New Books in 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

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

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

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

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

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

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

“We cannot get answers to questions that cannot be asked.” Lundy Braun’s influential book, Breathing Race into the Machine: The Surprising Career of the Spirometer from Plantation to Genetics (University of Minnesota Press, 2014) documents the history and present-day use of an everyday medical instrument, the spirometer, which measures a person’s lung capacity. The instrument has a long history, but since the 1970s, this common medical device has been built with a switch that forces users to choose: are these the lungs of a person who is Black or a person who is White? In its materiality, the instrument forces racialized and individualized answers to the question: What explains human variation? In doing so, the people who have imagined, built, and refined the instrument have foreclosed structural, political explanations of human difference—and in doing so, foreclosed the possibility of holding governments and corporations accountable, including in recent workers’ compensation lawsuits. Lundy Braun tells the long history of this instrument as it passed between “knowledge networks” in the United Kingdom, United States, and South Africa within the contexts of medicine, law, and education. Admirably, Braun documents how and in what terms experts (unsuccessfully) questioned the spirometer’s epistemic authority and its racialization, as well as how experts partnered with social justice groups to use the spirometer for liberatory ends. The book emphasizes the contexts of war and industrial labor, the importance of standardization, and, above all, the role of the spirometer in creating and maintaining the “white norm” in the body. Lundy Braun is Professor of Medical Science in Pathology and Professor of Africana Studies at Brown University. The interview was conducted collaboratively by Laura Stark [insert www.laura-stark.com] and students in her Vanderbilt seminar, History of Global Health: Omar Amir, Maggie Cox, Bryce Bailey, Donald Fitzgerald, Ashley Hunter, Jillian Jackson, Rohit Kamath, Zoe Mulraine, Liu Lanxi, Madison Noall, Catie O’Reilly, Isabella Schaffer, Katie Swift, Charlotte Whitfield, and Allie Yan. For ideas and resources to use NBN interviews in your classes, please email Laura Stark at [email protected] or see Stark’s essay “Can New Media Save the Book?” in Contexts (2015). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

They were throwing garbage in the streets. Rosalind Fredericks makes sense of the garbage-scape of Dakar, Senegal in the wake of the 2007 trash “revolts” against the city and country’s uneven and failing garbage infrastructure—and puts into readers’ senses the smelly, sticky, full-sensory politics of waste management in the Global South. Garbage Citizenship: Vital Infrastructures of Labor in Dakar, Senegal (Duke University Press, 2018) brings together studies of infrastructure with scholarship on labor to make a case for understanding, not infrastructure and labor, but laboring bodies as infrastructure. The book breaths fresh life into the moribund concept of neoliberalism to show how civic care, like household care, fell unevenly in Dakar on the bodies of women, youths, and economically precarious workers. Their bodies carried the scars, as well as the stigma, of governments’ piecemeal moves over three decades to keep the labor force that was managing waste both flexible and disposable—at times devolving responsibility onto individuals and informal sectors in the name of modernity, community, and Islamic piety. Garbage Citizenship is based on Fredericks’ political ethnography of Senegal and the book includes vivid, beautiful photos of people, machines, and garbage laboring together—and, at times, collaborating in their refusal to be governed. (Just check out the cover image!) With workers always in mind, Fredericks makes space for hope, tells us where she is working now, and, in this generous interview, suggests how we can give breathing room to social justice, too. Fredericks is Associate Professor of Geography and Development Studies at New York University. The interview was conducted collaboratively by Laura Stark and students in her Vanderbilt seminar, History of Global Health: Emma Dahill, Savannah Larkin, Andrew Medland, Hailey Silver, Jesse Pullen, Gavin Yuan and Claudia Vial. For ideas and resources on how to include the New Books Network in your classroom, feel free to email Laura Stark at [email protected] or see Stark’s essay “Can New Media Save the Book?” in Contexts (2015). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

There are few areas of modern life that are burdened by as much information and advice, often contradictory, as our diet and health: eat a lot of meat, eat no meat; whole-grains are healthy, whole-grains are a disaster; eat everything in moderation; eat only certain foods--and on and on. In 100 Million Years of Food: What Our Ancestors Ate and Why It Matters Today (Picador, 2016), biological anthropologist Stephen Le explains how cuisines of different cultures are a result of centuries of evolution, finely tuned to our biology and surroundings. Today many cultures have strayed from their ancestral diets, relying instead on mass-produced food often made with chemicals that may be contributing to a rise in so-called "Western diseases," such as cancer, heart disease, and obesity. Travelling around the world to places as far-flung as Vietnam, Kenya, India, and the US, Stephen Le introduces us to people who are growing, cooking, and eating food using both traditional and modern methods, striving for a sustainable, healthy diet. In clear, compelling arguments based on scientific research, Le contends that our ancestral diets provide the best first line of defense in protecting our health and providing a balanced diet. Fast-food diets, as well as strict regimens like paleo or vegan, in effect highjack our biology and ignore the complex nature of our bodies. In 100 Million Years of Food Le takes us on a guided tour of evolution, demonstrating how our diets are the result of millions of years of history, and how we can return to a sustainable, healthier way of eating. Aven McMaster and Mark Sundaram are historians and the hosts of the excellent podcast The Endless Knot. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

We’ve all heard that a picture is worth a thousand words, but what if we don’t understand what we’re looking at? Social media has made charts, infographics, and diagrams ubiquitous―and easier to share than ever. We associate charts with science and reason; the flashy visuals are both appealing and persuasive. Pie charts, maps, bar and line graphs, and scatter plots (to name a few) can better inform us, revealing patterns and trends hidden behind the numbers we encounter in our lives. In short, good charts make us smarter―if we know how to read them. However, they can also lead us astray. Charts lie in a variety of ways―displaying incomplete or inaccurate data, suggesting misleading patterns, and concealing uncertainty―or are frequently misunderstood, such as the confusing cone of uncertainty maps shown on TV every hurricane season. To make matters worse, many of us are ill-equipped to interpret the visuals that politicians, journalists, advertisers, and even our employers present each day, enabling bad actors to easily manipulate them to promote their own agendas. In How Charts Lie: Getting Smarter about Visual Information (W. W. Norton, 2019), data visualization expert Alberto Cairo teaches us to not only spot the lies in deceptive visuals, but also to take advantage of good ones to understand complex stories. Public conversations are increasingly propelled by numbers, and to make sense of them we must be able to decode and use visual information. By examining contemporary examples ranging from election-result infographics to global GDP maps and box-office record charts, How Charts Lie demystifies an essential new literacy, one that will make us better equipped to navigate our data-driven world. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The idea of “backwardness” often plagues historical writing on Russia. In Russia in the Time of Cholera: Disease under Romanovs and Soviets (Bloomsbury Academic, 2018), Dr. John P. Davis counteracts this “backwardness” paradigm, arguing that from the early 19th to the early 20th centuries, Russian medical researchers—along with their counterparts in France and Germany—were at the forefront of the struggle against cholera. Davis’ birds-eye view of this hundred-year period illustrates that the conditions allowing cholera to flourish were the same set of conditions that helped create the collapse of the tsarist regime during the First World War. Credit for elimination of cholera must go to the Bolsheviks, both for implementing tsarist-era medical theory, and especially for making war on cholera in a organized, systematic manner that the old regime was variously unable or unwilling to achieve. Aaron Weinacht is Professor of History at the University of Montana Western, in Dillon, MT. He teaches courses on Russian and Soviet History, World History, and Philosophy of History. His research interests include the sociological theorist Philip Rieff and the influence of Russian nihilism on American libertarianism. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

A funny thing happened to historian Michael Vann* on the way to his PhD thesis. While he was doing his research on French colonialism and the urbanist project in Hanoi, he came across an intriguing dossier: “Destruction of animals in the city”. The documents he found started him on a research path that led to a section of his dissertation, then an article that gained a wide academic and non-academic readership, and now The Great Hanoi Rat Hunt: Empire, Disease, and Modernity in French Colonial Vietnam (Oxford UP, 2018). But this isn’t your typical historical monograph. One of the latest volumes in Oxford University Press’s Graphic History Series, The Great Hanoi Rat Hunt (with illustrations by Liz Clarke), explores the history of modernization, urbanization, and the spread of epidemic disease in the era of “New Imperialism” in an exciting and highly engaging format. The remaking of Hanoi as a capital of French empire from the end of the nineteenth century had unintended consequences. In the state-of-the-art sewers of the French/white areas of the city, rats found the perfect home. Then came the Third plague pandemic, the disease that travelled with rats and moved from one site to another around the globe…on railroads, ships, the growing networks of trade and empire. The Great Hanoi Rat Hunt mobilizes years of research about this episode in the city’s history, illustrating (literally!) the inherent contradictions of imperialism, and the complexities of domination and resistance in a colonial context. Framed as an undergraduate lecture that features the author as a character throughout the narrative, the book is set up with teaching in mind. In addition to the fascinating story of the rat hunt itself (and all the twists and turns involved), the volume includes a rich selection of primary sources and a series of contextual essays that will allow students to explore this history in a range of productive ways. An accessible book that is at once serious and fun, The Great Hanoi Rat Hunt was such a pleasure to read and to talk about. I hope listeners will enjoy my conversation with Mike as much as I did! *Mike is also a host on New Books in History! Be sure to check out his interviews here on the network. Roxanne Panchasi is an Associate Professor of History at Simon Fraser University in Vancouver, Canada who specializes in twentieth and twenty-first century France and its empire. She is the author of Future Tense: The Culture of Anticipation in France Between the Wars (2009). Her current research focuses on the history of French nuclear weapons and testing since 1945. Her most recent article, '"No Hiroshima in Africa": The Algerian War and the Question of French Nuclear Tests in the Sahara' appeared in the Spring 2019 issue of History of the Present. She lives and reads in Vancouver, Canada. If you have a recent title to suggest for the podcast, please send her an email ([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

Dr. Wendy Gonaver discusses her book, The Peculiar Institution and the Making of Modern Psychiatry, 1840-1880 (University of North Carolina Press, 2019), the Eastern Lunatic Asylum in Virginia, and the roles that race, the institution of slavery, and slave labor played in the development of psychiatric diagnosis and care through the nineteenth century and beyond. Though the origins of asylums can be traced to Europe, the systematic segregation of the mentally ill into specialized institutions occurred in the United States only after 1800, just as the struggle to end slavery took hold. In this book, Wendy Gonaver examines the relationship between these two historical developments, showing how slavery and ideas about race shaped early mental health treatment in the United States, especially in the South. She reveals these connections through the histories of two asylums in Virginia: the Eastern Lunatic Asylum in Williamsburg, the first in the nation; and the Central Lunatic Asylum in Petersburg, the first created specifically for African Americans. Eastern Lunatic Asylum was the only institution to accept both slaves and free blacks as patients and to employ slaves as attendants. Drawing from these institutions' untapped archives, Gonaver reveals how slavery influenced ideas about patient liberty, about the proper relationship between caregiver and patient, about what constituted healthy religious belief and unhealthy fanaticism, and about gender. This early form of psychiatric care acted as a precursor to public health policy for generations, and Gonaver's book fills an important gap in the historiography of mental health and race in the nineteenth century. Beth A. English is director of the Liechtenstein Institute's Project on Gender in the Global Community at Princeton University. She also is a past president of the Southern Labor History Association. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Both colonies and insane asylums are well known institutions of power. But what of asylums in Europe’s early 20th-century colonial empires? How did they operate? Who was confined in them? Who worked there? What was daily life like in such an institution? How did Western medical experts and the colonized population understand mental illness and its treatment? How did colonial racism impact mental illness? In this episode we chat with Claire Edington, Assistant Professor of History at the University of California, San Diego, about her new book of Beyond the Asylum: Mental Illness in French Colonial Vietnam (Cornell University Press, 2019). Beyond the Asylum draws from extensive archival research in Vietnam and France. A gifted writer, Edington is particularly good at presenting the life stories of patients, doctors, and workers drawn into French Indochina’s mental health system. She also looks at the families of patients and the Vietnamese language popular press, as they tried to make sense of troubling issues around mental health, including how the French colonizers understood and treated psychological afflictions. More than a history of the asylum as an institution, Edington uses mental health care facilities as a prism to explore crucial transformations of Vietnamese society in the era of high imperialism. This wide-ranging conversation will be of interest to listeners interested in Vietnam and Southeast Asia, imperialism, French history, and the study and treatment of mental illness. The book is an excellent complement to the increasingly rich historiography of colonial Vietnam. Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

As you may know, university presses publish a lot of good books. In fact, they publish thousands of them every year. They are different from most trade books in that most of them are what you might called "fundamental research." Their authors--dedicated researchers one and all--provide the scholarly stuff upon which many non-fiction trade books are based. So when you are reading, say, a popular history, you are often reading UP books at one remove. Of course, some UP books are also bestsellers, and they are all well written (and, I should say, thoroughly vetted thanks to the peer review system), but the greatest contribution of UPs is to provide a base of fundamental research to the public. And they do a great job of it. How do they do it? Today I talked to Kathryn Conrad, the president of the Association of University Presses, about the work of UPs, the challenges they face, and some terrific new directions they are going. We also talked about why, if you have a scholarly book in progress, you should talk to UP editors early and often. And she explains how! Listen in. Marshall Poe is the editor of the New Books Network. 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

The things that make people academics -- as deep fascination with some arcane subject, often bordering on obsession, and a comfort with the solitude that developing expertise requires -- do not necessarily make us good teachers. Jessamyn Neuhaus’s Geeky Pedagogy: A Guide for Intellectuals, Introverts, and Nerds Who Want to Be Effective Teachers (West Virginia University Press, 2019) helps us to identify and embrace that geekiness in us and then offers practical, step-by-step guidelines for how to turn it to effective pedagogy. It’s a sharp, slim, and entertaining volume that can make better teachers of us all. 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

Theodore Dalrymple is a retired physician in Great Britain, who has written an account of his year’s-worth of reading the New England Journal of Medicine. In his new book False Positive: A Year of Error, Omission, and Political Correctness in the New England Journal of Medicine (Encounter Books, 2019), he recounts each week’s new edition of the Journal with an eye toward analytical errors and a culture of political correctness in regard to the handling of medical and public health issues. Dalrymple notes how the medical community must put a significant degree of faith in the reliability of such publications, especially due to the scarcity of time that most practicing physicians have to dedicate to scrutinizing articles. But he warns that some publications often contain basic mistakes, such as the failure to understand that correlation is not causation. He is also concerned with the prevalence of political correctness concerning health issues and how they can affect the public’s understanding of these issues. Ian J. Drake is an Associate Professor of Political Science and Law at Montclair State University. His scholarly interests include American legal and constitutional history and political theory. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Behind every landmark drug is a story. It could be a researcher’s genius insight, a catalyzing moment in geopolitical history, a new breakthrough technology, or an unexpected but welcome side effect discovered during clinical trials. In his new book, Ten Drugs: How Plants, Powders, and Pills Have Shaped the History of Medicine (Harry N. Abrams, 2019), Thomas Hager traces the “mini-biographies” of ten drugs and drug treatments that have shaped the course of human history, showing how serendipity and sheer luck have transformed drug development. In our conversation, Hager discusses the astounding number of prescriptions Americans take, why the profit motive is dangerous for drug development, and the unexpected historical twists that have changed medicine, often for the better. 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

Today's guest is David Sinclair, professor of genetics at Harvard Medical School and co-director of the Paul Glenn Center Biological Mechanisms of Aging. He is widely considered on the world's foremost experts on longevity research. A co-founder of the journal Aging and several biotech companies, he also hold 35 patents. Dr. Sinclair is a recipient of more than 25 awards and honors, including being knighted in the Order of Australia. His work is featured in five books, two documentary movies, “60 Minutes,” Morgan Freeman’s “Through the Wormhole,” and other media. His newest book, LifeSpan. Why We Age and Why We Don't Have To, was released in September 2019 by Simon and Schuster. 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

Nora Jaffary’s Reproduction and its Discontents in Mexico: Childbirth and Contraception from 1750 to 1905 (University of North Carolina Press. 2016), tracks how medical ideas, practices, and policies surrounding reproduction changed between the late eighteenth and early twentieth centuries in Mexico. Perhaps the most important change analyzed in the book, and discussed extensively in the interview, is the increased interest of the state in controlling childbirth and contraception. Whereas the colonial state was mostly interested in controlling reproduction primarily of Spanish women of the elite, in the republican era—specially in the late nineteenth century—the state expanded its scope in order to reach broader and more popular sectors of women. Abortion and infanticide, treated jointly in the book for people did not draw a distinction between them, came under the purview of communities and the state. We learn that family members, lovers and neighbors started denouncing women more frequently, and that criminal trials rose. According to Jaffary such change is explained by the emergence of a discourse of sexual honor and virtue that became imperative for a wider sector of women, one that linked reproduction and the creation of a healthy citizenry to the construction of the national state. However, and in spite of the state’s claim in controlling reproduction, this is not a story of an all-powerful state that defined the life and choices of women, nor is this a history of the march of modern medicine (whether that is a good thing or a bad one) in which the state endorsed learned medicine and banished midwives and popular practitioners. As we will learn, this is a much more convoluted story; in spite of the growing interest of the state in reproduction, cases of abortion and infanticide were widely tolerated as were popular healing practitioners, and criminal trials rarely ended in conviction. Judges treated women cautiously and with justice. Moreover, as Jaffary convincingly demonstrates, this unknown history of childbirth and contraception reveals a world of medical pluralism and medical mestizaje—concepts that refer to the somewhat peaceful co-existence, or even collaboration, between a wide range of medical practitioners. In this wonderful book, Jaffary invites us to think about Latin American history in its own terms, to question histories that posit a lineal or teleological progress, and to see that the past, as much as the present, builds its own concepts and ideas that shape how the body is seen, lived, and experienced. Lisette Varon-Carvajal is a graduate student in history at Rutger’s University. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Not a lot of authors go from spending their early twenties homeless and addicted to cocaine to becoming one of the world’s leading researchers on the neuroscience of addiction. But Dr. Judith Grisel, in her new book Never Enough: The Neuroscience and Experience of Addiction (Doubleday, 2019), uses her personal story to illuminate the ways in which the brain, in collusion with social and biological factors, makes addiction possible. In our discussion, Grisel outlines the effects of different drugs, explains the “three laws of psychopharmacology,” and wonders if we’ll ever find medicine’s “holy grail” – a cure for addiction. 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

On a spring day in 2015, Dr. Travis Rieder’s life changed. A motorcycle accident, a shattered foot, and a long series of surgeries later, the John Hopkins University bioethicist had a far deeper understanding of opioid use in America than he ever planned. In his new book In Pain: A Bioethicist’s Personal Struggle with Opioids(Harper Collins, 2019), Rieder shares the story of his accident and treatment, while also exploring the complicated history of opioid use in the United States, the challenge of treating something as subjective as pain, and alternatives to our reliance on these drugs. His recommendations—for medical practitioners and for individual patients—are insightful and necessary as America continues to grapple with the unanticipated effects of widespread opioid use. Emily Dufton is a drug historian and the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Environmental racism is visible not only as cancer clusters or the location of grocery stores. It is responsible for the reported gap in IQ scores between white Americans and Black, Latinx, and Native Americans. So argues science writer Harriet Washington in A Terrible to Waste: Environmental Racism and Its Assault on the American Mind (Little, Brown Spark 2019). While acknowledging IQ is a biased and flawed metric, she contends it is useful for tracking cognitive damage. Using copious data and synthesizing a generation of studies, Washington calculates the staggering, population-scale neurological effects of marginalized communities having been forced to live and work in landscapes of waste, pollution, and insufficient sanitation services. She investigates heavy metals, neurotoxins, asthma, deficient prenatal care, bad nutrition, and even pathogens as drags on cognitive development to explain why communities of color are disproportionately affected—and what can be done to remedy this devastating problem. Harriet A. Washington has been the Shearing Fellow at the University of Nevada's Black Mountain Institute, a Research Fellow in Medical Ethics at Harvard Medical School, a senior research scholar at the National Center for Bioethics at Tuskegee University, and a visiting scholar at DePaul University College of Law. She is the author of Deadly Monopolies, Infectious Madness, and Medical Apartheid, which won a National Book Critics Circle Award, the PEN/Oakland Award, and the American Library Association Black Caucus Nonfiction Award. Brian Hamilton is a Ph.D. candidate at the University of Wisconsin–Madison where he is researching African American environmental history in the nineteenth-century Cotton South. He lives in Western Massachusetts and teaches at Deerfield Academy. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Once upon a time, or so we’ve been told, medical ethics were confined to the patient-doctor relationship. As long as doctors were true to their Hippocratic oaths, as long as they acted with compassion and wisdom, then all expectations were met. Life is more complicated today, and so is healthcare: an undertaking, like all others, that is influenced by social, political, legal and cultural factors. Nothing is value-free. In Bioethics and Biopolitics in Israel: Socio-legal, Political and Empirical Analysis (Cambridge University Press, 2019), Professor Shai Lavi and his colleagues have produced a groundbreaking work that offers a novel understanding of Israeli bioethics. It is a milestone in the comparative literature of bioethics. Bringing together a range of experts, the book's interdisciplinary structure employs a contemporary, sociopolitical-oriented approach to bioethics issues, with an emphasis on empirical analysis, that will appeal not only to scholars of bioethics, but also to students of law, medicine, humanities, and social sciences around the world. Its focus on the development of bioethics in Israel serves as a template for cross-cultural and transcultural research into the moral, ethical, political and social aspects of bioethics. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Are we in the midst of a psychedelic renaissance? If so, what can we learn about the present moment through the history of psychedelic experiments in the past? Matt Oram discusses contemporary debates about LSD and MDMA and brings much-needed context with his new book, The Trials of Psychedelic Therapy: LSD Psychotherapy in America (Johns Hopkins University Press, 2018), Oram talks about the role of psychiatry and the pharmaceutical industry as well the field of drug regulation. He underlines, too, that the history of psychedelics is a lot more complicated than researchers have previously suggested. 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

In 1978, doctors in Denver, Colorado observed several healthy children who suddenly and mysteriously developed a serious, life-threatening illness with no visible source. Their condition, which doctors dubbed ‘toxic shock syndrome’ (TSS) was rare, but observed with increasing frequency over the next few years in young women, and was soon learned to be associated with a bacterium and the use of high-absorbency tampons that had only recently gone on the market. In 1980, the Centers for Disease Control identified Rely tampons, produced by Procter & Gamble, as having the greatest association with TSS over every other tampon, and the company withdrew them from the market. To this day, however, women are frequently warned about contracting TSS through tampon use, even though very few cases are diagnosed each year. Historian Sharra Vostral’s Toxic Shock: A Social History (NYU Press, 2018) is the first and definitive history of TSS. Vostral shows how commercial interests negatively affected women’s health outcomes; the insufficient testing of the first super-absorbency tampon; how TSS became a ‘women’s disease,’ for which women must constantly monitor their own bodies. Further, Vostral discusses the awkward, veiled and vague ways public health officials and the media discussed the risks of contracting TSS through tampon use because of social taboos around discussing menstruation, and how this has hampered regulatory actions and health communication around TSS, tampon use, and product safety. A study at the intersection of public health and social history, Toxic Shock brings to light the complexities behind a stigmatized and under-discussed issue in women’s reproductive health. Importantly, Vostral warns that as we move forward with more and more joint replacements, implants, and internal medical devices, we must understand the relationship of technology to bacteria and recognize that both can be active agents within the human body. In other words, unexpected consequences and risks of bacteria and technology interacting with each other remain. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Okezi Otovo’s Progressive Mothers, Better Babies: Race, Public Health, and the State in Brazil, 1850-1945 (U Texas Press, 2016) explores the intersecting histories of race, gender, and class in modern Brazil. Between 1850 and 1945, the period covered in the book, Brazil experienced a range of profound socio-political transformations: from the end of the transatlantic slave trade (1850), to the wholesale abolition of slavery (1988), the demise of the monarchy followed by the rise of a republican system of government, and the ultimate inauguration of the Vargas dictatorship. Set in Bahia, the book considers the impact of these changes in the lives of black mothers and their children by following the rise of the maternalist movement in Brazil and its relationship to international discourses on race, public health reform, and national modernity. In addition to tracking changes to medical ideas about motherhood and children, Okezi Otovo gives agency to these black and brown mothers and considers both how they acted and were acted upon by physicians, public health reformers, and newly-formed welfare institutions. Progressive Mothers, Better Babies provides an important contribution to scholarship working at the intersections of race, class, gender, public health, and medical thought. It will be an important read to anyone seeking to grapple with the essential role assigned to mothers – specifically to black and brown, poor women – by physicians and public health reformers in a deeply patriarchal society. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Vanessa Heggie talks about the history of biomedical research in extreme environments. Heggie is a Fellow of the Institute for Global Innovation at the University of Birmingham. She is the author of Higher and Colder: A History of Extreme Physiology and Exploration(University of Chicago Press, 2019). During the long twentieth century, explorers went in unprecedented numbers to the hottest, coldest, and highest points on the globe. Taking us from the Himalaya to Antarctica and beyond, Higher and Colder presents the first history of extreme physiology, the study of the human body at its physical limits. Each chapter explores a seminal question in the history of science, while also showing how the apparently exotic locations and experiments contributed to broader political and social shifts in twentieth-century scientific thinking. Unlike most books on modern biomedicine, Higher and Colder focuses on fieldwork, expeditions, and exploration, and in doing so provides a welcome alternative to laboratory-dominated accounts of the history of modern life sciences. Though centered on male-dominated practices—science and exploration—it recovers the stories of women’s contributions that were sometimes accidentally, and sometimes deliberately, erased. Engaging and provocative, this book is a history of the scientists and physiologists who face challenges that are physically demanding, frequently dangerous, and sometimes fatal, in the interest of advancing modern science and pushing the boundaries of human ability. Michael F. Robinson is professor of history at Hillyer College, University of Hartford. He's the author of The Coldest Crucible: Arctic Exploration and American Culture (University of Chicago Press, 2006) and The Lost White Tribe: Scientists, Explorers, and the Theory that Changed a Continent (Oxford University Press, 2016). He's also the host of the podcast Time to Eat the Dogs, a weekly podcast about science, history, and exploration. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How do women -- especially poor and low-income women with histories of childhood sexual trauma and drug addiction -- respond to and deal with an HIV/AIDS diagnosis? How do some manage to not merely rebuild their lives, but remake them entirely? Why do others fail? Join us to talk to Celeste Watkins-Hayes about her book Remaking a Life: How Women Living with HIV/AIDS Confront Inequality(University of California Press, 2019). You'll hear what she learned from a decade’s long immersion in the lives of these remarkable women, and what lessons that has to offer to politicians, policymakers, and service-providers. 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

Personalized healthcare―or what the award-winning author Donna Dickenson calls "Me Medicine"―is radically transforming our longstanding "one-size-fits-all" model. Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Whatever is behind the rise of Me Medicine, it isn't just science. So why is Me Medicine rapidly edging out We Medicine, and how has our commitment to our collective health suffered as a result? In her cogent, provocative book Me Medicine vs. We Medicine: Reclaiming Biotechnology for the Common Good(Columbia University Press, 2016), Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Historically, the measures of "We Medicine," such as vaccination and investment in public-health infrastructure, have radically extended our life spans, and Dickenson argues we've lost sight of that truth in our enthusiasm for "Me Medicine." Dickenson explores how personalized medicine illustrates capitalism's protean capacity for creating new products and markets where none existed before―and how this, rather than scientific plausibility, goes a long way toward explaining private umbilical cord blood banks and retail genetics. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving our Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Alex Broadbent's Philosophy of Medicine (Oxford University Press, 2019) asks two central questions about medicine: what is it, and what should we think of it? Philosophy of medicine itself has evolved in response to developments in the philosophy of science, especially with regard to epistemology, positioning it to make contributions that are medically useful. This book locates these developments within a larger framework, suggesting that much philosophical thinking about medicine contributes to answering one or both of these two guiding questions. Taking stock of philosophy of medicine's present place in the landscape and its potential to illuminate a wide range of areas, from public health to policy, Alex Broadbent introduces various key topics in the philosophy of medicine. The first part of the book argues for a novel view of the nature of medicine, arguing that medicine should be understood as an inquiry into the nature and causes of health and disease. Medicine excels at achieving understanding, but not at translating this understanding into cure, a frustration that has dogged the history of medicine and continues to the present day. The second part of the book explores how we ought to consider medicine. Contemporary responses, such as evidence-based medicine and medical nihilism, tend to respond by fixing high standards of evidence. Broadbent rejects these approaches in favor of Medical Cosmopolitanism, or a rejection of epistemic relativism and pluralism about medicine that encourages conversations between medical traditions. From this standpoint, Broadbent opens the way to embracing alternative medicine. An accessible and user-friendly guide, Philosophy of Medicine puts these different debates into perspective and identifies areas that demand further exploration. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine