Category: Medical (Page 2 of 7)

CABIN FEVER by Michael Smith & Jonathan Franklin

June 21, 2022 / Kyle Wendy Skultety / 0 Comments

The true story of the Holland America cruise ship Zaandam, which set sail with a deadly and little-understood stowaway—COVID-19—days before the world shut down in March 2020. This riveting narrative thriller takes readers behind the scenes with passengers and crew who were caught unprepared for the deadly ordeal that lay ahead.

In early 2020, the world was on edge. An ominous virus was spreading on different continents, and no one knew what the coming weeks would bring. Far from the hot spots, the cruise ship Zaandam, owned by Holland America, was preparing to sail from Buenos Aires, Argentina, loaded with 1,200 passengers—Americans, Europeans and South Americans, plus 600 crew.

Most passengers were over the age of sixty-five. There was concern about the virus on the news, and it had already killed and sickened passengers on other Holland America ships. But that was oceans away and escaping to sea at the ends of the earth for a few weeks seemed like it might be a good option. The cruise line had said the voyage (three weeks around the South American coastline to see some of the world’s most stunning natural wonders and ancient ruins) would carry on as scheduled, with no refunds. And it would be safe.
Among the travelers there is a retired American school superintendent on a dream vacation with his wife of fifty-six years, on a personal quest to see Machu Picchu. There is an Argentine psychologist taking this trip to celebrate her sixty-fourth birthday with her husband, though she finds herself fretting in her cabin on day one, trying to dismiss her fears of what she’s hearing on the news. There is an Indonesian laundry manager who’s been toiling on Holland America cruise ships for thirty years, sending his monthly paycheck to his family back home.

Within days, people aboard Zaandam begin to fall sick. The world’s ports shut down. Zaandam becomes a top story on the news and is denied safe harbor everywhere. With only two doctors aboard and few medical supplies to test for or treat COVID-19, and with dwindling food and water, the ship wanders the oceans on an unthinkable journey.

Thanks to NetGalley and Doubleday Books for this review copy!

CABIN FEVER is an amazing, scary, well-written book about the pariah cruise ship Zaandam, one of the last ships to depart before the Covid-19 pandemic forced a worldwide lockdown. The book follows a few passengers’ stories as well as some of the crew’s; these are told with humanity and a lot of detail. Reading about the passengers’ confinement to their cabins made me feel as claustrophobic as they must have been.

I have never been on a cruise ship, so I found the descriptions of the inner workings of one fascinating. There was a portion of the book noting how much food and beverages are needed on a cruise; over 40,000 eggs, pallets of bottled water, etc. The sheer size of the ship amazed me; I marveled at all the activities that were a regular part of a cruise. Some of you might find the detail gratuitous, but I was enthralled. (I will say that after reading CABIN FEVER I will never go on a cruise; one of my nightmares is being stuck out at sea like the Zaandam was.)

Authors Smith and Franklin did a wonderful job of moving between passengers and crew as their stories were told. It was easy to feel sorry for them as they were shuttled back and forth from port to port, looking for a friendly place to dock. The tension ratchets up as the book goes on, people are getting sick(er) and the Zaandam turns into an exiled Covid vessel.

Even if you had followed the story on the news and know how everything turned out, the authors create a layer of human interest that makes you hang on every word – will your favorite characters get sick, or die? The behind-the-scenes inclusion of the diplomatic struggles are epic, strings are pulled, favors are called in, yet everything continues to be a struggle for the beleaguered ship.

Also emphasized is the abject fear of Covid – these events take place as the virus rapidly spreads around the world; humanity closes ranks and eyes others (especially foreigners) as personae non gratae – virus vectors. The fear is palpable as more people get sick, both on and off the ship. As I kept reading, my own fears came flooding back as I remembered the onset of this emerging disease. We have come so far from those days; a lot of people have taken their masks off due to “Covid fatigue” while others are super cautious and may still be wearing double masks and stocking up on supplies in case of another lockdown.

CABIN FEVER is one of the best books I’ve reviewed this year. It reads like a fictional suspense novel, made more riveting because it’s all true. The authors’ style makes the reading easy as the story flows seamlessly by. The story held my interest as the plot moved between the crew, the passengers, and the massive ship itself. I urge you to grab this book right away. I loved it!

You can pick up a copy here.

VIROLOGY by Joseph Osmundson

June 7, 2022 / Kyle Wendy Skultety / 0 Comments

A leading microbiologist tackles the scientific and sociopolitical impact of viruses in twelve striking essays.

Invisible in the food we eat, the people we kiss, and inside our own bodies, viruses flourish—with the power to shape not only our health, but our social, political, and economic systems. Drawing on his expertise in microbiology, Joseph Osmundson brings readers under the microscope to understand the structure and mechanics of viruses and to examine how viruses like HIV and COVID-19 have redefined daily life.
Osmundson’s buoyant prose builds on the work of the activists and thinkers at the forefront of the HIV/AIDS crisis and critical scholars like José Esteban Munoz to navigate the intricacies of risk reduction, draw parallels between queer theory and hard science, and define what it really means to “go viral.” This dazzling multidisciplinary collection offers novel insights on illness, sex, and collective responsibility. Virology is a critical warning, a necessary reflection, and a call for a better future.
About the Author:
Joseph Osmundson is a professor of microbiology at New York University. His work has been published in leading biological journals including Cell and PNAS and in the Village Voice, Gawker, the Feminist Wire, and elsewhere. He lives and works in New York City.

Thanks to NetGalley and W.W. Norton for this ARC for review. I was quite excited to read this book, and I ended up quite disappointed. This was a DNF for me, 14% in. The beginning seemed disingenuous as the author kept mentioning “queer” this and that. To me it seemed like he was pushing a gay agenda on the reader even before the book started. I am certainly not a foe of gay or trans people (one of my best friends is trans) but I was expecting a science book, not a diary of a gay man with some mentions of DNA, Covid and Ebola thrown in here and there.

There was also a mention of one of the author’s first sexual experiences in the first few pages of the book. Again, I am not a prude, but I truly don’t believe fellatio belongs in a book claiming to “tackle the scientific….impact of viruses”. The style is not “buoyant prose”, it’s a mishmash of personal stories that are vaguely connected with viruses, by the thinnest of threads.

The author also notes that viruses come out of us in our “piss and shit”. WHY?? Why is this not written using proper scientific words such as urine and feces? This attempting-to-be-glib is so heavy handed.

Yet another sentence starts out with “Even if I were straight, God forbid…” which nearly caused the DNF right there. But no, I kept on struggling along. This interweaving of sexuality and viruses continued to be harsh and disconcerting, as it read more like a diary than a science book.

The final blow to my reader’s sensibility came when the author talks about how he wanted to contract AIDS to be closer to a man he was in a relationship with, for him to acknowledge their togetherness to the public. Or something like that. I stopped reading right in the middle of that sentence and shut down my Kindle. I had wasted enough time. That is time I will never get back.

Sorry for the straight talk, but this is an honest review. Those of you who seek to learn more about viruses should pass this by and read Richard Preston or one of these five books. I include the link here for those readers who might actually find this book an enjoyable read. You can pick up your copy here.

LAST RITES by Todd Harra

May 3, 2022 / Kyle Wendy Skultety / 0 Comments

The Untold Story of American Funeral and Mourning Traditions

Why do we embalm the deceased? Why are funerals so expensive? Is there a reason coffins are shaped the way they are? When—and why—did we start viewing the deceased? Ceremonies for honoring the departed are crucial parts of our lives, but few people know where our traditional practices come from—and what they reveal about our history, culture, and beliefs about death. In Last Rites, author Todd Harra takes you on a fascinating exploration of American funeral practices—examining where they came from, what they mean, and how they are still evolving.
Our conventions around death, burial, and remembrance have undergone many great transitions—sometimes due to technology, respect for tradition, shifting sensibilities, or even to thwart grave robbers. Here you’ll explore:
• Influences for American rituals—from medieval Europe, the Roman Empire, and even ancient Egypt
• When mourning fell out of fashion—and how George Washington’s passing brought it back
• Abraham Lincoln’s landmark funeral and its widespread impact
• Flowers, liquor, mourning gifts, and caskets—the reasons behind our grieving customs
• Unknown soldiers—how warfare influenced funeral and bereavement practices … and vice versa
• How growing populations, religion, inventions, and media have changed and continue to shape our traditions
• The future of our death rites—mushroom suits, green burial, body donation, flameless cremation, home funerals, and more
The rich story of the American funeral is one of constant evolution. Whether you’re planning a funeral service or are simply intrigued by the meaning behind American burial practices, Last Rites is an informative and compelling exploration of the history—and future—of the ceremonies we use to say farewell to those who have departed this world.
The rich story of the American funeral is one of constant evolution. Whether you’re planning a funeral service or are simply intrigued by the meaning behind American burial practices, Last Rites is an informative and compelling exploration of the history—and future—of the ceremonies we use to say farewell to those who have departed this world.

Thanks to NetGalley and Sounds True publishing for giving me this ARC to review!

Todd Harra is an excellent writer and extremely knowledgeable about the funeral industry. LAST RITES is not his first book; he has written multiple books about the funeral business and (interestingly enough) some mystery books with an undertaker as the main character. I’ll be checking those out quite soon! You can find the first book on Amazon.

I have always been fascinated about death and funerals – when I was in high school, I was early accepted to the McCallister Academy of Mortuary Science. The only thing that stopped me from attending was an interaction between me and a funeral director (who was the only woman in my town to own her own business) I approached her for some information and offered to work there, like an externship. I would set up the rooms, clean, etc., and possibly watch an embalming or two just to see what the business was really like. She was quite rude and told me not to bother going to school, since I didn’t have “family in the business” I would never make it. She went on to say that no one would hire me because I was an outsider, not part of a funerary family. I was young and I took her words to heart and chose a different career path. It’s ironic that now, most funeral homes are owned by a corporate entity and employ staff with all kinds of backgrounds…family “in the business” is no longer an issue.

So, back to LAST RITES. The author takes us through the history of everything funerary, from early funeral customs during Egyptian times to the present as well as embalming, mourning customs, burial procedures (especially interesting is the “alarms” that bodies were buried with, in case the person inside the coffin was not truly dead (!), the evolution of hearses, and superstitions surrounding death and dying. There is enough substance for both serious students and curious laypeople to enjoy. There is the occasional yucky detail but not enough to make the book a struggle to read.

The author made this book very information-dense; it can be overwhelming if you choose to read it over the course of a few hours. I preferred to limit my intake to 30-45 minutes, as it helped me to really absorb the details and/or look up more information on a subject that I wanted to learn more about. There are footnotes at the end of every chapter, which helped me to gain a new level of understanding to what was written in the body of the book.

What I liked most about LAST RITES is that there were enough nuggets there to complement the knowledge I had already. The author gives a lot of detail and examples to make the book a multi-layered approach towards death customs and the like. At times it did read like a textbook, but the information needed to be written in such a way to include the level of detail I mentioned above. The author’s style makes it easy to read, which is a blessing considering the ultra-serious subject matter. The United States perpetuates the avoidance of death and dying, which is a shame considering everyone must deal with it eventually. Perhaps LAST RITES will help shed some light on the history of this long-standing profession and help people make informed end-of-life decisions.

I thoroughly enjoyed reading this book! You can pick up your copy here.

SPARE PARTS by Paul Craddock

April 5, 2022 / Kyle Wendy Skultety / 0 Comments

Paul Craddock’s Spare Parts offers an original look at the history of medicine itself through the rich, compelling, and delightfully macabre story of transplant surgery from ancient times to the present day.

How did an architect help pioneer blood transfusion in the 1660’s?
Why did eighteenth-century dentists buy the live teeth of poor children?
And what role did a sausage skin and an enamel bath play in making kidney transplants a reality?

We think of transplant surgery as one of the medical wonders of the modern world. But transplant surgery is as ancient as the pyramids, with a history more surprising than we might expect. Paul Craddock takes us on a journey – from sixteenth-century skin grafting to contemporary stem cell transplants – uncovering stories of operations performed by unexpected people in unexpected places. Bringing together philosophy, science and cultural history, Spare Parts explores how transplant surgery constantly tested the boundaries between human, animal, and machine, and continues to do so today.
Witty, entertaining, and illuminating, Spare Parts shows us that the history – and future – of transplant surgery is tied up with questions about not only who we are, but also what we are, and what we might become.

Thanks to St. Martin’s Press and NetGalley for this ARC! The subtitle of this book is: The Story of Medicine through the History of Transplant Surgery. There is minimal gore (there are a few exceptions) and a great deal of history. The first chapter starts in the 1500’s and starts out with “Skin” and ends in the 1960’s with “Organs” and “Transplant Future”. The book also includes illustrations that add another dimension to the written word.

I always love when a book piques my interest so much that I Google the subject to learn more. SPARE PARTS does just that. One of the more…interesting… items was an old YouTube video of disembodied parts living outside the body of deceased dogs. The film was made in 1940 and is found under the title of “Experiments in the Revival of Organisms”. The highlight (?) of this film is a disembodied dog head reacting to stimuli as it is kept “alive” by an artificial heart and lungs. Not for the faint of heart.

I was totally unaware of the history behind transplants, so reading this book was quite intriguing. Apparently tooth transplants were all the rage in the late 1600’s, with poor children selling their teeth to be transplanted into the mouths of the wealthy. It was poignant to think that the only items of value that those poor children had were their teeth. The book makes note that they were quite eager to sell their dentition in order to make money so they could eat. I am not sure how satisfying meals were, having to consume their food with minimal or no teeth in their mouth.

The book also discusses blood transfusions between humans and animals, and kidney/heart/organ transplants. There is a great deal of history along with the author’s thoughts on the subjects. SPARE PARTS is written well, in a way that a reader with no medical background will understand. Those with a medical background will enjoy it as well, as the history aspect may add another layer to their knowledge.

I enjoyed reading SPARE PARTS so much, as it taught me more of the historical aspect of transplants and how the practice has evolved over the years. It is always amazing to read about how physicians practiced hundred of years ago, and what they thought about the workings of the human body.

If you are interested in learning more about the unusual history of transplant surgery I definitely recommend this book. Well written and quite interesting!

You can pick up your copy here.

The Remarkable Life of the Skin by Monty Lyman

March 10, 2020 / Kyle Wendy Skultety / 0 Comments

Providing a cover for our delicate and intricate bodies, the skin is our largest and fastest-growing organ. We see it, touch it, and live in it every day. It is a habitat for a mesmerizingly complex world of micro-organisms and physical functions that are vital to our health and our survival. It is also a waste removal plant, a warning system for underlying disease and a dynamic immune barrier to infection. One of the first things people see about us, skin is crucial to our sense of identity, providing us with social significance and psychological meaning. And yet our skin and the fascinating way it functions is largely unknown to us.

In prose as lucid as his research underlying it is rigorous, blending in memorable stories from the past and from his own medical experience, Monty Lyman has written a revelatory book exploring our outer surface that will surprise and enlighten in equal measure. Through the lenses of science, sociology, and history—on topics as diverse as the mechanics and magic of touch (how much goes on in the simple act of taking keys out of a pocket and unlocking a door is astounding), the close connection between the skin and the gut, what happens instantly when one gets a paper cut, and how a midnight snack can lead to sunburn—Lyman leads us on a journey across our most underrated and unexplored organ and reveals how our skin is far stranger, more wondrous, and more complex than we have ever imagined.

Thanks to NetGalley for this review copy!

Our skin is our largest organ – a fact that is often overlooked. Author Monty Lyman strives to put our skin front and center in this book. Each chapter covers a different aspect of what a marvelous organ our external covering is, from scientific to religious. The author discusses tattoos, skin conditions such as psoriasis, and discrimination based on skin color.

I found the medical portions to be the most interesting; I learned more about lice than I ever planned to. Despite the jargon, this section of the book is easily comprehended, aided by drawings that illustrate the author’s point.

We also learn about how sunburn affects us, why itches are so maddening, and exactly how many microscopic parasites live on us, no matter how clean we are. Each chapter builds upon the previous ones, creating a thorough picture of our skin and why it is so amazingly unique.

Lyman uses anecdotes and history to supplement his writing. He also is unafraid to discuss uncomfortable topics such as racism and lepers, which I found refreshing. I learned a lot about the misinformation surrounding lepers, plus I enjoyed the philosophical leaning during the chapter on racism based on skin color. He even takes a detour into religion, noting that some beliefs require covering most of the skin, while others worship “skyclad” (naked). Despite our differences, our outer covering makes us the same, and you will understand that better once you finish THE REMARKABLE LIFE OF THE SKIN.

I have a new respect for my skin now that I have finished this book – I bet you will too! You can pick up your copy here.

The Truth About Animals by Lucy Cooke

January 28, 2020 / Kyle Wendy Skultety / 0 Comments

Mary Roach meets Bill Bryson in this “surefire summer winner” (Janet Maslin, New York Times), an uproarious tour of the basest instincts and biggest mysteries of the animal world

Humans have gone to the Moon and discovered the Higgs boson, but when it comes to understanding animals, we’ve still got a long way to go. Whether we’re seeing a viral video of romping baby pandas or a picture of penguins “holding hands,” it’s hard for us not to project our own values–innocence, fidelity, temperance, hard work–onto animals. So, you’ve probably never considered if moose get drunk, penguins cheat on their mates, or worker ants lay about. They do–and that’s just for starters. In The Truth About Animals, Lucy Cooke takes us on a worldwide journey to meet everyone from a Colombian hippo castrator to a Chinese panda porn peddler, all to lay bare the secret–and often hilarious–habits of the animal kingdom. Charming and at times downright weird, this modern bestiary is perfect for anyone who has ever suspected that virtue might be unnatural.

Thanks to NetGalley for this review copy!

This book reads like it was written by the love child of Charles Darwin and Mary Roach. There is humor, pathos, and animal facts aplenty. The author’s writing style is easy to read and captured my attention immediately. The love Cooke has for these beasties is obvious from the start. Hopefully, given the facts, others will learn to appreciate these maligned characters that occupy the animal world.

Each chapter is devoted (lovingly) to a misunderstood animal, where we find myths debunked through modern science. The reader will learn about sloths, bats, and hyenas, to name a few. The author will discuss how the animals were experimented on/studied over hundreds of years (Who knew that Aristotle was a proponent of spontaneous creation?) then we get to modern times, where myths are debunked and the many reasons to love these animals are revealed.

Some of the experiments detailed can be a bit gory, such as when, in the 18^th century, the Catholic priest Lazzaro Spallanzani practiced blinding bats to find out how they managed to find their way around in darkness. (He also coated them in varnish for another experiment, but I digress). Other tales are edifying and satisfying, such as:

It may sound suspiciously like bogus medieval folk medicine, but from the 1940s through the 1960s the world’s first reliable pregnancy test was a small, bug-eyed frog. When injected with a pregnant woman’s urine, the amphibian didn’t turn blue or display stripes, but it did squirt out eggs 8-12 hours later to confirm a positive result.

Cooke’s book is full of factoids like that one. How can you not love this book? You will learn, you will laugh, and you will be full of obscure information. That sounds like a winner to me.

Yes, you want your own copy and can pick it up here.

The Body by Bill Bryson

October 15, 2019 / Kyle Wendy Skultety / 0 Comments

In the bestselling, prize-winning A Short History of Nearly Everything Bill Bryson achieved the seemingly impossible by making the science of our world both understandable and entertaining to millions of people around the globe.

Now he turns his attention inwards to explore the human body, how it functions and its remarkable ability to heal itself. Full of extraordinary facts and astonishing stories The Body: A Guide for Occupants is a brilliant, often very funny attempt to understand the miracle of our physical and neurological make up.

A wonderful successor to A Short History of Nearly Everything, this book will have you marvelling at the form you occupy, and celebrating the genius of your existence, time and time again.

Thanks to NetGalley for this ARC!

Did you ever wonder how many times a day you blink? Or who invented the calorie and why we are so obsessed with counting them? These answers and a multitude of others can be found in THE BODY, a wonderfully wry book of facts and stories about, well, the body we occupy. Each chapter is devoted to one of the body’s systems (the gut, the nervous system, as well as sleep and the function of glands, etc) so as to build upon the last chapter’s information. Here’s an interesting factoid from the food chapter: fruits have been genetically manipulated to be sweeter than they were hundreds of years ago. The author purports that apples in Shakespeare’s day were no sweeter than today’s carrots.

I’m trying to decide whether Bryson’s droll wit or the abundance of information about our body is the best part of the book. You will end up learning things without even trying – there isn’t any deep scientific talk so you don’t need a degree in biology to easily read this book.

There isn’t a plot so much as a description of the body part, its function, and then facts and history about it. For example, in the chapter entitled “Gut” we learn how our digestive system works, then we learn about E. coli and other dangerous microbes, there is a bit about food safety, and then it’s 1822 and we are reading about an unfortunate accident that left a hole in a fur trapper’s stomach. This fur trapper eventually became something of a living experiment due to the injury (Google “Beaumont and St Martin” for more details if you wish).

This was an illuminating and droll read – one of the better books I have read this summer. Run, don’t walk to get your copy! You will be thoroughly enlightened and entertained, and even a bit grossed out – in a good way.

You can pick up your copy here.

Mother Knows Best by Kira Peikoff

September 10, 2019 / Kyle Wendy Skultety / 0 Comments

A mother’s worst nightmare, a chance at redemption, and a deadly secret that haunts a family across the generations.
There’s only room for one mother in this family.
Claire Abrams’s dreams became a nightmare when she passed on a genetic mutation that killed her little boy. Now she wants a second chance to be a mother and finds it in Robert Nash, a maverick fertility doctor who works under the radar with Jillian Hendricks, a cunning young scientist bent on making her mark—and seducing her boss.

Claire, Robert, and Jillian work together to create the world’s first baby with three genetic parents—an unprecedented feat that could eliminate inherited disease. But when word of their illegal experiment leaks to the wrong person, Robert escapes into hiding with the now-pregnant Claire, leaving Jillian to serve out a prison sentence that destroys her future.

Ten years later, a spunky girl named Abigail begins to understand that all is not right with the reclusive man and woman she knows as her parents. But the family’s problems are only beginning. Jillian, hardened by a decade of jealousy and loss, has returned—and nothing will stop her from reuniting with the man and daughter who should have been hers. Past, present—and future converge in a mesmerizing psychological thriller from acclaimed bestselling author Kira Peikoff.

Thanks to NetGalley for this ARC!

There is science. There is suspense. There is drama. There is also an important element that makes this fiction seem closer to non-fiction.

Claire wants another baby and is willing to go to great lengths to make, I mean to have, one. Against her husband’s wishes, she goes to see fertility specialist Robert Nash. Using a top-secret plausible-in-real-life-sort-of technique, Claire becomes pregnant with Abby, who is considered a “frankenbaby” after Claire’s secret is uncovered. The story jumps back and forth from the POV of Claire, Abby, Nash, and Nash’s assistant Jillian. This technique lets us see each character’s perspective and motivation (be aware, not all of them are altruistic).

The mix of science and family dynamics was done perfectly, and the bad guys are eminently hateable. As I mentioned before, the procedure to create a baby using multiple people’s sperm/eggs seems within reach. This made the book dramatic without focusing on obviously fake science.

As the author shares the character’s flaws and desires, she illustrates the desire to have and protect a child in a poignant and accurate manner. She is adept at creating psychological suspense that appears real, not overly histrionic. Except for the science and the “three-parent creation”, each character’s emotions add to the plot and support the action. Abby behaves exactly the way a kid her age would, exploiting her computer savvy and using the Internet to find answers.

There were a couple of twists in the book, one that seemed obvious and another that was a shocker. I feel there is enough going on to get the reader hooked and wanting to get to the end to see how things turn out. Things get tied up kind of quickly in the end but it was satisfying. If the author continues with her science-backed plots I’ll definitely pick up her next novel.

Want your own copy? You can pick it up here.

The Pain of Suicide by Dr Jo-Ann Rowland

August 6, 2019 / Kyle Wendy Skultety / 0 Comments

Every suicide is an individual tragedy whose origins challenge our mental capacity. Suicide is a global phenomenon. Each year there are over 800,000 reported suicides worldwide and that is expected to increase to over 1.5 million by 2020. More people attempt suicide than die from suicide. Family-member survivors and communities are left with many unanswered questions, not understanding why the person chose to commit suicide. Persons responding to suicide and suicide attempts are very often not prepared for what they encounter and this exacerbates the problem. This book looks at the struggles of a high-risk people group and presents interventions and postventions proffered in a consultation forum.

Thank you to Authoright for this ARC!

Dr Rowland’s concern for those lost to suicide is evident in this well-researched book. She concentrates on the suicide rate in Guyana, South America, since this little country had the highest number of suicides in 2012 and 2014. Further into the book she examines some insights into the suicidal mind, the effect of religion on those who want to kill themselves, and a discussion of “psychache”, the ongoing mental, emotional, and psychological emotions experienced by suicidal people.

Regarding Guyana, suicide has historically been a part of the Indian experience, with an average yearly number of about 123,000. There are various predisposing factors, such as culture and sociology, which the author explores further in other chapters.

Hopelessness and suicidal ideation are common threads amongst all races, with the thought being that counseling (both for the depressed person and bereavement) would be helpful. The stigma and grief are nearly unbearable, and the act should not be glamorized. Regarding this last statement, the World Health Organization created guidelines for media reporting of suicides such that a phenomenon called “suicide contagion” does not occur. These guidelines include not placing blame, calling the act “completed” rather than “successful”, and highlight alternatives to suicide. These may appear obvious, but there are stories in the book where friends and relatives seemingly ignored or didn’t understand multiple warning signs given off, and someone died as a result of this.

Dr Rowland’s research was conducted through meetings with both relatives of, and survivors of, suicide attempts. Her goal was to determine why the suicide rate in Guyana was so high and to see if she could make a difference in this number. Transcripts of her meetings were also analyzed independently by two Guyanese, who applied both cultural and academic reason to their analysis. Intervention strategies were discussed by a panel of doctors and social workers after the research findings were examined. Some of these intervention strategies included community care groups, parenting/coping skills, school-based programs, and the establishment of drug courts. This last item is quite important, for pesticides and drugs are used as a method for suicide. Many Guyanese are farmers and have ready access to agricultural chemicals.

Reasons discovered for suicide included depression, substance abuse, and family dysfunction. Family conflicts arose out of cultural differences between children and parents, or marriages where the husband did not support his wife adequately. Guyanese families are structured around the patriarchal system, and “culture shock” can occur when mothers need to work to support the family and the children are left alone with no caregivers.

Suicide survivors expressed the pain of being misunderstood and unsupported by parents or family. There is also a stigma so forceful that one parent “self-discharged” her minor child, claiming the embarrassment of the attempt was too much for the family to bear.

The author concludes that lack of coping skills devalues the meaning of life, and drive these hurting individuals to seek “peace” via suicide. The reasons are the same no matter what country one is from, and there is heartache (or psychache) within every culture.

Dr Rowland has set up an organization in Guyana called Ephrathah, built specifically to engage those who are hurting. Counseling and persona development programs are offered to help reach those who are in despair, regardless of ethnicity or community status. I feel this organization will go a long way to help these vulnerable individuals.

I commend Dr Rowland for giving of her time and interest so freely. She is truly a caring soul who is seeking to mitigate suicidal ideation not only in Guyana, but all over the world. Her research can be translated into any culture in any country and needs to serve as a wakeup call to those who may have suicidal friends or relatives. Mental health can be a challenge at any age or stage, and we must all be willing to give that extra attention to someone who is depressed or hurting. That little bit may go a long way in saving a life. Please take the time to read this book and understand more about suicide. You can get your copy here.

Pill by Robert Bennett

March 28, 2019 / Kyle Wendy Skultety / 0 Comments

Object Lessons is a series of short, beautifully designed books about the hidden lives of ordinary things.

“You are what you eat.”

Never is this truer than when we take medications—from beta blockers and aspirin to Viagra and epidurals— especially psychotropic pills that transform our minds as well as our bodies. Meditating on how modern medicine increasingly measures out human identity not in T. S. Eliot’s proverbial coffee spoons but in 1mg-, 5mg-, or 300mg-doses, Pill traces the uncanny presence of psychiatric pills through science, medicine, autobiography, television, cinema, literature, and popular music. Ultimately, it argues that modern psychopharmacology reveals a brave new world in which human identities—thoughts, emotions, personalities, and selves themselves—are increasingly determined by the extraordinary powers of seemingly ordinary pills.

Object Lessons is published in partnership with an essay series in The Atlantic.

Thanks to NetGalley for this ARC!

This short read was at once chilling and informative. The statistics alone will make you stop to think: are you one of the 5 US adults who uses a drug for a psychiatric problem? Are you on a “cocktail” of drugs to manage your condition? If you are not, certainly someone around you is on psychotropic medication.

The first 5 chapters are reserved for discussions of drugs such as Lithium, Prozac, and Adderall. The last portion describes the author’s personal experiences of manic times, complete with eye-opening photos of what his journal looked like while in the grip of mania (omg!) and when he returned to a more stable state.

As I read on, I became concerned with the writer’s sentiment. I suffer from depression and was quite stable until about a year ago. My medication stopped working and I have been trying different ones, hoping for one to work so I can be happy again. Reading about how many “cocktails” are in use and their failure rate was not encouraging. At one point I needed to put the book aside until I felt prepared to read the rest. After I told myself that this was just one person’s opinion and that there is still hope for me, I returned to the story with a grain of salt. I can equivocally say that my first medication did not alter my personality at all – I was still “me”, just a happier version.

The book shines in its in-depth illustration of just how debilitating mental illness can be, and how the search for the “right” medication can be a struggle. However, I would strongly suggest to the author to check his writing for the word “quotidian”, as the presence of the word on nearly every page grew wearisome. I am sure he would be able to find an acceptable substitute. Otherwise, PILL was an informative and easy read. I learned some new information and have a new respect for those who struggle with trying to find the right medicine so their life will be worth living.

Want your own copy? You can pick it up here.