Product Description
For more than 150 years, until well into the twentieth century, tuberculosis was the dreaded scourge that AIDS is for us today. Based on the diaries and letters of hundreds of individuals over five generations, Living in the Shadow of Death is the first book to present an intimate and evocative portrait of what it was like for patients as well as families and communities to struggle against this dreaded disease. "Consumption", as it used to be called, is one of the oldest known diseases. But it wasn't until the beginning of the nineteenth century that it became pervasive and feared in the United States, the cause of one out of every five deaths. Consumption crossed all boundaries of geography and social class. How did people afflicted with the disease deal with their fate? How did their families? What did it mean for the community when consumption affected almost every family and every town? Sheila M. Rothman documents a fascinating story. Each generation had its own special view of the origins, transmission, and therapy for the disease, definitions that reflected not only medical knowledge but views on gender obligations, religious beliefs, and community responsibilities. In general, Rothman points out, tenacity and resolve, not passivity or resignation, marked people's response to illness and to their physicians. Convinced that the outdoor life was better for their health, young men with tuberculosis in the nineteenth century interrupted their college studies and careers to go to sea or to settle in the West, in the process shaping communities in Colorado, Arizona, and California. Women, anticipating the worst, raised their children to be welcomed as orphans in other people's homes.In the twentieth century, both men and women entered sanatoriums, sacrificing autonomy for the prospect of a cure. Poignant as biography, illuminating as social history, this book reminds us that ours is not the first generation to cope with the death of the young or with

CUSTOMER REVIEWS (Average Customer Rating: 2.5 based on 2 reviews)

Interesting but of Truly No Relevance by Mobius Day (Chicago, Il)

1 Stars
December 23, 2005
As Rothman, ruefully notes in her book there have been studies of medicine from the perspective of the doctor and from the perspective of the disease but not from the perspective of the patient. Thus, Dr. Rothman sets out to do "a history of patienthood" and how being a patient changed over the course of time with respect to one single disease, TB or Consumption. The problem is that her original sources are diaries, mainly of women but not exclusively. That by and of itself limits her subjects overwhelmingly to upper crust and educated NE families by and large. Overwhelmingly these are the well-off, relatively speaking. Theretofore, all of Rothman's democratic impulses are naturally very limited. The whole thrust of thesis is thus quite silly. This is not a history truly of patienthood, but of patienthood of the wealthy - of a small well-to-do segment of society. What was it truly like to a patient with TB among the indigent and the poor? Rothman cannot really say for these people kept no diaries and if they did they were certainly not preserved a hundred and fifty years later in some library archives waiting for her to come find them. Rothman gives us only the narrowest slice of what it means to be a patient. Furthermore, this is a telling of history through anecdote. So she takes one, two, maybe 3 dozen diaries and summarizes what the people say in them. Who cares! To say these 3 dozen people are a representative sample (even among the upper crust educated elite of society) is downright silly. It would be like someone reading 3 dozen blogs today on the net and saying they have a general sense of what society was thinking of the Iraq war. Who actually spends their time writing a blog? What is the motivation of those who write the blog? By definition, they are the people with extreme views, angry, disenchanted, frustrated, opinionated jerks. Represenative of nothing. And this all leaves out the fact that we still have no clue as to biased selection of diaries that Rothman chose, potentially only using the one's that made her point (or only quoting passages from the diaries that support her thesis). This is not history. This is not fact-telling. This is historical fiction writing. If you want to understand disease read the work of Robert Fogel, Nobel Prize winning cliometrician. If you want to read historical fiction, go read Barbara Tuchman or Leon Uris. This is just bad fiction with labored dense writing posing as history.

Fascinating, informative...and overwhelmingly sad by Corinne H. Smith (Athol, MA USA)

4 Stars
July 07, 2004
"[T]uberculosis was the leading cause of death in the United States throughout the nineteenth century and well into the twentieth. From 1800 to 1870 tuberculosis was responsible for one out of every five deaths. Paying little attention to geography, social class, or age, it struck rich and poor, young and old, and urban and rural residents." These statistics in Rothman's introduction are tragic enough. The narratives that follow are even sadder.Consumption -- as it was known at the time -- was thought to be either inherited or the result of a sedentary life. (The communicable tubercle bacillus wasn't discovered until 1882.) Doctors focused on a three-pronged cure for their male patients of means: daily exercise, a good diet, and travel to a better climate. On the other hand, female patients were told to handle their domestic duties as best as possible and to get assistance from single female family members who could move in temporarily. Invalids and their families eventually dealt with the inevitable outcome and prepared for death. In the twentieth century, patients were sent off to sanatoriums. Chances are good that someone in your ancestry was affected. At the very least, they knew people who were.This book is revealing because it is written from the patient's viewpoint and with the individuals in mind. Letters and diaries of consumptives show that people commiserated with fellow sufferers and exchanged news of symptoms and possible curative measures. The focus of the story-telling is thus very personal rather than medical. It makes for compelling reading."Living in the Shadow of Death" is mandatory reading for anyone interested in life in the United States in the 1800s and early 1900s. Genealogists and academic researchers in the humanities (especially literature and history) should put this title on their to-read list. "The good old days" really weren't.

SIMILAR PRODUCTS

	Bad Blood: The Tuskegee Syphilis Experiment, Revised Edition by James H. Jones (Author), Jones (Author) From 1932 to 1972, the United States Public Health Service conducted a non-therapeutic experiment involving over 400 black male sharecroppers infected with syphilis. The Tuskegee Study had nothing to do with treatment. It purpose was to trace the spontaneous evolution of the disease in order to learn how syphilis affected black subjects. The men were not told they had syphilis; they were not warned about what the disease might do to them; and, with the exception of a smattering of medication...
	Major Problems in the History of American Medicine and Public Health (Major Problems in American History Series) by John Harley Warner (Author), Janet A. Tighe (Author), Thomas Paterson (Author) This text presents a carefully selected group of readings that allow students to evaluate primary sources, test the interpretations of distinguished historians, and draw their own conclusions.
	Perspectives on Health and Human Rights by Sofia Gruskin (Editor) This anthology of articles collected by a cast of award-winning scholars in the field of public health illustrates that promoting and protecting human rights is fundamental to promoting and protecting health. New issues covered in this volume include: emerging technologies; family and health; responding to violence; and methods and strategies.
	Health Behavior and Health Education: Theory, Research, and Practice by Karen Glanz (Editor), Barbara K. Rimer (Editor), K. Viswanath (Editor) This fourth edition of the classic book, Health Behavior and Health Education: Theory, Research, and Practice provides a comprehensive, highly accessible, and in-depth analysis of health behavior theories that are most relevant to health education. This essential resource includes the most current information on theory, research, and practice at individual, interpersonal, and community and group levels. This edition includes substantial new content on current and emerging theories of health...
	Basic & Clinical Biostatistics (LANGE Basic Science) by Beth Dawson (Author), Robert Trapp (Author), Beth Dawson (Author), Robert Trapp (Author) A comprehensive user-friendly introduction to biostatistics and epidemiology applied to medicine, clinical practice, and research. Features Presenting Problems (case studies) drawn from studies published in the medical literature, end-of-chapter, and a CD-ROM with data sets and statistical software programs.