Showing posts with label Medicine. Show all posts
Showing posts with label Medicine. Show all posts

Monday, May 27, 2013

The Ghost Map, by Steven Johnson

The Ghost Map

Written by Steven Johnson, Narrated by Alan Sklar

Reason for Reading: Science, Religion, and History group read

Genre: Non-fiction - Medicine and History


Review
The Ghost Map follows Dr. John Snow on his quest to discover the cause of a terrible cholera outbreak in Victorian England. Johnson makes investigative epidemiology so interesting that I could almost see it dramatized (and fictionalized) into a TV show - people DO love their investigative TV! :) But that's beside the point, I guess. At the time of this outbreak in 1854, the popular theory for the spread of cholera was miasma - deathly air that carried disease. After a LOT of investigative footwork, Snow drew a map of the cholera outbreak, demonstrating that the pattern followed streets that led to a particular well (the Broad Street pump) rather than following a circular pattern you'd expect with the spread of bad air. This map, and the investigation leading up to its creation, revolutionized epidemiology. In fact, many consider Snow the "first epidemiologist." 

I really enjoyed this book. The writing was engaging (it had a few boring parts in the end when Johnson was describing the map in great detail - I think that may be a problem with listening to the audio book rather than actually reading it, though). The subject was fascinating. Sklar did a good job of narrating the book, and except for the very end with the description of the map, I was quite pleased with the book's audio version. If you have any interest in epidemiology, or the history of medicine, I highly recommend this book.

Tuesday, March 12, 2013

Mountains Beyond Mountains, by Tracy Kidder

Mountains Beyond Mountains

Written by Tracy Kidder, Narrated by Paul Michael

Reason for Reading: This was meant to be read for my Social Justice Theme in February, but things didn't work out quite as I'd planned. I finished the book in January, and haven't had the time to review it until now. :) Better late than never!

Review

In this moving biography of Paul Farmer, Tracy Kidder takes us on a world tour of medical missionary work. Farmer started his mission to save the world from tuberculosis one patient at a time in the slums of Haiti. Practically from scratch, he developed a clinic that would treat the poor. But Farmer not only treated his patients, he listened to them, he cared about each one with individual interest, and he provided food and supplies so that his patients wouldn't be saved from tuberculosis only to die of starvation.

As his mission in Haiti gained more and more momentum, Farmer's expertise on tuberculosis (especially antibiotic-resistant strains) became world-renowned. He was asked to help set up clinics in Peru. He worked with the health systems of prisons in Russia, where antibiotic-resistant tuberculosis was rampant. And he loved each and every patient, regardless of who they were. 

While describing the incredible non-stop work of Farmer, Kidder managed to make the doctor more human. I could imagine Farmer, cheerful despite sleep-deprivation shadows under his eyes, flying from one country to another in a worn-down suit that he would never have time to replace. From the book, it seemed that Farmer might pause for hours to have a heart-felt conversation with a patient, even while a room-full of self-important Harvard doctors awaited his arrival. I could empathize with Olivia, Farmer's old flame, who once felt a twinge of satisfaction to realize that Farmer was only human - she could annoy him. Being around someone like that must be exhausting. Kidder painted a brilliant man with limitless energy, unimpeachable morals, and the charisma to make his dreams a reality. I felt overwhelmed just listening to the book. :) I can't imagine what it must be like to work for him (or date/marry him). And yet, it's impossible for me to not admire him. 

I found this book fascinating not only because it was a description of an amazing man with a daring love for humanity, but also because I enjoyed learning more about the social/economic conditions of Haiti. The narrative flowed smoothly between Kidder's personal impressions of Farmer and Haiti to well-researched narratives of Farmer's life outside his work. 

I enjoyed Paul Micheal's narration of the book - though I have little to comment on his style of reading. It was one of those audiobooks that I was so absorbed in the story that I forget to be distracted by the narrator - which means Micheal must have done a good job. :)

Friday, February 1, 2013

Congo Dawn, by Jeanette Windle



Congo Dawn, by Jeanette Windle

Reason for Reading: This is my first (and feature) book for the 2013 Social Justice Theme Read. An ARC was provided by the publisher/author in exchange for an honest review. 


Review

When Robin Duncan takes on a security/translator contract in Democratic Republic of Congo, she doesn't expect all of her old wounds to open. Then she meets a man that she hoped to never see again, and she is reminded not only of her disappointment in humanity but also of the senseless death of her brother. Duncan must struggle inwardly with these issues while she maintains military efficiency in her team's efforts to capture a deadly insurgent leader. Soon, she learns that not all is as it seems - sometimes, good seems evil and evil seems good. Sometimes well-intentioned people can become monsters while fighting monsters. 

Most Christian Suspense I've read is fairly fluffy, so I was surprised (and impressed) with the meatiness of this plot. I found the intensity of the mercenary action against the insurgency convincing. Often, I found myself unable to put the book down for suspense. The romantic tension was delicious, and added emotional depth to the characters without distracting from the suspense plot. And, of course, I always find stories about social justice medical personnel heartwarming. I also learned a lot about the Democratic Republic of Congo while reading this book. Windle has done a lot of research to back up all aspects of her plot - and it really shines through.

The only con would be a con ONLY to people who specifically avoid Christian Fiction. At one point, the suspense is, well, suspended by a philosophical discussion about why God allows bad things to happen to good people. This discussion would be interesting to any reader of Christian Fiction (i.e. the target audience), and the philosophy is demonstrated in the story by action. For those of you who generally avoid Christian Fiction because you feel it is "preachy," I recommend that you give this book a try anyway. Yes, there is that short section, but the rest of the book is all philosophy-demonstrated-by-action. 

Overall, I really enjoyed this book. I am eager to read more of Windle's works now that I've had this taste. :) 

Saturday, December 1, 2012

Our Lady of Alice Bhatti, by Mohammed Hanif

2012 Book 162: Our Lady of Alice Bhatti 

Written by Mohammed Hanif, Narrated by Nimra Bucha 

Reason for Reading: Shortlisted for the Wellcome Trust Book Prize 




Review 
After spending over a year in a women's prison on some jacked up manslaughter charges, Alice Bhatti secures a job as a junior nurse in a Catholic hospital in the predominantly Muslim city of Karachi. There, she fights to salvage some amount of pride as she fends off roaming hands and gun-toting suitors. In the midst of this chaos, she manages to save a few lives. But is she performing miracles? Hanif's narrative has some truly beautiful moments, but I was left wondering: What's the point? There wasn't really a story-line...it was just a series of events. The scenery and characters supported the novel, but they lacked plot. This book was shortlisted for the Wellcome Trust book prize, and I understand why - it displays the woes of practicing medicine in a religiously-charged, seedy environment. I certainly have a better appreciation, now, for medical practitioners in neighborhoods like this. I was moved by the characters, but not enthralled by the story. 

Monday, October 29, 2012

The Poisoner's Handbook, by Deborah Blum

2012 Book 149: The Poisoner's Handbook 

written by Deborah Blum, narrated by Coleen Marlo

Reason for Reading: October Halloween theme

My Review

This fascinating book outlines the development of forensic science in the 1920's. It begins by describing the poor state of forensics the late nineteen-teens, and pointing out WHY it was so necessary to develop a proper procedure for determining cause of death. I've always taken such things for granted and never even thought about the effort it would take to develop the science--not only scientifically, but also as a social movement. Although the Prohibition theme resonates throughout the book, each chapter focuses on a different poison--including the background/development of the poison, the effects it has on the victim, and the measures taken by forensic scientists to discover cause of death. This book was fascinating on so many different levels. It's interesting as a Prohibition-era history, but it would also be interesting to lovers of popular science. Highly recommended for a little light reading.


Thursday, September 13, 2012

The Believing Brain, by Michael Shermer


2012 Book 133: The Believing Brain, by Michael Shermer (9/13/2012)

Reason for Reading This book is longlisted for the Wellcome Trust Prize which "aims to stimulate interest, excitement and debate about medicine and literature, reaching audiences not normally engaged with medical science."

My Review: 
 
In The Believing Brain Michael Shermer, the founder and editor of Skeptic Magazine, shows the reader how and why we believe. He begins the book with a discussion of religious beliefs, providing a few examples of life-altering religious (or irreligious) experiences, including his own. I found these stories engaging and enjoyed Shermer's philosophical discussion. Then Shermer defines "agenticity"--the tendency to assume patterns have meaning and intention (an outside agent) instead of seeing them as non-intentional or even random events. He describes the cellular mechanics of our brains and why we would have evolved "agenticity," and then provides many examples of how we see patterns even when they don't exist. This part was pretty funny. I enjoyed his examples. Shermer describes how we can become convinced that our own beliefs are accurate and unbiased, how confirmation bias leads to unconsciously ignoring data that contradict our ideas while noticing in minute detail all the examples in which the data confirm our ideas. This leads to a political discussion of liberals versus conservatives versus libertarianism (because, after all, we simply MUST hear about Shermer's libertarian beliefs!). The final third of the book describes the progress of scientific beliefs from world-is-flat to the multi-verse (again, Shermer inserts a commentary about what HE believes, which seemed a small digression from his main point). This third of the book also describes how the scientific method works. I found the final third of the book less interesting than the first two thirds. It seemed a little less organized than the first two parts, but that may have been because my mind was wandering since I was already familiar with the material he covered. In the end, this was a fun and interesting read, but nothing I'm going to read again. 

This is the first book I've read on the Wellcome Trust Prize longlist, so I can't say how it compares to the other books. I think it made medicine fun and interesting and would make medicine more accessible to fresh audiences. However, I think this book might not be the BEST choice because many people in the general public (at least in the US) are offended by skepticism. And Shermer expresses no qualms about his skepticism. Therefore, I think his message about medicine won't reach much of the general public because they will be too stuck on his "offensive" skepticism. Mind you, I'm not saying he WAS offensive, IMO. But I am only offended with skepticism when it is mixed with judgmental comments about those who believe. Shermer was very respectful of those who believe, he just poo-pooed their beliefs. ;)

Wednesday, July 18, 2012

Creativity: Maybe we should all just relax a little


While trying to catch up on my magazine reading, I came across Daydream your way to creativity..., by Richard Fisher (New Scientist 16Jun 2012, issue 2869)...another article pacing the well-trodden trail of creativity, which is a hot topic in neuroscience and psychology these days, and the subject of Jonah Lehrer's new bestseller Imagine. Scientists are currently trying to delve into the question: what makes some people more creative than others? The answer that most of them are settling upon: creative people are able to get insight by NOT concentrating...the more a person concentrates, the less capable that person is of making creative leaps. In fact, people with ADHD perform better at the "unusual uses task," in which people spend a given amount of time listing creative uses for a common object. Drunk people, who have poor concentration, are better able to solve puzzles that require creativity than sober people. People who are in a relaxed brain wave state are also more likely to solve creative problems

Maybe as that important deadline looms, it's better (for OH so many reasons) to relax a little instead of focusing continuously on our projects. Intuitively, I've always known this. When I want to write, or postulate scientific theories, I almost always lie down or have a nice warm soak in the tub if I'm at home. If I'm at work, I either pace while mumbling to myself or I lean back and stare blankly at a wall until inspiration hits. This works wonders for me (even if people at work often give me sideways glances, so I feel the need to hide). I do my most creative thinking when I'm letting my mind explore ideas on an unfocused road. I know many people who drink a beer or two whenever they're writing. Perhaps there's some merit in that. :) This article cements my mantra "rest and sleep is what I need." I think the world would be happier, more creative, and more productive place if people balanced work life with relaxation. Creativity is important for most careers that I can think of. So why does everyone work work work non-stop? Does it really get them where they want to go? One of my biggest pet peeves is overworking physicians (especially residents). If residents were able to come in to work well rested, perhaps that out-of-the-box diagnosis that had been eluding them will suddenly pop into place. People's lives are at stake! Why do we overwork our doctors to the point of losing productivity???

Ok, that was an aside--it's not at all where I planned on going with this blog, but I'll let my creative mind take me where it wants instead of following a formal outline today. :) I am VERY much looking forward to reading Imagine and to seeing many more studies on creativity in the months to come. 

Tuesday, May 1, 2012

The Genesis of Science, by James Hannam


2012 Book 34: The Genesis of Science, by James Hannam. (2/21/2012)

Reason for Reading: 75ers group read

My Review 3.5/5 stars
Hannam makes the argument that the development in philosophical thinking and study of the natural world in the middle ages is the cornerstone on which science was built during the later “scientific revolution” and that the role of the Catholic Church and medieval philosophy in the development of science is undervalued today. Hannam is a fantastic writer, in that he provides an engrossing history of the middle ages—especially providing interesting biosketches of the important philosophers of the time. Therefore, I recommend this book to popular readers of medieval history, history of science, or church history. However, Hannam’s book is not thorough enough to be considered a good academic history. He tends to provide the most interesting stories, ignoring the fact that some of his stories are controversial. Hannam also has a slightly defensive tone about the role of the Catholic Church during the middle ages. To most popular readers, I think the shortcomings of this book can be ignored, since it is a smooth and interesting read.

The Immortal Life of Henrietta Lacks, by Rebecca Skloot


2012 Book 14: The Immortal Life of Henrietta Lacks, by Rebecca Skloot (1/27/2012)

Wow, this was an awesome book! It discusses the life of Henrietta Lacks, the donor of the tumor that was used to develop the immortalized cell line HeLa. The narrative alternates between the story of Henrietta’s family and a scientific discussion of the HeLa’s huge contribution to modern medicine. This is by far the most human story of science/medicine I’ve ever read. Everyone should read it! Additionally, the audiobook won the Audie Award because of its excellent performance. 5/5 stars.

The Emperor of All Maladies, by Siddhartha Mukherjee


2012 Book 12: The Emperor of All Maladies, by Siddhartha Mukherjee (1/25/2012).

The Emperor of All Maladies is a sweeping “biography” of cancer covering archeological/ancient history to present-day. It is very well-informed, well written, and thorough. Definitely worth a read for anyone who is interested in the history of cancer or medicine. Well-deserving of the Pulitzer Prize it won in 2011. I think it was written with the popular reader in mind (he DOES tell us what DNA is at the beginning of the book), but the book quickly delves into terminology and topics that I suspect would be very heavy to someone who doesn’t already know a little about biology/medicine. This is especially true in the second half of the book. Mukherjee also is SO thorough that the book becomes extremely long, which is difficult for those of us with a short attention span. Also, I got great amusement out of his formulaically inserted personal patient pieces. It was good that he had them (they broke up the difficult scientific passages) but I could tell that they were written by a scientist and not a journalist (i.e. they were comprised of literal rather than emotive descriptions). Being a scientist myself, this made me chuckle (alas! an emotion). However, I think the personal patient pieces were interesting and elicited enough emotion to engage the readers. They worked for me, anyway. 4/5 stars.