Harman comes across as a genuinely caring health professional, writes engagingly of her world and gives a frank picture of...
Captivating memoir of the trials and tribulations of a doctor-nurse team struggling to keep a small West Virginia women’s health center afloat and their 30-year marriage intact.
Harman, a nurse-midwife, and her husband, a gynecological surgeon, stopped delivering babies when payments for medical insurance became unaffordable, but they continued to offer first-trimester care and gynecological examinations. The women who donned a blue cotton gown in Harman’s examining room received far more than a pelvic exam; she listened to their personal problems and freely dispensed friendly, often motherly advice and lots of warm hugs. Among those patients were Kasmar, a middle-aged woman intent on becoming a man; Heather, an unwed teenager pregnant with twins who died in the womb; Shiana, a college student with a used condom stuck inside her; Nilla, a mother of seven with a sexually abused four-year-old daughter; and Trish, whose daughter had a baby with her drug-addicted boyfriend and then may or may not have killed herself. In the midst of these female troubles, the author underplays her own surgery for uterine cancer. Meanwhile, back at the office, accountants mishandled the practice’s financial affairs, debts mounted and letters from lawyers threatened malpractice suits. Her reliance on a middle-of-the-night shot of scotch as a sleep aid, hardly the approved medical remedy for insomnia, indicates the level of stress endured. Although she writes of her husband with a mix of respect, admiration, exasperation and love, he remains a rather vague figure in this world of women. Brief chapters tell of their early life together as hippies in a commune and her first experience helping with a home birth, which led her to become a certified nurse-midwife, but her focus is on the problem-filled present.
Harman comes across as a genuinely caring health professional, writes engagingly of her world and gives a frank picture of the pressures and strains of a husband-wife team running a small medical practice.Pub Date: Oct. 1, 2008
ISBN: 978-0-8070-7289-9
Page Count: 288
Publisher: Beacon Press
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: Aug. 1, 2008
BOOK REVIEW
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
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
PERSPECTIVES
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.
“Quality of life means more than just consumption”: Two MIT economists urge that a smarter, more politically aware economics be brought to bear on social issues.
It’s no secret, write Banerjee and Duflo (co-authors: Poor Economics: A Radical Rethinking of the Way To Fight Global Poverty, 2011), that “we seem to have fallen on hard times.” Immigration, trade, inequality, and taxation problems present themselves daily, and they seem to be intractable. Economics can be put to use in figuring out these big-issue questions. Data can be adduced, for example, to answer the question of whether immigration tends to suppress wages. The answer: “There is no evidence low-skilled migration to rich countries drives wage and employment down for the natives.” In fact, it opens up opportunities for those natives by freeing them to look for better work. The problem becomes thornier when it comes to the matter of free trade; as the authors observe, “left-behind people live in left-behind places,” which explains why regional poverty descended on Appalachia when so many manufacturing jobs left for China in the age of globalism, leaving behind not just left-behind people but also people ripe for exploitation by nationalist politicians. The authors add, interestingly, that the same thing occurred in parts of Germany, Spain, and Norway that fell victim to the “China shock.” In what they call a “slightly technical aside,” they build a case for addressing trade issues not with trade wars but with consumption taxes: “It makes no sense to ask agricultural workers to lose their jobs just so steelworkers can keep theirs, which is what tariffs accomplish.” Policymakers might want to consider such counsel, especially when it is coupled with the observation that free trade benefits workers in poor countries but punishes workers in rich ones.
Occasionally wonky but overall a good case for how the dismal science can make the world less—well, dismal.Pub Date: Nov. 12, 2019
ISBN: 978-1-61039-950-0
Page Count: 432
Publisher: PublicAffairs
Review Posted Online: Aug. 28, 2019
Kirkus Reviews Issue: Sept. 15, 2019
SEEN & HEARD
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