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Improvising Medicine - An African Oncology Ward in an Emerging Cancer Epidemic (Hardcover, New)
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Improvising Medicine - An African Oncology Ward in an Emerging Cancer Epidemic (Hardcover, New)
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In "Improvising Medicine," Julie Livingston tells the story of
Botswana's only dedicated cancer ward, located in its capital city
of Gaborone. This affecting ethnography follows patients, their
relatives, and ward staff as a cancer epidemic emerged in Botswana.
The epidemic is part of an ongoing surge in cancers across the
global south; the stories of Botswana's oncology ward dramatize the
human stakes and intellectual and institutional challenges of an
epidemic that will shape the future of global health. They convey
the contingencies of high-tech medicine in a hospital where vital
machines are often broken, drugs go in and out of stock, and
bed-space is always at a premium. They also reveal cancer as
something that happens "between" people. Serious illness, care,
pain, disfigurement, and even death emerge as deeply social
experiences. Livingston describes the cancer ward in terms of the
bureaucracy, vulnerability, power, biomedical science, mortality,
and hope that shape contemporary experience in southern Africa. Her
ethnography is a profound reflection on the social orchestration of
hope and futility in an African hospital, the politics and
economics of healthcare in Africa, and palliation and disfigurement
across the global south.
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