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OPEN HEART

A CARDIAC SURGEON’S STORIES OF LIFE AND DEATH ON THE OPERATING TABLE

Not without some gore but required reading for medical students and hospital-show junkies but also for anyone curious to...

A first-rate memoir from a British heart surgeon.

Westaby, a consultant cardiac surgeon at the John Radcliffe Hospital in Oxford, credits his grandfather for teaching him how to paint—for “connecting his hand to his brain” when he was a child—but seeing his painful deterioration from heart failure inspired the author’s pursuit of heart surgery—that and a mid-1950s American TV show featuring heart operations. So it was that the dirt-poor boy from a steel town outside of London made it to Charing Cross Hospital Medical School and on to a distinguished career. Following brief biographical chapters and some helpful heart anatomy lessons, the text is a series of you-are-there accounts of Westaby working in operating rooms around the world. In spare prose, he describes what he and his surgical team do to close a congenital hole in an infant’s heart, repair a mitral valve, transplant a donor heart, or implant an artificial one in the form of a ventricular assist pump. Readers will not soon forget the author’s stories about a baby in dire need of surgery to remove a heart tumor or the gang member stabbed close to his heart. Despite the cool detachment espoused by specialists engaged in daily life-or-death battles, Westaby comes across as caring and compassionate. This also manifests in his inveighing against Britain’s National Health Service for not covering costly but lifesaving pumps. (Many of the pumps Westaby implanted were paid for by private charities.) The NHS also insists that heart surgeons’ success and failure rates be published, which, since heart surgery is inherently hazardous, Westaby sees as an excellent way to discourage future practitioners. Indeed, his own accounts do not always end happily. Now, following thousands of surgeries, the author’s hand is permanently disfigured, and he no longer operates. He continues as a consultant, recognized for developing new surgical techniques and advancing artificial heart technology.

Not without some gore but required reading for medical students and hospital-show junkies but also for anyone curious to learn about hearts and the heroic measures to save them.

Pub Date: June 20, 2017

ISBN: 978-0-465-09483-7

Page Count: 304

Publisher: Basic Books

Review Posted Online: April 15, 2017

Kirkus Reviews Issue: May 1, 2017

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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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THE PURSUIT OF HAPPYNESS

FROM MEAN STREETS TO WALL STREET

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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