Klass (Other Women's Children, 1990, etc.) describes her pediatric internship and residency, stitching together previously published pieces from The New York Times Magazine and elsewhere with rambling journal entries and present-day commentaries on that sleep-deprived, transformative time. In this sort-of-sequel to A Not Entirely Benign Procedure (1987), which described her years at Harvard Med School, Klass details the dramatic moments of her internship—that legendary medical-boot-camp experience—in a shocked, ``I-can't-believe-I'm- the-doctor'' mode: ``So I bumble around the intensive care unit, set up to make it possible for a large group of highly trained adults to take care of a group of very sick, very small babies.'' Indeed, Klass's descriptions of the ethical dilemmas that, in the form of babies too sick too live, confront doctors in the NICU (neonatal intensive care unit) are gripping. But the one big idea she raises—the conflict between a physician's training and the moral judgment that it is sometimes better to let an unfinished being die—is repeated so often that it loses its power. Likewise, her journal entries are (by her own admission) repetitively self- involved. Klass's best moments come when she spills some of the secrets of a large pediatric hospital: ``Common diseases have common nicknames, of course; wheezer for asthmatic (rhymes with seizer—for kid with epilepsy, giving rise to many bad songs for the Christmas show), cystic for patient with cystic fibrosis, sickler for patient with sickle cell disease.'' We long for more such detail, however calculated, and less padded-sounding reflection about how afraid the young doctor was. The exception here is Klass's justified fear of the crazy person who accused her of plagiarism and made her junior year of residency a living hell. Klass employs an admirably smooth, breezy honesty, yet much of her material feels too pat and too calculated for publication to be really moving or illuminating.
Pub Date: May 1, 1992
ISBN: 0-679-40957-2
Page Count: 352
Publisher: Random House
Review Posted Online: May 19, 2010
Kirkus Reviews Issue: March 15, 1992
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
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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