Perilous Medicine


Book Description

Pervasive violence against hospitals, patients, doctors, and other health workers has become a horrifically common feature of modern war. These relentless attacks destroy lives and the capacity of health systems to tend to those in need. Inaction to stop this violence undermines long-standing values and laws designed to ensure that sick and wounded people receive care. Leonard Rubenstein—a human rights lawyer who has investigated atrocities against health workers around the world—offers a gripping and powerful account of the dangers health workers face during conflict and the legal, political, and moral struggle to protect them. In a dozen case studies, he shares the stories of people who have been attacked while seeking to serve patients under dire circumstances including health workers hiding from soldiers in the forests of eastern Myanmar as they seek to serve oppressed ethnic communities, surgeons in Syria operating as their hospitals are bombed, and Afghan hospital staff attacked by the Taliban as well as government and foreign forces. Rubenstein reveals how political and military leaders evade their legal obligations to protect health care in war, punish doctors and nurses for adhering to their responsibilities to provide care to all in need, and fail to hold perpetrators to account. Bringing together extensive research, firsthand experience, and compelling personal stories, Perilous Medicine also offers a path forward, detailing the lessons the international community needs to learn to protect people already suffering in war and those on the front lines of health care in conflict-ridden places around the world.




Perilous Medicine


Book Description

Leonard Rubenstein--a human rights lawyer who has investigated atrocities around the world--offers a gripping and powerful account of the dangers health workers face during conflict and the legal, political, and moral struggle to protect them. He shares the stories of people who have been attacked while seeking to serve patients.




Perilous Chastity


Book Description

Bearing such titles as The Doctor's Visit or The Lovesick Maiden, certain seventeenth-century Dutch paintings are familiar to museum browsers: an attractive young woman—well dressed, but pale and listless—reclines in a chair, languishes in bed, or falls to the floor in a faint. Weathered crones or impish boys leer suggestively in the background. These paintings traditionally have been viewed as commentary on quack doctors or unmarried pregnant women. The first book to examine images of women and illness in the light of medical history, Perilous Chastity reveals a surprising new interpretation. In an engaging analysis enhanced by abundant illustrations-including eight pages of color plates—Laurinda S. Dixon shows how paintings reflect changing medical theories concerning women. While she illuminates a tradition stretching from antiquity to the present, she concentrates on art from the thirteenth through the eighteenth centuries, and particularly on paintings from seventeenth-century Leiden. Dixon suggests how the assumptions of a predominantly male medical establishment have influenced prevailing notions of women's social place. She traces the evolution of the belief that women's illnesses were caused by "hysteria," so named in ancient Greece after the notion that the uterus had a tendency to wander in the body. All women were considered prone to hysteria-strong emotions, idleness, intellectual activity, or unladylike pursuits could cause it—but it was most commonly diagnosed among celibates. Analyzing paintings of women's sickrooms by Jan Steen, Dirck Hals, Gabriel Metsu, Jacob Ochtervelt, Godfried Schalcken, Samuel van Hoogstraten, and Franz van Mieris, Dixon perceives metaphoric identifications of the womb as the source of illness. She also documents changing fashions in cures for hysteria and discusses allusions to the debilitating effects of women's passions not only in paintings, but also in madrigals by John Dowland and Henry Purcell. In conclusion, Dixon argues that her study has strong ramifications of attitudes towards women and illness today. She takes up images in twentieth-century culture as well and calls attention to a resurgence of female "hysteria" after World War II.




Ultraprevention


Book Description

Offers a science-based, patient-centered program designed to improve overall health, prevent disease, increase energy, enhance mood, diminish stress, and provide better overall health for people of all ages.




More Than Medicine


Book Description

In More Than Medicine, LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.




In Pain


Book Description

NPR Best Book of 2019 A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal—a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick”—the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’s doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain—and that anyone can fall victim to this epidemic.




Poison


Book Description

Science geeks and armchair detectives will soak up this non-lethal, humorous account of the role poisons have played in human history. Perfect for STEM enthusiasts! For centuries, people have been poisoning one another—changing personal lives and the course of empires alike. From spurned spouses and rivals, to condemned prisoners like Socrates, to endangered emperors like Alexander the Great, to modern-day leaders like Joseph Stalin and Yasser Arafat, poison has played a starring role in the demise of countless individuals. And those are just the deliberate poisonings. Medical mishaps, greedy “snake oil” salesmen and food contaminants, poisonous Prohibition, and industrial toxins also impacted millions. Part history, part chemistry, part whodunit, Poison: Deadly Deeds, Perilous Professions, and Murderous Medicines traces the role poisons have played in history from antiquity to the present and shines a ghoulish light on the deadly intersection of human nature . . . and Mother Nature.




A History of Yale's School of Medicine


Book Description

This fascinating book tells the story of the Yale University School of Medicine, tracing its history from its origins in 1810 (when it had four professors and 37 students) to its present status as one of the world’s outstanding medical schools. Written by a former dean of the medical school, the book focuses on the important relationship of the medical school to the university, which has long operated under the precept that one should heal the body as well as the soul. Dr. Gerard Burrow recounts events surrounding the beginnings of the medical school, the very perilous times it experienced in the middle and late nineteenth century, and its revitalization, rapid growth, and evolution throughout the twentieth century. He describes the colorful individuals involved with the school and shows how social upheavals—wars, the Depression, boom periods, social activism, and the like—affected the school. The picture he paints is that of an institution that was at times unmanageable and under-funded, that often had troubled relationships with the New Haven community and its major hospital, but that managed to triumph over these difficulties and flourish. Today Yale University School of Medicine is a center for excellence. Dr. Burrow draws on the themes recurrent in its rich past to offer suggestions about its future.




Dr. Golem


Book Description

A creature of Jewish mythology, a golem is an animated being made by man from clay and water who knows neither his own strength nor the extent of his ignorance. Like science and technology, the subjects of Harry Collins and Trevor Pinch's previous volumes, medicine is also a golem, and this Dr. Golem should not be blamed for its mistakes - they ...




The Patient Will See You Now


Book Description

The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.