By Otis Webb Brawley
"American medicine is infected. Greed, apathy, and ignorance are the
pathogens. Brawley, chief medical officer of the American Cancer
Society, has seen enough. In this no-holds-barred peek at the
contemporary health scene, he relishes his role as a rabble-rouser.
Drawing on true stories to make his points, Brawley, aided by coauthor
Goldberg, illustrates how more care is not better care and that doctors
are not necessarily right. Many of these clinical cases conjure
frustration, heartache, and outrage. A middle-aged woman comes to the
hospital because her breast has fallen off (an automastectomy). She has
disregarded the presence of breast cancer for nine years. A 23-year-old
man with congenital heart disease and cardiac arrhythmia shows up at the
ER about every other month in need of electrical cardioversion. Without
health insurance, he cannot obtain an implantable defibrillator. At his
wife's urging, a healthy retired man goes for a free screening PSA
blood test. He receives much more than he bargained for: a radical
prostatectomy, incontinence, and a colostomy. The benefits of any
medical treatment must always be balanced with the potential for harm.
Brawley finds the right formula for mixing autobiography, the politics
of modern medicine, controversies in cancer care, and wisdom. (Booklist) Check Our Catalog
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