Aids Doctors

Today, AIDS has been indelibly etched in our consciousness. Yet it was less than twenty years ago that doctors confronted a sudden avalanche of strange, inexplicable, seemingly untreatable conditions that signaled the arrival of a devastating new disease. Bewildered, unprepared, and pushed to the limit of their diagnostic abilities, a select group of courageous physicians nevertheless persevered. This unique collective memoir tells their story. Based on interviews with nearly eighty doctors whose lives and careers have centered on the AIDS epidemic from the early 1980s to the present, this candid, emotionally textured account details the palpable anxiety in the medical profession as it experienced a rapid succession of cases for which there was no clinical history. The physicians interviewed chronicle the roller coaster experiences of hope and despair, as they applied newly developed, often unsuccessful therapies. Yet these physicians who chose to embrace the challenge confronted more than just the sense of therapeutic helplessness in dealing with a disease they could not conquer. They also faced the tough choices inherent in treating a controversial, sexually and intravenously transmitted illness as many colleagues simply walked away. Many describe being gripped by a sense of mission: by the moral imperative to treat the disempowered and despised. Nearly all describe a common purpose, an esprit de corps that bound them together in a terrible yet exhilarating war against an invisible enemy. This extraordinary oral history forms a landmark effort in the understanding of the AIDS crisis. Carefully collected and eloquently told, the doctors' narratives reveal the tenacity and unquenchable optimism that has paved the way for taming a 20th-century plague.

During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease. During this period of great uncertainty, decision-making regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system. The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was doneâ€"and recommends what should be done to produce better outcomes in the face of future threats to blood safety. The committee frames its analysis around four critical area: Product treatmentâ€"Could effective methods for inactivating HIV in blood have been introduced sooner? Donor screening and referralâ€"including a review of screening to exlude high-risk individuals. Regulations and recall of contaminated bloodâ€"analyzing decisions by federal agencies and the private sector. Risk communicationâ€"examining whether infections could have been averted by better communication of the risks.

Written by prominent experts in the field of AIDS care provision, this book is an excellent resource for HIV-infected people as well as the many individuals affected by HIV, including physicians, other health care providers, service providers, family, loved ones, partners, & friends. Based on extensive interviews with people with AIDS, the book explores the dynamics of a good working relationship between the patient & physician. It also addresses the realities of late-stage illness & identifies important issues faced by long-term survivors & their loved ones. According to Daniel C. William, MD, Columbia University, "The book has a scholarly thoroughness that remains surprisingly readable...the detailed analysis provides excellent insights into this subject." Michael Shernoff, MSW, Hunter College Graduate School of Social Work, calls it "a remarkable compilation of information that is easily read & certain to be sought after for a long time to come. It is bound to become a classic volume." Available to libraries free of charge. Only postage & handling required. To order, contact NCM Publishers, Inc., Dept. JL, 200 Varick St., New York, NY 10014.

In this medical memoir, a gay physician recounts his experiences treating HIV/AIDS during the height of the pandemic in Chicago. In 1992, Dr. Ross A. Slotten signed more death certificates in Chicago—and, by inference, the state of Illinois—than anyone else. As a family physician, he was trained to care for patients from birth to death, but when he completed his residency in 1984, he had no idea that many of his future patients would be cut down in the prime of their lives. Among those patients were friends, colleagues, and lovers, shunned by most of the medical community because they were gay and HIV positive. Slotten wasn’t an infectious disease specialist, but because of his unique position as both a gay man and a young physician, he became an unlikely pioneer, swept up in one of the worst epidemics in modern history. Plague Years is an unprecedented first-person account of that epidemic, spanning not just the city of Chicago but four continents as well. Slotten provides an intimate yet comprehensive view of the disease’s spread alongside heartfelt portraits of his patients and his own conflicted feelings as a medical professional, drawn from more than thirty years of personal notebooks. In telling the story of someone who was as much a potential patient as a doctor, Plague Years sheds light on the darkest hours in the history of the LGBT community in ways that no previous medical memoir has. Praise for Plague Years “Plague Years is a remarkable book. At once the story of a disease and a very personal and reflective memoir, 200-some pages written in a powerful narrative style at once artful and enlightening. . . . There are many truths in this stunning and important book. And there’s also hope.” —Rick Kogan, Chicago Tribune “A plainspoken memoir of the AIDS onslaught by a doctor whose life and career have been spent fighting back at it, Plague Years is humane, harrowing, and—eventually, mercifully, guardedly—hopeful. It was not an easy thing for me to return to the Chicago of those early years of increasing anxiety and fear—who knows how many times Dr. Slotten and I may have unknowingly crossed paths?—but this is an important account, and well worth your time.” —Benjamin Dreyer, New York Times–bestselling author of Dreyer’s English

Annotation This poignant and eloquent book is a memoir of the first decade of the AIDS epidemic, written by a physician whose encounters with his dying patients allowed him to come to terms with his own losses, history, and family secrets. It is a story with an important message for anyone dealing with the challenges of living, dying, and being human.

The memoir and first book from the author of the beloved New York Times bestseller Cutting for Stone. Nestled in the Smoky Mountains of eastern Tennessee, the town of Johnson City had always seemed exempt from the anxieties of modern American life. But when the local hospital treated its first AIDS patient, a crisis that had once seemed an “urban problem” had arrived in the town to stay. Working in Johnson City was Abraham Verghese, a young Indian doctor specializing in infectious diseases. Dr. Verghese became by necessity the local AIDS expert, soon besieged by a shocking number of male and female patients whose stories came to occupy his mind, and even take over his life. Verghese brought a singular perspective to Johnson City: as a doctor unique in his abilities; as an outsider who could talk to people suspicious of local practitioners; above all, as a writer of grace and compassion who saw that what was happening in this conservative community was both a medical and a spiritual emergency. Out of his experience comes a startling but ultimately uplifting portrait of the American heartland as it confronts—and surmounts—its deepest prejudices and fears.

An updated edition of Jacques Pépin's acclaimed account of the events that transformed a chimpanzee virus into a global pandemic.