“Life is short, and the Art so long; the occasion fleeting; experience fallacious; and judgment difficult. The physician must not only be prepared to do what is right himself, but also to make the patient, the attendants, and the externals, cooperate.”
–attributed to Hippocrates, c. 400 B.C.E.
The award-winning author of How We Die and The Art of Aging , venerated physician Sherwin B. Nuland has now written his most thoughtful and engaging book. The Uncertain Art is a superb collection of essays about the vital mix of expertise, intuition, sound judgment, and pure chance that plays a part in a doctor’s practice and life.
Drawing from history, the recent past, and his own life, Nuland weaves a tapestry of compelling stories in which doctors have had to make decisions in the face of uncertainty. Topics include the primitive (and sometimes illegal) procedures doctors once practiced with good intentions, such as grave robbing and prescribing cocaine as an anesthetic (which resulted in a physician becoming America’s first cocaine addict); the curious “cures” for irregularity touted by people from the ancient Egyptians to the cereal titan John Harvey Kellogg and bodybuilder Charles Atlas; and healers grappling with today’s complex moral and ethical quandaries, from cloning to gene therapy to the adoption of Eastern practices like acupuncture.
Nuland also recounts his most dramatic experiences in a forty-year medical career: the time he was called out of the audience of a Broadway play to help a man having a heart attack (when no other doctor there would respond), and how he formed a profound friendship with an unforgettable–and doomed–heart patient. Behind these inspiring accounts always lie the mysteries of the human body and human nature, the manner in which the ill can will themselves back to health and the odd and essential interactions between a body’s own healing mechanisms and a doctor’s prescriptions.
Riveting and wise, amusing and heartrending, The Uncertain Art is Sherwin Nuland’s best work, gems from a man who has spent his professional life acting in the face of ambiguity and sharing what he has learned.
From the Hardcover edition.
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|Title of eBook: The Uncertain Art|
|Release Date: 05-20-2008|
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|Publisher: Random House Publishing Group|
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The Uncertain Art
THE WHOLE LAW OF MEDICINE
Life is short, and the Art is long; the occasion fleeting; experience fallacious, and judgment difficult. The physician must not only be prepared to do what is right himself, but also to make the patient, the attendants, and the externals, cooperate.
The First Aphorism
attributed to hippocrates, c. 400 b.c.e.
It has long been accepted that a considerable portion of the body of writings credited to Hippocrates was in fact authored by others, in the two centuries following his death. But until recent decades, scholars remained convinced that reliable criteria were recognizable by which at least a certain core of the material might still be identified as his own. They set this group of texts off from the rest by calling it “The Genuine Works of Hippocrates.”
English translations of these central teachings were inadequate and incomplete until the mid-nineteenth century, when the Sydenham Society of London commissioned the Scottish surgeon Francis Adams to provide a definitive edition. Published in 1849, the two-volume result of Adams’s efforts—naturally called The Genuine Works of Hippocrates—took its place as the authentic historic record.
During the last century, cracks began to appear in the supposed evidence by which some of even these “genuine” works had been certified into the canon, but the short book of pithy clinical maxims known as The Aphorisms held out longer than most. As recently as 1934, members of America’s first think tank of medical historians, based at Johns Hopkins University, could write in their Bulletin: “It is almost universally agreed that among