Medical Industry

Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Katherine Kellogg reveals the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. Shedding new light on the difficulty of implementing reforms, Challenging Operations offers concrete recommendations for effectively meeting that challenge.

Seine Idee rettet Millionen Menschenleben. Im Jahr 1999 macht Ingmar Hoerr als Doktorand in einem Tübinger Labor eine überraschende Entdeckung: mRNA funktioniert als Impfstoff. Über zwanzig Jahre später schützt sich die Welt mit eben solchen mRNA-Impfstoffen vor dem Coronavirus: mit den Vakzinen von BioNTech, Moderna und CureVac. Zwischen Experiment und Triumph liegen zwei Jahrzehnte hartnäckigen Forschens. Mehrfach wäre Ingmar Hoerr mit CureVac fast gescheitert, hätte er nicht Dietmar Hopp, Bill Gates und Elon Musk von seiner Vision überzeugt.

Since its first edition in 1948, the US Conference of Catholic Bishops' Ethical and Religious Directives for Catholic Health Care Services (ERD) has guided Catholic institutions in the provision of health care. However, while the papacy of Pope Francis and the clerical sex-abuse scandal both profoundly impacted the Catholic Church, the latest edition of the ERD does not address or reflect these transformations. Now for the first time, Todd A. Salzman and Michael G. Lawler present an extended critical commentary on the 2018 ERD.

From Ethiopia to Sierra Leone, Tanzania to Togo, Dr Andrew Browning has been helping women affected by obstetric fistulas - a debilitating condition resulting from obstructed childbirth - for nearly two decades. Andrew began his African career in the 1990s working with the late Dr Catherine Hamlin and since then has started the Barbara May Foundation, which has built hospitals, trained staff and established programs to heal fistulas and also prevent them from occurring around Africa in the world's most disadvantaged women.

In Good Blood, best-selling writer Julian Guthrie tells the gripping tale of the race to cure a horrible affliction known as Rh disease that stalked families and caused a mother’s immune system to attack her own unborn child. The story is anchored by two very different men on two continents: Dr. John Gorman in New York, who would land on a brilliant yet contrarian idea, and the unassuming Australian whose almost magical blood - and his unyielding devotion to donating it - would save millions of lives.

In the new essays collected here, an interdisciplinary group of scholars asks age-old questions about the nature and well-being of humans in the context of a revolutionary new biotechnology - one that has the potential to change the genetic make-up of both existing people and future generations. Welcoming listeners who study related issues and those not yet familiar with the formal study of bioethics, the authors of these essays open up a conversation about the ethics of gene editing.

Against a global backdrop of wartime suffering and postwar hope, Borrowing Life gathers the personal histories of the men and women behind the team that enabled and performed the modern medical miracle of the world's first successful organ transplant.

Dr. Aaron Berkowitz had just finished his neurology training when he was sent to Haiti on his first assignment with Partners in Health. There, he meets Janel, a 23-year-old man with the largest brain tumor Berkowitz or any of his neurosurgeon colleagues at Harvard Medical School have ever seen. Determined to live up to Partners in Health’s mission statement “to bring the benefits of modern medical science to those most in need”, Berkowitz tries to save Janel’s life by bringing him back to Boston for a 12-hour surgery.

Dr. Lange graduated from medical school in 1981, right as a new plague swept across the globe. His story became intertwined with the story of HIV. At once a physician, scientist, AIDS activist, and medical diplomat, Lange studied ways to battle HIV and prevent its spread from mother to child. Fighting the injustices of poverty, Lange advocated for better access to health care for the poor and the vulnerable. The Impatient Dr. Lange is the story of one man's struggle against a global pandemic - and the tragic attack that may have slowed down the search for a cure.

They didn't start out as environmental warriors. Clair Patterson was a geochemist focused on determining the age of the Earth. Herbert Needleman was a pediatrician treating inner-city children. But in the chemistry lab and the hospital ward, they met a common enemy: lead. It was literally everywhere. Though few people worried about it at the time, lead was also toxic. In Toxic Truth, journalist Lydia Denworth tells the little-known stories of these two men who were among the first to question the wisdom of filling the world with such a harmful metal.

Every doctor is haunted by memories of difficult patients. People whom, despite all of their patience and persistence and the best communication, diagnostic and reasoning skills, they haven't helped. And anyone who has been a patient will tell you about encounters with difficult doctors, of relationships freighted with mutual bafflement, hostility and pain. Despite its vast resources, medicine is so often destined to fail people. Written by a practising GP, this book is told through stories of Dr Peter Dorward's hardest cases.

Biosecurity Dilemmas examines conflicting values and interests in the practice of "biosecurity," the safeguarding of populations against infectious diseases through security policies. Biosecurity encompasses both the natural occurrence of deadly disease outbreaks and the use of biological weapons. Christian Enemark focuses on six dreaded diseases that governments and international organizations give high priority for research, regulation, surveillance, and rapid response: pandemic influenza, drug-resistant tuberculosis, smallpox, Ebola, plague, and anthrax. The book is organized around four ethical dilemmas that arise when fear causes these diseases to be framed in terms of national or international security: protect or proliferate, secure or stifle, remedy or overkill, and attention or neglect.

Sarah Thebarge, a Yale-trained physician assistant, nearly died of breast cancer at age 27, but that did not end her deeply felt spiritual calling to medical missions in Africa. Risking her own health, she moved to Togo, West Africa - ranked by the United Nations as the least happy country in the world - to care for sick and suffering patients. Serving without pay in a mission hospital, she pondered the intersection of faith and medicine in her quest to help make the world "well".

David M. Craig traveled across the US to assess its health care access, delivery, and finance. He interviewed religious hospital administrators and interfaith activists, learning how they balance the values of economic efficiency and community accountability. He discovered that health care in the US is not a private good or a public good, but a shared social good. This book argues that as escalating health costs absorb more and more of family income and government budgets, we need to take stock of the full range of health care values.

In November 1942, Paul Andrew Kennedy (1912-1993) boarded the St. Elena in New York Harbor and sailed for Casablanca as part of Operation Torch, the massive Allied invasion of North Africa. As a member of the US Army's 2nd Auxiliary Surgical Group, he spent the next 34 months working in North Africa, Italy, France, and Germany, in close proximity to the front lines and often under air or artillery bombardment. He was uncomfortable, struck by the sorrows of war, and homesick for his wife.

What is embryonic stem cell research? Why is it so controversial? What is its relationship to human cloning? Events are moving so fast and biotechnology seems so complicated that many of us don't have an informed opinion about issues that are remaking the human future before our very eyes.

In Mercies in Disguise, acclaimed New York Times reporter and best-selling author Gina Kolata tells the story of the Baxleys, an upstanding family in small-town South Carolina. Many of them were doctors, but still, they are struck down by an inscrutable illness. Finally they discover the cause of the disease after a remarkable sequence of providential events. Meanwhile science, progressing for 50 years along a parallel track, handed the Baxleys a question - not a cure but a blood test that would reveal who had the gene for the disease.

This amazing tale is the story of one of America's oldest and most unusual urban hospitals. From it's inception as a "Poor House" dispensing free medical care to indigents, Chicago's Cook County Hospital has been both a renowned teaching hospital and the healthcare provider of last resort for the city's uninsured. County covers more than thirty years of its history, beginning in the late 1970s when the author began his internship, to the "Final Rounds" when the enormous iconic Victorian hospital building was replaced and hundreds of former trainees gathered to bid it an emotional farewell.

For most of human history, mental illness has been largely untreatable. Sufferers lived their lives - if they survived - in and out of asylums, accumulating life's wreckage around them. In 1948, all that changed when an Australian doctor and recently returned prisoner of war, working alone in a disused kitchen, set about an experimental treatment for one of the scourges of mankind - manic depression, or bipolar disorder. That doctor was John Cade and in that small kitchen he stirred up a miracle.

Already technology enables parents to select some genetic traits for their children, and soon it will be possible to begin to shape ourselves as a species. Countering loud cries of alarm, bioethics expert Ronald Green explains why our fears about genetic engineering are overblown and how we can move forward responsibly to create a better future.