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THE DOCTORS' PLAGUE: GERMS, CHILDBED FEVER, AND THE STRANGE STORY OF IGNAC SEMMELWEIS (GREAT DISCOVERIES)
Nuland, Sherwin B.
2003 12315 From Publishers Weekly In 1847, one out of every six women who delivered a baby in the First Division at the Allgemeine Krankenhaus hospital in Vienna died of childbed fever, a situation mirrored at other medical facilities in Europe and the U.S. Bestselling author Nuland (How We Die), a clinical professor of surgery at Yale, details in lively descriptive writing just how Ignac Semmelweis, an assistant physician at Allgemeine Krankenhaus, uncovered the origin of this devastating epidemic. Although theories were advanced that attributed it to unhealthy conditions in the expectant mother's body, Semmelweis launched his own investigation. He traced the high mortality rate from this fever in the First Division to the medical doctors, who went straight from dissecting cadavers to delivering babies without washing their hands; they were, in fact, infecting their own patients. Semmelweis's doctrine was controversial in medical circles, Nuland explains, partly because the eccentric physician's self-destructive personality alienated possible supporters. Drawing on careful research, the author convincingly argues that, contrary to popular myth, Semmelweis was not a persecuted victim but, despite his brilliance, was his own worst enemy. He was committed to a public mental institution and, according to Nuland, probably suffered from Alzheimer's and died from beatings administered by hospital personnel. In this engrossing story, Nuland shows how Semmelweis's groundbreaking discovery of how childbed fever was transmitted was later validated by the work of Louis Pasteur and Joseph Lister. FYI: This volume is the first in Norton's Great Discoveries series, which highlights scientific achievement. Copyright 2003 Reed Business Information, Inc. From the New England Journal of Medicine, March 25, 2004 Many people have heard of Semmelweis, whose fame rests on having shown in the 1840s that deaths from puerperal fever (an infection following childbirth) at the Vienna Lying-in Hospital could be reduced by making doctors and medical students wash their hands in a disinfectant solution before entering the maternity ward. His observations were largely ignored during his lifetime and for many years after his death in 1865. Near the end of the 19th century, however, and especially after the publication of a hagiographic biography in 1909, Semmelweis's reputation was raised to the skies. I know of no one else in the history of medicine whose reputation rose from the extreme of oblivion to reverence as one of medicine's greatest heroes. After he had acquired heroic status, it was asserted that Semmelweis was the first to discover that puerperal fever was contagious, that his work had led to the abolition of puerperal fever, that his now famous treatise, The Etiology, the Concept, and the Prophylaxis of Childbed Fever (1861) (Figure), was one of the greatest medical works of the 19th century, and that lack of support by his colleagues in Vienna drove Semmelweis mad. Since the 1970s, however, a small band of Semmelweis scholars have shown that few of these assertions are correct and that the truth about Semmelweis is much more complex -- and certainly more interesting -- than the conventional picture. That Semmelweis made some brilliant observations in 1847 on the manner in which puerperal fever is transmitted is beyond doubt. But he was his own worst enemy. His dogmatism, arrogance, hostility, and unforgivable rudeness to colleagues who dared to question his views, combined with his failure to publish his findings for 14 years, damaged his reputation. Such revelations prompted Sherwin Nuland to publish a paper entitled "The Enigma of Semmelweis: An Interpretation" in 1979. This book is a welcome expansion of that paper, with important additional information. There is broad agreement within the small group of historians who have studied Semmelweis since the 1970s that he possessed a complex and difficult character and about how his reputation rose from oblivion to fame. There are still disputes about both the nature of the mental illness from whic W. W. Norton & Company 0-393-05299-0 / 9780393052992
Hardcover As New condition New York
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24.33 USD
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THE WISDOM OF THE BODY [AUDIOBOOK]
Nuland, Sherwin B.
1997 15503 After he won the National Book Award for How We Die, physician and popular medical writer Sherwin Nuland noticed that book critics kept referring to his next book, The Wisdom of the Body, as How We Live. Rather than fight the tide, he embraced the nickname and reissued the book. How We Live is a fascinating examination of the machinery of life. Dr. Nuland begins his meditation with a hair-raising account of a medical emergency that nearly ends in disaster: a 40-year-old woman almost bleeds to death on the operating table as he and other doctors struggle frantically to find the source of the hemorrhage. Eventually, Dr. Nuland and his team are able to locate the cause--a rare aneurysm of the splenic artery--and repair it. The patient survives. How We Live, Dr. Nuland tells us, grew out of the experiences of that night and his certainty that Marge Hanson lived because of her own will and the surgical team's will not to let her die. That "will to live" is what Dr. Nuland calls the Human Spirit, and spirit is very much a part of the body's wisdom. Each chapter of How We Live focuses on a different biological function, from the work of the lymph nodes to the process of pregnancy and birth. The heart, the nervous and digestive systems, the sex organs, and the brain are all explored and commented on with clarity and grace. But Dr. Nuland is not content with merely providing an operating manual for the body. He is in a constant state of wonder at what a miraculous and mysterious thing the body is: a dynamic system of parts all working in concert, infused with that fierce, intangible quality--the human spirit. --This text refers to the Paperback edition. From Library Journal In this engrossing book, Nuland, author of the prize-winning How We Die, has turned his medical knowledge to the wonder of life. He offers a lucid anatomical and physiological tour of the human body, from cells and DNA to tissues and organs, reinforcing the sense of wonder with strategic case studies from his medical experience at Yale Medical School. Interspersed throughout is a discussion of the gnawing issue of what constitutes the mystery of life: How do biochemical interactions explain the quintessence of Homo sapiens? Nuland presents a formidable set of scientific facts and gives us much to ponder concerning our spirituality. Random House Audio Books, 0-679-46002-0 / 9780679460022
Audio Cassette Program - Boxed As New
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12.38 USD
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