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Oct. 2003. 160p. illus. Norton/Atlas, $21.95 (0-393-05299-0). 618.7.
Nuland's second excellent book this year (after the superb memoir, Lost in America [BKL N 15 02]) focuses on a physician who, like Nuland in the midst of his career, suffered from severe psychological disease. Unlike Nuland, Ignac Semmelweis (1818-65) probably couldn't have recovered and, in any event, died under odd circumstances days after admission to a mental hospital. Nuland's thoughts about Semmelweis' illness and death are in the final chapter, and waiting for them is eminently worthwhile because of the riveting account of childbed, or puerperal, fever that comes first. Incidence of the bacterial disease attained massive proportions with the rise of the modern hospital and of giving birth there rather than at home, and enormous numbers of newborns as well as mothers perished. As the book's title suggests, dirty ...