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TELLTALE HEARTS

A PUBLIC HEALTH DOCTOR, HIS PATIENTS, AND THE POWER OF STORY

Vivid medical anecdotes with occasional happy endings.

A family doctor describes a powerful healing technique.

Schillinger, professor of primary care and health policy at the University of California San Francisco, joins many colleagues who deplore today’s technology-heavy, medication-oriented health care system, which often isolates patients from doctors and contributes to treatment failures. He reminds readers that it’s been proved that the greatest source of information for doctors is not a test or machine, but what a patient tells them. He illustrates his approach with a steady stream of stories from his years of training at San Francisco General Hospital and practice at the UCSF Center for Vulnerable Populations, which he co-founded. Examining the monumental struggles of marginalized communities, he makes a painfully convincing case that the present system guarantees that the poor get sicker, receive less care, and die sooner. The author’s stories are consistently illuminating: A man unable to walk reveals that he is an alcoholic and has lain unconscious for such long periods that his leg muscles have withered. A “frequent flyer” patient with scores of visits for problems stemming from her drug addiction, complicated by an obnoxious personality, appears 20 years later, drug-free and raising a child, grateful to the author and a few others who were kind to her. Schillinger devotes much of his text to diabetes, a public health problem as serious as those caused by tobacco. His campaign to place a warning label on sugared soft drinks, essentially liquid candy, faced an uphill battle. However, as the author writes, he knew that “to declare and wage a war against diabetes, I needed to separate from a bureaucracy currently paralyzed by conflicts of interests and politics, and pursue an alternative strategy.” In this often inspiring book, he shows readers a variety of “alternative” strategies that benefit public health.

Vivid medical anecdotes with occasional happy endings.

Pub Date: July 16, 2024

ISBN: 9781541704206

Page Count: 352

Publisher: PublicAffairs

Review Posted Online: April 30, 2024

Kirkus Reviews Issue: June 1, 2024

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F*CK IT, I'LL START TOMORROW

The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.

The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.

“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”

The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.

Pub Date: April 20, 2021

ISBN: 978-1-4197-4478-5

Page Count: 184

Publisher: Abrams

Review Posted Online: May 5, 2021

Kirkus Reviews Issue: June 1, 2021

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WHY WE SWIM

An absorbing, wide-ranging story of humans’ relationship with the water.

A study of swimming as sport, survival method, basis for community, and route to physical and mental well-being.

For Bay Area writer Tsui (American Chinatown: A People's History of Five Neighborhoods, 2009), swimming is in her blood. As she recounts, her parents met in a Hong Kong swimming pool, and she often visited the beach as a child and competed on a swim team in high school. Midway through the engaging narrative, the author explains how she rejoined the team at age 40, just as her 6-year-old was signing up for the first time. Chronicling her interviews with scientists and swimmers alike, Tsui notes the many health benefits of swimming, some of which are mental. Swimmers often achieve the “flow” state and get their best ideas while in the water. Her travels took her from the California coast, where she dove for abalone and swam from Alcatraz back to San Francisco, to Tokyo, where she heard about the “samurai swimming” martial arts tradition. In Iceland, she met Guðlaugur Friðþórsson, a local celebrity who, in 1984, survived six hours in a winter sea after his fishing vessel capsized, earning him the nickname “the human seal.” Although humans are generally adapted to life on land, the author discovered that some have extra advantages in the water. The Bajau people of Indonesia, for instance, can do 10-minute free dives while hunting because their spleens are 50% larger than average. For most, though, it’s simply a matter of practice. Tsui discussed swimming with Dara Torres, who became the oldest Olympic swimmer at age 41, and swam with Kim Chambers, one of the few people to complete the daunting Oceans Seven marathon swim challenge. Drawing on personal experience, history, biology, and social science, the author conveys the appeal of “an unflinching giving-over to an element” and makes a convincing case for broader access to swimming education (372,000 people still drown annually).

An absorbing, wide-ranging story of humans’ relationship with the water.

Pub Date: April 14, 2020

ISBN: 978-1-61620-786-1

Page Count: 288

Publisher: Algonquin

Review Posted Online: Jan. 4, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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