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This book contains my reflections upon my 26 years as an "old time" generalist family physician in rural America. It is merely a collection of stories that depict some of my many experiences over the years. The stories mirror those of many of my generalist colleagues who have experienced "the trenches" of rural primary care. My stories span the breadth and depth of the discipline of rural family medicine. Stories range from assisting mothers giving birth to caring for and comforting those at the end of life, from performing surgery to becoming involved in one's community, and from making house calls to providing emergency room care. Some are silly, some are sad, some are funny, and some may make you mad. JIMMIE ASHCRAFT, M.D. Doctor Ashcraft is a graduate of the University of Oregon Medical School. He was a member of the clinical staff of the University of Washington Medical School for 30 years. Doctor Ashcraft and his wife, Kay, live in Montana. They have three grown children and six grandchildren.
Meet Barry Ladd. He is a family physician who practiced medicine for thirty years in a small country town, forty miles south of a major city. He calls it "Our Town", because the residents, including himself, so personally identified with the community. In the thirty years that Ladd practiced in "Our Town", he delivered fifteen hundred babies and had one hundred and eighty thousand office visits. He delivered the babies of the babies, and took care of four generations in the same family. During that time, there was an explosion of technology and scientific information. The practice of medicine shifted from being more of an art to being more of a science. During this time, Ladd was a participant and observer. He saw how personal events and decisions played out over time. He tells his readers what he saw, heard, and felt. These are all true stories. Some are composites of several people. The names have been changed.
In the years after the Second World War, a young doctor took up his post in one of the most remote regions of northern Minnesota. His term of service turned into a lifetime of caring for the people who made this isolated and often lonely place their home. The story of this remarkable adventure in frontline medicine forms the heart of this wonderful book. As a storyteller, MacDonald shows us the beauty of this remote region and the charm of those who make their lives there. With respect, affection, and humility, MacDonald relates his experiences with those who placed their well being in his hands. The result is a warm and warm-hearted tale of the life of a north country doctor.
An anthology that addresses the changing nature of rural medicine in the United States "These authors courageously document the emotional and literally physical vulnerabilities they experience while delivering care in rural communities. ... This book exquisitely illustrates the complexity of 'dual relationships' and boundary issues in rural practice."--Family Medicine Over the past thirty years, rural health care in the United States has changed dramatically. The stereotypical white-haired doctor with his black bag of instruments and his predominantly white, small-town clientele has imploded: the global age has reached rural America. Independently owned clinics have given way to a massive system of hospitals; new technology now brings specialists right to the patient's bedside; and an increasingly diverse clientele has sparked the need for doctors and nurses with an equally diverse assortment of skills. The Country Doctor Revisited is a fascinating collection of essays, poems, and short stories written by rural health care professionals on the experiences of doctors and nurses practicing medicine in rural environments, such as farms, reservations, and migrant camps. The pieces explore the benefits and burdens of new technology, the dilemmas in making ethically sound decisions, and the trials of caring for patients in a broken system. Alternately compelling, thought provoking, and moving, they speak of the diversity of rural health care providers, the range of patients served in rural communities, the variety of settings that comprise the rural United States, and the resources and challenges health care providers and patients face today.
In this quietly revolutionary work of social observation and medical philosophy, Booker Prize-winning writer John Berger and the photographer Jean Mohr train their gaze on an English country doctor and find a universal man--one who has taken it upon himself to recognize his patient's humanity when illness and the fear of death have made them unrecognizable to themselves. In the impoverished rural community in which he works, John Sassall tend the maimed, the dying, and the lonely. He is not only the dispenser of cures but the repository of memories. And as Berger and Mohr follow Sassall about his rounds, they produce a book whose careful detail broadens into a meditation on the value we assign a human life. First published thirty years ago, A Fortunate Man remains moving and deeply relevant--no other book has offered such a close and passionate investigation of the roles doctors play in their society. "In contemporary letters John Berger seems to me peerless; not since Lawrence has there been a writer who offers such attentiveness to the sensual world with responsiveness to the imperatives of conscience." --Susan Sontag
In turn heartbreaking, irreverent, moving—and at times raucously humorous—one of the nation's leading pediatric researchers recounts his first years as a newly minted, stuggling, and insecure doctor at Massachusetts General Hospital in Boston. A graduate of a state university medical school, Scott Rivkees was competing with elite students from some of the most prestigious schools in the country. Nervous and uncertain, he worked unholy hours with patients ranging from indigent street people to celebrity guests drawn to the reputation and care offered by Mass General. Along the way he learned what medical school textbooks don't teach: how to deal with immense pressure, exhaustion, unruly patients, mysterious conditions, the joy of saving a life, and the wrenching suddenness of losing a patient, more often than not a young child. His resident education did not prevent him from losing his sense of irony and humor as he recounts bleary nights on the town, the allure of young nurses, substandard housing, and the value of pricking an inflated ego.
A NEW YORK TIMES BESTSELLER • ONE OF TIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEAR A LIBRARY JOURNAL BEST BOOK SELECTION • A BOOKLIST EDITORS' CHOICE BOOK SELECTION One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans When Damon Tweedy begins medical school,he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than in whites." Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of many health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.
From Baghdad to Chicago is a diligent and comprehensive memoir of an Iraqi-born physician, growing up in Iraq, and pursuing his education and professional calling in Medicine, to serve to the utmost of his ability. Asad Bakir speaks to the culture of Iraqi and Middle Eastern history, and offers timely reflections on the contemporary practice of Medicine. Having lived through four generations of Iraqis, he has experienced Iraqs dramatic upheavals over the last sixty-five years and seen the ruin left behind. This book is a memoir of Dr. Bakirs life and times in Iraq, England and the US, and a fascinating account of his 26-year work at Cook County Hospital of Chicago. He covers in depth a wide array of subjects of great interest: history, politics, literature, sociology, the arts, and the science and practice of Medicine. His account helps us understand the recent events of the much-troubled Middle East. He describes events as objectively as possible, in a scientific discipline consistent with his medical studies and career, and he speaks with a voice of solid authority. Join the author as he offers a firsthand account of the Arab Renaissance before it expired in the 1960s, the violent toppling of the Iraqi Hashemite monarchy, the dark chapters of Saddam Husseins tyranny, the wars he invited upon Iraq and the lethal 12-year sanctions. Very engaging, as well, are his reflections on the US invasion of Iraq, global terrorism and the current state of healthcare in the US.
The story of a recovery from a crippling disease and the physician patient partnership that beat the odds by using the patient's own capabilities.
A classic, controversial book exploring German culture and identity by the author of Death in Venice and The Magic Mountain, now back in print. When the Great War broke out in August 1914, Thomas Mann, like so many people on both sides of the conflict, was exhilarated. Finally, the era of decadence that he had anatomized in Death in Venice had come to an end; finally, there was a cause worth fighting and even dying for, or, at least when it came to Mann himself, writing about. Mann immediately picked up his pen to compose a paean to the German cause. Soon after, his elder brother and lifelong rival, the novelist Heinrich Mann, responded with a no less determined denunciation. Thomas took it as an unforgivable stab in the back. The bitter dispute between the brothers would swell into the strange, tortured, brilliant, sometimes perverse literary performance that is Reflections of a Nonpolitical Man, a book that Mann worked on and added to throughout the war and that bears an intimate relation to his postwar masterpiece The Magic Mountain. Wild and ungainly though Mann’s reflections can be, they nonetheless constitute, as Mark Lilla demonstrates in a new introduction, a key meditation on the freedom of the artist and the distance between literature and politics. The NYRB Classics edition includes two additional essays by Mann: “Thoughts in Wartime” (1914), translated by Mark Lilla and Cosima Mattner; and “On the German Republic” (1922), translated by Lawrence Rainey.