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WHEN WE DO HARM

A DOCTOR CONFRONTS MEDICAL ERROR

Thorough analysis of a challenging problem executed with a personal touch that makes it highly readable.

A doctor examines the causes behind medical errors and how to minimize them.

Ofri is a clinical professor at NYU School of Medicine who has also treated patients at Bellevue Hospital for more than 20 years, and her popular books about medicine and the doctor-patient relationship include What Doctors Feel and What Patients Say, What Doctors Hear. In her latest, she combines extensive research with stories of patients who have been harmed and enhances the narrative with details of her own disconcerting experiences as a clinician. What makes this book special is Ofri’s perceptive and compassionate nature; she sees her own patients as real people and is candid with readers about her concerns and vulnerabilities. The heart of the narrative focuses on the cases of two patients who died while being hospitalized—one with leukemia and one with severe burns. Through Ofri’s research, it becomes clear that poor communication and technology played roles in their deaths. Sandwiched between accounts of the specifics of the medical care of these two men, the author looks broadly at errors in diagnosis, biases, malpractice suits, unsafe working conditions, impossible workloads, malfunctioning technology, and the impact of electronic medical records. Patients, of course, expect zero errors in their medical care; however, in our modern health care system, notes the author, a more realistic goal is not perfection but harm reduction. She recommends revamping the system to make it less possible for people to commit errors, and she lays out the concept of a necessary culture shift. In the final chapter, Ofri provides examples of what that shift would entail and some of the problems it would encounter. For patients, the author has a number of practical recommendations: Make sure every medical professional who touches you washes their hands; take your pill bottles with you; ask questions and take notes; and, if possible, have another person with you.

Thorough analysis of a challenging problem executed with a personal touch that makes it highly readable.

Pub Date: April 21, 2020

ISBN: 978-0-8070-3788-1

Page Count: 304

Publisher: Beacon Press

Review Posted Online: Jan. 15, 2020

Kirkus Reviews Issue: Feb. 15, 2020

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GOOD ECONOMICS FOR HARD TIMES

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.

It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.

Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.

Pub Date: Nov. 12, 2019

ISBN: 978-1-61039-950-0

Page Count: 432

Publisher: PublicAffairs

Review Posted Online: Aug. 28, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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HOW TO FIGHT ANTI-SEMITISM

A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.

Known for her often contentious perspectives, New York Times opinion writer Weiss battles societal Jewish intolerance through lucid prose and a linear playbook of remedies.

While she was vividly aware of anti-Semitism throughout her life, the reality of the problem hit home when an active shooter stormed a Pittsburgh synagogue where her family regularly met for morning services and where she became a bat mitzvah years earlier. The massacre that ensued there further spurred her outrage and passionate activism. She writes that European Jews face a three-pronged threat in contemporary society, where physical, moral, and political fears of mounting violence are putting their general safety in jeopardy. She believes that Americans live in an era when “the lunatic fringe has gone mainstream” and Jews have been forced to become “a people apart.” With palpable frustration, she adroitly assesses the origins of anti-Semitism and how its prevalence is increasing through more discreet portals such as internet self-radicalization. Furthermore, the erosion of civility and tolerance and the demonization of minorities continue via the “casual racism” of political figures like Donald Trump. Following densely political discourses on Zionism and radical Islam, the author offers a list of bullet-point solutions focused on using behavioral and personal action items—individual accountability, active involvement, building community, loving neighbors, etc.—to help stem the tide of anti-Semitism. Weiss sounds a clarion call to Jewish readers who share her growing angst as well as non-Jewish Americans who wish to arm themselves with the knowledge and intellectual tools to combat marginalization and defuse and disavow trends of dehumanizing behavior. “Call it out,” she writes. “Especially when it’s hard.” At the core of the text is the author’s concern for the health and safety of American citizens, and she encourages anyone “who loves freedom and seeks to protect it” to join with her in vigorous activism.

A forceful, necessarily provocative call to action for the preservation and protection of American Jewish freedom.

Pub Date: Sept. 10, 2019

ISBN: 978-0-593-13605-8

Page Count: 224

Publisher: Crown

Review Posted Online: Aug. 22, 2019

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