Bittersweet: Diabetes, Insulin, and the Transformation of Illness

Contents......Page 8
Illustrations......Page 9
Figures......Page 12
Tables......Page 13
Looking Back as a Means to Look Forward......Page 14
Notes......Page 248
A Currebt View of Diabetes Mellitus......Page 19
Part I. Disease and Medicine Today......Page 26
1. Irony in an Era of Medical Marvels: Diabetes History as a Study of Health and Hope......Page 28
Diabetes and the Technology Ethos......Page 29
Dr. Joslin's Records and Letters......Page 37
The Paradigm of Disease Transmutation......Page 42
The Phenomenon of Transformed Illness......Page 50
Overview......Page 53
Part II. The Bittersweet Transformation of Diabetes......Page 56
2. A Disease in Motion: The Cycles of Diabetic Transmutation......Page 58
Diabetes and the Transmutation of Disease......Page 61
From Transmuted Disease to Transformed Experience......Page 68
Diabetes at the Turn of the Century......Page 69
The Cycles of Rigorous Diet......Page 73
Breaking the Cycle of Insulin Therapy......Page 75
Managing New Regimes......Page 79
New Expectations and Social Change......Page 81
The Human Consequences of Intervened Disease......Page 85
Notes......Page 252
3. Illness Unfolding: The Transformed Experience of Diabetic Patients......Page 87
The Language of Living with Diabetes......Page 88
Learning the Language of Diabetic Life......Page 93
The Punctuating of Crises and Transitions......Page 99
The Grammar of Routine......Page 102
"Complications" and the Denouement of Diabetic Life......Page 106
Narrations and Creating Meaning in Life......Page 111
Notes......Page 255
4. Getting the Point: The Daily Work of Diabetes......Page 114
Daily Life and work in the Diabetic World......Page 117
Monitoring Work......Page 120
Diet Work......Page 122
Insulin Work......Page 125
Symptom Work......Page 129
Identity Work......Page 139
"Work Shortens the Day, but Lengthens the Life"......Page 143
Notes......Page 259
5. The Want of Control: Ideas and Ideals in the Management of Diabetes......Page 146
Ideal Control before Insulin......Page 148
Ideal Control Intensified......Page 156
Insulin and Control "Among the Erstwhile Dead"......Page 157
Striving for Control of Life and Death......Page 162
The Want of Control......Page 168
Notes......Page 261
6. Pregnant Longings: Mounting Medical Intensity in the Pursuit of Motherhood......Page 171
Migrating Focus of Clinical Control......Page 175
Mounting Intensity of Care......Page 179
Expanding Horizon of Medical Management......Page 183
Reconfiguring Relationships and Responsibilities......Page 186
Life after Pregnancy......Page 189
Cultural Logic, Social Constraints, and Medical Innovation......Page 191
Notes......Page 265
7. Predicaments of Dangerous Safety: Identity, Responsibility, and Life with a Chronic Illness......Page 194
The Arrangement of Responsibility before Insulin......Page 195
The Arrangement of Responsibility after Insulin......Page 199
Establishing One's Self in a Diabetic World......Page 201
Tracy Pike Villars......Page 202
John Hansen......Page 204
Tracy......Page 207
John......Page 209
Coping with Therapeutic "Failure"......Page 212
Tracy......Page 213
John......Page 215
Responsibilities and the Sequela of "Success"......Page 217
Elliott P. Joslin, M.D.......Page 218
Each Day as a sort of Bonus......Page 220
Notes......Page 267
Part III. Illness and People Care Tomorrow......Page 222
8. Medcine and the Marshaling of Hope: Confronting the Increasingly Complicated Choices of Incomplete Control......Page 224
Reckoning with Imperfect Miracles......Page 225
A Life of Managed Hope and Sorrow......Page 229
History, Medicine, and Forms of Imagination......Page 233
The Constant Presence of the Past......Page 234
Inextinguishable Tensions......Page 237
Confronting the Choices of Incomplete Control......Page 239
Marshaling Hope......Page 245
Notes......Page 270
Bibliography......Page 274
Acknowledgments......Page 300
A-B......Page 302
C-D......Page 303
E-H......Page 306
I......Page 307
J......Page 308
K-M......Page 309
N......Page 310
O-P......Page 311
R......Page 312
S......Page 313
T-V......Page 314
W-Z......Page 315