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
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.
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
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
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