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{Download PDF} Genius on the Edge: the Bizarre Double Life of Dr. William Stewart Halsted GENIUS ON THE EDGE: THE BIZARRE DOUBLE LIFE OF DR. WILLIAM STEWART HALSTED PDF, EPUB, EBOOK Gerald Imber | 400 pages | 01 Feb 2011 | Kaplan Aec Education | 9781607148586 | English | Chicago, United States How Halsted Altered the Course of Surgery as We Know It - Association for Academic Surgery (AAS) Create a free personal account to download free article PDFs, sign up for alerts, and more. Purchase access Subscribe to the journal. Rent this article from DeepDyve. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Get free access to newly published articles Create a personal account or sign in to: Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. Get free access to newly published articles. Create a personal account to register for email alerts with links to free full-text articles. Sign in to save your search Sign in to your personal account. Create a free personal account to access your subscriptions, sign up for alerts, and more. Purchase access Subscribe now. Purchase access Subscribe to JN Learning for one year. Sign in to customize your interests Sign in to your personal account. Halsted is without doubt the father of modern surgery, and his eccentric behavior, unusual lifestyle, and counterintuitive productivity in the face of lifelong addiction make his story unusually compelling. The result is an illuminating biography of a complex and troubled man, whose genius we continue to benefit from today. Gerald Imber is a well known plastic surgeon and authority on cosmetic surgery, and directs a private clinic in Manhattan. An early proponent of prevention and minimally invasive procedures, he has devised many popular anti-aging techniques, and is attending surgeon at New York Presbyterian Hospital and assistant clinical professor of surgery at Weill-Cornell School of Medicine. Imber has published many scientific papers and is a regular lecturer at professional meetings. Account Options Anmelden. Meine Mediathek Hilfe Erweiterte Buchsuche. A major new biography of the doctor who invented modern surgery. Brilliant, driven, but haunted by demons, William Stewart Halsted took surgery from a horrific, dangerous practice to what we now know as a lifesaving art. Halsted was born to wealth and privilege in New York City in the mids. He attended the finest schools, but he was a mediocre student. Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted | JAMA | JAMA Network Within this environment, the author describes the impressively accomplished life of Halsted. Father of modern surgery, an innovator, a surgeon- scientist; Dr. Halsted was also a pathologist. He was one of the first to perform an open cholecystectomy in the US that too on his own mother on the kitchen table in the middle of the night and also one of the first to transfuse blood to his sister in circulatory shock. He was a staunch advocate of aseptic surgery with gentle handling of tissues and a champion of meticulous hemostasis — principles we uphold to-date. He discovered the use of cocaine as an effective local anesthetic and in the process of self-experimentation fell ill to cocaine addiction himself that he tried to combat with morphine and became addicted to that as well both of these substances were legal at the time and Dr. An astronomy enthusiast, grower of dahlias, an avid smoker, and connoisseur of coffee; Dr. Together with Dr. Osler also a founding professor of Johns Hopkins , Halsted introduced the graduated-responsibility training system we call residency. The number of years required to reach competence and excellence were not defined and not every man would graduate. Halsted was known to be meticulous, attentive, and lost in work when performing surgical procedures. He was calm and detached in the operating room even in moments of surgical crises. Halsted had a cold, dismissive and intimidating demeanor, especially on rounds. I wonder if this behavior was influenced from chronic drug use or perhaps, a reflection of his inherent perfectionist nature, striving to establish a standard hierarchy and his desire to command respect in the evolving field of surgery. We learn how his reputation for excellence extended to having patients travel from as far as Texas to Baltimore, an eight-plus day journey in those times, just to give a blood sample for a study on thyroid disease. How many of us can say that for our patients? Numerous distinguished surgeons that succeeded him include Harvey Cushing father of neurosurgery , Walter Dandy also a pioneer of neurosurgery , Hugh Young fundamental to the field of Urology , and many other disciples who established themselves as leaders of surgical education at universities across the globe. I asked Dr. Few of us have the single-mindedness of a Halsted, or the luck to have been there when the arc of surgery was ready to rise. The rest of us are fortunate to find ourselves in a fascinating profession, with the opportunity to do a bit of good, and the knowledge that we will never be bored at work. If you want to know further, Dr. Figure 1. He attended the finest schools, but he was a mediocre student. His academic interests blossomed at medical school and he quickly became a celebrated surgeon. Experimenting with cocaine as a local anesthetic, he became addicted. He was hospitalized and treated with morphine to control his craving for cocaine. For the remaining 40 years of his life he was addicted to both drugs. Halsted resurrected his career at Johns Hopkins, where he became the first chief of surgery. Among his accomplishments, he introduced the residency training system, the use of sterile gloves, the first successful hernia repair, radical mastectomy, fine silk sutures, and anatomically correct surgical technique. Halsted is without doubt the father of modern surgery, and his eccentric behavior, unusual lifestyle, and counterintuitive productivity in the face of lifelong addiction make his story unusually compelling. The result is an illuminating biography of a complex and troubled man, whose genius we continue to benefit from today. Gerald Imber is a well known plastic surgeon and authority on cosmetic surgery, and directs a private clinic in Manhattan. An early proponent of prevention and minimally invasive procedures, he has devised many popular anti-aging techniques, and is attending surgeon at New York Presbyterian Hospital and assistant clinical professor of surgery at Weill-Cornell School of Medicine. Audiobooks_$ library Genius on the Edge The Bizarre Double Life of Dr… He chose medicine not from any affinity for the sick and the suffering and suffer they did back then, with filthy hospitals, no antibiotics and primitive anesthesia. As Halsted completed surgical training in New York, giant scientific revolutions were remodeling his field. These included rapid improvements in anesthesia and clear demonstrations of the paramount importance of hygiene. Halsted was wildly enthusiastic about both developments. His obsession with cleanliness was to serve him well through his career. But his enthusiasm for the new anesthetics was his undoing. One of the most effective local anesthetics in those days was cocaine, and within a few months of testing it on himself he had a bad drug habit. Finally, a medical paper he published on cocaine anesthesia was such gibberish that his career in New York was effectively over. But Halsted, still only 34, was undaunted. After a long European vacation and a stint in the 19th-century equivalent of drug rehab, he took a train down to Baltimore, where friends secured him a job at the new Johns Hopkins hospital. As a surgeon, Halsted was extraordinary; he soon advanced to chief at Hopkins and pioneered treatments for breast cancer, hernias and gallstones. His knowledge of anatomy and his meticulous technique meant lengthy operations but negligible complication rates, even though antibiotics were still decades away. Halsted the addict, however, was a mess. Gerald Imber. Hardcover List Price: A major new biography of the doctor who invented modern surgery. Brilliant, driven, but haunted by demons, William Stewart Halsted took surgery from a horrific, dangerous practice to what we now know as a lifesaving art. Imber begins by detailing the state of Surgery. Till the mids the profession was considered far too barbaric for most patients; its scope was limited in most instances to the mere drainage of abscesses and heroic last-ditch amputations, performed in fully conscious patients, with the realization that the later would inevitably be dying from post-operative wound infections. Anesthesia was yet to be fully discovered and intoxicants were not enough analgesia for the torture waiting ahead. There was no concept of sterility, no gloves, no masks, no caps — surgeons would wear the same soiled gown week after week, hold sutures in their mouths and wash their hands AFTER the procedure. Surgical success was measured in minutes to completion of the operation and surgeons were not respected members of the medical community. Within this environment, the author describes the impressively accomplished life of Halsted. Father of modern surgery, an innovator, a surgeon- scientist; Dr. Halsted was also a pathologist. He was one of the first to perform an open cholecystectomy in the US that too on his own mother on the kitchen table in the middle of the night and also one of the first to transfuse blood to his sister in circulatory shock. He was a staunch advocate of aseptic surgery with gentle handling of tissues and a champion of meticulous hemostasis — principles we uphold to-date. He discovered the use of cocaine as an effective local anesthetic and in the process of self-experimentation fell ill to cocaine addiction himself that he tried to combat with morphine and became addicted to that as well both of these substances were legal at the time and Dr.
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