Beautifully written and deeply moving—one of the best physician memoirs in recent memory.
A British neurosurgeon delivers fascinating, often harrowing stories of several dozen cases intermixed with compelling digressions into his travels, personal life, and philosophy.
In 25 chapters, each built around a neurosurgical operation (infections and strokes but mostly tumors), the author provides vivid accounts of patients before and after surgery as well as encounters with Britain’s National Health Service, which is far skimpier than America’s system (even hospital beds are in short supply). The quality of medicine, however, is first-class. American neurosurgical trainees serve in his hospital, and Marsh admires but does not share the gung-ho optimism of America’s “death is optional” surgeons. While happy to recount dramatic cures, he admits that these are not routine in a neurosurgeon’s practice and that aggressive surgery often leaves patients with catastrophic brain damage. Few American surgeons, worried about being sued (a legitimate concern), would dare write, “I am more experienced than in the past and more realistic about the limitations of surgery….I have become more willing to accept that it can be better to let someone die rather than operate when there is only a very small chance of the person returning to an independent life.” Far more than the average doctor-memoirist, Marsh does not conceal his feelings, whether dealing with patients, colleagues, assistants, or superiors, and he spares no one when matters turn out badly. Readers will share his emotions, including contempt for a penny-pinching, meddling government. Unlike American doctor/government haters, there is no sour right-wing ideology or any impression that he is defending an obscenely high income. Nor does he trumpet his compassion; that is never in doubt.
Beautifully written and deeply moving—one of the best physician memoirs in recent memory.Pub Date: May 26, 2015
ISBN: 978-1-250-06581-0
Page Count: 304
Publisher: Dunne/St. Martin's
Review Posted Online: March 1, 2015
Kirkus Reviews Issue: March 15, 2015
BOOK REVIEW
BOOK REVIEW
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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