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THE EDGE OF MEDICINE

THE TECHNOLOGY THAT WILL CHANGE OUR LIVES

Readers looking for solutions to America’s healthcare crisis will be disappointed, but they will enjoy this spirited,...

An enthusiastic account of high-tech advances that may or may not revolutionize medical care.

Hanson, director of the Surgical Intensive Care Unite at the University of Pennsylvania, begins with a profile of his pioneering work as a “doc-in-the-box,” where he and his team sit before monitors, alarms and audio-video links to oversee ICU patients in hospitals across a wide area. Using cameras that zoom in on trouble spots, they can instantly contact the appropriate personnel. The practice may seem dehumanizing, but it dramatically reduces complications and makes efficient use of the increasingly scarce supply of ICU specialists. American radiologists dislike night work, so computers now send X-rays across the world where wide-awake doctors immediately send back their reading. Experimental computers read brain waves to guide wheelchairs and artificial limbs but also send signals to the brain to produce vision and hearing. Today’s devices work crudely, notes the author, but progress is inevitable. Surgeons are operating through smaller holes, which converts major surgery into minor surgery, so patients suffer less pain and post-op misery and recover more quickly. Using robotic technology, some surgeons sit at a console and operate through an even smaller hole. Hanson admits that this procedure takes longer, requires extensive training, sometimes produces more complications and usually costs more. But he insists that future developments will improve matters. Many of these spectacular ideas exist only in the minds of researchers. Fortunately, Hanson excels in describing the history of current high-tech advances—artificial heart valves, stem-cell therapy, pacemakers, insulin pumps—whose miracles we take for granted and whose drawbacks are steadily declining.

Readers looking for solutions to America’s healthcare crisis will be disappointed, but they will enjoy this spirited, feel-good look at an area of medicine that’s making progress.

Pub Date: Oct. 1, 2008

ISBN: 978-0-230-60575-6

Page Count: 256

Publisher: Palgrave Macmillan

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Aug. 15, 2008

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WHY WE SWIM

An absorbing, wide-ranging story of humans’ relationship with the water.

A study of swimming as sport, survival method, basis for community, and route to physical and mental well-being.

For Bay Area writer Tsui (American Chinatown: A People's History of Five Neighborhoods, 2009), swimming is in her blood. As she recounts, her parents met in a Hong Kong swimming pool, and she often visited the beach as a child and competed on a swim team in high school. Midway through the engaging narrative, the author explains how she rejoined the team at age 40, just as her 6-year-old was signing up for the first time. Chronicling her interviews with scientists and swimmers alike, Tsui notes the many health benefits of swimming, some of which are mental. Swimmers often achieve the “flow” state and get their best ideas while in the water. Her travels took her from the California coast, where she dove for abalone and swam from Alcatraz back to San Francisco, to Tokyo, where she heard about the “samurai swimming” martial arts tradition. In Iceland, she met Guðlaugur Friðþórsson, a local celebrity who, in 1984, survived six hours in a winter sea after his fishing vessel capsized, earning him the nickname “the human seal.” Although humans are generally adapted to life on land, the author discovered that some have extra advantages in the water. The Bajau people of Indonesia, for instance, can do 10-minute free dives while hunting because their spleens are 50% larger than average. For most, though, it’s simply a matter of practice. Tsui discussed swimming with Dara Torres, who became the oldest Olympic swimmer at age 41, and swam with Kim Chambers, one of the few people to complete the daunting Oceans Seven marathon swim challenge. Drawing on personal experience, history, biology, and social science, the author conveys the appeal of “an unflinching giving-over to an element” and makes a convincing case for broader access to swimming education (372,000 people still drown annually).

An absorbing, wide-ranging story of humans’ relationship with the water.

Pub Date: April 14, 2020

ISBN: 978-1-61620-786-1

Page Count: 288

Publisher: Algonquin

Review Posted Online: Jan. 4, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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THE IMMORTAL LIFE OF HENRIETTA LACKS

Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and...

A dense, absorbing investigation into the medical community's exploitation of a dying woman and her family's struggle to salvage truth and dignity decades later.

In a well-paced, vibrant narrative, Popular Science contributor and Culture Dish blogger Skloot (Creative Writing/Univ. of Memphis) demonstrates that for every human cell put under a microscope, a complex life story is inexorably attached, to which doctors, researchers and laboratories have often been woefully insensitive and unaccountable. In 1951, Henrietta Lacks, an African-American mother of five, was diagnosed with what proved to be a fatal form of cervical cancer. At Johns Hopkins, the doctors harvested cells from her cervix without her permission and distributed them to labs around the globe, where they were multiplied and used for a diverse array of treatments. Known as HeLa cells, they became one of the world's most ubiquitous sources for medical research of everything from hormones, steroids and vitamins to gene mapping, in vitro fertilization, even the polio vaccine—all without the knowledge, must less consent, of the Lacks family. Skloot spent a decade interviewing every relative of Lacks she could find, excavating difficult memories and long-simmering outrage that had lay dormant since their loved one's sorrowful demise. Equal parts intimate biography and brutal clinical reportage, Skloot's graceful narrative adeptly navigates the wrenching Lack family recollections and the sobering, overarching realities of poverty and pre–civil-rights racism. The author's style is matched by a methodical scientific rigor and manifest expertise in the field.

Skloot's meticulous, riveting account strikes a humanistic balance between sociological history, venerable portraiture and Petri dish politics.

Pub Date: Feb. 9, 2010

ISBN: 978-1-4000-5217-2

Page Count: 320

Publisher: Crown

Review Posted Online: Dec. 22, 2010

Kirkus Reviews Issue: Jan. 1, 2010

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