New Books In Medicine

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. Learn mo

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

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.,

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

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. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by beco

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 Rach

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,

“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 ca

The last few years have brought to the fore the brilliant work of scientists as they worked to find a vaccine for Covid-19. But have you ever stopped to think about the role of biological materials in this and other science- and health-related research? In this episode of SSEAC Stories, Dr Natali Pearson is joined by Associate Professor Sonja van Wichelen to take a close look at the complex world of global health governance, with a particular focus on biotechnology and bioscience governance in Indonesia. They discuss the crucial role of biological materials exchange for scientific research, what rules govern their use, and the history of inequality that has underpinned scientific use of biological materials. Taking Indonesia’s recent efforts to gain leverage in the uneven space of the global bioeconomy, they explore how bioscience governance mechanisms can perpetuate, or sometimes help address, global power inequalities in the way biological material is used. About Sonja van Wichelen: Sonja van Wichelen is As

Managing diabetes often feels daunting and challenging. Conquer Your Diabetes comprehensively covers the best approaches to prevention, control and remission of this condition, and provides a roadmap for people with diabetes to live rewarding and fulfilling lives. Drs. Abrahamson and Chopra are renowned master clinicians and teachers at Harvard Medical School, with decades of extensive clinical experience. The global epidemic of diabetes and prediabetes afflicts more than 1 billion people. Sadly, more than 50% of people with diabetes do not achieve their desired glucose control. Moreover, less than 25% achieve their blood pressure, cholesterol and glucose goals. In 25 succinct chapters, the authors put all the pieces of the diabetes puzzle together, including a concise history of the disease, underlying types and causes, prediabetes, obesity, weight loss, pregnancy, mental health, type 2 diabetes prevention and remission, and latest treatments. Learn more about your ad choices. Visit megaphone.fm/adchoices Su

Sarah Fox's fascinating new book Giving Birth in Eighteenth-Century England (U London Press, 2022) rewrites all that we know about eighteenth-century childbirth by placing women’s voices at the center of the story. Examining childbirth from the perspective of the birthing woman, this research offers new perspectives on the history of the family, the social history of medicine, community and neighborhood studies, and the study of women’s lives in eighteenth-century England. From “quickening” through to “confinement,” “giving caudle,” delivery, and “lying-in,” birth was once a complex ritual that involved entire communities. Drawing on an extensive and under-researched body of materials, such as letters, diaries, and recipe books, this book offers critical new perspectives on the history of the family, community, and the lives of women in the coming age of modern medicine. It unpacks the rituals of contemporary childbirth—from foods traditionally eaten before and after birth, birthing clothing, and how a woman’

In Botanical Ecstasies: Psychoactive Plant Formulas in India and Beyond, Dr Matthew Clark proposes that soma/hoama is instead an ayahuasca-like plant complex made from many different species. He discusses a range of candidates that reliably grow in the right areas and which in combination might produce an effect similar to the so-called 'classic' psychedelics. These early ecstatic experiences, he suggests, contributed to the emergent concept and ritual techniques of mysticism. Raj Balkaran is a scholar, online educator, and life coach. For information see rajbalkaran.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Commodities of Care: The Business of HIV Testing in China (U Minnesota Press, 2021) examines the unanticipated effects of global health interventions, ideas, and practices as they unfold in communities of men who have sex with men (MSM) in China. Targeted for the scaling-up of HIV testing, Elsa L. Fan examines how the impact of this initiative has transformed these men from subjects of care into commodities of care: through the use of performance-based financing tied to HIV testing, MSM have become a source of economic and political capital. In ethnographic detail, Fan shows how this particular program, ushered in by global health donors, became the prevailing strategy to control the epidemic in China in the late 2000s. Fan examines the implementation of MSM testing and its effects among these men, arguing that the intervention produced new markets of men, driven by the push to meet testing metrics. Fan shows how men who have sex with men in China came to see themselves as part of a global MSM category, adopt

In Bedlam in the New World: A Mexican Madhouse in the Age of Enlightenment (UNC Press, 2022), Cristina Ramos tells us the story of Mexico city’s oldest public institution for the insane, the Hospital de San Hipólito. This institution, founded in 1567, was the first mental hospital in the New World. Remarkable as this fact may be, this book is not simply about the singularity of this institution­­­––though by placing this institution au pair with similar ones in the European context Ramos reframes traditional narratives in the history of psychiatry. What makes this book truly remarkable is that Ramos presents San Hipólito as both a microcosm and a colonial laboratory of the Hispanic Enlightenment. According to Ramos, during the late eighteenth-century madness became understood in increasingly medical terms, and San Hipólito served as a site of care, confinement, and knowledge production. Heeding the call of scholars who ask that histories of medicine take a more complex view of religion, Ramos traces the medic

Imagine knowing years in advance whether you are likely to get cancer or having a personalized understanding of your individual genes, organs, and cells. Imagine being able to monitor your body's well-being, or have a diet tailored to your microbiome. The Secret Body reveals how these and other stunning breakthroughs and technologies are transforming our understanding of how the human body works, what it is capable of, how to protect it from disease, and how we might manipulate it in the future. Taking readers to the cutting edge of research, Daniel Davis shows how radical new possibilities are becoming realities thanks to the visionary efforts of scientists who are revealing the invisible and secret universe within each of us. Focusing on six important frontiers, Davis describes what we are learning about cells, the development of the fetus, the body's immune system, the brain, the microbiome, and the genome--areas of human biology that are usually understood in isolation. Bringing them together here for the

A close look at stories of maternal death in Malawi that considers their implications in the broader arena of medical knowledge. By the early twenty-first century, about one woman in twelve could expect to die of a pregnancy or childbirth complication in Malawi. Specific deaths became object lessons. Explanatory stories circulated through hospitals and villages, proliferating among a range of practitioners: nurse-midwives, traditional birth attendants, doctors, epidemiologists, herbalists. Was biology to blame? Economic underdevelopment? Immoral behavior? Tradition? Were the dead themselves at fault? In Partial Stories: Maternal Death from Six Angles (U Chicago Press, 2022), Claire L. Wendland considers these explanations for maternal death, showing how they reflect competing visions of the past and shared concerns about social change. Drawing on extended fieldwork, Wendland reveals how efforts to legitimate a single story as the authoritative version can render care more dangerous than it might otherwise be.

In her eighteenth-century medical recipe manuscript, the Philadelphia healer Elizabeth Coates Paschall asserted her ingenuity and authority with the bold strokes of her pen. Paschall developed an extensive healing practice, consulted medical texts, and conducted experiments based on personal observations. As British North America’s premier city of medicine and science, Philadelphia offered Paschall a nurturing environment enriched by diverse healing cultures and the Quaker values of gender equality and women’s education. She participated in transatlantic medical and scientific networks with her friend, Benjamin Franklin. Paschall was not unique, however. Women Healers: Gender, Authority, and Medicine in Early Philadelphia (U Pennsylvania Press, 2022) recovers numerous women of European, African, and Native American descent who provided the bulk of health care in the greater Philadelphia area for centuries. Although the history of women practitioners often begins with the 1850 founding of Philadelphia’s Female

In the United States, systemic racism is embedded in policies and practices, thereby structuring American society to perpetuate inequality and all of the symptoms and results of that inequality. Racial, social, and class inequities and the public health crises in the United States are deeply intertwined, their roots and manifestations continually pressuring each other. This has been both illuminated and exacerbated since 2020, with the Movement for Black Lives (BLM) and the disproportionate effects of the COVID-19 pandemic on historically disadvantaged groups within the U.S. Dr. Dayna Bowen Matthew, Dean of the George Washington University Law School, explores and unpacks the public health crisis that is racism in her new book Just Health: Treating Structural Racism to Heal America (NYU Press, 2022). She describes how structural inequality undermines the interests of a thriving nation and the steps we can take to undo the pervasive nature of inequality to create more equitable and just systems. Dr. Bowen Mat

Can a history of cure be more than a history of how disease comes to an end? In 1950s Madras, an international team of researchers demonstrated that antibiotics were effective in treating tuberculosis. But just half a century later, reports out of Mumbai stoked fears about the spread of totally drug-resistant strains of the disease. Had the curable become incurable?  Through an anthropological history of tuberculosis treatment in India, Bharat Jayram Venkat examines what it means to be cured, and what it means for a cure to come undone. At the Limits of Cure (Duke UP, 2021) tells a story that stretches from the colonial period—a time of sanatoria, travel cures, and gold therapy—into a postcolonial present marked by antibiotic miracles and their failures. Venkat juxtaposes the unraveling of cure across a variety of sites: in idyllic hill stations and crowded prisons, aboard ships and on the battlefield, and through research trials and clinical encounters. If cure is frequently taken as an ending (of illness, t

Mirelsie Velázquez (Associate Professor & Rainbolt Family Endowed Presidential Professor, University of Oklahoma) speaks with Natalie Lira (Associate Professor, University of Illinois at Urbana-Champaign) about Lira’s recent book, Laboratory of Deficiency: Sterilization and Confinement in California, 1900-1950s (University of California Press, 2021). Over 20,000 residents of California were sterilized in the first half of the twentieth century. A vast archive of the sterilization request records provides chilling evidence of the identities and family resources of these people. Furthermore, the documents explain why physicians and social workers deemed reproductive intervention to be in the interests of the state. Using the records from the Pacific Colony institution, Lira investigates why young women and men of Mexican origin were disproportionately detained, narrates their experiences of confinement and sterilization, and traces diverse strands testifying to widespread individual and familial resistance. In