This book combines new research data with findings from present-day health surveys to examine the history of ill health and its outcomes, whether recovery or death, in Europe and North America from the 17th century to the present. Some forecasts about future sickness rates and trends are included.
The life expectancy of British workers rose dramatically during the nineteenth century, a period when workingmen routinely began to consult doctors. While rates of sickness fell, the length of episodes of disease and injury became more protracted. Instead of dying at relatively young ages, workingmen survived longer and experienced more sickness. In Sick, Not Dead, James C. Riley traces these developments and examines the arrangements made for providing medical care to workers. Drawing on the work attendance and sick visit records of British friendly societies, Riley explores how these organizations provided workingmen with access to doctors and regulated compensation for wages lost due to sickness. He finds in this period the roots of today's doctor-patient relationship. In the 1870s, when a small number of patients could choose among a relatively large number of doctors, patients demanded and got frequent and convenient consultations for low fees. But in the 1890s, working people sacrificed their advantage: as the number of patients increased, they began accepting their doctors' excuses for care they previously had rejected as inattentive or deficient. In the 1910s and 1920s, the doctors improved their own organization and used it to seize control of the fee schedule. Using the extensive claims records of the societies, Riley also explores the regional patterns of sickness in Britain from 1870 to 1910 and addresses the question of how policies that promoted lower mortality affected rates and duration of sickness.
A riveting first-hand account of a physician who's suddenly a dying patient, In Shock "searches for a glimmer of hope in life’s darkest moments, and finds it.” —The Washington Post Dr. Rana Awdish never imagined that an emergency trip to the hospital would result in hemorrhaging nearly all of her blood volume and losing her unborn first child. But after her first visit, Dr. Awdish spent months fighting for her life, enduring consecutive major surgeries and experiencing multiple overlapping organ failures. At each step of the recovery process, Awdish was faced with something even more unexpected: repeated cavalier behavior from her fellow physicians—indifference following human loss, disregard for anguish and suffering, and an exacting emotional distance. Hauntingly perceptive and beautifully written, In Shock allows the reader to transform alongside Awidsh and watch what she discovers in our carefully-cultivated, yet often misguided, standard of care. Awdish comes to understand the fatal flaws in her profession and in her own past actions as a physician while achieving, through unflinching presence, a crystalline vision of a new and better possibility for us all. As Dr. Awdish finds herself up against the same self-protective partitions she was trained to construct as a medical student and physician, she artfully illuminates the dysfunction of disconnection. Shatteringly personal, and yet wholly universal, she offers a brave road map for anyone navigating illness while presenting physicians with a new paradigm and rationale for embracing the emotional bond between doctor and patient.
When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Illness in childhood was common in early modern England. Hannah Newton asks how sick children were perceived and treated by doctors and laypeople, examines the family's experience, and takes the original perspective of sick children themselves. She provides rare and intimate insights into the experiences of sickness, pain, and death.
"Praise for the first editions: " "Concise, lucid, and altogether interesting . . ..The notes on the individual texts are unfailingly illuminating."--"Books Abroad" (now "World Literature Today")
One day Raymond Francis, a chemist and a graduate of MIT, found himself in a hospital, battling for his life. The diagnosis: acute chemical hepatitis, chronic fatigue, multiple chemical sensitivities, and several autoimmune syndromes, causing him to suffer fatigue, dizziness, impaired memory, heart palpitations, diarrhea, numbness, seizures and numerous other ailments. Knowing death was imminent unless he took action, Francis decided to research solutions for his disease himself. His findings and eventual recovery led him to conclude that almost all disease can be both prevented and reversed. In Never Be Sick Again, Francis presents a seminal work based on these findings — a revolutionary theory of health and disease: there is only one disease (malfunctioning cells), only two causes of disease (deficiency and toxicity), and six pathways to health and disease (nutrition, toxins, psychological, physical, genetic, and medical). This remarkable book answers the questions: What is health? What is disease? Why do people get sick? How can disease be prevented? How can it be reversed? It will teach readers, in one easy lesson, an entirely new way to look at health and disease — an approach that is easy to understand, yet so powerful that they may, indeed, never have to be sick again. Providing a basic understanding of health and disease, this book takes the mystery out of disease. It provides readers, no matter what their present physical condition, a holistic approach to living that will empower them to get well — and stay well.