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THE DESPERATE HOURS

ONE HOSPITAL'S FIGHT TO SAVE A CITY ON THE PANDEMIC'S FRONT LINES

A potent cautionary tale for pandemic preparedness.

An urgent account of how Covid-19 created nearly insurmountable challenges to a famed hospital system.

In a book based on more than 200 interviews conducted over 18 months, Vanity Fair writer at large Brenner creates a tense, stirring picture of the impact of Covid-19 on New York-Presbyterian Hospital’s campuses in New York City, Westchester County, and the Hudson Valley. In the first months of the pandemic, the city’s “most elite hospital system” faced frustration and uncertainty. Little was known about the disease’s cause, treatment, and prognosis; hospitals faced a stunning lack of supplies; doctors and nurses were overwhelmed and grief-stricken by deaths they could not prevent; and they were constantly undermined by decisions at the federal, state, and city levels. The CDC’s “antediluvian” structures made the agency unable “to quickly gather, process, and interpret data,” and states were forced to compete for supplies. When FEMA sent ventilators, they turned out to be old and broken. By mid-March, the hospital had 90,000 masks on hand, a number it needed each day. In its search for protective gear, the hospital found a “profiteering and counterfeit market” allowed to flourish because of a lack of federal leadership. Tests, when they could be found, were unreliable, but the CDC and the Trump administration refused to authorize the import of reliable tests from outside the U.S. As late as June, with cases in New York City soaring, doctors and nurses were unable to get tests for themselves; even when available, processing them “was chaos.” Brenner reveals, as well, the conflicts between staff and “their corporate masters,” who punished health providers if they spoke out about the hospital’s challenges and failures. The author’s probing investigation includes animated profiles of a large cast of characters, creating a palpable sense of trauma, pain, and vulnerability in what one cardiologist characterized as nothing less than war. The casualties, Brenner shows, encompassed far more than the patients who died.

A potent cautionary tale for pandemic preparedness.

Pub Date: June 14, 2022

ISBN: 978-1-250-80573-7

Page Count: 448

Publisher: Flatiron Books

Review Posted Online: May 16, 2022

Kirkus Reviews Issue: June 15, 2022

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THE GREATEST SENTENCE EVER WRITTEN

A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.

Words that made a nation.

Isaacson is known for expansive biographies of great thinkers (and Elon Musk), but here he pens a succinct, stimulating commentary on the Founding Fathers’ ode to “life, liberty, and the pursuit of happiness.” His close reading of the Declaration of Independence’s second sentence, published to mark the 250th anniversary of the document’s adoption, doesn’t downplay its “moral contradiction.” Thomas Jefferson enslaved hundreds of people yet called slavery “a cruel war against human nature” in his first draft of the Declaration. All but 15 of the document’s 56 signers owned enslaved people. While the sentence in question asserted “all men are created equal” and possess “unalienable rights,” the Founders “consciously and intentionally” excluded women, Native Americans, and enslaved people. And yet the sentence is powerful, Isaacson writes, because it names a young nation’s “aspirations.” He mounts a solid defense of what ought to be shared goals, among them economic fairness, “moral compassion,” and a willingness to compromise. “Democracy depends on this,” he writes. Isaacson is excellent when explaining how Enlightenment intellectuals abroad influenced the founders. Benjamin Franklin, one of the Declaration’s “five-person drafting committee,” stayed in David Hume’s home for a month in the early 1770s, “discussing ideas of natural rights” with the Scottish philosopher. Also strong is Isaacson’s discussion of the “edits and tweaks” made to Jefferson’s draft. As recommended by Franklin and others, the changes were substantial, leaving Jefferson “distraught.” Franklin, who emerges as the book’s hero, helped establish municipal services, founded a library, and encouraged religious diversity—the kind of civic-mindedness that we could use more of today, Isaacson reminds us.

A short, smart analysis of perhaps the most famous passage in American history reveals its potency and unfulfilled promise.

Pub Date: Nov. 18, 2025

ISBN: 9781982181314

Page Count: 80

Publisher: Simon & Schuster

Review Posted Online: Aug. 29, 2025

Kirkus Reviews Issue: Oct. 1, 2025

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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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