Category: Death and Dying (Page 3 of 3)

Internal Medicine by Terrence Holt

March 17, 2015 / Kyle Wendy Skultety / 0 Comments

A collection of essays about life as a surgical intern.

Terrence Holt, whose In the Valley of the Kings was hailed as a “work of genius” (New York Times) and made Amazon’s Top Ten Short Story Collections of the year, brings a writer’s eye and a doctor’s touch to this powerful account of residency.

Intense, ironic, heartfelt, and heartbreaking, these nine vivid stories put us at the bedside of a patient dying in a house full of cursing parrots, through a nightmarish struggle to convince a man that he has cancer, at a life-and-death effort to keep an oxygen mask on a claustrophobic patient, and in the lounge of a snowbound hospital where doctors swap yarns through the night.

Out of these “dioramas from the Museum of Human Misery”, Holt draws meaning, beauty, wonder, and truth. Personal, poignant, and meticulously precise, these stories evoke Chekhov, Maugham, and William Carlos Williams, admitting readers to the beating heart of medicine. Internal Medicine is an account of what it means to be a doctor, to be mortal, and to be human.

This book was on my “to-read” list, so I picked it up from the library. Attempts to reach the author for a review/giveaway copy were unsuccessful.

It only took a few pages for INTERNAL MEDICINE to become a great read. Told in the voice of a doctor, explaining how he handled difficult cases during his internship, this book is alternately chilling and poignant. The take away message is this: doctors have self doubt and fatigue just like everyone else, despite the brave front they put on.

Each chapter told the story of one patient, and how Holt learned from their situation. One lesson was patience, one was bravery, one was teamwork, and so on. Brilliant details and situations that everyone can identify with are what makes this such a moving and important read.

As I read about the woman whose oxygen saturation was dipping into the 80’s, yet she kept ripping her O2 mask off due to claustrophobia, I ferverently hoped I would never be ill and lingering in the hospital. The intimate details of how the human body betrays us all is what will stay with you, long after the book is finished. Holt’s writing style is easy to follow, and full of honesty.

Each chapter can be read as a stand alone, and I recommend that–for you will need time to digest the life lessons revealed with each patient’s final outcome. Holt does not hide his fear, his disgust, his anger, and his weariness. He exposes himself – and the entire medical profession – with stories that cannot help but touch your soul. What makes this book so wonderful is that the stories take place during his internship, where each moment is a learning experience and a doctor’s intuition is “make or break”. The spin on each chapter would be totally different if it was written under the guise of a man who was completely comfortable with his medical knowledge, with his ability to heal and comfort. Instead, there are questions and internal monologues, which make the doctor not larger than life, but truly human and with foibles.

The book can be graphic at times, so beware. Seasoned readers of the medical genre will enjoy it, as there are some things that I haven’t read about previously. The scenes and maladies are diverse, and there is a chilling story from a mental hospital thrown in for good measure. The only chapter I had a problem with was the last one: a seemingly out of place fable (told on a regular basis by doctors) about an incident that may or may not have taken place in real life–a rambling and unsatisfying tale told (in this case) by an older doctor in an on call room where others are trying to get some rest. I’m not sure why the author chose to end with this story, as it took the life out of the other eight chapters that went before. Other than that, I have nothing but praise for INTERNAL MEDICINE. This should be on the must read shelf for all those about to enter the medical profession.

Want your own copy? You can pick it up [easyazon_link asin=”0871408759″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here[/easyazon_link].

The Undertaker’s Daughter by Kate Mayfield

January 16, 2015 / Kyle Wendy Skultety / 0 Comments

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I received this ARC through NetGalley in exchange for this honest review.

Author Kate Mayfield tells us what it was like to grow up living above her family’s funeral home in Jubilee, Kentucky, in the 1970’s. The plot is simple but there are plenty of stories to fill the book. The author tells her story in first person, and the story spans years as she grows up and comes of age. In all honesty, I almost gave up about 25% of the way through: the first part of the book is slow going, almost Southern-treacle slow. Things happen, but there is not much interest generated, as dead bodies share the same amount of urgency as meals or talking to neighbors. The only reason I kept going with it was that I was stuck at work with nothing else to read, so I kept going in desperation.

I’m really glad I did. Somehow Mayfield gets out of first gear and her stories take on more energy. We come to realize that it’s not just about growing up above a funeral home and experiencing death on a daily basis–it’s about living with a sister with a terrible mental illness. It’s about learning that your father is human and fallible. It’s about discovering yourself at the same time that you find out how insidious discrimination can be, in a small town in the 70’s. It’s about secrets, large and small, and finally grasping that the one thing all dead people leave behind are secrets.

As the pages turn I followed Mayfield through the minefield of junior high, and her first crush. Her father’s actions are still nebulous until almost the very end of the book, when we finally find out why he befriended a dotty old woman that the town shuns, and where he really got that mysterious “war wound” . Mayfield stays true to herself, seemingly the only one with a strong head and firm sense of self, overshadowed as she is by a vague older brother, a psychotic older sister, and a mother who stays by her man no matter what wrongs are perpetrated (alcoholism, infidelity). I found Mayfield’s mother the most irritating character there, with her inflated sense of Southern gentility and lack of outward emotion. The author more than adequately describes the stifling atmosphere in her childhood home.

The ending is poignant, as she explains how things finally turn out after the death of her father and everyone goes their separate ways. I especially enjoyed how she explained her visit to her childhood home, formerly the funeral home, now renovated into an apartment building. I’ve always wanted to go back to my childhood home, and I think Mayfield nails the feeling:

Each time a door opened, I experienced something familiar, but it was like walking with a veil over my face.

The downstairs area, where the business of dying had taken place, was the most changed. One of the apartments downstairs was newly renovated and empty. I stepped onto the new carpet and admired the fresh paint job, then walked through a door into a closet or storage area, a small, narrow room with no windows. We couldn’t find the light switch and stood in almost complete darkness. In the silence a sudden shiver rippled up my spine, and then I knew. This was the embalming room. I was sure of it. I could scarcely breathe. As chilling as it was, it was the most peculiar and familiar feeling, the closest I had yet come to reexperiencing my childhood home.

The sound of the real estate agent’s keys brought me out of my trance and we left. I was shattered.

I recommend this book–move past the slower start and you will be rewarded. Want your own copy? You can pick it up [easyazon_link asin=”1476757283″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here.[/easyazon_link]

Smoke Gets In Your Eyes by Caitlin Doughty

January 13, 2015 / Kyle Wendy Skultety / 0 Comments

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Many thanks to the author, Caitlin Doughty, for gifting me this book in exchange for this honest review.

When I first learned this was published I knew I had to read it. As an almost-mortician (I was accepted into American Academy McAllister Institute of Funeral Service many years ago but never went) I really wanted to hear what Ms Doughty was going to say. Her writing is wry and emotional, and it’s easy for the reader to understand her quest to find out why death means so much to her.

The story starts out as she finds a job at a crematorium, then goes off to mortuary school in hopes of learning all she can about the funeral industry. Her motives are such that she wants to oppose the general business/embalming aspect of funerals and death; she believes in a “green” disposal, which may mean anything from cremation to being buried in the earth in a biodegradable container. Doughty feels that our attitude towards death is that of an ostrich in the sand; we prefer not to acknowledge it or prepare for it. This, she feels, is wrong. If you are able to come to terms with your eventual passing you will not have any fear, and it’s a healthier way of living.

The author illustrates this way of thinking in each of her anecdotes. Beware–this book is not for the faint of heart, as there is a good deal of description of dead bodies, what happens when you get cremated, and some near death experiences of Doughty’s. However, that does not overshadow the main thrust of the story; we can feel Doughty’s mistrust and discomfort at the funeral industry, and are able to learn why she thinks that way.

An incident that happened at a shopping mall when the author was younger sets the background for so much discussion of mortality: she watched and heard a young girl fall to her death from the second floor of a mall, and that stayed with her for many years. She developed tics and habits, to “ward off” death coming for her, and then realized that she could come to terms with it, as we all should. She feels that Americans especially are in denial about death, whereas in other parts of the world people are more comfortable; she illustrates this by including snippets of information on death and funerary customs around the globe, which I found interesting and enlightening.

Thinking about the end of your own life may seem depressing to you, but it is important that you get your affairs in order and not be afraid. It’s a lot easier said than done, but Doughty pleads her case well. She exudes a feeling of caring and encouragement, and hammers the point home that this is the one thing that brings us all together, no matter what race, color. creed or species you are.

I enjoyed the mix of humor and pathos in her writing, and would love to see something else in this vein. Doughty can be found at the Order of the Good Death online, and also has her own YouTube channel, known as “Ask A Mortician”. She is exactly what the funeral industry needs: an honest voice that demonstrates caring and empathy. I’d be honored to let Ms. Doughty handle my end of life care–would you? Read this book and let me know what you think. You can pick up your own copy [easyazon_link asin=”0393240231″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here.[/easyazon_link]