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 separated 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.
 

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

            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.

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

A lost 19th century novel focused on several women's issues, especially female health; with a fascinating view of mid-nineteenth-century medical practices.

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 physical, 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

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.

Pioneering North Woods doctor Kate Pelham Newcomb comes to life in this addition to the Badger Biographies series for young readers. Born in 1885, Kate Pelham was suppose to grow up to be a proper young lady in Boston, but despite her father's wishes she was determined to be a doctor. After medical school, her husband's health brought them to the clean air of northern Wisconsin and before long Kate knew every back road and cabin in the North Woods. She visited patients by snowmobile, by canoe, and by snowshoe and never sent a bill. Instead she was paid in firewood and vegtables.

But what Kate dreamed of more than anything for her patients was a hospital. And that's when the kids of the community got involved. They set out to collect a million pennies - $10,000 - to help Dr. Kate build a hospital. As the news spread, coins poured in from countries across the globe. Students carted bushels of pennies, and Dr. Kate read thousands of letters cheering on her effort. Her dream came true in 1954 when the Lakeland Memorial Hospital opened its doors. Young readers will warm to Kate's spirit of compassion and never-say-never attitude.

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.

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.

From Residency to Retirement tells the stories of twenty American doctors over the last half century, which saw a period of continuous, turbulent, and transformative changes to the U.S. health care system. The cohort’s experiences are reflective of the generation of physicians who came of age as presidents Carter and Reagan began to focus on costs and benefits of health services.
 
Mizrahi observed and interviewed these physicians in six timeframes ending in 2016. Beginning with medical school in the mid-1970s, these physicians reveal the myriad fluctuations and uncertainties in their professional practice, working conditions, collegial relationships, and patient interactions. In their own words, they provide a “view from the front lines” both in academic and community settings. They disclose the satisfactions and strains in coping with macro policies enacted by government and insurance companies over their career trajectory.
 
They describe their residency in internal medicine in a large southern urban medical center as a “siege mentality” which lessened as they began their careers, in Getting Rid of Patients, the title of Mizrahi’s first book (1986). As these doctors moved on in their professional lives more of their experiences were discussed in terms of dissatisfaction with financial remuneration, emotional gratification, and intellectual fulfillment. Such moments of career frustration, however, were also interspersed with moments of satisfaction at different stages of their medical careers. Particularly revealing was whether they were optimistic about the future at each stage of their career and whether they would recommend a medical career to their children. Mizrahi's subjects also divulge their private feelings of disillusionment and fear of failure given the malpractice epidemic and lawsuits threatened or actually brought against so many doctors. Mizrahi’s work, covering almost fifty years, provides rarely viewed insights into the lives of physicians over a professional life span.

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 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.

Winner of the American Sociological Association Sociology of Law Section 2013 Outstanding Book Award

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.

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.
 

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.

Jerry’s zest for life and breadth of experiences, combined with an idiosyncratic sense of humor, have yielded this collection of entertaining, insightful, and heartwarming essays. Life Is What Happens While You Make Other Plans is a must-read for anyone interested in getting a glimpse of life through the spectacles of a modern-day Renaissance man. Dr. Jerry Kolins—pathologist, hospital administrator, scuba diver, fine wine collector, Wolverine football fanatic, and bow tie aficionado—has now shown what he can do as a writer. Life Is What Happens While You Make Other Plans is a collection of essays that are poignant, funny, and sincere. Jerry couldn’t make it physically through one day of football practice, but his passion and obsession with Michigan football are truly sincere to those of us who played the game. Jerry’s vibrant personality comes across through his engaging prose, the relatively concise themed segments, and his ability and willingness to tackle a wide range of topics, even extremely painful and personal ones, head-on. That’s rather brave of him, and it adds significantly to the authenticity of his voice.

The father of Minnesota ornithology, whose life story opens a window on a lost world of nature and conservation in the state’s early days

Imagine a Minneapolis so small that, on calm days, the roar of St. Anthony Falls could be heard in town, a time when passenger pigeons roosted in neighborhood oak trees. Now picture a dapper professor conducting his ornithology class (the university’s first) by streetcar to Lake Harriet for a morning of bird-watching. The students were mostly young women—in sunhats, sailor tops, and long skirts, with binoculars strung around their necks. The professor was Thomas Sadler Roberts (1858–1946), a doctor for three decades, a bird lover virtually from birth, the father of Minnesota ornithology, and the man who, perhaps more than any other, promoted the study of the state’s natural history. A Love Affair with Birds is the first full biography of this key figure in Minnesota’s past.

Roberts came to Minnesota as a boy and began keeping detailed accounts of Minneapolis’s birds. These journals, which became the basis for his landmark work The Birds of Minnesota, also inform this book, affording a view of the state’s rich avian life in its early days—and of a young man whose passion for birds and practice of medicine in a young Minneapolis eventually dovetailed in his launching of the beloved Bell Museum of Natural History.

Bird enthusiast, doctor, author, curator, educator, conservationist: every chapter in Roberts’s life is also a chapter in the state’s history, and in his story acclaimed author Sue Leaf—an avid bird enthusiast and nature lover herself—captures a true Minnesota character and his time.

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.

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 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
 

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.

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.

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.

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.

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

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.

Elihu Ashley (1750–1817) was a twenty-three-year-old medical apprentice in Deerfield, Massachusetts, when he began keeping a personal journal in March 1773. Over the next two-and-a-half years, he recorded, in clear and simple prose, just about everything he did and everyone he saw. Although carefully preserved, the journal was later suppressed by the town historian, presumably because he found some of the entries morally objectionable. Rediscovered by Amelia F. Miller, and coedited by Miller and A. R. Riggs, this document now appears in print for the first time, accompanied by related letters of Ashley's extended family as well as brief biographies of more than 750 people mentioned by the young doctor in his writings.

With flashes of humor and close attention to detail, Ashley describes a broad range of activities and experiences in the small village of Deerfield and the surrounding towns of the Connecticut River valley. Articulate as well as observant, this former schoolteacher conveys a sense of immediacy that brings even the most mundane daily events to life. He discusses medical theory and practice, revolutionary politics, farming, his family, his circle of friends, and amusements ranging from singing and dancing to sleigh riding and bouts of drunkenness. He also writes about his love life, including a dalliance with the older sister of his fiancee, Polly Williams, while the latter is away visiting relatives in the Berkshires.

For Ashley, personal relationships and politics were the prominent issues of 1773 and 1774, as events in Massachusetts drew the province toward rebellion. He discusses the gathering of angry mobs in response to the so-called Intolerable Acts, the stoppage of the courts in Hampshire County, the anarchy that ensued, and the persecution of loyalists, with or without the sanction of law. When the revolution breaks out in April 1775, he describes the departure of companies of minutemen as they set out for Boston to challenge the British Army.

Six months later, in November 1775, the journal abruptly ends. By then, however, Elihu Ashley had already bequeathed to posterity an extraordinary firsthand account of life in rural New England in the years immediately preceding the War of Independence.

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.

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, Simon 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.

Love waits for one woman in this charming story of love lost and then found.

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.

Public health physician Dr. Maya Summer faces a myriad of medical challenges as she comes to grips with her uneasy past. Helped by faculty physician Alex Reddish, who withstands his own identity trials, she uncovers the grave truth behind a series of illnesses as she and Reddish draw close to one another.

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.