New Books in Medicine

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 others that are retested for their capacity to support. Sneha Annavarapu is a postdoctoral researcher at the University of Chicago. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 duties is largely consistent with the codes of medical ethics of medical societies around the world. She then explains why it is critical for physicians to develop the attitudes or "doctorly" virtues that comprise the character of trustworthy doctors and buttress physicians' efforts to fulfill their professional obligations. Her book's presentation of physicians' duties and the elements that comprise a doctorly character, together add up to a cohesive and comprehensive description of what medical professionalism really entails. Rhodes's analysis provides a clear understanding of medical professionalism as well as a guide for doctors navigating the ethically challenging situations that arise in clinical practice. Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky College of Medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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, test the limits of what is possible, and better understand nature. Their imaginary familiars helped unlock the secrets of entropy, heredity, relativity, quantum mechanics, and other scientific wonders—and continue to inspire breakthroughs in the realms of computer science, artificial intelligence, and economics today. The world may no longer be haunted as it once was, but the demons of the scientific imagination are alive and well, continuing to play a vital role in scientists’ efforts to explore the unknown and make the impossible real. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 and writer, she edits Points, the blog of the Alcohol and Drugs History Society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 reclaim cannabis use as legitimate―individually and collectively―and grapple with an inherently political identity. These experiences help illustrate how stigma, prejudice, and social change operate. By positioning cannabis use within sociological models of medical behavior, Newhart and Dolphin provide a wide-reaching, theoretically informed analysis of the issue that expands established concepts and provides new insight on medical cannabis and how state programs work. Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 again, Royles documents the diverse, creative, and global work of African American activists in the decades-long battle against HIV/AIDS. Dan Royles is an assistant professor of history at Florida International University. Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky College of Medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 qualitative interviews. The findings outlined in this book demonstrate how this non-knowledge shapes reproductive politics today. Rene Almeling, Ph.D. is Associate Professor of Sociology, and, by courtesy, American Studies, Public Health, and Medicine at Yale University. Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. His most recent research, “The Queen and Her Royal Court: A Content Analysis of Doing Gender at a Tulip Queen Pageant“, was published in Gender Issues Journal. He researches culture, social identity, and collective representation as it is presented in everyday social interactions. You can learn more about him on his website, Google Scholar, follow him on Twitter @ProfessorJohnst, or email him at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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 power of expertise, historically and today. She has studied education and work, the gendered nature of technical knowledge, household modernization, and issues of risk. Her current work is oriented towards the history of medicine. It focuses, besides questions of blood donation and transfusion, on the politics of blood group analysis in the interwar years. Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky College of Medicine Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Cancer exists in nearly every animal and has afflicted humans as long as our species has walked the earth. In Rebel Cell: Cancer, Evolution, and the New Science of Life's Oldest Betrayal (Benbella Books, 2020), Kat Arney reveals the secrets of our most formidable medical enemy, most notably the fact that it isn't so much a foreign invader as a double agent: cancer is hardwired into the fundamental processes of life. New evidence shows that this disease is the result of the same evolutionary changes that allowed us to thrive. Evolution helped us outsmart our environment, and it helps cancer outsmart its environment as well—alas, that environment is us. Rebel Cell is a story about life and death, hope and hubris, nature and nurture. It's about a new way of thinking about what this disease really is and the role it plays in human life. Above all, it's a story about where cancer came from, where it's going, and how we can stop it. Matthew Jordan is a professor at McMaster University, where he teaches courses on AI and the history of science. You can follow him on Twitter @mattyj612 or his website matthewleejordan.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Relationship problems, struggles with substance abuse, poor memory, and difficulties with emotions are typical symptoms of complex trauma—yet many traumatized individuals have no idea their symptoms share a common cause. Research shows that treating one’s underlying traumatic experiences can yield immense relief from such symptoms and liberate individuals to live freer, more satisfying lives. This has been the focus of Dr. Tamara McClintock Greenberg’s work for 30 years, as she documents in her new book, Treating Complex Trauma: Combined Theories and Methods (2020, Springer). In our interview, we tackle such topics as the distinction between trauma and complex trauma, how to treat it, and the intersection of trauma with race and culture. This episode is for anyone who struggles with symptoms and difficulties that elude explanation or those who know someone who does. Tamara McClintock Greenberg, Psy.D., M.S., is a clinical psychologist in private practice in San Francisco, CA, where she specializes in treating adults with depression, anxiety, relationship issues, trauma, and those who are coping with medical illness, either as a patient or affected family member. Her prior books include The Psychological Impact of Acute and Chronic Illness (2007, Springer-Verlag) and Psychodynamic Perspectives on Aging and Illness (2016, Springer International). Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate and faculty of William Alanson White Institute in Psychiatry, Psychoanalysis, and Psychology in New York City and former chair of their LGBTQ Study Group; and faculty at Florida Psychoanalytic Institute in Miami. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Since the dawn of the industrial age, we have unleashed a bewildering number of potentially harmful chemicals. But out of this vast array, how do we identify the actual threats? What does it take to prove that a certain chemical causes cancer? How do we translate academic knowledge of the toxic effects of particular substances into understanding real-world health consequences? The science that answers these questions is toxicology. In The Alchemy of Disease: How Chemicals and Toxins Cause Cancer and Other Illnesses (Columbia University Press), John Whysner offers an accessible and compelling history of toxicology and its key findings. He details the experiments and discoveries that revealed the causal connections between chemical exposures and diseases. Balancing clear accounts of groundbreaking science with human drama and public-policy relevance, Whysner describes key moments in the development of toxicology and their thorny social and political implications. The book features discussions of toxicological problems past and present, including DDT, cigarettes and other carcinogens, lead poisoning, fossil fuels, chemical warfare, pharmaceuticals—including opioids—and the efficacy of animal testing. Offering valuable insight into the science and politics of crucial public-health concerns, The Alchemy of Disease shows that toxicology’s task—pinpointing the chemical cause of an illness—is as compelling as any detective story. John Whysner was formerly an associate clinical professor of environmental health sciences at the Mailman School of Public Health, Columbia University. A board-certified toxicologist, he has consulted for the International Agency for Research on Cancer and federal agencies, including the Centers for Disease Control and Prevention, and was director of biomedical research for the Special Action Office for Drug Abuse Prevention, Executive Office of the President. Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky’s College of Medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In her new book Diabetes: A History of Race and Disease (Yale University Press, 2020), Arleen Tuchman, professor of history at Vanderbilt University, describes the history of how the perception of diabetes has evolved over the past two centuries. She charts the chronology of diabetes, from its beginnings as a disease associated with Jews to one associated with “non-whites.” She explores the connotations that patients, advocates, physicians, and policymakers have attached to diabetes (e.g., disease of the “civilized” versus disease of the “primitive”) and how researchers have consistently missed socioeconomic factors that may represent the most important risk factor for the disease. Alec Kacew is a medical school student at the University of Chicago. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Against the backdrop of a post-Soviet state set aflame by geopolitical conflict and violent revolution, Narkomania: Drugs, HIV, and Citizenship in Ukraine (Cornell UP, 2019) considers whether substance use disorders are everywhere the same and whether our responses to drug use presuppose what kind of people those who use drugs really are. Jennifer J. Carroll's ethnography is a story about public health and international efforts to quell the spread of HIV. Carroll focuses on Ukraine where the prevalence of HIV among people who use drugs is higher than in parts of sub-Saharan Africa and unpacks the arguments and myths surrounding medication-assisted treatment (MAT) in Ukraine. What she presents in Narkomania forces us to question drug policy, its uses, and its effects on "normal" citizens. Carroll uses her findings to explore what people who use drugs can teach us about the contemporary societies emerging in post-Soviet space. With examples of how MAT has been politicized, how drug use has been tied to ideas of "good" citizenship, and how vigilantism towards people who use drugs has occurred, Narkomania details the cultural and historical backstory of the situation in Ukraine. Carroll reveals how global efforts supporting MAT in Ukraine allow the ideas surrounding MAT, drug use, and HIV to resonate more broadly into international politics and echo into the heart of the Ukrainian public. Dr. Jennifer J. Carroll is a medical anthropologist, research scientist, and subject matter expert on substance use and public health interventions to prevent overdose. She earned her PhD in cultural anthropology and her MPH in epidemiology at the University of Washington. She currently holds appointments as an Assistant Professor of Anthropology at Elon University in Elon, North Carolina and Adjunct Assistant Professor of Medicine at Brown University in Providence, Rhode Island. Steven Seegel is Professor of History at the University of Northern Colorado. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In the early twentieth century, public health reformers approached the task of ameliorating unsanitary conditions and preventing epidemic diseases with optimism. Using exhibits, they believed they could make systemic issues visual to masses of people. Embedded within these visual displays were messages about individual action. In some cases, this meant changing hygienic practices. In other situations, this meant taking up action to inform public policy. Reformers and officials hoped that exhibits would energize America's populace to invest in protecting the public's health. Exhibiting Health is an analysis of the logic of the production and the consumption of this technique for popular public health education between 1900 and 1930. It examines the power and limits of using visual displays to support public health initiatives. Jennifer Lisa Koslow is an associate professor of history and director of the Historical Administration and Public History program at Florida State University in Tallahassee. She is the author of Cultivating Health: Los Angeles Women and Public Health Reform (Rutgers University Press). Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Policing the Womb: Invisible Women and the Criminalization of Motherhood (Cambridge University Press, 2020) a brilliant but shocking account of the criminalization of all aspects of reproduction, pregnancy, abortion, birth, and motherhood in the United States. In her extensively researched monograph, Michele Goodwin recounts the horrific contemporary situation, which includes, for example, mothers giving birth shackled in leg irons, in solitary confinement, even in prison toilets, and in some states, women being coerced by the State into sterilization, in exchange for reduced sentences. She contextualises the modern day situation in America’s history of slavery and oppression, and also in relation to its place in the world. Goodwin shows how prosecutors abuse laws, and medical professionals are complicit in a system that disproportionally impacts the poor and women of color. However, Goodwin warns that these women are just the canaries in the coalmine. In the context of both the Black Lives Matter movement, and in the lead up to the 2020 Presidential election, her book could not be more timely; Not only is the United States the deadliest country in the developed world for pregnant women, but the severe lack of protections for reproductive rights and motherhood is compounding racial and indigent disparities. Jane Richards is a doctoral candidate in Human Rights Law at the University of Hong Kong. Her research interests include disability, equality, criminal law and civil disobedience. You can find her on twitter @JaneRichardsHK where she avidly follows the Hong Kong’s protests and its politics. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today's guest is psychologist and behavioral scientist, Wendy Wood. She is currently a professor of psychology and business at the University of Southern California, and a visiting professor at the INSEAD Business School in Paris. Wendy has spent much of her career studying what she considers the very building blocks of behavioral change, something we all know as habits. Angela Duckworth describes her as “the world's foremost expert in the field.” And according to Adam Grant, she is “widely recognized as the authority on the science of habits,” We'll explore her research and recent book, Good Habits, Bad Habits: The Science of Making Positive Changes That Stick (Farrar, Straus and Giroux) Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

After his father died, James L. Nolan, Jr., took possession of a box of private family materials. To his surprise, the small secret archive contained a treasure trove of information about his grandfather’s role as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented ob-gyn radiologist, he cared for the scientists on the project, organized safety and evacuation plans for the Trinity test at Alamogordo, escorted the “Little Boy” bomb from Los Alamos to the Pacific Islands, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki. Participation on the project challenged Dr. Nolan’s instincts as a healer. He and his medical colleagues were often conflicted, torn between their duty and desire to win the war and their oaths to protect life. Atomic Doctors: Conscience and Complicity at the Dawn of the Nuclear Age (Harvard UP, 2020) follows these physicians as they sought to maximize the health and safety of those exposed to nuclear radiation, all the while serving leaders determined to minimize delays and maintain secrecy. Called upon both to guard against the harmful effects of radiation and to downplay its hazards, doctors struggled with the ethics of ending the deadliest of all wars using the most lethal of all weapons. Their work became a very human drama of ideals, co-optation, and complicity. A vital and vivid account of a largely unknown chapter in atomic history, Atomic Doctors is a profound meditation on the moral dilemmas that ordinary people face in extraordinary times. James L. Nolan, Jr., is Washington Gladden 1859 Professor of Sociology at Williams College. His previous books include What They Saw in America: Alexis de Tocqueville, Max Weber, G. K. Chesterton, and Sayyid Qutb and Reinventing Justice: The American Drug Court Movement. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Addiction occurs among physicians at the same rate as in the general population, about 10%. Unlike the general population, however, an intensive rehabilitation program, geared specifically for their profession, vastly improves their chances of finding long-term sobriety. Over 70% of these physicians will be clean and sober-and practicing medicine-five years later. How is this achieved, and can these principles be applied to anyone? A Spiritual Pathway to Recovery from Addiction: A Physician’s Journey of Discovery (The Meadows Farm, Inc.) is the memoir of a group of physicians going through an intensive rehab program for addiction to drugs and alcohol. It is presented as a collection of their stories and the lessons they encountered during their time together. As they proceed on a course of personal self-discovery, they share their past experiences, fears, and hopes. As the lessons of recovery begin to sink in, their thinking and behavior change from that of a self-absorbed ego-driven wreck to someone capable of changing their life for the better, without drugs or alcohol. In his memoir, Dr. Meadows shares his insight into the spiritual pathway to recovery from addiction. Linville Meadows, M.D. is an Honors graduate of the University of North Carolina School of Medicine and studied at Duke University. For more information about Dr. Meadows and his book, please visit https://www.spiritualpathwaytorecovery.com/welcome Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website at https://drelizabethcronin.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today's guest is Christopher Robertson, Associate Dean for Research and Innovation and Professor of Law at the University of Arizona. His background and research interests overlap several academic disciplines, including bioethics, health law, incentives, behavioral economics and more. His CV includes a PhD in philosophy and a law degree from Harvard. His newest book is Exposed: Why Our Health Insurance is Incomplete and What can be Done About (Harvard University Press, 2019). Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Hidden Valley Road: Inside The Mind of An American Family (Doubleday, 2020) is the story of a midcentury American family with twelve children, six of them diagnosed with schizophrenia, that became science's great hope in the quest to understand the disease. Don and Mimi Galvin seemed to be living the American dream. After World War II, Don's work with the Air Force brought them to Colorado, where their twelve children perfectly spanned the baby boom: the oldest born in 1945, the youngest in 1965. In those years, there was an established script for a family like the Galvins--aspiration, hard work, upward mobility, domestic harmony--and they worked hard to play their parts. But behind the scenes was a different story: psychological breakdown, sudden shocking violence, hidden abuse. By the mid-1970s, six of the ten Galvin boys, one after another, were diagnosed as schizophrenic. How could all this happen to one family? What took place inside the house on Hidden Valley Road was so extraordinary that the Galvins became one of the first families to be studied by the National Institute of Mental Health. Their story offers a shadow history of the science of schizophrenia, from the era of institutionalization, lobotomy, and the “schizophrenogenic” mother to the search for genetic markers for the disease, always amid profound disagreements about the nature of the illness itself. And unbeknownst to the Galvins, samples of their DNA informed decades of genetic research that continues today, bringing hope for paths to treatment, prediction, and even eradication of the disease for future generations. Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The NBN’s Van Leer Jerusalem Series on Ideas. Write her at [email protected] or tweet @embracingwisdom. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Merchants of Medicine: The Commerce and Coercion of Health in Britain’s Long Eighteenth Century (The University of Chicago Press), medicines embody the hopes of those who prepared, sold, and ingested them. By investigating the different contexts and practices associated with the British long-distance trade in patent medicines, Zachary Dorner unravels the intertwined history of financial markets, health concerns, and colonial warfare. He argues that from the late seventeenth-century, medicines were produced, distributed, and consumed in new ways, providing solutions to the problems of labor shortages in the armed forces, trading companies and plantations, while also informing the categories of difference that organized such institutions. Zachary Dorner is the Patrick Henry Postdoctoral Fellow in history at Johns Hopkins University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Everyday suffering—those conditions or feelings brought on by trying circumstances that arise in everyone’s lives—is something that humans have grappled with for millennia. But the last decades have seen a drastic change in the way we approach it. In the past, a person going through a time of difficulty might keep a journal or see a therapist, but now the psychological has been replaced by the biological: instead of treating the heart, soul, and mind, we take a pill to treat the brain. Chemically Imbalanced: Everyday Suffering, Medication, and Our Troubled Quest for Self-Mastery (University of Chicago Press) is a field report on how ordinary people dealing with common problems explain their suffering, how they’re increasingly turning to the thin and mechanistic language of the “body/brain,” and what these encounters might tell us. Drawing on interviews with people dealing with struggles such as underperformance in school or work, grief after the end of a relationship, or disappointment with how their life is unfolding, Joseph E. Davis reveals the profound revolution in consciousness that is underway. We now see suffering as an imbalance in the brain that needs to be fixed, usually through chemical means. This has rippled into our social and cultural conversations, and it has affected how we, as a society, imagine ourselves and envision what constitutes a good life. Davis warns that what we envision as a neurological revolution, in which suffering is a mechanistic problem, has troubling and entrapping consequences. And he makes the case that by turning away from an interpretive, meaning-making view of ourselves, we thwart our chances to enrich our souls and learn important truths about ourselves and the social conditions under which we live. Joe Davis is Research Professor of Sociology at the University of Virginia Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today’s guest is investigative journalist and author, Gerald Posner. His new book, Pharma: Greed, Lies, and the Poisoning of America (Simon and Schuster), explores the fascinating and complex history of pharmaceutical and bio-tech industries. It is an industry like no other and a story like no other. Gerald Posner is an award-winning journalist who has written twelve books, including the Pulitzer Prize finalist Case Closed and multiple national bestsellers. Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today’s guest is journalist and author, Wendy Moore. Her new book, No Man’s Land: The Trailblazing Women Who Ran Britain's Most Extraordinary Military Hospital During World War I (Basic Books) explores the WWI British military hospital known as Endell Street. A hospital run by two suffragette doctors, Louisa Garrett Anderson and Flora Murray. A hospital staffed almost completely by women who treated over 26,000 wounded soldiers. It’s an incredible book published by Atlantic Books in the UK and Basic Books in the US, in April 2020. Wendy Moore is a journalist and author of several previous books, including How to Create the Perfect Wife and Wedlock, a Sunday Times bestseller. Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Outbreaks of Ebola, SARS, MERS, and pandemic influenza are brutal reminders of the dangers of infectious disease. Comparing the development of disease control in Britain and the United States, from the 1793 yellow fever outbreak in Philadelphia to the H1N1 panics of more recent times, Diseased States: Epidemic Control in Britain and the United States (University of Massachusetts Press) provides a blueprint for managing pandemics in the twenty-first century. To understand why these two nations have handled contemporary disease threats in such different ways, Charles Allan McCoy examines when and how disease control measures were adopted in each country from the nineteenth century onward, which medical theory of disease was dominant at the time, and where disease control was located within the state apparatus. Particular starting conditions put Britain and the United States on distinct trajectories of institutionalization that led to their respective systems of disease control. As McCoy shows, even the seemingly objective matter of contagion is deeply enmeshed in social and political realities, and by developing unique systems of biopower to control the spread of disease, Britain and the United States have established different approaches of exerting political control over citizens’ lives and bodies. Charles Allan McCoy is assistant professor of sociology at the State University of New York Plattsburgh. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Why Do Unnecessary and Often Counter-Productive Medical Interventions Happen So Often? Today I talked to Paul Offit about his book Overkill: When Modern Medicine Goes Too Far (HarperCollins, 2020) Offit is a professor of pediatrics at the University of Pennsylvania and the director of the Vaccine Education Center at the Children’s Hospital of Philadelphia. A prolific author, he’s also well known for being the public face of the scientific consensus that vaccines have no association with autism. Topics covered in this episode include: The degree to which opportunities to make money and avoid law suits drives the behavior of doctors, though inertia and unwillingness to accept advances in knowledge are also common explanations for being at times too active in treating patients. How the marketing campaigns of pharmaceutical companies can warp treatment plans. The conclusions from countless studies that in at least the 15 common medical interventions covered in this book, many patients are better off with more basic, common sense approaches like eating well, exercise, et cetera. Dan Hill, PhD, is the author of eight books and leads Sensory Logic, Inc. To check out his “Faces of the Week” blog, visit https://emotionswizard.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Every year nine million people are diagnosed with tuberculosis, every day over 13,400 people are infected with AIDs, and every thirty seconds malaria kills a child. For most of the world, critical medications that treat these deadly diseases are scarce, costly, and growing obsolete, as access to first-line drugs remains out of reach and resistance rates rise. Rather than focusing research and development on creating affordable medicines for these deadly global diseases, pharmaceutical companies instead invest in commercially lucrative products for more affluent customers. Nicole Hassoun argues that everyone has a human right to health and to access to essential medicines, and she proposes the Global Health Impact (global-health-impact.org/new) system as a means to guarantee those rights. Her proposal directly addresses the pharmaceutical industry's role: it rates pharmaceutical companies based on their medicines' impact on improving global health, rewarding highly-rated medicines with a Global Health Impact label. Global Health Impact: Expanding Access to Essential Medicines (Oxford University Press, 2020) has three parts. The first makes the case for a human right to health and specifically access to essential medicines. Hassoun defends the argument against recent criticism of these proposed rights. The second section develops the Global Health Impact proposal in detail. The final section explores the proposal's potential applications and effects, considering the empirical evidence that supports it and comparing it to similar ethical labels. Through a thoughtful and interdisciplinary approach to creating new labeling, investment, and licensing strategies, Global Health Impact demands an unwavering commitment to global justice and corporate responsibility. Nicole Hassoun is Professor of Philosophy at Binghamton University and Visiting Scholar at Cornell University. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

While the eradication of smallpox has long been documented, not many know the Chinese roots of this historic achievement. In this revelatory study, Mass Vaccination. Citizens' Bodies and State Power in Modern China (Cornell University Press), Mary Augusta Brazelton examines the PRC's public health campaigns of the 1950s to explain just how China managed to inoculate almost six hundred million people against this and other deadly diseases. Mass Vaccination tells the story of the people, materials, and systems that built these campaigns, exposing how, by improving the nation's health, the Chinese Communist Party quickly asserted itself in the daily lives of all citizens. This crusade had deep roots in the Republic of China during the Second Sino-Japanese War, when researchers in China's southwest struggled to immunize as many people as possible, both in urban and rural areas. But its legacy was profound, providing a means for the state to develop new forms of control and of engagement. Brazelton considers the implications of vaccination policies for national governance, from rural health care to Cold War-era programs of medical diplomacy. By embedding Chinese medical history within international currents, she highlights how and why China became an exemplar of primary health care at a crucial moment in global health policy. Mary Augusta Brazelton is University Lecturer in Global Studies of Science, Technology and Medicine at the Department of History and Philosophy of Science at the University of Cambridge. Victoria Oana Lupascu is a PhD candidate in dual-title doctoral program in Comparative Literature and Asian Studies at the Pennsylvania State University. Her areas of interest include 20th and 21st Chinese literature and visual art, medical humanities and Global South studies. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In The Brain from Inside Out (Oxford University Press, 2019), György Buzsáki contrasts what he terms the ‘outside-in’ and ‘inside-out’ perspectives on neuroscientific theory and research methodology. The ‘outside-in’ approach, which he sees as dominating thinking in the field at present and in most of recent history, conceptualizes the brain as a passive, information-absorbing, coding device. The ‘inside-out’ perspective, which Buzsáki seeks to develop and advocate, sees the brain rather as a device sculpted exquisitely by evolution for the generation and control of action and behaviour. The Brain from Inside Out is a candid and provocative monograph from one of the world’s most respected scientists, full of fascinating insights into the history and future of the science of the mind. Dr György Buzsáki is Biggs Professor of Neuroscience at New York University. Dr. John Griffiths (@neurodidact) is an Assistant Professor at the University of Toronto, and Head of Whole Brain Modelling at the CAMH Krembil Centre for Neuroinformatics. His research group (grifflab.com) works at the intersection of computational neuroscience and neuroimaging, building simulations of human brain activity aimed at improving the understanding and treatment of neuropsychiatric and neurological illness. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Psychedelic drugs are making a comeback. In the mid-twentieth century, scientists actively studied the potential of drugs like LSD and psilocybin for treating mental health problems. After a decades-long hiatus, researchers are once again testing how effective these drugs are in relieving symptoms for a wide variety of psychiatric conditions, from depression and obsessive–compulsive disorder to posttraumatic stress disorder and substance addiction. In Acid Revival: The Psychedelic Renaissance and the Quest for Medical Legitimacy (University of Minnesota Press, 2020), Danielle Giffort examines how this new generation of researchers and their allies are working to rehabilitate psychedelic drugs and to usher in a new era of psychedelic medicine. As this team of researchers and mental health professionals revive the field of psychedelic science, they are haunted by the past and by one person in particular: psychedelic evangelist Timothy Leary. Drawing on extensive archival research and interviews with people working on scientific psychedelia, Giffort shows how today’s researchers tell stories about Leary as an “impure” scientist and perform his antithesis to address a series of lingering dilemmas that threaten to rupture their budding legitimacy. Acid Revival presents new information about the so-called psychedelic renaissance and highlights the cultural work involved with the reassembly of dormant areas of medical science. This colorful and accessible history of the rise, fall, and reemergence of psychedelic medicine is infused with intriguing narratives and personalities—a story for popular science aficionados as well as for scholars of the history of science and medicine. Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

So much relies on science. But what if science itself can’t be relied on? In Science Fictions: Exposing Fraud, Bias, Negligence, and Hype in Science (Penguin Books, 2020), Stuart Ritchie, a professor of psychology at King’s College London, lucidly explains how science works, and exposes the systemic issues that prevent the scientific enterprise from living up to its truth-seeking ideals. While the scientific method will always be our best way of knowing about the world, the current system of funding and publishing incentivizes bad behavior on the part of scientists. As a result, many widely accepted and highly influential theories and claims—priming, sleep and nutrition, genes and the microbiome, and a host of drugs, allergies, and therapies—are based on unreliable, exaggerated and even fraudulent papers. Bad incentives in science have influenced everything from austerity economics to the anti-vaccination movement, and occasionally count the cost of them in human lives. Stuart Ritchie has been at the vanguard of a movement within science aimed at exposing and fixing these problems. In this New Books Network conversation, we speak specifically about how even the most well-meaning and truth-seeking scientists can unwittingly introduce bias into their analyses. We discuss ways that scientists’ training is inadequate. Matthew Jordan is a professor at McMaster University, where he teaches courses on AI and the history of science. You can follow him on Twitter @mattyj612 or his website matthewleejordan.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Afflicted: How Vulnerability Can Heal Medical Education and Practice (The MIT Press), Nicole Piemonte examines the preoccupation in medicine with cure over care, arguing that the traditional focus on biological intervention keeps medicine from addressing the complex realities of patient suffering. Although many have pointed to the lack of compassion and empathy in medical practice, few have considered the deeper philosophical, psychological, and ontological reasons for it. Piemonte fills that gap, examining why it is that clinicians and medical trainees largely evade issues of vulnerability and mortality and, doing so, offer patients compromised care. She argues that contemporary medical pedagogy and epistemology are not only shaped by the human tendency to flee from the reality of death and suffering but also perpetuate it. The root of the problem, she writes, is the educational and institutional culture that promotes reductionist understandings of care, illness, and suffering but avoids any authentic confrontation with human suffering and the fear and self-doubt that can come with that confrontation. Through a philosophical analysis of the patient-practitioner encounter, Piemonte argues that the doctor, in escaping from authentic engagement with a patient who is suffering, in fact “escapes from herself.” Piemonte explores the epistemology and pedagogy of medicine, examines its focus on calculative or technical thinking, and considers how “clinical detachment” diminishes physicians. She suggests ways that educators might cultivate the capacity for authentic patient care and proposes specific curricular changes to help students expand their moral imaginations. Nicole Piemonte is Assistant Dean for Medical Education and Assistant Professor at Creighton School of Medicine, Phoenix Regional Campus Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

It is often said that bioethics emerged from theology in the 1960s, and that since then it has grown into a secular enterprise, yielding to other disciplines and professions such as philosophy and law. During the 1970s and 1980s, a kind of secularism in biomedicine and related areas was encouraged by the need for a neutral language that could provide common ground for guiding clinical practice and research protocols. Tom Beauchamp and James Childress, in their pivotal The Principles of Biomedical Ethics, achieved this neutrality through an approach that came to be known as "principlist bioethics." In Pastoral Aesthetics: A Theological Perspective on Principlist Bioethics (Oxford University Press, 2019), Nathan Carlin critically engages Beauchamp and Childress by revisiting the role of religion in bioethics and argues that pastoral theologians can enrich moral imagination in bioethics by cultivating an aesthetic sensibility that is theologically-informed, psychologically-sophisticated, therapeutically-oriented, and experientially-grounded. To achieve these ends, Carlin employs Paul Tillich's method of correlation by positioning four principles of bioethics with four images of pastoral care, drawing on a range of sources, including painting, fiction, memoir, poetry, journalism, cultural studies, clinical journals, classic cases in bioethics, and original pastoral care conversations. What emerges is a form of interdisciplinary inquiry that will be of special interest to bioethicists, theologians, and chaplains. Nathan Carlin is Associate Professor and the Samuel Karff Chair in the McGovern Center for Humanities and Ethics at The University of Texas Health Science Center at Houston (UTHealth). Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In The Politics of Disease Control. Sleeping Sickness in Eastern Africa, 1890-1920 (Ohio University Press, 2019), Mari K. Webel tells a history of colonial interventions among three communities of the Great Lakes region of East Africa. At the dawn of the twentieth century, Eastern African societies faced a range of social, political and economic challenges, many of which were connected to the establishment of British and German colonial regimes. In the midst of these, African societies experienced an epidemic outbreak of human African Trypanosomiasis, commonly known as “sleeping sickness.” The epidemic posed a serious threat to the economic prospects of colonial regimes who felt it necessary to authorize and fund large scale campaigns aimed at researching a treatment that could cure and stop the spread of the disease. Dr. Webel locates these colonial interventions in the context of the rich intellectual worlds that Great Lakes’ communities used to make sense of experiences of misfortune and illness. She argues that only by understanding the concepts and strategies that Africans had historically used to navigate challenging times, can we explain how and whether they chose to interact with the health efforts promoted by colonial authorities. The book highlights the long, largely neglected, and mostly unsuccessful, quest to eradicate or treat human African trypanosomiasis. It explains the impact that early campaigns to contain the disease had on the rationale and design of subsequent public health interventions in other parts of Africa, and how colonial narratives continue to affect modern research agendas into tropical diseases. Moreover, the book underscores the importance of paying attention to local, cultural and historical factors in the design of any public health campaign. Esperanza Brizuela-Garcia is Associate Professor of History at Montclair State University. She specializes in modern intellectual history of Africa, historiography, World history and Philosophy of History. She is the co-author of African Histories: New Sources and New Techniques for Studying African Pasts (Pearson, 2011). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

On this episode of New Books in History, Jana Byars talks with Olivia Weisser, Associate Professor of History at the University of Massachusetts – Boston, to talk about her 2015 Yale University Press release, Ill Composed: Sickness, Gender, and Belief in Early Modern England. Olivia Weisser can be described as an historian of Early Modern England, an historian of medicine, and as a gender historian. This book sits right at the intersection of all three of these subfields and contributes to our understanding of the lived experience of religion, the lived experience of gender, ideas about ‘nature,’ and, of course, the history of medicine. Through its investigation of the gender-specific ways women and men talk about their illnesses, Weisser argues that illness is a construction, ongoing, that is specific to space and time, age, class, country of origin, race, and, specifically in this discussion: gender. 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 Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Among the tens of thousands of Americans who volunteered their services during the Civil War was Mary Walker, a daring young woman who was one of the handful of female doctors in the nation at that time. Yet despite the often desperate need for medical professionals she spent much of the war struggling to earn the respect she felt she deserved. In Dr. Mary Walker's Civil War: One Woman's Journey to the Medal of Honor and the Fight for Women's Rights (Lyons Press, 2020), Theresa Kaminski describes this struggle and how it reflected her lifelong struggle to have the world accept her on her own terms. The daughter of free-thinking farmers, the young Mary enjoyed a level of education unusual for her era. Even before the war began she defined her identity with their radical choices in clothing and her decision to divorce her philandering husband. When the war began Dr. Walker sought a commission as a doctor, only to face opposition from every authority figure she met. Over time, however, her persistent efforts gradually won her a degree of acceptance and a role in the war. While her goal to earn a commission remained unfulfilled, at the end of the war her brave sacrifices on behalf of the Union earned for herself a Medal of Honor – one that a century and a half later remains the only Medal of Honor ever awarded to a woman. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today we are joined by Kathleen Bachynski, Assistant Professor of Public Health at Muhlenberg College, and author of No Game for Boys to Play: The History of Youth Football and the Origins of a Public Health Crisis (University of North Carolina Press, 2019). In our conversation, we discussed the intersection of public health and American football, the difficulty in assessing and quantifying sports injuries, and the way that football organizers were able to mete out responsibility for broken bones, torn ligaments, and brain trauma to a wide range of participants. At its core, Bachynski’s work addresses the issue of whether or not football is safe for children. In No Game for Boys to Play, Bachynski examines American football from its origins from the perspective of a public health specialist and an historian. Her work illuminates the ways in which football came to shape and be shaped by hegemonic discourses of masculinity, frequently to the detriment of its players' health. Her work focuses on youth football – both in Pop Warner league and in high schools and considers a wide scope of medical issues rather than being limited to discussions of traumatic brain injury. She argues that an ethical response to youth football is to prohibit all dangerous contact (tackle football, cross checks in hockey, boxing) for children under age 18. Bachynski’s combination of historical studies, epidemiological investigations, and public health research brings a new perspective to the history of football. Her engagement with a wide range of actors; including players, parents, coaches, doctors, legislators, equipment manufacturers, insurance agencies, and tort lawyers; showcases the importance of football to broader conversations about American masculinity, educational standards, and national defense. It also challenges teleological perspectives that might suggest that football safely has improved over time. While dental and traumatic spinal injuries are less severe, children are more likely to suffer traumatic brain injuries despite (or perhaps because of) increasing standardization of safety equipment including helmets. No Game for Boys to Play is the winner of the 2020 North American Society for Sport History Monograph Book Award and so should be read by a wide audience. Her work will especially appeal to scholars interested in the overlap between histories of medicine and sport. Keith Rathbone is a lecturer at Macquarie University in Sydney, Australia. He researches twentieth-century French social and cultural history. His manuscript, entitled A Nation in Play: Physical Culture, the State, and Society during France’s Dark Years, 1932-1948, examines physical education and sports in order to better understand civic life under the dual authoritarian systems of the German Occupation and the Vichy Regime. If you have a title to suggest for this podcast, please contact him at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine? In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending. Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available. No More to Spend: Neglect and the Construction of Scarcity in Malawi's History of Health Care (Oxford University Press, 2020) challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi. Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial. Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today. Luke Messac is a resident in emergency medicine at Brown University. He received his M.D. and Ph.D. (History and the Sociology of Science) from the University of Pennsylvania. Bekeh Utietiang Ukelina is an Assistant Professor of History at SUNY, Cortland. His research examines the ideologies and practices of development in Africa, south of the Sahara. He is the author of The Second Colonial Occupation: Development Planning, Agriculture, and the Legacies of British Rule in Nigeria. For more NBN interviews, follow him on Twitter @bekeh or head to bekeh.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Carving a Niche: The Medical Profession in Mexico 1800-1870 (McGill-Queen’s University Press, 2018), Luz María Hernández Sáenz follows the trajectory of physicians in their quest for the professionalization of medicine in Mexico. In the nineteenth century, medical practitioners sought to earn scientific and professional recognition both at home an internationally, and in doing so, they created institutions that shaped their profession, and sought to establish a monopoly in the realm of public health. Hernández Sáenz places this story in an international context and demonstrates the importance of the French model in the establishment of a modern medical profession in Mexico. Significantly, we see how medical institutions changed as Mexico transitioned from a colonial society to a liberal, independent republic. As we hear by the end of the interview, Mexican medical practitioners were eventually successful in earning professional status, and in monopolizing medical knowledge, however, they did not oust their rivals, nor they managed to turn medicine into a priority for local and national governments. This is particularly important in the context of the current global pandemic for as Hernández Sáenz tells us, many of the problems that preoccupied physicians and government officials in the nineteenth century, still accompany us today. Chief among them is the subordination of matters of public health to economic interests, an important consideration for listeners interested in thinking how the past informs our present. Luz María Hernández Sáenz is associate professor of history at the University of Western Ontario. Lisette Varón-Carvajal is a PhD student at Rutgers University-New Brunswick. You can tweet her and suggest books at @LisetteVaron Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Sex Matters: How Male-Centric Medicine Endangers Women's Health and What We Can Do About It (Hachette, 2020) tackles one of the most urgent, yet unspoken issues facing women's health care today: all models of medical research and practice are based on male-centric models that ignore the unique biological and emotional differences between men and women -- an omission that can endanger women's lives. The facts surrounding how male-centric medicine impacts women's health every day are chilling: in the ER, women are more likely to receive a psychiatric diagnosis with regard to opioid use, while men are more likely to be referred for detoxification; the more vocal women become about their pain, the more likely their providers are to prescribe either inadequate or inappropriate pain relief medication; women often present with nontraditional symptoms of stroke, which causes delays in recognition by both them and their health professionals; and a government accountability study found that 80% of drugs that are withdrawn from the market are due to side effects that happen to women (a result of testing drugs mostly on men). Leading expert on sex and gender medicine Dr. Alyson McGregor focuses on the key areas where these differences are most potentially harmful, addressing: Cardiac and stroke diagnosis and treatment in women Prescription and dosing of pharmaceuticals; Subjective evaluation of women's symptoms; Pain and pain management; Hormones and female biochemistry (including prescribed hormones); How economic status, race, and gender identity are additional critical factors. Not only does Dr. McGregor explore these disparities in depth, she shares clear, practical suggestions for what women can do to protect themselves. A work of riveting exposé with revelatory insights and actionable guidance for navigating the medical establishment, Sex Matters is an empowering roadmap for reinventing modern medicine -- and for self-care. Alyson J. McGregor, MD, MA, FACEP, is an Associate Professor of Emergency Medicine at The Warren Alpert Medical School of Brown University, and the Co-Founder and Director for the Division of Sex and Gender in Emergency Medicine (SGEM) at Brown University's Department of Emergency Medicine. A co-founder of the national organization Sex and Gender Women's Health Collaborative, Dr. McGregor has written or co-written over seventy peer-reviewed publications in scientific journals and was also the lead editor for the medical textbook, Sex and Gender in Acute Care Medicine (Cambridge University Press, 2016). Dr. Christina Gessler’s background is in women’s history, anthropology and literature. She is a historian, and photographer. In seeking the extraordinary in the ordinary, Gessler writes the histories of largely unknown women, and takes many, many photos in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Of the many medical specializations to transform themselves during the rise of National Socialism, anatomy has received relatively little attention from historians. While politics and racial laws drove many anatomists from the profession, most who remained joined the Nazi party, and some helped to develop the scientific basis for its racialist dogma. As Sabine Hildebrandt reveals in The Anatomy of Murder: Ethical Transgressions and Anatomical Science during the Third Reich (Berghahn, 2017), however, their complicity with the Nazi state went beyond the merely ideological. They progressed through gradual stages of ethical transgression, turning increasingly to victims of the regime for body procurement, as the traditional model of working with bodies of the deceased gave way, in some cases, to a new paradigm of experimentation with the “future dead.” Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Medical students and physicians-in-training embark on a long journey that, although steeped in scientific learning and technical skill building, includes little guidance on the emotional and interpersonal dimensions of becoming a healer. On Becoming a Healer: The Journey from Patient Care to Caring about Your Patients (Johns Hopkins University Press) is written for anyone in the health care community who hopes to grow emotionally and cognitively in the way they interact with patients, On Becoming a Healer explains how to foster doctor-patient relationships that are mutually nourishing. Dr. Saul J. Weiner, a physician-educator, argues that joy in medicine requires more than idealistic aspirations―it demands a capacity to see past the "otherness" that separates the well from the sick, the professional in a white coat from the disheveled patient in a hospital gown. Weiner scrutinizes the medical school indoctrination process and explains how it molds the physician's mindset into that of a task completer rather than a thoughtful professional. Taking a personal approach, Weiner describes his own journey to becoming an internist and pediatrician while offering concrete advice on how to take stock of your current development as a physician, how to openly and fully engage with patients, and how to establish clear boundaries that help defuse emotionally charged situations. Readers will learn how to counter judgmentalism, how to make medical decisions that take into account the whole patient, and how to incorporate the organizing principle of healing into their practice. Each chapter ends with questions for reflection and discussion to help personalize the lessons for individual learners. Saul J. Weiner, MD is a professor of medicine, pediatrics, and medical education at the University of Illinois at Chicago, the deputy director of the Veterans Health Administration's Center of Innovation for Complex Chronic Healthcare, and the cofounder of the Institute for Practice and Provider Performance Improvement (I3PI). Dr. Yakir Englander is the National Director of Leadership programs at the Israeli-American Council. He also teaches at the AJR. He is a Fulbright scholar and was a visiting professor of Religion at Northwestern University, the Shalom Hartman Institute and Harvard Divinity School. His books are Sexuality and the Body in New Religious Zionist Discourse (English/Hebrew and The Male Body in Jewish Lithuanian Ultra-Orthodoxy (Hebrew). He can be reached at: [email protected] Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

He Bian’s new book Know Your Remedies: Pharmacy and Culture in Early Modern China (Princeton University Press, 2020) is a beautiful cultural history of pharmacy in early modern China. This trans-dynastic book looks at how Chinese approaches to knowledge changed during the Ming and Qing as state-commissioned pharmacopeias dwindled, amateur investigations into the knowledge of things soared, and, ultimately, as natural history was de-medicalized, all while commercialization, monetization, long-distance trade, and empire flourished. This exceptionally rich and intimately text-based study introduces readers to a number of fascinating bencao (materia media), makes a compelling case for studying Chinese history through the lens of pharmacy, and demonstrates that Chinese pharmacy itself has a rich and vibrant history—all with stunning ease. This is both an essential and a joyful read for China historians, while still accessible for non-specialists interested in reading about the early modern world, medicine, the history of knowledge, and stories of strange drugs and the even stranger men who dispensed them. Sarah Bramao-Ramos is a PhD candidate in History and East Asian Languages at Harvard University. She is interested in book history, early modern translation, and anything involving a kesike. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Natalie Kimball is the author of An Open Secret: The History of Unwanted Pregnancy and Abortion in Modern Bolivia, out this year from Rutgers University Press. An Open Secret argues that, despite stigma and continued legal prohibitions, practices and attitudes surrounding abortion have changed in urban Bolivia since the 1950s. Kimball shows how women have pushed for and enacted changes in policy and services relating to unwanted pregnancy and abortion in Bolivia. In particular, they argue that since the 1980s, women have opened space for themselves to be able to terminate pregnancies with more options and more safety, even as abortion remains illegal. In order to tell this story, Kimball conducted over 100 interviews with women and maternal health practitioners in both La Paz and El Alto, and their stories offer a history not only of policy change, but of transformations in official and unofficial attitudes. An Open Secret tells these stories while remaining attuned to the specific contexts of urban Bolivia, where women and men navigate overlapping medical systems not reducible to western science alone. Their book also centers women’s affective responses to pregnancy and the structures that factor into decisions about care. In this interview, we talk about oral history practices as well as the challenges of rights and choice base frameworks for maternal health activism in postcolonial contexts. An Open Secret is essential reading for anyone interested in women’s health or the practice of oral history in Latin America. Natalie Kimball is an Assistant Professor of History at the College of Staten Island, which forms part of the City University of New York. Elena McGrath is an Assistant Professor of History at Union College in Schenectady, NY. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

New mothers face a barrage of confounding decisions during the life-cycle of early motherhood which includes... Should they change their diet or mindset to conceive? Exercise while pregnant? Should they opt for a home birth or head for a hospital? Whatever they “choose,” they will be sure to find plenty of medical expertise from health practitioners to social media “influencers” telling them that they’re making a series of mistakes. As intersectional feminists with two small children each, Bethany L. Johnson and Margaret M. Quinlan draw from their own experiences as well as stories from a range of caretakers throughout. You’re Doing it Wrong! Mothering, Media and Medical Expertise (Rutgers University Press, 2019) investigates the storied history of mothering advice in the media, from the newspapers, magazines, doctors’ records and personal papers of the nineteenth-century to today’s websites, Facebook groups, and Instagram feeds. Johnson and Quinlan find surprising parallels between today’s mothering experts and their Victorian counterparts, but they also explore how social media has placed unprecedented pressures on new mothers, even while it may function as social support for some. They further examine the contentious construction of prenatal and baby care expertise itself, as individuals such as everyone from medical professionals to experienced moms have competed to have their expertise acknowledged in the public sphere. Exploring potential health crises from infertility treatments to “better babies” milestones, You’re Doing it Wrong! provides a provocative look at historical and contemporary medical expertise during conception, pregnancy, childbirth, postpartum, and infant care stages. Bethany L. Johnson (MPhil, M.A.) is a doctoral student in the history of science, technology and the environment at the University of South Carolina and an associate member to the graduate faculty and research affiliate faculty in the department of communication studies at the University of North Carolina at Charlotte. Margaret M. Quinlan (PhD) is an associate professor in the Department of Communication Studies and core faculty in the interdisciplinary Health Psychology Ph.D. Program at the University of North Carolina at Charlotte. Dr. Christina Gessler’s background is in anthropology, women’s history, and literature. She works as a historian, poet, and photographer. In seeking the extraordinary in the ordinary, Gessler writes the histories of largely unknown women, poems about small relatable moments, and takes many, many photos in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Elisheva A. Perelman's new book American Evangelists and Tuberculosis in Modern Japan (Hong Kong University Press, 2020) examines the consequences of Japan’s decision not to tackle the tuberculosis epidemic that ravaged the country during the last quarter of the nineteenth century and the first quarter of the twentieth. TB was a plague of epic proportions in industrializing Japan, particularly affecting young women workers in the new textile factories. These marginalized laborers, many from rural villages, were not a priority for Japan’s first modern administrations, who focused their energies elsewhere and left the welfare of tuberculosis patients to the private sector. The opening left by this choice was filled by American evangelicals, who saw an opportunity to advance their missionary work in Japan. Perelman identifies a kind of twinned moral entrepreneurship, arguing that a tacit agreement was hammered out between the two sides, with the government accepting the evangelical groups’ assistance with this public health emergency in exchange for noninterference in their efforts to spread Christianity. The history of TB in Japan is well studied and understood, but American Evangelists and Tuberculosis in Modern Japan breathes new life into this old story by its attention to different actors and dynamics. It will be of interest not only to scholars of Japanese and East Asian history and culture, but also to historians of science, medicine and public health, and Christianity. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine