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Book by Helen Bynum a quick review
Very well written -- in the English style, Spitting Blood encompasses a partial history of medicine as well. Particularly in the early chapters the author chronicles the physician's struggle recognising that the various tubercles and the various organ systems involved with TB were but one disease. The inclusion of historically famous physicians' diagnosis and struggle with consumption / TB, including names such as Boerhaave, Laennec and Koch, makes for delightful reading.
The later chapters go into the re-emergence of TB with HIV and high levels of drug resistance. MDRTB, XDRTB and TDRTB refer to multiple resistant, extensive resistance and resistant to everything cases -- mostly in countries in which the health care system has collapsed. We tend to forget that one out of three in the world are infected with TB, mostly contained, but none the less TB kills 1.4 million a year world wide. There were some 8.7 million new or reactivation TB cases in 2011; it rivals malaria. If you like real pathology and and an infectious disease challenge, this is a must read.|
Book by Helen Bynum a quick review
Very well written -- in the English style, Spitting Blood encompasses a partial history of medicine as well. Particularly in the early chapters the author chronicles the physician's struggle recognising that the various tubercles and the various organ systems involved with TB were but one disease. The inclusion of historically famous physicians' diagnosis and struggle with consumption / TB, including names such as Boerhaave, Laennec and Koch, makes for delightful reading.
The later chapters go into the re-emergence of TB with HIV and high levels of drug resistance. MDRTB, XDRTB and TDRTB refer to multiple resistant, extensive resistance and resistant to everything cases -- mostly in countries in which the health care system has collapsed. We tend to forget that one out of three in the world are infected with TB, mostly contained, but none the less TB kills 1.4 million a year world wide. There were some 8.7 million new or reactivation TB cases in 2011; it rivals malaria. If you like real pathology and and an infectious disease challenge, this is a must read.|
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