Being Mortal Medicine And What Matters In The End

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Being Mortal

Being Mortal Pdf/ePub eBook Author: ,
Editor: Doubleday Canada
ISBN: 0385677014
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Being Mortal by , Summary

From surgeon and bestselling author Atul Gawande, a book that has the potential to change medicine—and lives. Medicine has triumphed in modern times, transforming the dangers of childbirth, injury, and disease from harrowing to manageable. But when it comes to the inescapable realities of aging and death, what medicine can do often runs counter to what it should. Through eye-opening research and gripping stories of his own patients and family, Gawande reveals the suffering this dynamic has produced. Nursing homes, devoted above all to safety, battle with residents over the food they are allowed to eat and the choices they are allowed to make. Doctors, uncomfortable discussing patients’ anxieties about death, fall back on false hopes and treatments that are actually shortening lives instead of improving them. And families go along with all of it. In his bestselling books, Atul Gawande, a practicing surgeon, has fearlessly revealed the struggles of his profession. Now he examines its ultimate limitations and failures—in his own practices as well as others’—as life draws to a close. And he discovers how we can do better. He follows a hospice nurse on her rounds, a geriatrician in his clinic, and reformers turning nursing homes upside down. He finds people who show us how to have the hard conversations and how to ensure we never sacrifice what people really care about. Riveting, honest, and humane, Being Mortal shows that the ultimate goal is not a good death but a good life—all the way to the very end.

Better

Better Pdf/ePub eBook Author: Atul Gawande
Editor: Metropolitan Books
ISBN: 9781429927949
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Better by Atul Gawande Summary

The New York Times bestselling author of Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable. At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.

Summary & Analysis of Being Mortal

Summary & Analysis of Being Mortal Pdf/ePub eBook Author: ZIP Reads
Editor: ZIP Reads
ISBN:
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Summary & Analysis of Being Mortal by ZIP Reads Summary

Author and physician Atul Gawande analyzes the diverse and problematic landscape of end-of-life care. By providing examples of the good and bad, Gawande shows that we as a society can do much better for the elderly and dying. What does this ZIP Reads Summary Include? Synopsis of the original bookA detailed look at our current "medical approach" to deathAn argument for a more palliative approach to death and dyingAn in-depth editorial reviewBackground on the authorAbout the Original Book: Gawande’s book is a measured, insightful criticism of the medical model of end-of-life care. He convincingly shows that a palliative model of care not only improves the quality of our last days, but it even seems to prolong life better than its counterpart. Anyone interested in end-of-life issues, ethics, gerontology, or medicine will enjoy this book, but Gawande’s anecdotal style makes this an appealing, approachable read for just about anyone. DISCLAIMER: This book is intended as a companion to, not a replacement for, Being Mortal: Medicine and What Matters in the End. ZIP Reads is wholly responsible for this content and is not associated with the original author in any way.

The Checklist Manifesto

The Checklist Manifesto Pdf/ePub eBook Author: Atul Gawande
Editor: Metropolitan Books
ISBN: 1429953381
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The Checklist Manifesto by Atul Gawande Summary

The New York Times bestselling author of Better and Complications reveals the surprising power of the ordinary checklist We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

Complications

Complications Pdf/ePub eBook Author: Atul Gawande
Editor: Metropolitan Books
ISBN: 9781429972109
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Complications by Atul Gawande Summary

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

Love: Expressed

Love: Expressed Pdf/ePub eBook Author: Tristan Sherwin
Editor: WestBow Press
ISBN: 1512715859
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Love: Expressed by Tristan Sherwin Summary

You may be looking at the back of this book, watching as someone else is reading it—a book entitled: Love: Expressed. And you’re thinking, ‘They must have issues.’ So to help them out for a moment: This isn’t another one of those ‘self-help’ manuals. This isn’t a book about romance and sex, or feelings and cuddles. This isn’t a guidebook offering relationship advice, giving tips on how to find ‘love’ and ‘look after’ it. In those senses, this isn’t even a book about love. It’s a book about life—every part of it. About how it should be lived, how it should be explored, how it should be expressed. This is a book about meaning, about life’s trajectories. It’s about God. It’s about you. It’s about them. In that sense, this is all about love. But if I could capture here what I mean by ‘love’ in that sense, I wouldn’t have needed to write a book. “Tristan Sherwin has written a smart and beautiful book showing us that Jesus Christ is the love of God expressed as a human life. This is the life we are called to imitate; this life of love is what we are made for.” —Brian Zahnd; Author of A Farewell To Mars “Refreshing, authentic, inspiring, and yet practical—Tristan is a breath of fresh air.” —Jeff Lucas; Author, Speaker, Broadcaster “Love: Expressed is a work of dirt-under-your-fingers spirituality.” —Jonathan Martin; Author of Prototype

The End Is Just the Beginning

The End Is Just the Beginning Pdf/ePub eBook Author: Mike Bender
Editor: Crown Books for Young Readers
ISBN: 1984896954
FileSize: 394kb
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The End Is Just the Beginning by Mike Bender Summary

A timely message of hope and comfort, this stunning picture book is the perfect treasure to share with anyone trying to navigate these uncertain times—or any life transition! Starting a book at the end may seem confusing. But the end of one thing is just the beginning of something new in this innovative and heartfelt book from #1 New York Times bestselling author Mike Bender. Accompanied by beautiful and inspiring illustrations by Diana Mayo, this story is ideal for helping kids understand how to meet life’s challenges with optimism and hope. A wonderful gift for all ages.

Slice Girls

Slice Girls Pdf/ePub eBook Author: Joan Arakkal
Editor: Simon and Schuster
ISBN: 1925384608
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Slice Girls by Joan Arakkal Summary

When Dr Joan Arakkal chooses to specialise in orthopaedics while training in India, a field traditionally occupied by men, she slots into the world of bones with relative ease. But when her career takes her to the UK, and then Australia, she encounters the ‘bonemen’ – a boy’s club whose members are easily identified in the hospital corridors by their loud voices and self-assured swagger, who wield a stranglehold on orthopaedics. Joan is totally unprepared for the obstacles and prejudices she encounters – but the tables are turned when she suffers a health scare of her own, which ultimately gives her the perspective she needs to speak and fight without fear. A provocative reflection on the discrimination and sexism entrenched in the surgical community, and particularly the world of orthopaedics, Slice Girls shines light on a surgical path that is made needlessly challenging for women, and finds that while women are ready for surgery, it forces the question: is surgery ready for women?

What Doctors Feel

What Doctors Feel Pdf/ePub eBook Author: Danielle Ofri
Editor: Beacon Press
ISBN: 0807073334
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What Doctors Feel by Danielle Ofri Summary

A look at the emotional side of medicine—the shame, fear, anger, anxiety, empathy, and even love that affect patient care Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But doctors’ emotional responses to the life-and-death dramas of everyday practice have a profound impact on medical care. And while much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. In What Doctors Feel, Dr. Danielle Ofri has taken on the task of dissecting the hidden emotional responses of doctors, and how these directly influence patients. How do the stresses of medical life—from paperwork to grueling hours to lawsuits to facing death—affect the medical care that doctors can offer their patients? Digging deep into the lives of doctors, Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Danielle Ofri offers up an unflinching look at the impact of emotions on health care. With her renowned eye for dramatic detail, Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients and her forever fear of making another. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. But doctors don’t only feel fear, grief, and frustration. Ofri also reveals that doctors tell bad jokes about “toxic sock syndrome,” cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. The stories here reveal the undeniable truth that emotions have a distinct effect on how doctors care for their patients. For both clinicians and patients, understanding what doctors feel can make all the difference in giving and getting the best medical care.

With the End in Mind

With the End in Mind Pdf/ePub eBook Author: Kathryn Mannix
Editor: Little, Brown Spark
ISBN: 031650453X
FileSize: 963kb
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With the End in Mind by Kathryn Mannix Summary

For readers of Atul Gawande and Paul Kalanithi, a palliative care doctor's breathtaking stories from 30 years spent caring for the dying. Modern medical technology is allowing us to live longer and fuller lives than ever before. And for the most part, that is good news. But with changes in the way we understand medicine come changes in the way we understand death. Once a familiar, peaceful, and gentle -- if sorrowful -- transition, death has come to be something from which we shield our eyes, as we prefer to fight desperately against it rather than accept its inevitability. Dr. Kathryn Mannix has studied and practiced palliative care for thirty years. In With the End in Mind , she shares beautifully crafted stories from a lifetime of caring for the dying, and makes a compelling case for the therapeutic power of approaching death not with trepidation, but with openness, clarity, and understanding. Weaving the details of her own experiences as a caregiver through stories of her patients, their families, and their distinctive lives, Dr. Mannix reacquaints us with the universal, but deeply personal, process of dying. With insightful meditations on life, death, and the space between them, With the End in Mind describes the possibility of meeting death gently, with forethought and preparation, and shows the unexpected beauty, dignity, and profound humanity of life coming to an end.

Final Gifts

Final Gifts Pdf/ePub eBook Author: Maggie Callanan,Patricia Kelley
Editor: Simon and Schuster
ISBN: 1451677294
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Final Gifts by Maggie Callanan,Patricia Kelley Summary

In this moving and compassionate classic—now updated with new material from the authors—hospice nurses Maggie Callanan and Patricia Kelley share their intimate experiences with patients at the end of life, drawn from more than twenty years’ experience tending the terminally ill. Through their stories we come to appreciate the near-miraculous ways in which the dying communicate their needs, reveal their feelings, and even choreograph their own final moments; we also discover the gifts—of wisdom, faith, and love—that the dying leave for the living to share. Filled with practical advice on responding to the requests of the dying and helping them prepare emotionally and spiritually for death, Final Gifts shows how we can help the dying person live fully to the very end.

What Dying People Want

What Dying People Want Pdf/ePub eBook Author: Dr. David Kuhl
Editor: Anchor Canada
ISBN: 0307374971
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What Dying People Want by Dr. David Kuhl Summary

An internationally renowned palliative care physician offers guidance on living with a terminal illness. Based on research funded by the Soros Foundation and extensive interviews with dying people. A profound and practical book about living with a terminal illness over a long period of time. It offers guidance, solace, and helpful strategies for people who are terminally ill, their families and caregivers. Facing death results in more fear and anxiety than any other human experience. Western medicine has accomplished a great deal in addressing physical pain and controlling symptoms for people with a terminal illness, but much slower progress has been made in understanding and alleviating psychological and spiritual distress. In What Dying People Want, Dr. David Kuhl begins to bridge that gap. He does so by addressing end-of-life realities — physical, psychological and spiritual — through his own experiences as a doctor and through the words and experiences of people who know that they are dying. He presents ways of addressing the pain, of finding new life in the process of dying and of understanding the inner reality of living with a terminal illness. He acknowledges the despair and recognizes the desire for hope and meaning. Dr. Kuhl also makes the provocative case that insensitive communication by doctors creates more suffering for patients than either the illness or the knowledge of impending death, and offers both the dying and their caregivers guidance on preventing painful interactions. He provides ways of speaking about difficult topics with physicians, family members, friends and those who have a terminal illness. “This book started with a research question: What is the daily experience of living with a terminal illness? How does that experience affect your sense of self, your relationship with others, and your understanding of the spiritual? Many of those I interviewed asked me to share what they had given me with others who would follow — those with a terminal illness as well as their friends and family members who would care for them and about them. They asked specifically that I write a book for a general audience, and not only for my colleagues in the medical profession. This is the book that grew out of that research.” — Dr. David Kuhl

Prescription for Life

Prescription for Life Pdf/ePub eBook Author: Richard MD Furman, FACS
Editor: Revell
ISBN: 1441220461
FileSize: 539kb
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Prescription for Life by Richard MD Furman, FACS Summary

During his more than thirty years as a vascular surgeon, Richard Furman literally held clogged arteries and diseased hearts in his hands and wondered why the person lying on the table hadn't been more careful. Heart disease is the number one killer of men and women in America, and in most cases it is completely preventable. So why are we slowly destroying our bodies and killing ourselves? And what can we do to turn it around? The good news is, simple, sustainable lifestyle changes can mean the difference between health and infirmity, between life and death. Putting his three decades of experience and education to work, Dr. Furman gives readers the strategies they need to live not just longer, but younger. This essential resource to health helps readers -achieve and maintain their ideal weight -reduce their risk for life-threatening diseases -make exercise a natural part of their lives -learn what foods to eat and what foods to avoid It even shows how following the plan can not only eliminate heart disease, but also keep people safe from various cancers, dementia, diabetes, stroke, erectile dysfunction, and other age- and obesity-related problems. Dr. Furman wants readers to realize that poor health during one's "golden years" is not inevitable. It can and should be avoided at all cost. And with his expert advice, readers can live long, healthy, vibrant lives, enjoying time with friends and family instead of wasting it in doctors' offices and hospitals.

How Doctors Think

How Doctors Think Pdf/ePub eBook Author: Jerome Groopman
Editor: Houghton Mifflin Harcourt
ISBN: 9780547348636
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How Doctors Think by Jerome Groopman Summary

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

Physician-Assisted Death

Physician-Assisted Death Pdf/ePub eBook Author: Wayne Sumner
Editor: Oxford University Press
ISBN: 0190490209
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Physician-Assisted Death by Wayne Sumner Summary

The issue of physician-assisted death is now firmly on the American public agenda. Already legal in five states, it is the subject of intense public opinion battles across the country. Driven by an increasingly aging population, and a baby boom generation just starting to enter its senior years, the issue is not going to go away anytime soon. In Physician-Assisted Death, L.W. Sumner equips readers with everything they need to know to take a reasoned and informed position in this important debate. The book provides needed context for the debate by situating physician-assisted death within the wider framework of end-of-life care and explaining why the movement to legalize it now enjoys such strong public support. It also reviews that movement's successes to date, beginning in Oregon in 1994 and now extending to eleven jurisdictions across three continents. Like abortion, physician-assisted death is ethically controversial and the subject of passionately held opinions. The central chapters of the book review the main arguments utilized by both sides of the controversy: on the one hand, appeals to patient autonomy and the relief of suffering, on the other the claim that taking active steps to hasten death inevitably violates the sanctity of life. The book then explores both the case in favor of legalization and the case against, focusing in the latter instance on the risk of abuse and the possibility of slippery slopes. In this context the experience of jurisdictions that have already taken the step of legalization is carefully reviewed to see what lessons might be extracted from it. It then identifies some further issues that lie beyond the boundaries of the current debate but will have to be faced sometime down the road: euthanasia for patients who are permanently unconscious or have become seriously demented and for severely compromised newborns. The book concludes by considering the various possible routes to legalization, both political and judicial. Readers will then be prepared to decide for themselves just where they stand when they confront the issue both in their own jurisdiction and in their own lives.

Brother, I'm Dying

Brother, I'm Dying Pdf/ePub eBook Author: Edwidge Danticat
Editor: Vintage
ISBN: 0307267733
FileSize: 551kb
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Brother, I'm Dying by Edwidge Danticat Summary

Winner of the National Book Critics Circle Award for Autobiography A National Book Award Finalist A New York Times Notable Book From the age of four, award-winning writer Edwidge Danticat came to think of her uncle Joseph as her “second father,” when she was placed in his care after her parents left Haiti for America. And so she was both elated and saddened when, at twelve, she joined her parents and youngest brothers in New York City. As Edwidge made a life in a new country, adjusting to being far away from so many who she loved, she and her family continued to fear for the safety of those still in Haiti as the political situation deteriorated. In 2004, they entered into a terrifying tale of good people caught up in events beyond their control. Brother I'm Dying is an astonishing true-life epic, told on an intimate scale by one of our finest writers.

A Heavy Reckoning

A Heavy Reckoning Pdf/ePub eBook Author: Emily Mayhew
Editor: Profile Books
ISBN: 178283222X
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A Heavy Reckoning by Emily Mayhew Summary

What happens when you reach the threshold of life and death - and come back? As long as humans have lived on the planet, there have been wars, and injured soldiers and civilians. But today, as we engage in wars with increasingly sophisticated technology, we are able to bring people back from ever closer encounters with death. Historian Emily Mayhew explores the reality of medicine and injury in wartime, from the trenches of World War One to the plains of Afghanistan and the rehabilitation wards of Headley Court in Surrey. Mixing vivid and compelling stories of unexpected survival with astonishing insights from the front line of medicine, A Heavy Reckoning is a book about how far we have come in saving, healing and restoring the human body. From the plastic surgeon battling to restore function to a blasted hand to the double amputee learning to walk again on prosthetic legs, Mayhew gives us a new understanding of the limits of human life and the extraordinary costs paid physically and mentally by casualties all over the world.

Being with Dying

Being with Dying Pdf/ePub eBook Author: Joan Halifax
Editor: Shambhala Publications
ISBN: 9780834821743
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Being with Dying by Joan Halifax Summary

The Buddhist approach to death can be of great benefit to people of all backgrounds—as has been demonstrated time and again in Joan Halifax’s decades of work with the dying and their caregivers. Inspired by traditional Buddhist teachings, her work is a source of wisdom for all those who are charged with a dying person’s care, facing their own death, or wishing to explore and contemplate the transformative power of the dying process. Her teachings affirm that we can open and contact our inner strength, and that we can help others who are suffering to do the same.

The Essential Writings of Ralph Waldo Emerson

The Essential Writings of Ralph Waldo Emerson Pdf/ePub eBook Author: Ralph Waldo Emerson
Editor: Modern Library
ISBN: 0307419916
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The Essential Writings of Ralph Waldo Emerson by Ralph Waldo Emerson Summary

Introduction by Mary Oliver Commentary by Henry James, Robert Frost, Matthew Arnold, Oliver Wendell Holmes, and Henry David Thoreau The definitive collection of Emerson’s major speeches, essays, and poetry, The Essential Writings of Ralph Waldo Emerson chronicles the life’s work of a true “American Scholar.” As one of the architects of the transcendentalist movement, Emerson embraced a philosophy that championed the individual, emphasized independent thought, and prized “the splendid labyrinth of one’s own perceptions.” More than any writer of his time, he forged a style distinct from his European predecessors and embodied and defined what it meant to be an American. Matthew Arnold called Emerson’s essays “the most important work done in prose.” INCLUDES A MODERN LIBRARY READING GROUP GUIDE

American Eden: David Hosack, Botany, and Medicine in the Garden of the Early Republic

American Eden: David Hosack, Botany, and Medicine in the Garden of the Early Republic Pdf/ePub eBook Author: Victoria Johnson
Editor: Liveright Publishing
ISBN: 1631494201
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American Eden: David Hosack, Botany, and Medicine in the Garden of the Early Republic by Victoria Johnson Summary

Finalist for the 2018 National Book Award for Nonfiction A New York Times Editors' Choice Selection The untold story of Hamilton’s—and Burr’s—personal physician, whose dream to build America’s first botanical garden inspired the young Republic. On a clear morning in July 1804, Alexander Hamilton stepped onto a boat at the edge of the Hudson River. He was bound for a New Jersey dueling ground to settle his bitter dispute with Aaron Burr. Hamilton took just two men with him: his “second” for the duel, and Dr. David Hosack. As historian Victoria Johnson reveals in her groundbreaking biography, Hosack was one of the few points the duelists did agree on. Summoned that morning because of his role as the beloved Hamilton family doctor, he was also a close friend of Burr. A brilliant surgeon and a world-class botanist, Hosack—who until now has been lost in the fog of history—was a pioneering thinker who shaped a young nation. Born in New York City, he was educated in Europe and returned to America inspired by his newfound knowledge. He assembled a plant collection so spectacular and diverse that it amazes botanists today, conducted some of the first pharmaceutical research in the United States, and introduced new surgeries to American. His tireless work championing public health and science earned him national fame and praise from the likes of Thomas Jefferson, James Madison, Alexander von Humboldt, and the Marquis de Lafayette. One goal drove Hosack above all others: to build the Republic’s first botanical garden. Despite innumerable obstacles and near-constant resistance, Hosack triumphed when, by 1810, his Elgin Botanic Garden at last crowned twenty acres of Manhattan farmland. “Where others saw real estate and power, Hosack saw the landscape as a pharmacopoeia able to bring medicine into the modern age” (Eric W. Sanderson, author of Mannahatta). Today what remains of America’s first botanical garden lies in the heart of midtown, buried beneath Rockefeller Center. Whether collecting specimens along the banks of the Hudson River, lecturing before a class of rapt medical students, or breaking the fever of a young Philip Hamilton, David Hosack was an American visionary who has been too long forgotten. Alongside other towering figures of the post-Revolutionary generation, he took the reins of a nation. In unearthing the dramatic story of his life, Johnson offers a lush depiction of the man who gave a new voice to the powers and perils of nature.