Showing posts with label historical fiction. Show all posts
Showing posts with label historical fiction. Show all posts

9/26/2012

The Mystery of Breathing: A Novel Review

The Mystery of Breathing: A Novel
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The Mystery of Breathing works on a number of levels. The novel is unsurpassed as a piece of literary fiction, but it also works as an intellectually astute character study, a riveting thriller, and as an insight into the world of premature babies and the medical professionals who fight to save their lives. Klass peppers her narrative with short, sharp sentences and alternatively jumps between the past and the present; the result is a narrative that has an almost urgent and frenzied quality, fitting perfectly with the concurrent themes of ambition and career.
The main protagonist in the Mystery of Breathing is Maggie Claymore, a leading neonatologist at a busy Boston hospital. She's absolutely committed to her work - she works long hours, and fanatically assists in bringing the smallest and sickest babies back to life. Her loyal husband Dan, who also works as a doctor for the underprivileged, understands her commitment, and generally supports her in her endeavors.
Maggie is organized, disciplined, and reliable - "a neat person who needs her world to be neat." She's also an excellent, compassionate and ambitious practitioner, but she has a tendency to be egotistical, arrogant and "far too wedded to her own arguments." She thinks nothing of berating other doctors and inexperienced medical interns for being hesitant and not knowing enough about their job. The novel opens with her dramatic resuscitation of a premature baby, who teetered on the verge of death until Maggie's skill helps the tiny lungs take a breath. Then, in front of nurses and staff, she chews out a resident for not being more prepared for emergencies.
The same day she gets a malicious and hate-filled letter that vilifies her as being evil and self-satisfied. Soon letters blasting her competence and hinting at her responsibility in the death of a child are posted on walls around the hospital and are being sent to hospital officials. One evening, she returns to her office to find a bedpan full of someone's nasty diarrhea on her desk. Maggie's world of professional security and temerity begins to fall apart as the administrators hire a detective to frantically find the letter writer. But the damage is already done - her co-workers are whispering behind her back, and many of the colleagues start admitting that Maggie - determined to save every baby's life no matter the cost - is far too aggressive in reviving infants who will more than likely end up with brain damage or serious health problems.

Klass juxtaposes Maggie's modern dramas with a look back at her life as a child, and as a teenager where her religiously conservative, unfocussed mother, Annalisa tries to instill a "cramped and pinched life" into Maggie. Good friends who felt sorry for her poor and single state so carefully scrutinized Annalisa. But Maggie is an example of a modern woman who has reinvented herself, her home, her sex life, and her personal relationships. She realizes that she doesn't have to grow up to live the life in which she was raised and that she can pick and choose a life from "the great treasure chamber of the world."
Much of the narrative focuses on Maggie's internal life, and as the smear campaign gets worse, a conflict begins to rage within her. She finds herself asking why she's here and what she's feeling. Maybe her experiences in the neonatal unit will make her a more understanding person, aware of her own vulnerability and of the quirks and turns of fate. The Mystery of Breathing is a finely balanced, subtle novel that says a lot about the costs of career, the revelations of our hidden secrets, and the fear of being exposed. Mike Leonard November 04.


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9/10/2012

Scurvy: How a Surgeon, a Mariner, and a Gentlemen Solved the Greatest Medical Mystery of the Age of Sail Review

Scurvy: How a Surgeon, a Mariner, and a Gentlemen Solved the Greatest Medical Mystery of the Age of Sail
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This is a well-written, entertaining book. I read it mostly due to my interest in sea-faring and the "age of sail," as the author terms it. However, I found myself enjoying it just as much for the story it tells about the gradual discovery of a cure for a disease that crippled sea-faring nations for centuries. Particularly enlightening is the story of the bureacracy, the British Admiralty, that stubbornly ignored the potential cure, even as it suffered tremendous losses for its ignorance, and how vital privilege and influence is in challenging and changing such an establishment. The book's only minor flaw is that it focuses primarily on one country, Britain, without elaborating on how or why France or Spain failed to find a cause and a cure. I would recommend it highly.

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9/11/2011

Body Brokers: Inside America's Underground Trade in Human Remains Review

Body Brokers: Inside America's Underground Trade in Human Remains
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In graphic detail, Cheney explains the lucrative world of trade in bodies and body parts. What are corpses used for? - surgical training, anatomical studies in med schools and seminars (which I have participated in), human tissue grafts (bone, cartilage, heart valves, corneas) placed intra-operatively, forensic studies, accident re-enactments - legitimate uses that make us all better off. The jist of Cheney's book is the procurement process - shot full with questionable methods and unsavory characters.
The sale of bodies is illegal in the United States but "expenses" incurred in handling the body can be re-imbursed. When handled creatively, a corpse can run up quite an expense - say, $10,000 or even much more.
Some individuals or families donate their own or a loved one's body to a medical school, which then may - legally - pass (expense) this body on to a body broker. A funeral director may offer poor families free cremation as an incentive in return for consent to use the body for research. Of course, once the body goes to the body broker, the parts may eventually be disposed of by cremation, but the funeral director will have no way of tracking this information for the family. The body parts are piecemealed out to the highest bidders - usually legitimate users who have no idea or interest in where the parts came from. Neglecting to offer specific consent leaves the family in the dark as to how the body of their loved one was put to use.
Cheney masterfully exposes the unscroupulous practices surrounding this thriving underground industry, but she doesn't dwell on the benefits to society. To get this information, you might consider reading "Stiff," by Mary Roach. Auto-crash bodies have helped fine-tune seat belts and airbags. Crash dummies are fine, but there's nothing like a body. Some are allowed to rot under varied environmental conditions - rain, sun, hot or cold, with or without clothing, etc., for forensic research. I already mentioned uses by the education and health industries above, and in most cases, the body is used as needed, without regard for niceties. Some are dropped from airplanes to see what height of drop is required to rip off clothing.
How does this treatment differ from a body being cremated when the body, already abandoned by life (or the soul, if you please) has only symbolic value left for the family? That obviously depends on the family.
Cheney doesn't review potential solutions, but it seems to me this deserves ethical study. A good end result might be legalizing the sale of bodies under carefully developed ethical regulations. Informed consent with a specified range of body uses acceptable to the family might be spelled out. Prices always come down when an industry is legitimized, which would be a side benefit.
Cheney spent three years researching for her captivating book. Perhaps her efforts will pave the road toward adequate regulation and supervision of this necessary industry...I hope so.

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