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made in the past 10 years has been considerable. Unlike the red cell, the granulocyte does not store well in vitro, and some of our present knowledge and approaches to the problems are found in the section on clinical utilization. The clinical studies reported demonstrate the benefit of granulocyte therapy to the infected neutropenic patients. Unfortunately the capacity to procure granulocytes lags far behind the potential demand. Present methods of collection and storage must be further improved or we will soon be faced with the moral dilemma of having to deny patients an accepted treatment because of inadequate facilities and supply. The granulocyte has come a long way since Metchnikoff introduced his theory of phagocytosis to the world. This symposium is a valuable addition to the library of all, whether physician, surgeon, anesthesiologist, hematologist, blood banker, or basic scientist. John Fitzpatrick Roswell Park Memorial Institute Buffalo, New York 14263 Recent Advances in Surgery #9. Edited by Selwyn Taylor. New York: Livingstone , May 1977. Pp. xii+450. $26.50. Unlike its American counterparts (which appear with monotonous and often needless regularity), Recent Advances in Surgery #9, edited by Selwyn Taylor, is a British compendium that reappears after a hiatus of 4 years. Number 8 in this series was published in 1973 and contained excellent treatises on diverse subjects ranging from "Haemorrhoids" to the "Surgery of Civil Violence." Recent Advances in Surgery is designed to instruct and is presented as a potpourri of surgical topics each in the form of a syllabus. Taylor has again done a superb job of selection of subjects and essayists (Goliger on carcinoma of the rectum, Wälder on hyperbaric environment), and his editorial hand is throughout the volume (a "jargon box" that translates the confusing language of the immunologists to understandable English for the surgeon). Taylor has selected his topics with care. Concise and practical reviews of surgical arenas in which there have been significant advances are presented with clarity and informed comment. Such arenas as microsurgery, parenteral nutrition , and the surgery of coronary artery disease, are presented so as to bring the surgical practitioner up-to-date on the present state of the art, its applications, expectations, and hazards. In addition to the expected review of fields in which there has been significant progress, Taylor has added the spice of extensive reviews of important but often poorly recalled disciplines, such as immunopathology , endocrinology, and oncology. The personality of the editor is perhaps most evident by his inclusion of a concise presentation of the system of SI units of scientific measurement (a primer needed by all practitioners) and his personal review and evaluation of the training of a surgeon. While Taylor's view of surgical training is perforce oriented toward the United Kingdom, his philosophy and observations are universally applicable. Some ofthe individual chapters are not without fault. One wishes that Wälder had chosen to expand his comments on the "clinical application of hyperbaric oxygen"; Wellbourn and Joffe in discussing apudomas only briefly touch on Perspectives in Biology and Medicine ¦ Winter 1978 | 313 medullary carcinoma of the thyroid; Baddeley is almost cavalier in his dismissal of renal calculus disease after bypass operations for obesity. These minor flaws or variants in emphasis in no way detract from the overall appeal of this book. It is a provocative and informative volume, will appeal to the surgeon who wishes to "brush up" on what's current, and can be read with genuine pleasure during short periods of leisure. Recent Advances in Surgery #9 should receive ready acceptance from practitioners , house officers, and students of surgery on both sides of the Atlantic. George E. Block, M.D. Department of Surgery University of Chicago The Role ofMedicine: Dream, Mirage, or NemesL·? By Thomas McKeown. London: Nuffield Provincial Hospitals Trust, 1976. Pp. xv+ 180. £3.25 net. The Post-Physician Era: Medicine in the Twenty-first Century. By Jerrold S. Maxmen. New York: John Wiley & Sons, 1976. Pp. 300. $16.50. These books are written by physicians who have surprisingly similar outlooks on the future of medical care. Each author sees change as an ongoing process and wonders whether physicians will keep up with it. Each denigrates to some extent the contributions...


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