In this illuminating book, Palfreman reminds patients that exercise and a positive attitude help, and he urges them to...
Prospects for better treatments for Parkinson’s disease are the hope that lies at the end of this well-researched history and overview of the current state of research.
Palfreman (Emeritus, Broadcast Journalism/Univ. of Oregon; co-author: The Case of the Frozen Addicts, 1996, etc.) brings his skill as a science writer and a deep personal commitment to an initially dark narrative. A generation ago, L-dopa was the breakthrough drug that would supply dopamine, the neurotransmitter no longer available from diseased brain cells, to neurons in movement control centers. Thus it would stop the tremors, falls, and other signs of Parkinson’s—except when it didn’t. L-dopa is notoriously difficult to deliver to the brain, and when it arrives, its release fluctuates, producing on-again, off-again effects. So the race was on to protect, revive, or transplant new cells to replace the dying ones. None of these approaches really worked, writes the author, probably because by the time movement symptoms appear, most of the dopamine cells are gone. In that sense, the tremors are only the tip of the iceberg. Among Parkinson’s “prodromal” symptoms are constipation, loss of the sense of smell, sleep disorders, anxiety, and depression. Moreover, Parkinson’s comes in many varieties, with different ages of onset and different rates of progression. Fortunately, there are promising developments on the horizon—e.g., the chance discovery that a particular phage can invade and devour the misfolded proteins in brain cells, restoring function. A small company has now developed a phage-derived protein that forms the key to opening the cells, and they are planning human trials. Other developments include new forms of L-dopa to ensure stable amounts and sustained delivery and possible exploitation of the placebo effect, which has been shown to stimulate dopamine release from other brain systems.
In this illuminating book, Palfreman reminds patients that exercise and a positive attitude help, and he urges them to participate in clinical trials and take to task drug companies reluctant to initiate huge trials for what they dismiss as a non–life-threatening disease. Just ask Michael J. Fox.Pub Date: Sept. 15, 2015
ISBN: 978-0-374-11617-0
Page Count: 288
Publisher: Scientific American/Farrar, Straus and Giroux
Review Posted Online: May 12, 2015
Kirkus Reviews Issue: June 1, 2015
BOOK REVIEW
Yes: it's high time for a de-romanticized, de-mythified, close-up retelling of the U.S. Space Program's launching—the inside story of those first seven astronauts.
But no: jazzy, jivey, exclamation-pointed, italicized Tom Wolfe "Mr. Overkill" hasn't really got the fight stuff for the job. Admittedly, he covers all the ground. He begins with the competitive, macho world of test pilots from which the astronauts came (thus being grossly overqualified to just sit in a controlled capsule); he follows the choosing of the Seven, the preparations for space flight, the flights themselves, the feelings of the wives; and he presents the breathless press coverage, the sudden celebrity, the glorification. He even throws in some of the technology. But instead of replacing the heroic standard version with the ring of truth, Wolfe merely offers an alternative myth: a surreal, satiric, often cartoony Wolfe-arama that, especially since there isn't a bit of documentation along the way, has one constantly wondering if anything really happened the way Wolfe tells it. His astronauts (referred to as "the brethren" or "The True Brothers") are obsessed with having the "right stuff" that certain blend of guts and smarts that spells pilot success. The Press is a ravenous fool, always referred to as "the eternal Victorian Gent": when Walter Cronkite's voice breaks while reporting a possible astronaut death, "There was the Press the Genteel Gent, coming up with the appropriate emotion. . . live. . . with no prompting whatsoever!" And, most off-puttingly, Wolfe presumes to enter the minds of one and all: he's with near-drowing Gus Grissom ("Cox. . . That face up there!—it's Cox. . . Cox knew how to get people out of here! . . . Cox! . . ."); he's with Betty Grissom angry about not staying at Holiday Inn ("Now. . . they truly owed her"); and, in a crude hatchet-job, he's with John Glenn furious at Al Shepard's being chosen for the first flight, pontificating to the others about their licentious behavior, or holding onto his self-image during his flight ("Oh, yes! I've been here before! And I am immune! I don't get into corners I can't get out of! . . . The Presbyterian Pilot was not about to foul up. His pipeline to dear Lord could not be clearer"). Certainly there's much here that Wolfe is quite right about, much that people will be interested in hearing: the P-R whitewash of Grissom's foul-up, the Life magazine excesses, the inter-astronaut tensions. And, for those who want to give Wolfe the benefit of the doubt throughout, there are emotional reconstructions that are juicily shrill.
But most readers outside the slick urban Wolfe orbit will find credibility fatally undermined by the self-indulgent digressions, the stylistic excesses, and the broadly satiric, anti-All-American stance; and, though The Right Stuff has enough energy, sass, and dirt to attract an audience, it mostly suggests that until Wolfe can put his subject first and his preening writing-persona second, he probably won't be a convincing chronicler of anything much weightier than radical chic.
Pub Date: Sept. 24, 1979
ISBN: 0312427565
Page Count: 370
Publisher: Farrar, Straus and Giroux
Review Posted Online: Oct. 13, 2011
Kirkus Reviews Issue: Sept. 1, 1979
BOOK TO SCREEN
Loads of good explaining, with reminders, time and again, of how much remains unknown, neatly putting the death of science...
Bryson (I'm a Stranger Here Myself, 1999, etc.), a man who knows how to track down an explanation and make it confess, asks the hard questions of science—e.g., how did things get to be the way they are?—and, when possible, provides answers.
As he once went about making English intelligible, Bryson now attempts the same with the great moments of science, both the ideas themselves and their genesis, to resounding success. Piqued by his own ignorance on these matters, he’s egged on even more so by the people who’ve figured out—or think they’ve figured out—such things as what is in the center of the Earth. So he goes exploring, in the library and in company with scientists at work today, to get a grip on a range of topics from subatomic particles to cosmology. The aim is to deliver reports on these subjects in terms anyone can understand, and for the most part, it works. The most difficult is the nonintuitive material—time as part of space, say, or proteins inventing themselves spontaneously, without direction—and the quantum leaps unusual minds have made: as J.B.S. Haldane once put it, “The universe is not only queerer than we suppose; it is queerer than we can suppose.” Mostly, though, Bryson renders clear the evolution of continental drift, atomic structure, singularity, the extinction of the dinosaur, and a mighty host of other subjects in self-contained chapters that can be taken at a bite, rather than read wholesale. He delivers the human-interest angle on the scientists, and he keeps the reader laughing and willing to forge ahead, even over their heads: the human body, for instance, harboring enough energy “to explode with the force of thirty very large hydrogen bombs, assuming you knew how to liberate it and really wished to make a point.”
Loads of good explaining, with reminders, time and again, of how much remains unknown, neatly putting the death of science into perspective.Pub Date: May 6, 2003
ISBN: 0-7679-0817-1
Page Count: 304
Publisher: Broadway
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: April 1, 2003
BOOK TO SCREEN
© Copyright 2025 Kirkus Media LLC. All Rights Reserved.
Follow
Popular in this Genre
We can’t wait for you to join Kirkus!
It’s free and takes less than 10 seconds!
Already have an account? Log in.
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
Welcome Back!
OR
Sign in with GoogleTrouble signing in? Retrieve credentials.
