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Author: James M.D. Le Fanu
ISBN : B00ADPQT6G
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In the years following World War II, medicine won major battles against smallpox, diphtheria, and polio. In the same period it also produced treatments to control the progress of Parkinson’s, rheumatoid arthritis, and schizophrenia. It made realities of open-heart surgery, organ transplants, test-tube babies. Unquestionably, the medical accomplishments of the postwar years stand at the forefront of human endeavor, yet progress in recent decades has slowed nearly to a halt. In this judicious examination of medicine in our times, which has won the Los Angeles Times Book Prize, medical doctor and columnist James Le Fanu both surveys the glories of medicine in the postwar years and analyzes the factors that for the past twenty-five years have increasingly widened the gulf between achievement and advancement: the social theories of medicine, ethical issues, and political debates over health care that have hobbled the development of vaccines and discovery of new “miracle” cures. While fully demonstrating the extraordinary progress effected by medical research in the latter half of the twentieth century, Le Fanu also identifies the perils that confront medicine in the twenty-first. 16 pages of black-and-white photographs add to what the Los Angeles Times cited as “a sobering, contrarian challenge” to the “nostrum of medicine as a never-ending font of ‘miracle cures’.” “(From) a respected science writer ... important information that ... has been overlooked or ignored by many physicians.”—New Republic “Provocative and engrossing and informative.”—Houston Chronicle “Marvelously written, meticulously researched ... one of the most thought-provoking and important works to appear in recent years.”—Choice
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- File Size: 1177 KB
- Print Length: 608 pages
- Publisher: Basic Books; Revised edition (November 6, 2012)
- Sold by: Amazon Digital Services, Inc.
- Language: English
- ASIN: B00ADPQT6G
- Text-to-Speech: Enabled
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- Lending: Not Enabled
- Amazon Best Sellers Rank: #335,416 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
Free Download The Rise and Fall of Modern Medicine
The Telegraph's medical columnist claims that medicine's golden age was from 1945 to 1980, due to the chance discovery of drugs, advances in clinical science and innovative technology. He believes that it is now exhausted, and laments that the vacuum is being filled by what he thinks are the dead ends of New Genetics, epidemiology and social medicine. It is untimely to write off genetics when the Human Genome Project offers such exciting possibilities. He calls for more research into the causes of disease, and rightly rejects idealist explanations. Doctors used to think that peptic ulcers were due to `stress' or `personality', but in 1984, Barry Marshall, a young Australian doctor, identified a type of bacterium that triggered them. A seven-day course of antibiotics was the cure. The same organism caused two-thirds of stomach cancer cases. In 1986, Thomas Grayston discovered that the bacterium chlamydia caused heart disease. Perhaps as yet undiscovered bacteria cause arthritis, schizophrenia, leukaemia, MS, diabetes and ME.
He has a brilliant chapter on how the use of new drugs refuted Freudianism, as chlorpromazine effectively relieved schizophrenia's symptoms, lithium mania's, prozac depression's and valium anxiety's.
Le Fanu shows that the influential historian of medicine Thomas McKeown wrongly denied doctors the credit for tuberculosis's decline. Doctors' seclusion of TB patients in sanatoria dramatically reduced the infection's incidence.
He argues against social medicine, rejecting all social and economic explanations of illness. But lifestyle changes - losing weight, improving diet and exercising more - do prevent diabetes and promote health and well-being (British Medical Journal, 14 July 2001, page 63.)
He claims that medicine has run its course.
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