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CONDUCT UNBECOMING A WOMAN

MEDICINE ON TRIAL IN TURN-OF-THE-CENTURY BROOKLYN

A heavily documented account of a sensational 1890 murder trial and subsequent lawsuit involving a female gynecological surgeon, recounted in academic prose thick enough to thwart all but the most persistent. In 1889, the Brooklyn Eagle ran a series of negative features on 61-year-old Mary Amanda Dixon-Jones, a successful surgeon at the small Woman’s Hospital of Brooklyn. The newspaper charged the doctor with a potpourri of offenses ranging from financial corruption to superfluous surgeries to mayhem in the operating room; a grand jury then indicted her for manslaughter and murder. After a six-day trial, the jury quickly acquitted Dixon-Jones, but when she sued the Eagle for libel, that jury sided with the newspaper, effectively ending her career. Morantz-Sanchez (History/Univ. of Michigan) has excavated the buried details of these trials. She meticulously delineates the background and circumstances: the sociology of Brooklyn, the cruel evolution of surgery on women, the education of female surgeons, the politics of gender in the medical profession, and the growth of investigative journalism. Along the way, she provides some stunning items, including an account of shocking surgical experiments performed without anesthesia in the late 1840s by J. Marion Sims on “volunteer” African-American slave women who suffered from vaginal fistulas. Much of the power of this story dissipates, however, because of Morantz-Sanchez’s congested prose, which employs stodgy academic locutions and fashions paragraphs thick with quotations. Her devitalized prose limits the audience for this work, and her narrative structure also seems designed to dissuade rather than engage: between the brief introduction and the discussion of the trials stand more than 100 dense pages of “context”—nearly half the book. More costive than compelling.

Pub Date: May 1, 1999

ISBN: 0-19-512624-6

Page Count: 320

Publisher: Oxford Univ.

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: April 1, 1999

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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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GOOD ECONOMICS FOR HARD TIMES

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

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