Reviews of what you should be reading next.

Category: Death and Dying (Page 1 of 3)

SPIT AND POLISH by D.A. Brown

Ruth was delighted when she was accepted into the nursing school at Kingston General Hospital. But she didn’t realize how challenging it would be. She quickly finds her skills aren’t up to snuff and is sent to build them up as an aide at the local tuberculosis sanitarium.
It’s 1946, and when Ruth arrives, she is immediately surrounded by crowds of wounded and infected soldiers, women, and children. 
Ruth must find her way among the dying, depressed, and too-friendly patients, managing demanding doctors and a jealous mentor, without being sent home or infected. Can she impress her seniors and be readmitted to the nursing program she so wants?

Thanks to LibraryThing ,  author DA Brown, and Somewhat Grumpy Press for this advanced reviewer’s copy!

SPIT AND POLISH is a captivating historical fiction novel that transports readers to Canada in 1946, where aspiring nurse Ruth dreams of escaping her small-town life and making a difference. Accepted into Kingston General Hospital’s nursing school, her initial excitement crumbles as she struggles with the demanding coursework. Sent to gain experience at a local tuberculosis sanatorium, Ruth is confronted with the harsh realities of illness, death, and prejudice. Surrounded by wounded soldiers, desperate families, and a complex medical environment, she must navigate challenges while honing her skills. Ruth needs to find her strength, compassion, and the resilience to succeed.

The sanatorium, teeming with wounded soldiers and civilians battling the debilitating disease, paints a stark picture of the era’s healthcare realities. The facility fairly overflows with wounded soldiers, women, and children battling the debilitating disease. Ruth grapples with the emotional and physical demands of caring for, and witnessing firsthand, the suffering and resilience of her patients. Ruth must also navigate navigate dormitory life, avoid flirting soldiers, and handle the draining emotional complexities of her family back home. The author skillfully portrays the harsh realities of the medical setting, balancing it with moments of tenderness and compassion. It is easy to empathize with Ruth’s internal struggles as she confronts her own limitations and prejudices. Her journey is one of personal and professional development, and it is satisfying to see her initial naiveté transform into empathy, strength, and self-assuredness as she faces challenges head-on.

Brown immerses the reader in the post-war atmosphere of Canada, capturing the social anxieties, medical advancements (and limitations), and evolving societal roles of women. The struggles of returning soldiers and the stigma surrounding tuberculosis are woven seamlessly into the narrative.

Ruth’s growth is relatable and engaging, and the supporting cast, from other nursing students to her domineering father, adds depth and nuance. The initial chapters do move a bit slowly as the setting and characters are established. I would have liked to see some of the secondary characters (such as Patricia, Mrs. Graham, and Mary) fleshed out some more. This information might have given some more backstory and understanding of their behavioral quirks and motivation.

One thing that was a bit jarring to me were the short paragraphs of medical notes that began each chapter. One was a quote from 1947, quite a few were from Florence Nightingale’s NOTES ON NURSING, and there was one from 2018 quite early on in the book. While I appreciated the “insider information”, I spent a few minutes trying to figure out if the quote was supposed to reflect the tone of the chapter or not. Some were relevant, while others seemed random to me. I did like the idea of headers to each chapter, but I think they would work a lot better if the words tied in with each chapter’s vignette. Another option would be to let the reader know that the paragraphs at the beginning of each chapter are taken from  either various authors who are sharing their thoughts on nursing, or excerpts from textbooks that will give the reader background on how TB was treated back then, etc. That would set an expectation for the reader, allowing them to absorb the information, then move seamlessly into the storyline.

SPIT AND POLISH offers a captivating journey through a unique historical setting. Brown’s well-researched narrative sheds light on the challenges and triumphs of mid-century healthcare, while Ruth’s personal growth resonates with themes of ambition and compassion. The novel delves into the emotional toll of caring for the sick and dying, yet the harsh realities of the sanatorium are balanced with moments of tenderness and hope, creating a nuanced portrayal of human resilience. Throughout the book, the importance of human connection in the face of adversity is underscored – a lesson we can all learn from in today’s world.

Readers interested in historical fiction with strong female protagonists and a touch of medical drama will find this book satisfying. One caveat: be aware of the potential for emotional intensity due to the setting and subject matter.

Want your own copy? You can pick it up here. 

APPRENTICED TO THE NIGHT by LindaAnn LoSchiavo

“Apprenticed to the Night” is a collection of 66 poems focused on mortality, betrayal, memory, trauma, and the bewilderment of loss as constantly shifting enigmas. It explores themes of life, death, childhood, trauma, family, and love. The book is divided into three sections: Youth, Maturity, and Beyond. Reviewers have called this collection a powerful and moving collection of poetry that is honest, insightful, innovative, and beautifully written. 

Thanks to the author for this review copy!

2023 has been a terrible year for me; I lost my beloved Mom and all three of my dogs (at different times throughout the year). When I was offered this review copy, I wondered if these poems would be too much for me to absorb. Thankfully, I was wrong. My own exposure to great loss enabled me to understand the deeper meaning of LoSchiavo’s words.  Despite the grim, stark environment of these verses, they offer readers a glimpse into the raw and vulnerable world of the speaker and force the reader to delve into the depths of the human experience.

The author’s imagery is often dark and evocative, yet it also manages to be strangely beautiful. The poems are filled with metaphors and similes that create a rich and textured landscape, inviting readers to linger and savor each word. Some of my favorite lines (taken from various poems) are:

  • When my mother died, she took home along with her
  • Tick, tick — mortality’s metronome
  • Accusing north winds whip open coats like a Customs Officer
  • Doves nesting at the lake’s edge knitting a new home out of trash and exhausted leaves
  • A domesticated red lighthouse
  • They find a determined amaryllis
  • My sister lives forever in six drawers / Where Mom maintains her clothing, worn, outgrown
  • Some kisses are consumer errors

Some of these poems use their words to lead you down a poignant yet rosy path, full of nostalgia, then veer off into the shocking, cold truth of the world. One such story is A Little Choir Girl at Passiontide – the poem starts out full of calming religious images and scenes from a typical Brooklyn neighborhood…then like a bucketful of cold water, these sentences turn the microcosm into an abomination:

…cars gunning for

You with their solid metal presence in your Immediate future, taking action

That could recast the universe in dark

Unpredictable ways

 

The poems are written in various forms and styles, such as sonnets, villanelles, haiku, free verse, and more. The language is rich, as similes and metaphors are used to convey the emotions and experiences of the speaker. Some of the poems are inspired by historical figures, such as Anne Boleyn, Marie Antoinette, and Edgar Allan Poe, while others are based on personal anecdotes and observations.

This collection is not for the faint of heart. The poems deal with topics such as death, suicide, abuse, eating disorders, and grief. However, they also explore the complexities of love, friendship, family, and identity. The author’s words are honest, insightful, and sometimes heartbreaking, but they also offer hope and the power of resilience. Even in the darkest of times, there is beauty and meaning to be found.

APPRENTICED TO THE NIGHT is a hauntingly beautiful assortment of poems that will stay with readers long after they have finished reading. LoSchiavo’s words are like a balm to the soul, offering solace and comfort in the face of darkness. This is a must-read for anyone who has ever experienced loss, love, or the struggle to find their place in the world.

Want your own copy? You can pick it up here.

DEATH INTERRUPTED by Blair Bigham, MD

In Death Interrupted, ICU doctor Blair Bigham shares his first-hand experiences of how medicine has complicated the way we die and offers a road map for dying in the modern era. Doctors today can call on previously unimaginable technologies to help keep our bodies alive. In this new era, most organs can be kept from dying almost indefinitely by machines. But this unprecedented shift in end-of-life care has created a major crisis. In the widening grey zone between life and death, doctors fight with doctors, families feel pressured to make tough decisions about their loved ones, and lawyers are left to argue life-and-death cases in the courts. Meanwhile, intensive care patients are caught in purgatory, attached to machines and unable to speak for themselves. In Death Interrupted, Dr. Blair Bigham seeks to help readers understand the options facing them at the end of their lives. Through conversations with end-of-life professionals — including ethicists, social workers, and nurses and doctors who practice palliative care — and observations from his own time working in ambulances, emergency rooms, and the ICU, Bigham exposes the tensions inherent in this new era of dying and answers the tough questions facing us all. Because now, for the first time in human history, we may be able to choose how our own story ends.

Many thanks to NetGalley and House of Anansi Press for this review copy!

This book will make you think long and hard about your final wishes. The author explains why death and dying is such a taboo subject, how technology is making us think that we should live forever, and continually reminds us that “mors vincit omnia” (which means death conquers all in Latin). Bigham shows his compassion in every chapter, as he explores the new frontiers of end-of-life care and human euthanasia.

Years ago, our life expectancy was a lot shorter than it is now. Families were used to each other dying at home in their own beds. As they were forced to confront their mortality in a very tangible way, there were no taboos surrounding death. It was, quite literally, a major part of their lives. Since our life expectancy has increased, and there is so much innovative technology such as ventilators and ECMO machines that can prolong life, we are determined to avoid death for as long as we can. Every medical show on TV shows doctors snatching patients out of the jaws of death via “code blue” situations and miracles. The author describes this equation: technology X (resuscitation glorification + death denialism) = FALSE HOPE.  We come to a hospital armed with the belief that recovery is imminent, therefore there is no reason to consider end-of-life planning or care.

Despite the leaps and bounds made by new medical technology, doctors hesitate to rely on machines sometimes. Airline pilots are taught to trust their instruments completely; after all, when they can’t see out of the plane’s window, they fly using the altimeter, directional gyro, and other instruments that let them know how fast and high they are going. In the medical world, things are different. A patient on a respirator is not guaranteed to wake up and resume his normal life. Transplanted organs may be rejected. And thereby lies the “death dilemma”. When is it time to pull the plug? Who decides to sentence their loved ones to the Great Beyond? Why don’t doctors talk honestly about death and dying, or palliative care? We all want the kitchen sink thrown at our mom or brother, in hopes that they will be with us longer, having cheated death.

But that is not always possible, or even desired. Those who stipulate “no feeding tube” or choose to be a DNR are choosing control over their own death, relieving the family countless hours of arguing, or wondering what Dad would really want done in case of mortal injuries or sickness. The author discusses ethics, communication, and myths surrounding death, to enlighten us and understand the predicament our doctors are in. There is a chapter on euthanasia and on cryogenics. There are conversations with scientists and ethicists who find the death dilemma fascinating. There are stories about real patients who lived against all odds, and others who died despite hours long codes and hundreds of pints of blood pumped into their bodies. Bigham provokes the reader to truly confront their own fears about death, suffering, and not being able to go peacefully, on their own terms.

I find the death dilemma very fascinating and have read extensively on this subject (as I have mentioned multiple times in my reviews, I wanted to be a mortician when I was deciding my path through life). DEATH INTERRUPTED is one of the best books I have read on this subject. The author shows his human side through his compassion and quest to make every one of his patients have the best death possible. His writing is not too technical or difficult to understand, and he tries to show the pros and cons of prolonging life for distinct reasons. I am happy to report that I also learned some new things, such as the various “types” of death (brain-dead, suspension to keep organs alive for donation, and dead-dead) and the problems doctors face before they are able to declare one dead.

(On a similar note – this article appeared in the New York Times and I found it quite appropriate to add to this review.)

If you are wondering why you would need to make a living will or are putting off thinking about a morbid subject like your own death, please read this book. You will be shocked, saddened, scared, and motivated to consider your own end-of-life wishes. Many thanks to Blair Bigham for bringing this subject to the forefront in a new and stimulating way.

Want your own copy? You can pick it up here.

LAST RITES by Todd Harra

The Untold Story of American Funeral and Mourning Traditions

Why do we embalm the deceased? Why are funerals so expensive? Is there a reason coffins are shaped the way they are? When—and why—did we start viewing the deceased? Ceremonies for honoring the departed are crucial parts of our lives, but few people know where our traditional practices come from—and what they reveal about our history, culture, and beliefs about death. In Last Rites, author Todd Harra takes you on a fascinating exploration of American funeral practices—examining where they came from, what they mean, and how they are still evolving.
Our conventions around death, burial, and remembrance have undergone many great transitions—sometimes due to technology, respect for tradition, shifting sensibilities, or even to thwart grave robbers. Here you’ll explore:
• Influences for American rituals—from medieval Europe, the Roman Empire, and even ancient Egypt
• When mourning fell out of fashion—and how George Washington’s passing brought it back
• Abraham Lincoln’s landmark funeral and its widespread impact
• Flowers, liquor, mourning gifts, and caskets—the reasons behind our grieving customs
• Unknown soldiers—how warfare influenced funeral and bereavement practices … and vice versa
• How growing populations, religion, inventions, and media have changed and continue to shape our traditions
• The future of our death rites—mushroom suits, green burial, body donation, flameless cremation, home funerals, and more
The rich story of the American funeral is one of constant evolution. Whether you’re planning a funeral service or are simply intrigued by the meaning behind American burial practices, Last Rites is an informative and compelling exploration of the history—and future—of the ceremonies we use to say farewell to those who have departed this world.
The rich story of the American funeral is one of constant evolution. Whether you’re planning a funeral service or are simply intrigued by the meaning behind American burial practices, Last Rites is an informative and compelling exploration of the history—and future—of the ceremonies we use to say farewell to those who have departed this world.



Thanks to NetGalley and Sounds True publishing for giving me this ARC to review!

Todd Harra is an excellent writer and extremely knowledgeable about the funeral industry. LAST RITES is not his first book; he has written multiple books about the funeral business and (interestingly enough) some mystery books with an undertaker as the main character. I’ll be checking those out quite soon! You can find the first book on Amazon.

I have always been fascinated about death and funerals – when I was in high school, I was early accepted to the McCallister Academy of Mortuary Science.  The only thing that stopped me from attending was an interaction between me and a funeral director (who was the only woman in my town to own her own business) I approached her for some information and offered to work there, like an externship. I would set up the rooms, clean, etc., and possibly watch an embalming or two just to see what the business was really like. She was quite rude and told me not to bother going to school, since I didn’t have “family in the business” I would never make it. She went on to say that no one would hire me because I was an outsider, not part of a funerary family. I was young and I took her words to heart and chose a different career path. It’s ironic that now, most funeral homes are owned by a corporate entity and employ staff with all kinds of backgrounds…family “in the business” is no longer an issue.

So, back to LAST RITES. The author takes us through the history of everything funerary, from early funeral customs during Egyptian times to the present as well as embalming, mourning customs, burial procedures (especially interesting is the “alarms” that bodies were buried with, in case the person inside the coffin was not truly dead (!), the evolution of hearses, and superstitions surrounding death and dying. There is enough substance for both serious students and curious laypeople to enjoy. There is the occasional yucky detail but not enough to make the book a struggle to read.

The author made this book very information-dense; it can be overwhelming if you choose to read it over the course of a few hours. I preferred to limit my intake to 30-45 minutes, as it helped me to really absorb the details and/or look up more information on a subject that I wanted to learn more about. There are footnotes at the end of every chapter, which helped me to gain a new level of understanding to what was written in the body of the book.

What I liked most about LAST RITES is that there were enough nuggets there to complement the knowledge I had already. The author gives a lot of detail and examples to make the book a multi-layered approach towards death customs and the like.  At times it did read like a textbook, but the information needed to be written in such a way to include the level of detail I mentioned above. The author’s style makes it easy to read, which is a blessing considering the ultra-serious subject matter.  The United States perpetuates the avoidance of death and dying, which is a shame considering everyone must deal with it eventually. Perhaps LAST RITES will help shed some light on the history of this long-standing profession and help people make informed end-of-life decisions.

I thoroughly enjoyed reading this book! You can pick up your copy here.

The Pain of Suicide by Dr Jo-Ann Rowland

 

Every suicide is an individual tragedy whose origins challenge our mental capacity. Suicide is a global phenomenon. Each year there are over 800,000 reported suicides worldwide and that is expected to increase to over 1.5 million by 2020. More people attempt suicide than die from suicide. Family-member survivors and communities are left with many unanswered questions, not understanding why the person chose to commit suicide. Persons responding to suicide and suicide attempts are very often not prepared for what they encounter and this exacerbates the problem. This book looks at the struggles of a high-risk people group and presents interventions and postventions proffered in a consultation forum.

Thank you to Authoright for this ARC!

Dr Rowland’s concern for those lost to suicide is evident in this well-researched book. She concentrates on the suicide rate in Guyana, South America, since this little country had the highest number of suicides in 2012 and 2014. Further into the book she examines some insights into the suicidal mind, the effect of religion on those who want to kill themselves, and a discussion of “psychache”, the ongoing mental, emotional, and psychological emotions experienced by suicidal people.

Regarding Guyana, suicide has historically been a part of the Indian experience, with an average yearly number of about 123,000. There are various predisposing factors, such as culture and sociology, which the author explores further in other chapters.

Hopelessness and suicidal ideation are common threads amongst all races, with the thought being that counseling (both for the depressed person and bereavement) would be helpful. The stigma and grief are nearly unbearable, and the act should not be glamorized. Regarding this last statement, the World Health Organization created guidelines for media reporting of suicides such that a phenomenon called “suicide contagion” does not occur. These guidelines include not placing blame, calling the act “completed” rather than “successful”, and highlight alternatives to suicide. These may appear obvious, but there are stories in the book where friends and relatives seemingly ignored or didn’t understand multiple warning signs given off, and someone died as a result of this.

Dr Rowland’s research was conducted through meetings with both relatives of, and survivors of, suicide attempts. Her goal was to determine why the suicide rate in Guyana was so high and to see if she could make a difference in this number. Transcripts of her meetings were also analyzed independently by two Guyanese, who applied both cultural and academic reason to their analysis. Intervention strategies were discussed by a panel of doctors and social workers after the research findings were examined. Some of these intervention strategies included community care groups, parenting/coping skills, school-based programs, and the establishment of drug courts. This last item is quite important, for pesticides and drugs are used as a method for suicide. Many Guyanese are farmers and have ready access to agricultural chemicals.

Reasons discovered for suicide included depression, substance abuse, and family dysfunction. Family conflicts arose out of cultural differences between children and parents, or marriages where the husband did not support his wife adequately. Guyanese families are structured around the patriarchal system, and “culture shock” can occur when mothers need to work to support the family and the children are left alone with no caregivers.

Suicide survivors expressed the pain of being misunderstood and unsupported by parents or family. There is also a stigma so forceful that one parent “self-discharged” her minor child, claiming the embarrassment of the attempt was too much for the family to bear.

The author concludes that lack of coping skills devalues the meaning of life, and drive these hurting individuals to seek “peace” via suicide. The reasons are the same no matter what country one is from, and there is heartache (or psychache) within every culture.

Dr Rowland has set up an organization in Guyana called Ephrathah, built specifically to engage those who are hurting. Counseling and persona development programs are offered to help reach those who are in despair, regardless of ethnicity or community status. I feel this organization will go a long way to help these vulnerable individuals.

I commend Dr Rowland for giving of her time and interest so freely. She is truly a caring soul who is seeking to mitigate suicidal ideation not only in Guyana, but all over the world. Her research can be translated into any culture in any country and needs to serve as a wakeup call to those who may have suicidal friends or relatives. Mental health can be a challenge at any age or stage, and we must all be willing to give that extra attention to someone who is depressed or hurting. That little bit may go a long way in saving a life. Please take the time to read this book and understand more about suicide. You can get your copy here.

Influenza by Jeremy Brown

On the 100th anniversary of the devastating pandemic of 1918, Jeremy Brown, a veteran ER doctor, explores the troubling, terrifying, and complex history of the flu virus, from the origins of the Great Flu that killed millions, to vexing questions such as: are we prepared for the next epidemic, should you get a flu shot, and how close are we to finding a cure?

While influenza is now often thought of as a common and mild disease, it still kills over 30,000 people in the US each year. Dr. Jeremy Brown, currently Director of Emergency Care Research at the National Institutes of Health, expounds on the flu’s deadly past to solve the mysteries that could protect us from the next outbreak. In Influenza, he talks with leading epidemiologists, policy makers, and the researcher who first sequenced the genetic building blocks of the original 1918 virus to offer both a comprehensive history and a roadmap for understanding what’s to come.
Dr. Brown digs into the discovery and resurrection of the flu virus in the frozen victims of the 1918 epidemic, as well as the bizarre remedies that once treated the disease, such as whiskey and blood-letting. Influenza also breaks down the current dialogue surrounding the disease, explaining the controversy over vaccinations, antiviral drugs like Tamiflu, and the federal government’s role in preparing for pandemic outbreaks. Though 100 years of advancement in medical research and technology have passed since the 1918 disaster, Dr. Brown warns that many of the most vital questions about the flu virus continue to confound even the leading experts.
Influenza is an enlightening and unnerving look at a shapeshifting deadly virus that has been around long before people—and warns us that it may be many more years before we are able to conquer it for good.

Thanks to NetGalley for the ARC!

Yes, this is another book on the influenza pandemic of 1918 – my goal is to read them all. Seriously, it is always good to compare one with the other and possibly learn new information. One new angle with this book is that the author discusses the Tamiflu controversy in detail (I wasn’t aware of the issues behind this drug, and the backstory makes the juxtaposition with the pandemic particularly chilling). Another angle is that this book is not restricted to the 1918 outbreak; there is a discussion of the virus in general, what type of research has been done, and puts forth the probability of when/how another outbreak could be possible.

One of my favorite portions of the book was the story behind the exhumed victims and how the virus was recovered from their bodies. The author’s respect for their sacrifice shines clearly through in this section, which is detailed but not gory. The gore factor is minimal, compared to other books on influenza or diseases in particular.

The fact that the author is a medical doctor means that he’s done his research and can strike the balance between med-speak and conveying his ideas to the general public. The book is very easy to read and eminently understandable. I read this over the course of a few days and it kept me interested throughout. It is always refreshing when an author can take a subject and provide a fresh, relevant look at it.

You can pick up your own copy here.

The Atlas of Disease by Sandra Hempel

 

Behind every disease is a story, a complex narrative woven of multiple threads, from the natural history of the disease, to the tale of its discovery and its place in history.
But what is vital in all of this is how the disease spreads and develops. In The Atlas of Disease, Sandra Hempel reveals how maps have uncovered insightful information about the history of disease, from the seventeenth century plague maps that revealed the radical idea that diseases might be carried and spread by humans, to cholera maps in the 1800s showing the disease was carried by water, right up to the AIDs epidemic in the 1980s and the recent Ebola outbreak.

Crucially, The Atlas of Disease will also explore how cartographic techniques have been used to combat epidemics by revealing previously hidden patterns. These discoveries have changed the course of history, affected human evolution, stimulated advances in medicine and shaped the course of countless lives.

Thanks to NetGalley for granting my wish to access this ARC! For anyone who is interested in the history of disease, this book is a dream come true. The author delves into each disease with a thoughtful manner and straightforward way, using maps of the world to show the spread of each illness. These maps add a new dimension of understanding to the text, and underscore how devastating the spread of disease can be. The trail of germs is traced across the continents for each disease, adding a quiet horror to the author’s words.  This alone makes the book worth buying – no other book I’ve read with this subject has illustrations quite like this. Interspersed in the chapters are other bits of artwork, either paintings of people suffering or government posters warning townfolk of the ravages of the flu, yellow fever, measles, and the like. THE ATLAS OF DISEASE stands out head and shoulders among other novels in this genre.

There are 4 sections to the book: airborne, waterborne, insects and animals, and human to human. Each chapter in the section then outlines a disease, from AIDS to Zika. The opening page has the disease name, the causal agent, transmission, symptoms, incidence and deaths, prevalence, prevention, treatment, and global strategy. For example, diptheria’s incidence and deaths statement lets us know that the germ causes around 5,000 cases per year worldwide, with 5-10% cases being fatal. The global strategy notes that there are childhood vaccination programs, but the World Health Organization (WHO) describes it as a “forgotten” disease. On the opposite page there is a painting by Francisco de Goya showing a man holding a child on his lap, supporting his head with his left hand while he probes the child’s mouth with his right. The work is entitled El Lazarillo de Tormes or El Garrotillo (“Diptheria”). When you turn the page you see illustrations of how the illness attacks the lining of the throat, causing the victim to strangle and suffocate.

I can honestly say I have learned more from this book than from many others I’ve read. The writer’s style is straightforward, sharing facts without drama, and extremely easy to comprehend. You won’t need a medical background to appreciate ATLAS. The author’s fascination with these illnesses is clearly portrayed on every page, as well as her depth of research. I cannot say enough superlatives about this book – it is far and away the best work I’ve read this year.  If you are a devotee of disease, you will treasure this work forever.  And for those of you who are not – please still read this. You will learn, you will be shocked, and you will appreciate the fragility of life.

Pick up your copy here.

Glimmerglass Girl by Holly Walrath

 

Glimmerglass Girl is a collection of poetry and images about womanhood and femininity. This debut collection from author Holly Lyn Walrath explores life, love, marriage, abuse, self-harm, the body, death, and alcoholism through the lens of a woman’s heart. It takes readers through a speculative and fantastical world of fairy tales and unicorns where femininity is as powerful and delicate as a glass-winged butterfly.

 

 

 

Thanks to NetGalley for this ARC!

This thin chapbook of poems seems at once light and dark, brilliant yet incomprehensible. I read through each offering twice and came away no wiser, despite preparing myself to find meaning in the words. A poem that begins “I am night and a thousand stars hurtle through/my skin, punching through the ether” sets the reader up for a powerful experience. It’s over a few short paragraphs later, a story not tied up neatly, only words and a mental picture that creates an unsatisfactory feeling. Not unsatisfactory in a bad way – just a longing for something more to grasp, a clearer picture of sorts.

The author does have a way with words, stringing them together like a delicate necklace that has its own beauty, yet doesn’t match with anything in the closet. That is not to say it is a wasted purchase -understand that these poems may not meet with your expectations. They are an acquired taste, revealing more each time they are read. Two particular poems became my favorites: I Swallowed the Moon and Blue Cadillac. I feel that Cadillac is the most mainstream work, easily understood, with fondness for the title character (?) shining through easily. I too, remember the classic cars with wistful nostalgia, as the poem notes:

And somehow in this memory of you/your massive lines like some primordial behemoth/long since dead and buried/in ice, the very blueness of you, I may have/remembered myself, another classic beauty.

It was so easy to conjure up big fins in the Texas heat as I absorbed this poem. Images formed freely in my head, unlike some of the author’s other writings in this book. Sometimes the final lines give off a hint of sarcasm, of impropriety or dismissal; other times the end is so far away from the beginning you don’t know what to think. There is a strong undercurrent of feminism and heartbreak in the words, and at times I wondered what experiences the author had, to describe in such a way.

All and all, not the worst way to spend time reading. Poetry is more resonant with people; either you love it or hate it. This little book was pleasant to read, despite the fact that I came away from most of it confused. Read it and let me know what you think.

You can get your own copy here.

Under The Knife by Arnold Van de Laar

In Under the Knife, surgeon Arnold Van de Laar uses his own experience and expertise to tell the witty history of the past, present, and future of surgery.
From the story of the desperate man from seventeenth-century Amsterdam who grimly cut a stone out of his own bladder to Bob Marley’s deadly toe, Under the Knife offers all kinds of fascinating and unforgettable insights into medicine and history via the operating theatre.
What happens during an operation? How does the human body respond to being attacked by a knife, a bacterium, a cancer cell or a bullet? And, as medical advances continuously push the boundaries of what medicine can cure, what are the limits of surgery?
From the dark centuries of bloodletting and of amputations without anaesthetic to today’s sterile, high-tech operating theatres, Under the Knife is both a rich cultural history and a modern anatomy class for us all.

Thanks to NetGalley for this ARC!

I have read many medical history books before but none of them were as gruesomely interesting as this one. The juxtaposition of the gory surgeries and the dry writing makes for an excellent read. So many different surgeries are discussed in this book, it seems, that there should be something for everyone. If you are a fan of spurting blood, swollen intestines, gangrene, and reading about a man performing surgery on himself without anesthesia, then this book is definitely for you. If you are the squeamish type, stop reading immediately and find something else.

Each one of the 28 chapters discusses a different type of surgery, complete with history and famous examples. Some of the people van de Laar writes about are JFK, Bob Marley, Lenin, and Napoleon. I can honestly say that I learned multiple new facts in each chapter. This, plus the straight-up medical language (that may be incomprehensible to most people) made this book a winner for me. I have a medical background so this was an easy read, but I can see most people trying to figure out some of the jargon and getting discouraged. The author does provide many explanations and word sources (such as Latin or Italian) as well as a glossary at the end, but there is also a good deal of medical verbiage. The chapter also brings us into the present time, and how this surgery is performed using clean instruments and updated techniques.

As I mentioned before, the gore factor is extremely high. I don’t recall ever experiencing this level of detail, even in books containing Hannibal Lecter. A simple sentence telling us that the Sun King only bathed once or twice in his lifetime, and generously opened a window so a visitor could have fresh air speaks volumes. Can’t you just smell the stench from here?!?

There are also chapters on eunuchs, ancient Rome, and bloodletting. The detail in which van de Laar describes each procedure is magnificent. Facts just keep unrolling on the page, with minimal asides for the human detail found in so many other books written by doctors (such as Sandeep Jauhar or Atul Gawande). The book is nearly devoid of emotion; there are only procedures and facts.

I absolutely loved this book. I also may never be able to get some of the gory images out of my mind – but that’s ok.

Want your own copy? You can pick it up

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Natural Causes: The Epidemic of Wellness by Barbara Ehrenreich

A razor-sharp polemic which offers an entirely new understanding of our bodies, ourselves, and our place in the universe, Natural Causes describes how we over-prepare and worry way too much about what is inevitable. One by one, Ehrenreich topples the shibboleths that guide our attempts to live a long, healthy life — from the importance of preventive medical screenings to the concepts of wellness and mindfulness, from dietary fads to fitness culture.

But Natural Causes goes deeper — into the fundamental unreliability of our bodies and even our “mind-bodies,” to use the fashionable term. Starting with the mysterious and seldom-acknowledged tendency of our own immune cells to promote deadly cancers, Ehrenreich looks into the cellular basis of aging, and shows how little control we actually have over it. We tend to believe we have agency over our bodies, our minds, and even over the manner of our deaths. But the latest science shows that the microscopic subunits of our bodies make their own “decisions,” and not always in our favor.
We may buy expensive anti-aging products or cosmetic surgery, get preventive screenings and eat more kale, or throw ourselves into meditation and spirituality. But all these things offer only the illusion of control.

 

Thanks to NetGalley for this ARC in exchange for an honest review!

Natural Causes is like having two books in one. The beginning section discusses whether eating “right” and exercise will truly extend our life expectancy, or if those admonitions are erroneous. The author makes some good points, while others seem a bit dubious to me. Her writing is at times self-deprecating and humorous; other times erudite.

The second part of the book is a bit dry, as she delves into the philosophical side of what is “self”, and how we think about death and dying. There is also well written chapters about inflammation, cancer, and how we may be doomed to succumb despite positive thinking and the best efforts of our oncologists.

As a long distance runner, I felt an uncomfortable feeling as the author worked through debunking exercise “myths”. Did I agree with her or not? I agreed with the section on medical ritual, as explained by Stanford medical professor Abraham Verghese during one of his TED talks. He discusses a breast cancer patient who chooses a less prestigious facility over one with valet parking, a welcoming atrium, etc. The reason? The first facility actually gave her a physical exam, using touch and interaction. If I visit a doctor and do not get my eyes, ears, or lung sounds assessed, I feel cheated. Ritual displays, whether they are a placebo or not, satisfy and calm me. I also felt a kinship with the chapter on mindfulness and ADHD, as she discusses electronic addiction and how that is depleting our attention span.

As I read on I realized that I did not agree with her decision to shun yearly exams (her thoughts are that the doctors are “looking for problems that remain undetectable to me”). The author also discusses repetitive x-rays of the teeth, mammograms and their tendency towards false positives, and colonoscopy.

When she started noting the evidence of “overdiagnosing” due to the multitude of various health screenings available, I simultaneously agreed and disagreed. A 90-year old woman does not need a mammogram; a 30-year old should get Pap smears and yearly bloodwork.

The chapter entitled Cellular Treason was most interesting; explaining that perhaps all the steps we take to remain healthy may be for naught; our cells will do what they want regardless. It was at this point in the book that the writing became more scientific and less opinionated, and leaned towards the dry and almost dull. I rather enjoyed the cantankerous, tinfoil hat-like musings from the beginning.

Ehrenreich may be a detractor of medicine, but she is no dope. She is intelligent and can put a sentence together well. This book is certain to spark debate, which hopefully was her intent. Each chapter has the ability to appeal to a wide range of people, as well as invite criticism. I feel better prepared to face my doctor after reading it.

Want your own copy? Head over to Amazon and grab it!

 

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