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AN ANATOMY OF PAIN

HOW THE BODY AND THE MIND EXPERIENCE AND ENDURE PHYSICAL SUFFERING

Readers won’t find miracles but rather a sensitive doctor who writes well about an ongoing epidemic.

A physician who focuses on pain management illuminates his specialty.

After a chapter describing the nervous system and another on the history of pain relief—opium has been around since prehistory—British anesthesiologist Lalkhen takes up pain as experienced by patients and dealt with by doctors. The author makes it clear that both could use further education on the subject, which is undeniably complex. A sprained ankle is agonizing while soldiers suffering gruesome battle injuries sometimes feel little pain. In Chinese and Korean cultures, it’s often considered shameful to complain during childbirth, and few women receive analgesics; other cultures insist on “a more vocal response.” While it may be understandable for a patient to not fully comprehend the social and psychological factors that influence pain as much as the physical damage, it’s inexcusable for a doctor. New analgesic drugs have been appearing for more than two centuries, beginning with morphine in 1804. Although many surgeons remain casual about postoperative pain, the treatment of short-term pain remains straightforward. Chronic pain, however, is another story; sometimes it persists after the injury heals. In most cases of chronic back pain, neck pain, neuropathy, and even arthritis and in syndromes such as fibromyalgia, there is no injury and nothing to be “fixed”—but there are numerous ways to help. Sadly, many doctors continue to use procedures—e.g., surgery or nerve injections—that rarely work and prescribe drugs that produce side effects and addiction without relieving much pain. Lalkhen describes his multidisciplinary clinic, where doctors work with physiotherapists, nurses, psychologists, dieticians, and even alternative healers to help sufferers who often arrive addicted and desperate after undergoing repeated failed procedures. The author emphasizes that chronic pain is not curable, but a collaborative approach in which patients actively participate improves quality of life, self-confidence, and the ability to move, function, and return to work.

Readers won’t find miracles but rather a sensitive doctor who writes well about an ongoing epidemic.

Pub Date: Feb. 2, 2021

ISBN: 978-1-982160-98-2

Page Count: 256

Publisher: Scribner

Review Posted Online: Oct. 12, 2020

Kirkus Reviews Issue: Nov. 1, 2020

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THE IMMORTAL LIFE OF HENRIETTA LACKS

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

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WHY WE SWIM

An absorbing, wide-ranging story of humans’ relationship with the water.

A study of swimming as sport, survival method, basis for community, and route to physical and mental well-being.

For Bay Area writer Tsui (American Chinatown: A People's History of Five Neighborhoods, 2009), swimming is in her blood. As she recounts, her parents met in a Hong Kong swimming pool, and she often visited the beach as a child and competed on a swim team in high school. Midway through the engaging narrative, the author explains how she rejoined the team at age 40, just as her 6-year-old was signing up for the first time. Chronicling her interviews with scientists and swimmers alike, Tsui notes the many health benefits of swimming, some of which are mental. Swimmers often achieve the “flow” state and get their best ideas while in the water. Her travels took her from the California coast, where she dove for abalone and swam from Alcatraz back to San Francisco, to Tokyo, where she heard about the “samurai swimming” martial arts tradition. In Iceland, she met Guðlaugur Friðþórsson, a local celebrity who, in 1984, survived six hours in a winter sea after his fishing vessel capsized, earning him the nickname “the human seal.” Although humans are generally adapted to life on land, the author discovered that some have extra advantages in the water. The Bajau people of Indonesia, for instance, can do 10-minute free dives while hunting because their spleens are 50% larger than average. For most, though, it’s simply a matter of practice. Tsui discussed swimming with Dara Torres, who became the oldest Olympic swimmer at age 41, and swam with Kim Chambers, one of the few people to complete the daunting Oceans Seven marathon swim challenge. Drawing on personal experience, history, biology, and social science, the author conveys the appeal of “an unflinching giving-over to an element” and makes a convincing case for broader access to swimming education (372,000 people still drown annually).

An absorbing, wide-ranging story of humans’ relationship with the water.

Pub Date: April 14, 2020

ISBN: 978-1-61620-786-1

Page Count: 288

Publisher: Algonquin

Review Posted Online: Jan. 4, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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