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VENUS ENVY

A HISTORY OF COSMETIC SURGERY

An entertaining and enlightening history of how the practice of cosmetic surgery has been shaped by the priorities and demands of 20th-century American culture as much as by those of the medical profession. To characterize the shift in American attitudes toward cosmetic surgery, Haiken (History/Univ. of Tennessee) notes that when Fanny Brice had her nose bobbed in the 1920s, Americans asked why, whereas in the 1960s, when Barbra Streisand didn't, they asked why not. Haiken's history is full of anecdotes about surgeons and patients, excerpts from the popular press, especially women's magazines, and quotes from the medical literature. It is also extensively illustrated with movie and television stills, cartoons, before-and-after photos, and advertisements—including an astonishing one for a ``Homely Girl Contest'' run by the New York Daily Mirror in 1924. Haiken details how this field of surgery developed after WW I, the attempts of the American Board of Plastic Surgery to control its practice, and the discovery by surgeons that prosperity lay not in reconstructive but in purely cosmetic surgery. She reveals how surgeons who were reluctant to be linked to ``beauty'' doctors found medical justification for cosmetic procedures in psychology: They were curing inferiority complexes caused by patients' perceived imperfections. While facial surgery receives the greater part of Haiken's attention, she also gives a brief history of breast surgery and touches on liposuction and penile enhancement. Perhaps most interesting is her discussion of the use of plastic surgery to conceal or minimize physical signs of ethnicity. Using Michael Jackson as a case in point, she demonstrates the desire of many members of minority groups to conform to narrow American ideals of beauty. A warts-and-all portrait of a medical speciality that still evokes ambivalence in individuals and in the culture at large.

Pub Date: Nov. 1, 1997

ISBN: 0-8018-5763-5

Page Count: 370

Publisher: Johns Hopkins Univ.

Review Posted Online: June 24, 2010

Kirkus Reviews Issue: Sept. 15, 1997

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A SHORT GUIDE TO A LONG LIFE

Useful but disappointingly commonplace tips.

In a follow-up to The End of Illness (2012), which explored how technological advances will transform medicine, Agus (Medicine and Engineering/Univ. of Southern California) restates time-tested but too often overlooked principles for healthy living.

The author outlines simple measures that average citizens can take to live healthier lives and extend their life spans by taking advantage of modern technology to develop personalized records. These would include a list of medical tests and recommended treatments. Agus also suggests keeping track of indicators that can be observed at home on a regular basis—e.g., changes in energy, weight, appetite and blood pressure, blood sugar and general appearance. He advises that all of this information be made available online, and it is also helpful to investigate family history and consider DNA testing where indicated. Along with maintaining a healthy weight, Agus emphasizes the importance of eating a balanced diet, with plenty of fresh fruits and vegetables and a minimum of red meat. Avoid packaged vitamins and food supplements, and if possible, grow your own vegetables or buy frozen vegetables, which will generally be fresher than those on supermarket shelves. The author also warns against processed foods that make health claims but contain additives or excessive amounts of sugar or fat. Regular mealtimes and plenty of sleep, frequent hand-washing and oral hygiene are a must; smoking and excessive time in the sun should also be avoided. Agus recommends that adults should consider taking statins and baby aspirin as preventative measures. He concludes with a decade-by-decade checklist of annual medical examinations that should be routine—e.g. blood pressure, diabetes and cholesterol screenings, from one’s 20s on; colonoscopies, prostate exams and mammograms later—and a variety of top-10 lists (for example, “Top 10 Reasons to Take a Walk”).

Useful but disappointingly commonplace tips.

Pub Date: Jan. 7, 2014

ISBN: 978-1-4767-3095-0

Page Count: 128

Publisher: Simon & Schuster

Review Posted Online: Sept. 30, 2013

Kirkus Reviews Issue: Oct. 15, 2013

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THE END OF ILLNESS

Oncologist Agus (Medicine and Engineering/Univ. of Southern California) predicts that the application of advanced technology for modeling complex systems will transform 21st-century medicine.

The author writes that a remark Nobel Laureate Murray Gell-Mann made to him in 2009—“Look at cancer as a system"—transformed the way he views his own specialty and the entire field of preventative medicine. It made him realize that “[r]ather than honoring the body as the exceedingly complex system that it is, we keep looking for the individual gene that has gone awry, or for the one ‘secret’ that can improve our health.” Agus writes that although the ability to sequence the entire human genome is a great step forward, it is insufficient for achieving a significant breakthrough. Even though it may start with a mutation, cancer “is a dynamic process that's happening…far from the confines of a static piece of DNA”—it involves the body's immune system, its ability to regulate cell growth, metabolism and more. Agus directs his university’s Center for Applied Molecular Medicine and is the co-founder of two personalized medicine companies, Applied Proteomics and Navigenics. His hope is that their research will contribute to developing better analytical tools for preventative medicine and for the treatment of cancers. These will address the functioning of the body as a whole, applying digital technology already used by physicists to provide virtual models of cancers and model the action of proteins that regulate cell communication in the body. He also hopes to develop tools that will provide information on the concentration of different proteins in a drop of blood taken from a patient, which may reveal the onset of disease. The author also includes some guiding principles and warnings about certain healthy practices that may not be so healthy. A refreshing change of pace in the medical field, but by venturing beyond his field of expertise to pontificate on a wide range of subjects, Agus makes his otherwise intriguing narrative difficult to follow.  

 

Pub Date: Jan. 1, 2012

ISBN: 978-1-4516-1017-8

Page Count: 288

Publisher: Free Press

Review Posted Online: Nov. 5, 2011

Kirkus Reviews Issue: Nov. 15, 2011

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