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MALICE, MALPRACTICE AND LIES

HOW I SURVIVED MY HMO

There are many lessons to be learned in these pages–not least of them, to keep your eyes open for oncoming teenagers.

"I'm a number on their ledger," writes O'Malley, in this thoughtful memoir of consumer David versus insurer Goliath. "And they're dedicated to a new medical oath: This above all, do no harm to our financials."

O'Malley suffered major spinal trauma when a sleeping 17-year-old driver rammed her car one August afternoon. Unable to work, and at both physical and emotional distance from her young adult son, she finds herself in the early pages of her memoir to be a kind of surrogate aunt to a young immigrant girl and a surrogate child to an aunt of her own; her portraits of these characters, and indeed of most of the figures in the narrative, are marked by affection, warmth and knowing humor. But the tale takes on a dark cast as O'Malley soon stands accused of being a malingerer and denied long-term disability pay while enduring more and more physical distress in the wake of her accident. In quest of relief, she tries the expected route–namely, scheduling appointments at her HMO and undergoing tests to discover why her pain should persist months after the accident. What follows is a Kafkaesque sequence of misunderstandings and evasions, as, by her account, one specialist after another administers the wrong test, takes the wrong X-ray and eventually cuts into the wrong section of her spine. In the subsequent chapters, she becomes something of an authority on her pain, providing at least some rebuttal to arrogant doctors who, one by one, ask what fine medical school she attended to allow her any opinion in the matter of her own health. O'Malley's unhappy tale ends well enough, thanks to the help of a doctor on the opposite end of the country from the angry neurologist who becomes her bête noire. Readers may be a tad frustrated, though, to discover that the real ending is a settlement whose terms she cannot discuss, inasmuch as she has discussed everything else so candidly.

There are many lessons to be learned in these pages–not least of them, to keep your eyes open for oncoming teenagers.

Pub Date: June 24, 2004

ISBN: 1-4134-5487-9

Page Count: -

Publisher: N/A

Review Posted Online: May 23, 2010

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THE ART OF SOLITUDE

A very welcome instance of philosophy that can help readers live a good life.

A teacher and scholar of Buddhism offers a formally varied account of the available rewards of solitude.

“As Mother Ayahuasca takes me in her arms, I realize that last night I vomited up my attachment to Buddhism. In passing out, I died. In coming to, I was, so to speak, reborn. I no longer have to fight these battles, I repeat to myself. I am no longer a combatant in the dharma wars. It feels as if the course of my life has shifted onto another vector, like a train shunted off its familiar track onto a new trajectory.” Readers of Batchelor’s previous books (Secular Buddhism: Imagining the Dharma in an Uncertain World, 2017, etc.) will recognize in this passage the culmination of his decadeslong shift away from the religious commitments of Buddhism toward an ecumenical and homegrown philosophy of life. Writing in a variety of modes—memoir, history, collage, essay, biography, and meditation instruction—the author doesn’t argue for his approach to solitude as much as offer it for contemplation. Essentially, Batchelor implies that if you read what Buddha said here and what Montaigne said there, and if you consider something the author has noticed, and if you reflect on your own experience, you have the possibility to improve the quality of your life. For introspective readers, it’s easy to hear in this approach a direct response to Pascal’s claim that “all of humanity's problems stem from man's inability to sit quietly in a room alone.” Batchelor wants to relieve us of this inability by offering his example of how to do just that. “Solitude is an art. Mental training is needed to refine and stabilize it,” he writes. “When you practice solitude, you dedicate yourself to the care of the soul.” Whatever a soul is, the author goes a long way toward soothing it.

A very welcome instance of philosophy that can help readers live a good life.

Pub Date: Feb. 18, 2020

ISBN: 978-0-300-25093-0

Page Count: 200

Publisher: Yale Univ.

Review Posted Online: Nov. 24, 2019

Kirkus Reviews Issue: Dec. 15, 2019

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ON LIVING

A moving, heartfelt account of a hospice veteran.

Lessons about life from those preparing to die.

A longtime hospice chaplain, Egan (Fumbling: A Pilgrimage Tale of Love, Grief, and Spiritual Renewal on the Camino de Santiago, 2004) shares what she has learned through the stories of those nearing death. She notices that for every life, there are shared stories of heartbreak, pain, guilt, fear, and regret. “Every one of us will go through things that destroy our inner compass and pull meaning out from under us,” she writes. “Everyone who does not die young will go through some sort of spiritual crisis.” The author is also straightforward in noting that through her experiences with the brokenness of others, and in trying to assist in that brokenness, she has found healing for herself. Several years ago, during a C-section, Egan suffered a bad reaction to the anesthesia, leading to months of psychotic disorders and years of recovery. The experience left her with tremendous emotional pain and latent feelings of shame, regret, and anger. However, with each patient she helped, the author found herself better understanding her own past. Despite her role as a chaplain, Egan notes that she rarely discussed God or religious subjects with her patients. Mainly, when people could talk at all, they discussed their families, “because that is how we talk about God. That is how we talk about the meaning of our lives.” It is through families, Egan began to realize, that “we find meaning, and this is where our purpose becomes clear.” The author’s anecdotes are often thought-provoking combinations of sublime humor and tragic pathos. She is not afraid to point out times where she made mistakes, even downright failures, in the course of her work. However, the nature of her work means “living in the gray,” where right and wrong answers are often hard to identify.

A moving, heartfelt account of a hospice veteran.

Pub Date: Oct. 25, 2016

ISBN: 978-1-59463-481-9

Page Count: 224

Publisher: Riverhead

Review Posted Online: Aug. 2, 2016

Kirkus Reviews Issue: Aug. 15, 2016

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