New Books in Medicine

In 1883, a young woman named Anandi Joshi set out from her native India to the United States to study medicine. To do so, as Nandini Patwardhan describes in her book Radical Spirits: India’s First Woman Doctor and Her American Champions (Story Artisan Press, 2020) required overcoming numerous hurdles, which she did thanks to the support of family and friends on two continents. One of them, as Patwardhan explains, was her husband Gopal, who often moved with his young wife to various posts throughout India so as to obtain an education for her. The death of their son soon after childbirth fueled Anandi’s desire to study medicine, while the couple’s relationships with American missionaries led to an invitation to stay in America. Though Anandi faced numerous problems adapting to life in America and her husband’s oftentimes antagonistic nature added to her stress, through her hard labors and the aid of her friends Anandi succeeded in obtaining her medical degree, only to die tragically soon after her celebrated return to India in 1886. 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 Dr Jonathan Gelber, author of the book Tiger Woods’s Back and Tommy John’s Elbow: Injuries and Tragedies That Transformed Careers, Sports and Society (Skyhorse Publishing, 2019). Gelber is an orthopedic surgeon with the Olmstead Medical Center in Rochester, Minnesota. A long time athlete, Gelber examines several athletes through the prism of the “Cobra Effect, ”a phenomenon that occurs when an attempted solution to a problem results in an unintended consequence. And sometimes, that solution might even make the original problem worse. Drawing on his vast medical background, Gelber looks at athletes such as Len Bias, Hank Gathers, Magic Johnson, Dale Earnhardt Sr., Lyle Alzado and more. And, of course, Tiger Woods and Tommy John. The situation of every athlete Gelber examines, he asserts, usually has two effects: the obvious one, and a secondary outcome that was unexpected. The flawed evangelism of Alzado, who used steroids and later had brain cancer, or the death of Bias, which resulted in a change in drug laws in the United States, are two pieces of a fascinating narrative that is certain to provoke more discussion about athletes, sports and society. Bob D’Angelo earned his master’s degree in history from Southern New Hampshire University in May 2018. He earned his bachelor’s degree in journalism from the University of Florida and spent more than three decades as a sportswriter and sports copy editor, including 28 years on the sports copy desk at The Tampa (Fla.) Tribune. He is currently a digital news producer for Cox Media Group. Bob can be [email protected]. For more information, visit Bob D’Angelo’s Books and Blogs. 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 the New Books Network, Lee Pierce (s/t) interviews Jay Timothy Dolmage of the University of Waterloo on the new book Disabled Upon Arrival: Eugenics, Immigration, and the Construction of Race and Disability (Ohio State University Press, 2018), a compelling examination of the spaces, technologies, and discourses of immigration restriction during the peak period of North American immigration in the early twentieth century. In North America, immigration has never been about immigration. That was true in the early twentieth century when anti-immigrant rhetoric led to draconian crackdowns on the movement of bodies, and it is true today as new measures seek to construct migrants as dangerous and undesirable. Through careful archival research and consideration of the larger ideologies of racialization and xenophobia, Disabled Upon Arrival links anti-immigration rhetoric to eugenics—the flawed “science” of controlling human population based on racist and ableist ideas about bodily values. Dolmage casts an enlightening perspective on immigration restriction, showing how eugenic ideas about the value of bodies have never really gone away and revealed how such ideas and attitudes continue to cast groups and individuals as disabled upon arrival. Thanks to OSU Press for providing disabled Upon Arrival for free through the OSU Knowledge Bank (may require in Institutional subscription). Click here to access a PDF of disabled upon arrival. You can also find an open access version of Jay’s previous book, Academic Ableism, courtesy of the University of Waterloo Arts Research Office. Click here to access Academic Ableism. Connect with Jay on Twitter @jaydolmage Connect with your host, Lee Pierce, on Twitter, Instagram, and Facebook @rhetoriclee for interview previews, the best book selfies, and new episode alerts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The modern popularity of acupuncture and herbal medicine belies the long history of Chinese medicine in the U.S. In Herbs and Roots: A History of Chinese Doctors in the American Medical Marketplace (Yale University Press, 2019), Tamara Venit-Shelton (Claremont McKenna College) examines the historical contexts that shaped perceptions of traditional Chinese medicine from the colonial period to the present. Venit-Shelton draws from court records, material culture, census records, oral interviews, and newspapers to uncover the multi-faceted roles that Chinese herbalists played in both Chinese and non-Chinese communities during the “long Progressive Era.” Through self-Orientalizing presentations, these health practitioners enterprisingly navigated, accommodated, and resisted waves of rising xenophobia and medical regulation. After a period of struggle between the 1930s and 1970s when depression and war disrupted supply chains, Chinese medicine made a roaring comeback even as increasing numbers of Chinese Americans trained in Western medicine, leading to the rise of integrative medicine. Herbs and Roots deepens our understanding of histories of medicine and public health, American Orientalism, Asian immigration to the US, and the environment and ideas of nature. Ian Shin is assistant professor of History and American Culture at the University of Michigan. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Combining expert storytelling with genuine self-scrutiny, Casey Schwartz details the decade she spend taking Adderall to help her pay attention (or so she thought) and then considers the role of attention in defining our lives as it has been understood by thinkers such as William James, David Foster Wallace, and Simone Weil. From our craving for distraction to our craving for a cure, from Silicon Valley consultants and psychedelic researchers to the findings of trauma expert Dr. Gabor Maté, Schwartz takes us on an eye-opening tour of the modern landscape of attention. Blending memoir, biography, and original reporting, Schwarz examines her attempts to preserve her authentic life and decide what is most important in it. Attention: A Love Story (Pantheon, 2020) will resonate with readers who want to determine their own minds, away from the siren call of their screens. 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

Modern science uses the “randomized controlled trial”—whereby people are randomly allocated either the drug or a placebo—as a gold standard to find out whether a newly discovered drug works. In this podcast, Dr. Martin Edwards, a general practitioner and retired clinician affiliated to the University of London, discusses the British Medical Research Council’s exploitation of the term “controlled” to establish “controlled trials” as the gold standard for therapeutic evaluation. His discussion is an extension of his paper “Control and the Therapeutic Trial: Rhetoric and Experimentation in Britain, 1918-48,” which is published in Brill’s Clio Medica. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Donald F. Stevens offers us a portrait of early republican life in his new book, Mexico in the Time of Cholera, published in 2019 by the University of New Mexico Press. Although Stevens uses the 1833 Cholera epidemic that devastated independent Mexico as his his point of departure, this is not primarily a medical history. Beginning with the suggestion of a contemporary observer that the epidemic put Mexicans on their best, or at least most religiously fervent behavior, Stevens asks how we might be able to measure everyday piety during a time of transition and crisis. His answer comes from following archival trails within parish records, novels, and memoirs and offers readers a glimpse of intimate urban life. In so doing, his book brings to life the day to day practices of Mexicans from birth and naming practices to death and burial norms and shows a country coming to terms with its independence. Students and scholars alike will enjoy following vibrant historical figures like fifteen-year-old Concha, navigating potential suitors with the help of parents and priests as well as unraveling the mystery of why a US-born bootmaker was murdered in Mexico City during a religious progression. Donald Stevens is an Associate Professor of History at Drexel University and an assistant editor for the journal the Americas. He is the author of Origins of Instability in Early Republican Mexico by Duke University Press and editor of, Based on a True Story: Latin American History at the Movies. Elena McGrath is Assistant Professor of History at Union College in Schenectady. She is a historian of 20th century Bolivia. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Brian Greene is a Professor of Mathematics and Physics at Columbia University in the City of New York, where he is the Director of the Institute for Strings, Cosmology, and Astroparticle Physics, and co-founder and chair of the World Science Festival. He is well known for his TV mini-series about string theory and the nature of reality, including the Elegant Universe, which tied in with his best-selling 2000 book of the same name. In this episode, we talk about his latest popular book Until the End of Time: Mind, Matter, and Our Search for Meaning in an Evolving Universe (Random House, 2020) Until the End of Time gives the reader a theory of everything, both in the sense of a “state of the academic union”, covering cosmology and evolution, consciousness and computation, and art and religion, and in the sense of showing us a way to apprehend the often existentially challenging subject matter. Greene uses evocative autobiographical vignettes in the book to personalize his famously lucid and accessible explanations, and we discuss these episodes further in the interview. Greene also reiterates his arguments for embedding a form of spiritual reverie within the multiple naturalistic descriptions of reality that different areas of human knowledge have so far produced. John Weston is a University Teacher of English in the Language Centre at Aalto University, Finland. His research focuses on academic communication. He can be reached at [email protected] and @johnwphd. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Though his advice has saved the lives of millions of people, the name Ignaz Semmelweis is not one commonly known today. In his book Anthony Valerio’s Semmelweis: The Women's Doctor (Zantedeschi Books, 2019). Valerio details the many struggles Semmelweis faced in winning acceptance for his advice on antiseptic procedures. The son of a Buda spice merchant, Semmelweis started his studies in law before a chance attendance at a medical lecture sparked his interest in becoming a doctor. After earning his degree he decided to specialize in obstetrics, a choice that soon brought him to confront the problem of childbed fever. Deducing that exposure to cadavers was a factor, Semmelweis devised a regimen of hand washing that dramatically reduced the morality rate at the maternity clinic where he worked. Though Semmelweis’s treatment was simple, his ideas faced considerable resistance from leading figures in the Western medical community, with the stress from his campaigns to promote his ideas contributing to the institutionalization that led to his death in 1865. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The recent COVID-19 pandemic has received unprecedented media coverage in the past 3 months. A large part of this coverage includes comparisons of the ongoing crisis to some major crises of the past, including the SARS epidemic of 2002-2003. In a new study titled “When the Analogy Breaks: Historical References in Flemish News Media at the Onset of the COVID-19 Pandemic” published in Brill’s Journal of Applied History, Dr. Bram De Ridder from KU Leuven, Belgium, analyzes how three Flemish media outlets covered the crisis recently and how their misplaced historical analogies could affect public perception, causing a problem in dealing with the current pandemic. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Consider a couple with an infant (or two) whose lives have become so harried and difficult the marriage is falling apart. Would it be ethical for them to take oxytocin to help them renew their emotional bonds, or would this be an unethical evasion of the hard work that keeping a marriage going requires? What if someone has sexual desires that they consider immoral – should they be able to take a drug to suppress those desires, or alternatively can society force them to? Debates about the ethics of using drugs for enhancement rather than treatment usually focus on the individual, such as doping in sports. In Love Drugs: The Chemical Future of Relationships (Stanford University Press, 2020), Brian Earp and Julian Savulescu consider the case for using drugs to alter our love relationships. Earp, who is Associate Director of the Yale-Hastings Program in Ethics and and Health Policy at Yale University, and Savulescu, the Uehiro Chair in Practical Ethics at the University of Oxford, note that drugs that alter sexual desire and attachment are already available, although are restricted or illegal. What is needed, they argue, is more research into the interpersonal effects of drugs, and more discussion of the ethics of their use for non-medical purposes. Let’s turn to a fascinating interview on a complex topic with no easy answers. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Howard Friedman's new book Ultimate Price: The Value We Place on Life (University of California Press, 2020) should be required reading for anyone sitting down to watch the evening news. The Covid-19 crisis is, unfortunately, a new broad-based instance in the valuation of human life. And I do mean value: in terms of cash dollars. Ultimate Price covers the ways that companies, courts, nations, and individuals have come to put a price tag on individual existence. While the book was written prior to the current situation, it provides an excellent starting point to understand what we are observing as governments, companies, healthcare providers, and individuals make life-and-death decisions. Daniel Peris is Senior Vice President at Federated Investors in Pittsburgh. Trained as a historian of modern Russia, he is the author most recently of Getting Back to Business: Why Modern Portfolio Theory Fails Investors. You can follow him on Twitter @HistoryInvestor or at http://www.strategicdividendinvestor.com Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Slavery and the University: Histories and Legacies (University of Georgia Press, 2019), edited by Leslie M. Harris, James T. Campbell, and Alfred L. Brophy, is the first edited collection of scholarly essays devoted solely to the histories and legacies of this subject on North American campuses and in their Atlantic contexts. Gathering together contributions from scholars, activists, and administrators, the volume combines two broad bodies of work: (1) historically based interdisciplinary research on the presence of slavery at higher education institutions in terms of the development of proslavery and antislavery thought and the use of slave labor; and (2) analysis on the ways in which the legacies of slavery in institutions of higher education continued in the post–Civil War era to the present day. The collection features broadly themed essays on issues of religion, economy, and the regional slave trade of the Caribbean. It also includes case studies of slavery’s influence on specific institutions, such as Princeton University, Harvard University, Oberlin College, Emory University, and the University of Alabama. Though the roots of Slavery and the University stem from a 2011 conference at Emory University, the collection extends outward to incorporate recent findings. As such, it offers a roadmap to one of the most exciting developments in the field of U.S. slavery studies and to ways of thinking about racial diversity in the history and current practices of higher education. Today I spoke with Leslie Harris about the book. Dr. Harris is a professor of history at Northwestern University. She is the coeditor, with Ira Berlin, of Slavery in New York and the coeditor, with Daina Ramey Berry, of Slavery and Freedom in Savannah (Georgia). Adam McNeil is a History PhD student at Rutgers University-New Brunswick. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Can care be enacted through art? Inside a cathedral, staff members from a nursing home work with an artist to perform a poetic text about caregiving, loss, and taking the time to feel one’s feelings. In the months leading up to the performance, the artist navigates her twenties—and art and life converge in unexpected ways. In Stages: On Dying, Working, and Feeling (Thick Press, 2020), Rachel Kauder Nalebuff has created a stirring work of hybrid nonfiction that takes us behind the scenes of artmaking and caregiving. Melding curiosity, humility, playfulness, and self-deprecation, Stages is an inquiry into the work it takes to sustain a meaningful life. Rachel Kauder Nalebuff is a writer working often in the realms of performance and oral history. She is editor of My Little Red Book (Hachette, 2009), a collection of people’s first period stories, and co-editor of The Feminist Utopia Project (Feminist Press, 2015) with Alexandra Brodsky. She runs a mentor program for seniors with Caitlin Ryan O’Connell and many friends throughout the New York City Department of Aging. Originally from the North Shore in Massachusetts, Toney Brown is a theater director/performer in New York City. He studied Theater Arts at the University of Massachusetts, Amherst. In NYC, was a Performance Project Fellow at the University Settlement and adapted Harmony Korine's A Crack Up at the Race Riots at Theater for a New City's Dream Up Festival. In addition, he was worked extensively with the director Dennis Yueh-yeh Li adapting King Lear, assistant directed Maeterlinck's The Blind, and performing in his production of Albert Camus' Caligula (Chaerea) as part of the New Ohio Theater's Producers Club Festival. When he is not podcasting on NBN, he hosts NYTF Radio, a podcast exploring the history of Yiddish Theatre for the National Yiddish Theatre Folksbiene, available on all platforms. He is an enthusiastic cinephile and avid Red Sox fan. 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 scientist, surgeon, and dean of the Stanford University School of Medicine, Dr. Lloyd B. Minor. Previously he served as provost and senior vice president for academic affairs at The Johns Hopkins University. With more than 140 published articles and chapters, Dr. Minor is an expert in balance and inner ear disorders. Our conversation covers innovative progress underway in replacing reactive medicine with precision and prevention. His new book, Discovering Precision Health: Predict, Prevent, and Cure to Advance Health and Well-Being (Wiley-Blackwell, 2020), takes us through this exciting and cutting edge work taking place at Stanford, and in Silicon Valley. 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

During this global pandemic, many of us will experience trauma, which the authors define as a severely stressful life-altering event. A traumatic event is like an earthquake, shattering an individual’s coherent world-view the way an earthquake can shatter the foundations of buildings. A traumatic event is undesirable in the extreme and significant enough to challenge “the basic assumptions about one’s future and how to move toward that future…such as the loss of loved ones, of cherished roles or capabilities, or of fundamental, accepted ways of understanding life.” Posttraumatic Growth: Theory, Research and Applications (Routledge, 2018), Richard G. Tedeschi and his colleagues (Jane Shakespeare-Finch, Kanako Taku and Lawrence G. Calhoun rework and overhaul the seminal 2006 Handbook of Posttraumatic Growth. It provides a wide range of answers to questions concerning knowledge of posttraumatic growth (PTG) theory, its synthesis and contrast with other theories and models, and its applications in diverse settings. The book starts with an overview of the history, components, and outcomes of PTG. Next, chapters review quantitative, qualitative, and cross-cultural research on PTG, including in relation to cognitive function, identity formation, cross-national and gender differences, and similarities and differences between adults and children. The final section shows readers how to facilitate optimal outcomes with PTG at the level of the individual, the group, the community, and society. Renee Garfinkel, Ph.D. is a Jerusalem-based psychologist, Middle East television commentator, and host of the Van Leer Series on Ideas with Renee Garfinkel Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Alzheimer's disease has not only profound medical consequences for the individual experiencing it but a life-changing impact on those around them. From the moment a person is suspected to be suffering from Alzheimer's or another form of dementia, the interactions they encounter progressively change. Baptiste Brossard's new book Forgetting Items: The Social Experience of Alzheimer’s Disease (Indiana University Press, 2019) focuses on that social experience of Alzheimer's, delineating the ways disease symptoms manifest and are understood through the interactions between patients and the people around them. Mapping out those interactions takes readers through the offices of geriatricians, into patients' narratives and interviews with caregivers, down the corridors of nursing homes, and into the discourses shaping public policies and media coverage. Revealing the everyday experience of Alzheimer's helps us better understand the depth of its impact and points us toward more knowledgeable, holistic ways to help treat the disease. In this interview, Dr. Brossard and I discuss the changing social role of individuals diagnosed with Alzheimers. Likewise, we discuss how credibility and deference are key components to the interactions between patients, caregivers, and physicians. I recommend this book for students, professors, and anyone else interested in medical sociology, health and illness, gerontology, and social psychology. Dr. Baptiste Brossard received his Ph.D. in sociology at the School for Advanced Studies in the Social Sciences (2011). His primary areas of research are mental health, sociological theory, qualitative methods and utopian studies. He is currently a Lecturer in the College of Arts and Social Sciences at Australian National University. Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Carlo Caduff’s The Pandemic Perhaps: Dramatic Events in a Public Culture of Danger (University of California Press, 2015) is an ethnographic inquiry into pandemic anxieties in the mid-2000s when such an event was widely anticipated by experts. Examining how experts in the United States framed a catastrophe that has not happened yet, the book trains a lens on the many generative ways in which the absence of a disease made preparedness a permanent project. Drawing on fieldwork among scientists and public health professionals in New York City, the book investigates how experts, government actors and institutions co-produced pandemic prophecies that were made meaningful to communities on the ground through the framework of catastrophe. Centered on the question how to engage a disease such as influenza in anticipation of potential crisis, this monograph analyses the infelicities of failure and the limits of planning. The pandemic - past, present and future – is arguably always with us, even in its absence. In this episode, we discuss the pandemic when it was a ‘perhaps’, unpack the blurring of reason and faith among expert interlocutors and draw out lessons on preparedness and its paradoxes for the present global coronavirus crisis. Carlo Caduff is a Reader in the Department of Social Science, Health and Medicine at King’s College, London. Faizah Zakaria is an assistant professor of history at Nanyang Technological University. Singapore. You can find her website here or on Twitter @laurelinarien Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

At the start of 2020 few of us would have recognized the face of the current director general of the World Health Organization. Three months later, and in the midst of the coronavirus pandemic he and other senior WHO officials appear on television and online almost daily, exhorting governments around the world to take urgent measures to stop the spread of the virus, advising them on how to do so, and coordinating efforts. To these exhortations governments in Southeast Asia, like their counterparts elsewhere, have a duty to respond. This duty they owe not only to their citizens and neighbours, but also to the international community of states, via a special regulatory regime that has emerged in part out of experiences fighting recent contagions in East and Southeast Asia. In Containing Contagion: The Politics of Disease Outbreaks in Southeast Asia (Johns Hopkins University Press, 2019), Sara E. Davies explains how and why a duty to contain contagion at the source or within borders became central to the contemporary politics of disease control. She tracks regulatory changes for the control of contagion worldwide in tandem with the emergence in the 1990s of a new regional regime to respond to disease outbreaks among the member states of the Association of Southeast Asian Nations. In ASEAN, she observes, agreement to combat contagious diseases rested on a shared understanding of contagion as a security threat that member states would have to combat in unison rather than apart. Notwithstanding the divergences in capacities and willingness to combat contagion among Southeast Asian states, securitization of disease outbreaks in the 2000s made member states better prepared, overall, to combat it. But it also carried risks of costs to civil liberties and democratic practices that, if anything, are even more pronounced today than they were a decade ago. Sara Davies joins us for a coronavirus pandemic special on New Books in Southeast Asian Studies to talk about health security and political sovereignty; the revised International Health Regulations; experiments with SARS and the avian influenza; surveillance of and reporting on contagious disease in Southeast Asia; democracy, transparency and trust in the wake of outbreaks; how endemic diseases risk being neglected and relatively unfunded in the wake of epidemics; and, the responses of China and Singapore to coronavirus, so far. Nick Cheesman is a Fellow in the College of Asia and the Pacific, Australian National University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

North America is in the grips of a drug epidemic; with the introduction of fentanyl, the chances of a fatal overdose are greater than ever, prompting many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. While deaths across the continent continue to climb, In Fighting for Space: How a Group of Drug Users Transformed One City’s Struggle with Addiction (Arsenal Pulp Press, 2018), Travis Lupick explains the concept of harm reduction as a crucial component of a city’s response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens. Over the past twenty-five years, this group of residents from Canada's poorest neighborhood organized themselves in response to the growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. The "genocide" in Vancouver finally sparked government action. Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience. Fighting for Space tells that story—including case studies in Ohio, Florida, New York, California, Massachusetts, and Washington state—with the same passionate fervor as the activists whose tireless work gave dignity to addicts and saved countless lives. Manuel Arredondo is a Clinical Social Worker and Public Health advocate in Oakland, CA. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

George Scialabba is a prolific critic and essayist known for his incisive, wide-ranging commentary on literature, philosophy, religion, and politics. He is also, like millions of others, a lifelong sufferer from clinical depression. In How To Be Depressed (University of Pennsylvania Press, 2020), Scialabba presents an edited selection of his mental health records spanning decades of treatment, framed by an introduction and an interview with renowned podcaster Christopher Lydon. The book also includes a wry and ruminative collection of "tips for the depressed," organized into something like a glossary of terms—among which are the names of numerous medications he has tried or researched over the years. Together, these texts form an unusual, searching, and poignant hybrid of essay and memoir, inviting readers into the hospital and the therapy office as Scialabba and his caregivers try to make sense of this baffling disease. In Scialabba's view, clinical depression amounts to an "utter waste." Unlike heart surgery or a broken leg, there is no relaxing convalescence and nothing to be learned (except, perhaps, who your friends are). It leaves you weakened and bewildered, unsure why you got sick or how you got well, praying that it never happens again but certain that it will. Scialabba documents his own struggles and draws from them insights that may prove useful to fellow-sufferers and general readers alike. In the place of dispensable banalities—"Hold on," "You will feel better," and so on—he offers an account of how it's been for him, in the hope that doing so might prove helpful to others. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Brain diseases are now the world's leading source of disability. The fastest growing of these is Parkinson's: the number of impacted patients has doubled to more than six million over the last twenty-five years and is projected to double again by 2040. Harmful pesticides that increase the risk of Parkinson's continue to proliferate, many people remain undiagnosed and untreated, research funding stagnates, and the most effective treatment is now a half century old. In Ending Parkinson's Disease: A Prescription for Action (Public Affairs, 2020), Ray Dorsey MD, Todd Sherer PhD, Michael S. Okun MD, and Bastiaan R. Bloem MD PhD provide a plan to help prevent Parkinson's, improve care and treatment, and end the silence associated with this devastating disease. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Psychiatry has always aimed to peer deep into the human mind, daring to cast light on its darkest corners and untangle its thorniest knots, often invoking the latest medical science in doing so. But, as Owen Whooley’s sweeping new book tells us, peering deep into the human mind is, well, really hard. On the Heels of Ignorance: Psychiatry and the Politics of Not Knowing (University Chicago Press, 2019) begins with psychiatry’s formal inception in the United States in the 1840s and moves through two centuries of constant struggle simply to define and redefine mental illness, to say nothing of the best way to treat it. Whooley’s book is no anti-psychiatric screed, however; instead, he reveals a field that has muddled through periodic reinventions and conflicting agendas of curiosity, compassion, and professional striving. On the Heels of Ignorance draws from intellectual history and the sociology of professions to portray an ongoing human effort to make sense of complex mental phenomena using an imperfect set of tools, with sometimes tragic results. In this interview, Dr. Whooley and I discuss the sociology of knowledge and ignorance that guide this book. We then discuss the changing identity of the field of psychiatry, how the DSM affected the legitimacy and perception of the discipline, and ways of managing ignorance. I highly recommend this book for students, professors, and anyone else interested in sociology of knowledge, health and illness and medical sociology, historical sociology, and mental health. Dr. Owen Whooley is an Associate Professor in the Department of Sociology at the University of New Mexico and Senior Fellow, UNM Center for Health Policy. Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Paradox is a sophisticated kind of magic trick. A magician's purpose is to create the appearance of impossibility, to pull a rabbit from an empty hat. Yet paradox doesn't require tangibles, like rabbits or hats. Paradox works in the abstract, with words and concepts and symbols, to create the illusion of contradiction. There are no contradictions in reality, but there can appear to be. In Sleight of Mind: 75 Ingenious Paradoxes in Mathematics, Physics, and Philosophy (MIT Press, 2020), Matt Cook and a few collaborators dive deeply into more than 75 paradoxes in mathematics, physics, philosophy, and the social sciences. As each paradox is discussed and resolved, Cook helps readers discover the meaning of knowledge and the proper formation of concepts―and how reason can dispel the illusion of contradiction. The journey begins with “a most ingenious paradox” from Gilbert and Sullivan's Pirates of Penzance. Readers will then travel from Ancient Greece to cutting-edge laboratories, encounter infinity and its different sizes, and discover mathematical impossibilities inherent in elections. They will tackle conundrums in probability, induction, geometry, and game theory; perform “supertasks”; build apparent perpetual motion machines; meet twins living in different millennia; explore the strange quantum world―and much more. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Why does an estimated 5% of the general population intentionally and repeatedly hurt themselves? What are the reasons certain people resort to self-injury as a way to manage their daily lives? In Why do We Hurt Ourselves? Understanding Self-Harm in Social Life (Indiana University Press, 2018), sociologist Baptiste Brossard draws on a five-year survey of self-injurers and suggests that the answers can be traced to social, more than personal, causes. Self-injury is not a matter of disturbed individuals resorting to hurting themselves in the face of individual weaknesses and difficulties. Rather, self-injury is the reaction of individuals to the tensions that compose, day after day, the tumultuousness of their social life and position. Self-harm is a practice that people use to self-control and maintain order—to calm down, or to avoid "going haywire" or "breaking everything." More broadly, through this research Brossard works to develop a perspective on the contemporary social world at large, exploring quests for self-control in modern Western societies. In this interview, Dr. Brossard and I discuss how he came to study self-injury, managing the stigma of self-injury, how people use online forums for community, the discrete nature of self-injury, and the role of gender. I recommend this book for people interested in mental health, stigma, deviant behavior, and qualitative methods. Dr. Baptiste Brossard, (@BaptistBrossard) a French sociologist, is a lecturer at the Australian National University. He received his PhD in sociology at the School for Advanced Studies in the Social Sciences (2011). His primary areas of research are mental health, sociological theory, qualitative methods and utopian studies. Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar. 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, Women Doctors in Weimar and Nazi Germany: Maternalism, Eugenics and Professional Identity (University of Toronto Press, 2019), Melissa Kravetz examines how German women physicians gained a foothold in the medical profession during the Weimar and Nazi periods, Women Doctors in Weimar and Nazi Germany reveals the continuity in rhetoric, strategy, and tactics of female doctors who worked under both regimes. Additionally, she explains how and why women occupied particular fields within the medical profession, how they presented themselves in their professional writing, and how they reconciled their medical perspectives with their views of the Weimar and later the Nazi state. Melissa Kravetz is an assistant professor of history at Longwood University. Craig Sorvillo is a PhD candidate in modern European history at the University of Florida. He specializes in Nazi Germany, and the Holocaust. He can be reached at [email protected] or on twitter @craig_sorvillo. 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 Travis Bell, Janelle Applequist, and Christian Dotson-Pierson to discuss their new book CTE, Media, and the NFL: Framing a Public Health Crisis as a Football Epidemic (Lexington Books, 2019). In our conversation, we discussed public misconceptions about Chronic Traumatic Encephalopathy, the media’s problematic connection of CTE with the NFL and concussions, and the league’s efforts to produce alternative histories of CTE. In CTE, Media, and the NFL, Bell, Applequist and Dotson-Pierson use media theory to unpack reporting on CTE. They explain the long history of Chronic Traumatic Encephalopathy, beginning with punch-drunk diagnosis among interwar boxers to the first female brain with confirmed CTE from a victim of domestic violence. Through a close reading of over seven hundred articles from six American newspapers, painstakingly coded for dozens of variables, they show how the media wrote about it. In these stories football plays a specific role in shaping American notions of masculinity, an athlete’s gender shapes reporting on their head injuries, and the celebrity framing the shape of the narrative. The authors use earlier studies of the HIV/AIDs crisis and Big Tobacco’s battle to obfuscate the link between smoking and cancer to better understand the dangers of CTE coverage. They argue that the media’s framing of CTE as a health crisis, and the onslaught of incomplete information about the disease, has led to an availability cascade of problematic or wrong information. Most notably – CTE is linked with concussions in the reporting but is caused by all kinds of head trauma. The NFL’s efforts to muddle the science of CTE proved less effective than Big Tobacco’s and now the league may be over-connected to CTE to the detriment of athletes in other sports, military veterans, and even victims of domestic abuse whose stories are largely ignored. 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

In her new book, Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession (Columbia University Press, 2020), Dr. Tania Jenkins engages readers in readers in a ethnography where she spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She found that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients. This social separation can be observed by looking at the social class of residents and practitioners; sponsorship; status beliefs, bias, and stigma; structural inequality among training programs; and differences in merit that result from these inequalities. The United States does not have enough doctors. Each year there are residency positions available for internationally trained and osteopathic medical graduates to fill as a result of there being too few American-trained MDs. These international and osteopathic medical graduates also outperform their American MD counterparts to have the same likelihood of getting a residency position. They, however, often end up in lower-prestige training programs while the American-trained MDs tend to occupy elite training positions. Some of the most prestigious programs are even fully segregated and accept exclusively U.S. medical graduates or non-U.S. medical graduates. Tania Jenkins, Ph.D. is an Assistant Professor at the University of North Carolina-Chapel Hill in the Department of Sociology. Michael O. Johnston, Ph.D. is an Assistant Professor of Sociology at William Penn University. He earned his doctoral degree in Public Policy and Public Administration from Walden University. He researches place and the process of place making as it presents in everyday social interactions. You can find more about him on his website, 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

What is the role of the ambulance in the American city? The prevailing narrative provides a rather simple answer: saving and transporting the critically ill and injured. This is not an incorrect description, but it is incomplete. Drawing on field observations, medical records, and his own experience as a novice emergency medical technician, sociologist Dr. Josh Seim reimagines paramedicine as a frontline institution for governing urban suffering. Bandage, Sort, and Hustle: Ambulance Crews on the Front Lines of Urban Suffering (University of California Press, 2020) argues that the ambulance is part of a fragmented regime that is focused more on neutralizing hardships (which are disproportionately carried by poor people and people of color) than on eradicating the root causes of agony. Whether by compressing lifeless chests on the streets or by transporting the publicly intoxicated into the hospital, ambulance crews tend to handle suffering bodies near the bottom of the polarized metropolis. Dr. Seim illustrates how this work puts crews in recurrent, and sometimes tense, contact with the emergency department nurses and police officers who share their clientele. These street-level relations, however, cannot be understood without considering the bureaucratic and capitalistic forces that control and coordinate ambulance labor from above. Beyond the ambulance, this book motivates a labor-centric model for understanding the frontline governance of down-and-out populations. In this interview, Dr. Seim and I discuss the idea of urban suffering, his in-depth, immersive ethnographic methods, how ambulance crews categorize and sort patients, and interactions between institutions like the police, hospitals, and ambulance crews. Bandage, Sort, Hustle is one of the best monographs I have read. Dr. Seim’s writing about his experience made the entire study more interesting to read because of his unique perspective as a sociologist on the front lines as an Emergency Medical Technician. I recommend this book for students, professors, and anyone else interested in labor, medical sociology, culture, ethnography, or urban sociology. Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Well: What We Need to Talk About When We Talk About Health (Oxford University Press, 2019), physician Sandro Galea examines what Americans miss when they fixate on healthcare: health. Americans spend more money on health than people anywhere else in the world. And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries, and these trends show no signs of letting up. The problem, Sandro Galea argues, is that Americans focus on the wrong things when they think about health. Our national understanding of what constitutes "being well" is centered on medicine — the lifestyles we adopt to stay healthy, and the insurance plans and prescriptions we fall back on when we're not. While all these things are important, they've not proven to be the difference between healthy and unhealthy on the large scale. Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America. Galea shows how the country's failing health is a product of American history and character — and how refocusing on our national health can usher enlightenment across American life and politics. Dr. Sandro Galea, MD is the Robert A. Knox professor and dean at the Boston University School of Public Health. He is the former Chair of Epidemiology at the Columbia University Mailman School of Public Health. Prior to his academic career in public health, Dr. Galea practiced emergency medicine in Canada and served in Somalia with Doctors Without Borders. He was named one of TIME magazine's epidemiology innovators in 2006 and Thomson Reuters listed him as one of the “World's Most Influential Scientific Minds” for the social sciences in 2015. Manuel Arredondo, LCSW, MPH is a clinical social worker and public health advocate in Oakland, CA. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How does the world of book reviews work? In Inside the Critics’ Circle: Book Reviewing in Uncertain Times (Princeton University Press, 2020), Phillipa Chong, assistant professor in sociology at McMaster University, provides a unique sociological analysis of how critics confront the different types of uncertainty associated with their practice. The book explores how reviewers get matched to books, the ethics and etiquette of negative reviews and ‘punching up’, along with professional identities and the future of criticism. The book is packed with interview material, coupled with accessible and easy to follow theoretical interventions, creating a text that will be of interest to social sciences, humanities, and general readers alike. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In Medical Necessity: Health Care Access and the Politics of Decision Making (University of Minnesota Press, 2019), Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives. From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity. Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept. Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A Peoples History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

If you live in America, chances are good you’ve heard the term “mental health crisis” bandied about in the media. While true that anxiety, depression, and other mood disorders seem to be on the rise—especially among young people—resources for addressing them remain scarce and stigmatized, and the conditions themselves remain poorly understood. Even doctors and scientists don’t have all the answers. For example, is the development of a mood disorder the product of nature or nurture? Why are more women diagnosed with anxiety and depression than men? And in an industry that pathologizes everything from anger to arrogance, what actually constitutes “normal” human behavior? In her debut book of nonfiction, Quite Mad: An American Pharma Memoir (Mad Creek Books, 2018), author Sarah Fawn Montgomery explores these questions using both her own experiences and research as dual lenses to understanding mental illness, especially generalized anxiety disorder. From the fraught history of mental illness, to the fascinating science of how anti-depressants work, to a sharp examination of dubious practices within the American pharmaceutical industry, Montgomery takes the reader on a journey into the reality of mental health in the United States from a patient’s perspective, shining a much-needed light on a topic so often shrouded in stigma. Zoë Bossiere is a doctoral student at Ohio University, where she studies creative nonfiction and teaches writing classes. For more NBn interviews, follow her on Twitter @zoebossiere or head to zoebossiere.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Cryonics―also known as cryopreservation or cryosuspension―is the preservation of legally dead individuals at ultra-low temperatures. Those who undergo this procedure hope that future technology will not only succeed in reviving them, but also cure them of the condition that led to their demise. In this sense, some hope that cryopreservation will allow people to continue living indefinitely. Francesca Minerva's The Ethics of Cryonics: Is It Immoral to be Immortal (Palgrave Pivot, 2018) discusses the moral concerns of cryonics, both as a medical procedure and as an intermediate step toward life extension. In particular, Minerva analyses the moral issues surrounding cryonics-related techniques (including the hypothetical cryosuspension of fetuses as an alternative to abortion) by focusing on how they might impact the individuals who undergo cryosuspension, as well as society at large. John Danaher is a lecturer the National University of Ireland, Galway. He is also the host of the wonderful podcast Philosophical Disquisitions. You can find it here on Apple Podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

It seems unthinkable that citizens of one of the most powerful nations in the world must risk their lives and livelihoods in the search for access to necessary health care. And yet it is no surprise that in many places throughout the United States, getting an abortion can be a monumental challenge. Anti-choice politicians and activists have worked tirelessly to impose needless restrictions on this straightforward medical procedure that, at best, delay it and, at worst, create medical risks and deny women their constitutionally protected right to choose. Obstacle Course: The Everyday Struggle to Get an Abortion in America (University of California Press, 2020) tells the story of abortion in America, capturing a disturbing reality of insurmountable barriers people face when trying to exercise their legal rights to medical services. Authors David S. Cohen and Carole Joffe lay bare the often arduous and unnecessarily burdensome process of terminating a pregnancy: the sabotaged decision-making, clinics in remote locations, insurance bans, harassing protesters, forced ultrasounds and dishonest medical information, arbitrary waiting periods, and unjustified procedure limitations. Based on patients’ stories as well as interviews with abortion providers and allies from every state in the country, Obstacle Course reveals the unstoppable determination required of women in the pursuit of reproductive autonomy as well as the incredible commitment of abortion providers. Without the efforts of an unheralded army of medical professionals, clinic administrators, counselors, activists, and volunteers, what is a legal right would be meaningless for the almost one million people per year who get abortions. There is a better way—treating abortion like any other form of health care—but the United States is a long way from that ideal. Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A People’s History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Attending: Medicine, Mindfulness, and Humanity (Scribner, 2017) is the first book about mindfulness and medical practice written for patients, their families, and for doctors and others providing health care. It is a groundbreaking, intimate exploration of how doctors approach their work with patients. From his early days as a Harvard Medical School student, Ronald Epstein saw what makes good doctors great, how they deliver more accurate diagnoses, make fewer errors, and build stronger connections with their patients. This set the stage for his life's work—identifying the qualities and habits that distinguish master clinicians from those who are merely competent. The secret, he learned, was mindfulness. Drawing on his clinical experiences and current research, Dr. Epstein explores four foundations of mindfulness — Attending, Curiosity, Beginner's Mind, and Being Present — and shows how clinicians can grow their capacity to provide high-quality care. In today's commodified health care system, with physician burnout at an all-time high, Dr. Epstein offers a model for doctors, patients, and their families on how to approach medical decisions mindfully and collaborate to achieve the best level of care for everyone. Dr. Ronald Epstein is a practicing family physician and professor of family medicine, psychiatry, and oncology at the University of Rochester School of Medicine and Dentistry, where he directs the Center for Communication and Disparities Research. He is an internationally recognized educator, writer, and researcher whose landmark article, “Mindful Practice,” published in the Journal of the American Medical Association in 1999, has revolutionized physicians’ view of their work. Dr. Epstein has been named one of America’s Best Doctors every year since 1998 by U.S. News & World Report. 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. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

If you’re a grad student facing the ugly reality of finding a tenure-track job, you could easily be forgiven for thinking about a career change. However, if you’ve spent the last several years working on a PhD, or if you’re a faculty member whose career has basically consisted of higher ed, switching isn’t so easy. PhD holders are mostly trained to work as professors, and making easy connections to other careers is no mean feat. Because the people you know were generally trained to do the same sorts of things, an easy source of advice might not be there for you. Thankfully, for anybody who wishes there was a guidebook that would just break all of this down, that book has now been written. Going Alt-Ac: A Guide to Alternative Academic Careers (Stylus Publishing, 2020) by Kathryn E. Linder, Kevin Kelly, and Thomas J. Tobin offers practical advice and step-by-step instructions on how to decide if you want to leave behind academia and how to start searching for a new career. If a lot of career advice is too vague or too ambiguous, this book corrects that by outlining not just how to figure out what you might want to do, but critically, how you might go about accomplishing that. Zeb Larson is a recent graduate of The Ohio State University with a PhD in History. His research deals with the anti-apartheid movement in the United States. To suggest a recent title or to contact him, please send an e-mail to [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

For years, drug overdose was unmentionable in polite society. OD was understood to be something that took place in dark alleys―an ugly death awaiting social deviants―neither scientifically nor clinically interesting. But over the last several years, overdose prevention has become the unlikely object of a social movement, powered by the miracle drug naloxone. In OD: Naloxone and the Politics of Overdose (MIT Press, 2020), Nancy D. Campbell charts the emergence of naloxone as a technological fix for overdose and describes the remaking of overdose into an experience recognized as common, predictable, patterned―and, above all, preventable. Naloxone, which made resuscitation, rescue, and “reversal” after an overdose possible, became a tool for shifting law, policy, clinical medicine, and science toward harm reduction. Liberated from emergency room protocols and distributed in take-home kits to non-medical professionals, it also became a tool of empowerment. After recounting the prehistory of naloxone―the early treatment of OD as a problem of poisoning, the development of nalorphine (naloxone's predecessor), the idea of “reanimatology”―Campbell describes how naloxone emerged as a tool of harm reduction. She reports on naloxone use in far-flung locations that include post-Thatcherite Britain, rural New Mexico, and cities and towns in Massachusetts. Drawing on interviews with approximately sixty advocates, drug users, former users, friends, families, witnesses, clinicians, and scientists―whom she calls the “protagonists” of her story―Campbell tells a story of saving lives amid the complex, difficult conditions of an unfolding unnatural disaster. Dr. Dorian Deshauer is a psychiatrist, historian, and assistant professor at the University of Toronto. He is associate editor for the Canadian Medical Association Journal, Canada’s leading peer-reviewed general medical journal and is one of the hosts of CMAJ Podcasts, a medical podcast for doctors and researchers. 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’m speaking with author Christina Adams, and Adams has something of a surprising muse: camels. That’s right, camels. One hump, two humps, crossing the Egyptian desert or the Siberian tundra. Adams’ muse is surprising, because she lives, like many of us, in North America—Orange County, California, to be exact. That’s not the place where you’d expect someone to develop a deep fascination and a deep respect for camels. And yet this improbability makes Adams’ new book Camel Crazy (New World Library, 2019) all the more intriguing, as she becomes, by turns, a smuggler, an activist, a scientist, a world traveler, and, in the end, an advocate, not just for camels, but for our public health, our environment, and for her son. He’s a child on the autistic spectrum, and Adam’s love for him becomes a beautiful and passionate engine that ultimately leads her to start a movement that may just transform how we see camels and how we see and treat autism. 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

Dementia provokes profound moral questions about our society and the meaning of life itself. How much are we connected to one another? In what ways are we distant and separated? What does it mean to have a self? How can we offer dignity to those who suffer from Alzheimer's and other forms of this terrible disease? Worldwide around 50 million people have dementia. The US Centers for Disease Control estimates that the U.S. total is more than five million. The numbers are growing with the aging of the population. The incidence of Alzheimers increased more than 50% in the past 15 years. People over the age of 85 are the largest growing share of the population. British journalist and author Nicci Gerrard is our guest. Her father's long struggle with dementia led Gerrard to investigate what the disease does to those who live with it and to their caregivers. She writes with deep wisdom, kindness and empathy in her new book, The Last Ocean A Journey Through Memory and Forgetting (Penguin, 2019). In modern, developed nations, "we so value being young, healthy, vigorous, successful, purposeful, and autonomous," says Nicci. "In dementia all these things gradually unravel." Following her father's death in 2014, Gerrard cofounded John's Campaign, which seeks to make care more compassionate for those who are vulnerable and powerless. In this episode, we discuss her journey, what's she learned, and ways to improve dementia care, including the need for open an unrestricted visiting hours at hospitals-- still a controversial topic-- and dementia villages, a fairly new way to help people with memory loss improve quality of life. Richard Davies and Jim Meigs are the host of the terrific podcast “How Do We Fix It?,” on which they talk to the world’s most creative thinkers about, well, how to fix things. Lots of things. Important ones. Highly recommended. You can find “How Do We Fix It” on Apple Podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

International organizations throw up several obstacles—their immense scale, their dry bureaucratic language—to the historian trying to piece together their past. In her book, The Colonial Politics of Global Health: France and the United Nations in Postwar Africa (Harvard University Press, 2018), Jessica Lynne Pearson steers clear of these obstacles and tells a captivating and consequential story about the relationship between global governance and empires. And that is no small feat. The Colonial Politics of Global Health recounts France’s collision with the UN and World Health Organization in the immediate post-World War II years. She shows how French colonial administrators and doctors resisted organizations devoted to “global health,” fearing that they would would ramp up anticolonialism and eventually help detach colonial territories from the metropole. She also shows how that resistance has left legacies that continue to affect Sub-Saharan Africa to this day. The book should interest historians of empire, health and medicine, and global governance. Dexter Fergie is a PhD student of US and global history at Northwestern University. He is currently researching the 20th century geopolitical history of information and communications networks. He can be reached by email at [email protected] or on Twitter @DexterFergie. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How did the modern, American body come into being? According to Rachel Louise Moran this is a story to be told through the lens of the advisory state. In her book, Governing Bodies: American Politics and the Shaping of the Modern Physique (University of Pennsylvania Press, 2018), she tracks the emergence of the American advisory state -- a key analytic introduced and developed by the author in this book -- and draws attention to polyvalence of bodies as both instruments and objects of public policy. Presenting a series of “body projects” which were pursued both formally and informally by the US federal state, Moran makes a case for the persistent political uses of physique throughout more than a century. In this manner, the author manages to tell a story not only of state expansion and citizenship, but also of gender roles, heteronormativity, standards of normality, and weight. This book, therefore, will be of great interest not only to US historians but also scholars interested in the medicalization of the body, gender and sexuality, childhood development, public health, and fat 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 aftermath of Prohibition, America’s top scientists joined forces with members of a new group, called Alcoholics Anonymous, and put their clout behind a campaign to convince the nation that alcoholism was a disease rather than a moral failing. Their campaign spanned decades, and from it grew a multimillion-dollar treatment industry that actively promoted AA groups and the Twelve Steps as the primary way to deal with problem drinking. In our conversation about his new book US of AA: How the Twelve Steps Hijacked the Science of Alcoholism (Chicago Review Press, 2019), author Joe Miller discusses the history of AA, the biggest names behind the group, and how alcoholism has been defined, and treated, over the decades. 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

Dr. Babette Becker’s memoir I Should Have Been Music (Page Publishing, 2018) recounts her experience as a patient in four different mental hospitals from 1957 to 1960. It was a time when little was known about mental illness, except the shame and horror of it, and nothing was known about early childhood trauma. Passed from hospital to hospital carrying several severe classic diagnostic labels, she narrowly missed being sent to a State hospital where, if not for luck, she might have been incarcerated for the rest her life. The memoir follows her progress through these hospitals as well as the progress from psychosis to functioning adult. Along with her memories and journal entries from her time in the hospitals the book includes doctors' reports from each of the hospitals. These primary source materials reveal the stark contrast between the doctors' portrayal and the reality of Dr. Becker’s experience. Christopher Russell is a psychoanalyst in private practice in Chelsea, Manhattan. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

From its crude and uneasy beginnings thirty years ago, Chinese sperm banking has become a routine part of China’s pervasive and restrictive reproductive complex. Today, there are sperm banks in each of China’s twenty-two provinces, the biggest of which screen some three thousand to four thousand potential donors each year. Given the estimated one to two million azoospermic men--those who are unable to produce their own sperm--the demand remains insatiable. China’s twenty-two sperm banks cannot keep up, spurring sperm bank directors to publicly lament chronic shortages and even warn of a national ‘sperm crisis’ (jingzi weiji). Ayo Wahlberg book Good Quality: The Routinization of Sperm Banking in China (U California Press, 2018) explores the issues behind the crisis, including declining sperm quality in the country due to environmental pollution, as well as a chronic national shortage of donors. In doing so, Wahlberg outlines the specific style of Chinese sperm banking that has emerged, shaped by the particular cultural, juridical, economic and social configurations that make up China’s restrictive reproductive complex. Good Quality shows how this high-throughput style shapes the ways in which men experience donation and how sperm is made available to couples who can afford it. 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

Disease is a social issue and not just a medical one. This is the central tenet underlying The Kiss of Death: Contagion, Contamination, and Folklore (Utah State University Press 2019) by Andrea Kitta, Associate Professor in the English department at East Carolina University, examines the discourses and metaphors of contagion and contamination in vernacular beliefs and practices across a number of media and forms. Using ethnographic, media, and narrative analysis, chapters discuss the changing representations of vampires and zombies in popular culture, the online discussions of Slenderman in relation to adolescent experiences of bullying, the misogyny embedded in legends about kisses that kill, and the racialized nature of patient-zero narratives that surrounding the spread of things like ebola, and the ways in which the HPV vaccine to homophobia. Issues like tellability and the stigmatized vernacular loom large throughout. Although folklorists will already recognize the social importance of vernacular narrative and belief, The Kiss of Death also shows how medical professionals have often failed to take vernacular forms into account. Through attention to narrative and vernacular belief, folklorists can model new forms of engaging with public health professionals and local communities. Timothy Thurston is Lecturer in Chinese Studies at the University of Leeds. His research examines language at the nexus of tradition and modernity in China’s Tibet. 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 distinguished researcher and statistician, Sir David Spiegelhalter. A fellow of the Royal Society, he is currently Chair of the Winton Centre for Risk and Evidence Communication at the University of Cambridge. He has dedicated his career, in his words to, “improving the way that quantitative evidence is used in society.” This includes (of particular interest to us) biostatistics and medical research. David is an ISI highly cited researcher who has also focused much of his time and energy to public education through numerous media appearances, documentaries such as his recent BBC series geared towards children, and books such as the one we are discussing today. That book, The Art of Statistics: How to Learn from Data, was published in the UK by Penguin in March, 2019 and recently released here in the US by Basic Books in September 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

In Rethinking Human Enhancement: Social Enhancement and Emergent Technologies (Palgrave Macmillan, 2014), Laura Cabrera discusses three possible human enhancement paradigms and explores how each involves different values, uses of technology, and different degrees and kinds of ethical concerns. A new framework is advanced that promotes technological innovation that serves the improvement of the human condition in a respectful and sustainable way. John Danaher is a lecturer the National University of Ireland, Galway. He is also the host of the wonderful podcast Philosophical Disquisitions. You can find it here on Apple Podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In this interview, Prof. Emilia Nielsen discusses the problem of the usual breast cancer narrative. She says that the happy stories of breast cancer survivors are so common that any other types of narrative almost require an apology. Emilia Nielsen is an assistant professor of arts, medicine and healing at York University’s Health & Society Program, Department of Social Science. She is the author of the scholarly text Disrupting Breast Cancer Narratives: Stories of Rage and Repair (University of Toronto Press, 2019) as well as two collections of poetry, Body Work and Surge Narrows. Dr. Dorian Deshauer is a psychiatrist, historian, and assistant professor at the University of Toronto. He is associate editor for the Canadian Medical Association Journal, Canada’s leading peer-reviewed general medical journal and is one of the hosts of CMAJ Podcasts, a medical podcast for doctors and researchers. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

All wars, in a practical sense, center on the destruction of the human body, and in Bodies in Blue: Disability in the Civil War North (University of Georgia Press, 2019), Sarah Handley-Cousins, a clinical assistant professor at the University at Buffalo, shows how disability was a necessary by-product of the U.S. Civil War. Handley-Cousins argues that disability in the Civil War North extended far past amputations and highlights how wartime disability ranged from the temporary to the chronic, from disease to injury, and encompassed both physical and mental conditions. In Bodies in Blue, Handley-Cousins documents how the realities of living with a disability were at odds with the expectations of manhood. As a result, men who failed to perform the role of wounded warrior could be scrutinized for failing to live up to the ideal of martial masculinity. Importantly, Handley-Cousins challenges scholars to think about Civil War historiography in new ways. More specifically, by examining the lasting mental health implications of the conflict, Handley-Cousins forces us to face how soldiers had to reckon with the Civil War for the rest of their lives. Chris Babits is an Andrew W. Mellon Engaged Scholar Initiative Postdoctoral Fellow at the University of Texas at Austin. He researches the intersecting histories of medicine, religion, and gender and sexuality and is currently working on his book manuscript about the history of conversion therapy in the United States. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine