Category: Science (Page 1 of 5)

THE LIVING MEDICINE: HOW A LIFESAVING CURE WAS NEARLY LOST by Lina Zeldovich

October 22, 2024 / Kyle Wendy Skultety / 0 Comments

The dramatic, tragic, long-suppressed story of a forgotten and life-saving cure, and the scientists who discovered and are now reviving it
First discovered in 1917, bacteriophages—or “phages”—are living viruses that devour bacteria. Ubiquitous in the environment, they are found in water, soil, inside plants and animals, and in the human body. When phages were first recognized as medicines, their promise seemed limitless. Grown by research scientists and physicians in France, the Soviet Union, and elsewhere to target specific bacteria, they cured cholera, dysentery, bubonic plague, and other deadly infectious diseases. But after Stalin’s brutal purges and the rise of antibiotics, phage therapy declined and nearly was lost to history—until today.
In The Living Medicine, acclaimed science journalist Lina Zeldovich reveals the remarkable history of phages, told through the lives of the French, Soviet, and American scientists who discovered, developed, and are reviving this unique cure for seemingly intractable diseases. Ranging from Paris to Soviet Georgia to Egypt, India, South Africa, remote islands in the Far East, and America, The Living Medicine shows how phages once saved tens of thousands of lives. Today, with our antibiotic shield collapsing, Zeldovich demonstrates how phages are making our food safe and, in cases of dire emergency, rescuing people from the brink of death. They may be humanity’s best defense against the pandemics to come.
Filled with adventure, human ambition, tragedy, technology, irrepressible scientists and the excitement of their innovation, The Living Medicine offers a vision of how our future may be saved by knowledge from the past.

Thanks to NetGalley and the publisher for this review copy!

Lina Zeldovich’s book, The Living Medicine: How a Lifesaving Cure Was Nearly Lost—and Why It Will Rescue Us When Antibiotics Fail, explores the world of bacteriophages, or phages. These are viruses that specifically infect and kill bacteria, offering a potential solution to the growing crisis of antibiotic resistance.

The book delves into the tumultuous history of phages, from their discovery in 1917 to their near obscurity as antibiotics took center stage in the mid-20th century. Zeldovich explores the reasons behind this shift, including the ease of production, the use of antibiotics compared to phages, and the rise of powerful pharmaceutical companies.

However, with the growing problem of antibiotic-resistant bacteria, phages are re-emerging as a potential weapon in our fight against infectious diseases. The book examines the current research and development efforts around phage therapy, highlighting its potential to combat a wide range of infections.

As antibiotic resistance escalates into a global health crisis, Zeldovich’s work becomes both timely and essential, shedding light on an ancient remedy that may hold the key to our future.

Zeldovich’s storytelling is engaging and accessible, skillfully blending rigorous scientific detail with personal narratives and historical context. She delves into the lives of pioneering scientists who first discovered and utilized phages, such as Félix d’Hérelle and George Eliava, and navigates through the complex socio-political landscapes that influenced their work.

She also provides a detailed account of the geopolitical dynamics that influenced medical research, especially during the Cold War era. In the West, antibiotics became the standard treatment for bacterial infections, leading to the neglect of phage therapy. Meanwhile, in places like Georgia, phage research flourished, resulting in a rich repository of knowledge and experience that has now become invaluable as the world faces the looming crisis of antibiotic resistance.

The author’s ability to weave together historical accounts and scientific explanations makes for a compelling and thought-provoking read. She also adds anecdotes and case studies, illustrating the profound impact of phage therapy on individuals who had exhausted all other medical options. These stories not only humanize the science but also serve as powerful testimonials to the efficacy of phages.

Her personal connection to the topic adds a rich layer to the narrative. Zeldovich draws on her family’s experiences in the Soviet Union, where phage therapy was a common and successful practice. This intimate frame of reference enriches the book, providing a unique perspective on how cultural and political factors shape scientific advancements and healthcare practices.

Zeldovich also explores the innovative research and technological advancements that are propelling phages back into the spotlight. She discusses the potential of genetic engineering to enhance phage efficacy and the promise of personalized medicine tailored to individual patients’ infections. The book builds a compelling argument for why phages should be integrated into the mainstream medical arsenal, especially as the pipeline for new antibiotics dries up. The author also emphasizes the global implications of antibiotic resistance and the need for international collaboration in combating bacterial infections. She highlights how phages offer a ray of hope not only for wealthy nations grappling with antibiotic resistance but also for low-resource settings where access to antibiotics is limited.

Strengths:

THE LIVING MEDICINE tackles a critical issue in public health: antibiotic resistance. As antibiotics become less effective, phages offer a promising alternative. The book also provides a historical perspective on phage therapy, explaining its decline and resurgence.

The narrative is enriched with vivid descriptions and compelling characters, from passionate scientists to desperate patients, which keeps the reader invested throughout.

Concerns:

The book focuses heavily on the potential of phages, with less exploration of the current challenges in bringing phage therapy to mainstream medicine. While the book avoids overly technical jargon, there are sections that might be challenging for readers unfamiliar with scientific concepts. At times, the story jumps from one focus to another, making it sometimes hard to follow the narrative.

While THE LIVING MEDICINE is largely an optimistic account of phages’ potential, Zeldovich does not shy away from discussing the challenges. She addresses the regulatory hurdles, the need for rigorous clinical trials, and the skepticism within the medical community. However, some readers may find the book’s enthusiasm for phages occasionally overshadows these critical perspectives.

This book is a well-researched and informative book that sheds light on a promising area of medical research. It offers a compelling look at phages and their potential to revolutionize how we treat infectious diseases. It is important to note that phage therapy is still in its preliminary stages of development, and more research is needed to determine its efficacy and safety for widespread use. The book does seem to be grounded in scientific research, making the potential of phage therapy seem authentic. To me, it seems like it was written with a scientific background in mind. To that end, this book is highly recommended for medical professionals, microbiologists, and anyone interested in the evolving landscape of healthcare. It also serves as a valuable resource for policy makers and educators looking to understand and address the challenges posed by antibiotic resistance. Zeldovich’s work serves as both a wakeup call and a beacon of hope. This book not only informs but also inspires, making a compelling case for the revival of phage therapy in modern medicine.

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

AN ARTIST AMONG THE WIND HORSES OF MONGOLIA by Erika Connor

May 14, 2024 / Kyle Wendy Skultety / 0 Comments

An artist visits Hustai National Park in Mongolia and takes part in the reintroduction project of the wild Przewalski horses, or Wind Horses as they are known by Mongolians. A reflection on the story of humans and horses in the wilderness, illustrated with 36 original colour paintings. Searching for her place in the world, she finds company with wild horses and explores the interplay between the herd and the lone wolf.
“I slipped across the grasses, becoming one with the trees and rocks. Sometimes, they passed so close I could have reached out my hand to skim their hides, the ribs, the last of their tattered winter coats.”
“It was natural then that I’d made my way here, having been affected and altered by horses throughout my life.”
An excerpt of this work was published in Travelers’ The Best Travel Writing 2009, under the title, “In a Place of Wind”.

Thanks to Library Thing and Petra Books for this review copy!

Erika Connor’s “An Artist Among the Wind Horses of Mongolia” is more than just a travelogue; it’s a captivating immersion into the Mongolian wilderness and the cultural reverence for the wild Przewalski horse. The “Wind Horses,” as they are called by the locals, are the focus of both Connor’s artistic journey and the reintroduction project she participates in at Hustai National Park.

The Wind Horse is a Buddhist concept depicting the soul. A winged horse with a flaming jewel on its back is seen on Tibetan prayer flags flying in the wind from the highest mountain tops. It is also portrayed on the Mongolian coat of arms. The Mongolians have a word, khiimori. that is difficult to translate, but it is said to represent the Wind Horse and embodies the human soul, a life force.

The book follows Connor’s firsthand experience volunteering with the Wind Horses in Hustai National Park. Connor’s narrative is rich with vivid descriptions, transporting the reader to the vast grasslands and under the boundless Mongolian sky. You’ll feel the wind whipping through your hair, sense the sun warming your skin, and smell the earthy scent of the steppe as you journey alongside her. Readers with a passion for art will find Connor’s experience particularly engaging. She details her artistic process as she attempts to capture the essence of the wild horses and the nomadic culture surrounding them.

I had been here on the edge of unknown for three days now, on the shoreline of fifty thousand hectares of steppeland.

…a raven swooped by on my right, so close I could see the gloss of his blue-black feathers and the glint of his eye. What came back to me again and again was the gaze of animals. In that gaze was the wordless kinship with the original life source. It seemed observer and observed were the same.

The winds yanked the handle of the painted door out of my hands and I stumbled out of my ger, hitting my head on the doorframe. I wondered if there was a Mongolian saying about starting your day like this.

There was always the feeling of odyssey before getting on a horse, a suspension of time and certainty, lifting the feet, leaving the earth.

Through vivid descriptions and evocative storytelling, readers are introduced to a diverse cast of characters—from nomadic herders to skilled artisans—each contributing to the tapestry of Mongolia’s cultural landscape. This adds another layer to the story, creating a well-rounded picture of the region and its people.

One of the book’s most striking aspects is its exploration of the symbiotic relationship between art and nature. As the author delves deeper into the Mongolian wilderness, she finds inspiration in the untamed beauty of the landscape, channeling its energy into their own creative pursuits. Whether painting the sweeping vistas of the Gobi Desert or capturing the spirit of the wild horses that roam the steppe, the author’s passion for her craft shines through on every page.

But Connor’s true strength lies in capturing the essence of the human-horse connection so deeply ingrained in Mongolian culture. She weaves together personal anecdotes with insights into the nomadic way of life, where horses are not just companions, but vital partners in survival.

Moreover, “An Artist Among the Wind Horses of Mongolia” offers profound insights into the enduring spirit of the Mongolian people. Through encounters with local communities and intimate conversations with herders, the author uncovers the resilience and resourcefulness that define Mongolian culture. From the warmth of traditional hospitality to the profound reverence for nature, readers gain a deeper appreciation for the values that unite this ancient civilization.

The book is beautifully complemented by Connor’s original paintings (36 in total), which bring the landscape and the wild horses to life. These illustrations aren’t mere decorations; they serve as an extension of the narrative, offering a visual window into the soul of the Mongolian wilderness.

Thoughts:

While not explicitly mentioned, it seems the book would be best enjoyed by those with an interest in conservation efforts. Connor’s involvement in the Przewalski horse reintroduction project adds a layer of purpose to the narrative. However, the book is heavily weighted towards the artistic side of the project, with detailed descriptions of the landscape and the horses themselves. Readers seeking a more scientific approach to the reintroduction project might want to look elsewhere.

Since the book includes illustrations, it might be more enjoyable in a physical format to fully appreciate the artwork alongside the text.

“An Artist Among the Wind Horses of Mongolia” is a perfect read for anyone who loves a good travelogue, has a passion for horses, or simply appreciates a well-written story about nature and cultural connection. It’s a testament to the power of art to bridge cultures and inspire a deeper appreciation for the natural world.

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

SAY ANARCHA by J.C. Hallman

August 29, 2023 / Kyle Wendy Skultety / 0 Comments

A compelling reckoning with the birth of women’s health that illuminates the sacrifices of a young woman who changed the world only to be forgotten by it―until now.

For more than a century, Dr. J. Marion Sims was hailed as the “father of modern gynecology.” He founded a hospital in New York City and had a profitable career treating gentry and royalty in Europe, becoming one of the world’s first celebrity surgeons. Statues were built in his honor, but he wasn’t the hero he had made himself appear to be.
Sims’s greatest medical claim was the result of several years of experimental surgeries―without anesthesia―on a young, enslaved woman known as Anarcha; his so-called cure for obstetric fistula forever altered the path of women’s health.
One medical text after another hailed Anarcha as the embodiment of the pivotal role that Sims played in the history of surgery. Decades later, a groundswell of women objecting to Sims’s legacy celebrated Anarcha as the “mother of gynecology.” Little was known about the woman herself. The written record would have us believe Anarcha disappeared; she did not.

Through tenacious research, J. C. Hallman has unearthed the first evidence of Anarcha’s life that did not come from Sims’s suspect reports. Hallman reveals that after helping to spark a patient-centered model of care that continues to improve women’s lives today, Anarcha lived on as a midwife, nurse, and “doctor woman.”
SAY ANARCHA excavates history, deconstructing the biographical smoke screen of a surgeon who has falsely been enshrined as a medical pioneer and bringing forth a heroic Black woman to her rightful place at the center of the creation story of modern women’s health care.

Thanks to NetGalley and Henry Holt Company for this review copy!

SAY ANARCHA by JC Hallman is a remarkable work that transports readers to the haunting realities of 19th-century America, where the harrowing echoes of enslaved African American women’s lives reverberate through time. This powerful novel delves deep into the forgotten pages of history, weaving a compelling narrative that is as heart-wrenching as it is enlightening.

The story revolves around Anarcha, one of the countless enslaved women subjected to Dr. Marion Sims’ inhumane medical experiments in his quest to perfect the technique of gynecological surgery. a white doctor who is often credited with the invention of modern gynecology.

Drawing inspiration from historical events, the author masterfully combines fact and fiction, bringing the agonizing experiences of Anarcha and her fellow enslaved women to life with vivid prose. Hallman’s writing effortlessly transports readers to the 19th-century Southern United States, immersing them in a world of suffering and hope. This strength was also a weakness to me, as I felt bogged down by all the history. At one point I decided to start skipping over the incredible details and concentrate on Anarcha and the other major characters. These are my thoughts; others may welcome history as a refresher, or as new knowledge.

The book begins with a brief overview of Sims’s life and work. Sims was a brilliant surgeon, but he was also a deeply flawed man who was willing to exploit the most vulnerable members of society in his quest for medical knowledge. In 1846, Sims began performing experimental surgeries on Anarcha, who had suffered a severe vesicovaginal fistula, a condition that causes urine to leak into the vagina. Sims performed these surgeries without anesthesia, and Anarcha endured unimaginable pain and suffering. She eventually died from complications from all her surgeries.

The book is divided into two parts. The first part tells the story of Anarcha’s life, from her childhood in slavery to her years of suffering at the hands of Sims. The second part tells the story of Sims’ rise to fame as the “Father of Gynecology.” Sims’ innovations were built upon the suffering and exploitation of Anarcha and other enslaved women. Hallman weaves a vivid tapestry of historical accounts, immersing readers in the cruel reality faced by Anarcha and countless others, while shedding light on the often-neglected narratives of African American women in history.

Hallman’s book does not shy away from the horrors of Anarcha’s story. He describes in detail the surgeries that Sims performed on her, and he also explores the psychological and emotional toll that these surgeries took on Anarcha. However, Hallman also does a masterful job of humanizing Anarcha. He shows us that she was a complex and resilient woman who was determined to survive and thrive, even in the face of unspeakable cruelty. Despite the horrific abuse she suffered, Anarcha never gave up hope. She continued to fight for her freedom, and she eventually won her release from slavery.

One of the book’s strengths is the author’s ability to blend history with imagination, breathing life into Anarcha and the other characters surrounding her. Hallman’s meticulous research is evident, as he brings to light the horrors of slavery and the atrocities committed in the name of medical progress.

The novel also explores the perspectives of those around Anarcha, including Dr. Sims himself. This multi-dimensional approach adds depth to the narrative, forcing readers to confront the uncomfortable truths about the moral and ethical dilemmas faced by those complicit in perpetuating the system of slavery. The portrayal of Dr. Sims is particularly nuanced, exploring the complexity of his character as both a pioneering surgeon and a morally flawed individual. For all his knowledge, he was extremely self-centered and didn’t even care about women’s health as he was going through medical school! I feel that he did everything solely to make his name known, not out of compassion.

“Say Anarcha” may not be for the faint of heart due to its graphic descriptions of medical procedures and the harsh realities of slavery. Readers should be prepared for an emotionally intense journey that forces them to confront the uncomfortable truths of history.

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

RANDOM ACTS OF MEDICINE by Anupam B. Jena & Christopher Worsham

August 15, 2023 / Kyle Wendy Skultety / 0 Comments

A groundbreaking book at the intersection of health and economics, revealing the hidden side of medicine and how unexpected—but predictable—events can profoundly affect our health. Why do kids born in the summer get diagnosed more often with A.D.H.D.? How are marathons harmful for your health, even when you’re not running? What do surgeons and salesmen have in common? Which annual event made people 30 percent more likely to get COVID-19?
As a University of Chicago–trained economist and Harvard medical school professor and doctor, Anupam Jena is uniquely equipped to answer these questions. And as a critical care doctor at Massachusetts General who researches health care policy, Christopher Worsham confronts their impact on the hospital’s sickest patients. In this singular work of science and medicine, Jena and Worsham show us how medicine really works, and its effect on all of us.

Relying on ingeniously devised natural experiments—random events that unknowingly turn us into experimental subjects—Jena and Worsham do more than offer readers colorful stories. They help us see the way our health is shaped by forces invisible to the untrained eye. Is there ever a good time to have a heart attack? Do you choose the veteran doctor or the rookie?  Do you really need the surgery your doctor recommends? These questions are rife with significance; their impact can be life changing. Addressing them in a style that’s both animated and enlightening, Random Acts of Medicine empowers you to see past the white coat and find out what really makes medicine work—and how it could work better.

Thanks to Doubleday Books for this review copy! Authors Anupam B. Jena and Christopher Worsham have collaborated on a fascinating and eye-opening book at the intersection of health and economics. The book explores the surprising and often counterintuitive ways that medicine works. The authors, both doctors and researchers at Harvard Medical School, use natural experiments—random events that create natural comparisons among people—to reveal the hidden factors that influence our health outcomes.

Jena and Worsham look at medicine from a few different angles, including the role of chance and luck, the power of natural experiments, and the future of healthcare. Jena and Worsham do an excellent job of explaining complex concepts in a way that is easy to understand.

The book is divided into three parts: “The Hidden Side of Medicine,” “The Power of Natural Experiments,” and “The Future of Medicine.” In the first part, Jena and Worsham explore the ways in which chance and luck play a role in our health. They discuss how our birthdate, our zip code, and even our name can all influence our health outcomes.

In the second part of the book, Jena and Worsham introduce the concept of natural experiments. Natural experiments are events that happen outside of a doctor’s control, but which can be used to learn about the effects of different medical treatments or interventions. For example, Jena and Worsham discuss how the introduction of a new drug can be used to study the effects of that drug on a population of patients.

In the third part of the book, Jena and Worsham look at the future of medicine. They discuss how the rise of big data and artificial intelligence is changing the way we understand and treat disease. They also discuss the challenges that we face in making sure that everyone has access to high-quality healthcare.

For example, they show how kids born in the summer are more likely to be diagnosed with ADHD, how marathons can harm your health even if you don’t run, how surgeons and salesmen have similar incentives, and how an annual event made people 30 percent more likely to get COVID-19. The book is full of intriguing stories and insights that challenge our assumptions and make us think differently about medicine and health care.

The book is also written in a clear and engaging style that makes it accessible and enjoyable for anyone interested in learning more about the science and economics of medicine. The authors combine rigorous research with personal anecdotes and humor to illustrate their points and keep the reader hooked. They also offer practical advice on how to make better decisions for ourselves and our loved ones when it comes to our health. One caveat: I felt the book was a bit long. I think it could have been shorter without losing any of the valuable information.

Random Acts of Medicine is an informative read for anyone who wants to understand how medicine really works, and how it could work better. It will make you smarter, healthier, and more informed about one of the most important aspects of our lives. I recommend it to anyone who is interested in learning more about the hidden side of medicine, the power of natural experiments, and the future of healthcare.

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

WOMB by Leah Hazard

March 7, 2023 / Kyle Wendy Skultety / 0 Comments

A groundbreaking, triumphant investigation of the uterus—from birth to death, in sickness and in health, throughout history and into our possible future—from midwife and acclaimed writer Leah Hazard

The size of a clenched fist and the shape of a light bulb—with no less power and potential. Every person on Earth began inside a uterus, but how much do we really understand about the womb? Bringing together medical history, scientific discoveries, and journalistic exploration, Leah Hazard embarks on a journey in search of answers about the body’s most miraculous and contentious organ. We meet the people who have shaped our relationship with the uterus: doctors and doulas, yoni steamers and fibroid-tea hawkers, legislators who would regulate the organ’s very existence, and boundary-breaking researchers on the frontiers of the field. With a midwife’s warmth and humor, Hazard tackles pressing questions: Is the womb connected to the brain? Can cervical crypts store sperm? Do hysterectomies affect sexual pleasure? How can smart tampons help health care? Why does endometriosis take so long to be diagnosed? Will external gestation be possible in our lifetime? A clear-eyed examination of the cultural prejudices and assumptions that have made the uterus so poorly understood for centuries, Womb takes a fresh look at an organ that brings us pain and pleasure—a small part of our bodies that has a larger impact than we ever thought possible.

Thanks to NetGalley and Ecco for this review copy!

Every woman has one, but do they understand what the womb really does? Once you read this informative book you will be so happy the author wrote it.

When I saw that a midwife authored this book, I knew that it would be relevant, detailed, and female friendly. The womb is regulated by the government, dismissed by some physicians, and disparaged by men. It is also a misunderstood organ, considered to be simply the place where the fetus lives. That could not be farther from the truth! The uterus has far -reaching effects upon a woman, more than just the cause of mood swings each month during menstruation.

Each chapter discusses a different subject, such as endometriosis, hysterectomies, transplants (yes, you can put a uterus into a woman just like a heart transplant) hormones, and the various stages of the womb from first menses to menopause. The final chapters are reminiscent of BRAVE NEW WORLD, as the author discusses the possibility of an external uterus (called a biobag) and ways that a woman could be pregnant even without a womb.

There are stories in each chapter that make you realize just how much this organ is ignored and how men have used and abused it, from Josef Mengele’s experiments to the eugenics movement in the United States. Some of the details are cringeworthy, such as the woman who tried to remove her own uterus, or the story of the doctor at the Irwin County Detention Center whom they called the “uterus collector”.

Since Roe v. Wade has been overturned, women’s reproductive rights have been at the forefront of a great deal of news cycles. It seems unreal how the government, especially male politicians, have the final say on whether a woman can end her pregnancy or not. Regardless of your convictions (pro-choice or pro-life), it is unfathomable that a woman has no control over her own organs.

This book should be required reading for anyone that has a uterus. There are so many amazing facts and thought-provoking ideas – it’s almost guaranteed that you will learn something as you read WOMB. The author’s writing style is easy to understand, as she explains the science and history of this wonderful organ in a way that will make you want to keep reading.

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

BEYOND HONEY by Tierney Monahan

January 10, 2023 / Kyle Wendy Skultety / 0 Comments

According to the United Nations, nearly 90% of the world’s wild flowering plant species and 75% of the world’s food crops depend on animal pollination. Without bees, planet Earth would be a more barren, withering landscape. Beyond Honey is a book about honeybees and their importance, including stories about bees’ economic, entrepreneurial, and environmental impact on our society. These stories showcase how these tiny creatures influence our lives for the good. Tierney Monahan also shares about the benefits and challenges of our interconnected world, specifically the relationship between humans and the environment. Whether you’ve been a long-time honeybee ally or a curious admirer, this book will engage you with stories such as: why bees are essential to our world; how can these tiny creatures have such a monumental impact; and who are the diverse beekeepers across the globe . This book is guaranteed to sweeten your life!

Thanks to the author for this signed review copy! BEYOND HONEY is a wonderful little read full of heartwarming stories mingled with honeybee trivia (such as a queen bee can lay 1000-2000 eggs per day in the spring when the bees emerge from the hive).

As a beekeeper, Monahan is intimately involved with the husbandry of her hive. She takes pride in her work, achieving a Zenlike peace as she listens to the gentle buzzing of her bees at work. She notes “working with the bees encourages people to stay present in the moment. It can often be relaxing to sit and watch the bees fly in and out of the hive”. This tranquility is the reason that beekeeping is offered to veterans with PTSD, former miners, and first responders. In fact, beekeeping has been suggested as a vocation for veterans since the end of World War I. Honeybees are a communal insect, and everything they do is for the benefit of the hive. They have a work ethic and a sense of greater good – something that may be lacking in the workforce today.

Monahan writes about beekeeping in other countries, how caring for these tiny creatures can help decrease recidivism rates for incarcerated people and describes how a small business called Detroit Hives has helped immensely in revitalizing the beleaguered Michigan city (in 2013 the City filed for bankruptcy, exiting December 10, 2014).

The author’s love for bees shines through in her writing style, which is easy to read and generates a calm feeling as you glide through the book. Each chapter covers the unusual ways honeybees are essential to our existence. All the parts of a honeybee colony are explained, as well as hive products (honey, propolis, etc.) and bee diseases. I learned so much from this information packed, yet short (153 pages) book!

I will admit that I have a fear of bees, as I’ve been stung a few times. Honeybees are peaceful creatures and are not interested in stinging, which makes me want to visit a hive to see these amazing creatures at work. We can learn a lot about ourselves if we study these busy bees and understand that they are essential to our survival. As they fly around, visiting various flowers and trees to forage for nutrients, they are also pollinating and fertilizing each plant they land on.

BEYOND HONEY is the perfect name for this wonderful read, as it truly goes beyond the sweet treat that we all use in our tea or to combat allergies. Be prepared to learn and be fascinated with all the trivia.

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

DEATH INTERRUPTED by Blair Bigham, MD

October 18, 2022 / Kyle Wendy Skultety / 0 Comments

In Death Interrupted, ICU doctor Blair Bigham shares his first-hand experiences of how medicine has complicated the way we die and offers a road map for dying in the modern era. Doctors today can call on previously unimaginable technologies to help keep our bodies alive. In this new era, most organs can be kept from dying almost indefinitely by machines. But this unprecedented shift in end-of-life care has created a major crisis. In the widening grey zone between life and death, doctors fight with doctors, families feel pressured to make tough decisions about their loved ones, and lawyers are left to argue life-and-death cases in the courts. Meanwhile, intensive care patients are caught in purgatory, attached to machines and unable to speak for themselves. In Death Interrupted, Dr. Blair Bigham seeks to help readers understand the options facing them at the end of their lives. Through conversations with end-of-life professionals — including ethicists, social workers, and nurses and doctors who practice palliative care — and observations from his own time working in ambulances, emergency rooms, and the ICU, Bigham exposes the tensions inherent in this new era of dying and answers the tough questions facing us all. Because now, for the first time in human history, we may be able to choose how our own story ends.

Many thanks to NetGalley and House of Anansi Press for this review copy!

This book will make you think long and hard about your final wishes. The author explains why death and dying is such a taboo subject, how technology is making us think that we should live forever, and continually reminds us that “mors vincit omnia” (which means death conquers all in Latin). Bigham shows his compassion in every chapter, as he explores the new frontiers of end-of-life care and human euthanasia.

Years ago, our life expectancy was a lot shorter than it is now. Families were used to each other dying at home in their own beds. As they were forced to confront their mortality in a very tangible way, there were no taboos surrounding death. It was, quite literally, a major part of their lives. Since our life expectancy has increased, and there is so much innovative technology such as ventilators and ECMO machines that can prolong life, we are determined to avoid death for as long as we can. Every medical show on TV shows doctors snatching patients out of the jaws of death via “code blue” situations and miracles. The author describes this equation: technology X (resuscitation glorification + death denialism) = FALSE HOPE. We come to a hospital armed with the belief that recovery is imminent, therefore there is no reason to consider end-of-life planning or care.

Despite the leaps and bounds made by new medical technology, doctors hesitate to rely on machines sometimes. Airline pilots are taught to trust their instruments completely; after all, when they can’t see out of the plane’s window, they fly using the altimeter, directional gyro, and other instruments that let them know how fast and high they are going. In the medical world, things are different. A patient on a respirator is not guaranteed to wake up and resume his normal life. Transplanted organs may be rejected. And thereby lies the “death dilemma”. When is it time to pull the plug? Who decides to sentence their loved ones to the Great Beyond? Why don’t doctors talk honestly about death and dying, or palliative care? We all want the kitchen sink thrown at our mom or brother, in hopes that they will be with us longer, having cheated death.

But that is not always possible, or even desired. Those who stipulate “no feeding tube” or choose to be a DNR are choosing control over their own death, relieving the family countless hours of arguing, or wondering what Dad would really want done in case of mortal injuries or sickness. The author discusses ethics, communication, and myths surrounding death, to enlighten us and understand the predicament our doctors are in. There is a chapter on euthanasia and on cryogenics. There are conversations with scientists and ethicists who find the death dilemma fascinating. There are stories about real patients who lived against all odds, and others who died despite hours long codes and hundreds of pints of blood pumped into their bodies. Bigham provokes the reader to truly confront their own fears about death, suffering, and not being able to go peacefully, on their own terms.

I find the death dilemma very fascinating and have read extensively on this subject (as I have mentioned multiple times in my reviews, I wanted to be a mortician when I was deciding my path through life). DEATH INTERRUPTED is one of the best books I have read on this subject. The author shows his human side through his compassion and quest to make every one of his patients have the best death possible. His writing is not too technical or difficult to understand, and he tries to show the pros and cons of prolonging life for distinct reasons. I am happy to report that I also learned some new things, such as the various “types” of death (brain-dead, suspension to keep organs alive for donation, and dead-dead) and the problems doctors face before they are able to declare one dead.

(On a similar note – this article appeared in the New York Times and I found it quite appropriate to add to this review.)

If you are wondering why you would need to make a living will or are putting off thinking about a morbid subject like your own death, please read this book. You will be shocked, saddened, scared, and motivated to consider your own end-of-life wishes. Many thanks to Blair Bigham for bringing this subject to the forefront in a new and stimulating way.

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

THE FACEMAKER by Lindsey Fitzharris

September 27, 2022 / Kyle Wendy Skultety / 0 Comments

The poignant story of the visionary surgeon who rebuilt the faces of the First World War’s injured heroes, and in the process ushered in the modern era of plastic surgery.
From the moment the first machine gun rang out over the Western Front, one thing was clear: mankind’s military technology had wildly surpassed its medical capabilities. The war’s new weaponry, from tanks to shrapnel, enabled slaughter on an industrial scale, and given the nature of trench warfare, thousands of soldiers sustained facial injuries. Medical advances meant that more survived their wounds than ever before, yet disfigured soldiers did not receive the hero’s welcome they deserved.

In The Facemaker, award-winning historian Lindsey Fitzharris tells the astonishing story of the pioneering plastic surgeon Harold Gillies, who dedicated himself to restoring the faces – and the identities – of a brutalized generation. Gillies, a Cambridge-educated New Zealander, became interested in the nascent field of plastic surgery after encountering the human wreckage on the front. Returning to Britain, he established one of the world’s first hospitals dedicated entirely to facial reconstruction in Sidcup, south-east England. There, Gillies assembled a unique group of doctors, nurses, and artists whose task was to recreate what had been torn apart. At a time when losing a limb made a soldier a hero, but losing a face made him a monster to a society largely intolerant of disfigurement, Gillies restored not just the faces of the wounded but also their spirits. Meticulously researched and grippingly told, The Facemaker places Gillies’s ingenious surgical innovations alongside the poignant stories of soldiers whose lives were wrecked and repaired. The result is a vivid account of how medicine and art can merge, and of what courage and imagination can accomplish in the presence of relentless horror.

Thanks to NetGalley and Farrar, Straus and Giroux for this review copy!

THE FACEMAKER is an impressive, intense, and fact-packed book, not only about the development of plastic surgery, but also an insight into World War One and its devastating effects. I admit my understanding of the war was negligible prior to reading this, but now I have learned enough to have my interest piqued and I want to learn more. I have just requested a review copy of MEN OF 18 IN 1918 by Frederick James Hodges, a book that I would have certainly passed over if I had not read THE FACEMAKER.

Dr Harold Gillies is the titular surgeon who is constantly creating new ways to help disfigured soldiers (warning! Link leads to extremely graphic photos that may be disturbing) live normal lives. It is noted that those who had lost limbs were celebrated as heroes fighting for their country, while those who sustained facial injuries were shunned and considered freaks. The reasoning behind this is: faces and their ability to create expressions are what makes us “human”, and any deviation of what is considered “normal” creates discomfort. A face without a nose, or with a shattered jaw is difficult to look at, and so those poor soldiers were hidden away from the general public. The wards where those men were kept contained no mirrors, lest they catch a glimpse of themselves and lose the will to live.

Gillies is not the only doctor mentioned in this book; many other courageous surgeons contributed to the effort to repair these poor soldiers. The book is interspersed with descriptions of action on the Western Front, excerpts from diary entries from the soldiers that were lucky enough to have their journals survive (even if they didn’t), and accounts of how collaboration among the doctors furthered their knowledge and experience.

What fascinated me the most was hearing about the soldier’s activity on the battlefield, how he came to be injured, then his ordeal with Dr Gillies, enduring multiple operations while new techniques were tried time and time again. The book does contain a lot of graphic detail, so if you are squeamish, be aware.

I learned about artwork bringing attention to the soldier’s plight – one of the more poignant ones is the painting by John Singer Sargent entitled Gassed. The human cost of war is depicted in this 21-foot-long epic work. Other paintings and drawings are noted throughout the book, explaining how these methods helped the physicians rebuild faces. Sculpture was also used; multiple casts were made as the recreation and correction of each visage progressed.

The epilogue of THE FACEMAKER notes how plastic surgery evolved from a necessity to a luxury; rhinoplasty, facelifts, and the like were performed by Gillies long after the war was over. He continued to help others feel better about themselves until he died in 1960. He was a true visionary whose work ethic and kindness made the world a better place for many, many others.

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

TORNADO OF LIFE by Jay Baruch

August 30, 2022 / Kyle Wendy Skultety / 0 Comments

Stories from the ER: a doctor shows how empathy, creativity, and imagination are the cornerstones of clinical care.

To be an emergency room doctor is to be a professional listener to stories. Each patient presents a story; finding the heart of that story is the doctor’s most critical task. More technology, more tests, and more data won’t work if doctors get the story wrong. Empathy, creativity, and imagination are the cornerstones of clinical care. In Tornado of Life, ER physician Jay Baruch offers a series of short, powerful, and affecting essays that capture the stories of ER patients in all their complexity and messiness.

Patients come to the ER with lives troubled by scales of misfortune that have little to do with disease or injury. ER doctors must be problem-finders before they are problem-solvers. Cheryl, for example, whose story is a chaos narrative of “and this happened, and then that happened, and then, and then and then and then,” tells Baruch she is “stuck in a tornado of life.” What will help her, and what will help Mr. K., who seems like a textbook case of post-combat PTSD but turns out not to be? Baruch describes, among other things, the emergency of loneliness (invoking Chekhov, another doctor-writer); his own (frightening) experience as a patient; the patient who demanded a hug; and emergency medicine during COVID-19. These stories often end without closure or solutions. The patients are discharged into the world. But if they’re lucky, the doctor has listened to their stories as well as treated them.

Thanks to NetGalley and MIT Press for this review copy!

TORNADO OF LIFE is a quick read, filled with short stories about patients presenting to the emergency room and how they provoke the doctor’s thoughts and actions. For example, one of the first patients the author sees (as a brand-new doctor) is a woman, presenting with vague symptoms, but appearing well. It turns out that she may have been abused by her husband, and just needed someone to talk to, and perhaps have someone suggest a course of action for her. Baruch regrets not seeing the patient’s true needs and says that case stayed in his mind for a while. He attributes his lack of communication to his inexperience and explains to the reader why it is important to consider the whole patient, not just what they are telling you. He also says an ER doctor should not judge a patient on how they look when they show up to the ER. Sometimes the most disheveled need the least care, and vice versa.

He tells the story of a patient asking for pain meds; and is unsure if he should prescribe them. He discusses the dilemma of drug-seeking patients and how pain is unmeasurable, unlike a temperature or a heart rate. Baruch says that “do no harm” is a doctor’s first tenet, but when it comes to pain, you may be damned if you do or damned if you don’t. If someone is in real pain, he is obligated to help them. But if a patient is looking for drugs to feed his habit, then prescribing them could harm them as Baruch encourages them to continue their addiction.

Each chapter holds a new patient’s story and the lesson the ER doctor learned from the case. Communication and empathy are a recurring theme, which makes sense. An ER visit is fraught with anxiety, and it can be comforting if a caring physician examines you. Often the doctor has only a few minutes to connect with the patient, which makes getting through the layers of each person’s needs exceedingly difficult. The chapters are stand-alone stories, making the book easy to read in small bites.

Baruch touches on each of those layers in depth, ruminating on how he could have helped some patients better, how some patients helped him learn more about himself, and detailing the psychic struggle that doctors experience daily. Baruch comes across as an extremely caring and empathetic person; I would appreciate his care should I ever need to visit his ER.

The only thing that frustrated me about TORNADO OF LIFE was that I never got closure on any of the patient’s ailments. The author states that in the beginning of the book – there will only be a few details about the ER visit and then the rest of the chapter will be introspection. I found myself wanting to know more about each patient, what their diagnosis was and how they were addressed before they were discharged. I learned to put my dismay aside as I got through each chapter, understanding that the point of each story was Baruch’s rumination and a lesson learned.

This is an unusual book, as the doctor’s thoughts are shared front and center. Most books written by those in the medical field will give a great deal of detail on their patients with a bit of introspection added. TORNADO OF LIFE is the opposite, and the reader needs to take time to digest the deep thoughts Baruch shares. Reading this will give you new respect for ER doctors and all that they handle on a daily basis.

Want to read this book? You can pick up your copy here.

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.