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Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted [Hardcover]

Gerald Imber
4.1 out of 5 stars  See all reviews (24 customer reviews)


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Book Description

February 2, 2010
Now in paperback, the groundbreaking biography of the most influential surgeon in American history.

“Gerald Imber’s new biography is the first retelling of Halstead’s story in many decades and a particularly expert and thoughtprovoking narrative makes the intense strangeness of Halstead’s subsequent career a gripping story.”

—Abigail Zuger, New York Times Science Section

Dr. William Stewart Halsted’s life was fascinating and complex. Halsted, perhaps the most important surgeon America has ever produced, battled a lifelong cocaine addiction and maintained numerous secret relationships while simultaneously devising revolutionary medical innovations. Yet the story of Halsted’s life, one of seemingly irreconcilable extremes, is in many ways the story of modern medicine.

Before Halsted, poorly-trained doctors performed surgery without anesthesia in unsanitary conditions and patients were rarely expected to survive. Halstead transformed the medical practice by inventing local and spinal anesthesia; introducing the use of rubber gloves during surgery; pioneering the use of fine silk thread for sutures; developing techniques for stabilizing blood pressure during surgery; and inventing the radical mastectomy, blood transfusions, and surgical cures for hernias.

Genius on the Edge is an illuminating biography of a complex and troubled man whose brilliance we continue to benefit

from today.

--This text refers to the Paperback edition.


Editorial Reviews

From Booklist

Clearly an homage to the man to whom “virtually every academically affiliated surgeon can trace his or her teachers,” teaching surgeon Imber’s effort is more than a biography. It is a scholarly reconstruction, complete with historical perspective, of the life of a man who managed to revolutionize surgical practices and, indeed, the entire field of surgery, while battling the enduring and debilitating consequences of self-inflicted medical experimentation. To make surgery more efficient for surgeons, safer, and freer of pain for patients, Halsted began to explore various methods of anesthesia, including the then recently discovered drug, cocaine. He became addicted. Failure to kick that addiction played havoc with his professional life and ultimately forced him to turn optimistically to heroin, generally thought at the time to be an effective treatment. The result was lifelong heroin dependence, despite which he was eventually able to not only function but also continue a brilliant career. Imber’s academic style and inclusive approach are solid but may not appeal to all tastes. --Donna Chavez

Review

“Gerald Imber’s new biography is the first retelling of Halsted’s story in many decades and a particularly expert and thought-provoking narrative makes the intense strangeness of Halsted’s subsequent career a gripping story.”—Abigail Zuger, New York Times Science section

 “…Dr. Gerald Imber's unpredictable and unflappable biography, an intrigue-filled life story that's also a sweeping pop medical history, depicts an individual who was two different kinds of good - make that, great - doctor.”  —Baltimore Sun  

"With this engaging (if spectacularly subtitled) biography, Imber brings into focus the amazing strides medicine has made over 150 years."   —Publishers Weekly  

"Imber provides a few other colorful details about Halsted: He named his dachshunds "Nip" and "Tuck" and was such an indifferent college student that "there is no record of Halsted ever having borrowed a book from the Yale library." He did crack a book during his senior year: Gray's "Anatomy," which inspired him to pursue medicine."  —Washington Post  

“A gripping mixture of medical history and detailed biographical analysis...” —Huffington Post

“He provides a vivid sense of many “larger-than-life personalities,” including those of William Welch, William Osler, Howard Kelly, Harvey Cushing, and Walter Dandy. His powers of description are compelling, and his carefully chosen words seem to let the monumental events speak for themselves. The book is a must-read for residents. The residency of the 21st century is evolving from that of the 20th, but it will be a long time before Halsted's imprint is no longer palpable.”  —Anesthesiology

“Gerald Imber has captured in one grisly sweep the barbarism of both early surgery and the manure-trodden streets it grew from. Like Doctorow's RAGTIME, it's evocative in broad strokes….Not just for history buffs, Imber gives any reader a character for the ages. Riveting.” —Mary Karr, author of The Liars’ Club

--This text refers to the Paperback edition.


Product Details

  • Hardcover: 412 pages
  • Publisher: Kaplan Publishing; 1 edition (February 2, 2010)
  • Language: English
  • ISBN-10: 1607146274
  • ISBN-13: 978-1607146278
  • Product Dimensions: 1.5 x 6.3 x 9.5 inches
  • Shipping Weight: 1.6 pounds
  • Average Customer Review: 4.1 out of 5 stars  See all reviews (24 customer reviews)
  • Amazon Best Sellers Rank: #626,243 in Books (See Top 100 in Books)

More About the Author

Gerald Imber, M.D., is a graduate of the State University of New York Medical College and was trained in plastic surgery at the New York Hospital Cornell Medical College, where he maintains a professional affiliation as a plastic surgeon and clinical assistant professor of surgery. He lives in New York City.

Customer Reviews

Most Helpful Customer Reviews
47 of 51 people found the following review helpful
5.0 out of 5 stars A heroic historical page-turner February 7, 2010
Format:Hardcover
Dr. Gerald Imber will change your views of what it means to be a doctor and a patient, to be sick and to be well. While tracing the convoluted evolution of modern surgery, Imber also chronicles the prodigious, twisted career of the greatest surgeon in American history. As he modernized medicine - introducing such life-sparing novelties as anesthesia, scrubsuits, handwashing, sterlized instruments, even while the medical establishment strenuously resisted his innovations -- Halsted himself descended into a dark, secretive abyss of cocaine abuse and closeted homosexuality. Yet Halsted's techniques and his teaching were so unimpeachably sound, they remain the model for practicing and teaching surgery today. Halsted's story is written with such clarity, it will appeal universally - along the way, Imber's tale encompasses, among other matters, 19th-century American and European history, and some commendably high and lamentably low examples of the human condition. It is a wonder Halsted never had a biography before; we should be very grateful that Dr. Gerald Imber took on this daunting task. His impressive scholarship never gets in the way of good story telling. The charm, humor, and authority of the author's voice shines warmly throughout the sprawling narrative.
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13 of 14 people found the following review helpful
4.0 out of 5 stars Strangely fascinating May 24, 2010
Format:Hardcover|Amazon Verified Purchase
By far the best biography I have read. I did not have to skip over any boring parts or risk falling asleep. It was strange to realize that not only did people not always use sterile practices but that within the last 100 years people did not use sterile practices. Dr Halsted snd his peers were the creators of modern medicine as we still know it, and their story is a fascinating one.
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14 of 17 people found the following review helpful
5.0 out of 5 stars Fascinating look into how modern surgery developed March 30, 2010
Format:Hardcover
"Genius on the Edge" is an interesting book describing the medical developments (especially in surgery) during the period of about 1846 to 1922. The first third of the book mainly focused on what surgery was like before this period, on the developments that occurred from 1846 to 1889, and how they affected Halsted's medical training and prompted his surgical innovations. The rest of the book was more a series of short biographies of men who worked with Halsted and the developments they (and he) brought to the practice of surgery from 1889-1922. It also covered Halsted's marriage and how he lived.

The author didn't assume that the reader was familiar with medical terms and so concisely worked that information in as was needed to understand the innovations. He did an excellent job of making the topic fascinating and easy to understand. I found the book a quick read despite the amount of information packed into it. I also liked how the author wove the general technological changes and social setting into the story so we could see how society effected the advances and how Halsted and the others influenced society in turn. While the book mostly focused on American surgery (especially that done at Johns Hopkins Hospital and Johns Hopkins School of Medicine), the author also brought up related advances over in Europe.

There were only a couple of brief descriptions of actual surgery, so most of the book probably wouldn't bother those who get queasy by descriptions of operations.

Some of the topics covered were: the introduction of general anesthetics, heat sterilization, and antiseptics to make surgery safer. How medical training had been done and how it changed (both in medical school and post-graduate) under the influence of Halsted and his friends at Johns Hopkins.
... Read more ›
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28 of 37 people found the following review helpful
5.0 out of 5 stars Genius Recognized February 15, 2010
Format:Hardcover
Genius on the Edge by Dr. Gerald Imber MD
Kaplan Publishing

Title of the Review: Genius Recognized

Reviewed by: Dr. Joseph S. Maresca CPA, CISA

The author, Dr. Gerald Imber, MD does an excellent job of
documenting the life and times of Dr. William S. Halsted MD.
Dr. William Stewart Halsted was educated in New York initially.
He attended Yale and the College of Physicians and Surgeons
at 23rd St. and 4th Av. in NYC.

Scholastically, he graduated in the top 10 of his class
and won $100 in an essay contest for the description of
the arteries of the neck. He worked at
New York Hospital and read extensive surgical
scholarship written in Europe. He held positions at
Blackwell's Island and Emigrant Hospital, although the
workload was staggering .

At an early age, he began to understand the intricacies
of blood group incompatibility. He found that intestinal
anastomosis using fine silk sutures incorporating the submucosal
layer withstood the pressures of normal bodily functions.
He demonstrated this aspect graphically.

By 1889, rubber sterile gloves were introduced to protect
the skin from irritation. Halsted perfected radical surgery
with extensive fine suturing for breast cancer.
He reconstructed hernia defects in the groin by using muscle
and tough fascial sheath of the oblique muscles of the lower
abdomen to reconstruct the inguinal canal floor. Halsted sutured
the muscles and fascia to Poupart's ligament, an anatomical
inguinal ligament that traverses the iliac bone of the pubis.
Strong silk sutures were used to tighten the internal abdominal
ring as well.
... Read more ›
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Most Recent Customer Reviews
1.0 out of 5 stars Disappointing
The book reads like Cole's Notes - a succinct, chronological listing of interconnected events in the history of modern surgery. Read more
Published 1 month ago by Squishy Grape
3.0 out of 5 stars Fascinating stories but poor editing
Filled with interesting historical details and anecdotes, this biography of Halsted also includes much information about his colleagues` lives. Read more
Published 1 month ago by K. Konkel
5.0 out of 5 stars Halsted
Fascinating read of early medical understanding of germs over the humours. Enjoyed reading about the genius of Halstead, although a peculiar man, he invented many surgical... Read more
Published 2 months ago by Eileen M. Loughney
5.0 out of 5 stars Wow
Loved the book! Learned so much about early medicine & how procedures & technology were developed. Smart & amazing minds!
Published 2 months ago by Honeyb
4.0 out of 5 stars captivating.......
the book gives you an insight of what was to practice medicine in the 1800s and how we got to where we stand now in the field...... Read more
Published 3 months ago by ssm
5.0 out of 5 stars The development of surgery in America
A fascinating read about how surgery developed in America and the men who accomplished such magnificant feats. The brilliance and energy of these men is amazing!
Published 5 months ago by Freda Jean Whitsitt
5.0 out of 5 stars The Accomplishments and Failures of Doctors of the late 1800's
I read this book at the recommendation of a friend who is married to a cardiologist. All of their doctor friends are reading the biographies of the Johns Hopkins doctors for whom... Read more
Published 6 months ago by SARAH SWEET
5.0 out of 5 stars I had no knowledge of Halstead or the history of John Hopkins...
I read this book because it was chosen by our book club. That is the real strength of book clubs as far as I am concerned. Read more
Published 6 months ago by Shirley Mae Smith
4.0 out of 5 stars Essentially a history of the origins of Johns Hopkins Hospital
Although my title might suggest otherwise, I did like this book. I am giving it four stars for two main reasons:

First, the book is, like I mentioned in my title, a... Read more
Published 16 months ago by Carrie
2.0 out of 5 stars Tedious
Disappointing biography of Halsted, the father of modern surgery. The subtitle, "The Bizarre Double Life of Dr. Read more
Published 16 months ago by Michael R. Flick
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