Tag: tuberculosis

SPIT AND POLISH by D.A. Brown

March 5, 2024 / Kyle Wendy Skultety / 0 Comments

Ruth was delighted when she was accepted into the nursing school at Kingston General Hospital. But she didn’t realize how challenging it would be. She quickly finds her skills aren’t up to snuff and is sent to build them up as an aide at the local tuberculosis sanitarium.
It’s 1946, and when Ruth arrives, she is immediately surrounded by crowds of wounded and infected soldiers, women, and children.
Ruth must find her way among the dying, depressed, and too-friendly patients, managing demanding doctors and a jealous mentor, without being sent home or infected. Can she impress her seniors and be readmitted to the nursing program she so wants?

Thanks to LibraryThing , author DA Brown, and Somewhat Grumpy Press for this advanced reviewer’s copy!

SPIT AND POLISH is a captivating historical fiction novel that transports readers to Canada in 1946, where aspiring nurse Ruth dreams of escaping her small-town life and making a difference. Accepted into Kingston General Hospital’s nursing school, her initial excitement crumbles as she struggles with the demanding coursework. Sent to gain experience at a local tuberculosis sanatorium, Ruth is confronted with the harsh realities of illness, death, and prejudice. Surrounded by wounded soldiers, desperate families, and a complex medical environment, she must navigate challenges while honing her skills. Ruth needs to find her strength, compassion, and the resilience to succeed.

The sanatorium, teeming with wounded soldiers and civilians battling the debilitating disease, paints a stark picture of the era’s healthcare realities. The facility fairly overflows with wounded soldiers, women, and children battling the debilitating disease. Ruth grapples with the emotional and physical demands of caring for, and witnessing firsthand, the suffering and resilience of her patients. Ruth must also navigate navigate dormitory life, avoid flirting soldiers, and handle the draining emotional complexities of her family back home. The author skillfully portrays the harsh realities of the medical setting, balancing it with moments of tenderness and compassion. It is easy to empathize with Ruth’s internal struggles as she confronts her own limitations and prejudices. Her journey is one of personal and professional development, and it is satisfying to see her initial naiveté transform into empathy, strength, and self-assuredness as she faces challenges head-on.

Brown immerses the reader in the post-war atmosphere of Canada, capturing the social anxieties, medical advancements (and limitations), and evolving societal roles of women. The struggles of returning soldiers and the stigma surrounding tuberculosis are woven seamlessly into the narrative.

Ruth’s growth is relatable and engaging, and the supporting cast, from other nursing students to her domineering father, adds depth and nuance. The initial chapters do move a bit slowly as the setting and characters are established. I would have liked to see some of the secondary characters (such as Patricia, Mrs. Graham, and Mary) fleshed out some more. This information might have given some more backstory and understanding of their behavioral quirks and motivation.

One thing that was a bit jarring to me were the short paragraphs of medical notes that began each chapter. One was a quote from 1947, quite a few were from Florence Nightingale’s NOTES ON NURSING, and there was one from 2018 quite early on in the book. While I appreciated the “insider information”, I spent a few minutes trying to figure out if the quote was supposed to reflect the tone of the chapter or not. Some were relevant, while others seemed random to me. I did like the idea of headers to each chapter, but I think they would work a lot better if the words tied in with each chapter’s vignette. Another option would be to let the reader know that the paragraphs at the beginning of each chapter are taken from either various authors who are sharing their thoughts on nursing, or excerpts from textbooks that will give the reader background on how TB was treated back then, etc. That would set an expectation for the reader, allowing them to absorb the information, then move seamlessly into the storyline.

SPIT AND POLISH offers a captivating journey through a unique historical setting. Brown’s well-researched narrative sheds light on the challenges and triumphs of mid-century healthcare, while Ruth’s personal growth resonates with themes of ambition and compassion. The novel delves into the emotional toll of caring for the sick and dying, yet the harsh realities of the sanatorium are balanced with moments of tenderness and hope, creating a nuanced portrayal of human resilience. Throughout the book, the importance of human connection in the face of adversity is underscored – a lesson we can all learn from in today’s world.

Readers interested in historical fiction with strong female protagonists and a touch of medical drama will find this book satisfying. One caveat: be aware of the potential for emotional intensity due to the setting and subject matter.

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

CATCHING BREATH by Kathryn Lougheed

November 28, 2017 / Kyle Wendy Skultety / 0 Comments

With more than a million victims every year–more than any other disease, including malaria–and antibiotic resistance now found in every country worldwide, tuberculosis is once again proving itself to be one of the smartest killers that humanity has ever faced. But it’s hardly surprising considering how long it’s had to hone its skills. Forty-thousand years ago, our ancestors set off from the cradle of civilization on their journey towards populating the planet. Tuberculosis hitched a lift and came with us, and it’s been there ever since; waiting, watching, and learning.
The organism responsible, Mycobacterium tuberculosis, has had plenty of time to adapt to its chosen habitat–human lungs–and has learned through natural selection to be an almost perfect pathogen. Using our own immune cells as a Trojan Horse to aid its spread, it’s come up with clever ways to avoid being killed by antibiotics. But patience has been its biggest lesson–it can enter into a latent state when times are tough, only to come back to life when a host’s immune system is compromised. Today, more than one million people die of the disease every year and around one-third of the world’s population are believed to be infected. That’s more than two billion people. Throw in the compounding problems of drug resistance, the HIV epidemic, and poverty, and it’s clear that tuberculosis remains one of the most serious problems in world medicine.
Catching Breath follows the history of TB through the ages, from its time as an infection of hunter-gatherers to the first human villages, which set it up with everything it needed to become the monstrous disease it is today, through to the perils of industrialization and urbanization. It goes on to look at the latest research in fighting the disease, with stories of modern scientific research, interviews with doctors on the TB frontline, and the personal experiences of those affected by the disease.

Thanks to NetGalley for this ARC!

I have mixed feelings about this book. On one hand, the research and science are excellent and multilayered. You can easily discern the love the author has for tuberculosis and how to contain it. On the other hand, some of her attempts at humor and lightening the mood seemed out of place to me. A reader who is not familiar with pop culture may find some of her sentences confusing – such as:

“Basically, in some settings, the machines are just sitting there like big ugly espresso machines that no one really knows how to use. Even if someone does get the urge to brew some coffee, George Clooney has used the last cassette and not put in a new order”.

I would be totally immersed in the science aspect and she would throw something like that in there from time to time. It seemed as if she was attempting to lighten the serious subject up with these humorous asides, but it just didn’t work for me.

There are a lot of facts and statistics about TB, which are staggering when you stop to consider how many people have been, and are, suffering from this disease. Certainly TB doesn’t get the airtime of, let’s say, AIDS or cancer – but its presence is still felt daily in places like Africa or India. I hadn’t realized how prevalent it still is, or how stricken these countries are.

The writer goes deep into the origin of TB and the different ways scientists are trying to defeat it. It’s a canny bacteria, though, and has the ability to mutate or take advantage of other sicknesses in the body. After reading CATCHING BREATH, I know more about TB than I ever have; from the obvious to the minutiae, the author gives us everything she’s got. I definitely appreciate her effort but the writing style was at times too dry, too broadly humorous or too rambling. Maybe a bit of editing would do the trick? In any case, don’t avoid this book if you are a fan of diseases – just be prepared for a little strangeness. You will be educated, amazed, and humbled by this tenacious germ.

Want your own copy? You can pick it up [easyazon_link identifier=”1472930347″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].