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A SILENT FIRE

THE STORY OF INFLAMMATION, DIET & DISEASE

A thoughtful and well-informed discussion of a misunderstood subject.

A chronicle of the history of inflammation and suggestions for remedies for chronic inflammation.

In her debut book, gastroenterologist Ravella takes a deep dive into the scientific and medical history of inflammation. Rather than focusing on specific organs or systems, the author looks at the body as a whole, exploring how scientists and physicians came to understand inflammation as both a cause and consequence of disease. She traces the strengths and weaknesses of the immune system; discusses how and why it might turn against the body by creating autoimmune disorders; and explains the role of “invisible” inflammation in afflictions such as heart disease, cancer, and Alzheimer's disease. Ravella makes a compelling case for the role of diet in reducing chronic inflammation, and she offers a host of recommendations for alleviating it: Eat a plant-based diet with few processed foods; experiment with fermented foods; don't overeat; get plenty of rest; and exercise. Regarding the latter, she issues a warning: “Exercising too much, or in the wrong way, injures and inflames. Long, intense periods of exercise, particularly for those unaccustomed to such rigor, can increase the risk of chronic, hidden inflammation.” Though the author’s suggestions are straightforward and largely unsurprising, she provides a full justification for each of them from the point of view of a medical doctor as well as a researcher. Examples of cases from her medical practice serve as cautionary tales for those who fail to take the effects of inflammation seriously. While the amount of medical detail included can be daunting, Ravella's prose is clear, nuanced, and restrained. Readers fascinated by the science behind her assertions will be satisfied, while those more interested in the takeaways can access them easily. A full set of endnotes provides possibilities for further reading, and Ravella’s ability to connect the concrete and the abstract makes this a worthwhile study of a complex process.

A thoughtful and well-informed discussion of a misunderstood subject.

Pub Date: Oct. 11, 2022

ISBN: 978-0-393-54190-8

Page Count: 368

Publisher: Norton

Review Posted Online: Aug. 16, 2022

Kirkus Reviews Issue: Sept. 1, 2022

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BROKEN (IN THE BEST POSSIBLE WAY)

Fans will find comfort in Lawson’s dependably winning mix of shameless irreverence, wicked humor, and vulnerability.

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The Bloggess is back to survey the hazards and hilarity of imperfection.

Lawson is a wanderer. Whether on her award-winning blog or in the pages of her bestselling books, she reliably takes readers to places they weren’t even aware they wanted to go—e.g., shopping for dog condoms or witnessing what appears to be a satanic ritual. Longtime fans of the author’s prose know that the destinations really aren’t the point; it’s the laugh-out-loud, tears-streaming-down-your-face journeys that make her writing so irresistible. This book is another solid collection of humorous musings on everyday life, or at least the life of a self-described “super introvert” who has a fantastic imagination and dozens of chosen spirit animals. While Furiously Happy centered on the idea of making good mental health days exceptionally good, her latest celebrates the notion that being broken is beautiful—or at least nothing to be ashamed of. “I have managed to fuck shit up in shockingly impressive ways and still be considered a fairly acceptable person,” writes Lawson, who has made something of an art form out of awkward confessionals. For example, she chronicles a mix-up at the post office that left her with a “big ol’ sack filled with a dozen small squishy penises [with] smiley faces painted on them.” It’s not all laughs, though, as the author addresses her ongoing battle with both physical and mental illness, including a trial of transcranial magnetic stimulation, a relatively new therapy for people who suffer from treatment-resistant depression. The author’s colloquial narrative style may not suit the linear-narrative crowd, but this isn’t for them. “What we really want,” she writes, “is to know we’re not alone in our terribleness….Human foibles are what make us us, and the art of mortification is what brings us all together.” The material is fresh, but the scaffolding is the same.

Fans will find comfort in Lawson’s dependably winning mix of shameless irreverence, wicked humor, and vulnerability.

Pub Date: April 6, 2021

ISBN: 978-1-250-07703-5

Page Count: 288

Publisher: Henry Holt

Review Posted Online: Jan. 26, 2021

Kirkus Reviews Issue: Feb. 15, 2021

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PATHOLOGICAL

THE TRUE STORY OF SIX MISDIAGNOSES

A provocative and original examination of the flaws in mental health treatment.

Fay's incisive, wide-ranging debut explores her decadeslong immersion in the mental health system.

Beginning when she was a teenager, Fay was diagnosed with six different mental illnesses, sometimes one by one, sometimes in combination, and often based on the skimpiest of evidence. Therapists and physicians concluded that she was suffering from anorexia, major depressive disorder, anxiety disorder, ADHD, OCD, and bipolar disorder. They prescribed medications accordingly, and Fay dutifully swallowed both the diagnoses and the pills—and then found it nearly impossible to extricate herself from either. The narrative, justifiably soaked with anger but also darkly funny at points, does not follow the course of the usual mental health memoir, in which the subject finally receives and responds to the “correct” analysis of her problems and lives happily-ever-after. Instead, Fay, still troubled, still medicated, stepped out of the loop of therapy and began to refute its basic tenets. The author boldly combines three strands: an account of her trip down the rabbit hole of the mental health system, where she tried valiantly to persuade herself to accept diagnoses that didn’t seem to correspond to her actual life; a dynamic critique of the various incarnations of the Diagnostic and Statistical Manual of Mental Disorders, which serves as a guidebook for many clinicians; and, unexpectedly but beguilingly, analyses of the ways punctuation can reveal and structure thought. While criticism of the DSM is not new, Fay's position as an insider suffering from the results of its application as a method of analysis gives her a unique perspective. Sharply personal and impeccably detailed, the book is bound to raise questions in the minds of readers diagnosed with any number of disorders about the validity of trying to cram individual experience into what Fay contends are essentially imaginary categories.

A provocative and original examination of the flaws in mental health treatment.

Pub Date: March 15, 2022

ISBN: 978-0-06-306868-1

Page Count: 320

Publisher: HarperOne

Review Posted Online: Jan. 10, 2022

Kirkus Reviews Issue: Feb. 1, 2022

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