Unsettling but insightful social history.
A history of diabetes over the past 150 years, less as a disease than a mark of racial stereotyping.
Vanderbilt professor Tuchman, a specialist in the history of medicine in the U.S. and Europe, begins in the late 19th century, when scientists had learned enough about germs, hygiene, nutrition, and physiology to give doctors confidence that they understood disease. Using diabetes as her example, the author delivers a well-researched, lucidly written, and often unnerving account of how doctors have explained it down to the present day, often ignoring the science in favor of the prejudices and anxieties of their time. Readers may be surprised to learn that until well into the 20th century, doctors considered diabetes a Jewish disease, supposedly caused by what some physicians called “Jewish nervousness.” During this same period, doctors recorded so few cases of diabetes in Black patients that many regarded them as immune, following the racist belief circulating at the time that “immunity signified a race’s primitive nature.” In a theme she repeats throughout, Tuchman points out that statistics during this period refuted both claims, but few paid attention. As the 20th century progressed, these theories faded, replaced by the idea that diabetes was the result of overindulgence. Most victims were obese, and women fell victim more often than men. Tuchman stresses that racial stereotyping did not disappear but merely switched gears. Flawed notions of poverty, obesity, and race all contributed to prejudice and discrimination, though the word “race” was rarely mentioned. Even today, writes Tuchman, there is not enough “recognition that racism and poverty are themselves fundamental causes for ill health, potentially exacerbating diabetes by raising stress and glucose levels, and certainly placing an additional burden on individuals who may already be struggling to make ends meet.” Labeling patients as “responsible for their disease,” she writes, “masks the structural inequalities that produce poor health.”
Unsettling but insightful social history.Pub Date: Aug. 5, 2020
ISBN: 978-0-300-22899-1
Page Count: 288
Publisher: Yale Univ.
Review Posted Online: July 6, 2020
Kirkus Reviews Issue: Aug. 1, 2020
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.
Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.Pub Date: Jan. 19, 2016
ISBN: 978-0-8129-8840-6
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
PERSPECTIVES
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
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