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THE OPEN HEART CLUB

A STORY ABOUT BIRTH AND DEATH AND CARDIAC SURGERY

Brownstein’s warmth and candor will keep readers immersed in this tale of survival in a time of chronic illness.

PEN/Hemingway Award winner Brownstein (English/St. John’s Univ.; The Man From Beyond, 2005, etc.) turns to nonfiction to tell “the history of heart surgery through the story of my heart.”

When the author was born, in 1966, with a heart condition known as tetralogy of Fallot, making him an oxygen-starved “blue baby,” heart surgery was something new, and heart defects were a leading cause of death. Today, more than 2 million Americans, most in middle and old age, survive with congenitally defective hearts. Like Brownstein, they have benefited from great medical advances but have had to cope with difficult arrhythmias, open-heart surgeries, and other procedures. In this engaging account of his uncertain life “in a strange border country ruled by medicine,” he describes his birth to well-educated yet “frightened” parents who never talked about his health; his own inability to face his disease (“we deny weakness, defy it, and try to imagine it away”), and his “stunted, shuttered emotional life” as a traumatized young man. He relates this affecting personal story against the rise of our understanding of the human heart, from William Harvey’s 17th-century study of circulation to pioneering work in pediatric cardiology in the 1920s by woman doctors like the eccentric Maude Abbott to such modern surgeons as James Malm, who saved the author’s life. These historical pages, covering a dizzying array of surgeons and surgeries, are often overlong and will appeal mainly to readers who share Brownstein’s deep interest in his subject. Even so, with his keen eye and storytelling abilities, the author offers absorbing glimpses of an African American doctor who saved the life of a man stabbed in the heart at the 1893 Chicago World’s Fair and pioneer surgeon Walt Lillehei (1918-1999), who could drink seven martinis and then operate successfully the next morning on a small child with a hole in his heart.

Brownstein’s warmth and candor will keep readers immersed in this tale of survival in a time of chronic illness.

Pub Date: Oct. 22, 2019

ISBN: 978-1-61039-949-4

Page Count: 368

Publisher: PublicAffairs

Review Posted Online: Aug. 27, 2019

Kirkus Reviews Issue: Sept. 15, 2019

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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

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THE PURSUIT OF HAPPYNESS

FROM MEAN STREETS TO WALL STREET

Well-told and admonitory.

Young-rags-to-mature-riches memoir by broker and motivational speaker Gardner.

Born and raised in the Milwaukee ghetto, the author pulled himself up from considerable disadvantage. He was fatherless, and his adored mother wasn’t always around; once, as a child, he spied her at a family funeral accompanied by a prison guard. When beautiful, evanescent Moms was there, Chris also had to deal with Freddie “I ain’t your goddamn daddy!” Triplett, one of the meanest stepfathers in recent literature. Chris did “the dozens” with the homies, boosted a bit and in the course of youthful adventure was raped. His heroes were Miles Davis, James Brown and Muhammad Ali. Meanwhile, at the behest of Moms, he developed a fondness for reading. He joined the Navy and became a medic (preparing badass Marines for proctology), and a proficient lab technician. Moving up in San Francisco, married and then divorced, he sold medical supplies. He was recruited as a trainee at Dean Witter just around the time he became a homeless single father. All his belongings in a shopping cart, Gardner sometimes slept with his young son at the office (apparently undiscovered by the night cleaning crew). The two also frequently bedded down in a public restroom. After Gardner’s talents were finally appreciated by the firm of Bear Stearns, his American Dream became real. He got the cool duds, hot car and fine ladies so coveted from afar back in the day. He even had a meeting with Nelson Mandela. Through it all, he remained a prideful parent. His own no-daddy blues are gone now.

Well-told and admonitory.

Pub Date: June 1, 2006

ISBN: 0-06-074486-3

Page Count: 320

Publisher: Amistad/HarperCollins

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: March 15, 2006

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