A well-informed consideration of the intimacy of care.
A warm appreciation of the nursing profession.
Freelance journalist DiGregorio, author of Early, a history of premature birth, celebrates nursing in a capacious look at nurses throughout history, from prehistoric times to the present. Rather than focus only on hospital practice, the author sees nursing “as a biological science and as hands-on caring, as professional and as domestic, as skills and as relationships, as knowing in the mind and knowing in the body.” Before university-trained physicians dominated medical care, creating a hierarchy that defined nurses as their menial assistants, hands-on caring was provided by lay physicians, herbalists, midwives, members of religious communities, mothers, grandmothers, and great-grandmothers, who passed down skills and potions to heal wounds and repair vulnerable bodies. Nursing, the author asserts, did not begin in Victorian England with the tireless—though racist and classist—Florence Nightingale. DiGregorio highlights the work of some famous nurses, including Lillian Wald, who established a visiting nurse system, and birth control advocate Margaret Sanger. But most of her abundant evidence of the crucial and transformative practice of nursing comes through her profiles of community health nurses, first responders, reproductive health providers, nurses-turned-politicians, and hospice nurses. As the largest portion of the workforce, 4 million registered nurses practice in the U.S., and 90% are women. Although there is no nursing shortage, hospitals often cut nursing staff to keep costs low: “Nurses are considered a hospital expense,” writes DiGregorio, “because their practice is usually not billable to insurance the way physicians’ services are.” Overworked and exhausted, many are engaging in collective action, a move the author believes should get active public support. As one nurse told her, “Nursing is a profoundly radical profession that calls society to equality and justice, to trustworthiness and to openness. The profession is, also, radically political: it imagines a world in which the conditions necessary for health are enjoyed by all people.”
A well-informed consideration of the intimacy of care.Pub Date: May 2, 2023
ISBN: 9780063071285
Page Count: 336
Publisher: Harper/HarperCollins
Review Posted Online: Feb. 20, 2023
Kirkus Reviews Issue: March 15, 2023
BOOK REVIEW
For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.
Pub Date: Jan. 1, 1979
ISBN: 0061965588
Page Count: 772
Publisher: Harper & Row
Review Posted Online: May 26, 2012
Kirkus Reviews Issue: Jan. 1, 1979
BOOK REVIEW
BOOK REVIEW
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
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