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THE LIMITS OF MEDICINE

HOW SCIENCE SHAPES OUR HOPE FOR THE CURE

Deft questioning of our basic assumptions about health, disease, and medicine. Golub, director of the Pacific Center for Ethics and Applied Biology, asserts that throughout most of human history little changed in the way health and sickness were regarded. From 500 bc to about ad 1850, people believed that health depended on the body's being in balance—and the general level of health was pretty dreadful, with sickness and early death being omnipresent. In the 19th century, however, science began to reframe thinking about health and disease. Indeed, Golub claims that the major contributions science has made to our lives are in changing our view of ourselves, how medicine is practiced, and what we expect from medicine. Through myth-shattering stories about standard heroes and praise for some lesser-known figures, Golub recounts how the authority of science was brought to medicine by Pasteur, Lister, and others whose work contributed to the soaring popular faith in scientific medicine. Once diseases were seen as having specific causes, the course was clear: determine the cause and then develop a vaccine to prevent the disease or a chemical to cure it. This concept of specificity still prevails, according to Golub. But it does not serve us well in an era of complex chronic diseases and the degenerative conditions of old age. Golub cautions against reliance on costly high-tech solutions, especially gene therapy, warning that the complexity of biology calls for more innovative and integrative approaches. Finally, he urges serious rethinking of what we want from medicine and argues that we should view aging and dying as an integral part of life rather than as the Great Enemy of medicine. Highly enjoyable as a brief and opinionated history of medicine, but more valuable as a provocative essay on the direction in which science and technology are moving medicine today. (15 line drawings, not seen)

Pub Date: Nov. 1, 1994

ISBN: 0-8129-2141-0

Page Count: 288

Publisher: Times/Henry Holt

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Sept. 15, 1994

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NUTCRACKER

This is not the Nutcracker sweet, as passed on by Tchaikovsky and Marius Petipa. No, this is the original Hoffmann tale of 1816, in which the froth of Christmas revelry occasionally parts to let the dark underside of childhood fantasies and fears peek through. The boundaries between dream and reality fade, just as Godfather Drosselmeier, the Nutcracker's creator, is seen as alternately sinister and jolly. And Italian artist Roberto Innocenti gives an errily realistic air to Marie's dreams, in richly detailed illustrations touched by a mysterious light. A beautiful version of this classic tale, which will captivate adults and children alike. (Nutcracker; $35.00; Oct. 28, 1996; 136 pp.; 0-15-100227-4)

Pub Date: Oct. 28, 1996

ISBN: 0-15-100227-4

Page Count: 136

Publisher: Harcourt

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Aug. 15, 1996

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TO THE ONE I LOVE THE BEST

EPISODES FROM THE LIFE OF LADY MENDL (ELSIE DE WOLFE)

An extravaganza in Bemelmans' inimitable vein, but written almost dead pan, with sly, amusing, sometimes biting undertones, breaking through. For Bemelmans was "the man who came to cocktails". And his hostess was Lady Mendl (Elsie de Wolfe), arbiter of American decorating taste over a generation. Lady Mendl was an incredible person,- self-made in proper American tradition on the one hand, for she had been haunted by the poverty of her childhood, and the years of struggle up from its ugliness,- until she became synonymous with the exotic, exquisite, worshipper at beauty's whrine. Bemelmans draws a portrait in extremes, through apt descriptions, through hilarious anecdote, through surprisingly sympathetic and understanding bits of appreciation. The scene shifts from Hollywood to the home she loved the best in Versailles. One meets in passing a vast roster of famous figures of the international and artistic set. And always one feels Bemelmans, slightly offstage, observing, recording, commenting, illustrated.

Pub Date: Feb. 23, 1955

ISBN: 0670717797

Page Count: -

Publisher: Viking

Review Posted Online: Oct. 25, 2011

Kirkus Reviews Issue: Feb. 1, 1955

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