The Heart Healers: The Misfits, Mavericks, and Rebels Who Created the Greatest Medical Breakthrough of Our Lives, by James s. Forrester
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The Heart Healers: The Misfits, Mavericks, and Rebels Who Created the Greatest Medical Breakthrough of Our Lives, by James s. Forrester
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At one time, heart disease was a death sentence. In The Heart Healers, world renowned cardiologist Dr. James Forrester tells the story of the mavericks and rebels who defied the accumulated medical wisdom of the day to begin conquering heart disease. By the middle of the 20th century, heart disease was killing millions and, as with the Black Death centuries before, physicians stood helpless. Visionaries, though, had begun to make strides earlier. On Sept. 7, 1895, Ludwig Rehn successfully sutured the heart of a living man with a knife wound to the chest for the first time. Once it was deemed possible to perform surgery on the heart, others followed. In 1929, Dr. Werner Forssman inserted a cardiac catheter in his own arm and forced the x-ray technician on duty to take a photo as he successfully threaded it down the vein into his own heart...and lived. On June 6, 1944 - D-Day - another momentous event occurred far from the Normandy beaches: Dr. Dwight Harken sutured the shrapnel-injured heart of a young soldier, saved his life and the term "cardiac surgeon" born.
Dr. Forrester tells the story of these rebels and the risks they took with their own lives and the lives of others to heal the most elemental of human organs - the heart. The result is a compelling chronicle of a disease and its cure, a disease that is still with us, but one that is slowly being worn away by "The Heart Healers".
The Heart Healers: The Misfits, Mavericks, and Rebels Who Created the Greatest Medical Breakthrough of Our Lives, by James s. Forrester- Amazon Sales Rank: #129359 in Books
- Published on: 2015-09-29
- Released on: 2015-09-29
- Original language: English
- Number of items: 1
- Dimensions: 9.45" h x 1.41" w x 6.36" l, 1.00 pounds
- Binding: Hardcover
- 400 pages
Review
"a stunning survey of cardiology’s “Golden Age” and the “misfits” who made it so... It’s a book of marvels." - Publishers Weekly, Starred Review
"Forrester brings history to life and explains complex procedures for lay readers in this excellent book for readers interested in medical history and those who want to understand modern medical procedures." - Library Journal, Starred Review
“A heartwarming account of risk-taking, iconoclastic doctors who achieved extraordinary cardiovascular breakthroughs and of the patients who trusted them.” ―Kirkus Reviews
“Dr. James Forrester has been pioneering cardiac treatment for his entire storied career. Now, he brings his ideas and knowledge to all-and the impact will be profound. This book changes the landscape in heart health.” ―David B. Agus, M.D. Professor of Medicine and Engineering, University of Southern California; New York Times-bestselling author of The End of Illness and A Short Guide to a Long Life
“Dr. James Forrester's The Heart Healers is a fast-moving tale told by someone who has lived through many of the developments he describes. Forrester is a gifted writer whose prose flows effortlessly and is, by turns, both inspired and irreverent He always keeps the narrative moving quickly, letting readers in on the fact that that success was not inevitable, describing false starts and blind alleys along the way. The Heart Healers is deepened by the fact of James Forrester's career, his contact with patients and colleagues and the personal stories of patients he has treated and woven into the narrative.” ―Bruce Fye, M.D. Author of Caring for the Heart: Mayo Clinic and the Rise of Specialization
“James Forrester is one of the great medical storytellers of our era. In The Heart Healers, he applies his exceptional talent to illuminate -- and tell the backstories of -- the momentous milestones in cardiovascular medicine and surgery.” ―Eric Topol, cardiologist, Author of The Patient Will See You Now and The Creative Destruction of Medicine
“This book is a great read!!! Even if one is familiar with some of the players who contributed to breakthroughs in cardiovascular medicine, to learn the back stories from an expert who lived through the events is a very enriching experience. Dr. Forrester makes a very compelling case that the misfits, mavericks, and rebels who persevered with their ideas truly impacted our society in ways that we cannot fully appreciate since we now take those things for granted. This is a story of disruptive innovation before that term was even invented!!” ―Elliott Antman, MD, Professor of Medicine, Brigham and Women’s Hospital, Harvard Medical School and President, American Heart Association 2014-2015
About the Author JAMES S. FORRESTER, MD, is an Emeritus Professor and former Chief of the Division of Cardiology at Cedars-Sinai. In addition, he is a Professor of Medicine at the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Dr. Forrester developed the Forrester classification of hemodynamic subsets of acute myocardial infarction. In the early 1990s, he led a team that developed coronary angioscopy. Dr. Forrester is the second-ever recipient of the American College of Cardiology's Lifetime Achievement Award, its highest honor. He lives in Malibu, CA with his wife who is also a physician.
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Most helpful customer reviews
12 of 12 people found the following review helpful. The soon-to-be-deposed Emperor of All Maladies is heart disease By Alex D As a doctor, I am drawn to non-fiction books about medicine written in lay language. My all-time favorite is Siddhartha Mukherjee’s Emperor of All Maladies, the biography of cancer. James Forrester’s Heart Healers now sits beside it on my shelf of medical classics. It is the Emperor’s bookend, written about heart disease.Forrester’s book is an unvarnished eyewitness to an incredible era of history, since he was both an observer and an important participant in what he calls “the greatest medical breakthrough of our times.” While that title initially smacks of potential whopping overstatement, I believe most readers as they read the last page will take a deep breath and say to themselves “that’s a truly amazing story.”What makes Forrester’s story unique is that it reads just like page-turning mystery-thriller fiction. Because we are constantly asking ourselves what’s going to happen next, it’s difficult to put down. Combine that with the fact that as the story catapults forward, he unfolds a drama of dying real people snatched back from death and heartbreaking stories of real lives lost. Over and over I found myself “choked up” as I became involved in his patient stories.In the midst of the tumult and chaos of medical success and failure that he describes stands a group of doctors he labels “mavericks and misfits.” As I was swept along from one insurmountable problem to another amazing solution, I had not the slightest doubt that this part of the title Forrester chose for his book is also spot on. Without pushing the point or making judgments, he makes a compelling case that the cascade of breakthroughs he describes were driven by doctors whose creativity seemed closely linked to their sometimes egregious risk-taking and their rebellious natures.In addition to his terrific story, as a doctor I also appreciate how Forrester, like Mukherjee, often gently plants profound ideas and questions for the general public to think about. Among these ideas are that people “always” die in the course of medical progress, and that we learn more from our mistakes than our successes. Another intriguing unanswered question is whether the astonishing medical advances he describes could occur in today’s regulatory environment.As he enters the present and future, Forrester offers one final provocative question: could heart disease, which currently rules the roost as our nation’s number one killer, be deposed by the end of this decade? He says it will and he tells us why.Comparing these two outstanding books, each has its special merits. I would say Mukherjee’s writing is somewhat more scholarly and literary with interesting metaphors, Forrester’s writing has more dramatic tension and pace, and his characters are quite a bit more emotionally engaging. The importance of Forrester’s topic, the drama that percolates through every page, and the simplicity and clarity of his explanations for a lay reader make Heart Healers the best medical book that I have read.
5 of 5 people found the following review helpful. Authoritative, Educational, Inspiring, Highly Readable--A History of Heart Surgery, Heart Attack Treatments By Lynne E. THE HEART HEALERS recounts the entire history of heart surgery (never attempted before WWII) in such a readable fashion, I could hardly put the book down. Written by Cedars-Sinai Hospital's former Chief of Cardiology (Dr. James S. Forrester), it is highly authoritative, because the author thoroughly understands the nature of heart disease. The book is quite extraordinary, because Dr. Forrester (as a practicing, teaching cardiologist) personally experienced many of the changes in the treatment of heart disease that directly resulted from the medical breakthroughs described in his book. In fact, Dr. Forrester was or is acquainted with many of the research surgeons (many are now deceased) whose discoveries have shaped today's increasingly safe and effective treatments for heart disease.This book certainly makes the case for NOT submitting to any kind of experimental heart surgery--surgeons do kill patients, when they encounter the unexpected, or when their theories fail to take some overlooked but important factor into account. Many desperate patients died when the surgeons' experimental ideas and techniques were being perfected. But the book also explains why so few of today's patients will even need experimental surgery--medical intervention before, during, and after a heart attack is now so effective that if a patient makes it alive to a cardiac care unit, the patient will NOT die. Often repairs to the heart can be made by catheterization, without opening the patient's chest for closed- or open-heart surgery.Probably the most interesting thing that I learned, is that heart bypass and heart valve replacement surgeries do NOT prevent heart attacks. All they do is restore blood flow to the heart and prevent further heart muscle death. Bypass and valve replacement surgery is now very safe--the vast majority of patients survive the surgery and live for year(s) afterwards. But the prevention of heart attacks depends on controlling the rupture of atheromas (plaques) inside the arteries. The atheromas are like pimples in the arteries--they result from inflammation due to excess fat/cholesterol transfer through the artery walls, and from the body's natural immune response to inflammation.The way to control plaques, is to eat a heart-healthy diet--not a low-fat diet, but a diet that lowers the "bad" cholesterol (LDL cholesterol) in your blood. This diet emphasizes non-hydrogenated unsaturated fats, whole grains for carbohydrates, abundant fruits and vegetables, and adequate omega-3 fatty acids. And of course the diet needs to be supplemented with regular physical activity, avoidance of smoking, and maintenance of appropriate body weight. In older people, who already have considerable plaque in their arteries (as part of an inevitable natural process that begins in adolescence), taking a statin drug (e.g., Crestor, Lipitor) will offer further protection.THE HEART HEALERS is primarily a history of cardiology, intended for a general audience, and the stories it recounts are fascinating. Many of the breakthroughs were serendipitous--as when an out-of-control catheter injected dye directly into a patient's coronary artery, and the patient's heart merely paused, instead of stopping or going into uncontrolled fatal fibrillation as surgeons believed would happen.But the book is also reassuring in its overall conclusion that heart disease is going to disappear as the nation's number one killer, because of the tremendous advancements that have been made in cardiology. In truth, this book has inspired me to make some personal lifestyle changes--because it clearly demonstrates that eating right and exercising are worth the effort, no matter when you start.
3 of 3 people found the following review helpful. A heart-pounding, gripping read of memoir and medical history By Connie This may be classified as a medical book, but James Forrester knows how to tell a great story. This is a combination of memoir as he interns as a cardiologist to the history of cardio diseases and how they were treated in the past through the present.He writes about the pioneers in the field of heart surgery and heart treatments, describes machinery and how they operate, all using laymen's terms that are understandable and fascinating to most people. In short, he makes the field of cardio-vascular disease and cardio injuries and their many treatment methods interesting by also giving kudos to the many unknown scientists and doctors who were mavericks, misfits and risk-takers: Dwight Harken (a WWII chief of thoracic surgery who was put in charge of treating battle-wounded soldiers), Harken's peer and rival Charles Bailey, Mason Sones, Rene Favaloro, Akira Endo to name a few. All of them had one characteristic in common: they were self-confident and were great in their fields. They also took risks that sometimes meant the death of the patient and the potential loss of their medical licenses.He also tells the stories of some of the brave patients. Not all lived, some knew full well the risk of volunteering to new surgeries and techniques and yet all of them are presented as very humane, compassionate people willing to help the medical field. All the patients in the book have unique symptoms to various kinds of coronary artery disease (CAD), heart defects or traumatic injuries to the heart, all which just a few decades ago were a sure sign of death.This book is fascinating to read not only because it is well-written, it's also well organized into four distinctive parts. We have a part on the innovators, a part on the industrial revolution of cardio surgery, the science of learning from past mistakes to improve future success, and a part medical liability/insurance/bureacracy. All parts are gripping sections to this book. They make the reader think hard about their own medical health and what they can potentially face as a heart patient down the road. It makes one realize how important it is to take care of one's heart, but it also makes one realize how quickly anyone can fall victim to hart-related diseases.Highly recommended for not just doctors and students of medicines and heart patients and survivors, but for anyone fascinated in the workings of the human heart.
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