled his accomplishments. He traveled widely in Europe, South Africa, and South America on behalf of public health improvements and was about to begin another such journey when he died of complications from a stroke in London in 1920.

WINNER OF THE JAMES F. SULZBY AWARD

Healing against the odds—Black doctors, bold resistance, and the fight for medical justice in Alabama.

Physicians for the People chronicles the remarkable stories of 241 Black doctors who practiced medicine in Alabama during the Jim Crow era. Historian Jack D. Ellis reveals the ingenuity and resilience of these trailblazing doctors who defied segregation by establishing hospitals and clinics and providing vital healthcare to underserved Black communities.

This meticulously researched work draws on archival sources, oral histories, and an unparalleled database to dismantle the myth of a monolithic medical system in the Jim Crow South. Jack D. Ellis argues that the post–Civil War lives of Black physicians, dentists, pharmacists, nurses, and midwives hold special significance, illuminating both the causes of health care disparities among African Americans and the reasons for their continued underrepresentation in the medical professions.

Offering much of interest to students and scholars of Black history, medical history, and the civil rights movement, Physicians for the People exposes the deliberate exclusion faced by Black doctors within the white medical establishment and their ongoing fight for racial equality in medicine.

The profiles are edited transcripts of interviews videotaped between 1996 and 2004. They tell of the development of new techniques such as the "blue baby operation," the first heart-lung machine, the first artificial heart valve, and the first coronary bypass operation. They also tell the unusual life stories of the surgeons and allude to professional and institutional rivalries. A particularly valuable part of the book is the author's brief history of cardiac surgery, designed to orient the reader for reading the profiles that follow.

This is an auto-narrated audiobook edition of this book.

In 1992, Dr. Ross A. Slotten signed more death certificates in Chicago—and, by inference, the state of Illinois—than anyone else. As a family physician, he was trained to care for patients from birth to death, but when he completed his residency in 1984, he had no idea that many of his future patients would be cut down in the prime of their lives. Among those patients were friends, colleagues, and lovers, shunned by most of the medical community because they were gay and HIV positive. Slotten wasn’t an infectious disease specialist, but because of his unique position as both a gay man and a young physician, he became an unlikely pioneer, swept up in one of the worst epidemics in modern history.

Plague Years is an unprecedented first-person account of that epidemic, spanning not just the city of Chicago but four continents as well. Slotten provides an intimate yet comprehensive view of the disease’s spread alongside heartfelt portraits of his patients and his own conflicted feelings as a medical professional, drawn from more than thirty years of personal notebooks. In telling the story of someone who was as much a potential patient as a doctor, Plague Years sheds light on the darkest hours in the history of the LGBT community in ways that no previous medical memoir has.

Planning Quechua Families: Indigenous Reproduction and the Peruvian State examines how reproductive health is shaped by a history of colonial power, state intervention, and social upheaval. This ethnography is centered on the experiences of Indigenous women in the Andes. The book situates contemporary family planning within the legacy of forced sterilizations and political violence during the era of Shining Path terrorism. Drawing on extensive fieldwork, Rebecca Irons brings together the perspectives of both Quechua women and the health-care workers who serve them, offering a nuanced account of how reproductive services are experienced, negotiated, and contested in rural clinics.

The book explores how reproductive health is embedded within broader processes of social change, including “Incanization,” shifting ideas of citizenship, and efforts to integrate marginalized communities into the Peruvian nation. Irons demonstrates how Indigenous understandings of kinship, health, and identity intersect with state policies and biomedical practices, revealing forms of violence that are often less visible but deeply consequential. 

By placing Indigenous reproductive experiences within a wider cultural and political context, Planning Quechua Families provides a critical perspective on how power operates through intimate aspects of life in the contemporary Andes.