Results by title

Richard Karl, a doctor and teacher, takes the reader closer than any writer before into the corridors of the hospital, on the surgical table, and into the world of medicine. In these pages we see the tragedies and triumphs of modern medicine: the beauty of surgery done well, and the aftermath of operations that fail to deliver on the hopes of the doctor and patient. We witness the "M&M"—the morbidity and mortality meeting—where doctors scrutinize their own work and mistakes, and the often inevitable outcomes of treatment. Suffused throughout are Karl’s keen observations on the workings of the human body and its immense capacity for healing. "...I celebrate the rich privilege accorded the practicing surgeon. The surgical life is really about bearing witness to the human condition and about respecting the many almost whimsical variations of biology and about the intersection of the two. It is remarkable, really, the way I get to know people so intimately so quickly, and to observe the brave and often noble behavior in them, while I witness the relentless push of biology, the aging and decay, the growth and development, but most especially the healing, both physical and emotional. It is this natural drive of our bodies to repair themselves from all injuries (including the surgeon's wounds) that is the centerpiece of medicine. Without it no surgeon could cut." Written with economy and subtlety, Across the Red Line offers a vivid picture of disease and the miracle of life. It will interest anyone who's ever been on either side of the surgical table.

     A distinguished physician and professor of medicine at Edinburgh University, and a forensic expert for the British Crown, Joseph Bell was well known for his remarkable powers of observation and deduction. In what would become true Sherlockian fashion, he had the ability to deduce facts about his patients from otherwise unremarkable details. In one instance recounted by Arthur Conan Doyle himself—and similar to Sherlock Holmes's own observations in "The Greek Interpreter"—Bell took little time to determine that one of his patients had recently served in the army, a non-commissioned officer discharged from his Highland regiment stationed in Barbados:

“The man was a respectful man, but did not remove his hat. They do not in the army, but he would have learned civilian ways had he been long discharged. He has an air of authority and he is obviously Scottish. As to Barbados, his complaint is elephantitis, which is West Indian and not British.”

     Based on extensive research into the life of Bell and including tantalizing accounts of the connections between Bell and Conan Doyle, this biography is required reading for anyone interested in Victorian medicine, in the history of detective fiction, and in Sherlock Holmes and Dr. Watson.

Expected Miracles explores the world of surgeons from their own perspective—how they perceive themselves, their work, colleagues, and communities. Recognizing that surgery is an art, a craft, a science, and a business, Joan Cassell offers, through poignant, painful, and thrilling descriptions, a vivid portrayal of the culture of surgery.

Cassell has entered a realm where laypersons are usually horizontal, naked, and anesthetized. Using the central metaphor of the surgical "miracle," she illuminates the drama of the operating room, where surgeons and patients alike expect heroic performance. She takes us backstage to overhear conversations about patients, families, and colleagues, observe operations, eavesdrop on gossip about surgeons’ performances, and examine the values, behavior, and misbehavior of surgeons at work.

Said one Chief of Surgery, "You couldn’t have a good surgeon who didn’t believe in the concept of the Hero." Following this lead, Cassell explores the heroic temperament of those who perform surgical "miracles" and finds that the demands and pressures of surgical practice require traits that in other fields, or in personal interactions, are often regarded as undesirable. She observes, "surgeons must tread a fine line between courage and recklessness, confidence and hubris, a positive attitude and a magical one." This delicate balance and frequent imbalance is portrayed through several character sketches. She contrasts the caring attention and technical mastery of The Exemplary Surgeon with the theatrical posturing of The Prima Donna and the slick showiness and questionable morals of The Sleazy Surgeon.

She also identifies the attributes that surgeons admire in each other. They believe that only peers can really evaluate each other, and, while doctors might not speak negatively about colleagues in public, the community of surgeons exerts considerable pressure on its members to perform competently.

Unlike "doctor-bashing" chronicles, Expected Miracles seeks to understand the charismatic authority of surgeons, its instability, and its price-to surgeons and to patients.

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.

In Frontier Doctor, Reginald Horsman provides the first modern, scholarly biography of a colorful backwoods doctor whose pioneering research on human digestion gained him international renown as a physiologist. Before William Beaumont's work, there was still considerable controversy as to the nature of human digestion; his research established beyond a doubt that digestion is a chemical process.

Beaumont received his medical training as an apprentice in a small town in Vermont and served as a surgeon's mate in the War of 1812. After the war, he practiced in Plattsburgh, New York, before making his career as an army surgeon. His chance for fame came in 1822, when he was serving at the lonely post of Fort Mackinac in Michigan Territory. A Canadian voyageur--Alexis St. Martin--was accidentally shot in the stomach at close range, and his wound healed in such a way as to leave a permanent opening. This enabled Beaumont to insert food directly into the stomach, to siphon gastric juice, and to experiment on the process of digestion both inside and outside the stomach.

Because Beaumont had considerable difficulty in persuading St. Martin to stay with him so he could continue his research, his study was carried out sporadically over a number of years. In the early 1830s, with the support of Joseph Lovell, the surgeon general of the army, Beaumont and St. Martin went to the East Coast, where additional experiments were carried out. In 1833, Beaumont published Experiments and Observations on the Gastric Juice and the Physiology of Digestion, a book based upon his research on St. Martin and the work upon which his reputation primarily rests. His observations revealed more about digestion in the human stomach than had ever before been known, and his work was immediately praised in both the United States and Europe.

After he left the army, Beaumont established a successful private practice in St. Louis, Missouri, where he spent the latter part of his life. Beaumont, a fascinating, argumentative character, was often engaged in public controversy. He was also good friends with several notable men, including the young Robert E. Lee.

Frontier Doctor sheds welcome new light on the state of medicine both inside and outside the army in the early nineteenth century and provides absorbing information on the early experi-ments that set the research into human digestion irrevocably on the right course.

At the start of the Civil War, Dr. William McPheeters was a distinguished physician in St. Louis, conducting unprecedented public-health research, forging new medical standards, and organizing the state's first professional associations. But Missouri was a volatile border state. Under martial law, Union authorities kept close watch on known Confederate sympathizers. McPheeters was followed, arrested, threatened, and finally, in 1862, given an ultimatum: sign an oath of allegiance to the Union or go to federal prison. McPheeters "acted from principle" instead, fleeing by night to Confederate territory. He served as a surgeon under Gen. Sterling Price and his Missouri forces west of the Mississippi River, treating soldiers' diseases, malnutrition, and terrible battle wounds. From almost the moment of his departure, the doctor kept a diary. It was a pocket-size notebook which he made by folding sheets of pale blue writing paper in half and in which he wrote in miniature with his steel pen. It is the first known daily account by a Confederate medical officer in the Trans-Mississippi Department. It also tells his wife's story, which included harassment by Federal military officials, imprisonment in St. Louis, and banishment from Missouri with the couple's two small children. The journal appears here in its complete and original form, exactly as the doctor first wrote it, with the addition of the editors' full annotation and vivid introductions to each section.

In early 1863, in the aftermath of Abraham Lincoln's Emancipation Proclamation, Massachusetts began recruiting black soldiers to serve in the Civil War. Although the first regiment formed, the 54th Massachusetts, would become the best-known black regiment in the war, the second regiment raised, the 55th Massachusetts Volunteer Infantry, performed equally valuable service in the Union Army.

Burt Green Wilder, a Boston-born, Harvard-educated doctor-in-training, was among the first white officers commissioned to staff the 55th Massachusetts. Like other officers serving in the state's African American units, Wilder was selected for his military experience, his "firm Anti-Slavery principles," and his faith in the value of black troops. From the time he joined the 55th in May 1863 until the regiment was discharged in September 1865, Wilder recorded his experiences and observations. He described the day-to-day activities of a Civil War surgeon, the indignities suffered by black enlisted men at the hands of a War Department that denied them the same treatment offered to white troops, and the role of the regiment in the campaign around Charleston and in Florida.

Service in the southern states also allowed Wilder to indulge a passion for natural science and comparative anatomy, including the collection of unusual species, one of which—the spider known as Nephila wilderi—still bears his name. After the war he completed his medical studies at Harvard and joined the faculty of Cornell University, where he became a distinguished professor of zoology as well as an outspoken advocate of racial equality.

In his introduction to the volume, Richard M. Reid analyzes Burt Wilder's diary and places it within the context of the war, the experience of African American troops, and Wilder's life and career.

These texts were written in the vernacular for a readership of physicians and surgeons but also of midwives and lay women. So they present important evidence that, contrary to stereotypes, women were the recipients of medical texts written specifically for them. More generally, these texts demonstrate a strong interest in women’s health, indicating that early modern physicians and surgeons had a new interest in the specificity of female anatomy and women’s diseases. The texts selected and translated in this volume allow the reader to access an important group of primary sources on issues related to women’s health, including childbirth and caesarean section, sterility, miscarriage, breastfeeding, etc. The selection of texts is well organized and coherent, the translation is accurate and fluent, and the texts are adequately annotated, so the book will be easily used by scholars and students, including undergraduates. It provides evidence of a new concern and attention for women’s health needs, which, most interestingly, often went hand-in-hand with the rejection of misogynist stereotypes and the challenging of conventional views of female subordination and inferiority.
—Gianna Pomata
Professor of the History of Medicine, Johns Hopkins University

As a pediatric surgeon, Catherine Musemeche operates on the smallest of human beings, manipulates organs the size of walnuts, and uses sutures as thin as hairs to resolve matters of life or death. Working in the small space of a premature infant’s chest or abdomen allows no margin for error. It is a world rife with emotion and risk. Small takes readers inside this rarefied world of pediatric medicine, where children and newborns undergo surgery to resolve congenital defects or correct the damages caused by accidents and disease. It is an incredibly high-stakes endeavor, nerve-wracking and fascinating. Small: Life and Death on the Front Lines of Pediatric Surgery is a gripping story about a still little-known frontier. In writing about patients and their families, Musemeche recounts the history of the developing field of pediatric surgery—so like adult medicine in many ways, but at the same time utterly different. This is a field guide to the state of the art and science of operating on the smallest human beings, the hurts and maladies that afflict them, and the changing nature of medicine in America today, told by an exceptionally gifted surgeon and writer.