Grady Hospital, the medical center of last resort for the poor of Atlanta, comes to life in Gentry's accounts of patients, physicians, and staff. Fraught with poverty, violence, drugs, physical and sexual abuse, and a strong undercurrent of hopelessness, this isn't a pretty story. Much of the text consists of conversation, with attitudes and relationships purveyed in everyday terms. Gentry concentrates on Grady's obstetric clinic (hence the title) but also touches the emergency room and other areas. He has visited the crowded housing in which most patients and their families live, often sans fathers, and deal with the rare opportunities for improving their lives. To point up the situation of Grady and its clientele, for comparison Gentry describes the experiences of a Grady physician assistant who volunteered for a stint in rural Mexico. He also devotes an important section of the book to the history of segregation at the hospital. Gentry's realistic depiction of big-city medicine is a work of medical social history that illuminates some major problems.
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