Medical Apartheid

Medical Apartheid PDF

Author: Harriet A. Washington

Publisher: Vintage

Published: 2008-01-08

Total Pages: 530

ISBN-13: 076791547X

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NATIONAL BOOK CRITICS CIRCLE AWARD WINNER • The first full history of Black America’s shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment. No one concerned with issues of public health and racial justice can afford not to read this masterful book. "[Washington] has unearthed a shocking amount of information and shaped it into a riveting, carefully documented book." —New York Times From the era of slavery to the present day, starting with the earliest encounters between Black Americans and Western medical researchers and the racist pseudoscience that resulted, Medical Apartheid details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge—a tradition that continues today within some black populations. It reveals how Blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of Blacks. Shocking new details about the government’s notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions. The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheid reveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused Black Americans to view researchers—and indeed the whole medical establishment—with such deep distrust.

A Surgeon in the Village

A Surgeon in the Village PDF

Author: Tony Bartelme

Publisher: Beacon Press

Published: 2017-03-28

Total Pages: 288

ISBN-13: 080704492X

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An inspiring story of doctors who changed the health care of an African nation Dr. Dilan Ellegala arrives in Tanzania, shocked to find the entire country has just three brain surgeons for its population of forty-two million. Haydom Lutheran Hospital lacks even the most basic surgical tools, not even a saw to open a patient’s skull. Here, people with head injuries or brain tumors heal on their own or die. When confronted with a villager suffering from a severe head trauma, Dilan buys a tree saw from a farmer, sterilizes it, and then uses it to save the man’s life. Yet Dilan realizes that there are far too many neurosurgery patients for one person to save, and of course he will soon be leaving Tanzania. He needs to teach someone his skills. He identifies a potential student in Emmanuel Mayegga, a stubborn assistant medical officer who grew up in a mud hut. Though Mayegga has no medical degree, Dilan sees that Mayegga has the dexterity, intelligence, and determination to do brain surgery. Over six months, he teaches Mayegga how to remove tumors and treat hydrocephalus. And then, perhaps more important, Dilan teaches Mayegga how to pass on his newfound skills. Mayegga teaches a second Tanzanian, who teaches a third. It’s a case of teach-a-man-to-fish meets brain surgery. As he guides these Tanzanians to do things they never thought possible, Dilan challenges the Western medical establishment to do more than send vacationing doctors on short-term medical missions. He discovers solutions that could transform health care for two billion people across the world. A Surgeon in the Village is the incredible and riveting account of one man’s push to “train-forward”—to change our approach to aid and medical training before more lives are needlessly lost. His story is a testament to the transformational power of teaching and the ever-present potential for change. As many as seventeen million people die every year because of a shortage of surgeons, more than die from AIDS, malaria, and tuberculosis combined. Dilan Ellegala and other visionaries are boldly proposing ways of saving lives.

Unequal Treatment

Unequal Treatment PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Success in Academic Surgery

Success in Academic Surgery PDF

Author: Herbert Chen

Publisher: Springer Science & Business Media

Published: 2011-10-13

Total Pages: 264

ISBN-13: 0857293133

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How does one become a successful academic surgeon? The Association for Academic Surgery has been teaching this to medical students, residents, and young faculty for the over 20 years and this is the first time the experience and lessons learned have been summarized in a book format. Success in Academic Surgery, Part 1, reinforces the curriculum of the Association for Academic Surgery courses and also provides guidance to individual surgeons who have not had the opportunity to attend these courses. Thus, this book is a valuable reference for medical students, surgical residents, and young surgical faculty.

Partners of the Heart

Partners of the Heart PDF

Author: Vivien T. Thomas

Publisher: University of Pennsylvania Press

Published: 1998-01-29

Total Pages: 268

ISBN-13: 9780812216349

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Visitors to the Blalock Building at the Johns Hopkins University Medical Center are greeted by portraits of two great men. One, of renowned heart surgeon Alfred Blalock, speaks for itself. The other, of highschool graduate Vivien Thomas, is testimony to the incredible genius and determination of the first black man to hold a professional position at one of America's premier medical institutions. Thomas's dreams of attending medical school were dashed when the Depression hit. After spending some time as a carpenter's apprentice, Thomas took what he expected to be a temporary job as a technician in Blalock's lab. The two men soon became partners and together invented the field of cardiac surgery. Partners of the Heart is Thomas's extraordinary autobiography. Trained in laboratory techniques by Alfred Blalock and Joseph W. Beard, Thomas remained Blalock's principal technician and laboratory chief for the rest of Blalock's distinguished career. Thomas very rapidly learned to perform surgery, to do chemical determinations, and to carry out physiologic studies. He became a phenomenal technician and was able to carry out complicated experimental cardiac operations totally unassisted and to devise new ones. In addition to telling Thomas's life story, Partners of the Heart traces the beginnings of modern cardiac surgery, crucial investigations into the nature of shock, and Blalock's methods of training surgeons.

The African-American Heart Surgery Pioneer

The African-American Heart Surgery Pioneer PDF

Author: Edwin Brit Wyckoff

Publisher: Enslow Publishing, LLC

Published: 2013-07-01

Total Pages: 50

ISBN-13: 0766041409

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Vivien Theodore Thomas was an African-American surgical technician who developed the procedures used to treat blue baby syndrome in the 1940s. He was an assistant to surgeon Alfred Blalock in Blalock's experimental animal laboratory at Vanderbilt University in Nashville, Tennessee and later at the Johns Hopkins University in Baltimore, Maryland. Without any education past high school, Thomas rose above poverty and racism to become a cardiac surgery pioneer and a teacher of operative techniques to many of the country's most prominent surgeons. Vivien Thomas was the first African American without a doctorate to perform open heart surgery on a white patient in the United States.