But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering.Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified.

    Sceptical about Christianity, sympathetic to the barbarian invaders and the Byzantine Empire, constantly aware of how political leaders often achieve the exact opposite of what they intend, Gibbon was both alert to the broad pattern of events and significant revealing details.

    

    We tend to think of the Romans as a pragmatic people with a ruthlessly efficient army, an exemplary legal system, and a precise and elegant language. A Cabinet of Roman Curiosities shows that the Romans were equally capable of bizarre superstitions, logic-defying customs, and often hilariously derisive views of their fellow Romans and non-Romans.Classicist J. C. McKeown has organized the entries in this entertaining volume around major themes--The Army, Women, Religion and Superstition, Family Life, Medicine, Slaves, Spectacles--allowing for quick browsing or more deliberate consumption.For anyone seeking an inglorious glimpse at the underside of the greatest empire in history, A Cabinet of Roman Curiosities offers endless delights.

    How did this violent phenomenon achieve the status of the sacred? This question is examined in Walter Burkert's famous study.

    Inspired by the promise of riches, countless seafarers poured out of the Iberian Peninsula and wider Europe in search of spices, treasure, and land. Many returned with strange tales of the New World.Curiosity began to percolate through Europe as the New World’s people, animals, and plants ruptured prior assumptions about the biblical description of creation. The Church, long fearful of challenges to its authority, could no longer suppress the mantra “Dare to know!”Noblemen began collecting cabinets of curiosities; soon others went from collecting to examining natural objects with fresh eyes. Observation led to experiments; competing conclusions triggered debates. The foundations for the natural sciences were laid as questions became more multifaceted and answers became more complex. Carl Linneaus developed a classification system and sent students around the globe looking for specimens. Museums, botanical gardens, and philosophical societies turned their attention to nature. National governments undertook explorations of the Pacific.Eminent historian Joyce Appleby vividly recounts the explorers’ triumphs and mishaps, including Magellan’s violent death in the Philippines; the miserable trek of the “new Argonauts” across the Andes on their mission to determine the true shape of the earth; and how two brilliant scientists, Alexander Humboldt and Charles Darwin, traveled to the Americas for evidence to confirm their hypotheses about the earth and its inhabitants. Drawing on detailed eyewitness accounts, Appleby also tells of the turmoil created in the all societies touched by the explorations.This sweeping, global story imbues the Age of Discovery with fresh meaning, elegantly charting its stimulation of the natural sciences, which ultimately propelled Western Europe toward modernity.

    His aim is to account for the evolution of cultural forms as Darwin accounted for the evolution of biological forms: to show how cultures adopt their characteristic forms in response to changing ecological modes."[A] magisterial interpretation of the rise and fall of human cultures and societies."-- Robert Lekachman, Washington Post Book World"Its persuasive arguments asserting the primacy of cultural rather than genetic or psychological factors in human life deserve the widest possible audience."-- Gloria Levitas The New Leader"[An] original and...urgent theory about the nature of man and at the reason that human cultures take so many diverse shapes."-- The New Yorker"Lively and controversial."-- I. Bernard Cohen, front page, The New York Times Book Review

    She elected to specialize in critical care--to become an ICU physician--and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter's journey from wanting to be one kind of hero to becoming another--a doctor who prioritizes the patient's values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients' pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully.

    The myths collected here, originally written in cuneiform on clay tablets, include parallels with the biblical stories of the Creation and the Flood, and the famous Epic of Gilgamesh, the tale of a man of great strength, whose heroic quest for immortality is dashed through one moment of weakness. Recent developments in Akkadian grammar and lexicography mean that this new translation--complete with notes, a glossary of deities, place-names, and key terms, and illustrations of the mythical monsters featured in the text--will replace all other versions.

    A definitive look at the captains of the culture wars -- and an indispensable road map for understanding how we got to the Trump Teens.THE NAUGHTY NINETIES: The Triumph of the American Libido examines the scandal-strafed decade when our public and private lives began to blur due to the rise of the web, reality television, and the wholesale tabloidization of pop culture.In this comprehensive and often hilarious time capsule, David Friend combines detailed reporting with first-person accounts from many of the decade's singular personalities, from Anita Hill to Monica Lewinsky, Lorena Bobbitt to Heidi Fleiss, Alan Cumming to Joan Rivers, Jesse Jackson to key members of the Clinton, Dole, and Bush teams.THE NAUGHTY NINETIES also uncovers unsung sexual pioneers, from the enterprising sisters who dreamed up the Brazilian bikini wax to the scientists who, quite by accident, discovered Viagra.

    In just ten years, laws, company policies, school and university curricula, sport, medical protocols, and the media have been reshaped to privilege self-declared gender identity over biological sex. People are being shamed and silenced for attempting to understand the consequences of redefining ‘man’ and ‘woman’. While compassion for transgender lives is well-intentioned, it is stifling much-needed inquiry into the significance of our bodies.

    Will our world ever become a ruin for future archaeologists to dig up and explore? The questions themselves are both philosophical and like something out of The Twilight Zone.Combining his trademark mix of storytelling, history and weirdness Dan Carlin connects the past and future in fascinating and colorful ways. At the same time the questions he asks us to consider involve the most important issue imaginable: human survival. From the collapse of the Bronze Age to the challenges of the nuclear era the issue has hung over humanity like a persistent Sword of Damocles.Inspired by his podcast, The End is Always Near challenges the way we look at the past and ourselves. In this absorbing compendium, Carlin embarks on a whole new set of stories and major cliffhangers that will keep readers enthralled. Idiosyncratic and erudite, offbeat yet profound, The End is Always Near examines issues that are rarely presented, and makes the past immediately relevant to our very turbulent present.

    From the conquest of Mexico by smallpox as much as by the Spanish, to the bubonic plague in China, to the typhoid epidemic in Europe, the history of disease is the history of humankind. With the identification of AIDS in the early 1980s, another chapter has been added to this chronicle of events, which William McNeill explores in his new introduction to this updated editon.Thought-provoking, well-researched, and compulsively readable, Plagues and Peoples is that rare book that is as fascinating as it is scholarly, as intriguing as it is enlightening. "A brilliantly conceptualized and challenging achievement" (Kirkus Reviews), it is essential reading, offering a new perspective on human history.

    Civilization, we are told, could be achieved only by sacrificing those original freedoms or, alternatively, by taming our baser instincts. David Graeber and David Wengrow show how such theories first emerged in the eighteenth century as a conservative reaction to powerful critiques of European society posed by Indigenous observers and intellectuals. Revisiting this encounter has startling implications for how we make sense of human history today, including the origins of farming, property, cities, democracy, slavery, and civilization itself.Drawing on pathbreaking research in archaeology and anthropology, the authors show how history becomes a far more interesting place once we learn to throw off our conceptual shackles and perceive what's really there. If humans did not spend 95 percent of their evolutionary past in tiny bands of hunter-gatherers, what were they doing all that time? If agriculture, and cities, did not mean a plunge into hierarchy and domination, then what kinds of social and economic organization did they lead to? The answers are often unexpected, and suggest that the course of human history may be less set in stone, and more full of playful, hopeful possibilities, than we tend to assume.The Dawn of Everything fundamentally transforms our understanding of the human past and offers a path toward imagining new forms of freedom, new ways of organizing society. This is a monumental book of formidable intellectual range, animated by curiosity, moral vision, and a faith in the power of direct action.

    A crowd of onlookers gathered around a slave driver. The wondrous plenty of banquets where flamingos are roasted whole and wine flows like rivers. The silence of the baths and the boisterous taverns . . . Many books have dealt with the history of ancient Rome, but none has been able to bring its readers so near to daily life in the Imperial capital. This extraordinary voyage of exploration, guided by Alberto Angela with the charm of a born story- teller, lasts twenty- four hours, beginning at dawn on an ordinary day in the year 115 A.D., with Imperial Rome at the height of its power. The reader wakes in a rich patrician home and discovers frescoes, opulent furnishings and richly appointed boudoirs. Strolling though the splendors of the Roman Forum, one overhears both erudite opinions from learned orators and local ribaldry floating out from the public latrines. One meets the intense gazes of Roman matriarchs strolling the streets, looks on as a banquet is prepared, and is afforded a peek into the sexual habits and fetishes of Roman patricians and plebs. For all those who have ever dreamed of traveling back in time, Alberto Angela's narrative style will come as a welcome change to dry historical tomes. Rich in atmosphere and historical information, A Day in Ancient Rome is a voyage into a world both distant to us in time and surprisingly near in its habits, mores, and passions.