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LAUGHING AND CRYING ABOUT ANESTHESIA

A MEMOIR OF RISK AND SAFETY

A sometimes rambling but more often incisive memoir from a retired top-rank anesthesiologist looking back on a long career.

First-time author and retired anesthesiologist Zeitlin elucidates the hands-on business of delivering sweet oblivion to surgical patients with as little risk as possible.

The Cambridge-educated son of a family doctor, Zeitlin concludes early on that coming to America—particularly in and around Boston, where he spends most of his Harvard-linked career—is the only way to avoid stagnation in the medical hierarchy on the other side of the pond. He retains so vivid a memory of his early days that, more than half a century later, he can recall whole conversations verbatim—or so his liberal use of quotation marks would suggest. But the author’s intellect, huge fund of subject knowledge, and high purpose more than compensate for any stylistic faults, such as his tendency to become unstuck in time as he relates anecdotes that range freely from the near-present to long ago. He beautifully captures the challenge and allure of his high-stakes craft: observing and, as much as possible, controlling the real-time response of the human organism to a variety of pain-obliterating anesthetics, whose merciful workings even now remain somewhat mysterious. His disturbing account of a young female patient’s unexpected response to anesthesia is brutally candid, right down to his abiding regret over never speaking to her family on his lawyer’s advice. The book’s greatest and most scholarly strength is its decade-by-decade recitation of advances and missteps in anesthesiology. There was, for example, the era of cyclopropane, a drug so explosive that static electricity could ignite it. The author also touches on the status-based frictions between rock-star surgeons and anesthesiologists, who are more apt to get the blame than the glory. As an offset, Zeitlin provides a short list of anesthesiologist heroes and what they accomplished. In the end, the author says, vastly improved monitoring devices deserve much credit for safety advances, but split-second judgments by “gas men” still make the difference.

A sometimes rambling but more often incisive memoir from a retired top-rank anesthesiologist looking back on a long career.

Pub Date: Dec. 1, 2011

ISBN: 978-1463798062

Page Count: 274

Publisher: CreateSpace

Review Posted Online: May 18, 2012

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NIGHT

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...

Elie Wiesel spent his early years in a small Transylvanian town as one of four children. 

He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions. 

The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the sphere of suffering shared, and in this case extended to the death march itself, there is no spiritual or emotional legacy here to offset any reader reluctance.

Pub Date: Jan. 16, 2006

ISBN: 0374500010

Page Count: 120

Publisher: Hill & Wang

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Jan. 15, 2006

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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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