A profound meditation on a problem many of us will face; worthy of being mentioned in the same breath as Atul Gawande’s...
Doctors labor to cure disease and (recently) comfort the dying, but this moving memoir portrays a doctor practicing a new specialty that fills a gap between the two approaches.
Puri (Clinical Medicine/Univ. of Southern California), the medical director of palliative medicine at the Keck Hospital of USC and the USC Norris Cancer Hospital, hits the ground running with an impressive debut. The daughter of workaholic, immigrant physician parents who assumed she would follow in their footsteps, she acquiesced and dove into the field. During training, she thrilled to see her skills cure disease and relieve suffering, but she became increasingly disturbed when they didn’t. Repeatedly, she witnessed patients with devastating illnesses and little hope of cure made sicker by treatments the doctors themselves knew were futile. Patients and families usually encouraged this, in the belief that one must always “fight” disease; to do otherwise is to “give up.” Using often heart-rending examples, the author emphasizes that the best treatment of advanced cancer may not be more toxic chemotherapy. A victim of end-stage lung disease grows familiar with a respirator, but ultimately the lungs will fail to recover enough to breathe without it. Many patients live years bedridden with a respirator, their family praying for a miracle. A better alternative is to discuss what is happening and plan for a future where matters might not go as everyone hopes. Doctors hate doing this, so they discuss pros and cons, allowing the patient or family to choose. Thus, hearing that a treatment for metastatic breast cancer might prolong life for several months but also cause misery and harm, people usually choose treatment under the mistaken belief that treatment means “cure” and no treatment means abandonment. Called to assist, Puri recounts many painful exchanges, which, when successful, allow patients and those who love them to embrace a deeper understanding of their mortality.
A profound meditation on a problem many of us will face; worthy of being mentioned in the same breath as Atul Gawande’s Being Mortal (2014).Pub Date: March 5, 2019
ISBN: 978-0-7352-2331-8
Page Count: 320
Publisher: Viking
Review Posted Online: Dec. 29, 2018
Kirkus Reviews Issue: Feb. 1, 2019
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”
The powerful story of a father’s past and a son’s future.
Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”
This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”Pub Date: July 8, 2015
ISBN: 978-0-8129-9354-7
Page Count: 176
Publisher: Spiegel & Grau
Review Posted Online: May 5, 2015
Kirkus Reviews Issue: July 1, 2015
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The author's youthfulness helps to assure the inevitable comparison with the Anne Frank diary although over and above the...
Elie Wiesel spent his early years in a small Transylvanian town as one of four children.
He was the only one of the family to survive what Francois Maurois, in his introduction, calls the "human holocaust" of the persecution of the Jews, which began with the restrictions, the singularization of the yellow star, the enclosure within the ghetto, and went on to the mass deportations to the ovens of Auschwitz and Buchenwald. There are unforgettable and horrifying scenes here in this spare and sombre memoir of this experience of the hanging of a child, of his first farewell with his father who leaves him an inheritance of a knife and a spoon, and of his last goodbye at Buchenwald his father's corpse is already cold let alone the long months of survival under unconscionable conditions.
Pub Date: Jan. 16, 2006
ISBN: 0374500010
Page Count: 120
Publisher: Hill & Wang
Review Posted Online: Oct. 7, 2011
Kirkus Reviews Issue: Jan. 15, 2006
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