Ellen Leopold - A DARKER RIBBON: A TWENTIETH-CENTURY STORY OF BREAST CANCER, WOMAN, AND THEIR DOCTORS
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A DARKER RIBBON: A TWENTIETH-CENTURY STORY OF BREAST CANCER, WOMAN, AND THEIR DOCTORS
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A Twentieth-Century Story of Breast Cancer, Women, and Their DoctorsIn the first cultural history of breast cancer, Ellen Leopold asks how sexual politics have shaped the relationship between patient and physician, and how a disease recently shrouded in secrecy has become so public.
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A Darker Ribbon : Breast Cancer, Women, and Their Doctors in the Twentieth Century
author
:
Leopold, Ellen.
publisher
:
Beacon Press
isbn10 | asin
:
0807065129
print isbn13
:
9780807065129
ebook isbn13
:
9780807065143
language
:
English
subject
Breast--Cancer--History--20th century, Breast--Cancer--Social aspects.
publication date
:
1999
lcc
:
RC280.B8L37 1999eb
ddc
:
616.99/449/00904
subject
:
Breast--Cancer--History--20th century, Breast--Cancer--Social aspects.
Page iii
A Darker Ribbon
Breast Cancer, Women, and Their Doctors in the Twentieth Century
Ellen Leopold
Page iv
Some images in the original version of this book are not available for inclusion in the netLibrary eBook.
BEACON PRESS 25 Beacon Street Boston, Massachusetts 02108-2892 www.beacon.org
BEACON PRESS BOOKS are published under the auspices of the Unitarian Universalist Association of Congregations. 1999 by Ellen Leopold
All rights reserved
Printed in the United States of America
Excerpts from unpublished Rachel Carson material copyright 1998 by Roger Christie. All letters reprinted by permission of Frances Collin, Trustee u-w-o Rachel Carson. All rights reserved.
Papers of George Crile, Jr., M.D., The Cleveland Clinic Foundation Archives, Cleveland, Ohio. Reprinted by permission of Helga Sandburg Crile. "Barbara Mueller" letters reprinted by permission of Alan Mason Chesney Medical Archives of the Johns Hopkins Medical Institutions.
Excerpts from letters from Sim family correspondence reprinted by permission of Elizabeth N. Shor.
05 04 03 02 01 00 99 8 7 6 5 4 3 2 1
This book is printed on recycled acid-free paper that contains at least 20 percent postconsumer waste and meets the uncoated paper ANSI/NISO specifications for permanence as revised in 1992.
Text design by Anne Chalmers Composition by Wilsted & Taylor Publishing Services
Library of Congress Cataloging-in-Publication Data
Leopold, Ellen A darker ribbon: breast cancer, women, and their doctors in the twentieth century / Ellen Leopold. p. cm. Includes bibliographical references. ISBN 0-8070-6512-9 1. Breast-Cancer-History-20th century. 2. BreastCancer Social aspects. I. Title. RC280.B8 L37 1999 616.99'449'09040dc21
99-27201
Page v
FOR LILY AND CATHERINE
Page vi
To dietakes just a little while They say it doesn't hurt It's only fainterby degrees And thenit's out of sight
A darker Ribbonfor a day A Crape upon the Hat And then the pretty sunshine comes And helps us to forget
The absentmysticcreature That but for love of us Had gone to sleepthat soundest time Without the weariness
Emily Dickinson
Page vii
CONTENTS
Acknowledgments
ix
Introduction
1
Part One
1 The Prehistory of Breast Cancer
23
2 The Dominance of Surgery
45
Part Two
3 "A Really Hideous Mutilation": the Radical Mastectomy in the Correspondence of a Breast Cancer Patient and Her Surgeon, William Stewart Halsted, 1917-22
85
4 "A Private Little Hell": the Letters of Rachel Carson and Dr. George Crile, Jr., 1960-64
111
Part Three
5 The Battle for the Breast
153
6 Breast Cancer within the History of the Women's Health Movements
188
Page viii
7 From the Closet to the Commonplace, 1945-75
215
8 At the Close of the Century
243
The Last Word: Obituaries
275
Notes
285
Bibliography
317
Index
328
Page ix
ACKNOWLEDGMENTS
In carrying out the research for this book, I spent time immersed in medical books and archives that are of little surviving interest to anyone but historians. But interleaved in this material was a body of evidence I always found shocking, no matter how many hours of dutiful note-taking had dulled my concentration. What never failed to electrify me were the photographs of women, shown naked to the waist, revealing breast tumors of truly monstrous sizes and shapes arrayed across their chests. For whatever reasons, their physicians had determined that their tumors were inoperable; they had been left to suffer the unmitigated pain of cancer in the breast itself as well as the insidious but invisible spread of disease throughout their bodies. These photographs are, then, a record of a wholesale medical surrender.
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