An engaging read that paints an honest picture of how a broken system impacts patients and providers.
A reflective doctor uses moving stories to reveal huge gaps and potential fixes in the deeply flawed American health care system.
Yurkiewicz’s poignant prose reads like a novel, knitting patient and personal stories with an honest insider’s evaluation of a highly problematic system. The author, a physician on the faculty of Stanford Medicine, writes from her experiences as a resident, fellow, oncologist, and caregiver. As she states, the system is designed for reaction and “shifts blame onto individuals instead of focusing on sustainable systemic changes,” leaving patients and their families at serious risk. Yurkiewicz describes three major issues with the American health care system and presents the potential solutions. In the first part, “The Data Dig,” the author tackles the massive difficulties she encounters with electronic medical records. When a patient has a complex history, attempting to treat them is “like opening a book to page 200 and being asked to write page 201.” In the second section of the book, “Lost to Follow-Up,” Yurkiewicz calls for a more preventative-focused system. She uses multiple patient stories to explain the critical, yet common, problem of fielding a full team of doctors and illuminates the many issues involved with the pernicious 28-hour shift, “a rite of passage for doctors.” In “The Stories We Tell Ourselves,” the author criticizes many enduring myths about the U.S. health care system, and in the chapter titled “These Things Happen,” she examines her subject through the lens of her caregiving role for her ill father. “I started to see my dad’s hospitalization as an endless series of branch points: each of them could make or break the recovery of a critically ill person…His medical care was a game of risk.” Though Yurkiewicz may not fully solve the health care game, she provides plenty of food for thought for caregivers and medical professionals.
An engaging read that paints an honest picture of how a broken system impacts patients and providers.Pub Date: July 11, 2023
ISBN: 9780393881196
Page Count: 288
Publisher: Norton
Review Posted Online: April 7, 2023
Kirkus Reviews Issue: May 1, 2023
PERSPECTIVES
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
PERSPECTIVES
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
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