Showing posts with label literature. Show all posts
Showing posts with label literature. Show all posts

8/19/2012

Ether Day: The Strange Tale of America's Greatest Medical Discovery and the Haunted Men Who Made It Review

Ether Day: The Strange Tale of America's Greatest Medical Discovery and the Haunted Men Who Made It
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Who invented anesthesia? If you learned a name for this invention, it was probably William Thomas Green Morton. He turns out to be the most colorful and rascally character in the wonderful _Ether Day: The Strange Tale of America's Greatest Medical Discovery and the Haunted Men Who Made It_ (HarperCollins) by Julie M. Fenster, but he isn't the only one. The invention of anesthesia was one of the most divisive issues in medicine in the nineteenth century. Fenster has dug up an amazing story of the origin of the first great advance in modern medicine, and told it in a lively and dramatic fashion. Opium, alcohol, ice, Mesmerism, and even bleeding into a faint had been used to avoid the horrors of surgery on a conscious patient, with little success. Reliable anesthesia was the first great advance in modern medicine.
Nitrous oxide, laughing gas, used to be a party and theatrical intoxicant. After an exhibition of its use, Horace Wells, a dentist, realized it cut pain. He began to use it in dental extractions. Morton met Wells in 1842, after a youthful career of spectacularly defrauding creditors in various big cities, and decided to take up dentistry under Wells's tutelage. Morton later met Charles T. Jackson, a chemist, who maintained that he had suggested to Morton the use of ether for dental extractions. Morton was eventually invited to administer ether before a rapt audience at the Massachusetts General Hospital on 16 October 1846, which is known by historians of anesthesia as Ether Day. It went perfectly. Morton tried the shocking precedent of patenting ether, and when that didn't work, he spent his life petitioning Congress for a reward for his invention, an award opposed by Jackson and Wells.

Indeed, Morton got medals and fame for what he had done, but it never made him rich, and rich was what he wanted to be. Wells experimented with chloroform, which was an effective anesthetic but more dangerous than ether, and became addicted to it. He was arrested for throwing acid onto prostitutes while he was chloroformed, and killed himself in jail. Jackson never got the recognition he was sure he deserved for the invention of ether, which only compounded the bitterness he felt that he had also given Morse the idea for the telegraph. He spent the last seven years of his life in an asylum. None of the inventors got what he wanted. This is a complicated tale, wittily told. We have no one hero on which we can bestow the title "The Inventor of Anesthesia" (and Fenster reports a competing and prior claim by Dr. Crawford Long in Georgia, who used ether to removing a swelling on a patient's neck in 1842). It is a messy history, entertainingly told.

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Ether Day is the unpredictable story of America's first major scientific discovery -- the use of anesthesia -- told in an absorbing narrative that traces the dawn of modern surgery through the lives of three extraordinary men. Ironically, the "discovery" was really no discovery at all: Ether and nitrous oxide had been known for more than forty years to cause insensitivity to pain, yet, with names like "laughing gas," they were used almost solely for entertainment. Meanwhile, patients still underwent operations during which they saw, heard, and felt every cut the surgeon made. The image of a grim and grisly operating room, like the one in Mary Shelley's Frankenstein, was in fact starkly accurate in portraying the conditions of surgery before anesthesia.With hope for relief seemingly long gone, the breakthrough finally came about by means of a combination of coincidence and character, as a cunning Boston dentist crossed paths with an inventive colleague from Hartford and a brilliant Harvard-trained physician. William Morton, Horace Wells, and Charles Jackson: a con man, a dreamer, and an intellectual. Though Wells was crushed by derision when he tried to introduce anesthetics, Morton prevailed, with help from Jackson. The result was Ether Day, October 16, 1846, celebrated around the world. By that point, though, no honor was enough. Ether Day was not only the dawn of modern surgery, but the beginning of commercialized medicine as well, as Morton patented the discovery.What followed was a battle so bitter that it sent all three men spiraling wildly out of control, at the same time that anesthetics began saving countless lives. Meticulously researched and masterfully written, Ether Day is a riveting look at one of history's most remarkable untold stories.

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8/02/2012

Ten Minutes from Home: A Memoir Review

Ten Minutes from Home: A Memoir
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This book, about coping with death - unusual, terrible, unexpected and accidental death - is a gift. It entailed the author plunging straight into the most painful experience she might have ever had, remembering it, clarifying it in her own mind, and describing it. The writing was cathartic, perhaps, for the writer, but also fraught with the repercussions of ripping up some solidified scabs. But it's the reader who really makes out as Beth recounts in lovely, haunting detail, the emotional aftermath of the simultaneous deaths of her best friend and brother.
A lot of good things have been said about this book, and they are true, and I'm not going to repeat them. However, I did want to add why the book is so fundamentally different and refreshing when compared with other material you might read: These days, most writers try to fit the tales they tell into a particular pop culture narrative or a theme in order to sell them. There's usually a moral, a pat ending, or something like that.
Beth Greenfield thankfully does nothing of this sort. It's clear she isn't that sort of person. When faced with the circumstances described in this book, she doesn't know the answers and isn't afraid to be unsure. Her humility also affects her writing: She tells what happened with a gentle touch, without making the details stick to a popular narrative, i.e. she tells it like it was, rather than packaging it.
The result? The invitation one gets to peek into lives distorted by the accident described here, provides insights in all kinds of unexpected ways. You get to see not just how a family copes with a certain loss at a certain time, but how a suburban family finds meaning generally in this day and age - what are the things one does in order to live a meaningful life? The answer is in the pages of this book, in Greenfield's words and in amazing, evocative details that will stay with the reader. A story told this way - beautifully, softly - brings lots of rewards that arrive long after the last page has been turned.


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9/11/2011

Body Brokers: Inside America's Underground Trade in Human Remains Review

Body Brokers: Inside America's Underground Trade in Human Remains
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In graphic detail, Cheney explains the lucrative world of trade in bodies and body parts. What are corpses used for? - surgical training, anatomical studies in med schools and seminars (which I have participated in), human tissue grafts (bone, cartilage, heart valves, corneas) placed intra-operatively, forensic studies, accident re-enactments - legitimate uses that make us all better off. The jist of Cheney's book is the procurement process - shot full with questionable methods and unsavory characters.
The sale of bodies is illegal in the United States but "expenses" incurred in handling the body can be re-imbursed. When handled creatively, a corpse can run up quite an expense - say, $10,000 or even much more.
Some individuals or families donate their own or a loved one's body to a medical school, which then may - legally - pass (expense) this body on to a body broker. A funeral director may offer poor families free cremation as an incentive in return for consent to use the body for research. Of course, once the body goes to the body broker, the parts may eventually be disposed of by cremation, but the funeral director will have no way of tracking this information for the family. The body parts are piecemealed out to the highest bidders - usually legitimate users who have no idea or interest in where the parts came from. Neglecting to offer specific consent leaves the family in the dark as to how the body of their loved one was put to use.
Cheney masterfully exposes the unscroupulous practices surrounding this thriving underground industry, but she doesn't dwell on the benefits to society. To get this information, you might consider reading "Stiff," by Mary Roach. Auto-crash bodies have helped fine-tune seat belts and airbags. Crash dummies are fine, but there's nothing like a body. Some are allowed to rot under varied environmental conditions - rain, sun, hot or cold, with or without clothing, etc., for forensic research. I already mentioned uses by the education and health industries above, and in most cases, the body is used as needed, without regard for niceties. Some are dropped from airplanes to see what height of drop is required to rip off clothing.
How does this treatment differ from a body being cremated when the body, already abandoned by life (or the soul, if you please) has only symbolic value left for the family? That obviously depends on the family.
Cheney doesn't review potential solutions, but it seems to me this deserves ethical study. A good end result might be legalizing the sale of bodies under carefully developed ethical regulations. Informed consent with a specified range of body uses acceptable to the family might be spelled out. Prices always come down when an industry is legitimized, which would be a side benefit.
Cheney spent three years researching for her captivating book. Perhaps her efforts will pave the road toward adequate regulation and supervision of this necessary industry...I hope so.

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