'A remarkably honest memoir of a life spent pulling people back from death' - Adam Kay In these stories, Dr Jim Down brings us to the very heart of the intensive care unit - the section of the hospital where the sickest patients are brought to be cared for until their condition improves. With honesty, humility and a streak of dark humour, Dr Down describes the quietly heroic work of doctors and nurses on the ICU, a place which sits at the cutting edge of medical technology and where a split-second decision can make the difference between life and death. From headline-grabbing cases like that of Alexander Litvinenko, poisoned by Russian agents and admitted to Down's ward, to the appalling aftermath of a train crash, Life in the Balance offers an inside glimpse of intensive care medicine, its immense challenges, deleterious effects on doctors' mental health and enormous rewards. Its profundity will make you reconsider the fragility of life and reframe your understanding of what it means to care.

This collection of eleven original essays interrogates the concept of freedom and recenters our understanding of the process of emancipation. Who defined freedom, and what did it mean to nineteenth-century African Americans, both during and after slavery? Some of the essays disrupt the traditional story and time-frame of emancipation.

“Maladies of Empire has a captivating writing style, is exhaustively researched, and is persuasive in argumentation. Jim Downs has written a game-changing book.”—Deirdre Cooper Owens, author of Medical Bondage: Race, Gender, and the Origins of American Gynecology “An eye-popping study of the history of infectious diseases, how they spread, and especially how they have been thwarted by experimentation on the bodies of soldiers, slaves, and colonial subjects…a timely, brilliant book about some of the brutal ironies in the story of medical progress.”—David W. Blight, author of Frederick Douglass “Brilliant…Jim Downs uncovers the origins of epidemiology in slavery, colonialism, and war. A most original global history, this book is required reading for historians, medical researchers, and really anyone interested in the origins of modern medicine.”—Sven Beckert, author of Empire of Cotton “[Sheds] light on the violent foundations of disease control interventions and public health initiatives [and] implores us to address their inequities in the present.”—Ragav Kishore, The Lancet Most stories of medical progress come with ready-made heroes. John Snow traced the origins of London’s 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence Nightingale’s care of soldiers in the Crimean War revolutionized medical hygiene. Yet focusing on individual innovators ignores many of the darker, unacknowledged sources of medical knowledge. Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of conscripted soldiers, enslaved people, and subjects of empire. From Africa and India to the Americas, plantations, slave ships, and battlefields were the laboratories where physicians came to understand the spread of disease. Boldly argued and urgently relevant, Maladies of Empire gives a long overdue account of the true price of medical progress.

In this groundbreaking collection, editors Daina Ramey Berry and Leslie M. Harris place sexuality at the center of slavery studies in the Americas (the United States, the Caribbean, and South America). While scholars have marginalized or simply overlooked the importance of sexual practices in most mainstream studies of slavery, Berry and Harris argue here that sexual intimacy constituted a core terrain of struggle between slaveholders and the enslaved. These essays explore consensual sexual intimacy and expression within slave communities, as well as sexual relationships across lines of race, status, and power. Contributors explore sexuality as a tool of control, exploitation, and repression and as an expression of autonomy, resistance, and defiance.

Bondspeople who fled from slavery during and after the Civil War did not expect that their flight toward freedom would lead to sickness, disease, suffering, and death. But the war produced the largest biological crisis of the nineteenth century, and as historian Jim Downs reveals in this groundbreaking volume, it had deadly consequences for hundreds of thousands of freed people. In Sick from Freedom, Downs recovers the untold story of one of the bitterest ironies in American history-that the emancipation of the slaves, seen as one of the great turning points in U.S. history, had devastating consequences for innumerable freedpeople. Drawing on massive new research into the records of the Medical Division of the Freedmen's Bureau-a nascent national health system that cared for more than 500,000 freed slaves-he shows how the collapse of the plantation economy released a plague of lethal diseases. With emancipation, African Americans seized the chance to move, migrating as never before. But in their journey to freedom, they also encountered yellow fever, smallpox, cholera, dysentery, malnutrition, and exposure. To address this crisis, the Medical Division hired more than 120 physicians, establishing some forty underfinanced and understaffed hospitals scattered throughout the South, largely in response to medical emergencies. Downs shows that the goal of the Medical Division was to promote a healthy workforce, an aim which often excluded a wide range of freedpeople, including women, the elderly, the physically disabled, and children. Downs concludes by tracing how the Reconstruction policy was then implemented in the American West, where it was disastrously applied to Native Americans. The widespread medical calamity sparked by emancipation is an overlooked episode of the Civil War and its aftermath, poignantly revealed in Sick from Freedom.

Featuring an exciting cast of established scholars as well as young, up-and-coming writers, Why We Write provides a forum for scholars, activists, and novelists to reflect on the ways in which they use their writing and academic work to create social change. This volume uncovers the political agendas, social missions, and personal and professional experiences that compel writers to bring their stories to the page. Why We Write examines the dual commitment of writing articles and books that are committed to high scholarly standards as well as social justice. These essays will be of great interest to college and graduate students who currently lack a model of social justice scholarship.

"Taking Back the Academy! "is not only an historical look at activism on campus since the 1960s, but also an exploration of the ways in which the historian's craft leads to social change. Written against the current political wave that views liberal academics as treasonous and unpatriotic, these authors defend political dissent and powerfully document the importance of activism and public debate on college campuses. From the controversies surrounding the current war to continuing problems of identity politics on campus, "Taking Back the Academy!" covers a number of issues raging on today's university campuses.

This book is about media transparency and good-faith attempts of honesty by both the sources and the gate-keepers of news and other information that the mass media present as being unbiased. Specifically, this book provides a theoretical framework for understanding media transparency and its antithesis--media opacity--by analyzing extensive empirical data that the authors have collected from more than 60 countries throughout the world. The practice of purposeful media opacity, which exists to greater or lesser extents worldwide, is a powerful hidden influencer of the ostensibly impartial media gate-keepers whose publicly perceived role is to present news and other information based on these gate-keepers' perception of this information's truthfulness. Empirical data that the authors have collected globally illustrate the extent of media opacity practices worldwide and note its pervasiveness in specific regions and countries. The authors examine, from multiple perspectives, the complex question of whether media opacity should be categorically condemned as being universally inappropriate and unethical or whether it should be accepted-or at least tolerated-in some situations and environments.

War is uncomfortable for Christians, and worldwide war is unfamiliar for today's generations. Jim Downing reflects on his illustrious military career, including his experience during the bombing of Pearl Harbor, to show how we can be people of faith during troubled times.

The natural human impulse is to run from attack. Jim Downing--along with countless other soldiers and sailors at Pearl Harbor on December 7, 1941--ran toward it, fighting to rescue his fellow navy men, to protect loved ones and civilians on the island, and to find the redemptive path forward from a devastating war. We are protected from war these days, but there was a time when war was very present in our lives, and in The Other Side of Infamy we learn from a veteran of Pearl Harbor and World War II what it means to follow Jesus into and through every danger, toil, and snare.

All royalties, a minimum of GBP2.50 from the sale of each book, will be paid to NHS Charities Together (registered charity no. 1186569) to fund vital projects. When the UK went into lockdown in March 2020 to contain the spread of the Covid-19 virus, artist Tom Croft offered to paint an NHS key worker's portrait for free. Unsure how to help and offer his support, he wanted to capture and record the bravery and heroism of frontline workers who were risking their physical and mental health for our wellbeing. Tom suggested that other artists might want to do the same. He made his offer via video message on Instagram and was immediately contacted by Harriet Durkin, a nurse at the Manchester Royal Infirmary, who had contracted Covid-19 and, now recovered, was about to return to the frontline. Tom's portrait of Harriet, wearing PPE, was the first in what became a global art project. The response to the initiative was staggering and Tom personally paired up 500 artists and NHS workers in the first two weeks. When numbers reached the thousands, Tom set up a traffic light system so that artists and frontline workers could match themselves. Portraits in all mediums followed, from oils to pencil, sculpture to ceramic, mosaic to mural. This book presents a selection of these remarkable images. Some are by leading artists such as Alastair Adams and Mary Jane Ansell, and they are showcased here as both a celebration and a remembrance, in physical form, of the dedication of our NHS key workers. 'I just couldn't imagine what it must be like to have to put on your PPE and head into the frontline of the pandemic, so I wanted to try and thank NHS workers in some small way. We are indebted to them, so to be able to commemorate, celebrate and record their experiences through portraiture felt fitting. This collection will stand as a permanent record of their bravery in a time of national crisis.' Tom Croft

A sweeping global history that looks beyond European urban centers to show how slavery, colonialism, and war propelled the development of modern medicine. Most stories of medical progress come with ready-made heroes. John Snow traced the origins of London’s 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence Nightingale’s contributions to the care of soldiers in the Crimean War revolutionized medical hygiene, transforming hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge, especially when it comes to the science of infectious disease. Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjects—conscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The field hospitals of the Crimean War and the US Civil War were carefully observed experiments in disease transmission. The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire gives a full account of the true price of medical progress.

Featuring an exciting cast of established scholars as well as young, up-and-coming writers, Why We Write provides a forum for scholars, activists, and novelists to reflect on the ways in which they use their writing and academic work to create social change. This volume uncovers the political agendas, social missions, and personal and professional experiences that compel writers to bring their stories to the page. Why We Write examines the dual commitment of writing articles and books that are committed to high scholarly standards as well as social justice. These essays will be of great interest to college and graduate students who currently lack a model of social justice scholarship.

'A remarkably honest memoir of a life spent pulling people back from death' - Adam Kay In these stories, Dr Jim Down brings us to the very heart of the intensive care unit - the section of the hospital where the sickest patients are brought to be cared for until their condition improves. With honesty, humility and a streak of dark humour, Dr Down describes the quietly heroic work of doctors and nurses on the ICU, a place which sits at the cutting edge of medical technology and where a split-second decision can make the difference between life and death. From headline-grabbing cases like that of Alexander Litvinenko, poisoned by Russian agents and admitted to Down's ward, to the appalling aftermath of a train crash, Life in the Balance offers an inside glimpse of intensive care medicine, its immense challenges, deleterious effects on doctors' mental health and enormous rewards. Its profundity will make you reconsider the fragility of life and reframe your understanding of what it means to care.

Reckoning with History brings together original essays from a diverse group of historians who consider how writing about the past can engage with the urgent issues of the present. The contributors-all former students of the distinguished Columbia University historian Eric Foner-explore the uses and politics of history through key episodes across a wide range of struggles for freedom. They shed new light on how different groups have defined and fought for freedom throughout American history, as well as the ways in which the ideal of freedom remains unrealized today. Covering a broad range of topics, these essays offer insight into how historians practice their craft in different ways and illuminate what it means to be a socially and politically engaged historian.

This book is about media transparency and good-faith attempts of honesty by both the sources and the gate-keepers of news and other information that the mass media present as being unbiased. Specifically, this book provides a theoretical framework for understanding media transparency and its antithesis--media opacity--by analyzing extensive empirical data that the authors have collected from more than 60 countries throughout the world. The practice of purposeful media opacity, which exists to greater or lesser extents worldwide, is a powerful hidden influencer of the ostensibly impartial media gate-keepers whose publicly perceived role is to present news and other information based on these gate-keepers' perception of this information's truthfulness. Empirical data that the authors have collected globally illustrate the extent of media opacity practices worldwide and note its pervasiveness in specific regions and countries. The authors examine, from multiple perspectives, the complex question of whether media opacity should be categorically condemned as being universally inappropriate and unethical or whether it should be accepted -- or at least tolerated -- in some situations and environments.

Reckoning with History brings together original essays from a diverse group of historians who consider how writing about the past can engage with the urgent issues of the present. The contributors-all former students of the distinguished Columbia University historian Eric Foner-explore the uses and politics of history through key episodes across a wide range of struggles for freedom. They shed new light on how different groups have defined and fought for freedom throughout American history, as well as the ways in which the ideal of freedom remains unrealized today. Covering a broad range of topics, these essays offer insight into how historians practice their craft in different ways and illuminate what it means to be a socially and politically engaged historian.

AN OBSERVER PICK FOR NONFICTION TO LOOK OUT FOR IN 2021 'Deeply affecting - a personal memoir that grips, harrows, inspires and, ultimately, uplifts with its vein of deep humanity' Philippe Sands 'One of the doctors with the most hands-on experience of Covid in the country' Edward Docx, New Statesman A powerful, moving account of an intensive care doctor's life on the frontline of the Covid-19 pandemic As a doctor running the intensive care unit at one of London's top hospitals, Jim Down has spent his life working as healthcare's last resort, where the unexpected is always around the corner, and life and death decisions are an everyday occurrence. But nothing had prepared Jim and his team for the events of spring 2020, when the Covid-19 pandemic descended. In Life Support, he tells the extraordinary month-by-month story of how as the nation came to a standstill, he and his colleagues donned PPE, received an unprecedented influx of patients, transformed their hospital and took on the biggest challenge in the history of the NHS. The pandemic raised difficult questions for Jim: how do you fight a new disease? How do you go home at night to your wife and young children when you've spent all day around highly infectious patients? How do you tell a mother that her healthy young son has died, only days after falling ill? With warmth, honesty and humour, this book is a gripping, moving testament to the everyday heroism of the NHS staff in a global crisis, and an unforgettable insight into what was really happening in the wards as we clapped on our doorsteps.

Despite the tremendous gains of the LGBT movement in recent years, the history of gay life in this country remains poorly understood. According to conventional wisdom, gay liberation started with the Stonewall Riots in Greenwich Village in 1969. The 1970s represented a moment of triumph- both political and sexual- before the AIDS crisis in the subsequent decade, which, in the view of many, exposed the problems inherent in the so-called gay lifestyle".In Stand by Me , the acclaimed historian Jim Downs rewrites the history of gay life in the 1970s, arguing that the decade was about much more than sex and marching in the streets. Drawing on a vast trove of untapped records at LGBT community centres in Los Angeles, New York, and Philadelphia, Downs tells moving, revelatory stories of gay people who stood together- as friends, fellow believers, and colleagues- to create a sense of community among people who felt alienated from mainstream American life.As Downs shows, gay people found one another in the Metropolitan Community Church, a nationwide gay religious group in the pages of the Body Politic , a newspaper that encouraged its readers to think of their sexuality as a political identity at the Oscar Wilde Memorial Bookstore, the hub of gay literary life in New York City and at theatres putting on Gay American History," a play that brought to the surface the enduring problem of gay oppression.These and many other achievements would be largely forgotten after the arrival in the early 1980s of HIV/AIDS, which allowed critics to claim that sex was the defining feature of gay liberation. This reductive narrative set back the cause of gay rights and has shaped the identities of gay people for decades.An essential act of historical recovery, Stand by Me shines a bright light on a triumphant moment, and will transform how we think about gay life in America from the 1970s into the present day.

'Deeply affecting - a personal memoir that grips, harrows, inspires and, ultimately, uplifts with its vein of deep humanity' Philippe Sands' An extraordinarily frank book laced with humour and self-deprecation' The Times As a doctor on the intensive care unit at one of London's top hospitals, Jim Down has spent his life working as healthcare's last resort, where each day reveals a new challenge. But nothing could prepare Jim and his colleagues for the events of spring 2020, when the Covid-19 pandemic put them on the frontline of a global health crisis. In Life Support, Jim tells the extraordinary month-by-month story of how, as the world came to a standstill, he and his co-workers faced down the biggest challenge in the history of the NHS. Full of warmth, honesty and humour, this book is a gripping and moving testament to the everyday heroism of the NHS staff in a global emergency, and an unforgettable insight into what was really happening on the wards as we clapped on our doorsteps.

With Stand by Me, Jim Downs rewrites the history of gay life in the 1970s, arguing that the decade was about much more than sex and marching in the streets. Drawing on a vast trove of untapped records at LGBT community centers in Los Angeles, New York, and Philadelphia, Downs tells moving, revelatory stories of gay people who stood together-as friends, fellow believers, and colleagues-to create a sense of community among people who felt alienated from mainstream American life.

This collection of eleven original essays interrogates the concept of freedom and recenters our understanding of the process of emancipation. Who defined freedom, and what did it mean to nineteenth-century African Americans, both during and after slavery? Some of the essays disrupt the traditional story and time-frame of emancipation.

In this groundbreaking collection, editors Daina Ramey Berry and Leslie M. Harris place sexuality at the center of slavery studies in the Americas (the United States, the Caribbean, and South America). While scholars have marginalized or simply overlooked the importance of sexual practices in most mainstream studies of slavery, Berry and Harris argue here that sexual intimacy constituted a core terrain of struggle between slaveholders and the enslaved. These essays explore consensual sexual intimacy and expression within slave communities, as well as sexual relationships across lines of race, status, and power. Contributors explore sexuality as a tool of control, exploitation, and repression and as an expression of autonomy, resistance, and defiance.

Bondspeople who fled from slavery during and after the Civil War did not expect that their flight toward freedom would lead to sickness, disease, suffering, and death. But the war produced the largest biological crisis of the nineteenth century, and as historian Jim Downs reveals in this groundbreaking volume, it had deadly consequences for hundreds of thousands of freed people. In Sick from Freedom, Downs recovers the untold story of one of the bitterest ironies in American history-that the emancipation of the slaves, seen as one of the great turning points in U.S. history, had devastating consequences for innumerable freedpeople. Drawing on massive new research into the records of the Medical Division of the Freedmen's Bureau-a nascent national health system that cared for more than one million freed slaves-he shows how the collapse of the plantation economy released a plague of lethal diseases. With emancipation, African Americans seized the chance to move, migrating as never before. But in their journey to freedom, they also encountered yellow fever, smallpox, cholera, dysentery, malnutrition, and exposure. To address this crisis, the Medical Division hired more than 120 physicians, establishing some forty underfinanced and understaffed hospitals scattered throughout the South, largely in response to medical emergencies. Downs shows that the goal of the Medical Division was to promote a healthy workforce, an aim which often excluded a wide range of freedpeople, including women, the elderly, the physically disabled, and children. Downs concludes by tracing how the Reconstruction policy was then implemented in the American West, where it was disastrously applied to Native Americans. The widespread medical calamity sparked by emancipation is an overlooked episode of the Civil War and its aftermath, poignantly revealed in Sick from Freedom.

Historians have long been engaged in telling the story of the struggle for the vote. In the wake of recent contested elections, the suppression of the vote has returned to the headlines, as awareness of the deep structural barriers to the ballot, particularly for poor, black, and Latino voters, has called attention to the historical roots of issues related to voting access. Perhaps most notably, former state legislator Stacey Abrams's campaign for Georgia's gubernatorial race drew national attention after she narrowly lost to then-secretary of state Brian Kemp, who had removed hundreds of thousands of voters from the official rolls. After her loss, Abrams created Fair Fight, a multimillion-dollar initiative to combat voter suppression in twenty states. At an annual conference of the Organization of American Historians, leading scholars Carol Anderson, Kevin M. Kruse, Heather Cox Richardson, and Heather Anne Thompson had a conversation with Abrams about the long history of voter suppression at the Library Company of Philadelphia. This book is a transcript of that extraordinary conversation, edited by Jim Downs. Voter Suppression in U.S. Elections offers an enlightening, history-informed conversation about voter disenfranchisement in the United States. By gathering scholars and activists whose work has provided sharp analyses of this issue, we see how historians in general explore contentious topics and provide historical context for students and the broader public. The book also includes a "top ten" selection of essays and articles by such writers as journalist Ari Berman, Pulitzer Prize-winning historian David Blight, and civil rights icon John Lewis.

Nine killed in Charleston church shooting. White supremacists demonstrate in Charlottesville. Monuments decommissioned in New Orleans and Chapel Hill. The headlines keep coming, and the debate rolls on. How should we contend with our troubled history as a nation? What is the best way forward? This first book in UGA Press's History in the Headlines series offers a rich discussion between four leading scholars who have studied the history of Confederate memory and memorialization. Through this dialogue, we see how historians explore contentious topics and provide historical context for students and the broader public. Confederate Statues and Memorialization artfully engages the past and its influence on present racial and social tensions in an accessible format for students and interested general readers. Following the conversation, the book includes a "Top Ten" set of essays and articles that everyone should read to flesh out their understanding of this contentious, sometimes violent topic. The book closes with an extended list of recommended reading, offering readers specific suggestions for pursuing other voices and points of view.