[identity profile] ms-mmelissa.livejournal.com
I've been meaning to read this book since I first heard of it back in 2006, when it won the Giller beating out odds-on favourite De Niro's Game (which would go on to win the Booker). The reason it took so long for me to eventually get around to reading it was because it had two things against it: Bloodletting is a collection of short stories and everyone knows short story collections are a chore to plow through* and the stories were written by a doctor, who had set his stories in the medical community. The book sounded dreary and so I kept passing up chances to read it until finally, prompted by a desire to finish this challenge, and a second personal challenge to try and read all the Giller winners, I picked up the book.

Bloodletting is a bit unusual in that it is a short story cycle: the short stories are all loosely linked by four doctors, introduced in the first two stories: Fitz, Ming, Sri and Cheng. 

There is something here for everyone though the opening story How to Get into Medical School Part I was easily my favourite. How to opens with two University of Ottawa students struggling through finals. Ming and Fitz have been study partners, but they both feel their relationship deepening into something more. Ming is quick to put a stop to this, sighting a dedication to getting into medical school as a cause, though she is also put off by the fact that Fitz is white, something her Chinese family would never approve of.  Lam does a brilliant job of unfolding the delicate dance between Ming, who is all sensibility, and Fitz who is all sense as they try to deny their attraction at the same time as they give in to it. The story works completely on its own, but there is a great follow up How to Get into Medical School Part II, which is equally worth reading. 

However Lam has greater ambitions than to simply follow the personal dramas of his collection of doctors. As the book branches out the doctors become secondary characters and the patients begin to take over although this is brilliantly reversed as the book draws to a close as in later stories the doctors contract diseases themselves, slipping into the position of patient as they weaken and eventually die.

A gritty, interesting work, and a peak at the vulnerability of doctors who snap at patients, who go through the motions, who sometimes barely understand it is that they are doing.

*Sarcasm for all the times I have been told this. Once I started actually reading short story collections I realized I loved them, and the people who denounce them are usually people who have never read one in their life.
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[personal profile] pauraque
This book chronicles the history of cancer diagnosis and treatment from antiquity to the present day, and for being a fairly long book it was a damn quick read for me, because every bit of it was interesting. I was constantly looking for excuses to pick up the book and find out what would happen next. I learned an extraordinary number of things about cancer that I had no idea about before, particularly the latest theories on how it functions on a genetic level.

I have no medical background, but none was needed -- Mukherjee, an oncologist himself, has the gift of making science easy to understand without reducing it to vague analogies. Read more... )


a: Mukherjee Siddhartha, Indian-American, non-fiction, medicine
[identity profile] rachelmanija.livejournal.com
A fascinating, easily readable history of cancer, how people conceived of it, how they tried to cure it, and how all that changed society and science. Mukherjee is an oncologist, and salts the text with anecdotes about his own patients. (Those were great and I would have liked more of them.)

If you like pop science at all, this is a great example of it: educational, clearly written, both explaining things you always wondered about (why is there so much cancer nowadays?) and delving into issues it never occurred to you wonder about (how did we get from a time when the New York Times refused to print the words “breast” and “cancer” to marathons for a cure?) Mukherjee takes us from bone tumors found in ancient mummies, to the Persian queen Atossa who had a slave perform a mastectomy on her, to the genesis of “wars on diseases” and campaigning for funds and cures, to the beginnings of chemotherapy, to cutting edge genetic research. He brings all the personalities of the scientists, the politicians, the patients, and the (evil! evil!) tobacco company executives to vivid life.

I probably don’t need to mention that this book can be gross, upsetting, and disturbing, given the subject matter. (The section on radical mastectomies was especially nightmarish.) But if you can either deal with that or skim a bit, I highly recommend this.

The Emperor of All Maladies: A Biography of Cancer
pauraque: bird flying (Default)
[personal profile] pauraque
I used to work at a greeting card store that stood between a coffee shop and a smoothie place. We had a sign asking customers not to bring their drinks inside, because too many people had spilled them all over the cards, but often people didn't see the sign or ignored it.

One day a tall, well-dressed guy walked in with a drink, so I pointed out the rule and asked nicely if he would set the drink down while he looked at the cards. He glared down at me, and in complete seriousness and withering condescension, he said this:

"Do you actually think that *I*, a 40-year-old doctor, am going to spill my smoothie?"

I thought a lot about Dr. Never-Spills-His-Smoothie while I was reading The Checklist Manifesto, which is indeed about checklists, but is also very much about the dangers of arrogance, particularly among medical professionals.

Read more... )

(tags: a: gawande atul, indian-american, medicine)
[identity profile] tala-tale.livejournal.com
Hi, everyone! I've been lurking here for a bit, browsing reviews and recommendations -- so many things to explore! To start this off, I got a bunch of books from the library all at once, and have been reading them over the past three weeks or so. I haven't really kept track of the order in which I've read them, so I thought that where I've read multiple books by the same author, I'd group those together.

I loved all three of Gawande's books, and would highly recommend them (and have been) to pretty much anyone I can think of. Each one draws on Gawande's experiences as a surgeon to allow him to probe the intricate interplay of human fallibility and modern knowledge, not just in medicine but in any truly complex human endeavor. What I loved about Gawande's writing in all three books was the combination of his very down-to-earth and even-handed take on the real-world situations he describes and his probing, intelligent, often very philosophical examinations of the patterns of cause-and-effect that they reveal.

Brief reviews of all three books. )

While I think these three books would all stand alone just fine, I found that reading them in order allowed each one to build on the previous one, just as Gawande's experiences have built as he's moved from one to the next.

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