New Books in Medicine

Latest Episodes:

Dasha Kiper, "Travelers to Unimaginable Lands: Stories of Dementia, the Caregiver, and the Human Brain" (Random House, 2023) Jun 18, 2024

Show notes

If you’ve ever worked with dementia patients before, you know how unique and bizarre the experience can be, and how little the stereotypes actually hold up to the experience. Even knowing about the diagnosis often does little to help us in caring for people, and many caregivers find themselves getting sucked into behavioral loops of their own. This is because your brain is not wired to deal with the altered form of reality that dementia patients inhabit. Evolution has not equipped us to deal with these dynamics.

Unpacking all this is our guest today, Dasha Kiper in her bookTravelers to Unimaginable Lands: Stories of Dementia, the Caregiver, and the Human Brain (Random House, 2023). Having both worked with dementia patients and run support groups for caregivers, she’s seen patterns play out over countless situations, and has mapped the cognitive landscape of people working to take care of those afflicted with the disease. In a series of engaging and provocative essays, she’s able to elucidate our limitations, the various neurological traps we are often tempted to fall into, hopefully offering caregivers some clarity on themselves and just how far from reality this work often takes them.

Dasha Kiper is the consulting clinical director of support groups at an Alzheimer’s organization, and holds an MA in clinical psychology from Columbia University.

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Carl Elliott, "The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No" (Norton, 2024) Jun 12, 2024

Show notes

The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No (Norton, 2024) is an intellectual inquiry into the moral struggle that whistleblowers face, and why it is not the kind of struggle that most people imagine.

Carl Elliott is a bioethicist at the University of Minnesota who was trained in medicine as well as philosophy. For many years he fought for an external inquiry into a psychiatric research study at his own university in which an especially vulnerable patient lost his life. Elliott’s efforts alienated friends and colleagues. The university stonewalled him and denied wrongdoing until a state investigation finally vindicated his claims.

His experience frames the six stories in this book of medical research in which patients were deceived into participating in experimental programs they did not understand, many of which had astonishing and well-concealed mortality rates. Beginning with the public health worker who exposed the Tuskegee Syphilis Study and ending with the four physicians who in 2016 blew the whistle on lethal synthetic trachea transplants at the Karolinska Institute, Elliott tells the extraordinary stories of insiders who spoke out against such abuses, and often paid a terrible price for doing the right thing.

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Andrew McDowell, "Breathless: Tuberculosis, Inequality, and Care in Rural India" (Stanford UP, 2024) Jun 10, 2024

Show notes

Each year in India more than two million people fall sick with tuberculosis (TB), an infectious, airborne, and potentially deadly lung disease. The country accounts for almost 30 percent of all TB cases worldwide and well above a third of global deaths from it. Because TB’s prevalence also indicates unfulfilled development promises, its control is an important issue of national concern, wrapped up in questions of postcolonial governance. Drawing on long-term ethnographic engagement with a village in North India and its TB epidemic, anthropologist Andrew McDowell tells the stories of socially marginalized Dalit (“ex-untouchable”) farming families afflicted by TB, and the nurses, doctors, quacks, mediums, and mystics who care for them. Each of the book’s chapters centers on a material or metaphorical substance - such as dust, clouds, and ghosts - to understand how breath and airborne illness entangle biological and social life in everyday acts of care for the self, for others, and for the environment.

From this raft of stories about the ways people make sense of and struggle with troubled breath, McDowell develops a philosophy and phenomenology of breathing that attends to medical systems, patient care, and health justice. He theorizes that breath - as an intersection between person and world - provides a unique perspective on public health and inequality. Breath is deeply intimate and personal, but also shared and distributed. Through it all, Breathless: Tuberculosis, Inequality, and Care in Rural India (Stanford UP, 2024) traces the multivalent relations that breath engenders between people, environments, social worlds, and microbes.

Andrew McDowell is Assistant Professor of Anthropology at Tulane University. He has a Ph.D. in socio-cultural anthropology from Harvard University. His research interests focus on care, contagion, pharmaceuticals, diagnosis, and inequality in North and Western Indian social worlds entangled with tuberculosis. His work has appeared in Medical Anthropology Quarterly, Ethos, and The Lancet among other venues.

Yadong Li is a PhD student in anthropology at Tulane University. His research interests lie at the intersection of the anthropology of state, the anthropology of time, hope studies, and post-structuralist philosophy. More details about his scholarship and research interests can be found here.

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Michele Goodwin, "Policing the Womb: Invisible Women and the Criminalization of Motherhood" (Cambridge UP, 2020) Jun 08, 2024

Show notes

Policing the Womb: Invisible Women and the Criminalization of Motherhood (Cambridge University Press, 2020) a brilliant but shocking account of the criminalization of all aspects of reproduction, pregnancy, abortion, birth, and motherhood in the United States. In her extensively researched monograph, Michele Goodwin recounts the horrific contemporary situation, which includes, for example, mothers giving birth shackled in leg irons, in solitary confinement, even in prison toilets, and in some states, women being coerced by the State into sterilization, in exchange for reduced sentences. She contextualises the modern day situation in America’s history of slavery and oppression, and also in relation to its place in the world. Goodwin shows how prosecutors abuse laws, and medical professionals are complicit in a system that disproportionally impacts the poor and women of color. However, Goodwin warns that these women are just the canaries in the coalmine. Not only is the United States the deadliest country in the developed world for pregnant women, but the severe lack of protections for reproductive rights and motherhood is compounding racial and indigent disparities.

Jane Richards is a doctoral candidate in Human Rights Law at the University of Hong Kong. Her research interests include disability, equality, criminal law and civil disobedience. You can find her on twitter @JaneRichardsHK where she avidly follows the Hong Kong’s protests and its politics.

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Claire Weeda, "Ethnicity in Medieval Europe 950-1250: Medicine, Power and Religion" (Boydell and Brewer, 2021) Jun 02, 2024

Show notes

Students in twelfth-century Paris held slanging matches, branding the English drunkards, the Germans madmen and the French as arrogant. On Crusade, army recruits from different ethnic backgrounds taunted each other’s military skills. Men producing ethnography in monasteries and at court drafted derogatory descriptions of peoples dwelling in territories under colonization, questioning their work ethic, social organization, religious devotion and humanness. Monks listed and ruminated on the alleged traits of Jews, Saracens, Greeks, Saxons and Britons and their acceptance or rejection of Christianity.

Ethnicity in Medieval Europe 950-1250, Medicine, Power and Religion (Boydell and Brewer, 2021), provides a radical new approach to representations of nationhood in medieval western Europe, the author argues that ethnic stereotypes were constructed and wielded rhetorically to justify property claims, flaunt military strength, and assert moral and cultural ascendance over others. The gendered images of ethnicity in circulation reflect a negotiation over self-representations of discipline, rationality and strength, juxtaposed with the alleged chaos and weakness of racialized others. Interpreting nationhood through a religious lens, monks and schoolmen explained it as scientifically informed by environmental medicine, and ancient theory that held that location and climate influenced the physical and mental traits of peoples. Drawing on lists of ethnic character traits, school textbooks, medical treatises, proverbs, poetry and chronicles, this book shows that ethnic stereotypes served as rhetorical tools of power, crafting relationships within communities and towards others.

Claire Weeda is a cultural historian at the Institute for History at Leiden University, Netherlands. Her main fields of interest include ethnic stereotyping, the history of the body, Greco-Arabic medicine, and organic politics in Europe, 1100-1500.

Evan Zarkadas is a graduate student of European history at the University of Maine focusing on Medieval Europe, the Eastern Mediterranean, medieval identity, and ethnicity during the late Middle Ages.

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Tom Mueller, "How to Make a Killing: Blood, Death and Dollars in American Medicine" (Norton, 2023) May 29, 2024

Show notes

Dialysis is a medical miracle, a treatment that allows people with kidney failure to live when otherwise they would die. It also provides a captive customer for the dialysis industry, which values the steady revenues that come from critically required long-term care that is guaranteed by the government.

Tom Mueller's six year deep dive into the dialysis industry has yielded his latest book, How to Make a Killing: Blood, Death, and Dollars in American Medicine (W. W. Norton, 2023). It's both an historical account of this lifesaving treatment and an indictment of the industry that is dominated by two for-profit companies that control ~80% of the market.

There is a precarious balance between ethical care for patients and the prioritization of profits for the providers, a tension that has led to ethical, political, and legal debates about the rationing and exploitation of life-saving care and quality of life.

Dialysis services are desperately needed by patients who require the dangerous, uncomfortable, and exhausting treatments multiple times per week, and pay for it through complex insurance procedures.

Tom Mueller’s book includes a vivid account of CEOs who lead their companies with messianic zeal to drive revenues continually up while simultaneously reducing the cost of care. He introduces us to the doctors charged with reducing those costs even at the expense of high-quality care and negative health outcomes. And we meet the patients themselves, who have little choice but to put their lives and well-being at the mercy of this system.

How did a lifesaving medical breakthrough become a for-profit enterprise that threatens many of the people it’s meant to save? And who are the brave people -patients, doctors, and employees of the system who are willing to tell their stories despite tremendous pressure to remain silent? And why do we as Americans accept worse outcomes at higher costs than the rest of the world?

Tom Mueller's highly readable yet devastating book illustrates the dialysis industry as a microcosm of American medicine.

Mueller challenges us to find a solution for dialysis, an approach that could also provide the opportunity to begin fixing our country’s dysfunctional healthcare system and a fighting chance at restoring human health outcomes, rather than the extraction of profits, as its true purpose.

To contact Tom Mueller, visit www.tommueller.co

Suggested reading:

The Body's Keepers by Paul L. Kimmel, M.D.
The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No by Carl Elliott

Also mentioned:

How to Get Away with Merger by Thomas G. Wollman (NBER working paper, 2020)
"How Acquisitions Affect Firm Behavior and Performance" by Eliason, Heebsh et al. (The Quarterly Journal of Economics, 2020)

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Assaf Tamari, "God as Patient: The Medical Discourse of Lurianic Kabbalah" (Magnes Press, 2023) May 20, 2024

Show notes

In a broken world, in which even God Himself is in a state of deep crisis, what is required in order to mend the rupture? How can one heal God and His world? Moreover, what might allow our actions to be effective? These questions stand at the heart of the Lurianic Kabbalah, the apex of the Safedian intellectual and religious renaissance of the sixteenth century, and one of the constituting phenomena of Modern Jewish thought.

God as Patient: The Medical Discourse of Lurianic Kabbalah(Magnes Press, 2023) presents medical discourse – the knowledge, language, and practice of medicine – as a significant key to our understanding of the Lurianic search for a way to mend reality, and first and foremost the Godhead. The book reads together the Lurianic texts alongside the medical writings of R. Hayyim Vital, R. Isaac Luria's chief disciple, and a medical practitioner. Consequently, the book analyzes how medicine becomes the model for the Lurianic language of action. In its final part, the book shows how God becomes in this Kabbalah the ultimate patient of the Lurianic Kabbalist, who in turn becomes the private court physician of the King of Kings, and needs, like every physician, the proper modes of healing to accomplish his task.

Dr. Assaf Tamari studies Jewish intellectual history in the early modern eastern Mediterranean, focusing on the affinities between theology, science and political thought, especially in the literature of the Kabbalah. He is currently the deputy head of the Ben Zvi Institute for the Study of Jewish Communities in the East, and teaches at Tel Aviv University, Shalem College and Alma - a Home for Hebrew Culture.

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Lucy Barnhouse, "Hospitals in Communities of the Late Medieval Rhineland" (Amsterdam UP, 2023) May 07, 2024

Show notes

Lucy Barnhouse of Arkansas State University talks with Jana Byars about her new book, Hospitals in Communities of the Late Medieval Rhineland: Houses of God, Places for the Sick, out 2023 with Amsterdam University Press. From the mid-twelfth century onwards, the development of European hospitals was shaped by their claim to the legal status of religious institutions, with its attendant privileges and responsibilities. The questions of whom hospitals should serve and why they should do so have recurred -- and been invested with moral weight -- in successive centuries, though similarities between medieval and modern debates on the subject have often been overlooked. Hospitals' legal status as religious institutions could be tendentious and therefore had to be vigorously defended in order to protect hospitals' resources. This status could also, however, be invoked to impose limits on who could serve in and be served by hospitals. As recent scholarship demonstrates, disputes over whom hospitals should serve, and how, find parallels in other periods of history and current debates.

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Rustam Alexander, "Gay Lives and ‘Aversion Therapy’ in Brezhnev’s Russia, 1964–1982" (Palgrave MacMillan, 2023) May 06, 2024

Show notes

Rustam Alexander's Gay Lives and 'Aversion Therapy' in Brezhnev's Russia, 1964-1982(Palgrave Macmillan, 2023) examines the autobiographies and diaries of Soviet homosexual men who underwent psychotherapy during the period from 1970 to 1980 under the guidance of Yan Goland, a psychiatrist-sexopathologist from Gorky. The examination of these unique and little-known documents contributes to our scant knowledge about the practices that many would call a Soviet proto-type of 'aversion therapy'. It also helps us understand the way homosexual people faced "queer dilemmas" of the self and how they sought to reconcile their queer desire with being Soviet.

Tatiana Klepikova is a Postdoctoral Fellow at the University of Regensburg, where she leads a research group on queer literatures and cultures under socialism.

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Reiki and the Subtle Body, with Justin B. Stein May 04, 2024

Show notes

Dr Pierce Salguero sits down with Justin B. Stein, a specialist in modern Japanese religion and the preeminent historian of Reiki. We discuss Justin’s new book, Alternate Currents: Reiki’s Circulation in the Twentieth-Century North Pacific(U Hawaii Press, 2023),about the transnational origins of Reiki, and also get into his perspective as a both a scholar and a Reiki practitioner. Along the way, we ask what Reiki has to do with Buddhism, what subtle energy feels like up close, and what kinds of extraordinary experiences might occur when you open up to energy of the universe.

Remember, if you want to hear from more experts on Buddhism, Asian medicine, and embodied spirituality, subscribe to Blue Beryl for monthly episodes. Please enjoy!

Resources mentioned in the episode:

C. Pierce Salguero, Buddhism and Medicine: An Anthology of Modern and Contemporary Sources (2020). Justin’s translation is Chapter 5, “Psychosomatic Buddhist Medicine at the Dawn of Modern Japan”
Justin B. Stein, Alternate Currents: Reiki’s Circulation in the Twentieth-Century North Pacific (2023).
BBP interview with Nathan Michon

Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.

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