A young physician’s candid account of his harrowing experiences as a patient with a life-threatening illness. In 1996, Biro, at 31, had just completed his residency and joined his father’s Brooklyn dermatology practice when he was discovered to have paroxysmal nocturnal hemoglobinuria (PNH), a rare condition caused by a genetic mutation in bone marrow stem cells. His life, which he describes as having been filled with “too much good fortune,” abruptly turned around. Being a doctor gave him certain advantages: the ability to research his condition, to find and be seen by specialists quickly, to get test results more rapidly than most, to get a better hospital room. When his specialists disagreed about the best course of treatment, he was dismayed but fully understood his options, and when he opted for a bone marrow transplant, he did so knowledgeably. But medical knowledge can terrify, and he knew enough about his condition to be thoroughly frightened. Biro, who has a Ph.D. in literature from Oxford as well as an M.D. from Columbia, blends his fast-paced personal story with clear information about his particular medical condition and the therapeutic options. He lets the reader know a great deal about his close, occasionally overwhelming, and highly involved family—his youngest sister provided the bone marrow for his transplant—and their conflicts with his privacy-seeking wife, and he reveals his own fears, irritations, embarrassments, and disappointments. After radiation and chemotherapy, when he was too sick to write, excerpts from his parents’ diaries carry the story forward. In his final chapter, written in 1998, Biro takes a much too brief look at the ways his ordeal has changed him, and especially changed his attitude toward patients. While there’s no shortage of illness literature, a memoir by a person trained in both illness and literature is a welcome addition, especially when it openly explores as many aspects of the experience as this one. (Author tour)
Pub Date: Feb. 28, 2000
ISBN: 0-375-40715-4
Page Count: 304
Publisher: Pantheon
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Dec. 1, 1999
BOOK REVIEW
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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
PERSPECTIVES
Well-told and admonitory.
Young-rags-to-mature-riches memoir by broker and motivational speaker Gardner.
Born and raised in the Milwaukee ghetto, the author pulled himself up from considerable disadvantage. He was fatherless, and his adored mother wasn’t always around; once, as a child, he spied her at a family funeral accompanied by a prison guard. When beautiful, evanescent Moms was there, Chris also had to deal with Freddie “I ain’t your goddamn daddy!” Triplett, one of the meanest stepfathers in recent literature. Chris did “the dozens” with the homies, boosted a bit and in the course of youthful adventure was raped. His heroes were Miles Davis, James Brown and Muhammad Ali. Meanwhile, at the behest of Moms, he developed a fondness for reading. He joined the Navy and became a medic (preparing badass Marines for proctology), and a proficient lab technician. Moving up in San Francisco, married and then divorced, he sold medical supplies. He was recruited as a trainee at Dean Witter just around the time he became a homeless single father. All his belongings in a shopping cart, Gardner sometimes slept with his young son at the office (apparently undiscovered by the night cleaning crew). The two also frequently bedded down in a public restroom. After Gardner’s talents were finally appreciated by the firm of Bear Stearns, his American Dream became real. He got the cool duds, hot car and fine ladies so coveted from afar back in the day. He even had a meeting with Nelson Mandela. Through it all, he remained a prideful parent. His own no-daddy blues are gone now.
Well-told and admonitory.Pub Date: June 1, 2006
ISBN: 0-06-074486-3
Page Count: 320
Publisher: Amistad/HarperCollins
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: March 15, 2006
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