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COUNTING BACKWARDS

A DOCTOR'S NOTES ON ANESTHESIA

A fascinating tour of a mystifying, unnerving, yet precious medical necessity.

A veteran anesthesiologist probes the origins and mysteries of medically induced unconsciousness.

Przybylo (Anesthesiology/Northwestern Univ. School of Medicine) shares anecdotes and personal impressions of his career, during which he has “administered anesthesia more than thirty thousand times.” Specializing in the pediatric arena of his field, the author cares for more than 1,000 children in an average year, and he offers profiles of many of them in this vividly written, candid exploration. In many ways, Przybylo considers himself a faith healer since so many patients and their families put their trust in his expertise with the drugs he administers. He retraces the curious history of how painless surgeries were eventually achieved in the 1800s through the meticulously measured inhalation of ether, though the process itself was considered sacrilegious at the time. A compassionate, patient caregiver, the author describes how he empathizes with (and medically alleviates) his young patients’ anxiety, fear, and confusion. The author discusses his lengthy tenure in medicine, which molded him into a highly controlled professional “always searching for ways to improve my care.” Przybylo is also honest enough to include the medical blunders he has experienced during his career, and he provides a personalized walk-through that intriguingly describes the highly specialized equipment he uses, the “Five A’s” of his comprehensive care, and why an empty stomach is essential to anesthesia success. Several of the cases he recalls embody the “dark side of medicine,” but they are striking in content and quite moving. They include a high school sophomore basketball player who must endure a heart transplant and, surprisingly, a lethargic 2-year-old gorilla with a life-threatening infection. What may particularly resonate with readers, however, is the pharmaceutical gray area that still confounds Przybylo and the industry at large, as he admits to being “no closer to explaining the mechanism by which the gas I provide anesthetizes.”

A fascinating tour of a mystifying, unnerving, yet precious medical necessity.

Pub Date: Nov. 14, 2017

ISBN: 978-0-393-25443-3

Page Count: 256

Publisher: Norton

Review Posted Online: Aug. 20, 2017

Kirkus Reviews Issue: Sept. 1, 2017

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THE ELEMENTS OF STYLE

50TH ANNIVERSARY EDITION

Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis...

Privately published by Strunk of Cornell in 1918 and revised by his student E. B. White in 1959, that "little book" is back again with more White updatings.

Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis (whoops — "A bankrupt expression") a unique guide (which means "without like or equal").

Pub Date: May 15, 1972

ISBN: 0205632645

Page Count: 105

Publisher: Macmillan

Review Posted Online: Oct. 28, 2011

Kirkus Reviews Issue: May 1, 1972

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I AM OZZY

An autobiography as toxic and addictive as any drug its author has ever ingested.

The legendary booze-addled metal rocker turned reality-TV star comes clean in his tell-all autobiography.

Although brought up in the bleak British factory town of Aston, John “Ozzy” Osbourne’s tragicomic rags-to-riches tale is somehow quintessentially American. It’s an epic dream/nightmare that takes him from Winson Green prison in 1966 to a presidential dinner with George W. Bush in 2004. Tracing his adult life from petty thief and slaughterhouse worker to rock star, Osbourne’s first-person slang-and-expletive-driven style comes off like he’s casually relating his story while knocking back pints at the pub. “What you read here,” he writes, “is what dribbled out of the jelly I call my brain when I asked it for my life story.” During the late 1960s his transformation from inept shoplifter to notorious Black Sabbath frontman was unlikely enough. In fact, the band got its first paying gigs by waiting outside concert venues hoping the regularly scheduled act wouldn’t show. After a few years, Osbourne and his bandmates were touring America and becoming millionaires from their riff-heavy doom music. As expected, with success came personal excess and inevitable alienation from the other members of the group. But as a solo performer, Osbourne’s predilection for guns, drink, drugs, near-death experiences, cruelty to animals and relieving himself in public soon became the stuff of legend. His most infamous exploits—biting the head off a bat and accidentally urinating on the Alamo—are addressed, but they seem tame compared to other dark moments of his checkered past: nearly killing his wife Sharon during an alcohol-induced blackout, waking up after a bender in the middle of a busy highway, burning down his backyard, etc. Osbourne is confessional to a fault, jeopardizing his demonic-rocker reputation with glib remarks about his love for Paul McCartney and Robin Williams. The most distinguishing feature of the book is the staggering chapter-by-chapter accumulation of drunken mishaps, bodily dysfunctions and drug-induced mayhem over a 40-plus-year career—a résumé of anti-social atrocities comparable to any of rock ’n’ roll’s most reckless outlaws.

An autobiography as toxic and addictive as any drug its author has ever ingested.

Pub Date: Jan. 25, 2010

ISBN: 978-0-446-56989-7

Page Count: 320

Publisher: Grand Central Publishing

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Dec. 1, 2009

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