Vivid medical anecdotes with occasional happy endings.
A family doctor describes a powerful healing technique.
Schillinger, professor of primary care and health policy at the University of California San Francisco, joins many colleagues who deplore today’s technology-heavy, medication-oriented health care system, which often isolates patients from doctors and contributes to treatment failures. He reminds readers that it’s been proved that the greatest source of information for doctors is not a test or machine, but what a patient tells them. He illustrates his approach with a steady stream of stories from his years of training at San Francisco General Hospital and practice at the UCSF Center for Vulnerable Populations, which he co-founded. Examining the monumental struggles of marginalized communities, he makes a painfully convincing case that the present system guarantees that the poor get sicker, receive less care, and die sooner. The author’s stories are consistently illuminating: A man unable to walk reveals that he is an alcoholic and has lain unconscious for such long periods that his leg muscles have withered. A “frequent flyer” patient with scores of visits for problems stemming from her drug addiction, complicated by an obnoxious personality, appears 20 years later, drug-free and raising a child, grateful to the author and a few others who were kind to her. Schillinger devotes much of his text to diabetes, a public health problem as serious as those caused by tobacco. His campaign to place a warning label on sugared soft drinks, essentially liquid candy, faced an uphill battle. However, as the author writes, he knew that “to declare and wage a war against diabetes, I needed to separate from a bureaucracy currently paralyzed by conflicts of interests and politics, and pursue an alternative strategy.” In this often inspiring book, he shows readers a variety of “alternative” strategies that benefit public health.
Vivid medical anecdotes with occasional happy endings.Pub Date: July 16, 2024
ISBN: 9781541704206
Page Count: 352
Publisher: PublicAffairs
Review Posted Online: April 30, 2024
Kirkus Reviews Issue: June 1, 2024
Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and...
A dense, absorbing investigation into the medical community's exploitation of a dying woman and her family's struggle to salvage truth and dignity decades later.
In a well-paced, vibrant narrative, Popular Science contributor and Culture Dish blogger Skloot (Creative Writing/Univ. of Memphis) demonstrates that for every human cell put under a microscope, a complex life story is inexorably attached, to which doctors, researchers and laboratories have often been woefully insensitive and unaccountable. In 1951, Henrietta Lacks, an African-American mother of five, was diagnosed with what proved to be a fatal form of cervical cancer. At Johns Hopkins, the doctors harvested cells from her cervix without her permission and distributed them to labs around the globe, where they were multiplied and used for a diverse array of treatments. Known as HeLa cells, they became one of the world's most ubiquitous sources for medical research of everything from hormones, steroids and vitamins to gene mapping, in vitro fertilization, even the polio vaccine—all without the knowledge, must less consent, of the Lacks family. Skloot spent a decade interviewing every relative of Lacks she could find, excavating difficult memories and long-simmering outrage that had lay dormant since their loved one's sorrowful demise. Equal parts intimate biography and brutal clinical reportage, Skloot's graceful narrative adeptly navigates the wrenching Lack family recollections and the sobering, overarching realities of poverty and pre–civil-rights racism. The author's style is matched by a methodical scientific rigor and manifest expertise in the field.
Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and Petri dish politics.Pub Date: Feb. 9, 2010
ISBN: 978-1-4000-5217-2
Page Count: 320
Publisher: Crown
Review Posted Online: Dec. 22, 2010
Kirkus Reviews Issue: Jan. 1, 2010
BOOK REVIEW
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.
The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.
“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.Pub Date: April 20, 2021
ISBN: 978-1-4197-4478-5
Page Count: 184
Publisher: Abrams
Review Posted Online: May 5, 2021
Kirkus Reviews Issue: June 1, 2021
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