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Monday, May 03, 2021

Review: Extreme Medicine

 Extreme Medicine is a book about how exploration transformed medicine and vice-versa, and starts off with the discussion of Robert F Scott's death in Antarctica and tying it to the survival of Anna Bagenholm, one of the first people who'd survived due to deep cold conditions. The author, Kevin Fong is an MD and I have no reason to doubt the accuracy of the book, but upon reflection realized that Robert F Scott had nothing to do with Bagenholm's survival!

The same sequence would happen all through the book in the early chapters, detailing burn victims, and then you hit smack-dab into the section on the ICU, which has a discussion of the original SARS epidemic and but has zero content about  how the various devices in the ICU works and also noted that the SARS epidemic was won by public health, not by heroic interventions in the ICU. Sure, the ICU saved lives, but as the recent SARS-Cov2 virus showed, no amount of ICU intervention will prevent large numbers of death if your public health infrastructure has fallen down.

Hence, you get a great discussion of the invention of ventilators, only to realize (and to his credit Fong acknowledges that) the polio epidemics was only ended by vaccines.

Only the final few chapters have anything to do with exploration --- the one on traveling to Mars and NASA's repeated attempt at artificial gravity does actually seem like inventions designed to facilitate exploration, as well as the solar flare protection plans. But boy, that's 1 chapter in a book that otherwise never ties its content to its title.

Fong is a good presenter (apparently he's  TV personality in the UK), and writes well. The prose is reasonably interesting, but I'd recommend several other medical-related books over this one.

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