GENIUS ON THE EDGE: THE BIZARRE DOUBLE LIFE OF DR. PDF, EPUB, EBOOK

Gerald Imber | 400 pages | 01 Feb 2011 | Kaplan Aec Education | 9781607148586 | English | Chicago, United States How Halsted Altered the Course of 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 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 . 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 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 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 as an effective local 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 . 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 , 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 that succeeded him include father of , Walter Dandy also a pioneer of neurosurgery , Hugh Young fundamental to the field of , 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 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 and primitive . 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 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 . As a surgeon, Halsted was extraordinary; he soon advanced to chief at Hopkins and pioneered treatments for , and . 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 , performed in fully conscious patients, with the realization that the later would inevitably be dying from post-operative . 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. 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.

Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted |

Descriptions of illness and surgical technique were interesting. University politics were less interesting. Amazing that Dr. Halstead accomplished all this while his addiction to cocaine and morphine raged on uncured. Jul 02, Neal Jones rated it really liked it. I must admit that I felt somewhat mislead by this book's description on its back cover. While the primary subject of this biography is Doctor William Halstead, the bulk of this book is actually about the formation of one of America's premier teaching hospitals: Johns Hopkins. William Stewart Halstead was one of a dozen influential doctors who were instrumental in revolutionizing the techniques of modern surgery. The founding of Johns Hopkins Hospital is part of Halstead's story, so I wasn't too I must admit that I felt somewhat mislead by this book's description on its back cover. The founding of Johns Hopkins Hospital is part of Halstead's story, so I wasn't too disappointed by the misleading summary on the back cover. View 1 comment. Jun 09, Patricia rated it really liked it. I would never have chosen to read this book; it is a book club selection, not my selection. The book, about the foundation of and hospital in Baltimore, , drew me in. The drawback is all the technical medical terminology, but the men and the lives this book describes are fascinating. The difference these founders made in the practice of medicine are relevant to us, today. Halstead developed a sterile operating room, and found successful ways to operate on I would never have chosen to read this book; it is a book club selection, not my selection. Halstead developed a sterile operating room, and found successful ways to operate on conditions that were normally fatal. His contributions prolonged lives, and increased quality of life. It was a valuable book to understand just how differently medicine is practiced today because these doctors-with-a- scientific-bent spent their lives figuring out how to practice medicine better. Oct 16, Leslie N rated it it was amazing. We have a LOT to thank William Stewart Halstead for, and modern medicine wouldn't be what it is today if it wasn't for him. Breast cancer surgery, hernia repair, even what medical residencies are today all started with this brilliant man. If you enjoy The Knick which is what initially brought me to this book or are interested in the history of modern medicine, or even slightly curious about medicine, I can't recommend this book enough. Seriously, his achievements are endless! May 08, Mary rated it really liked it. Not particularly well-written, but an extremely interesting account of early modern medicine in general, and Johns Hopkins Hospital in particular. I will be seeking out more information on the people,places, and events that were written about; what better review could there be? Apr 19, Jcorbman rated it really liked it. Detailed and informative, but also somewhat repetitive. The end gets very technical. Diagrams and a timeline would help. As a medical student, I am always fascinated to read about famous who were able to transcend so to speak the 'normal' boundaries of their profession and make revolutionary contributions. William Halsted was that rare breed of -scientist who achieved that with his keenness, passion and incredible resourcefulness. Surgery before Halsted was haphazard and shoddy, done with little consideration to minimizing , patient comfort or proper technique. With his European As a medical student, I am always fascinated to read about famous physicians who were able to transcend so to speak the 'normal' boundaries of their profession and make revolutionary contributions. With his European training and willingness to patiently adopt new ideas, Halsted introduced pioneering protocols to methodically change the face of surgery. He was the first to perform radical mastectomies, the first to systemize hernia repairs, one of the first to use surgical gloves and fine silk sutures- the list goes on and on. At the newly opened Johns Hopkins which was created specifically as the new face of American medicine by recruiting doctors like him , he helped establish the residency training system so familiar to the medical world today. His students and assistants all went on to have illustrious careers, and some, like Harvey Cushing father of American neurosurgery became superstars in their own right All the while he was hopelessly addicted to cocaine which he had started using as a local anesthetic to perform dental some twenty years prior and morphine. Gerald Imber, himself a surgeon, does a masterful job of bringing the full spectrum of Halsted's complicated personality to light in this thorough, even-handed and excellently referenced biography. He traces the path from Halsted's privileged childhood to Yale where he was inspired to medicine after renting Gray's Anatomy from the library to surgery superstardom in New York. After that his career crashed due to his addiction and he had little qualms about leaving for Baltimore to Hopkins. Imber details the prevailing practices in history and juxtaposes Halsted's innovations to highlight their sensibility and brilliance in reducing mortality and improving outcomes. He seems to be charmed by Halsted's austere and reserved personality since he keeps repeating it throughout the book. I felt the book floundered near the end where Imber began repeating himself and jumping around a lot more. Some of his writing is a bit clunky, cliched and unpolished as well, but I guess I can forgive that since he is not a professional biographer. The work is pretty well-researched, including letters, journal entries from Halsted's colleagues, and an extensive 'further reading' section at the end. Clocking in at less than pages, this is an essential read for anyone interested in the . Excellent biography of a very influential man whose discoveries and improvements still influence our lives today. Feb 23, Elizabeth rated it it was ok. I am interested in this book because it ref's Freud and his cocain addiction and its consequenses. He was aristocratic and urbane, meticulous in his dresshe sent his shirts to Paris for launderingand could be cold and imperious. He I am interested in this book because it ref's Freud and his cocain addiction and its consequenses. He was aristocratic and urbane, meticulous in his dress—he sent his shirts to Paris for laundering—and could be cold and imperious. He also had a strange, possibly sexless, marriage, but just what made him tick remains a mystery. Medical education in 19th-century America was haphazard at best, and surgery was often brutal and risky. His career as a surgeon was off to a brilliant start in New York in the s, but his experiments with cocaine as a local anesthetic led to his addiction to it and later to morphine. Although his presence at the school was interrupted by months of absence every year due to his drug dependency, he made numerous innovations in surgical technique. However, it was his contributions to the training of surgeons and his development of scientific, safe and anatomically proper surgery that cemented his reputation. He set exceptionally high standards for his residents at Hopkins, and Imber profiles a few, including the distinguished Harvey Cushing. Many of Halsted's students eventually became professors and chiefs of surgery, and in turn their residents became heads of major surgical facilities across the United States. In the author's view, anyone in America who undergoes a successful surgery owes a debt of gratitude to Halsted. Halsted remains out of focus, but the significance of Johns Hopkins in modernizing the education of doctors is clear. All rights reserved. Oct 11, Robert Clancy rated it really liked it Shelves: biography , history. William Halstead yes, although a New Yorker, Halstead Avenue in Chicago is named after his family , is at the epicenter of this saga, it really is about the founding, funding, running and growth of Johns Hopkins University and Medical Schooland the creation of modern medical practices, techniques and training. Halstead is a curious character -- brash, brilliant, idiosyncratic, who This could be subtitled: "The History of Modern American Medicine, William Halstead yes, although a New Yorker, Halstead Avenue in Chicago is named after his family , is at the epicenter of this saga, it really is about the founding, funding, running and growth of Johns Hopkins University and Medical School…and the creation of modern medical practices, techniques and training. Halstead is a curious character -- brash, brilliant, idiosyncratic, who pioneered modern surgical techniques while tending to a 40 year daily morphine and cocaine habit. He discovered that injecting cocaine under the skin caused numbness for surgery, and dental work. He also discovered that injecting it into your veins gave you new vigor and energy, which he couldn't shake for most of his adult live. Halstead championed practices in the operating room he was the first in the world to use rubber gloves when operating , anesthesiology, neurosurgery, hernia surgery before Halstead, less than half of hernia surgery patients lived! What Halstead was to surgery, Johns Hopkins was to medical training. This story is well told by the author who is also an M. Fascinating glimpse into the dawn of modern medicine from only years ago. Sep 03, Steven rated it liked it Shelves: history , biography , medicine. This review has been hidden because it contains spoilers. To view it, click here. I really didn't know anything about William Halsted, whom Imber calls teh father of modern surgery. After reading this book, it's clear that only a handful of people ever did. While Imber does his best to delve into this man's life, there doesn't seem to be a whole lot for him to work with. A secretive and private person, Halsted comes across as intelligent and innovative he pioneered the radical mastectomy and figured out how to repair hernias, among other things , but ultimately, he's a I really didn't know anything about William Halsted, whom Imber calls teh father of modern surgery. A secretive and private person, Halsted comes across as intelligent and innovative he pioneered the radical mastectomy and figured out how to repair hernias, among other things , but ultimately, he's a mystery. The "bizarred double life" in the title refers to Halsted's career-long addiction to cocaine and morphine. Although the title makes it sound like he was Dr. Halsted and Mr. Hyde, it's not quite that racy. As much as this is a biography of Halsted, it's also a mini-history of the Johns Hopkins hospital and medical school, which I appreciated. It's incredibly to think of all the many innovations that were taking place there years ago. After reading this, I want to visit the estate formerly owned by Halsted's wife's family. There's still an inn there, and the descriptions in the book made it sound ideal. I wonder if they still grow dahlias? I finished this during my jury duty lunch break. Dec 05, Sarah rated it liked it Shelves: best-for-medicine. I'm in awe of Dr. Halsted after reading this book and I greatly appreciate what he did to advance the field of surgery. However, I am not in love with the way this author delivered the story. Some details were confusing as many names came up at the same time and then the use of a pronoun forced you to sort out to whom the author was referring. Be prepared also for several tangential biographies of different people who worked with Halsted. The other grievance is several times I came across I'm in awe of Dr. The other grievance is several times I came across repeated paragraphs- in a previous chapter, the author would foreshadow work that Halsted would do later and in the next chapter have the same paragraph almost verbatim. Last, some of the medical details are misleading- for example, not all pituitary disorders are referred to as acromegaly. One of the disorders is but many others can arise from dysfunction of the pituitary. Overall, very worth the read for anyone considering a surgical field or who has an interest in medical history. Apr 13, Mary rated it really liked it Shelves: history , non-fiction , american-history. Genius on the Edge is a fascinating portrait of Dr. William Stewart Halsted, who revolutionized dental surgery and also invented the extraction, the radical mastectomy, and the resident system of medical education. His disciples went on to found the disciplines of urology and neurosurgery, among other specialties. It's hard to believe that one man could cast such a long shadow and yet virtually disappear from history. Halsted achieved all of these momentous things while struggling Genius on the Edge is a fascinating portrait of Dr. Halsted achieved all of these momentous things while struggling with addictions to cocaine and morphine, the former addiction a sad byproduct of his work on dental anesthesia. He went on to a great career in teaching and research at Johns Hopkins, and is immortalized in an oil painting hung on the grounds that depicts him and the other three lights of Johns Hopkins' early days. I highly recommend Genius on the Edge for anyone with an interest in the history of medicine. Jan 25, LC Curtis rated it it was amazing. I can't say enough or urge anyone enough to read this book by Gerald Imber, MD. William Stewart Halsted" is that. The author, however, chooses not to sensationalize the man or his legend but instead depicts various anecdotes, details, and all manner of interesting historical factoids about the Johns Hopkins Hospital and its School of Medicine in their infancies We can thank Halsted for medical staff who wash hands and wear gloves; he set the course. Read this book to learn about the life of Caroline and William Halsted and the peers of Dr. Halsted including Welch, Osler, Kelly, and other "greats. On the merits of this book alone, Goodreads needs to start a second site and title it, "AbsoluteBestreads. Aug 11, Justin Dubin rated it it was amazing. The well written and well researched story of Dr. William Halstead who is known as the Father of Modern Surgery. The book is an excellent look at the incredibly bizarre life of Halstead which includes his battle with cocaine and morphine addiction. I knew of Halstead prior to reading this but I had not even the remotest idea of how important and influential he truly was. He developed residency, was the founding father of local anesthesia, influenced about every major surgeon ever. The guy is The well written and well researched story of Dr. The guy is amazing, his story is insane, and the fact that this is all true makes it even better. The history of medicine is very cool and if you like the show The Knick, just know that Thackery is based off of this guy. Give this book a read. Sep 19, Jenny Brown rated it liked it. The insights into the history of modern surgery, starting in the late s are valuable. But there is a lot of repetition and we don't really learn all that much about the subject, Dr. Halsted, so much as we do the institutional history of Johns Hopkins hospital and medical school. This is a dry book about the , not a look at a "bizarred double life" of anyone. As a biography, this book is hampered by the lack of primary source materials that would give us insight into the The insights into the history of modern surgery, starting in the late s are valuable. As a biography, this book is hampered by the lack of primary source materials that would give us insight into the personal life and thoughts of its subject. The author has done a very good job finding what he can to flesh it out, but it is more an institutional than personal history. Disappointing biography of Halsted, the father of modern surgery. Halsted was an enigmatic, taciturn man and drug addict who kept his private life private from his colleagues and students and even his wife--and all his letters to his wife were burnt after her death. There really isn't much left Disappointing biography of Halsted, the father of modern surgery. There really isn't much left for the author to go on except for the bare outline of his medical life. The book is compromised by an inconsistent timeline, poor organization, and frequent repetition. Makes for a tedious read. Mar 13, David rated it really liked it. A very informative look at the life of the founder of modern surgery, as well as the people responsible for beginning Johns Hopkins Hospital and Medical School. The narrative, at times, seems to lack details, possibly because information was not available. All in all, heowever, I enjoyed learning about the transition that occurred in the medical field and surgery during Halsted's time. Being a surgeon myself, I appreciated the look at hopsital life and the development of modern surgical training A very informative look at the life of the founder of modern surgery, as well as the people responsible for beginning Johns Hopkins Hospital and Medical School. Being a surgeon myself, I appreciated the look at hopsital life and the development of modern surgical training and research. Apr 27, Audacia Ray rated it it was ok Shelves: read-in , history-of-science. Interesting as a history of modern surgery and the Johns Hopkins Hospital, but not that great as a biography, especially on the "bizarre double life" part. Halsted was a cocaine and morphine addict who was an extraordinary and innovative surgeon and also disappeared up to 6 months a year to be alone, travel, and probably indulge his addictions. I say "probably" because although his time at Johns Hopkins is pretty well documented, there is NO documentation of the other half of his life. Speculations fill in most of that, and not very well. Apr 09, Oksana rated it really liked it. I would recommend this book based on its educational value rather than its writing style: although easy to read, it lacks uniformity and seems to be fragmentary and disconnected in places. Sep 15, Souradeep Chowdhury rated it liked it. Since he was primarily a man preferring to remain in the shadows, many are not aware about the full extent of Halstead's contribution to surgery. This book gives a rare insight into the life and works of this great man. I originally became interested in Halstead after learning that The Knick is based loosely on him, and boy, he sure didn't disappoint! Beautifully written prose, guiding readers through the extensive and illustrious history of Johns Hopkins, and a glimpse into the lives of the Big Since he was primarily a man preferring to remain in the shadows, many are not aware about the full extent of Halstead's contribution to surgery. Beautifully written prose, guiding readers through the extensive and illustrious history of Johns Hopkins, and a glimpse into the lives of the Big Four, with special emphasis on Halstead. Article Information. Save Preferences. Privacy Policy Terms of Use. Sign in to access your subscriptions Sign in to your personal account. Institutional sign in: OpenAthens Shibboleth. 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. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more.

https://static.s123-cdn-static.com/uploads/4640212/normal_601ed4ae2c988.pdf https://uploads.strikinglycdn.com/files/0f0d55b1-e870-4f12-9bc0-54b4433faec1/herausforderungen-und-chancen-in-der-schulsozialarbeit-mit- jugendlichen-gefluchteten-239.pdf https://files8.webydo.com/9593338/UploadedFiles/500558C2-FFC1-0A4F-58C7-2E2B0B96FA65.pdf https://files8.webydo.com/9589591/UploadedFiles/BF689F30-4AA6-C18E-33D8-D307E5443B3C.pdf https://files8.webydo.com/9591110/UploadedFiles/F7C6BF9C-9B21-AF7C-13CE-EA0CDD6CD036.pdf