Lifelines: The Traffic of Trauma

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2022

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In Lifelines Harris Solomon takes readers into the trauma ward of one of Mumbai’s busiest public hospitals, narrating the stories of the patients, providers, and families who experience and care for traumatic injuries due to widespread traffic accidents. He traces trauma’s moves after the accident: from scenes of road and railway injuries to ambulance interiors; through emergency triage, surgery, and intensive care; and from the morgue for patients who do not survive into the homes of those who do. These pathways reveal how trauma shifts inequalities, infrastructures, and institutions through the lives and labors of clinical spaces. Solomon contends that medicine itself must be understood in terms of lifelines: patterns of embodied movement that determine survival. In reflecting on the centrality of traffic to life, Lifelines explores a fundamental question: How does medicine move us?

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Scholars@Duke

Solomon

Harris Scott Solomon

Fred W. Shaffer Associate Professor

As a medical anthropologist, I am interested in the dynamic relations between medicine and everyday social and political life. My work is primarily based in urban India, and I also conduct research in the US.

My most recent work is a book project, entitled Lifelines: The Traffic of Trauma (Duke University Press, 2022). Lifelines is an ethnographic study of road and railway injuries and of trauma surgery. Its aim is to understand injury and movement as problems that must be thought together, and argues that medicine itself must be understood in terms of movements. It is based on five years of ethnographic research on traffic accidents in Mumbai, primarily in the trauma ward of one of the city's largest public hospitals. Lifelines tracks traumatic injury as the accident moves through different domains: the conveyance of accidents to the hospital, triage, surgery, the involvement of families and police, intensive care, autopsy, and recovery with disability after discharge. The research for Lifelines was supported by a CAREER Award (Faculty Early Career Development Program) from the National Science Foundation Cultural Anthropology Program.  

Based on my research in the Mumbai trauma intensive care unit (ICU), and in the context of COVID-19, I am currently at work on a collaborative ethnography with colleagues in Critical Care at Duke Hospital and the School of Medicine. Funded by a National Science Foundation RAPID Award, our project, "RAPID: Healthcare Workforce Resilience in the Time of Covid-19," is an ethnographic study of conditions of adversity posed by COVID-19 to intensive care, and the creative responses ICU workers employ to adapt to them. Amidst the massive transformation in the US healthcare workforce due to the pandemic, the project examines COVID-19 as a problem of labor.

I also co-direct a collaborative project about the intersections between medicine and law. In line with that work, I have begun research for a new project about medical malpractice and public health law in India.

My earlier work examined the dynamic conditions between bodies and environments in India. My first book is entitled Metabolic Living: Food, Fat, and the Absorption of Illness in India (Duke University Press, 2016, read introduction here). As India becomes increasingly portrayed as the site of a shift from infectious to chronic disease burdens said to accompany economic development, my research explores the phenomenon of metabolism as an ethnographic, biomedical, and political rubric. With India's rising rates of obesity and diabetes as its backdrop, Metabolic Living examines relationships forged between food, fat, the body, and the city of Mumbai. The book draws on ethnographic fieldwork carried out in Mumbai's home kitchens, metabolic disorder clinics, and food companies, to better understand what have been termed India's "diseases of prosperity." 

I have also studied the development of corporatized medical care in Indian cities and its manifestation as medical tourism, and the politics of language and sexuality in India's HIV treatment clinical trials. 

I situate both my research and teaching at the interdisciplinary intersections of medical anthropology, South Asian studies, science and technology studies, the medical humanities/social medicine, and global health. Prior to anthropology, I studied linguistics and public health, and worked on global reproductive health and HIV policy. 


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