Friday, June 1, 2018

Doing Harm by Maya Dusenberry


Rating: WORTHY!

This is a great book about gender problems within modern medical practice. There is a systemic bias against women not only in how many women get into medicine and just as importantly, get onto professional medical boards, but also in how women are perceived and treated as patients and even how medical studies exclude women. The contents list is quite short, but the book is quite fat and very dense. I liked the fact that it was not written in an academic style which means wide, tree-killing margins and acres of wasted paper. Just the opposite here! What it does mean is lots of detail to wade through, and I confess I skipped some sections once I'd got a good sense of the general topic.

Topics in part one cover things like a knowledge gap and a trust gap, both of them serious. The author tackles issues from lab rats (mostly male!) to human tests (mostly male) to how a female patient is perceived by the majority of doctors versus how that same doctor views a male patient. There are anecdotal stories, yes, and those are tragic, telling of women who took forever to be taken seriously when they showed up reporting pain, but these individual stories are backed by study after study which shows that sexism in the practice of medicine is rife at all levels, harking sadly back to an era when women's medical complaints were far more likely to be brushed off as 'hysteria' than they were to be taken seriously, diagnosed, and treated.

Part two investigates heart diseases and auto-immune diseases, relating how people have taken literally years to get a decent diagnosis after being dismissed repeatedly by multiple male doctors many of whom would rather overlook a woman's reported symptoms of pain, labeling them as attention-seeking or drug-seeking. Ninety percent of lupus cases are in female, yet it takes longer to diagnose a woman with lupus than it does a man because of the lack of regard doctors have for female medical complaints. Black women not only received an even shorter end of the stick, they were beaten with it being dismissed as drug-seekers, despite the fact that the largest abuse of prescription drugs is by whites! Racism. Genderism. It's the same old story.

Part three is amusingly subtitled "The Disorders Formerly Known as Hysteria" but it's no joke how the possession of a womb, the most important thing to the continuation of the human race, gets its owner dismissed and labeled as not a serious patient. It was depressing to read story after story of people failing to get vital treatment not because they didn't have a medical issue but because doctors wouldn't believe they had one. it's sickening and it needs to stop. Hopefully this book will at least start a serious movement away from status quo.This is an important book, to be taken seriously and to be seen as a call to alarms when over half the population is being discriminated against in very real and dangerous ways. I fully recommend this as a worthy, if sad, read.