New Books in Medicine

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David B. Goldstein, "The End of Genetics: Designing Humanity's DNA" (Yale UP, 2022) Jun 06, 2022

Show notes

Since 2010 it has been possible to determine a person's genetic makeup in a matter of days at an accessible cost for many millions of people. Along with this technological breakthrough there has emerged a movement to use this information to help prospective parents "eliminate preventable genetic disease." As the prospect of systematically excluding the appearance of unwanted mutations in our children comes within reach, David B. Goldstein examines the possible consequences from these types of choices.

Engaging and accessible, The End of Genetics: Designing Humanity's DNA(Yale UP, 2022) is a clarion call for responsible and informed stewardship of the human genome provides an overview of what we do and do not know about human genetics and looks at some of the complex, yet largely unexplored, issues we must be most careful about as we move into an era of increasing numbers of parents exercising direct control over the genomes of their children.

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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Andrew Bickford, "Chemical Heroes: Pharmacological Supersoldiers in the US Military" (Duke UP, 2021) Jun 03, 2022

Show notes

In Chemical Heroes: Pharmacological Supersoldiers in the US Military (Duke UP, 2021), Andrew Bickford analyzes the US military's attempts to design performance enhancement technologies and create pharmacological "supersoldiers" capable of withstanding extreme trauma. Bickford traces the deep history of efforts to biologically fortify and extend the health and lethal power of soldiers from the Cold War era into the twenty-first century, from early adoptions of mandatory immunizations to bio-protective gear, to the development and spread of new performance enhancing drugs during the global War on Terrorism. In his examination of government efforts to alter soldiers' bodies through new technologies, Bickford invites us to contemplate what constitutes heroism when armor becomes built in, wired in, and even edited into the molecular being of an American soldier. Lurking in the background and dark recesses of all US military enhancement research, Bickford demonstrates, is the desire to preserve US military and imperial power.

Dr. Bickford is Associate Professor of Anthropology at Georgetown University. You can learn more about his work here.

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Jason Sion Mokhtarian, "Medicine in the Talmud: Natural and Supernatural Therapies Between Magic and Science" (U California Press, 2022) Jun 02, 2022

Show notes

Despite the Talmud being the richest repository of medical remedies in ancient Judaism, this important strain of Jewish thought has been largely ignored – even as the study of ancient medicine has exploded in recent years. In a comprehensive study of this topic, Jason Sion Mokhtarian recuperates this obscure genre of Talmudic text, which has been marginalized in the Jewish tradition since the Middle Ages, to reveal the unexpected depth of the rabbis' medical knowledge. Medicine in the Talmud: Natural and Supernatural Therapies Between Magic and Science(U California Press, 2022) argues that these therapies represent a form of rabbinic scientific rationality that relied on human observation and the use of nature while downplaying the role of God and the Torah in health and illness. Drawing from a wide range of both Jewish and Sasanian sources – from the Bible, the Talmud, and Maimonides to texts written in Akkadian, Syriac, and Mandaic, as well as the incantation bowls – Mokhatarian offers rare insight into how the rabbis of late antique Babylonia adapted the medical knowledge of their time to address the needs of their community. In the process, he narrates an untold chapter in the history of ancient medicine.

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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Steven G. Epstein, "The Quest for Sexual Health: How an Elusive Ideal Has Transformed Science, Politics, and Everyday Life" (U Chicago Press, 2022) May 30, 2022

Show notes

Since the 1970s, health professionals, researchers, governments, advocacy groups, and commercial interests have invested in the pursuit of something called “sexual health.” Under this expansive banner, a wide array of programs have been launched, organizations founded, initiatives funded, products sold—and yet, no book before this one asks: What does it mean to be sexually healthy? When did people conceive of a form of health called sexual health? And how did it become the gateway to addressing a host of social harms and the reimagining of private desires and public dreams?

Conjoining “sexual” with “health” changes both terms: it alters how we conceive of sexuality and transforms what it means to be healthy, prompting new expectations of what medicine can provide. Yet the ideal of achieving sexual health remains elusive and open-ended, and the benefits and costs of promoting it are unevenly distributed across genders, races, and sexual identities. Rather than a thing apart, sexual health is intertwined with nearly every conceivable topical debate—from sexual dysfunction to sexual violence, from reproductive freedom to the practicalities of sexual contact in a pandemic.

In The Quest for Sexual Health: How an Elusive Ideal Has Transformed Science, Politics, and Everyday Life (U Chicago Press, 2022), Steven Epstein analyzes the rise, proliferation, uptake, and sprawling consequences of sexual health activities, offering critical tools to assess those consequences, expand capacities for collective decision making, and identify pathways that promote social justice.

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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Andrew Doig, "This Mortal Coil: A History of Death" (Bloomsbury, 2022) May 27, 2022

Show notes

Causes of death have changed irrevocably across time. In the course of a few centuries we have gone from a world where disease or violence were likely to strike anyone at any age, and where famine could be just one bad harvest away, to one where in many countries excess food is more of a problem than a lack of it. Why have the reasons we die changed so much? How is it that a century ago people died mainly from infectious disease, while today the leading causes of death in industrialised nations are heart disease and stroke? And what do changing causes of death reveal about how previous generations have lived?

University of Manchester Professor Andrew Doig provides an eye-opening portrait of death throughout history, looking at particular causes – from infectious disease to genetic disease, violence to diet – who they affected, and the people who made it possible to overcome them. Along the way we hear about the long and torturous story of the discovery of vitamin C and its role in preventing scurvy; the Irish immigrant who opened the first washhouse for the poor of Liverpool, and in so doing educated the public on the importance of cleanliness in combating disease; and the Church of England curate who, finding his new church equipped with a telephone, started the Samaritans to assist those in emotional distress.

This Mortal Coil: A History of Death(Bloomsbury, 2022) is a thrilling story of growing medical knowledge and social organisation, of achievement and, looking to the future, of promise.

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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Timmen Cermak, "Marijuana on My Mind: The Science and Mystique of Cannabis" (Cambridge UP, 2022) May 24, 2022

Show notes

Few substances have been researched as extensively, and debated as fiercely, as cannabis. In Marijuana on My Mind: The Science and Mystique of Cannabis (Cambridge University Press, 2022), psychiatrist Timmen Cermak offers a balanced, science-based analysis of how marijuana affects people physiologically, psychologically, and spiritually. Cermak draws on current understandings of the brain and nervous system to describe how cannabis achieves its effects as well as how it can pose risks to some individuals. Cermak believes that most people can enjoy cannabis safely as long as they apply sensible guidelines and precautions. Far different in tone from the heated polemics that cannabis can inspire, Marijuana on My Mind is a deeply informed assessment of what we know about cannabis and how people can deploy that knowledge wisely.

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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Emily Mendenhall, "Unmasked: COVID, Community, and the Case of Okoboji" (Vanderbilt UP, 2022) May 23, 2022

Show notes

Unmasked: COVID, Community, and the Case of Okoboji(Vanderbilt UP, 2022) is the story of what happened in Okoboji, a small Iowan tourist town, when a collective turn from the coronavirus to the economy occurred in the COVID summer of 2020. State political failures, local negotiations among political and public health leaders, and community (dis)belief about the virus resulted in Okoboji being declared a hotspot just before the Independence Day weekend, when an influx of half a million people visit the town. The story is both personal and political. Author Emily Mendenhall, an anthropologist at Georgetown University, grew up in Okoboji, and her family still lives there. As the events unfolded, Mendenhall was in Okoboji, where she spoke formally with over 100 people and observed a community that rejected public health guidance, revealing deep-seated mistrust in outsiders and strong commitments to local thinking. Unmasked is a fascinating and heartbreaking account of where people put their trust, and how isolationist popular beliefs can be in America's small communities.

Professor Emily Mendenhall is a medical anthropologist and Professor in the Edmund A. Walsh School of Foreign Service at Georgetown University. She was awarded the George Foster Award for Practicing Medical Anthropology by the Society for Medical Anthropology in 2017. She is Editor-in-Chief of Social Science and Medicine-Mental Health and leads the office of Medical Anthropology and Critical Social Science. She has served as Honorary Faculty at the University of the Witwatersrand for the past decade. At Georgetown, she leads the global health concentration in the Science, Technology, and International Affairs (STIA) Program in the School of Foreign Service.

Austin Clyde is a Ph.D. candidate at the University of Chicago Department of Computer Science. He researches artificial intelligence and high-performance computing for developing new scientific methods. He is also a visiting research fellow at the Harvard Kennedy School's Science, Technology, and Society program, where my research addresses the intersection of artificial intelligence, human rights, and democracy.

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Jim Downs, "Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine" (Harvard UP, 2021) May 23, 2022

Show notes

Most stories of medical progress come with ready-made heroes. John Snow traced the origins of London's 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence Nightingale's contributions to the care of soldiers in the Crimean War revolutionized medical hygiene, transforming hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge, especially when it comes to the science of infectious disease.

Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjects--conscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The field hospitals of the Crimean War and the US Civil War were carefully observed experiments in disease transmission.

The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine(Harvard UP, 2021) gives a full account of the true price of medical progress.

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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Martin Abrahamson and Sanjiv Chopra, "Conquer Your Diabetes: Prevention, Control, Remission" (2022) May 17, 2022

Show notes

The global epidemic of diabetes and prediabetes afflicts more than 1 billion people. And sadly, more than 50% of people with the disease do not achieve their desired glucose control. In Conquer Your Diabetes: Prevention, Control, Remission, Drs. Martin Abrahamson and Sanjiv Chopra, two Harvard Medical School professors and master clinicians, provide a roadmap for people with diabetes to manage their condition and live rewarding and fulfilling lives.

Sine Yaganoglu trained as a neuroscientist and bioengineer (PhD, ETH Zurich). She currently works in innovation management and diagnostics.

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Suman Seth, "Difference and Disease: Medicine, Race, and the Eighteenth-Century British Empire" (Cambridge UP, 2020) May 13, 2022

Show notes

Before the nineteenth century, travelers who left Britain for the Americas, West Africa, India and elsewhere encountered a medical conundrum: why did they fall ill when they arrived, and why - if they recovered - did they never become so ill again? The widely accepted answer was that the newcomers needed to become 'seasoned to the climate'.

In his book Difference and Disease: Medicine, Race, and the Eighteenth-Century British Empire (Cambridge UP, 2020), Suman Seth explores forms of eighteenth-century medical knowledge, including conceptions of seasoning, showing how geographical location was essential to this knowledge and helped to define relationships between Britain and her far-flung colonies. In this period, debates raged between medical practitioners over whether diseases changed in different climes. Different diseases were deemed characteristic of different races and genders, and medical practitioners were thus deeply involved in contestations over race and the legitimacy of the abolitionist cause. In this innovative and engaging history, Seth offers dramatically new ways to understand the mutual shaping of medicine, race, and empire.

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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