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How often do you hear a doctor saying doctors need to be more accountable, Medicare needs more support and family medicine deserves more respect? Dissident Doctor bristles with refreshingly frank criticisms from inside the health sector, and its author is not just any doctor but a distinguished scientific researcher, veteran medical administrator, Professor Emeritus, recipient of the Order of Canada and lifelong gadfly. In Dissident Doctor, Michael C. Klein intersperses fascinating tales of individual cases with formative elements of his personal life. As the son of American left-wing activists, he grew up singing folk songs about justice and racial equality; as a young doctor his refusal to serve as a military physician during the Vietnam War prompted his immigration to Canada. His early experience working with midwives in Ethiopia—delivering babies using techniques for natural pain relief and without routine episiotomy—were formative, leading him to question many standard but unjustified procedures in Western maternity care. He made many unconventional decisions as a result of his focus on humane medicine, transitioning from a specialization in pediatrics and newborn care to become a family physician, and embracing midwifery before it was approved in Canada. Klein’s determination in the face of great opposition, the strength of his convictions, and his humility and sense of humour drive this powerful story of a life and career dedicated to his patients and his principles.
The book contains the memoirs of Robert van Voren covering the period 1977-2008 and provides unique insights into the dissident movement in the Soviet Union in the 1980s, both inside the country and abroad. As a result of his close friendship with many of the leading dissidents and his dozens of trips to the USSR as a courier, he had intimate knowledge of the ins and outs of the dissident movement and participated in many of the campaigns to obtain the release of Soviet political prisoners. In the late 1980s he became involved in building a humane and ethical practice of psychiatry in Eastern Europe and the (ex-) USSR, based on respect for the human rights of persons with mental illness. The book describes the dissident movement and many of the people who formed it, mental health reformers in Eastern Europe and the response of the Western psychiatric community, the battle with the World Psychiatric Association over Soviet, and later, Chinese political abuse of psychiatry, his contacts with former KGB officers and problems with the KGB's successor organization, the FSB. It also vividly describes the emotional effects of serving as a courier for the dissident movement, the fear of arrest, the pain of seeing friends disappear for many years into camps and prisons, sometimes never to return.
Anyone who has enjoyed the great happiness and intimacy of a family-centred birth, and any midwife or health professional who has attended one, owes a debt of gratitude to internationally known Canadian doctor, researcher, and medical reformer, Murray Enkin. Enjoying the Interval takes on the fascinating, joyful task of exploring Dr Enkin’s identity and achievements along with the social context that shaped them. It offers a critical assessment of the ongoing challenges in maternity care, the field to which Enkin devoted his life, but it is also the story of an immigrant Jewish family's contribution to Canadian society and the wider world. Using archival sources and interviews, the book traces Enkin’s story from his birth in 1924; through his early young married life, education, and medical practice; to his passionate championing of the emerging childbirth reform movement and its influence. Interweaving the personal and professional to provide insight into the man, the times and the causes that shaped him, it not only recognises Enkin’s distinctive social contribution but also that of his family and colleagues. It chronicles the highly personable Enkin’s days as a med student awestruck by the courage and beauty of women in labour to his joyful life as a husband and father, to his international impact as a practitioner, academic and researcher, and as an inveterate traveller. Scholarly, yet accessible, it will prove of interest to professional and lay readers alike. Enjoying the Interval is an account of an important social movement that shook the medical establishment, but it’s also a love story, a travelogue, and an entertaining portrait of a complex man who helped to change the world for the better.
Challenging many of the assumptions scholars have made about the Cuban Revolution's impact on healthcare, this volume recounts one anthropologist's quest to discover the truth behind the complicated relationship between Cuba's revolution, politics, and healthcare system. Katherine Hirschfeld became interested in Cuba in the mid-1990s, after reading numerous laudatory books and articles describing the Castro regime's achievements in health and medicine. Cuba's population health indicators seemed to be far superior to those of neighboring countries, the national health costs low, and medical care free at point-of-service to the entire people. Historical records indicated that most of these positive health trends resulted from the changes instituted by Castro in 1959. Few of these authors, however, had actually spent time on the island. Thus, Hirschfeld found that academic writing on Cuba was often long on praise, but short on empirical research about what exactly had changed in Cuban medicine since 1959.After much bureaucratic wrangling, Hirschfeld managed to secure permission to conduct long-term ethnographic research in Cuba, where she lived with families from Havana and Santiago, conducted clinic observations, interviewed doctors and patients, and was treated in a Cuban hospital during an epidemic of dengue fever. The reality of the Cuban healthcare system turned out to be different than the scholarly ideal: it was bureaucratized, authoritarian, and repressive, and most people preferred to seek healthcare in the informal economy rather than endure the material shortages, red tape, and political surveillance of the public sector. Written in the form of a first-person narrative, Health, Politics, and Revolution in Cuba Since 1898 not only critically reevaluates Cuban healthcare after the 1959 revolution; it includes chapters detailing Cuban health trends from the Spanish-American War (1898) through the fall of Fulgencio Batista in 1959 and into the
This accessible text covers the entirety of General Practice and the General Practitioner, from student to retirement and from the beginning of the NHS to the present day. It provides a comprehensive historical overview representing both academic and front-line perspectives, describing what has changed, beneficial or otherwise, as the specialty has evolved. The details within each chapter represent the views of the average working British GP and illustrate how the changes over the decades have impacted patient care and its delivery. The perspective often differs from that which prevails in many academic tomes on the subject. The topics covered, from the primary care team, changes to out-of-hours provision, the impact of IT, training, and regulation, to the future of General Practice, will be essential reading for all doctors considering a career in the specialty and will also be of interest to GP vocational training scheme course organisers and trainers, overseas medical educators and healthcare policy makers, social and medical historians, and the general public.
There has never been a retrospective on Christopher Marlowe as comprehensive, complete and up-to-date in appraising the Marlovian landscape. Each chapter has been written by an eminent, international Marlovian scholar to determine what has been covered, what has not, and what scholarship and criticism will or might focus on next. The volume considers all of Marlowe’s dramas and his poetry, including his translations, as well as the following special topics: Critical Approaches to Marlowe; Marlowe’s Works in Performance; Marlowe and Theatre History; Electronic Resources for Marlovian Research; and Marlowe’s Biography. Included in the discussions are the native, continental, and classical influences on Marlowe and the ways in which Marlowe has interacted with other contemporary writers, including his influence on those who came after him. The volume has appeal not only to students and scholars of Marlowe but to anyone interested in Renaissance drama and poetry. Moreover, the significance for readers lies in the contributors’ approaches as well as in their content. Interest in the biography of Christopher Marlowe and in his works has bourgeoned since the turn of the century. It therefore seems especially appropriate at this time to present a comprehensive assessment of past and present traditional and innovative lines of inquiry and to look forward to future developments.
This book not only relates the defining moments of the Cuban Revolution – such as the Moncada Barracks attack, the assault on Batista’s Presidential Palace, the Bay of Pigs invasion, and the Cuban Missile Crisis – but also lesser-known events like the “War Against the Bandits”; the overseas adventures of Che Guevara in the Congo and Bolivia; Fidel Castro’s possible prior knowledge of and involvement in JFK’s assassination; Cuba’s “silent war against the environment”; and ongoing foreign intelligence operations. The book contains information most readers and academicians may not be familiar with and utilizes major tomes as sources that have only been published in Spanish and so are not widely available to international audiences outside of Spain and Latin America. It will enlighten readers about the realities of the Cuban Revolution – its purported achievements as well as its definite shortcomings; its impact on world events in the last seven decades; and correct the record where needed – enhancing the fount of knowledge for further research by social scientists, historians, and political scientists.