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GOLDBERGER’S WAR

THE LIFE AND TIMES OF A PUBLIC HEALTH CRUSADER

Primarily for medical history buffs. (15 pp. b&w illustrations, not seen)

Full-fledged profile of the physician whose investigation into the cause of pellagra outraged many southerners by concluding that it was a lifestyle disease brought about by poverty and poor diet.

Kraut (History/American Univ.), who took a broad view of public health in Silent Travelers (1994), narrows his focus here to the life and work of a single doctor. Beginning with the Goldberger family’s immigration to the US in 1883, when Joseph was nine, the author describes his subject’s youth, education, entry into the US Marine Hospital Service (later the US Public Health Service), and courtship of a southern belle. During much of their marriage, Goldberger’s assignments kept the couple apart, and Kraut quotes extensively from their almost daily correspondence to create an informed portrait of the man. Early postings were to Mexico, Texas, Washington, D.C., and Philadelphia to investigate outbreaks of yellow fever, typhus, typhoid, and dengue fever, among others. In 1914, Goldberger took over pellagra studies in the South. Gathering information first from library research and then from field studies, he began experiments at two orphanages and an insane asylum that demonstrated pellagra sufferers could be cured by proper diet. With the help of Mississippi’s governor, who offered pardons to prisoners who volunteered, he set up a controversial experiment showing that poor diet could induce pellagra in healthy men. To dissuade those who insisted that pellagra was an infectious disease, he and other volunteers held “filth parties” at which they exposed themselves to the blood, urine, and feces of pellagra patients. In 1916, he launched a long-term epidemiological study of southern cotton-mill towns that directly linked pellagra to poverty and deprivation. Goldberger turned next to the search for the specific nutrient that prevented the disease. His death in 1928 came nine years before the answer, niacin, was found, but his status as crusader against pellagra had been secured by years of dogged fieldwork.

Primarily for medical history buffs. (15 pp. b&w illustrations, not seen)

Pub Date: Aug. 1, 2003

ISBN: 0-374-13537-1

Page Count: 320

Publisher: Hill and Wang/Farrar, Straus and Giroux

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: May 15, 2003

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NIGHT

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...

Elie Wiesel spent his early years in a small Transylvanian town as one of four children. 

He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions. 

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance.

Pub Date: Jan. 16, 2006

ISBN: 0374500010

Page Count: 120

Publisher: Hill & Wang

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Jan. 15, 2006

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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