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The Inevitable Hour Cover

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The Inevitable Hour

A History of Caring for Dying Patients in America

Emily K. Abel

At the turn of the twentieth century, medicine’s imperative to cure disease increasingly took priority over the demand to relieve pain and suffering at the end of life. Filled with heartbreaking stories, The Inevitable Hour demonstrates that professional attention and resources gradually were diverted from dying patients. Emily K. Abel challenges three myths about health care and dying in America. First, that medicine has always sought authority over death and dying; second, that medicine superseded the role of families and spirituality at the end of life; and finally, that only with the advent of the high-tech hospital did an institutional death become dehumanized. Abel shows that hospitals resisted accepting dying patients and often worked hard to move them elsewhere. Poor, terminally ill patients, for example, were shipped from Bellevue Hospital in open boats across the East River to Blackwell’s Island, where they died in hovels, mostly without medical care. Some terminal patients were not forced to leave, yet long before the advent of feeding tubes and respirators, dying in a hospital was a profoundly dehumanizing experience. With technological advances, passage of the Social Security Act, and enactment of Medicare and Medicaid, almshouses slowly disappeared and conditions for dying patients improved—though, as Abel argues, the prejudices and approaches of the past are still with us. The problems that plagued nineteenth-century almshouses can be found in many nursing homes today, where residents often receive substandard treatment. A frank portrayal of the medical care of dying people past and present, The Inevitable Hour helps to explain why a movement to restore dignity to the dying arose in the early 1970s and why its goals have been so difficult to achieve.

Infectious Ideas Cover

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Infectious Ideas

Contagion in Premodern Islamic and Christian Thought in the Western Mediterranean

Justin K. Stearns

Infectious Ideas is a comparative analysis of how Muslim and Christian scholars explained the transmission of disease in the premodern Mediterranean world. How did religious communities respond to and make sense of epidemic disease? To answer this, historian Justin K. Stearns looks at how Muslim and Christian communities conceived of contagion, focusing especially on the Iberian Peninsula in the aftermath of the Black Death. What Stearns discovers calls into question recent scholarship on Muslim and Christian reactions to the plague and leprosy. Stearns shows that rather than universally reject the concept of contagion, as most scholars have affirmed, Muslim scholars engaged in creative and rational attempts to understand it. He explores how Christian scholars used the metaphor of contagion to define proper and safe interactions with heretics, Jews, and Muslims, and how contagion itself denoted phenomena as distinct as the evil eye and the effects of corrupted air. Stearns argues that at the heart of the work of both Muslims and Christians, although their approaches differed, was a desire to protect the physical and spiritual health of their respective communities. Based on Stearns's analysis of Muslim and Christian legal, theological, historical, and medical texts in Arabic, Medieval Castilian, and Latin, Infectious Ideas is the first book to offer a comparative discussion of concepts of contagion in the premodern Mediterranean world.

Influenza Cover

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Influenza

A Century of Science and Public Health Response

Dehner examines the wide disparity in national and international responses to influenza pandemics, from the Russian flu of 1889 to the swine flu outbreak in 2009. He chronicles the technological and institutional progress made along the way and shows how these developments can shape an effective future policy.

Intensely Human Cover

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Intensely Human

The Health of the Black Soldier in the American Civil War

Margaret Humphreys

Black soldiers in the American Civil War were far more likely to die of disease than were white soldiers. In Intensely Human, historian Margaret Humphreys explores why this uneven mortality occurred and how it was interpreted at the time. In doing so, she uncovers the perspectives of mid-nineteenth-century physicians and others who were eager to implicate the so-called innate inferiority of the black body. In the archival collections of the U.S. Sanitary Commission, Humphreys found evidence that the high death rate among black soldiers resulted from malnourishment, inadequate shelter and clothing, inferior medical attention, and assignments to hazardous environments. While some observant physicians of the day attributed the black soldiers' high mortality rate to these circumstances, few medical professionals—on either side of the conflict—were prepared to challenge the "biological evidence" of white superiority. Humphreys shows how, despite sympathetic and responsible physicians' efforts to expose the truth, the stereotype of black biological inferiority prevailed during the war and after.

Intolerant Bodies Cover

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Intolerant Bodies

A Short History of Autoimmunity

Warwick Anderson and Ian R. Mackay

Autoimmune diseases, which affect 5 to 10 percent of the population, are as unpredictable in their course as they are paradoxical in their cause. They produce persistent suffering as they follow a drawn-out, often lifelong, pattern of remission and recurrence. Multiple sclerosis, lupus, rheumatoid arthritis, and type 1 diabetes—the diseases considered in this book—are but a handful of the conditions that can develop when the immune system goes awry. Intolerant Bodies is a unique collaboration between Ian Mackay, one of the prominent founders of clinical immunology, and Warwick Anderson, a leading historian of twentieth-century biomedical science. The authors narrate the changing scientific understanding of the cause of autoimmunity and explore the significance of having a disease in which one’s body turns on itself. The book unfolds as a biography of a relatively new concept of pathogenesis, one that was accepted only in the 1950s. In their description of the onset, symptoms, and course of autoimmune diseases, Anderson and Mackay quote from the writings of Charles Dickens, Edgar Allan Poe, Joseph Heller, Flannery O’Connor, and other famous people who commented on or grappled with autoimmune disease. The authors also assess the work of the dedicated researchers and physicians who have struggled to understand the mysteries of autoimmunity. Connecting laboratory research, clinical medicine, social theory, and lived experience, Intolerant Bodies reveals how doctors and patients have come to terms, often reluctantly, with this novel and puzzling mechanism of disease causation.

Investigating the Supernatural Cover

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Investigating the Supernatural

From Spiritism and Occultism to Psychical Research and Metapsychics in France, 1853–1931

Sofie Lachapelle

Séances were wildly popular in France between 1850 and 1930, when members of the general public and scholars alike turned to the wondrous as a means of understanding and explaining the world. Sofie Lachapelle explores how five distinct groups attempted to use and legitimize séances: spiritists, who tried to create a new “science” concerned with the spiritual realm and the afterlife; occultists, who hoped to connect ancient revelations with contemporary science; physicians, psychiatrists, and psychologists, who developed a pathology of supernatural experiences; psychical researchers, who drew on the unexplained experiences of the public to create a new field of research; and metapsychists, who attempted to develop a new science of yet-to-be understood natural forces. Lachapelle examines the practices, aims, and level of success of these five disciplines, paying special attention to how they interacted with each other and with the world of mainstream science. Their practitioners regarded mystical phenomena worthy of serious study; most devotees—with notable exceptions of physicians, psychiatrists, and psychologists—also meant to challenge conventional science in general and French science in particular. Through these stories, Lachapelle illuminates the lively relationship between science and the supernatural in late nineteenth- and early twentieth-century France and relates why this relationship ultimately led to the marginalization of psychical research and metapsychics. An enlightening and entertaining narrative that includes colorful people like "Allan Kardec"—a pseudonymous former mathematics teacher from Lyon who wrote successful works on the science of the séance and what happened after death—Investigating the Supernatural reveals the rich and vibrant diversity of unorthodox beliefs and practices that existed at the borders of the French scientific culture in the late nineteenth and early twentieth centuries.

John P. McGovern, MD Cover

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John P. McGovern, MD

A Lifetime of Stories

Bryant Boutwell

John P. McGovern held seventeen professorships, received twenty-nine honorary doctorates, and established the nation’s largest privately owned allergy and immunology clinic. He authored 252 professional publications including twenty-six books in the medical sciences and humanities, and served as president or chief elected officer of fifteen professional societies in medicine. In addition, the McGovern Foundation has given millions of dollars to various local and national health charities, and many Houston landmarks bear the McGovern name, including the McGovern Lake and McGovern Children’s Zoo (at Houston’s Hermann Park), the McGovern Health and Science Museum, and the McGovern Campus of the Texas Medical Center.

Bryant Boutwell, a long-time friend and colleague, has captured the influential life of this visionary Texas physician in John P. McGovern, MD: A Lifetime of Stories. In captivating narrative, interlaced with revealing personal and family stories, Boutwell chronicles McGovern’s holistic approach to medicine, which transcended the traditional boundaries of institutional identities and medical specialties. McGovern worked tirelessly to bring together big institutions, the health professions, bold interdisciplinary ideas, and a team approach to healthcare that, though prescient at the time, is recognized today as imperative. This commitment led to his founding role in the American Osler Society, which promotes humanistic and ethical dimensions of the practice of medicine, and his establishment of humanities programs at the UT Health Science Center at Houston and the UT Medical Branch at Galveston.

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Journal of the History of Medicine and Allied Sciences

Vol. 55 (2000) through current issue

The journal covers a broad range of topics in medical history and related subjects. While recognizing the value of medical history as historically conceptualized, JHMAS also aims to publish papers that cross disciplines, traditional international boundaries, and historiographic categories.

Killer Fat Cover

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Killer Fat

Media, Medicine, and Morals in the American "Obesity Epidemic”

Natalie Boero

In the past decade, obesity has emerged as a major public health concern in the United States and abroad. At the federal, state, and local level, policy makers have begun drafting a range of policies to fight a war against fat, including body-mass index (BMI) report cards, “snack taxes,” and laws to control how fast food companies market to children. As an epidemic, obesity threatens to weaken the health, economy, and might of the most powerful nation in the world. In Killer Fat, Natalie Boero examines how and why obesity emerged as a major public health concern and national obsession in recent years. Using primary sources and in-depth interviews, Boero enters the world of bariatric surgeries, Weight Watchers, and Overeaters Anonymous to show how common expectations of what bodies are supposed to look like help to determine what sorts of interventions and policies are considered urgent in containing this new kind of disease. Boero argues that obesity, like the traditional epidemics of biological contagion and mass death, now incites panic, a doomsday scenario that must be confronted in a struggle for social stability. The “war” on obesity, she concludes, is a form of social control. Killer Fat ultimately offers an alternate framing of the nation’s obesity problem based on the insights of the “Health at Every Size” movement.

Leprosy in Premodern Medicine Cover

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Leprosy in Premodern Medicine

A Malady of the Whole Body

Luke Demaitre

While premodern poets and preachers viewed leprosy as a “disease of the soul,” physicians in the period understood it to be a “cancer of the whole body.” In this innovative study, medical historian Luke Demaitre explores medical and social perspectives on leprosy at a time when judicious diagnosis could spare healthy people from social ostracization and help the afflicted get a license to beg. Extending his inquiry from the first century to late in the eighteenth century, Demaitre draws on translations of academic treatises and archival records to illuminate the professional standing, knowledge, and conduct of the practitioners who struggled to move popular perceptions of leprosy beyond loathing and pity. He finds that, while not immune to social and cultural perceptions of the leprous as degenerate, and while influenced by their own fears of contagion, premodern physicians moderated society's reactions to leprosy and were dedicated to the well-being of their patients.

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