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ALPHA DOCS

THE MAKING OF A CARDIOLOGIST

Muñoz offers little turning of new ground in what has become a fertile genre, but the book is enjoyably idiosyncratic and...

From physician Muñoz, a chronicle of becoming a doctor at the extremely demanding Johns Hopkins cardiology program.

After an introduction, the opening section of this memoir of a year of fellowship rotations at Johns Hopkins hospital—a fellowship is a three-to-four–year, post-residency position overseeing residents while being overseen by an attending specialist—is ill-advised. The author drones on about his pedigree—Princeton, Johns Hopkins, Harvard, Johns Hopkins again—the odds of becoming a Hopkins Fellow (1 in 10,000), and the Navy SEAL–like training involved (the book’s title speaks volumes), and it exudes smug superiority. But forgive these mercifully few pages to get a quite satisfying immersion into what medical specialization requires. Muñoz thankfully shifts from embarrassingly tedious to humanely sympathetic as he chronicles how he had to acquire a measure of expertise in what can be described as stations of the cardiology cross: consultation, nuclear medicine, heart failure and transplantation, intensive care, electrophysiology, echocardiography, and more. The author is honest enough to admit which tasks bored him, which opened him up to the big picture—how a heart transplant is not just about blood type, but “habits, foibles, fears”—which attending doctors he admired and why (“Dr. Franklin’s ability to listen and connect with his patients also means that they are often extremely well informed”), or why not to jump to fast conclusions. Muñoz has nothing new to say about some old questions—“Why are we allowed to make these calls over people’s fates? Who are we to decide? It’s fair. It’s not fair. Someone has to do it. No one should do it”—and he pays no more than lip service to the critical quality of empathy. He shines, however, in explaining a wide variety of conditions, and there is polish to the patient vignettes, giving them deeply human appeal.

Muñoz offers little turning of new ground in what has become a fertile genre, but the book is enjoyably idiosyncratic and elucidative.

Pub Date: Aug. 11, 2015

ISBN: 978-1-4000-6887-6

Page Count: 256

Publisher: Random House

Review Posted Online: April 21, 2015

Kirkus Reviews Issue: May 15, 2015

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THE 48 LAWS OF POWER

If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.

The authors have created a sort of anti-Book of Virtues in this encyclopedic compendium of the ways and means of power.

Everyone wants power and everyone is in a constant duplicitous game to gain more power at the expense of others, according to Greene, a screenwriter and former editor at Esquire (Elffers, a book packager, designed the volume, with its attractive marginalia). We live today as courtiers once did in royal courts: we must appear civil while attempting to crush all those around us. This power game can be played well or poorly, and in these 48 laws culled from the history and wisdom of the world’s greatest power players are the rules that must be followed to win. These laws boil down to being as ruthless, selfish, manipulative, and deceitful as possible. Each law, however, gets its own chapter: “Conceal Your Intentions,” “Always Say Less Than Necessary,” “Pose as a Friend, Work as a Spy,” and so on. Each chapter is conveniently broken down into sections on what happened to those who transgressed or observed the particular law, the key elements in this law, and ways to defensively reverse this law when it’s used against you. Quotations in the margins amplify the lesson being taught. While compelling in the way an auto accident might be, the book is simply nonsense. Rules often contradict each other. We are told, for instance, to “be conspicuous at all cost,” then told to “behave like others.” More seriously, Greene never really defines “power,” and he merely asserts, rather than offers evidence for, the Hobbesian world of all against all in which he insists we live. The world may be like this at times, but often it isn’t. To ask why this is so would be a far more useful project.

If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.

Pub Date: Sept. 1, 1998

ISBN: 0-670-88146-5

Page Count: 430

Publisher: Viking

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: July 15, 1998

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INTO THE WILD

A wonderful page-turner written with humility, immediacy, and great style. Nothing came cheap and easy to McCandless, nor...

The excruciating story of a young man on a quest for knowledge and experience, a search that eventually cooked his goose, told with the flair of a seasoned investigative reporter by Outside magazine contributing editor Krakauer (Eiger Dreams, 1990). 

Chris McCandless loved the road, the unadorned life, the Tolstoyan call to asceticism. After graduating college, he took off on another of his long destinationless journeys, this time cutting all contact with his family and changing his name to Alex Supertramp. He was a gent of strong opinions, and he shared them with those he met: "You must lose your inclination for monotonous security and adopt a helter-skelter style of life''; "be nomadic.'' Ultimately, in 1992, his terms got him into mortal trouble when he ran up against something—the Alaskan wild—that didn't give a hoot about Supertramp's worldview; his decomposed corpse was found 16 weeks after he entered the bush. Many people felt McCandless was just a hubris-laden jerk with a death wish (he had discarded his map before going into the wild and brought no food but a bag of rice). Krakauer thought not. Admitting an interest that bordered on obsession, he dug deep into McCandless's life. He found a willful, reckless, moody boyhood; an ugly little secret that sundered the relationship between father and son; a moral absolutism that agitated the young man's soul and drove him to extremes; but he was no more a nutcase than other pilgrims. Writing in supple, electric prose, Krakauer tries to make sense of McCandless (while scrupulously avoiding off-the-rack psychoanalysis): his risky behavior and the rites associated with it, his asceticism, his love of wide open spaces, the flights of his soul.

A wonderful page-turner written with humility, immediacy, and great style. Nothing came cheap and easy to McCandless, nor will it to readers of Krakauer's narrative. (4 maps) (First printing of 35,000; author tour)

Pub Date: Jan. 1, 1996

ISBN: 0-679-42850-X

Page Count: 320

Publisher: Villard

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Oct. 15, 1995

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