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A Plague on All Our Houses

Medical Intrigue, Hollywood, and the Discovery of AIDS

Bruce J. Hillman

A frightening new plague. A medical mystery. A pioneering immunologist. In A Plague on All Our Houses, Dr. Bruce J. Hillman dissects the war of egos, money, academic power, and Hollywood clout that advanced AIDS research even as it compromised the career of the scientist who discovered the disease. At the beginning of the worldwide epidemic soon to be known as AIDS, Dr. Michael Gottlieb was a young immunologist new to the faculty of UCLA Medical Center. In 1981 he was brought in to consult on a battery of unusual cases: four formerly healthy gay men presenting with persistent fever, weight loss, and highly unusual infections. Other physicians around the country had noted similar clusters of symptoms, but it was Gottlieb who first realized that these patients had a new and deadly disease. He also identified the defect in their immune system that allowed the disease to flourish. He published his findings in a now-iconic lead article in the New England Journal of Medicine—an impressive achievement for such a young scientist—and quickly became the focal point of a whirlwind of panic, envy, desperation, and distrust that played out against a glittering Hollywood backdrop. Courted by the media, the gay community, and the entertainment industry, Gottlieb emerged as the medical face of the terrifying new epidemic when he became personal physician to Rock Hudson, the first celebrity AIDS patient. With Elizabeth Taylor he cofounded the charitable foundation amfAR, which advanced public awareness of AIDS and raised vast sums for research, even as it struggled against political resistance that began with the Reagan administration and trickled down through sedimentary layers of bureaucracy. Far from supporting him, the UCLA medical establishment reacted with dismay to Gottlieb’s early work on AIDS, believing it would tarnish the reputation of the Medical Center. Denied promotion and tenure in 1987, Gottlieb left UCLA for private practice just as the National Institutes of Health awarded the institution a $10 million grant for work he had pioneered there. In the thirty-five years since the discovery of AIDS, research, prevention, and clinical care have advanced to the point that the disease is no longer the death sentence it once was. Gottlieb’s seminal article is now regarded by the New England Journal of Medicine as one of the most significant publications of its two-hundred-year history. A Plague on All Our Houses offers a ringside seat to one of the most important medical discoveries and controversies of our time.

Cover Image of A Plague on All Our Houses: Medical Intrigue
E-book: $24.99
ISBN-13: 9781611689969
Pages: 252 | Size: 6 in. x 9 in.
Date Published: October 4, 2016
Imprint: 
Screenshot-2023-10-11-at-16.51.58

Reviews

  • A riveting narrative. . . . Hillman’s intriguing portrait will deepen readers’ understanding of those who worked tirelessly to solve a medical mystery, nobly yearning to save lives and leave an indelible mark on human history. Hillman argues that the larger story of AIDS can teach ‘important lessons for the future’ on how nations can better deal with emerging epidemics.

    Publishers Weekly (starred review)
  • This fascinating, behind-the-scenes look at the early days of AIDS reveals just how much has changed medically and socially.

    Booklist
  • A Plague on All Our Houses: Medical Intrigue, Hollywood, and the Discovery of AIDS tells the story of how one doctor pieced together what other medical professionals had overlooked for a decade.

    Princeton Alumni Weekly
  • A Plague on All Our Houses reads easily - more like a medical mystery thriller than a textbook. But it’s an important document that commends unsung heroes of the epidemic’s earliest days and revisits many of the mistakes that were made along the way.

    Metrosource

About the Author

BRUCE J HILLMAN, MD, has distinguished himself as a health services researcher, clinical trialist, and author. He is professor and former chair of radiology at the University of Virginia School of Medicine and the editor-in-chief of the Journal of The American College of Radiology. He has authored two books prior to A Plague on All Our Houses: The Sorcerer’s Apprentice: How Medical Imaging is Changing Health Care – a book about medical imaging for lay readers – and the creative nonfiction book, The Man Who Stalked Einstein: How Nazi Scientist Philipp Lenard Changed the Course of History.

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