In an unstinting appraisal of the profession, Wilson effectively diagnoses the issues and looks for new paths forward.
There is a crisis of trust permeating the medical profession, according to this insightful book by a leading researcher.
The practice of medicine is “a science of percentages, a science of intelligent guesses, a science of hedging bets,” writes Wilson, director of Yale’s Clinical and Translational Research Accelerator. “Medicine continues to evolve, with new discoveries overturning old beliefs, inching us closer to real truth.” The problem is that many patients do not want reasonable guesses but immediate, sure-fire answers. The gap has been filled by alternative healers, naturopaths, and internet marketers who provide diagnoses and cures that range from the esoteric to the foolish. What they are really selling, Wilson suggests, is certainty, a desirable commodity in a chaotic world. Most of the “cures” are harmless, some help patients via the placebo effect, and a few are actually dangerous. Yet the public perception of practitioners of alternative medicine is above that of the pharmaceutical industry. “The marketing of foxglove extract, reiki and qigong is peaceful and patient-centric,” writes the author. “And, of course, no one is paying $80,000 a year for Saint-John’s-wort.” Given these circumstances, Wilson argues persuasively that doctors should spend more time with patients instead of rushing them through as if on a conveyor belt. This would also give them the opportunity to explain the limitations of a proposed treatment. Equally, doctors should be ready to move away from drug-based solutions. Wilson sees an epidemic of “deaths of despair”: drugs, alcoholism, and suicide, driven by isolation and loneliness. These cannot be addressed with pills; lifestyle changes are needed, which means building a trust relationship. Mixing hard data with personal anecdotes, Wilson sets out a convincing case, and he does not ignore the difficulties of making these changes. If nothing is done, the prognosis for the practice of medicine is grim.
In an unstinting appraisal of the profession, Wilson effectively diagnoses the issues and looks for new paths forward.Pub Date: Jan. 24, 2023
ISBN: 978-1-5387-2360-9
Page Count: 304
Publisher: Grand Central Publishing
Review Posted Online: Sept. 26, 2022
Kirkus Reviews Issue: Oct. 15, 2022
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
PERSPECTIVES
For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.
Pub Date: Jan. 1, 1979
ISBN: 0061965588
Page Count: 772
Publisher: Harper & Row
Review Posted Online: May 26, 2012
Kirkus Reviews Issue: Jan. 1, 1979
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
© Copyright 2026 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
