New Books in Medicine

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Katherine L. Carroll, "Building Schools, Making Doctors: Architecture and the Modern American Physician" (U Pittsburgh Press, 2022) Aug 09, 2022

Show notes

In the late nineteenth century, medical educators intent on transforming American physicians into scientifically trained, elite professionals recognized the value of medical school design for their reform efforts. Between 1893 and 1940, nearly every medical college in the country rebuilt or substantially renovated its facility. In Building Schools, Making Doctors: Architecture and the Modern American Physician(U Pittsburgh Press, 2022), Katherine Carroll reveals how the schools constructed during this fifty-year period did more than passively house a remodeled system of medical training; they actively participated in defining and promoting an innovative pedagogy, modern science, and the new physician.

Interdisciplinary and wide ranging, her study moves architecture from the periphery of medical education to the center, uncovering a network of medical educators, architects, and philanthropists who believed that the educational environment itself shaped how students learned and the type of physicians they became. Carroll offers the first comprehensive study of the science and pedagogy formulated by the buildings, the influence of the schools’ donors and architects, the impact of the structures on the urban landscape and the local community, and the facilities’ privileging of white men within the medical profession during this formative period for physicians and medical schools.

Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.

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Daniel Bergner, "The Mind and the Moon: My Brother's Story, the Science of Our Brains, and the Search for Our Psyches" (Ecco, 2022) Aug 04, 2022

Show notes

In The Mind and the Moon: My Brother’s Story, the Science of Our Brains, and the Search for Our Psyches (Ecco, 3033), Daniel Bergner examines these and other by describing three riveting case studies in the context of the history of psychiatry and psychopharmacology. Alongside the story of his brother Bob’s struggle with bipolar disorder, we learn about Caroline, who is besieged by the hallucinations of psychosis, and David, an attorney who is engulfed by anxiety and depression. In telling their stories while describing the frontiers of brain research, Bergner shows how the pharmaceutical industry has played a key role in perpetuating a biological view of the mind and drug-based cures for its disorders – despite mediocre drug effectiveness, many challenging side effects, and questionable patient outcomes. The Mind and the Moon addresses fundamental issues of selfhood and identity in ways that will challenge basic beliefs about who we are and who we might be.

Steve Beitler’s work in the history of medicine focuses on how pain has been understood, treated, experienced, and represented. His recently published articles examined the history of opiates in American football and surveyed the history of therapeutic drugs. He can be reached at steve@stevebeitler.com.

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Culturally Competent Health Care, Equality in Health Care: The Case of Muslims and Jews in the UK Jul 27, 2022

Show notes

The health care sector frequently emphasizes “Cultural competence”, an elastic concept that stretches from the simplest recognition of diversity of patient populations, to include policy implications of patients’ overall worldviews re the body, health, and decision-making.

The issue, highlighted again in the recent U.S. Supreme Court abortion decision, gained prominence during Covid-19 pandemic, with the challenge of so-called marginal groups’ access to and compliance with vaccination programs.

Legislation for equality impacts minority health care. It has brought both benefits and unintended consequences.

We will talk about these important issues with today’s guest, Ben Kasstan, Ph.D., an anthropologist at the University of Bristol and London School of Hygiene and Tropical Medicine. His research explores public health, specifically, what health protection means and according to whom. Ben’s published works on public health issues include maternity care, childhood vaccinations, and sexuality education.

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Gonçalo Santos, "Chinese Village Life Today: Building Families in an Age of Transition" (U Washington Press, 2021) Jul 25, 2022

Show notes

Today I had the pleasure of talking to Professor Gonçalo Santos (University of Coimbra), about his new book, Chinese Village Life Today: Building Families in an Age of Transition, which was published in 2021 by University of Washington Press.

Chinese Village Life Today is based on more than twenty years of Gonçalo Santos’s field research. The book paints a richly detailed portrait of a rural township in Guangdong Province, north of the industrialized Pearl River Delta region, to consider the intimate choices that village families make in the face of larger forces of modernization. Filled with vivid anecdotes and keen observations, the book offers a fresh perspective on China’s urban-rural divide and a grounded theoretical approach to understand how China’s rural transformation is changing the ways that local people shape their intimate daily lives - from marriage, childbirth, and childcare to personal hygiene and public sanitation.

I highly recommend the book for anyone who wants to understand village life in China today, and more broadly for those interested in studies on medical anthropology and the workings of technocratic frameworks of governance.

Dr. Suvi Rautio is an anthropologist of China.

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Jay Baruch, "Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER" (MIT Press, 2022) Jul 22, 2022

Show notes

To be an emergency room doctor is to be a professional listener to stories. Each patient presents a story; finding the heart of that story is the doctor’s most critical task. More technology, more tests, and more data won’t work if doctors get the story wrong. Empathy, creativity, and imagination are the cornerstones of clinical care. In Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER (MIT Press, 2022), ER physician Jay Baruch offers a series of short, powerful, and affecting essays that capture the stories of ER patients in all their complexity and messiness.

Patients come to the ER with lives troubled by scales of misfortune that have little to do with disease or injury. ER doctors must be problem-finders before they are problem-solvers. Cheryl, for example, whose story is a chaos narrative of “and this happened, and then that happened, and then, and then and then and then,” tells Baruch she is "stuck in a tornado of life.” What will help her, and and what will help Mr. K., who seems like a textbook case of post-combat PTSD but turns out not to be? Baruch describes, among other things, the emergency of loneliness (invoking Chekhov, another doctor-writer); his own (frightening) experience as a patient; the patient who demanded a hug; and emergency medicine during COVID-19. These stories often end without closure or solutions. The patients are discharged into the world. But if they’re lucky, the doctor has listened to their stories as well as treated them.

Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.

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Lisa Jean Moore, "Our Transgenic Future: Spider Goats, Genetic Modification, and the Will to Change Nature" (NYU Press, 2022) Jul 20, 2022

Show notes

The process of manipulating the genetic material of one animal to include the DNA of another creates a new transgenic organism. Several animals, notably goats, mice, sheep, and cattle are now genetically modified in this way. In Our Transgenic Future: Spider Goats, Genetic Modification, and the Will to Change Nature(NYU Press, 2022), Lisa Jean Moore wonders what such scientific advances portend. Will the natural world become so modified that it ceases to exist? After turning species into hybrids, can we ever get back to the original, or are they forever lost? Does genetic manipulation make better lives possible, and if so, for whom?

Moore centers the story on goats that have been engineered by the US military and civilian scientists using the DNA of spiders. The goat’s milk contains a spider-silk protein fiber; it can be spun into ultra-strong fabric that can be used to manufacture lightweight military body armor. Researchers also hope the transgenically produced spider silk will revolutionize medicine with biocompatible medical inserts such as prosthetics and bandages. Based on in-depth research with spiders in Florida and transgenic goats in Utah, Our Transgenic Future focuses on how these spider goats came into existence, the researchers who maintain them, the funders who have made their lives possible, and how they fit into the larger science of transgenics and synthetics. This book is a fascinating story about the possibilities of science and the likely futures that may come.

Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.

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Rachael Pells, "Genomics: How Genome Sequencing Will Change Healthcare" (Random House, 2022) Jul 15, 2022

Show notes

Genome sequencing is one of the most exciting scientific breakthroughs of the past thirty years. But what precisely does it involve and how is it developing?

In Genomics: How Genome Sequencing Will Change Healthcare (Random House, 2022), Rachael Pells explains the science behind genomics. She analyses its practical applications in medical diagnosis and the treatment of conditions that range from cancer to severe allergic reactions to cystic fibrosis. She considers its potential to help with advances in agriculture and environmental science. She explores the ethics of genetic modification and the dangers involved when humans 'play God'. And she addresses the fundamental question: to what extent will future advances transform human longevity and the quality of life.

Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.

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Elena Conis, "How to Sell a Poison: The Rise, Fall, and Toxic Return of DDT" (Bold Type Books, 2022) Jul 13, 2022

Show notes

The story of DDT as you’ve never heard it before: a fresh look at the much-maligned chemical compound as a cautionary tale of how powerful corporations have stoked the flames of science denialism for their own benefit In the 1940s, DDT helped the Allies win the Second World War by wiping out the insects that caused malaria, with seemingly no ill effects on humans. After the war, it was sprayed willy-nilly across fields, in dairy barns, and even in people's homes. Thirty years later the U.S. would ban the use of DDT—only to reverse the ban in the 1990s when calls arose to bring it back to fight West Nile and malaria. What changed?

How to Sell a Poison: The Rise, Fall, and Toxic Return of DDT(Bold Type Books, 2022) traces the surprising history of DDT’s rapid rise, infamous fall, and controversial revival to reveal to show that we’ve been taking the wrong lesson from DDT’s cautionary tale. Historian Elena Conis uncovers new evidence that it was not the shift in public opinion following the publication of Rachel Carson’s Silent Spring that led to the ban but in fact the behind-the-scenes political machinations of Big Business. She makes a compelling case that the real threat was not DDT itself but the prioritization of profits over public health. If we don't change the ways we make decisions about new scientific discoveries and technologies, Conis argues, we’re doomed to keep making the same mistakes and putting people at risk—both by withholding technologies that could help them and by exposing them to dangerous chemicals without their knowledge or consent. In an age when corporations and politicians are shaping our world behind closed doors and deliberately stoking misinformation around public health issues, from pesticides to vaccines to COVID-19 to climate change, we need greater transparency and a new way of communicating about science—as a discipline of discovery that's constantly evolving, rather than a finite and immutable collection of facts—in order to combat the war on facts and protect ourselves and our environment.

Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.

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Jennifer J. Hill, "Birthing the West: Mothers and Midwives in the Rockies and Plains" (U Nebraska Press, 2022) Jul 11, 2022

Show notes

Childbirth defines families, communities, and nations. In Birthing the West, Jennifer J. Hill fills the silences around historical reproduction with copious new evidence and an enticing narrative, describing a process of settlement in the American West that depended on the nurturing connections of reproductive caregivers and the authority of mothers over birth.

Economic and cultural development depended on childbirth. Hill’s expanded vision suggests that the mantra of cattle drives and military campaigns leaves out essential events and falls far short of an accurate representation of American expansion. The picture that emerges in Birthing the West presents a more complete understanding of the American West: no less moving or engaging than the typical stories of extraction and exploration but concurrently intriguing and complex.

Birthing the West: Mothers and Midwives in the Rockies and Plains(U Nebraska Press, 2022) unearths the woman-centric practice of childbirth across Montana, the Dakotas, and Wyoming, a region known as a death zone for pregnant women and their infants. As public health entities struggled to establish authority over its isolated inhabitants, they collaborated with physicians, eroding the power and control of mothers and midwives. The transition from home to hospital and from midwife to doctor created a dramatic shift in the intimately personal act of birth.

Jennifer J. Hill is an associate teaching professor of American studies at Montana State University and serves as the executive director of the Women’s Reproductive History Alliance, a digital museum dedicated to educating the public on reproductive history.

Troy A. Hallsell is the 341st Missile Wing Historian at Malmstrom AFB, Montana. The ideas represented in this podcast do not reflect the 341st Missile Wing, United States Air Force, or the Department of Defense.

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“Vaccine: The Human Story”: A Chat with Historian and Podcaster Annie Kelly Jul 08, 2022

Show notes

“Vaccine: The Human Story” is a podcast and video series that tells the story of the global fight against smallpox, from its earliest history as a folk demon, to the birth of the anti-vax movement, through to its eradication in the 1960s. It is written and hosted by Dr. Annie Kelly.

Dr. Kelly, a specialist in antifeminism, conspiracy theories and the far right, earned her doctorate in American Studies in 2020 from the University of East Anglia. Her dissertation is entitled: “Fear, Hate and Countersubversion: American Antifeminism Online”. She specializes in research related to contemporary social movements, digital discourse analysis and their relation to race, gender and sexuality in American politics. Her writings have appeared in The New York Times and since 2019 she has been the UK correspondent for “QAnon Anonymous”, which The Washington Post named “Podcast of the Year”. Dr. Kelly is currently a postdoctoral researcher with “Everything Is Connected: Conspiracy Theories in the Age of the Internet”.

You can also find "Vaccine: A Human Story" on YouTube.

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 University Press, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California.

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