Highly informative and accessible for general readers.




Biopharmaceutical consultant Kirsch debuts with a popular account of the search for new drugs, from prehistory through the rise of big pharma.

This lucid, anecdote-rich book, co-authored by science writer Ogas (co-author: Shrinks: The Untold Story of Psychiatry, 2015, etc.), covers familiar ground for specialists but offers a bright overview for the rest of us of humankind’s hunt for medicines, first in the molecules of plants, then in synthetic compounds, and now in the human genome. Throughout history, drug discoveries have been “entirely fortuitous,” writes the author, who has been a chief science officer with several major drug firms. Successful drug hunting takes “talent, moxie, persistence, luck—and even then, it might not be enough.” In fact, most researchers “never” find new compounds that safely and effectively improve health. That said, Kirsch tells the fascinating stories of historic drug discoveries over the centuries, from opium (used in 3400 B.C.E.) to chloroform, ether, quinine, aspirin, penicillin, insulin, the birth control pill, and psychoactive medicines. Once physician-botanists (until the Renaissance) and now physician–molecular biologists, drug researchers have always faced “dismayingly difficult” trial-and-error screening. Recounting the work of researchers from Valerius Cordus (b. 1515), who wrote a landmark apothecary manual, to Paul Ehrlich, who developed the cure for syphilis, to Gregory Pincus, a scandal-tainted scientist who worked with two elderly feminists to develop an effective oral contraception drug, Kirsch describes the emergence of the science of pharmacology by the mid-20th century. Today, 50 to 70 percent of all clinical drug trials fail, and each FDA–approved drug requires an average investment of $1.5 billion and 14 years of research. Kirsch notes that big pharma has little incentive to develop medicines that produce cures—as opposed to drugs for chronic diseases like diabetes and high cholesterol, which users purchase again and again—and faults drug makers’ hostility to the “risk-laden reality of modern drug-hunting.”

Highly informative and accessible for general readers.

Pub Date: Jan. 3, 2017

ISBN: 978-1-62872-718-0

Page Count: 312

Publisher: Arcade

Review Posted Online: Oct. 20, 2016

Kirkus Reviews Issue: Nov. 1, 2016

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Loads of good explaining, with reminders, time and again, of how much remains unknown, neatly putting the death of science...


Bryson (I'm a Stranger Here Myself, 1999, etc.), a man who knows how to track down an explanation and make it confess, asks the hard questions of science—e.g., how did things get to be the way they are?—and, when possible, provides answers.

As he once went about making English intelligible, Bryson now attempts the same with the great moments of science, both the ideas themselves and their genesis, to resounding success. Piqued by his own ignorance on these matters, he’s egged on even more so by the people who’ve figured out—or think they’ve figured out—such things as what is in the center of the Earth. So he goes exploring, in the library and in company with scientists at work today, to get a grip on a range of topics from subatomic particles to cosmology. The aim is to deliver reports on these subjects in terms anyone can understand, and for the most part, it works. The most difficult is the nonintuitive material—time as part of space, say, or proteins inventing themselves spontaneously, without direction—and the quantum leaps unusual minds have made: as J.B.S. Haldane once put it, “The universe is not only queerer than we suppose; it is queerer than we can suppose.” Mostly, though, Bryson renders clear the evolution of continental drift, atomic structure, singularity, the extinction of the dinosaur, and a mighty host of other subjects in self-contained chapters that can be taken at a bite, rather than read wholesale. He delivers the human-interest angle on the scientists, and he keeps the reader laughing and willing to forge ahead, even over their heads: the human body, for instance, harboring enough energy “to explode with the force of thirty very large hydrogen bombs, assuming you knew how to liberate it and really wished to make a point.”

Loads of good explaining, with reminders, time and again, of how much remains unknown, neatly putting the death of science into perspective.

Pub Date: May 6, 2003

ISBN: 0-7679-0817-1

Page Count: 304

Publisher: Broadway

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: April 1, 2003

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A tiny book, not much bigger than a pamphlet, with huge potential impact.

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A collection of articulate, forceful speeches made from September 2018 to September 2019 by the Swedish climate activist who was nominated for a Nobel Peace Prize.

Speaking in such venues as the European and British Parliaments, the French National Assembly, the Austrian World Summit, and the U.N. General Assembly, Thunberg has always been refreshingly—and necessarily—blunt in her demands for action from world leaders who refuse to address climate change. With clarity and unbridled passion, she presents her message that climate change is an emergency that must be addressed immediately, and she fills her speeches with punchy sound bites delivered in her characteristic pull-no-punches style: “I don’t want you to be hopeful. I want you to panic. I want you to feel the fear I feel every day. And then I want you to act.” In speech after speech, to persuade her listeners, she cites uncomfortable, even alarming statistics about global temperature rise and carbon dioxide emissions. Although this inevitably makes the text rather repetitive, the repetition itself has an impact, driving home her point so that no one can fail to understand its importance. Thunberg varies her style for different audiences. Sometimes it is the rousing “our house is on fire” approach; other times she speaks more quietly about herself and her hopes and her dreams. When addressing the U.S. Congress, she knowingly calls to mind the words and deeds of Martin Luther King Jr. and John F. Kennedy. The last speech in the book ends on a note that is both challenging and upbeat: “We are the change and change is coming.” The edition published in Britain earlier this year contained 11 speeches; this updated edition has 16, all worth reading.

A tiny book, not much bigger than a pamphlet, with huge potential impact.

Pub Date: Nov. 26, 2019

ISBN: 978-0-14-313356-8

Page Count: 112

Publisher: Penguin

Review Posted Online: Nov. 3, 2019

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