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SEX MATTERS

HOW MALE-CENTRIC MEDICINE ENDANGERS WOMEN'S HEALTH AND WHAT WE CAN DO ABOUT IT

Good ammunition for mandating sex- and gender-based differences in health professional education, research, and practice.

A physician urges women to speak out against the abuses of “male-centric” models in medical research and practice.

As McGregor, who co-founded the Sex and Gender Women’s Health Collaborative, cogently shows, women’s and men’s bodies are different not only in their sex organs, but in all their cells, brains, and the ways in which they metabolize drugs and experience disease and treatments. From her job as an emergency department physician in an urban trauma center and her teaching and research experience, she has amassed ample data and cases to prove her point. A woman with vague chest pain, fatigue, and nausea may be seen as emotionally overwrought and prescribed an anti-anxiety drug rather than perceived as a potential heart attack patient because women don’t experience the crushing chest pain and left arm pain that men do. Unfortunately, writes the author, the anxiety diagnosis is all too often the “go-to” choice, on par with a dismissive, “it’s all in your head.” In the early chapters, McGregor cites older studies such as a hormone replacement therapy trial that showed that the post-menopausal use of female hormones raised serious blood-clotting risks rather than preventing heart disease. The author is to be commended for showing how medicine has long skewed male and harmed women. Especially spot-in are the later chapters on implicit bias, treatment of women of color, and issues affecting trans individuals. The author concludes with to-do lists, questions women can ask their providers, and suggestions for advocacy roles to raise awareness of the issues.

Good ammunition for mandating sex- and gender-based differences in health professional education, research, and practice.

Pub Date: May 19, 2020

ISBN: 978-0-7382-4676-5

Page Count: 272

Publisher: Hachette Go

Review Posted Online: Feb. 29, 2020

Kirkus Reviews Issue: March 15, 2020

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THREE WOMEN

Dramatic, immersive, and wanting—much like desire itself.

Based on eight years of reporting and thousands of hours of interaction, a journalist chronicles the inner worlds of three women’s erotic desires.

In her dramatic debut about “what longing in America looks like,” Taddeo, who has contributed to Esquire, Elle, and other publications, follows the sex lives of three American women. On the surface, each woman’s story could be a soap opera. There’s Maggie, a teenager engaged in a secret relationship with her high school teacher; Lina, a housewife consumed by a torrid affair with an old flame; and Sloane, a wealthy restaurateur encouraged by her husband to sleep with other people while he watches. Instead of sensationalizing, the author illuminates Maggie’s, Lina’s, and Sloane’s erotic experiences in the context of their human complexities and personal histories, revealing deeper wounds and emotional yearnings. Lina’s infidelity was driven by a decade of her husband’s romantic and sexual refusal despite marriage counseling and Lina's pleading. Sloane’s Fifty Shades of Grey–like lifestyle seems far less exotic when readers learn that she has felt pressured to perform for her husband's pleasure. Taddeo’s coverage is at its most nuanced when she chronicles Maggie’s decision to go to the authorities a few years after her traumatic tryst. Recounting the subsequent trial against Maggie’s abuser, the author honors the triumph of Maggie’s courageous vulnerability as well as the devastating ramifications of her community’s disbelief. Unfortunately, this book on “female desire” conspicuously omits any meaningful discussion of social identities beyond gender and class; only in the epilogue does Taddeo mention race and its impacts on women's experiences with sex and longing. Such oversight brings a palpable white gaze to the narrative. Compounded by the author’s occasionally lackluster prose, the book’s flaws compete with its meaningful contribution to #MeToo–era reporting.

Dramatic, immersive, and wanting—much like desire itself.

Pub Date: July 9, 2019

ISBN: 978-1-4516-4229-2

Page Count: 320

Publisher: Avid Reader Press

Review Posted Online: May 19, 2019

Kirkus Reviews Issue: June 15, 2019

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WHY WE SWIM

An absorbing, wide-ranging story of humans’ relationship with the water.

A study of swimming as sport, survival method, basis for community, and route to physical and mental well-being.

For Bay Area writer Tsui (American Chinatown: A People's History of Five Neighborhoods, 2009), swimming is in her blood. As she recounts, her parents met in a Hong Kong swimming pool, and she often visited the beach as a child and competed on a swim team in high school. Midway through the engaging narrative, the author explains how she rejoined the team at age 40, just as her 6-year-old was signing up for the first time. Chronicling her interviews with scientists and swimmers alike, Tsui notes the many health benefits of swimming, some of which are mental. Swimmers often achieve the “flow” state and get their best ideas while in the water. Her travels took her from the California coast, where she dove for abalone and swam from Alcatraz back to San Francisco, to Tokyo, where she heard about the “samurai swimming” martial arts tradition. In Iceland, she met Guðlaugur Friðþórsson, a local celebrity who, in 1984, survived six hours in a winter sea after his fishing vessel capsized, earning him the nickname “the human seal.” Although humans are generally adapted to life on land, the author discovered that some have extra advantages in the water. The Bajau people of Indonesia, for instance, can do 10-minute free dives while hunting because their spleens are 50% larger than average. For most, though, it’s simply a matter of practice. Tsui discussed swimming with Dara Torres, who became the oldest Olympic swimmer at age 41, and swam with Kim Chambers, one of the few people to complete the daunting Oceans Seven marathon swim challenge. Drawing on personal experience, history, biology, and social science, the author conveys the appeal of “an unflinching giving-over to an element” and makes a convincing case for broader access to swimming education (372,000 people still drown annually).

An absorbing, wide-ranging story of humans’ relationship with the water.

Pub Date: April 14, 2020

ISBN: 978-1-61620-786-1

Page Count: 288

Publisher: Algonquin

Review Posted Online: Jan. 4, 2020

Kirkus Reviews Issue: Feb. 1, 2020

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