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A NECESSARY END

In replaying his watch over the last six years of his parents' lives as they become ever more infirm, Taylor (Ordinary Miracles, 1993; Sins of the Father, 1989, etc.) reminds us of Shakespeare's warning that ``death, a necessary end,/Will come when it will come.'' Death is easy. What's hard is dying, as we see in this saddening memoir of how Taylor faced the challenge of aging and retired parents, once skilled professionals now on a shrunken income. A nest egg dwindles; health flakes away and flies off in small pieces. While Taylor writes with great restraint, he seldom subjects himself (or us) to that intensity or terrible immediacy once so shocking in Hemingway, who saw each detail as if on the last day of his life. A married, middle-aged, freelance New York journalist, Nick has sold a book to the movies and is writing a script that somehow seems to support his endless plane trips to North Carolina, Florida, and Mexico to help his parents arrange their housekeeping and finances. Most frustrating to him is that no act of his—however sensitive and keenly thought through—really fulfills his parents' needs or brings about a sense of lasting satisfaction in him: only delayed guilt. As with trying to adjust to the minds of a pair of drunks or addicts, something's always wrong. Time after time, he must hurry back to their loving but surprised smiles as once more he lends a hand and shores up a splitting dike. Meanwhile, some of his friends go through problems much like his, so that we see a culture of middle-aged earners caring for parents stricken with Alzheimer's or worse. As one reads, and as Nick focuses on his parents, a reader can't help foreseeing infirmities of one's own. The ``necessary end'' has some horrible side effects before it comes. A heartbreaker about caring, with no easy answers.

Pub Date: March 3, 1994

ISBN: 0-385-47102-5

Page Count: 178

Publisher: Doubleday

Review Posted Online: June 24, 2010

Kirkus Reviews Issue: Feb. 1, 1994

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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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THE PURSUIT OF HAPPYNESS

FROM MEAN STREETS TO WALL STREET

Well-told and admonitory.

Young-rags-to-mature-riches memoir by broker and motivational speaker Gardner.

Born and raised in the Milwaukee ghetto, the author pulled himself up from considerable disadvantage. He was fatherless, and his adored mother wasn’t always around; once, as a child, he spied her at a family funeral accompanied by a prison guard. When beautiful, evanescent Moms was there, Chris also had to deal with Freddie “I ain’t your goddamn daddy!” Triplett, one of the meanest stepfathers in recent literature. Chris did “the dozens” with the homies, boosted a bit and in the course of youthful adventure was raped. His heroes were Miles Davis, James Brown and Muhammad Ali. Meanwhile, at the behest of Moms, he developed a fondness for reading. He joined the Navy and became a medic (preparing badass Marines for proctology), and a proficient lab technician. Moving up in San Francisco, married and then divorced, he sold medical supplies. He was recruited as a trainee at Dean Witter just around the time he became a homeless single father. All his belongings in a shopping cart, Gardner sometimes slept with his young son at the office (apparently undiscovered by the night cleaning crew). The two also frequently bedded down in a public restroom. After Gardner’s talents were finally appreciated by the firm of Bear Stearns, his American Dream became real. He got the cool duds, hot car and fine ladies so coveted from afar back in the day. He even had a meeting with Nelson Mandela. Through it all, he remained a prideful parent. His own no-daddy blues are gone now.

Well-told and admonitory.

Pub Date: June 1, 2006

ISBN: 0-06-074486-3

Page Count: 320

Publisher: Amistad/HarperCollins

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: March 15, 2006

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