Health Care History

As late as the 1930s, virtually no drug intended for sickness did any good; doctors could set bones, deliver babies, and offer palliative care. That all changed in less than a generation with the discovery and development of a new category of medicine known as antibiotics. By 1955 the age-old evolutionary relationship between humans and microbes had been transformed, trivializing once-deadly infections.

We think of transplant surgery as one of the medical wonders of the modern world. But transplant surgery is as ancient as the pyramids, with a history more surprising than we might expect. Paul Craddock takes us on a journey—from sixteenth-century skin grafting to contemporary stem cell transplants—uncovering stories of operations performed by unexpected people in unexpected places. Bringing together philosophy, science and cultural history, Spare Parts explores how transplant surgery constantly tested the boundaries between human, animal, and machine.

The heart of many hospitals is the Neonatal Intensive Care Unit (NICU). It is a place where humanity, ethics, and science collide in dramatic and deeply personal ways as parents, doctors, and nurses grapple with sometimes unanswerable questions: When does life begin? When and how should life end? And what does it mean to be human? Nearly 20 years ago, Dr. John D. Lantos wrote The Lazarus Case, a seminal work on ethical dilemmas in neonatology. He described the NICU as “a strong, strange, powerful place”. The

In an era marked by swift technological advancements and evolving societal needs, "The Future of Work in Healthcare" offers an enlightening journey through the transformative landscape of the medical profession. From the dawn of digital consultations to the rise of part-time and freelance roles, the healthcare sector stands at the crossroads of tradition and innovation.

Lloyd I. Sederer, MD, recounts the unfettered story of how McLean survived impending closure or sale to once again prosper and regain its international stature as the hospital where you would want a loved one to be treated for a psychiatric or substance use disorder.

Antebellum New Orleans sat at the heart of America's slave and cotton kingdoms. It was also where yellow fever epidemics killed as many as 150,000 people during the nineteenth century. With little understanding of mosquito-borne viruses, a person's only protection against the scourge was to "get acclimated" by surviving the disease. Repeated epidemics bolstered New Orleans's strict racial hierarchy by introducing another hierarchy, what Kathryn Olivarius terms "immunocapital." Whereas immunity conferred privilege on whites, it relegated enslaved people to the most grueling labor.

In the early 1960s, Dr. Frances Oldham Kelsey of the U.S. Food and Drug Administration became one of the most celebrated women in America when she prevented a deadly sedative from entering the U.S. market. A Canadian-born pharmacologist and physician, Kelsey saved countless Americans from the devastating side effects of thalidomide, routinely given to pregnant women to prevent morning sickness. As the FDA medical officer charged with reviewing Merrell Pharmaceutical’s application for approval, Kelsey was unconvinced that there was sufficient evidence of the drug’s efficacy and safety.

From a plague in Athens during the Peloponnesian War in 430 BCE, to another in 540 that wiped out half the population of the Roman empire, down through the Black Death in the Middle Ages and on through the 1918 flu epidemic (which killed between 50 and 100 million people) and this century's deadly SARS outbreak, plagues have been a much more relentless fact of life than many realize. The legacy of epidemics, Brian Michael Jenkins observes, is not only one of lives lost but of devastated economies and social disorder, all of which have severe political repercussions.

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.

For over 40 years Barbara Seaman has been a leading women’s health advocate. Now she blows the lid off the estrogen industry in this fascinating book that holds the power to improve—possibly even save—women’s lives. In America 30 million women take estrogen. Seaman shows that this powerful hormone is hardly the cure-all some claim it is. In fact, estrogen treatments may increase the risk of cancer, heart disease, and osteoporosis.

Born in 1966 with a congenital heart defect known as the tetralogy of Fallot, Gabriel Brownstein entered the world just as doctors were learning to operate on conditions like his. He received a life-saving surgery at five years old, and since then has ridden wave after wave of medical innovation, a series of interventions that have kept his heart beating. The Open Heart Club is both a memoir of a life on the edge of medicine's reach and a history of the remarkable people who have made such a life possible.

For readers and listeners of Atul Gawande, Siddhartha Mukherjee, and Henry Marsh, a riveting, gorgeously written biography of one of history's most fascinating and confounding diseases - Alzheimer's - from its discovery more than 100 years ago to today's race toward a cure.

Long-time physician Sherwin B. Nuland presents a provocative and stimulating collection of stories illustrating the vagaries of medical practice over the years.

Doctors at War is a candid account of a trauma surgical team based, for a tour of duty, at a field hospital in Helmand, Afghanistan. Mark de Rond tells of the highs and lows of surgical life in hard-hitting detail, bringing to life a morally ambiguous world in which good people face impossible choices and in which routines designed to normalize experience have the unintended effect of highlighting war’s absurdity. With stories that are at once comical and tragic, de Rond captures the surreal experience of being a doctor at war.

The US government has always invested federal, state, and local dollars in public health protection and prevention. Despite this public funding, however, Americans typically believe the current system is predominantly comprised of private actors with little government interference. In Grow and Hide, Colleen M. Grogan details the history of the American health care state and argues that the public has been intentionally misled about the true role of government.

At one time heart disease was a death sentence. By the middle of the 20th century, it was killing millions, and, as with the Black Death centuries before, physicians stood helpless. Visionaries, though, had begun to make strides earlier. On September 7, 1895, Ludwig Rehn successfully sutured the heart of a living man with a knife wound to the chest for the first time.

In 1918, a world war raged, and a lethal strain of influenza circled the globe. In the midst of all this death, a bizarre disease appeared in Europe. Eventually known as encephalitis lethargica, or sleeping sickness, it spread worldwide, leaving millions dead or locked in institutions. Then, in 1927, it disappeared as suddenly as it had arrived. Asleep, set in 1920s and '30s New York, follows a group of neurologists through hospitals and asylums as they try to solve this epidemic and treat its victims - who learned the worst fate was not dying of it, but surviving it.

Dreams from My Mother is an inspiring story about childhood, race, identity, family, friendship, hope and what makes us who we are. Ultimately, it is an incredibly moving story of a mother and a daughter separated by society, but united in the dreams they shared for her future.

In 2009, an influential panel of medical experts ignited a controversy when they recommended that most women should not begin routine mammograms to screen for breast cancer until the age of 50, reversing guidelines they had issued just seven years before when they recommended 40 as the optimal age to start getting mammograms. Many women’s groups, health care advocates, and individual women saw the guidelines as privileging financial considerations over women’s health and a setback to decades-long efforts to reduce the mortality rate of breast cancer.

In 1875, tuberculosis was the deadliest disease in the world, accountable for a third of all deaths. A diagnosis of TB - often called consumption - was a death sentence. Then, in a triumph of medical science, a German doctor named Robert Koch deployed an unprecedented scientific rigor to discover the bacteria that caused TB. Koch soon embarked on a remedy - a remedy that would be his undoing. When Koch announced his cure for consumption, Arthur Conan Doyle, then a small-town doctor in England and sometime writer, went to Berlin to cover the event.