An intensely personal and brave accounting of a medical battle and the countless hidden costs of health care.

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LIGHTNING FLOWERS

MY JOURNEY TO UNCOVER THE COST OF SAVING A LIFE

A sharp examination of the ways that a heart condition affected the author’s life as well as those of strangers halfway across the world.

Beginning in 2007, writes Standefer, her younger sister began to suffer multiple bouts of cardiac arrest. She was diagnosed with “congenital long QT syndrome,” a condition that causes the heart to electrically misfire, and she had a cardioverter defibrillator implanted and tried to resume her life. Later, the author discovered that she also had LQTS, and her own world turned upside down as she realized she also needed an implant—or face the uncertainty of not knowing when she might go into cardiac arrest. In this moving, empathetic memoir spanning multiple years, Standefer shares her fears and concerns, especially regarding the manufacture of the implant and whether the cost of making the device equaled the value of its ability to save her own life. She traveled to Madagascar and Rwanda, where the metals used in the defibrillator were mined. “For years,” she writes, “I tried to calculate whether an implanted cardiac defibrillator was worth the cost of its creation….I added up the village removals, the forests half cut and finally bulldozed….I tallied the tailing ponds, the humming forests devoid of humans, the humans beside them desperate for work. The women kept as sex slaves in the mining slums.” The author also writes about her desire for intimacy with her long-term boyfriend and the effects that her condition had on their relationship. She intertwines passages about hiking and rock-climbing adventures with her research on LQTS, creating a nice balance between the difficult medical aspects of her new life and the excursions in nature that she still enjoys. Packed with emotion and a rare, honest assessment of the value of one’s own life, this debut book is a standout.

An intensely personal and brave accounting of a medical battle and the countless hidden costs of health care.

Pub Date: Nov. 10, 2020

ISBN: 978-0-316-45036-2

Page Count: 288

Publisher: Little, Brown Spark

Review Posted Online: Sept. 29, 2020

Kirkus Reviews Issue: Oct. 15, 2020

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A solid work of investigation that, while treading well-covered ground, offers plenty of surprises.

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PERIL

An account of the last gasps of the Trump administration, completing a trilogy begun with Fear (2018) and Rage (2020).

One of Woodward and fellow Washington Post reporter Costa’s most memorable revelations comes right away: Gen. Mark Milley, chairman of the Joint Chiefs of Staff, calling his counterpart in Beijing to assure him that even after Jan. 6 and what Milley saw as an unmistakable attempt at a coup d’état, he would keep Trump from picking a war with China. This depiction has earned much attention on the talking-heads news channels, but more significant is its follow-up: Milley did so because he was concerned that Trump “might still be looking for what Milley called a ‘Reichstag moment.’ ” Milley emerges as a stalwart protector of the Constitution who constantly courted Trump’s ire and yet somehow survived without being fired. No less concerned about Trump’s erratic behavior was Paul Ryan, the former Speaker of the House, who studied the psychiatric literature for a big takeaway: “Do not humiliate Trump in public. Humiliating a narcissist risked real danger, a frantic lashing out if he felt threatened or criticized.” Losing the 2020 election was one such humiliation, and Woodward and Costa closely track the trajectory of Trump’s reaction, from depression to howling rage to the stubborn belief that the election was rigged. There are a few other modest revelations in the book, including the fact that Trump loyalist William Barr warned him that the electorate didn’t like him. “They just think you’re a fucking asshole,” Barr told his boss. That was true enough, and the civil war that the authors recount among various offices in the White House and government reveals that Trump’s people were only ever tentatively his. All the same, the authors note, having drawn on scores of “deep background” interviews, Trump still has his base, still intends vengeance by way of a comeback, and still constitutes the peril of their title.

A solid work of investigation that, while treading well-covered ground, offers plenty of surprises.

Pub Date: Sept. 21, 2021

ISBN: 978-1-982182-91-5

Page Count: 512

Publisher: Simon & Schuster

Review Posted Online: Sept. 24, 2021

Kirkus Reviews Issue: today

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If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.

THE 48 LAWS OF POWER

The authors have created a sort of anti-Book of Virtues in this encyclopedic compendium of the ways and means of power.

Everyone wants power and everyone is in a constant duplicitous game to gain more power at the expense of others, according to Greene, a screenwriter and former editor at Esquire (Elffers, a book packager, designed the volume, with its attractive marginalia). We live today as courtiers once did in royal courts: we must appear civil while attempting to crush all those around us. This power game can be played well or poorly, and in these 48 laws culled from the history and wisdom of the world’s greatest power players are the rules that must be followed to win. These laws boil down to being as ruthless, selfish, manipulative, and deceitful as possible. Each law, however, gets its own chapter: “Conceal Your Intentions,” “Always Say Less Than Necessary,” “Pose as a Friend, Work as a Spy,” and so on. Each chapter is conveniently broken down into sections on what happened to those who transgressed or observed the particular law, the key elements in this law, and ways to defensively reverse this law when it’s used against you. Quotations in the margins amplify the lesson being taught. While compelling in the way an auto accident might be, the book is simply nonsense. Rules often contradict each other. We are told, for instance, to “be conspicuous at all cost,” then told to “behave like others.” More seriously, Greene never really defines “power,” and he merely asserts, rather than offers evidence for, the Hobbesian world of all against all in which he insists we live. The world may be like this at times, but often it isn’t. To ask why this is so would be a far more useful project.

If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.

Pub Date: Sept. 1, 1998

ISBN: 0-670-88146-5

Page Count: 430

Publisher: Viking

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: July 15, 1998

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