An unvarnished account of a boundary-pushing procedure and patient.
The candid self-portrait of a woman who, years deep in depression’s clutches, mustered the courage to live again by way of dying.
In her third book, acclaimed “mommy blogger” Armstrong (Dear Daughter: The Best of the Dear Leta Letters, 2012, etc.), the founder of the popular website dooce, tells the intriguing story of how she was put into a coma 10 times as part of a controversial experimental procedure to overcome severe clinical depression. In a narrative that is part cathartic confessional, part apology to those who stood by her through years of anguish and recovery, and part accessible explanation of a highly scientific procedure, the author takes readers on a room-by-room tour of events leading to the treatment that finally helped her overcome her depression. “I’d been almost brain-dead for fifteen minutes,” she writes of the first session. “I felt fantastic! When you want to be dead, there’s nothing quite like being dead. And boy, did I do dead well.” Chronicling how the anesthesiologists used propofol (“the Michael Jackson drug”) to induce the coma, the author writes that “the study is designed to determine if ‘burst suppression’—quieting the brain’s electrical activity—can alleviate the symptoms of depression.” Later, she continues, “it’s like rebooting a computer. Anyone who has ever had problems with a computer knows that sometimes you have to turn it on and off again several times to fix whatever glitch was causing all your applications to crash.” Instead of detailing the personal hells of the glitch itself, Armstrong tactfully walks around it, poring over past failed therapies. She provides an experiential blow-by-blow chronicle of the test study, its effects on her daily life, the progressive improvement of her condition, and the reactions of her daughters, unconditionally dedicated mother, and the team of specialists overseeing the closely monitored deaths and rebirths that ultimately led to her victory.
An unvarnished account of a boundary-pushing procedure and patient.Pub Date: April 23, 2019
ISBN: 978-1-5011-9704-8
Page Count: 256
Publisher: Gallery Books/Simon & Schuster
Review Posted Online: Feb. 27, 2019
Kirkus Reviews Issue: March 15, 2019
BOOK REVIEW
IN THE NEWS
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.
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
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
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