Category: Medical (Page 4 of 7)

Natural Causes: The Epidemic of Wellness by Barbara Ehrenreich

May 29, 2018 / Kyle Wendy Skultety / 0 Comments

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!

Playing the Ponies and Other Medical Mysteries Solved by Stuart B. Mushlin

February 6, 2018 / Kyle Wendy Skultety / 0 Comments

With over forty years of experience as a sought after diagnostician, Dr. Stuart Mushlin has cracked his share of medical mysteries, ones in which there are bigger gambles than playing the ponies at the track. Some of his patients show up with puzzling symptoms, calling for savvy medical detective work. Others seem to present cut-and-dry cases, but they turn out to be suffering from rare or serious conditions.

In Playing the Ponies and Other Medical Mysteries Solved, Dr. Mushlin shares some of the most intriguing cases he has encountered, revealing the twists and turns of each patient’s diagnosis and treatment process. Along the way, he imparts the secrets to his success as a medical detective—not specialized high-tech equipment, but time-honored techniques like closely observing, touching, and listening to patients. He also candidly describes cases where he got things wrong, providing readers with honest insights into both the joys and dilemmas of his job.
Dr. Mushlin does not just treat diseases; he treats people. And this is not just a book about the ailments he diagnosed; it is also about the scared, uncertain, ailing individuals he helped in the process. Filled with real-life medical stories you’ll have to read to believe, Playing the Ponies is both a suspenseful page-turner and a heartfelt reflection on a life spent caring for patients.

Thanks, Rutgers University Press, for this review copy!

This book should be enjoyed most by those in the medical field. It’s a no-frills, straightforward collection of odd cases and the mental acuity needed to solve them. There is minimal gore, yet there is excellent description of the patient and how he is suffering. Each chapter is a new disease process, with the thorough history given, then the doctor’s thought process. Most of the cases have an ending; there are a few where the patient is not seen again or fails to return for a recheck visit.

Some cases are difficult merely because the patient is not forthcoming with complete medical history, where others are truly “zebras” instead of horses (There is a famous statement that notes when you hear hoofbeats, think horses, not zebras). Each case can be read on its own, with no continuity between chapters – great for absorbing a single chapter before bed.

Mushlin notes that he was an English major before he went to medical school, something that has held him in great stead as he examines patients. He notes how important it is to listen to their words as well as the silence between the words. Imagine that – a doctor taking the time to actually listen to their patient’s complaints! Mushlin’s quiet and caring bedside manner shines through on every page, even when he is handling an especially recalcitrant patient he does his best to care for her.

All four of the reviews noted on the back of the book jacket are from medical doctors, and expound on the joy of reading this book. Most of the reviews online by lay people are positive, except for someone who calls the writing wooden, and feels the stories are too short. I feel the reviewer was not familiar with this type of book; namely, a kind that minimizes drama and emphasizes the medicine. Mushlin’s style is plain and full of information. I understood everything he was saying, because I am a veterinary nurse and quite familiar with the workings of the body. In fact, I can say this is one of the few books I have read that gave so much detail on each patient before the diagnosis was discussed. I felt as if I were part of Dr Mushlin’s team with the patient right in front of me.

The only part of the book that I have a complaint about is in the chapter Learning From The Patient. The author notes that they practiced studies in a dog lab, so as to learn about basic physiologic processes. He goes on to note that “…the human body is not the same as a dog’s, humans are much more complex…”. This frustrated me, as I feel that many canine and human diseases are shared, such as diabetes, cancer, Addison’s, and neurologic issues. Each species is a complex being, similar yet different. I took his statement as demeaning to dogs and animals in general. Veterinary medicine is just as complex as human medicine, and requires the same mental and emotional effort to heal those patients. Perhaps if Dr Mushlin spent some time at an emergency veterinary hospital he would understand my feedback.

That concern was the only negative feedback I have for PLAYING THE PONIES – I found it a stimulating and fascinating read; educational without being taxing. Every patient should have a Dr Mushlin caring for him.

Want your own copy? You can pick it up [easyazon_link identifier=”0813570557″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

Counting Backwards ( A Doctor’s Notes on Anesthesia) by Henry Jay Przybylo

January 9, 2018 / Kyle Wendy Skultety / 0 Comments

For many of the 40 million Americans who undergo anesthesia each year, it is the source of great fear and fascination. From the famous first demonstration of anesthesia in the Ether Dome at Massachusetts General Hospital in 1846 to today’s routine procedure that controls anxiety, memory formation, pain relief, and more, anesthesia has come a long way. But it remains one of the most extraordinary, unexplored corners of the medical world.
In Counting Backwards, Dr. Henry Jay Przybylo—a pediatric anesthesiologist with more than thirty years of experience—delivers an unforgettable account of the procedure’s daily dramas and fundamental mysteries. Przybylo has administered anesthesia more than 30,000 times in his career—erasing consciousness, denying memory, and immobilizing the body, and then reversing all of these effects—on newborn babies, screaming toddlers, sullen teenagers, even a gorilla. With compassion and candor, he weaves his experiences into an intimate exploration of the nature of consciousness, the politics of pain relief, and the wonder of modern medicine.

Filled with intensity and humanity, with moments of near-disaster, life-saving success, and simple grace, Counting Backwards is for anyone curious about what happens after we lose consciousness.

Thanks to NetGalley for this ARC!

There is nothing as fascinating as anesthesia. The very idea of being in a state where your insides could be cut, manipulated, and sewn back together is mind-blowing; yet this happens on a daily basis all over the world. COUNTING BACKWARDS is the personal account of a person with intimate knowledge and respect for this phenomenon.

He shares stories of the good, the bad, and the ugly surgeries that he has overseen. From babies to gorillas, he has seen more than his share. The book is not just medical jargon; he recounts his interactions with patients and shares some of his most intimate thoughts with us. We learn what his routine is when setting up for a surgery – and why it never varies. We learn the history and development of anesthesia drugs – and why he creates a new plan for each patient. Dr Przybylo is a caring and meticulous man, one that I would want in the surgery suite with me.

This memoir came about when he enrolled in the MFA program at Goucher College; a step that is admirable and daunting. His professors must have loved encouraging and developing his writing style, as the story flows as smoothly as isoflurane into the lungs. The good doctor draws from his years of experience as he discusses patients, medicine, and humanity. Each story has a moral of sorts – they don’t always have a happy ending – but there is always a lesson to be learned.

It takes a special person to have the intelligence to understand the workings of anesthesia, while also possessing the compassion to care for people. The human race can be a frustrating and ugly bunch while sick and/or scared – I’ve been one of those people a few times. Dr Przybylo is kind enough, as well as strong enough, and that is what made this book stand out for me. There was just enough anesthetic detail and gore to keep me interested, while keeping the human condition firmly front and center. This book would be a wonderful addition to someone’s medical library.

Want your own copy? You can pick it up [easyazon_link identifier=”0393254437″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

THE EDUCATION OF A CORONER by John Bateson

December 12, 2017 / Kyle Wendy Skultety / 0 Comments

In the vein of Dr. Judy Melinek’s Working Stiff, an account of the hair-raising and heartbreaking cases handled by the coroner of Marin County, California throughout his four decades on the job—from high-profile deaths to serial killers, to Golden Gate Bridge suicides.
Marin County, California is a study in contradictions. Its natural beauty attracts thousands of visitors every year, yet the county also is home to San Quentin Prison, one of the oldest and largest penitentiaries in the country. Marin ranks in the top one percent of counties nationwide in terms of affluence and overall health, yet it is far above the norm in drug overdoses and alcoholism, and comprises a large percentage of suicides from the Golden Gate Bridge.
Ken Holmes worked in the Marin County Coroner’s Office for thirty-six years, starting as a death investigator and ending as the three-term, elected coroner. As he grew into the job—which is different from what is depicted on television—Holmes learned a variety of skills, from finding hidden clues at death scenes, interviewing witnesses effectively, managing bystanders and reporters, preparing testimony for court to notifying families of a death with sensitivity and compassion. He also learned about different kinds of firearms, all types of drugs—prescription and illegal—and about certain unexpected and potentially fatal phenomena such as autoeroticism.

Complete with poignant anecdotes, The Education of a Coroner provides a firsthand and fascinating glimpse into the daily life of a public servant whose work is dark and mysterious yet necessary for society to function.

Thanks to NetGalley for this ARC!

Fans of true crime will love this book. Coroner Ken Holmes’ cases are described in great, gory detail, along with his thought process for cause of death. Some go unsolved, but all of them are a part of him.

Holmes is a self-deprecating man, which helped him move up the ladder within his department. As each case unfolds, the author portrays him with the right amount of confidence and respect. Some cases are more convoluted than others, so I am not sure who is at fault when the particulars get confusing. There were times where I had to read over the cast of characters a few times in order to determine who killed who, who had the motive, and other items of note. That is really the only caveat I have about this book – otherwise it’s an enjoyable, if dark, read. There are plenty of cases to appeal to everyone’s interest, whether it be prurient or otherwise. Holmes has an outstanding memory and usually has a philosophical turn when sharing his stories.

I got the impression that he is proud of his work, pays great attention to detail, and truly cares about those affected by the victim’s death. He emphasizes personal contact and shows empathy to those left behind.

Any book that teaches me something is a gem. In reading THE EDUCATION OF A CORONER I learned about rigor mortis (starts at the jaw, which is the strongest muscle in the body), suicide (apparently the Golden Gate Bridge was a mecca for those seeking to shuffle off this mortal coil) and government (how to work your way up through the ranks).

This was an excellent departure for the norm for me, and a thoroughly wonderful experience. If you have an interest in true crime or want to know what really happens during an investigation, pick this up. You won’t be sorry.

You can grab your copy [easyazon_link identifier=”1501168223″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

CATCHING BREATH by Kathryn Lougheed

November 28, 2017 / Kyle Wendy Skultety / 0 Comments

With more than a million victims every year–more than any other disease, including malaria–and antibiotic resistance now found in every country worldwide, tuberculosis is once again proving itself to be one of the smartest killers that humanity has ever faced. But it’s hardly surprising considering how long it’s had to hone its skills. Forty-thousand years ago, our ancestors set off from the cradle of civilization on their journey towards populating the planet. Tuberculosis hitched a lift and came with us, and it’s been there ever since; waiting, watching, and learning.
The organism responsible, Mycobacterium tuberculosis, has had plenty of time to adapt to its chosen habitat–human lungs–and has learned through natural selection to be an almost perfect pathogen. Using our own immune cells as a Trojan Horse to aid its spread, it’s come up with clever ways to avoid being killed by antibiotics. But patience has been its biggest lesson–it can enter into a latent state when times are tough, only to come back to life when a host’s immune system is compromised. Today, more than one million people die of the disease every year and around one-third of the world’s population are believed to be infected. That’s more than two billion people. Throw in the compounding problems of drug resistance, the HIV epidemic, and poverty, and it’s clear that tuberculosis remains one of the most serious problems in world medicine.
Catching Breath follows the history of TB through the ages, from its time as an infection of hunter-gatherers to the first human villages, which set it up with everything it needed to become the monstrous disease it is today, through to the perils of industrialization and urbanization. It goes on to look at the latest research in fighting the disease, with stories of modern scientific research, interviews with doctors on the TB frontline, and the personal experiences of those affected by the disease.

Thanks to NetGalley for this ARC!

I have mixed feelings about this book. On one hand, the research and science are excellent and multilayered. You can easily discern the love the author has for tuberculosis and how to contain it. On the other hand, some of her attempts at humor and lightening the mood seemed out of place to me. A reader who is not familiar with pop culture may find some of her sentences confusing – such as:

“Basically, in some settings, the machines are just sitting there like big ugly espresso machines that no one really knows how to use. Even if someone does get the urge to brew some coffee, George Clooney has used the last cassette and not put in a new order”.

I would be totally immersed in the science aspect and she would throw something like that in there from time to time. It seemed as if she was attempting to lighten the serious subject up with these humorous asides, but it just didn’t work for me.

There are a lot of facts and statistics about TB, which are staggering when you stop to consider how many people have been, and are, suffering from this disease. Certainly TB doesn’t get the airtime of, let’s say, AIDS or cancer – but its presence is still felt daily in places like Africa or India. I hadn’t realized how prevalent it still is, or how stricken these countries are.

The writer goes deep into the origin of TB and the different ways scientists are trying to defeat it. It’s a canny bacteria, though, and has the ability to mutate or take advantage of other sicknesses in the body. After reading CATCHING BREATH, I know more about TB than I ever have; from the obvious to the minutiae, the author gives us everything she’s got. I definitely appreciate her effort but the writing style was at times too dry, too broadly humorous or too rambling. Maybe a bit of editing would do the trick? In any case, don’t avoid this book if you are a fan of diseases – just be prepared for a little strangeness. You will be educated, amazed, and humbled by this tenacious germ.

Want your own copy? You can pick it up [easyazon_link identifier=”1472930347″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

MED SCHOOL UNCENSORED by Richard Beddingfield

October 17, 2017 / Kyle Wendy Skultety / 0 Comments

[easyazon_link identifier=”0399579702″ locale=”US” nw=”y” tag=”gimmethatbook-20″]Med School Uncensored: The Insider’s Guide to Surviving Admissions, Exams, Residency, and Sleepless Nights in the Call Room[/easyazon_link]

An entertaining insider’s guide to the good, the bad, and the ugly of med school–with everything pre-med and med students need to know, from day one, to maximize opportunities and avoid mistakes.
Cardiothoracic anesthesiologist and recent med school grad Dr. Richard Beddingfield serves as an unofficial older brother for pre-med and incoming med students–dishing on all the stuff he would’ve wanted to know from the beginning in order to make the most of med school’s opportunities, while staying sane through the gauntlets of applying to and succeeding at med school, residency, fellowship, and starting work as a new physician. With advice from additional recent Ivy League med school grads and top-tier hospital residents, this all-in-one guide is a must-have for everyone who dreams of becoming a doctor.

Many thanks to NetGalley for this ARC!

Richard Beddingfield is a kind and thoughtful man. Why do I say that? Because he spent a lot of time on creating a book to help pre-med students decide if that was the right career path for them. I can imagine graduates learning about this and saying “Why didn’t I have this to guide me??”.

MED SCHOOL UNCENSORED takes you from start to finish, explaining the tests, interviews, reasoning, and opportunities you will experience on the path to become a licensed doctor. He plays devil’s advocate; which I found refreshing – if your grades here are lower than peer X, then you need to do better on this; if your grades still don’t improve by this date, consider another career; no, there is no way to do this if you don’t do that; etc.

Each chapter represents a different step on the journey, with examples, personal stories, and the “why” behind it all. There is even some history thrown in comparing how things were done in the past and how they have changed. This is the kind of book that every type of career needs, to help someone make a decision on what learning path they want to take. The author notes everything important with great detail, using easy to understand examples. Nothing is sugar coated here – there is honest discussion of the ups and downs, pitfalls and joys of becoming a doctor. Bedingfield’s writing is clean and smooth, easy to digest, and generally benign.

There is not much of a plot to comment on in this review; but I will say I enjoyed the progression of the chapters. Things went from simple to complicated in the order that they needed to; and it will be easy for the reader to grasp what comes next on the journey.

Anyone that is considering going to med school should pick this up before they finish high school, so as to obtain the proper education and extracurriculars needed to create an outstanding CV. This is exactly the book that should be in a parent’s or guidance counselor’s arsenal.

Want your own copy? You can pick it up [easyazon_link identifier=”0399579702″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

Doctors At War by Mark De Rond

April 11, 2017 / Kyle Wendy Skultety / 0 Comments

Doctors at War is a candid account of a trauma surgical team based, for a tour of duty, at a field hospital in Helmand, Afghanistan. Mark de Rond tells of the highs and lows of surgical life in hard-hitting detail, bringing to life a morally ambiguous world in which good people face impossible choices and in which routines designed to normalize experience have the unintended effect of highlighting war’s absurdity. With stories that are at once comical and tragic, de Rond captures the surreal experience of being a doctor at war. He lifts the cover on a world rarely ever seen, let alone written about, and provides a poignant counterpoint to the archetypical, adrenaline-packed, macho tale of what it is like to go to war.

Here the crude and visceral coexist with the tender and affectionate. The author tells of well-meaning soldiers at hospital reception, there to deliver a pair of legs in the belief that these can be reattached to their comrade, now in mid-surgery; of midsummer Christmas parties and pancake breakfasts and late-night sauna sessions; of interpersonal rivalries and banter; of caring too little or too much; of tenderness and compassion fatigue; of hell and redemption; of heroism and of playing God. While many good firsthand accounts of war by frontline soldiers exist, this is one of the first books ever to bring to life the experience of the surgical teams tasked with mending what war destroys.

Thanks to NetGalley for providing this review copy!

The author starts out by saying that this book was never supposed to be published, due to the subject matter and the way it was perceived to be handled. That only added more intrigue to the story, to me, and I was eager to begin reading.

The story is akin to the book/TV series MASH, with beleaguered surgeons, war all around them, stress, and dark ways to relieve the boredom. There is a great deal of loss of life complicated by military rules and the Hippocratic Oath – beware, as the injuries are horrific and discussed in great detail.

The author is British; so I expected his writing style to be a bit different from American writers. In fact, I even welcomed it, as I look forward to non-American cadences and dialects in books. What I hadn’t bargained for was uneven writing with obscure phrasing. At times it’s hard to understand who is saying what, and there was no deep insight made on the choices the doctors had to make. At the 75% mark I realized I had not really absorbed anything meaningful except that war is hell, these surgeons were doing the best they could, and sometimes there was strangeness (the usual black humor and Christmas in July) to help the soldier’s mental states. The same type of story was repeated over and over again (wounded too badly, euthanized with pain meds/crashing boredom dealt with by playing card games and trying to stay cool in the desert/occasional platitude about life) without variance or emotion.

Somehow this writer managed to make a wartime hospital seem dull. The characters are an amalgam, and so perhaps could not have been made more detailed; but I think it would have been better if he had given a little more detail about why they were doctors, what made this tour of duty different from others, etc.

It’s a shame that such an important subject matter was reduced to an unsatisfying bite of pablum, as there is a need to understand what the military deals with during extended conflicts. Heart of Darkness, Catch-22, and On Call In Hell expressed the story in a more readable and gratifying way. I gave up at the abovementioned 75% mark; something I don’t do often, but I just didn’t want to waste any more time. Great subject – bad handling.

Want your own copy? You can pick it up [easyazon_link identifier=”1501705482″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

Splintrod by D. Gordon Tyson

December 27, 2016 / Kyle Wendy Skultety / 0 Comments

A young Betsey Stratfork is enjoying her childhood when she is involved in a tragic auto accident that destroys her legs. Despite her handicap and the lack of compassion from the driver, she excels in school and earns her medical degree. She pursues a career in a new field of medicine known as bone manipulation. Now, as Dr. Stratfork, she develops groundbreaking devices and procedures that improve the lives of many patients. In the course of her life, living in constant pain, she is subjected to repeated instances of discrimination. Learning of a life-threatening event, she snaps. In her anger-fueled psychosis, she turns to the dark-side and uses her SplintRod invention to inflict horrific pain and suffering.

Thanks to Word Slinger Publicity for offering this book in exchange for a review!

SPLINTROD is a wildly uneven but gripping tale about a doctor who loses her mind and seeks revenge on those who have wronged her. I alternately felt sorry for, then despised Dr Wilfork for her actions. Towards the end of the story I decided that my dominant emotion was pity, as long as I didn’t think too hard about the victims.

The fact that this is the author’s first book is evident: the writing style is a bit rough around the edges, he spends just a tad too much time describing the many characters, and some of the transitions between scenes are awkward. Some of the characters are one dimensional, and even Dr Wilfork could have been fleshed out a bit more.

The storyline and action is edge-of-your-seat wonderful, however. Once you get past the unpolished writing style, the drama grabs you and keeps you reading, because you just don’t know what is going to happen next. Medical thrillers are the best, because you know you will encounter depraved people and intense procedures, plus lots of blood. The creation of the Splintrod device is devilish genius – and the perfect way for the good doctor to torture and maim the innocent. The author’s descriptions of how the machine is misused are cringeworthy and totally believable.

The plot brings up an interesting moral point – was the revenge proper? Were the victims selected correctly? Some may say no, that the actual perpetrators of pain upon Dr Wilfork should have been the ones feeling the pain. However, there is mental pain and physical pain; both kinds are visited upon the innocent and the guilty alike.

The author’s strength lies in his ability to manipulate the reader’s emotions. As I mentioned before, I would vacillate between disgust and vicarious pleasure as the victims were tortured. There was disgust because of the maiming and killing that occurred. However, the victims were also portrayed to be arrogant and self-centered, with some of their actions bearing that out. At times it became easy to despise them and all that they stood for. But strip all that away, and at the end they were just in the wrong place at the wrong time.

With the proper editing, SPLINTROD could be a five star book. The author has a great capacity for plot development; he just needs to smooth out the bumps in the road. I did enjoy this book, and I’d love to know what you think about it. You can pick up your copy [easyazon_link identifier=”B01KYGF1CG” locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

The Joy Of Nursing by Juliana Adams

October 11, 2016 / Kyle Wendy Skultety / 0 Comments

Juliana Adams has lived her dream of being a nurse for 50 years. Her stories are stunning and startling; raw and revealing; heart wrenching and heart soaring. In her eye-opening experiences, she provides a deeper perspective … to always look beyond the diagnosis … because every nurse is more than just a nurse!
The Joy of Nursing: Reclaiming Our Nobility is provocative and riveting as the stories from new nurse to intuitive experienced nurse unfold. Far more than a memoir, it is a rich journey from novice to expert, a concept with historical roots for all who enter this profession.
-Are you a nurse or exploring nursing as a career?
-Are you wondering what is true about being a nurse?
-Does your nursing reality match the dream you once envisioned?

With courage, insight and optimism, Juliana Adams reveals the challenges and barriers that face the profession. To be a nurse is an honor.
She shares stories, her insights, and her dedication to nursing are exactly what the overwhelmed, disillusioned, innocent and anyone entering nursing needs.

Many thanks to the author and JKS Communications for gifting me this book for review!

Nursing is not an easy job – there is heartbreak, stress, and backbreaking work involved. THE JOY OF NURSING illustrates all that, but with an undertone of hope, pride, and strength.

To have a career that spans 50 years is impressing and daunting in itself, never mind having to deal with human suffering for all that time. Imagine the innovations that one would see, watching the field grow and develop! Adams starts with the beginning of nursing, as created by Florence Nightingale, and discusses how doctors would view these eager young women entering the field. She then ties that in with her own nascent desire to become a nurse, and describes her journey.

Patient care itself has not changed since the first nurse started doing her job; rather, it is the albatross of Health Insurance that has skewed how hospitals are run. The objectives are still the same; ease pain and suffering, provide a friendly face to those who worry about their loved ones, and advocate for those who have no voice.

Adams does all of these things and more – and tells how she tries to find joy in each day. One story that touched me a great deal was the gently used clothing bin she and other nurses created; for indigent patients whose clothing was soiled due to illness, or for those who simply didn’t have another change of clothes available. What a thoughtful thing to do – provide a basic human need at a time when it is needed the most.

As you read through this book, you will see that Adams is intent on keeping nurses in love with their job, by sharing her own struggles and solutions. Words of advice can be found on almost every page, with scenarios that show how Adams grew within her profession and how she overcame her own disillusionment. She is honest and open about her own strengths and weaknesses while telling us the lessons she has learned over the years. It is easy to see how each of her patients has touched her as their lives intersected.

The underlying intent of THE JOY OF NURSING is obvious – Adams has done a wonderful job of sharing the love she has for her calling – and the message comes through loud and clear. The blurb notes that it is good for either new nursing graduates or for those who are feeling disillusioned.

We all need a bit of encouragement now and then; and this book will certainly provide that for nurses. Who will heal the healers? Adams understands that advice from someone who has “been there” is invaluable. She gives the field of nursing a valuable and necessary gift in this book.

Want your own copy? You can pick it up [easyazon_link identifier=”0997200324″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

Patient H.M. by Luke Dittrich

September 20, 2016 / Kyle Wendy Skultety / 0 Comments

In 1953, a twenty-seven-year-old factory worker named Henry Molaison—who suffered from severe epilepsy—received a radical new version of the then-common lobotomy, targeting the most mysterious structures in the brain. The operation failed to eliminate Henry’s seizures, but it did have an unintended effect: Henry was left profoundly amnesic, unable to create long-term memories. Over the next sixty years, Patient H.M., as Henry was known, became the most studied individual in the history of neuroscience, a human guinea pig who would teach us much of what we know about memory today.

Patient H.M. is, at times, a deeply personal journey. Dittrich’s grandfather was the brilliant, morally complex surgeon who operated on Molaison—and thousands of other patients. The author’s investigation into the dark roots of modern memory science ultimately forces him to confront unsettling secrets in his own family history, and to reveal the tragedy that fueled his grandfather’s relentless experimentation—experimentation that would revolutionize our understanding of ourselves.

Dittrich uses the case of Patient H.M. as a starting point for a kaleidoscopic journey, one that moves from the first recorded brain surgeries in ancient Egypt to the cutting-edge laboratories of MIT. He takes readers inside the old asylums and operating theaters where psychosurgeons, as they called themselves, conducted their human experiments, and behind the scenes of a bitter custody battle over the ownership of the most important brain in the world.

Patient H.M. combines the best of biography, memoir, and science journalism to create a haunting, endlessly fascinating story, one that reveals the wondrous and devastating things that can happen when hubris, ambition, and human imperfection collide.

Many thanks to NetGalley for this ARC.

This book is more than a memoir; more than an expose of the lobotomy trade; more than a poignant tale of a man whose life was largely lived in the present moment. It’s an unsettling view of a medical procedure touted as something to make willful women “compliant” and violent men “placid”. The imagery of the procedure itself is even more eerie – the author describes the hippocampus as “being sucked up” by the vacuum used to perform the surgery. Implements such as a trephine drill, a scalpel, and forceps are used to obliterate parts of the brain responsible for making each of us human. Patients vomit or sing during the surgery, their brain sending out chaotic impulses. Afterwards, they are a shell of their former self, sometimes mute, dull, or forgetful.

Patient H.M. was the most intensively studied lobotomy “victim”, and his journey from epileptic to amnesiac is well chronicled here. Adding to the drama is that the grandfather of the author (Dr William Scofield) is the surgeon that operated on H.M.

There is backstabbing and intrigue within the medical community as well; one of H.M.’s fiercest protectors, neuroscientist Suzanne Corkin, may have destroyed much of her written notes on H.M., thereby casting a shadow over how much of her research was actually correct and reliable. It is mind boggling to learn about the amount of “experimentation” done on men and women, all in the name of advancing scientific knowledge. Consent at times was dubious, even after the Nuremberg Trials. The doctors thought they were doing the best for these patients, but as the author puts it, their hubris and audacity changed lives not always for the better.

Towards the end of the book, there is a section on H.M.’s actual thoughts on himself and his memory. He tries to put a positive spin on things, noting that always living in the present makes things interesting. I suppose you can’t miss what you never had; but I also was very deeply touched by the portrayal of this man who underwent a lobotomy because he was desperate to end his constant seizures. Was the quality of his life made better by suctioning out parts of his brain? That’s the gist of PATIENT H.M. – there are uncomfortable questions and sometimes dubious answers that make sense at times, but in actuality heinous, unspeakable deeds were committed against innocent people.

The author does a wonderful job of forcing the reader to consider these broken people as tragic creatures, unknowing fodder (sometimes referred to as “material”) for the surgeons who were all eager to try out this new and groundbreaking procedure.

Also broken are the main characters: the surgeon Scoville, the neuroscientist Corkin, and the brain researcher Jacopo Annese, who took possession of H.M.’s brain after the famous amnesiac died. After live streaming the dissection of the brain, there followed a volatile custody battle between Corkin and Annese over who was the “real” owner of the organ. Everyone wanted a piece of H.M. , either in life or death – and akin to Henrietta Lacks, he was never truly compensated for it.

I dare you to read this book and not be moved. PATIENT H.M. is educational, thrilling, and serves as a reminder of just how far medical science has come – and the depths it has gone to in order to reach this point.

You can pick up your copy [easyazon_link identifier=”0812992733″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].