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PAIN & PREJUDICE

HOW THE MEDICAL SYSTEM IGNORES WOMEN―AND WHAT WE CAN DO ABOUT IT

An informative study of cisgender female care in medicine, from hysteria to Covid-19, with a focus on chronic pain.

An exploration of how “women’s pain is all too often dismissed, their illnesses misdiagnosed or ignored."

Jackson, an associate news editor at the Guardian, breezily translates decades of medical research, interviews, and statistics into a book that challenges what we think we know about women’s health and pain. The author, who suffers from endometriosis, expands on her earlier journalism on the condition, writing of the startling misconceptions surrounding cisgender women’s treatment in the medical system. Jackson locates the foundation of modern medicine’s dismissal and misdiagnoses of countless women by detailing the history of hysteria and its insidious consequences for women. For example, she highlights how most people would be surprised to learn that “in 2004, 7.4 million women over 60 years of age died of cardiovascular disease compared with 6.3 million men.” This misconception—that heart disease afflicts the male population more than the female population—is one of many Jackson corrects throughout the book. She adroitly synthesizes complex medical studies and interviews with medical professionals, patients, and researchers. One conclusion is that medical professionals’ current lack of consensus on the best treatments for women with chronic diseases is due to the paucity of clinical trials and dedicated funding for research into how these diseases specifically affect cisgender female patients—or female rodents in trials. Jackson is most effective when she brings together disparate sources and findings to reach digestible conclusions. The author’s personal tale of her struggle with endometriosis creates an engaging familiarity with readers, but her occasionally derisive tone toward men, lumped together as an undifferentiated group, could alienate an otherwise receptive audience. Nonetheless, Jackson is effective in her presentation of pertinent, often surprising information that could help many women stay healthy and find quality, personalized health care.

An informative study of cisgender female care in medicine, from hysteria to Covid-19, with a focus on chronic pain.

Pub Date: March 8, 2021

ISBN: 978-1-77164-716-8

Page Count: 392

Publisher: Greystone Books

Review Posted Online: Jan. 6, 2021

Kirkus Reviews Issue: Feb. 1, 2021

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A PEOPLE'S HISTORY OF THE UNITED STATES

For Howard Zinn, long-time civil rights and anti-war activist, history and ideology have a lot in common. Since he thinks that everything is in someone's interest, the historian—Zinn posits—has to figure out whose interests he or she is defining/defending/reconstructing (hence one of his previous books, The Politics of History). Zinn has no doubts about where he stands in this "people's history": "it is a history disrespectful of governments and respectful of people's movements of resistance." So what we get here, instead of the usual survey of wars, presidents, and institutions, is a survey of the usual rebellions, strikes, and protest movements. Zinn starts out by depicting the arrival of Columbus in North America from the standpoint of the Indians (which amounts to their standpoint as constructed from the observations of the Europeans); and, after easily establishing the cultural disharmony that ensued, he goes on to the importation of slaves into the colonies. Add the laborers and indentured servants that followed, plus women and later immigrants, and you have Zinn's amorphous constituency. To hear Zinn tell it, all anyone did in America at any time was to oppress or be oppressed; and so he obscures as much as his hated mainstream historical foes do—only in Zinn's case there is that absurd presumption that virtually everything that came to pass was the work of ruling-class planning: this amounts to one great indictment for conspiracy. Despite surface similarities, this is not a social history, since we get no sense of the fabric of life. Instead of negating the one-sided histories he detests, Zinn has merely reversed the image; the distortion remains.

Pub Date: Jan. 1, 1979

ISBN: 0061965588

Page Count: 772

Publisher: Harper & Row

Review Posted Online: May 26, 2012

Kirkus Reviews Issue: Jan. 1, 1979

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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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

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