New Books In Medicine

Alan Berkman (1945–2009) was no campus radical in the mid-1960s; he was a promising Ivy League student, football player, Eagle Scout, and fraternity president. But when he was a medical student and doctor, his politics began to change, and soon he was providing covert care to members of revolutionary groups like the Weather Underground and becoming increasingly radicalized by his experiences at the Wounded Knee takeover, at the Attica Prison uprising, and at health clinics for the poor. When the government went after him, he went underground and participated in bombings of government buildings. He was eventually captured and served eight years in some of America's worst penitentiaries, barely surviving two rounds of cancer. After his release in 1992, he returned to medical practice and became an HIV/AIDS physician, teacher, and global health activist. In the final years of his life, he successfully worked to change U.S. policy, making AIDS treatment more widely available in the global south and saving million

At first glance, the term “expressive individualism” seems benign enough. After all, people throughout the Western world value their personal freedom and the liberty to make crucial life decisions such as whether to have children and how and when they wish to die. What could possibly be wrong with the idea that everyone should be in control of his or her own body and fate to the greatest extent possible and with the least intrusion by either the state or “outdated” social mores? But there is a dark side to expressive individualism when one enters the realm of public bioethics. In his 2020 book What It Means to Be Human: The Case for the Body in Public Bioethics (Harvard University Press, 2020), O. Carter Snead defines for us what the term “public bioethics” encompasses and provides a much-needed genealogy of the field. He profiles key players in many of the most momentous bioethics-related developments of the post-WWII era from physicians such as Henry Knowles Beecher to jurists like Harry Blackmun and influe

While many doctors claim that Lyme disease--a tick-borne bacterial infection--is easily diagnosed and treated, other doctors and the patients they care for argue that it can persist beyond standard antibiotic treatment in the form of chronic Lyme disease. In Divided Bodies: Lyme Disease, Contested Illness, and Evidence-Based Medicine (Duke UP, 2020), Abigail A. Dumes offers an ethnographic exploration of the Lyme disease controversy that sheds light on the relationship between contested illness and evidence-based medicine in the United States. Drawing on fieldwork among Lyme patients, doctors, and scientists, Dumes formulates the notion of divided bodies: she argues that contested illnesses are disorders characterized by the division of bodies of thought in which the patient's experience is often in conflict with how it is perceived. Dumes also shows how evidence-based medicine has paradoxically amplified differences in practice and opinion by providing a platform of legitimacy on which interested parties--pa

An estimated 80 million people live with a neurodegenerative disease, with this number expected to double by 2050. Despite decades of research and billions in funding, there are no medications that can slow, much less stop, the progress of these diseases. The time to rethink degenerative brain disorders has come. With no biological boundaries between neurodegenerative diseases, illnesses such as Parkinson's and Alzheimer's result from a large spectrum of biological abnormalities, hampering effective treatment. In Brain Fables: The Hidden History of Neurodegenerative Diseases and a Blueprint to Conquer Them (Cambridge UP, 2020), acclaimed neurologist Dr Alberto Espay and Parkinson's advocate Benjamin Stecher present compelling evidence that these diseases should be targeted according to genetic and molecular signatures rather than clinical diagnoses. There is no Parkinson's or Alzheimer's, simply people with Parkinson's or Alzheimer's. An incredibly important story never before told, Brain Fables is a wakeup c

Globally, breast cancer is the most commonly diagnosed cancer in women, with over 1 million cases detected annually. The disease is particularly worrisome in Vietnam, where breast cancer incidence has more than doubled over the last two decades, making it the leading cancer among Vietnamese women, ahead of cervical and uterine cancers. It has also demonstrated a high level of aggressiveness, with over 80% of breast cancer patients presenting with local or distant metastases, while only 28% of breast cancers in Australia were diagnosed in late stages. Thus mortality rates are twofold higher in Vietnam compared with developed countries. Professor Patrick Brennan talks to Dr Natali Pearson about his decade-long work on improving breast cancer detection in Vietnam. Professor Patrick Brennan is a leading researcher at the University of Sydney's School of Health Sciences. His research involves exploring novel technologies and techniques that enhance the detection of clinical indicators of disease, whilst minimising

Reducing harm or shrinking the likelihood of accidental death are remarkably contentions projects—in areas from sex education, to pandemic management, to drug use. Nancy Campbell’s important new book, OD: Naloxone and the Politics of Overdose (MIT Press, 2020) explores how a therapy that can stop an accidental drug overdose, called Naloxone, emerged in the American mainstream in the early years of the new millennium—despite existing in some form for nearly a century. What are now called “opioid antagonists” were used, not to save lives, but deployed by the carceral state to police drug users in the early twentieth century; sequestered within bioscience laboratories to build molecular theories of how the brain worked at midcentury; approved by the FDA in 1971 for the treatment of overdose only by physicians; and illicitly administered and widely shared in the 1980s and 1990s among drug-user-led activist organizations and communities, who created their own troves of training protocols, peer-education networks,

We often hear stories of people in terrible and seemingly intractable situations who are preyed upon by someone offering promises of help. Frequently these cases are condemned in terms of "exploiting hope." These accusations are made in a range of contexts: human smuggling, employment relationships, unproven medical 'cures.' We hear this concept so often and in so many contexts that, with all its heavy lifting in public discourse, its actual meaning tends to lose focus. Despite its common use, it can be hard to understand precisely what is wrong about exploiting hope what can accurately be captured under this concept, and what should be done. In Exploiting Hope: How the Promise of New Medical Interventions Sustains Us--and Makes Us Vulnerable (Oxford UP, 2020), philosopher Jeremy Snyder offers an in-depth study of hope's exploitation. First, he examines the concept in the abstract, including a close look at how this term is used in the popular press and analysis of the concepts of exploitation and hope. This

The figure of Sigmund Freud has captivated the Western imagination like few others. One hundred and twenty-five years after the publication of Studies on Hysteria, the good doctor from Vienna continues to stir controversy in institutions, academic circles, and nuclear households across the world.  Perhaps Freud’s sharpest and most adamant critic, Frederick Crews has been debating Freud’s legacy for over thirty years. His latest work, Freud: The Making of an Illusion (Picador, 2018) challenges us with an extensive psychological profile of the legend here revealed as scam artist. What some analysts might argue to be a 750 page character assassination, Crews maintains is simply a recitation of facts which leaves readers to draw their own conclusions. One might wonder if the story of facts that is conveyed is not itself a counter myth. Was Freud a megalomaniacal, greedy, cocaine-addled opportunist and psychoanalysis a pseudoscience that has reigned tyrannically over twentieth century thought? Making use of Freud’

In Enduring Cancer: Life, Death, and Diagnosis in Delhi (Duke UP, 2020) Dwaipayan Banerjee explores the efforts of Delhi's urban poor to create a livable life with cancer as patients and families negotiate an overextended health system unequipped to respond to the disease. Owing to long wait times, most urban poor cancer patients do not receive a diagnosis until it is too late to treat the disease effectively. Drawing on ethnographic fieldwork in the city's largest cancer care NGO and at India's premier public health hospital, Banerjee describes how, for these patients, a cancer diagnosis is often the latest and most serious in a long series of infrastructural failures. In the wake of these failures, Banerjee tracks how the disease then distributes itself across networks of social relations, testing these networks for strength and vulnerability. Banerjee demonstrates how living with and alongside cancer is to be newly awakened to the fragility of social ties, some already made brittle by past histories, and o

Common morality has been the touchstone of medical ethics since the publication of Beauchamp and Childress's Principles of Biomedical Ethics in 1979. Rosamond Rhodes challenges this dominant view by presenting an original and novel account of the ethics of medicine, one deeply rooted in the actual experience of medical professionals. She argues that common morality accounts of medical ethics are unsuitable for the profession, and inadequate for responding to the particular issues that arise in medical practice. Instead, Rhodes argues that medicine's distinctive ethics should be explained in terms of the trust that society allows to the profession. Trust is the core and starting point of Rhodes' moral framework, which states that the most basic duty of doctors is to "seek trust and be trustworthy." In The Trusted Doctor: Medical Ethics and Professionalism (Oxford UP, 2020), Rhodes explicates the sixteen specific duties that doctors take on when they join the profession, and demonstrates how her view of these d

On this episode of New Books in History, Jana Byars talks with Sharon Strocchia, Professor of History at Emory University. She is the author of Death and Ritual in Renaissance Florence, (Johns Hopkins University Press, 1992), Nuns and Nunneries in Renaissance Florence (Johns Hopkins University Press, 2009), and the book we are here to talk about today, Forgotten Healers: Women and the Pursuit of Health in Late Renaissance Italy, a 2019 Harvard University Press release. In this book, Professor Strocchia continues the work of her career: recentering the discourse to include the formative contributions of women in the Italian Renaissance. Through a discussion of Medici women, convent pharmacists, and hospital nurses, Strocchia adeptly argues that women played a leading role in the development of Renaissance medicine. Jana Byars is the academic director of SIT Amsterdam’s study abroad program, Gender and Sexuality in an International Perspective. Learn more about your ad choices. Visit megaphone.fm/adchoices

As the COVID-19 pandemic took hold in March, a self-isolating and easily distracted economist resolved to take himself in hand. "I decided I would do what I was good at: I would write a book" about the complex interplay between epidemiology and economics and the policy dilemmas it poses. By June, Joshua Gans had published Economics in the Age of COVID-19 and, within days, he had started work on the expanded version - The Pandemic Information Gap: The Brutal Economics of COVID-19 (MIT Press, 2020) - to come out in the autumn. Its central thesis is that "at their heart, pandemics are an information problem. Solve the information problem and you can defeat the virus”. Joshua Gans is Professor of Strategic Management and holder of the Jeffrey S. Skoll Chair of Technical Innovation and Entrepreneurship at the Rotman School of Management, University of Toronto. Tim Gwynn Jones is an economic and political-risk analyst at Medley Global Advisors. Learn more about your ad choices. Visit megaphone.fm/adchoices

Science may be known for banishing the demons of superstition from the modern world. Yet just as the demon-haunted world was being exorcized by the enlightening power of reason, a new kind of demon mischievously materialized in the scientific imagination itself. Scientists began to employ hypothetical beings to perform certain roles in thought experiments—experiments that can only be done in the imagination—and these impish assistants helped scientists achieve major breakthroughs that pushed forward the frontiers of science and technology. Spanning four centuries of discovery—from René Descartes, whose demon could hijack sensorial reality, to James Clerk Maxwell, whose molecular-sized demon deftly broke the second law of thermodynamics, to Darwin, Einstein, Feynman, and beyond—Jimena Canales tells a shadow history of science and the demons that bedevil it.  In Bedeviled: A Shadow History of Demons in Science (Princeton UP, 2020), she reveals how the greatest scientific thinkers used demons to explore problems

Are psychedelics invaluable therapeutic medicines, or dangerously unpredictable drugs that precipitate psychosis? Tools for spiritual communion or cognitive enhancers that spark innovation? Activators for one’s private muse or part of a political movement? In the 1950s and 1960s, researchers studied psychedelics in all these incarnations, often arriving at contradictory results. In American Trip: Set, Setting, and the Psychedelic Experience in the Twentieth Century (MIT Press, 2020), Ido Hartogsohn examines how the psychedelic experience in midcentury America was shaped by historical, social, and cultural forces—by set (the mindset of the user) and setting (the environment in which the experience takes place). In this interview, Hartogsohn discusses the roles psychedelics have played worldwide, and what renewed interest in their medical value can offer individuals and society. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian an

The pelvic exam is considered a fundamental procedure for medical students to learn; it is also often the one of the first times where medical students are required to touch a real human being in a professional manner. In Feeling Medicine: How the Pelvic Exam Shapes Medical Training (NYU Press, 2020), Kelly Underman gives us a look inside these gynecological teaching programs, showing how they embody the tension between scientific thought and human emotion in medical education. Drawing on interviews with medical students, faculty, and the people who use their own bodies to teach this exam, Underman offers the first in-depth examination of this essential, but seldom discussed, aspect of medical education. Through studying, teaching, and learning about the pelvic exam, she contrasts the technical and emotional dimensions of learning to be a physician. Ultimately, Feeling Medicine explores what it means to be a good doctor in the twenty-first century, particularly in an era of corporatized healthcare. Claire Cla

Medical marijuana laws have spread across the U.S. to all but a handful of states. Yet, eighty years of social stigma and federal prohibition creates dilemmas for patients who participate in state programs. Michelle Newhart and William Dolphin's The Medicalization of Marijuana: Legitimacy, Stigma, and the Patient Experience (Routledge, 2018) takes the first comprehensive look at how patients negotiate incomplete medicalization and what their experiences reveal about our relationship with this controversial plant as it is incorporated into biomedicine. Is cannabis used similarly to other medicines? Drawing on interviews with midlife patients in Colorado, a state at the forefront of medical cannabis implementation, this book explores the practical decisions individuals confront about medical use, including whether cannabis will work for them; the risks of registering in a state program; and how to handle questions of supply, dosage, and routines of use. Individual stories capture how patients redefine and recla

Today I interview Marta Zaraska about her book Growing Young: How Friendship, Optimism, and Kindness Can Help You Live to 100 (Appetite/Random House, 2020). Now you may be thinking to yourself, “100? I’m not sure how appealing that is.” In our interview, Zaraska has a surprising response for you. And it’s important to say at the outset that Zaraska’s aim isn’t really to show us just how to prolong our years, but to help us understand how every one of our days between now and, if we’re lucky, 100 might be full and rich and immensely gratifying. And she helps us by taking us into the science of human thriving. What she discovers leads us not only into a better understanding of our own nature, but also to a deep connection with one another. Eric LeMay is on the creative writing faculty at Ohio University. His work ranges from food writing to electronic literature. He is the author of three books, most recently In Praise of Nothing: Essay, Memoir, and Experiments (Emergency Press, 2014). He can be reached at eric

In the decades since it was identified in 1981, HIV/AIDS has devastated African American communities. Members of those communities mobilized to fight the epidemic and its consequences from the beginning of the AIDS activist movement. They struggled not only to overcome the stigma and denial surrounding a "white gay disease" in Black America, but also to bring resources to struggling communities that were often dismissed as too "hard to reach." To Make the Wounded Whole: The African American Struggle Against HIV/AIDS (UNC Press, 2020) offers the first history of African American AIDS activism in all of its depth and breadth. Dan Royles introduces a diverse constellation of activists, including medical professionals, Black gay intellectuals, church pastors, Nation of Islam leaders, recovering drug users, and Black feminists who pursued a wide array of grassroots approaches to slow the epidemic's spread and address its impacts. Through interlinked stories from Philadelphia and Atlanta to South Africa and back ag

Rene Almeling’s new book GUYnecology: The Missing Science of Men’s Reproductive Health (University of California Press, 2020) provides an in-depth look at why we do not talk about men’s reproductive health and this knowledge gap shapes reproductive politics today. Over the past several centuries, the medical profession has made enormous efforts to understand and treat women’s reproductive bodies. It is only recently, however, that researchers have begun to ask basic questions about how men’s health matters for reproductive outcomes, from miscarriage to childhood illness. Andrology failed to establish itself as a medical specialty in the nineteenth-century and there continues to be a lack of attention to the importance of men’s age, health, and exposure. Dr. Almeling examines the production, circulation, and reception of biomedical knowledge about men’s reproductive health. Throughout this book she conducts an in-depth analysis of male reproductive health by using historical documents, media messages, and qual

In the mid-1870s, the experimental therapy of lamb blood transfusion spread like an epidemic across Europe and the USA. Doctors tried it as a cure for tuberculosis, pellagra and anemia; proposed it as a means to reanimate seemingly dead soldiers on the battlefield. It was a contested therapy because it meant crossing boundaries and challenging taboos. Was the transfusion of lamb blood into desperately sick humans really defensible? Boel Berner, Strange Blood: The Rise and Fall of Lamb Blood Transfusion in 19th Century Medicine and Beyond (Transcript Verlag, 2020) takes the reader on a journey into hospital wards and lunatic asylums, physiological laboratories and 19th century wars. It presents a fascinating story of medical knowledge, ambitions and concerns – a story that provides lessons for current debates on the morality of medical experimentation and care. Boel Berner is a sociologist, historian, and professor emerita at Linköping University in Sweden. In her research she investigates the character and po