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The Logics of Healthcare: The Professional’s Guide to Health Systems Science
by Paul LillrankMost of the current literature on healthcare operations management is focused on importing principles and methods from manufacturing. The evidence of success is scattered and nowhere near what has been achieved in other industries. This book develops the idea that the logic of production, and production systems in healthcare is significantly different. A line of thing that acknowledges the ingenious characteristics of health service production is developed. This book builds on a managerial segmentation of healthcare based on fundamental demand-supply constellations. Demand can be classified with the variables urgency, severity, and randomness. Supply is constrained by medical technology (accuracy of diagnostics, efficacy of therapies), patient health behavior (co-creation of health), and resource availability. Out of this emerge seven demand-supply-based operational types (DSO): prevention, emergencies, one-visit, electives, cure, care, and projects. Each of these have distinct managerial characteristics, such as time-perspective, level of co-creation, value proposition, revenue structure, productivity and other key performance indicators (KPI). The DSOs can be envisioned as platforms upon which clinical modules are attached. For example, any Emergency Department (ED) must be managed to deal with prioritization, time-windows, agitated patients, the necessity to save and stabilize, and variability in demand. Specific clinical assets and skill-sets are required for, say, massive trauma, strokes, cardiac events, or poisoning. While representing different specialties of clinical medicine they, when applied in the emergency – context, must conform to the demand-supply-based operating logic. A basic assumption in this book is that the perceived complexity of healthcare arises from the conflicting demands of the DSO and the clinical realms. The seven DSOs can neatly be juxtaposed on the much-used Business Model Canvas (BMC), which postulates the business model elements as value proposition; customer segments, channels and relations; key activities, resources and partners; the cost structure; and the revenue model.
The Lomidine Files: The Untold Story of a Medical Disaster in Colonial Africa
by Guillaume LachenalTracing the nightmarish effects of the "wonder drug" Lomidine in preventing sleeping sickness in Africa.Winner of the George Rosen Prize by the American Association for the History of MedicineAfter the Second World War, French colonial health services, armed with a newly discovered drug, made the eradication of sleeping sickness their top priority. A single injection of Lomidine (known as Pentamidine in the United States) promised to protect against infection for six months or longer. Mass campaigns of "preventive lomidinization" were launched with immense enthusiasm across Africa. But the drug proved to be both inefficient and dangerous. Contaminated injections caused bacterial infections that progressed to gangrene, killing dozens of people. Shockingly, the French physicians who administered the shots seemed to know the drug’s risk: while they obtained signed consent before giving Lomidine to French citizens, they administered it to Africans without their consent—sometimes by force.In The Lomidine Files, Guillaume Lachenal traces the medicine’s trajectory from experimental trials during the Second World War, when it was introduced as a miracle cure for sleeping sickness, to its abandonment in the late 1950s, when a series of deadly incidents brought lomidinization campaigns to a grinding halt. He explores colonial doctors’ dangerously hubristic obsession with an Africa freed from disease and describes the terrible reactions caused by the drug, the resulting panic of colonial authorities, and the decades-long cover-up that followed.A fascinating material history that touches on the drug’s manufacture and distribution, as well as the tragedies that followed in its path, The Lomidine Files resurrects a nearly forgotten scandal. Ultimately, it illuminates public health not only as a showcase of colonial humanism and a tool of control but also as an arena of mediocrity, powerlessness, and stupidity.
The Lomidine Files: The Untold Story of a Medical Disaster in Colonial Africa
by Guillaume LachenalThis prize-winning study examines the nightmarish effects of the so-called “wonder drug” in preventing sleeping sickness in Africa.After the Second World War, French colonial health services set out to eradicate sleeping sickness in Africa. The newly discovered drug Lomidine (also known as Pentamidine) promised to protect against infection, and mass campaigns of “preventive lomidinization” were launched across Africa. But the drug proved to be both inefficient and dangerous. In numerous cases, it led to fatality.In The Lomidine Files, Guillaume Lachenal traces the medicine’s trajectory from experimental trials during the Second World War to its abandonment in the late 1950s. He explores colonial doctors’ dangerous obsession with an Africa freed from disease and describes the terrible reactions caused by the drug, the resulting panic of colonial authorities, and the decades-long cover-up that followed.A fascinating material history that touches on the drug’s manufacture and distribution, as well as the tragedies that followed in its path, The Lomidine Files resurrects a nearly forgotten scandal. Ultimately, it illuminates public health not only as a showcase of colonial humanism and a tool of control but also as an arena of mediocrity, powerlessness, and stupidity.Winner of the George Rosen Prize by the American Association for the History of Medicine
The London Consultant's Rescue
by Joanna NeilSaved by her gorgeous boss... Dr. Emma Granger enjoys the exhilaration of working with the air ambulance team, rescuing and helping people all over London. Professional, caring and fully in control, Rhys Benton was everything a consultant should be, but as her boss he was simply a danger to Emma's heart. With a painful past between them, Emma believes that Rhys could never see her as anything more than a colleague. But when her life is endangered, Rhys has the opportunity to show Emma where his love really lies.
The Lonely Patient: How We Experience Illness
by Michael SteinWhen someone is diagnosed with a serious illness, he or she is taking the first step on a challenging and confusing journey. For many, it is as if they are traveling alone to someplace entirely new, with only faded directions back to their old lives. Often, even their loved ones can only guess at what they must be experiencing. Michael Stein, M.D., uses the stories of his own patients to consider the personal narrative of sickness. Beautifully written and keenly insightful, The Lonely Patient is a valuable book for patients and their caregivers as well as a probing inquiry into this universal experience.
The Long 2020: Reflections of Epidemiological Times (India Studies in Business and Economics)
by Kaustubh Mani Sengupta Paula Banerjee Subhas Ranjan ChakrabortyThis book looks at the current crises of life and livelihood following the global epidemiological crisis and various strategies to manage them as a long unfolding of past trends and future possibilities of epidemiological governance, restructuring of global economy, public health, systems of protection and care and the role of state in that, and precarities of the migrants and the refugees. It brings together scholars from different fields to think of our present in the time of COVID-19 pandemic in a longer temporal frame. The essays compiled in this book investigate issues mentioned above, covering a period from the colonial past to the postcolonial present with an aim towards encouraging scholarly debates on protection, care and justice. Although the experiences of last two years have inspired some very important academic and scholarly interventions, this book compiles original research to contextualise the present in a longue duree framework and arrive at a more complex understanding of it. It is a must-have resource for researchers of developmental studies especially in the above mentioned areas, as well as policy makers, think tanks and other non-governmental organizations interested in these areas.
The Long Baby Boom: An Optimistic Vision for a Graying Generation
by Jeff GoldsmithIn 2006, the first baby boomers turned 60, unleashing a veritable tidal wave of gloomy punditry, advertising for financial services, and forecasts of impending national bankruptcy. In The Long Baby Boom, Jeff Goldsmith counters the predictions of such "catastropharians" with a far more optimistic scenario.Drawing on evidence that most baby boomers plan on working long past age 65, Goldsmith argues that they will have a constructive impact on society over the next twenty years. By assuming a much larger portion of the financial burden of their own retirement and health costs, they will help preserve Social Security and Medicare for the less fortunate and for successive generations.The Long Baby Boom is the first comprehensive forecast of baby boomers’ career plans, health trends, and cultural and political values. Goldsmith's pro-work, pro-savings, pro-health social policy emphasizes personal responsibility without ripping the social safety net. Optimistic and innovative, The Long Baby Boom doesn't promise a cloud-free future, but it does reassure us that the sky isn't falling.
The Long COVID Survival Guide: How To Take Care Of Yourself And What Comes Next--stories And Advice From Twenty Long-haulers And Experts
by Fiona LowensteinThe first patient-to-patient guide for people living with Long COVID—with expert advice on getting diagnosed, dealing with symptoms, accessing resources and accommodations, and more. “The Long COVID Survival Guide aims to give people struggling with long COVID practical solutions and emotional support to manage their illness.”—NPR, It’s Been a Minute For people living with Long COVID, navigating the uncharted territory of this new chronic illness can be challenging. With over two hundred unique symptoms, and with doctors continuing to work toward a cure, people experiencing Long COVID are often left with more questions than answers. A support group in book form, The Long COVID Survival Guide is here to help. Twenty contributors—from award-winning journalists, neuroscientists, and patient-researchers to corporate strategists, activists, and artists—share their stories and insight on topics including: getting diagnosed finding a caregiver confronting medical racism and gaslighting navigating employment issues dealing with fatigue and brain fog caring for your mental health, and more. This vital resource provides the answers and reassurance you need, to take care of yourself and prepare for what comes next. Contributors: Karyn Bishof, JD Davids, Pato Hebert, Heather Hogan, Monique Jackson, Naina Khanna, Lisa McCorkell, Karla Monterroso, Dona Kim Murphey, Padma Priya, David Putrino, Yochai Re’em, Rachel Robles, Alison Sbrana, Chimére L. Smith, Letícia Soares, Morgan Stephens, and Terri L. Wilder
The Long Case OSCE: The Ultimate Guide for Medical Students
by Beth C. Walker Marsha Y. MorganA solid knowledge base and good clinical skills don’t necessarily guarantee examination success in the long case OSCE. This book is the ultimate guide for medical students needing to combine their knowledge and skills with an ability to interpret the clinical findings, the proficiency to present them clearly and the confidence to deal with the examiners questions. Adopting a proven, highly effective approach, this revision aid uses role play with simulated patients to hone clinical examination and presentation skills. The fifty cases are divided into six areas: cardiology, respiratory, abdomen, neurology, musculoskeletal and surgery. Written by successful candidates and examiners, the guide poses a number of important and commonly asked examination questions for each case to assist in preparation and confidence, and model answers are provided to ensure an understanding of exactly what is required. Working in groups or independently, students will welcome the large, colourful format, the breakdown of marking schemes, an overview of examiners expectations, a guide to presenting clinical findings and innumerable ‘insider’ tips throughout. See accompanying video here: https://www.youtube.com/watch?v=Cvr4y-NykUU
The Long Climb: Young M.D., Garven Wilsonhulme, engaged in a social poker game of winner takes all
by Carl DouglassGarven Wilsonhulme almost gasped as his prospective father-in-law handed him a check for a huge sum. He could not imagine himself in possession of a sum which would answer his every need until he could start making a handsome living as a brain surgeon. He looked at the gloating expression on his adversary's face-a look of triumph. To the young M.D., it seemed that he had become engaged in a social poker game with, for him, stupendous consequences riding on how he plays his hand. He could take the sure figure and run, or he could ask for even more. In either case he would crush the innocent pawn in all of this, Elizabeth. That was a secondary consideration, he had to admit to himself. Or he could do the "right thing" and turn the man down indignantly and marry his daughter and live happily ever after--in relative poverty. This is the crux of The Long Climb. What Garven does about his choice is likely to be the foundation of his life as a neurosurgeon and the stuff of a great story. The Long Climb, is the newest novel by Carl Douglass, neurosurgeon turned author who writes with gripping realism.
The Long Covid Handbook
by Gez Medinger Professor Danny AltmannUnderstand, manage, and treat Long Covid.Reports suggest that over 100m people around the world are living with Long Covid (more than 1.5m in the UK) yet reliable, clear information and guidance remains scarce. This book is the definitive guide to understanding, managing and treating the condition.Written by the world's leading immunologist Professor Danny Altmann and expert patient Gez Medinger, The Long Covid Handbook translates cutting-edge science, patient-led research and practical guidance with clarity. This book will equip you with expert information and advice on:- Long Covid's 200 symptoms, which include fatigue, brain fog, breathlessness and more- Tips for recovery- Which treatments are most effective and why- Who is most susceptible to the condition and why- What we can learn about Long Covid from other chronic illnesses- The impact on mental healthThis is the essential guide for anyone living with the condition, as well as clinicians seeking to better understand this little-understood illness.
The Long Fix: Solving America's Health Care Crisis With Strategies That Work For Everyone
by Vivian Lee MDHealth care is killing our economy and, in many cases, killing us. Beyond the outrageous expense, the quality of care varies wildly, and millions of Americans can’t get care when they need it. This is bad for patients, bad for doctors, and bad for business. In The Long Fix, physician and health care CEO Vivian S. Lee, MD, cuts to the heart of the health care crisis. The problem with the way medicine is practiced, she explains, is not so much who’s paying, it’s what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better—and that is both backward and dangerous. Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians’ practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health care organizations that share online how much care costs and how well each physician is caring for patients. Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform—for employers and other payers, patients, clinicians, and policy makers—can reinvent health care, and create a less costly, more efficient, and healthier system for all.
The Long Haul
by Ryan PriorAs the global Covid-19 pandemic leaves millions with long-term disabling conditions, the survivors fight for recognition and research, which could ultimately help transform care for many overlooked diseases.To the world&’s public health authorities, Covid-19 would either be a deadly disease for some, or it would be a simple respiratory illness for most—cleared up in a couple of weeks. But then tens of millions around the world got sick and stayed sick. With scientists and doctors caught off guard, these patients often found solace only in themselves, organizing support groups across continents while ill in bed. An innovative band of patients researched the disease themselves, flipping the script and illustrating a new paradigm for research. In these unprecedented times, the CDC and the WHO came to them. Covid &“long haulers&” found their new illness wasn&’t so new. It resembled a number of post-viral syndromes, hard to treat and neglected by science for decades. CNN journalist Ryan Prior weaves in his own life, the stories of activist patients, and the latest science into a captivating tale of regular people crying out for care that actually works. The stakes are high: As Covid continues to circulate, its long-term effects could grow as well, weighing on the health system for decades to come. But getting Long Covid treatments right could help revolutionize care for all complex, chronic illness. &“Ryan Prior brings out the heart of the story simply because he puts his whole self into telling it empathetically and with utmost compassion. Matched with his passion for curiosity, it makes for a story not only worth telling, but worth reading with insatiable interest.&” —Stephanie Land, New York Times bestselling author of Maid, one of President Obama&’s top picks of 2019 and now a Netflix original series &“Ryan Prior&’s years of both living with and reporting on chronic disease for major publications makes him ideally suited to write a book about Long Covid. Because he has led the field by helping author principles guiding other science writers in covering contested diseases, he can cover this topic with all the scientific nuance, literary poise, and human empathy it requires. His book could be an example in future decades of how to cover the new epidemics we will undoubtedly see.&” —Pam Weintraub, author of Cure Unknown: Inside the Lyme Epidemic &“As a CNN features writer, Ryan has shown a keen nose for compelling human stories and the reporting chops to deliver.&” —Brian Vastag, former science reporter for The Washington Post &“Ryan Prior&’s passion, to both get the story right and bring it alive using amazing storytelling skills, makes his work incredibly important and engaging. His experience living with chronic illness, and his years of writing about it, will all combine to make his book on Long Covid an essential read.&” —Tracie White, author of The Puzzle Solver: A Scientist&’s Quest to Cure the Illness that Stole His Son
The Long Hello: Memory, My Mother, and Me (The\long Hello Ser.)
by Cathie BorrieThe moving memoir of caring for a parent with Alzheimer’s that broke new ground, changed the narrative, and prompted Maya Angelou to exclaim, “Joy!” Since Cathie Borrie delivered her keynote performance at the World Alzheimer’s Day event, her self-published manuscript has won rapturous praise from noted writers and Alzheimer’s experts alike—from Maya Angelou, Lisa Genova, and Molly Peacock to Dr. Bill Thomas, Jed A. Levine of the Alzheimer’s Association, NYC, and Meryl Comer of the Geoffrey Beene Foundation Alzheimer’s Initiative. The Long Hello distills the seven years the author spent caring for her mother into a page-turning account that offers insight into the “altering world of the dementia mind.” During that time, Borrie recorded brief conversations she had with her mother that revealed the transformations within—and sometimes yielded an almost Zen-like poetry. She includes selections from them in chapters about her experience that are as evocative as diary entries. Her mother was the emotional pillar and sometime breadwinner in a home touched by a birth father’s alcoholism, a brother’s early death, divorce, and a stepfather’s remoteness. In Borrie’s spare prose, her mother’s story becomes a family’s story as well a deeply loving portrait that embraces life.
The Long Shot: The Inside Story of the Race to Vaccinate Britain
by Kate Bingham Tim HamesHow Covid-19 vaccines went from the laboratory to people&’s arms – the inside story of an extraordinary national campaign against all oddsThe Sunday Times bestseller FT Book of the Year On 3 April 2020, Kate Bingham was told that the likelihood of any Covid-19 vaccine working was 15% at best. But on 8 December 2020, the first NHS patient received a vaccine. Now nearly every adult in Britain has had a jab, lockdowns have ended and we can finally live with Covid. What lies behind this staggering success story? From a cottage miles away from Westminster, Bingham juggled vaccine suppliers, Whitehall, the media circus – and her daughter&’s exams. Political manoeuvring, miscommunications and administrative meddling nearly jeopardised the project. But perseverance paid off. Catapulted into a national crisis, Bingham&’s eclectic team secured the first vaccine doses administered in the West and saved thousands of lives in the UK as new variants struck. This is an unmissable insider view into how the Vaccine Taskforce beat the odds and delivered the scientific miracle we all waited for.
The Long Struggle Against Malaria in Tropical Africa
by James L. A. Webb Jr.The Long Struggle Against Malaria in Tropical Africa investigates the changing entomological, parasitological, and medical understandings of vectors, parasites, and malarial disease that have shaped the programs of malaria control and altered the transmission of malarial infections. It examines the history of malaria control and eradication in the contexts of racial thought, population movements, demographic growth, economic change, urbanization, warfare, and politics. It will be useful for students of medicine and public health, for those who are involved with malaria research studies, and for those who work on the contemporary malaria control and elimination campaigns in tropical Africa.
The Long-Awaited Stork: A Guide to Parenting After Infertility
by Ellen Sarasohn GlazerThis book is about the pain of infertility that persists even after a couple becomes parents.
The Long-Term Impact of Medical Complications in Pregnancy: A Window into Maternal and Fetal Future Health
by Eyal SheinerThis sensible book draws on evidence-based data, provides updated evidence focusing on the impact of pregnancy complications on long-term morbidity of both mother and child and aims to give a clear and comprehensive set of tools for general practitioners counseling women in different stages of their lives. Chapters are contributed by a multidisciplinary team of obstetricians, oncologists, pediatricians, internal medicine specialists, and psychiatrists. The book may serve as a valuable resource for a broad spectrum of clinicians and healthcare professionals. Medical and nursing students as well as residents in family medicine, obstetrics, and pediatrics may derive great benefit from it in various stages of their training.
The Longest Mile: A Doctor, a Food Fight, and the Footrace that Rallied a Community Against Cancer
by Christine Meyer MDWinner of the Gold Medal in the 2016 Living Now Book Awards In the course of their lifetime, one out of two men and one out of three women will be diagnosed with cancer. Many of us watch in desperation as our friends and loved ones fight for their lives. But after seeing several of her patients and her dearest aunt engage in a battle with cancer, Dr. Christine Meyer decided to embark on a quest for hope—and through happenstance and love, a team of runners emerged that empowered a community to make a difference, not only in the lives of cancer patients, but in one another&’s lives. Along the way, Meyer learned that the true measure of a doctor&’s success is not the number of lives saved but the number of lives touched.
The Longevity Bible (Godsfield Bibles)
by Susannah MarriottThe desire for a long, healthy and happy life is a universal one, yet society has a deep fear of ageing.The Longevity Bible offers an all-encompassing, holistic look at how the body ages - and what we can all do to age better.Discover:- How the ageing process works - and what you can do to enjoy a better quality of life as you grow older- What history, biology, Eastern philosophy, Western science and the findings of top medical experts and researchers can teach us about maintaining optimal health as we move through our lives- The important role that sleep, moderation, diet, a sense of purpose, connection, love and curiosity have in helping us to live well and live happily- That a longer life blessed with health and happiness is within reach!
The Longevity Bible: The Definitive Guide To The Pursuit Of A Long And Healthy Life (Subject Bible Ser.)
by Susannah MarriottThe desire for a long, healthy and happy life is a universal one, yet society has a deep fear of ageing.The Longevity Bible offers an all-encompassing, holistic look at how the body ages - and what we can all do to age better.Discover:- How the ageing process works - and what you can do to enjoy a better quality of life as you grow older- What history, biology, Eastern philosophy, Western science and the findings of top medical experts and researchers can teach us about maintaining optimal health as we move through our lives- The important role that sleep, moderation, diet, a sense of purpose, connection, love and curiosity have in helping us to live well and live happily- That a longer life blessed with health and happiness is within reach!
The Longevity Dividend: Later Life, Lifelong Learning and Productive Societies (International Perspectives on Aging #39)
by Satya BrinkThis book offers global evidence about the increasing longevity, its consequences and its potential for societal benefits. Based on statistics, academic literature, policy initiatives and numerous country experiences, it explains the interconnected effects of a longer later life, lifelong learning and more productive societies. This larger picture shows how the future can be managed by making strategic choices today. Choosing the right policies allows gaining the maximum benefits from the longevity dividend for current and future generations. This book explains how investing in lifelong learning can enrich the longevity dividend. It gives valuable insights for policy advisors, decision makers, researchers, health professionals, practitioners, students of aging and late life educators.
The Longevity Revolution: The Benefits and Challenges of Living a Long Life
by Robert ButlerDr. Robert N. Butler coined the term ?ageismOCO and made ?AlzheimerOCOsOCO a familiar word. Now he brings his formidable knowledge to a recent and unprecedented achievement: the extension of human life expectancy by thirty years, and the growing number of people over age sixty-five. Alarmingly, our society has not adapted to this change. In this urgent and ultimately optimistic book, Butler calls for us to reexamine our personal and societal approach to aging right now, so that the boomers and the generations that follow may have a financially secure and vigorous final chapter of life.
The Longevity Seekers: Science, Business, and the Fountain of Youth (From Obscurity, 1980-2005 -- Greater Than The Double Helix Itself, 1980-1990 -- The Grim Reaper, 1991-1993 -- Sorcerer's Apprentices, 1991-1996 -- Race For A Master Switch, 1989-2000 -- Money To Burn, 2000-2003 -- Longevity Noir, 2003-2004 -- Betting The Trifecta, 2005-2006 -- Defying Gravity: The Battle To Find A Drug For Extending Health, 2005-2013 -- Sex, Power And The Wild: The Evolution Of A)
by Ted Anton&“[A] beautifully told story of twenty-first-century researchers in pursuit of the secrets of longevity . . . a book both engaging and illuminating.&” —Deborah Blum, Pulitzer Prize-winning author People have searched for the fountain of youth everywhere from Bimini to St. Augustine. But for a steadfast group of scientists, the secret to a long life lies elsewhere: in the lowly lab worm. By suppressing the function of just a few key genes, these scientists were able to lengthen worms&’ lifespans up to tenfold, while also controlling the onset of many of the physical problems that beset old age. As the global population ages, the potential impact of this discovery on society is vast—as is the potential for profit. With The Longevity Seekers, science writer Ted Anton takes readers inside this tale that began with worms and branched out to snare innovative minds from California to Crete, investments from big biotech, and endorsements from TV personalities like Oprah and Dr. Oz. Some of the research was remarkable, such as the discovery of an enzyme in humans that stops cells from aging. And some—like an oft-cited study touting the compound resveratrol, found in red wine—proved highly controversial, igniting a science war over truth, credit, and potential profit. As the pace of discovery accelerated, so too did powerful personal rivalries and public fascination, driven by the hope that a longer, healthier life was right around the corner. Anton has spent years interviewing and working with the scientists at the frontier of longevity science, and this book offers a behind-the-scenes look at the state-of-the-art research and the impact it might have on global public health, society, and even our friends and family
The Look of a Woman: Facial Feminization Surgery and the Aims of Trans- Medicine
by Eric PlemonsDeveloped in the United States in the 1980s, facial feminization surgery (FFS) is a set of bone and soft tissue reconstructive surgical procedures intended to feminize the faces of trans- women. While facial surgery was once considered auxiliary to genital surgery, many people now find that these procedures confer distinct benefits according to the different models of sex and gender in which they intervene. Surgeons advertise that FFS not only improves a trans- woman's appearance; it allows her to be recognized as a woman by those who see her. In The Look of a Woman Eric Plemons foregrounds the narratives of FFS patients and their surgeons as they move from consultation and the operating room to post-surgery recovery. He shows how the increasing popularity of FFS represents a shift away from genital-based conceptions of trans- selfhood in ways that mirror the evolving views of what is considered to be good trans- medicine. Outlining how conflicting models of trans- therapeutics play out in practice, Plemons demonstrates how FFS is changing the project of surgical sex reassignment by reconfiguring the kind of sex that surgery aims to change.