Saturday, February 12, 2011

A Brief History of Disease, Science and Medicine PDF

Rating: (16 reviews) Author: Michael Kennedy ISBN : 9780974946641 New from $58.48 Format: PDF
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This introduction to the history of medicine begins with the evolution of infectious diseases at the end of the last ice age. It describes the origin of science and medicine in ancient civilizations, including China and India. The first third of the book covers the early period that is considered the "classical" history of medicine. The remainder describes the evolution of modern medicine and surgery up to the present. The final chapter is a history of medical economics and explains the origin of health insurance, HMOs and medical malpractice lawsuits, subjects explained nowhere else in the medical school curriculum.

There is a 40 page index and over 550 footnotes, most of them references to the original articles described in the text. A bibliography of essential sources is also included.

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  • Hardcover: 528 pages
  • Publisher: Asklepiad Press; First Edition edition (February 2004)
  • Language: English
  • ISBN-10: 0974946648
  • ISBN-13: 978-0974946641
  • Product Dimensions: 9.1 x 5.9 x 1.6 inches
  • Shipping Weight: 1.9 pounds

A Brief History of Disease, Science and Medicine PDF

Brief this is not, but compared to some dry academic tomes it seems brief. University of Southern California professor Dr. Michael T. Kennedy has the all too rare gift of writing well which he combines with a passion for detail so that this history is packed with the bizarre, the fascinating, the arcane, and the all too often revolting facts of medical delusion, malpractice, and triumph that have characterized the long and tortured history of the healing arts.

Note well that this is a history not only of medicine and disease, but of science as well. The emphasis is on twentieth century developments, which is as it should be since so much has happened in recent times. This is not to say that the more distant past is neglected. Kennedy starts with the pre-history and follows the quest for health through Greek and Roman times to "The Rise of Islam and Arabic Medicine" (Chapter 5) with excursions into ayurvedic medicine (from India) and the traditional Chinese practices from antiquity. He even looks at European health, or the lack thereof, during the Dark and Middle Ages before the rise of science. When he gets to the modern or nearly modern era, Kennedy organizes less by chronology and more by subject matter. Some of the later chapters are about "Cardiac Surgery," "Transplantation," "Psychiatry," etc. I particularly liked the crisp way he dealt with psychoanalytic theory and the inefficacy of psychoanalysis.

Frankly, I don't know if there is anything else quite like this available.

Personally I always enjoy a historical book that actually discusses history and not some surgically altered history that only reports the things that went right. That is what you get with "A Brief History of Disease, Science & Medicine". Not only do you read about the great advances in medicine but also about the mistakes that were made along the way. Although the book was written with the first year medical student in mind it is easy enough to read and understand by those with only a passing knowledge of basic first aid. Perhaps one sentence from the Forward best describes the writing style - "...it has been written to be read, rather than studied."

Dr. Kennedy states that this book was not widely accepted by the academic presses and so was published independently. It is fairly obvious that one of the reasons this might be the case is his candid examination of the history of medicine. In an age when most practitioners of the medical profession seem to feel that they have perfect knowledge, Dr. Kennedy's book shows that they have often been wrong with tragic results. Take for instance the case of Ignaz Semmelweiss who worked in a hospital where there was a twenty-nine percent mortality rate for women giving birth. Through experimentation and deduction he came to believe that washing your hands between patients and after autopsies would cause this rate to drop. He ordered that hand washing would be done between patients and the rate of death dropped drastically. However, since he had not reason why it worked it was resisted, he eventually resigned (other historians have noted that he was forced to resign) and the doctors returned to their old habits and the old mortality rate.

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