Before the Fall. Publishes December 3, 2026, the birthday of Carlos J. Finlay, in English and Spanish.
Enrique C.Fernández
Medicine. History. The Human Condition.
Exploring the intersection of medicine, institutions, history, and the lives shaped by them.
Before the Fall
Cuban Medicine and the Civilization the Revolution Destroyed
Before 1959, Cuba had one of the most sophisticated medical civilizations in the Americas. Before the Fall is the story of how it was built, and the night it was taken.
Publishes December 3, 2026, the birthday of Carlos J. Finlay
English and Spanish editions, in print and ebook
At once a history, a restitution of credit and an act of remembrance.
Written from primary documents in the family archive.
1492
Colonial origins and the Real Protomedicato
1868–1898
The physician-soldiers of the independence wars
1902–1958
The Republic's hospitals, medical societies and research
1959
December 19: the night at Calle 23
Early praise
A discussion of medical history for a broad audience, Before the Fall shows how medicine, health, and politics are inextricably connected.
A family physician with a historian's shelf.
Dr. Enrique C. Fernández earned his medical degree in Havana in 1992, trained again in family medicine in Chicago, and has practiced in Miami since 2003. He writes for patients and clinicians in the NBDC series on type 2 diabetes, and for readers of history in Before the Fall, drawn from his family’s archive and his collection of historical Cuban medical literature.
1992
Medical degree, cum laude, Havana
2003
Private practice in Miami
2007–2014
Chairman, Department of Family Medicine, Kendall Regional Hospital
2015–2018
Chief of Medical Staff, Kendall Regional Hospital
MD, MBA, FAAFP. Board-certified in family medicine and in hospice and palliative medicine.
More books
Two books on type 2 diabetes, written for patients and for the physicians who treat them.
Volume I
Eating Against the Network
A Clinical Framework for Type 2 Diabetes
Available now, paperback
Volume II
Diabetes in the Real World
A Phenotype-First Guide for the Community Physician
In production, release date to be announced
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