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Becoming a Doctor at the Nation's Newest African American Medical School
The Morehouse School of Medicine in Atlanta, Georgia, is one of only four predominantly black medical schools in the United States. Among its illustrious alumni are surgeons general of the United States, medical school presidents, and highly regarded medical professionals. This books tells the engrossing history of this venerable institution. The school was founded just after the civil rights era, when major barriers prevented minorities from receiving adequate health care and black students were underrepresented in predominantly white medical schools. The Morehouse School of Medicine was conceived to address both problems—it was a minority-serving institution educating doctors who would practice in underserved communities. The school's history involves political maneuvering, skilled leadership, dedication to training African American physicians, and a mission of primary care in disadvantaged communities. Highlighting such influential leaders as former Health and Human Services Secretary Louis W. Sullivan, The Morehouse Mystique situates the school in the context of the history of medical education for blacks and race relations throughout the country. The book features excerpts from personal interviews with prominent African American doctors as well as with former presidents Jimmy Carter and George H. W. Bush, who reveal how local, state, and national politics shaped the development of black medical schools in the United States. The story of the Morehouse School of Medicine reflects the turbulent time in which it was founded and the lofty goals and accomplishments of a diverse group of African American leaders. Their tireless efforts in creating this eminent black institution changed the landscape of medical education and the racial and ethnic makeup of physicians and health care professions.
A History of Emergency Contraception in the United States
Since 2006, when the “morning-after pill” Plan B was first sold over the counter, sales of emergency contraceptives have soared, becoming an $80-million industry in the United States and throughout the Western world. But emergency contraception is nothing new. It has a long and often contentious history as the subject of clashes not only between medical researchers and religious groups, but also between different factions of feminist health advocates.
The Morning After tells the story of emergency contraception in America from the 1960s to the present day and, more importantly, it tells the story of the women who have used it. Side-stepping simplistic readings of these women as either radical feminist trailblazers or guinea pigs for the pharmaceutical industry, medical historian Heather Munro Prescott offers a portrait of how ordinary women participated in the development and popularization of emergency contraception, bringing a groundbreaking technology into the mainstream with the potential to alter radically reproductive health practices.
A History of the American Anti-Mosquito Movement from the Reed Commission to the First Earth Day
Among the struggles of the twentieth century, the one between humans and mosquitoes may have been the most vexing. As vectors of diseases such as malaria, yellow fever, encephalitis, and dengue fever, mosquitoes forced open a new chapter in the history of medical entomology. Based on extensive use of primary sources, The Mosquito Crusades traces this saga and the parallel efforts of civic groups in New Jersey's Meadowlands and along San Francisco Bay's east side to manage the dangerous mosquito population.
Malaria, Yellow Fever, and the Course of the American Civil War
Of the 620,000 soldiers who perished during the American Civil War, the overwhelming majority died not from gunshot wounds or saber cuts, but from disease. And of the various maladies that plagued both armies, few were more pervasive than malaria—a mosquito-borne illness that afflicted over 1.1 million soldiers serving in the Union army alone. Yellow fever, another disease transmitted by mosquitos, struck fear into the hearts of military planners who knew that “yellow jack” could wipe out an entire army in a matter of weeks. In this ground-breaking medical history, Andrew McIlwaine Bell explores the impact of these two terrifying mosquito-borne maladies on the major political and military events of the 1860s, revealing how deadly microorganisms carried by a tiny insect helped shape the course of the Civil War. Soldiers on both sides frequently complained about the annoying pests that fed on their blood, buzzed in their ears, invaded their tents, and generally contributed to the misery of army life. Little did they suspect that the South’s large mosquito population operated as a sort of mercenary force, a third army, one that could work for or against either side depending on the circumstances. Malaria and yellow fever not only sickened thousands of Union and Confederate soldiers but also affected the timing and success of certain key military operations. Some commanders took seriously the threat posed by the southern disease environment and planned accordingly; others reacted only after large numbers of their men had already fallen ill. African American soldiers were ordered into areas deemed unhealthy for whites, and Confederate quartermasters watched helplessly as yellow fever plagued important port cities, disrupting critical supply chains and creating public panics. Bell also chronicles the effects of disease on the civilian population, describing how shortages of malarial medicine helped erode traditional gender roles by turning genteel southern women into smugglers. Southern urbanites learned the value of sanitation during the Union occupation only to endure the horror of new yellow fever outbreaks once it ended, and federal soldiers reintroduced malaria into non-immune northern areas after the war. Throughout his lively narrative, Bell reinterprets familiar Civil War battles and events from an epidemiological standpoint, providing a fascinating medical perspective on the war. By focusing on two specific diseases rather than a broad array of Civil War medical topics, Bell offers a clear understanding of how environmental factors serve as agents of change in history. Indeed, with Mosquito Soldiers, he proves that the course of the Civil War would have been far different had mosquito-borne illness not been part of the South’s landscape in the 1860s.
The Moral Challenges of Medical Innovation
Neonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights. The second era, beginning with the Baby Doe case (a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life "futile"), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of "futility" and of "inhumane" treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges yet to be faced, the authors present neonatal bioethics as a paradigm of complex conversation among physicians, philosophers, policy makers, judges, and legislators which has led to responsible societal oversight of a controversial medical innovation.
America's Search for Health, Happiness, and Comfort, 1869-1920
As the United States rushed toward industrial and technological modernization in the late nineteenth century, people worried that the workplace had become too competitive, the economy too turbulent, domestic chores too taxing, while new machines had created a fast-paced environment that sickened the nation. Physicians testified that, without a doubt, modern civilization was causing a host of ills—everything from irritability to insomnia, lethargy to weight loss, anxiety to lack of ambition, and indigestion to impotence. They called this condition neurasthenia.
Neurasthenic Nation investigates how the concept of neurasthenia helped doctors and patients, men and women, and advertisers and consumers negotiate changes commonly associated with “modernity.” Combining a survey of medical and popular literature on neurasthenia with original research into rare archives of personal letters, patient records, and corporate files, David Schuster charts the emergence of a “neurasthenic nation”—a place where people saw their personal health as inextricably tied to the pitfalls and possibilities of a changing world.
Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice
Nursing, Physician Control, and the Medical Monopoly
Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice
Thetis M. Group and Joan I. Roberts
A history of physicians' efforts to dominate the healthcare system.
Nursing, Physician Control, and the Medical Monopoly traces the efforts by physicians over time to achieve a monopoly in healthcare, often by subordinating nurses -- their only genuine competitors. Attempts by nurses to reform many aspects of healthcare have been repeatedly opposed by physicians whose primary interest has been to achieve total control of the healthcare "system," often to the detriment of patients' health and safety.
Thetis M. Group and Joan I. Roberts first review the activities of early women healers and nurses and examine nurse-physician relations from the early 1900s on. The sexist domination of nursing by medicine was neither haphazard nor accidental, but a structured and institutionalized phenomenon. Efforts by nurses to achieve greater autonomy were often blocked by hospital administrators and organized medicine. The consolidation of the medical monopoly during the 1920s and 1930s, along with the waning of feminism, led to the concretization of stereotyped gender roles in nursing and medicine. The growing unease in nurse-physician relations escalated from the 1940s to the 1960s; the growth and complexity of the healthcare industry, expanding scientific knowledge, and increasing specialization by physicians all created heavy demands on nurses.
Conflict between organized medicine and nursing entered a public, open phase in the late 1960s and 1970s, when medicine unilaterally created the physician's assistant, countered by nursing's development of the advanced nurse practitioner. But gender stereotypes remained central to nurse-physician relations in the 1980s and into the 1990s.
Finally, Group and Roberts examine the results of the medical monopoly, from the impact on patients' health and safety, to the development of HMOs and the current overpriced, poorly coordinated, and fragmented healthcare system.
Thetis M. Group is Professor Emerita at Syracuse University, where she was Dean of the College of Nursing for 10 years, and an adjunct faculty member at the University of Utah College of Nursing. She is co-author of Feminism and Nursing and has published numerous articles in professional nursing journals.
Joan I. Roberts, social psychologist, is Professor Emerita at Syracuse University. A pioneer in women's studies in higher education, she is co-author of Feminism and Nursing and author of numerous books and articles on gender issues and racial and sex discrimination.
352 pages, 6 1/8 x 9 1/4, index, append.
cloth 0-253-33926-X $29.95 s /
The Army Nurse Corps in the Vietnam War
“‘I never got a chance to be a girl,’ Kate O’Hare Palmer lamented, thirty-four years after her tour as an army nurse in Vietnam. Although proud of having served, she felt that the war she never understood had robbed her of her innocence and forced her to grow up too quickly. As depicted in a photograph taken late in her tour, long hours in the operating room exhausted her both physically and mentally. Her tired eyes and gaunt face reflected th e weariness she felt after treating countless patients, some dying, some maimed, all, like her, forever changed. Still, she learned to work harder and faster than she thought she could, to trust her nursing skills, and to live independently. She developed a way to balance the dangers and benefits of being a woman in the army and in the war. Only fourteen months long, her tour in Vietnam profoundly affected her life and her beliefs.” Such vivid personal accounts abound in historian Kara Dixon Vuic’s compelling look at the experiences of army nurses in the Vietnam War. Drawing on more than 100 interviews, Vuic allows the nurses to tell their own captivating stories, from their reasons for joining the military to the physical and emotional demands of a horrific war and postwar debates about how to commemorate their service. Vuic also explores the gender issues that arose when a male-dominated army actively recruited and employed the services of 5,000 nurses in the midst of a growing feminist movement and a changing nursing profession. Women drawn to the army’s patriotic promise faced disturbing realities in the virtually all-male hospitals of South Vietnam. Men who joined the nurse corps ran headlong into the army's belief that women should nurse and men should fight. Officer, Nurse, Woman brings to light the nearly forgotten contributions of brave nurses who risked their lives to bring medical care to soldiers during a terrible—and divisive—war.
Pioneering Medical Education in Texas
Tucked away in a corner of the University of Texas Medical Branch campus stands a majestic relic of an era long past. Constructed of red pressed brick, sandstone, and ruddy Texas granite, the Ashbel Smith Building, fondly known as Old Red, represents a fascinating page in Galveston and Texas history. It has been more than a century since Old Red welcomed the first group of visionary faculty and students inside its halls. For decades, the medical school building existed at the heart of UTMB campus life, even through periods of dramatic growth and change. In time, however, the building lost much of its original function to larger, more contemporary facilities. Today, as the oldest medical school building west of the Mississippi River, the intricately ornate Old Red sits in sharp contrast to its sleeker neighbors.
Old Red: Pioneering Medical Education in Texas examines the life and legacy of the Ashbel Smith Building from its beginnings through modern-day efforts to preserve it. Chapters explore the nascence of medical education in Texas; the supreme talent and genius of Old Red architect, Nicholas J. Clayton; and the lives of faculty and students as they labored and learned in the midst of budget crises, classroom and fraternity antics, death-rendering storms, and threats of closure. The education of the state’s first professional female and minority physicians and the nationally acclaimed work of physician-scientists and researchers are also highlighted. Most of all, the reader is invited to step inside Old Red and mingle with ghosts of the past—to ascend the magnificent cedar staircase, wander the long, paneled hallways, and take a seat in the tiered amphitheater as pigeons fly in and out of windows overhead.