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STORIES FROM THE TENTH-FLOOR CLINIC

A NURSE PRACTITIONER REMEMBERS

An honest, compassionate look at what it takes to care for some of America’s most vulnerable citizens.

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A veteran nurse practitioner reflects on her time working in a clinic for elderly, low-income patients in this debut memoir.

In the 1980s, Crane left her job as a nurse with the VA to take charge of a new senior clinic in a high-rise public housing complex on Chicago’s West Side, an experience she chronicles in her vivid, unflinching book. She was eager for the chance to prove her mettle and relished the opportunity to run her own clinic independently. But from her first day on the job, it was clear she might be in over her head. Her Evan-Picone suits were out of place in the makeshift, roach-infested clinic, where the single bathroom doubled as a conference room. Gangs and violence were a problem in the surrounding neighborhood. But the real challenge was getting used to her co-workers and patients. Though her instinct was to stick to giving checkups and dispensing medical advice, the author soon found herself planning funerals for people who had no family, defending the elderly against scammers, and visiting local bars to track down one woman’s alcoholic son. In this thoughtful and compelling memoir, Crane’s keen eye for detail brings her stories, by turns heartbreaking and humorous, to life on the page. Graphic accounts of treatments, like an at-home pelvic exam she performed on a seriously ill woman, are disturbing but reflect the reality of caring for a disadvantaged population with few resources. The author also has a clear sense of her own weaknesses. She admits she sometimes had a “mental block against taking action,” which seemed partly born of wanting to help patients retain their dignity and independence but also a desire to keep her emotional distance in complicated situations. In one case, she admits to feeling a sense of relief when a patient died, since it meant she would no longer have to dedicate so much effort to arranging her care. Through it all, Crane’s passion for helping others is obvious even as she struggles to figure out the best way to do that.

An honest, compassionate look at what it takes to care for some of America’s most vulnerable citizens.

Pub Date: Nov. 6, 2018

ISBN: 978-1-63152-445-5

Page Count: 230

Publisher: She Writes Press

Review Posted Online: Sept. 15, 2018

Kirkus Reviews Issue: Oct. 15, 2018

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BLACK BOY

A RECORD OF CHILDHOOD AND YOUTH

This autobiography might almost be said to supply the roots to Wright's famous novel, Native Son.

It is a grim record, disturbing, the story of how — in one boy's life — the seeds of hate and distrust and race riots were planted. Wright was born to poverty and hardship in the deep south; his father deserted his mother, and circumstances and illness drove the little family from place to place, from degradation to degradation. And always, there was the thread of fear and hate and suspicion and discrimination — of white set against black — of black set against Jew — of intolerance. Driven to deceit, to dishonesty, ambition thwarted, motives impugned, Wright struggled against the tide, put by a tiny sum to move on, finally got to Chicago, and there — still against odds — pulled himself up, acquired some education through reading, allied himself with the Communists — only to be thrust out for non-conformity — and wrote continually. The whole tragedy of a race seems dramatized in this record; it is virtually unrelieved by any vestige of human tenderness, or humor; there are no bright spots. And yet it rings true. It is an unfinished story of a problem that has still to be met.

Perhaps this will force home unpalatable facts of a submerged minority, a problem far from being faced.

Pub Date: Feb. 28, 1945

ISBN: 0061130249

Page Count: 450

Publisher: N/A

Review Posted Online: Oct. 7, 2011

Kirkus Reviews Issue: Feb. 1, 1945

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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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