A palpable patient experience of a pervasive disease that continues to confound medical science.



The New York Times columnist chronicles his mysterious ordeal with Lyme disease.

As Douthat chronicles in brisk detail, what began innocently enough with inchoate bodily aches and pains quickly intensified into “a pan-fry sizzle on my hips, a throbbing at the very front of my skull, an intolerable vibration inside my ankles.” When blood tests and body scans were inconclusive, stress was identified as the probable culprit. When the discomfort worsened, additional evaluations were sought, including a recommended evaluation by a psychiatrist, “my eleventh doctor in ten weeks,” who “told me that in his experience the kind of physical symptoms I was experiencing had to have some real physiological root, some cause beyond stress or psychosomatic collapse.” Exasperated with the unknowns, Douthat became overwhelmed while in the process of relocating back to New England with his family. The bizarre set of medical maladies and their inexplicable causes lends the narrative a surprising amount of suspense and literary tension. Desperate and aggravated after another misdiagnosis of fibromyalgia, the author began self-experimenting with an “insane regimen of drugs,” including antibiotics and a host of unorthodox herbal remedies, all of which proved only marginally effective. In educative chapters that describe the speculated origins and chronology of the resilient disease, Douthat maps out just how elusive accurate treatment can become and how the road to a definitive diagnosis can drag on through years of antibiotic trials. Consistently candid and often harrowing, Douthat’s eloquent prose injects shimmers of possibility into the seemingly hopeless situation he was forced to endure. As with many Lyme disease accounts, there is no happy ending nor a resounding diagnosis and effective treatment eradicating it from the lives of sufferers. The author’s persistence in conquering Lyme disease’s “impenetrable-seeming wall of opposition and denial” bleeds across each page. Douthat’s explorations of bioweaponized theories for Lyme’s origins are unconvincing, but they don’t ruin the impact of his message.

A palpable patient experience of a pervasive disease that continues to confound medical science.

Pub Date: Oct. 26, 2021

ISBN: 978-0-593-23736-6

Page Count: 224

Publisher: Convergent/Crown

Review Posted Online: Aug. 24, 2021

Kirkus Reviews Issue: Sept. 15, 2021

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If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.


The authors have created a sort of anti-Book of Virtues in this encyclopedic compendium of the ways and means of power.

Everyone wants power and everyone is in a constant duplicitous game to gain more power at the expense of others, according to Greene, a screenwriter and former editor at Esquire (Elffers, a book packager, designed the volume, with its attractive marginalia). We live today as courtiers once did in royal courts: we must appear civil while attempting to crush all those around us. This power game can be played well or poorly, and in these 48 laws culled from the history and wisdom of the world’s greatest power players are the rules that must be followed to win. These laws boil down to being as ruthless, selfish, manipulative, and deceitful as possible. Each law, however, gets its own chapter: “Conceal Your Intentions,” “Always Say Less Than Necessary,” “Pose as a Friend, Work as a Spy,” and so on. Each chapter is conveniently broken down into sections on what happened to those who transgressed or observed the particular law, the key elements in this law, and ways to defensively reverse this law when it’s used against you. Quotations in the margins amplify the lesson being taught. While compelling in the way an auto accident might be, the book is simply nonsense. Rules often contradict each other. We are told, for instance, to “be conspicuous at all cost,” then told to “behave like others.” More seriously, Greene never really defines “power,” and he merely asserts, rather than offers evidence for, the Hobbesian world of all against all in which he insists we live. The world may be like this at times, but often it isn’t. To ask why this is so would be a far more useful project.

If the authors are serious, this is a silly, distasteful book. If they are not, it’s a brilliant satire.

Pub Date: Sept. 1, 1998

ISBN: 0-670-88146-5

Page Count: 430

Publisher: Viking

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: July 15, 1998

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A refreshing celebrity memoir focused not strictly on the self but on a much larger horizon.

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One of Hollywood’s biggest stars delivers a memoir of success won through endless, relentless work and self-reckoning.

“My imagination is my gift, and when it merges with my work ethic, I can make money rain from the heavens.” So writes Smith, whose imagination is indeed a thing of wonder—a means of coping with fear, an abusive father with the heart of a drill instructor, and all manner of inner yearnings. The author’s imagination took him from a job bagging ice in Philadelphia to initial success as a partner in the Grammy-winning rap act DJ Jazzy Jeff and the Fresh Prince. Smith was propelled into stardom thanks to the ministrations of Quincy Jones, who arranged an audition in the middle of his own birthday party, bellowing “No paralysis through analysis!” when Smith begged for time to prepare. The mantra—which Jones intoned 50-odd times during the two hours it took for the Hollywood suits to draw up a contract for the hit comedy series The Fresh Prince of Bel-Air—is telling, for hidden within this memoir lies a powerful self-help book. For Smith, all of life is a challenge in which one’s feelings are largely immaterial. “I watched my father’s negative emotions seize control of his ample intellect and cause him over and over again to destroy beautiful parts of our family,” he writes, good reason for him to sublimate negativity in the drive to get what he wanted—money, at first, and lots of it, which got him in trouble with the IRS in the early 1990s. Smith, having developed a self-image that cast him as a coward, opines that one’s best life is lived by facing up to the things that hold us back. “I’ve been making a conscious effort to attack all the things that I’m scared of,” he writes, adding, “And this is scary.” It’s a good lesson for any aspiring creative to ponder—though it helps to have Smith’s abundant talent, too.

A refreshing celebrity memoir focused not strictly on the self but on a much larger horizon.

Pub Date: Nov. 9, 2021

ISBN: 978-1-984877-92-5

Page Count: 432

Publisher: Penguin Press

Review Posted Online: Nov. 9, 2021

Kirkus Reviews Issue: Dec. 15, 2021

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