As health care becomes more complex and political, this book provides clear direction toward better care.

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WHEN DOCTORS DON'T LISTEN

HOW TO AVOID MISDIAGNOSES AND UNNECESSARY TESTS

A comprehensive guide to improving doctor-patient relations through empowering patients to take an active role in their care.

Managed care has put pressure on doctors to do the most work in the smallest amount of time possible, and even the best-intentioned of physicians can fall prey to corner cutting and misdiagnoses. Doctors Wen and Kosowsky suggest change can come from the ground up by making sure patients and clients are more directive in managing how their interactions progress. “We aim for this to be the opening salvo of a revolution among patients to improve the quality of their own care and to lead the way to true healthcare reform,” they write. Toward this end, the authors provide a raft of anecdotal stories that double as scenarios many patients encounter: being rushed, doctors downplaying concerns, having close-ended "cookbook medicine" questions determine the course of the interaction, and other situations leading to reductive diagnoses. All of the experiences shared lead into actionable steps patients can take toward being "better patients" as well as working to pressure doctors into providing better care—steering the conversation away from close-ended questions, insisting on both explanations for recommended tests and exploring alternatives, and making yourself an active partner in reaching a differential diagnosis. In the appendixes, which include “21 Exercises Toward Better Diagnosis,” the authors further elaborate on these recommendations and others, providing practice sets so readers won't need to wait for their appointment to learn better patient skills.

As health care becomes more complex and political, this book provides clear direction toward better care.

Pub Date: Jan. 15, 2013

ISBN: 978-0-312-59491-6

Page Count: 320

Publisher: Dunne/St. Martin's

Review Posted Online: Oct. 12, 2012

Kirkus Reviews Issue: Nov. 1, 2012

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Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and...

THE IMMORTAL LIFE OF HENRIETTA LACKS

A dense, absorbing investigation into the medical community's exploitation of a dying woman and her family's struggle to salvage truth and dignity decades later.

In a well-paced, vibrant narrative, Popular Science contributor and Culture Dish blogger Skloot (Creative Writing/Univ. of Memphis) demonstrates that for every human cell put under a microscope, a complex life story is inexorably attached, to which doctors, researchers and laboratories have often been woefully insensitive and unaccountable. In 1951, Henrietta Lacks, an African-American mother of five, was diagnosed with what proved to be a fatal form of cervical cancer. At Johns Hopkins, the doctors harvested cells from her cervix without her permission and distributed them to labs around the globe, where they were multiplied and used for a diverse array of treatments. Known as HeLa cells, they became one of the world's most ubiquitous sources for medical research of everything from hormones, steroids and vitamins to gene mapping, in vitro fertilization, even the polio vaccine—all without the knowledge, must less consent, of the Lacks family. Skloot spent a decade interviewing every relative of Lacks she could find, excavating difficult memories and long-simmering outrage that had lay dormant since their loved one's sorrowful demise. Equal parts intimate biography and brutal clinical reportage, Skloot's graceful narrative adeptly navigates the wrenching Lack family recollections and the sobering, overarching realities of poverty and pre–civil-rights racism. The author's style is matched by a methodical scientific rigor and manifest expertise in the field.

Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and Petri dish politics.

Pub Date: Feb. 9, 2010

ISBN: 978-1-4000-5217-2

Page Count: 320

Publisher: Crown

Review Posted Online: Dec. 22, 2010

Kirkus Reviews Issue: Jan. 1, 2010

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An absorbing, wide-ranging story of humans’ relationship with the water.

WHY WE SWIM

A study of swimming as sport, survival method, basis for community, and route to physical and mental well-being.

For Bay Area writer Tsui (American Chinatown: A People's History of Five Neighborhoods, 2009), swimming is in her blood. As she recounts, her parents met in a Hong Kong swimming pool, and she often visited the beach as a child and competed on a swim team in high school. Midway through the engaging narrative, the author explains how she rejoined the team at age 40, just as her 6-year-old was signing up for the first time. Chronicling her interviews with scientists and swimmers alike, Tsui notes the many health benefits of swimming, some of which are mental. Swimmers often achieve the “flow” state and get their best ideas while in the water. Her travels took her from the California coast, where she dove for abalone and swam from Alcatraz back to San Francisco, to Tokyo, where she heard about the “samurai swimming” martial arts tradition. In Iceland, she met Guðlaugur Friðþórsson, a local celebrity who, in 1984, survived six hours in a winter sea after his fishing vessel capsized, earning him the nickname “the human seal.” Although humans are generally adapted to life on land, the author discovered that some have extra advantages in the water. The Bajau people of Indonesia, for instance, can do 10-minute free dives while hunting because their spleens are 50% larger than average. For most, though, it’s simply a matter of practice. Tsui discussed swimming with Dara Torres, who became the oldest Olympic swimmer at age 41, and swam with Kim Chambers, one of the few people to complete the daunting Oceans Seven marathon swim challenge. Drawing on personal experience, history, biology, and social science, the author conveys the appeal of “an unflinching giving-over to an element” and makes a convincing case for broader access to swimming education (372,000 people still drown annually).

An absorbing, wide-ranging story of humans’ relationship with the water.

Pub Date: April 14, 2020

ISBN: 978-1-61620-786-1

Page Count: 288

Publisher: Algonquin

Review Posted Online: Jan. 5, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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