Cover image for Bittersweet : Diabetes, Insulin, and the Transformation of Illness.
Bittersweet : Diabetes, Insulin, and the Transformation of Illness.
Title:
Bittersweet : Diabetes, Insulin, and the Transformation of Illness.
Author:
Feudtner, Chris.
ISBN:
9780807863183
Personal Author:
Physical Description:
1 online resource (315 pages)
Contents:
Contents -- Illustrations -- Figures -- Tables -- Preface -- Notes -- Looking Back as a Means to Look Forward -- A Currebt View of Diabetes Mellitus -- Part I. Disease and Medicine Today -- 1. Irony in an Era of Medical Marvels: Diabetes History as a Study of Health and Hope -- Diabetes and the Technology Ethos -- Dr. Joslin's Records and Letters -- The Paradigm of Disease Transmutation -- The Phenomenon of Transformed Illness -- Overview -- Notes -- Part II. The Bittersweet Transformation of Diabetes -- 2. A Disease in Motion: The Cycles of Diabetic Transmutation -- Diabetes and the Transmutation of Disease -- From Transmuted Disease to Transformed Experience -- Diabetes at the Turn of the Century -- The Cycles of Rigorous Diet -- Breaking the Cycle of Insulin Therapy -- Managing New Regimes -- New Expectations and Social Change -- The Human Consequences of Intervened Disease -- Notes -- 3. Illness Unfolding: The Transformed Experience of Diabetic Patients -- The Language of Living with Diabetes -- Learning the Language of Diabetic Life -- The Punctuating of Crises and Transitions -- The Grammar of Routine -- "Complications" and the Denouement of Diabetic Life -- Narrations and Creating Meaning in Life -- Notes -- 4. Getting the Point: The Daily Work of Diabetes -- Daily Life and work in the Diabetic World -- Monitoring Work -- Diet Work -- Insulin Work -- Symptom Work -- Identity Work -- "Work Shortens the Day, but Lengthens the Life" -- Notes -- 5. The Want of Control: Ideas and Ideals in the Management of Diabetes -- Ideal Control before Insulin -- Ideal Control Intensified -- Insulin and Control "Among the Erstwhile Dead" -- Striving for Control of Life and Death -- The Want of Control -- Notes -- 6. Pregnant Longings: Mounting Medical Intensity in the Pursuit of Motherhood -- Migrating Focus of Clinical Control -- Mounting Intensity of Care.

Expanding Horizon of Medical Management -- Reconfiguring Relationships and Responsibilities -- Life after Pregnancy -- Cultural Logic, Social Constraints, and Medical Innovation -- Notes -- 7. Predicaments of Dangerous Safety: Identity, Responsibility, and Life with a Chronic Illness -- The Arrangement of Responsibility before Insulin -- The Arrangement of Responsibility after Insulin -- Establishing One's Self in a Diabetic World -- Tracy Pike Villars -- John Hansen -- Maturing in the Diabetic World -- Tracy -- John -- Coping with Therapeutic "Failure" -- Tracy -- John -- Responsibilities and the Sequela of "Success" -- Elliott P. Joslin, M.D. -- Each Day as a sort of Bonus -- Notes -- Part III. Illness and People Care Tomorrow -- 8. Medcine and the Marshaling of Hope: Confronting the Increasingly Complicated Choices of Incomplete Control -- Reckoning with Imperfect Miracles -- A Life of Managed Hope and Sorrow -- History, Medicine, and Forms of Imagination -- The Constant Presence of the Past -- Inextinguishable Tensions -- Confronting the Choices of Incomplete Control -- Marshaling Hope -- Notes -- Notes -- Bibliography -- Acknowledgments -- Index -- A-B -- C-D -- E-H -- I -- J -- K-M -- N -- O-P -- R -- S -- T-V -- W-Z.
Abstract:
One of medicine's most remarkable therapeutic triumphs was the discovery of insulin in 1921. The drug produced astonishing results, rescuing children and adults from the deadly grip of diabetes. But as Chris Feudtner demonstrates, the subsequent transformation of the disease from a fatal condition into a chronic illness is a story of success tinged with irony, a revealing saga that illuminates the complex human consequences of medical intervention. Bittersweet chronicles this history of diabetes through the compelling perspectives of people who lived with this disease. Drawing on a remarkable body of letters exchanged between patients or their parents and Dr. Elliot P. Joslin and the staff of physicians at his famed Boston clinic, Feudtner examines the experience of living with diabetes across the twentieth century, highlighting changes in treatment and their profound effects on patients' lives. Although focused on juvenile-onset, or Type 1, diabetes, the themes explored in Bittersweet have implications for our understanding of adult-onset, or Type 2, diabetes, as well as a host of other diseases that, thanks to drugs or medical advances, are being transformed from acute to chronic conditions. Indeed, the tale of diabetes in the post-insulin era provides an ideal opportunity for exploring the larger questions of how medicine changes our lives.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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