David Rothman gives us a brilliant, finely etched study of medical practice today. Beginning in the mid-1960s, the practice of medicine in the United States underwent a most remarkable--and thoroughly controversial--transformation. The discretion that the profession once enjoyed has been increasingly circumscribed, and now an almost bewildering number of parties and procedures participate in medical decision making. Well into the post-World War II period, decisions at the bedside were the almost exclusive concern of the individual physician, even when they raised fundamental ethical and social issues. It was mainly doctors who wrote and read about the morality of withholding a course of antibiotics and letting pneumonia serve as the old man's best friend, of considering a newborn with grave birth defects a "stillbirth" thus sparing the parents the agony of choice and the burden of care, of experimenting on the institutionalized the retarded to learn more about hepatitis, or of giving one patient and not another access to the iron lung when the machine was in short supply. Moreover, it was usually the individual physician who decided these matters without formal discussions with patients, their families, or even with colleagues, and certainly without drawing the attention of journalists, judges, or professional philosophers. The impact of the invasion of outsiders into medical decision-making, most generally framed, was to make the invisible visible. Outsiders to medicine--that is, lawyers, judges, legislators, and academics--have penetrated its every nook and cranny, in the process giving medicine exceptional prominence on the public agenda and making it the subject of popular discourse. The glare of the spotlight transformed medical decision making, shaping not merely the external conditions under which medicine would be practiced (something that the state, through the regulation of licensure, had always done), but the very substance of medical pract

This study of the transformation of the relationship between doctors and patients from the mid-Sixties to the mid-Seventies has acquired the status of a minor classic. In this paperback edition the author has added an afterword on patient autonomy that encompasses some more recent changes in the practice of medicine and the evolving field loosely, but inexactly, characterized as bioethics. He has left intact his portrayal of the earlier, epochal changes that are the subject of the book.

Winner of the 2019 Miami Book Fair/de Groot Prize, The Care of Strangers is a moving story about friendship set in a gritty Brooklyn hospital, where a young woman learns to take charge of her life by taking care of others. Working as an orderly in a gritty Brooklyn public hospital, Sima is often reminded by her superiors that she's the least important person there. An immigrant who, with her mother, escaped vicious anti-Semitism in Poland, she spends her shifts transporting patients, observing the doctors and residents ... and quietly nurturing her aspirations to become a doctor herself by going to night school. Now just one credit short of graduating, she finds herself faltering in the face of pressure from her mother not to overreach, and to settle for the life she has now. Everything changes when Sima encounters Mindy Kahn, an intern doctor struggling through her residency. Sensing a fellow outsider in need of support, Sima bonds with Mindy over their patients, and learns the power of truly letting yourself care for another person, helping to give her the courage to face her past, and take control of her future. A moving story about vulnerability and friendship, The Care of Strangers is the story of one woman's discovery that sometimes interactions with strangers are the best way to find yourself.

"Missed Connections is a collection of illustrated love stories. There's "We Shared a Bear Suit." "If Not for Your Noisy Tambourine." "Hairy Bearded Swimmer." Each is told in the shorthand of a "missed connection," and then illustrated in Chinese ink and watercolor. The anonymous messages are hopeful and hopeless, funny and sad"--

Nightshift clerk and high-functioning insomniac Jack is back to work, trying his best to keep out of trouble. But when his chain-smoking coworker discovers a mysterious radio signal revealing the guarded secrets of their town, Jack will learn that an annoying new dayshift manager is far from the worst of his problems. In this second installment of the Gas Station saga, Jack finds himself entangled in his most harrowing adventure yet. With the newest crew of coworkers along for the ride and the resident psychopath out for his blood, our hero(?) must navigate the drama of small-town murder conspiracies, vigilante justice, and demonic summoning rituals...whether he wants to or not.

As Joyce Novak’s daughter, Marnie, completes medical school and looks ahead to a surgical internship, her wedding, and a future filled with promise, a breast cancer diagnosis throws Joyce’s own future into doubt. Always the caregiver, Joyce feels uncomfortable in the patient role, especially with her husband and daughter. As she progresses through a daunting treatment regimen including a biopsy, lumpectomy, and radiation, she distracts herself by planning Marnie’s wedding. When the sudden death of a young heroin addict in Marnie’s care forces Marnie to come face-to-face with mortality and her professional inadequacies, she also realizes she must strike a new balance between her identity as a doctor and her role as a supportive daughter. At the same time, she struggles with the stark differences between her fiancé’s family background and her own and comes to understand the importance of being with someone who shares her values and experiences. Amid this profound soul-searching, both Joyce and Marnie’s futures change in ways they never would have expected.

This book explores the impact of American values on the evolving design of health care. It gives us a fascinating picture of three machines--the iron lung, the dialysis machine, and the respirator--and three turning points in health policy: the rise of Blue Cross, the passage of Medicare, and the failure of the Clinton Health Security Act. By analyzing the links between medical technologies and legislative developments, this pioneering book clarifies the complex relationship between social values and public policy in the shaping of our health care system. It helps us to understand why middle-class Americans preferred to keep government out of health care, when they made exceptions to the rule, and how their preferences fit with their own experiences and served their self-interest. Beginnings Count argues that it is lived history, not an abstract commitment to marketplace forces or a reflexive opposition to big government, that has shaped the American Way in health care.