LEADER 04116nam 2200709 a 450 001 9910457920603321 005 20200520144314.0 010 $a0-674-06327-9 024 7 $a10.4159/harvard.9780674063273 035 $a(CKB)2550000000074686 035 $a(OCoLC)767735850 035 $a(CaPaEBR)ebrary10518233 035 $a(SSID)ssj0000551537 035 $a(PQKBManifestationID)11941080 035 $a(PQKBTitleCode)TC0000551537 035 $a(PQKBWorkID)10537849 035 $a(PQKB)10196870 035 $a(MiAaPQ)EBC3301023 035 $a(DE-B1597)178132 035 $a(OCoLC)1013963977 035 $a(OCoLC)1037907440 035 $a(OCoLC)1041815085 035 $a(OCoLC)1042125509 035 $a(OCoLC)1046608969 035 $a(OCoLC)1047001299 035 $a(OCoLC)1049623626 035 $a(OCoLC)1054868829 035 $a(OCoLC)840443499 035 $a(DE-B1597)9780674063273 035 $a(Au-PeEL)EBL3301023 035 $a(CaPaEBR)ebr10518233 035 $a(EXLCZ)992550000000074686 100 $a20110325d2011 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aInvasion of the body$b[electronic resource] $erevolutions in surgery /$fNicholas L. Tilney 210 $aCambridge, Mass. $cHarvard University Press$d2011 215 $a1 online resource (383 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-674-06228-0 320 $aIncludes bibliographical references and index. 327 $aThree operations -- The teaching hospital -- Evolution of a profession -- Steps forward and steps backward -- War and peace -- The promise of surgical research -- Operations on the heart -- The mechanical heart -- The transfer of organs -- Making a surgeon, then and now -- Shifting foundations -- Unsolved dilemmas. 330 $aIn 1913, the Peter Bent Brigham Hospital in Boston admitted its first patient, Mary Agnes Turner, who suffered from varicose veins in her legs. The surgical treatment she received, under ether anesthesia, was the most advanced available at the time. At the same hospital fifty years later, Nicholas Tilney-then a second-year resident-assisted in the repair of a large aortic aneurysm. The cutting-edge diagnostic tools he used to evaluate the patient's condition would soon be eclipsed by yet more sophisticated apparatus, including minimally invasive approaches and state-of-the-art imaging technology, which Tilney would draw on in pioneering organ transplant surgery and becoming one of its most distinguished practitioners.In Invasion of the Body, Tilney tells the story of modern surgery and the revolutions that have transformed the field: anesthesia, prevention of infection, professional standards of competency, pharmaceutical advances, and the present turmoil in medical education and health care reform. Tilney uses as his stage the famous Boston teaching hospital where he completed his residency and went on to practice (now called Brigham and Women's). His cast of characters includes clinicians, support staff, trainees, patients, families, and various applied scientists who push the revolutions forward.While lauding the innovations that have brought surgeons' capabilities to heights undreamed of even a few decades ago, Tilney also previews a challenging future, as new capacities to prolong life and restore health run headlong into unsustainable costs. The authoritative voice he brings to the ancient tradition of surgical invasion will be welcomed by patients, practitioners, and policymakers alike. 606 $aSurgery$xHistory 606 $aSurgery$xHistory$y20th century 606 $aSurgery$xHistory$y21st century 608 $aElectronic books. 615 0$aSurgery$xHistory. 615 0$aSurgery$xHistory 615 0$aSurgery$xHistory 676 $a617 700 $aTilney$b Nicholas L$01050502 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910457920603321 996 $aInvasion of the body$92480324 997 $aUNINA