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CANCERLANDIA!

A MEMOIR

Readers seeking a more universal account of illness will be better served by Christopher Hitchens’ nervy Mortality (2012),...

A memoir of mixed maladies.

Most older people understand that illness is a constant that will swoop down and ruin a life before you know it. People of all ages know that it’s possible to do considerable harm to oneself all by oneself. Peruvian-American writer Alvarado Valdivia, having been knocked down by cancer at the age of just 30, understands the former. Having knocked himself out with beer on the night of his birthday before the diagnosis, one of many such episodes recounted here, he gets the latter, too. The author recounts the course of illness and the challenges attendant on it, and he treats, honestly but without much verve, the ups and downs of addiction and the costs it carries. Sometimes, Alvarado Valdivia can be very good, as when he writes of the mental numbness and bleakness following the diagnosis as manifested in a post-shower vision: “I felt a flash of panic when I looked at the fogged-up mirror, my smudgy reflection, and thought it reflected a dark figure walking toward me through the fog.” At times, wrestling with the realities of lymphoma, he gets on an edgy riff, as with one concerning the various secretions of the body and the weird effects of chemotherapy on them; regrettably, he throws that particular epiphany away with a too-easy likening of the scene to The Exorcist. Sometimes, he blends both illnesses with a throwaway casualness, as when he thinks to himself that it might not be a good idea to mix chemotherapy with a hangover. “Boy,” he determines, “was I fucking right.” There’s an unbridled quality to Alvarado Valdivia’s writing that sometimes comes off as exuberance but more often as indiscipline.

Readers seeking a more universal account of illness will be better served by Christopher Hitchens’ nervy Mortality (2012), Susan Sontag’s disquisitions on cancer, and son Philip Rieff’s Swimming in a Sea of Death (2008), and other more mature reflections.

Pub Date: Sept. 1, 2015

ISBN: 978-0-8263-4189-1

Page Count: 368

Publisher: Univ. of New Mexico

Review Posted Online: June 30, 2015

Kirkus Reviews Issue: July 15, 2015

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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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INTO THE WILD

A wonderful page-turner written with humility, immediacy, and great style. Nothing came cheap and easy to McCandless, nor...

The excruciating story of a young man on a quest for knowledge and experience, a search that eventually cooked his goose, told with the flair of a seasoned investigative reporter by Outside magazine contributing editor Krakauer (Eiger Dreams, 1990). 

Chris McCandless loved the road, the unadorned life, the Tolstoyan call to asceticism. After graduating college, he took off on another of his long destinationless journeys, this time cutting all contact with his family and changing his name to Alex Supertramp. He was a gent of strong opinions, and he shared them with those he met: "You must lose your inclination for monotonous security and adopt a helter-skelter style of life''; "be nomadic.'' Ultimately, in 1992, his terms got him into mortal trouble when he ran up against something—the Alaskan wild—that didn't give a hoot about Supertramp's worldview; his decomposed corpse was found 16 weeks after he entered the bush. Many people felt McCandless was just a hubris-laden jerk with a death wish (he had discarded his map before going into the wild and brought no food but a bag of rice). Krakauer thought not. Admitting an interest that bordered on obsession, he dug deep into McCandless's life. He found a willful, reckless, moody boyhood; an ugly little secret that sundered the relationship between father and son; a moral absolutism that agitated the young man's soul and drove him to extremes; but he was no more a nutcase than other pilgrims. Writing in supple, electric prose, Krakauer tries to make sense of McCandless (while scrupulously avoiding off-the-rack psychoanalysis): his risky behavior and the rites associated with it, his asceticism, his love of wide open spaces, the flights of his soul.

A wonderful page-turner written with humility, immediacy, and great style. Nothing came cheap and easy to McCandless, nor will it to readers of Krakauer's narrative. (4 maps) (First printing of 35,000; author tour)

Pub Date: Jan. 1, 1996

ISBN: 0-679-42850-X

Page Count: 320

Publisher: Villard

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Oct. 15, 1995

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