Imperfect Health

'Imperfect Health' looks at the complexity of today's health problems juxtaposed with a variety of proposed architectural and urban solutions. Essays by Margaret Campbell, David Gissen, Carla C. Keirns, and Sarah Schrank deal with different aspects of the topic of health in the context of architecture.

As health becomes a central focus of political debate, are architects, urban designers, and landscape architects seeking a new moral and political agenda to address these concerns? Imperfect Health looks at the complexity of today's health problems juxtaposed with a variety of proposed architectural and urban solutions. Essays by Margaret Campbell, David Gissen, Carla C. Keirns, and Sarah Schrank deal with different aspects of the topic of health in the context of architecture such as: "An Architectural Theory of Pollution" and "Strange Bedfellows: Tuberculosis and Modern Architecture-How 'The Cure' Influenced Modernist Architecture and Design." This book is published in collaboration with the CCA, Montreal on the occasion of the exhibition Imperfect Health: The Medicalization of Architecture, curated by Giovanna Borasi, CCA Curator of Contemporary Architecture, and Mirko Zardini, CCA Director and Chief Curator.

National Bestseller “As Albert Camus wrote, the doctor’s role is as a witness–to witness authentically the reality of humanity, and to speak out against the horrors of political inaction. . . . The only crime equaling inhumanity is the crime of indifference, silence, and forgetting.” —James Orbinski In 1988, James Orbinski, then a medical student in his twenties, embarked on a year-long research trip to Rwanda, a trip that would change who he would be as a doctor and as a man. Investigating the conditions of pediatric AIDS in Rwanda, James confronted widespread pain and suffering, much of it preventable, much of it occasioned by political and economic corruption. Fuelled by the injustice of what he had seen in Rwanda, Orbinski helped establish the Canadian chapter of Médecins Sans Frontières (Doctors Without Borders/MSF). As a member of MSF he travelled to Peru during a cholera epidemic, to Somalia during the famine and civil war, and to Jalalabad, Afghanistan. In April 1994, James answered a call from the MSF Amsterdam office. Rwandan government soldiers and armed militias of extremist Hutus had begun systematically to murder Tutsis. While other foreigners were evacuated from Rwanda, Orbinski agreed to serve as Chef de Mission for MSF in Kigali. As Rwanda descended into a hell of civil war and genocide, he and his team worked tirelessly, tending to thousands upon thousands of casualties. In fourteen weeks 800,000 men, women and children were exterminated. Half a million people were injured, and millions were displaced. The Rwandan genocide was Orbinski’s undoing. Confronted by indescribable cruelty, he struggled to regain his footing as a doctor, a humanitarian and a man. In the end he chose not to retreat from the world, but resumed his work with MSF, and was the organization’s president when it was awarded the Nobel Peace Prize in 1999. An Imperfect Offering is a deeply personal, deeply political book. With unstinting candor, Orbinski explores the nature of humanitarian action in the twenty-first century, and asserts the fundamental imperative of seeing as human those whose political systems have most brutally failed. He insists that in responding to the suffering of others, we must never lose sight of the dignity of those being helped or deny them the right to act as agents in their own lives. He takes readers on a journey to some of the darkest places of our history but finds there unimaginable acts of courage and empathy. Here he is doctor as witness, recording voices that must be heard around the world; calling on others to meet their responsibility. “Ummera, ummera–sha” is a Rwandan saying that loosely translated means ‘Courage, courage, my friend–find your courage and let it live.’ It was said to me by a patient at our hospital in Kigali. She was slightly older than middle aged and had been attacked with machetes, her entire body rationally and systematically mutilated. Her face had been so carefully disfigured that a pattern was obvious in the slashes. I could do little more for her at that moment than stop the bleeding with a few sutures. We were completely overwhelmed. She knew and I knew that there were so many others. She said to me in the clearest voice I have ever heard, “Allez, allez. Ummera, ummera-sha”–‘Go, go. Courage, courage, my friend–find your courage and let it live.’ —From An Imperfect Offering

The New York Times bestselling author of the Beauty Detox series, nutritionist, and personal development expert Kimberly Snyder offers us a powerful new guide to help us feel good, eat well, dispel insecurities, and increase our love of life. Feeling good is not about having a picture-perfect life with a flawless body, job, and family. We can have those things and still feel deeply unhappy. Joy and true confidence come by finding a level of inner peace in our messy, perfectly imperfect lives. In this beautiful, inspirational, and highly anticipated new book, Kimberly Snyder shares not only her amazing new food recipes but also practical tips for living a happy and fulfilling life. As Snyder teaches, the key is to live beyond labels, heal body shame, and move past self-judgment. By embracing life's ups and downs and learning to tune into our intuition, we can ultimately claim our right to feel good, just as we are. With dozens of life lessons and more than 100 plant-based recipes for smoothies, soups, snacks, and entrées, Recipes for Your Perfectly Imperfect Life invites us to find inner peace and acceptance, and teaches us how a healthier mind and body can give us strength to thrive in all parts of our lives.

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

'This is a fab book where science-based nutrition meets easy, joyful, flavour-packed foods.' -Melissa Hemsley 'Easy-to-digest nutrition advice, with compelling lifestyle tips woven throughout.' - Nina Parker Being healthy shouldn't be about trying to do everything perfectly and then feeling terrible when you don't. There is no one-size-fits-all approach when it comes to nutrition; every body is unique and everyone has their own imperfect way of eating. The Imperfect Nutritionist is your complete guide to improving key aspects of your health and wellbeing, including boosting your energy levels, gut health, immunity and sleep quality. Instead of telling you what you can and cannot eat, registered nutritionist Jennifer Medhurst's evidence-based approach to nutrition empowers you to decide what is best for your health while still giving you the freedom to eat the foods you enjoy. Part One outlines the 7 easy-to-follow principles that Jennifer believes underpin any healthy diet including: Focus on Whole foods Be diverse What the fat!? Include fermented, prebiotic and probiotic foods Reduce refined carbohydrates Be aware of liquids Eat mindfully Part Two consists of 70 delicious, enjoyable recipes that you will want to cook and eat, using ingredients available at any supermarket. The Imperfect Nutritionist is about adding more to your life, not taking away. Learn how easy it is to feel better, all while eating food you enjoy.

Imperfect Conceptions reveals how Chinese cultural currents - fear and fascination with the deviant and the urge to draw clear boundaries between the normal and the abnormal - have combined with medical discourse to form a program of eugenics that is viewed with alarm by the rest of the world.

Today Dounya Awada is a 24-year-old, devout Muslim, happy, healthy, and very much alive. But just a few years before, she nearly starved to death. Her struggle began when she was six years old. Little Dounya wanted nothing less than to be perfect, like her mother. She pushed herself hard every day, excelling in schoolwork and at home. She had to be the cutest, prettiest, smartest girl in the room. The slightest hint of imperfection led to meltdowns and uncontrollable tantrums. Her parents loved her fiercely but were unable to understand what was happening to their little girl. In Dounya's culture, food is nearly synonymous with love. Dounya began to eat to fill the growing need within her. She grew in size, eventually hitting over 200 pounds at just age 15. Food became her only friend. Her peers mocked her. She felt utterly alone. As is the case for someone with dysmorphia, Dounya's obsession with food did a turnabout, and she began rigorous exercising and dieting. But even a substantial weight loss didn't satisfy her. She looked in the mirror and still saw the fat girl she used to be. She began the ugly cycle of bingeing and purging, until she weighted just 73 pounds"--