An eye-opening look at how the American medical industry’s rigidity has stunted its reliability.
The misguided prevalence of “gut feeling” in medical dogma.
In his follow-up to The Price We Pay (2019), Makary, a public health researcher and professor at Johns Hopkins School of Medicine, elaborates on the enduring misconceptions plaguing modern medicine in terms of research breakthroughs that have been largely underappreciated, overlooked, or simply ignored in a clinical setting. He cites several recent studies to bolster his position, such as a 16,608-woman study on menopausal hormone replacement therapy concluding that it causes breast cancer development. Despite the lack of evidentiary support for this conclusion, the study’s authors continue to tout it to clinicians while overlooking HRT’s considerable benefits. The overuse of prescribed antibiotics for infections is juxtaposed against research citing the microbiome imbalance they cause by obliterating beneficial bacterium. Makary also discusses the medical groupthink about dietary cholesterol, ovarian cancer, silicone breast implants, and complicated childbirths, among others. Presenting a fascinating study on peanut anaphylaxis, Makary rails against the American Academy of Pediatrics’ recommendation that children avoid the nuts altogether instead of considering research indicating that reintroducing small doses of peanuts (in conjunction with powerful immune suppressants) can actually prove curative. He pauses midway through the book to lucidly examine how the mechanisms of the human mind naturally resist innovative ideas and approaches. As a public health advocate, Makary is simultaneously dazzled by the sophistication of modern medicine and alarmed by the medical industry’s stubborn reluctance to adapt and evolve in the midst of supportive research meant to challenge interventional therapies and procedures. The author’s critical eye is well suited to this clinically sound report appealing for closer scrutiny and a redesigning of the medical establishment, and he coaches readers with or without clinical expertise to “ask for the underlying evidence or rationale to support a health recommendation.”
An eye-opening look at how the American medical industry’s rigidity has stunted its reliability.Pub Date: Sept. 10, 2024
ISBN: 9781639735310
Page Count: 288
Publisher: Bloomsbury
Review Posted Online: Aug. 2, 2024
Kirkus Reviews Issue: Sept. 1, 2024
BOOK REVIEW
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.
The chef, rapper, and TV host serves up a blustery memoir with lashings of self-help.
“I’ve always had a sick confidence,” writes Bronson, ne Ariyan Arslani. The confidence, he adds, comes from numerous sources: being a New Yorker, and more specifically a New Yorker from Queens; being “short and fucking husky” and still game for a standoff on the basketball court; having strength, stamina, and seemingly no fear. All these things serve him well in the rough-and-tumble youth he describes, all stickball and steroids. Yet another confidence-builder: In the big city, you’ve got to sink or swim. “No one is just accepted—you have to fucking show that you’re able to roll,” he writes. In a narrative steeped in language that would make Lenny Bruce blush, Bronson recounts his sentimental education, schooled by immigrant Italian and Albanian family members and the mean streets, building habits good and bad. The virtue of those habits will depend on your take on modern mores. Bronson writes, for example, of “getting my dick pierced” down in the West Village, then grabbing a pizza and smoking weed. “I always smoke weed freely, always have and always will,” he writes. “I’ll just light a blunt anywhere.” Though he’s gone through the classic experiences of the latter-day stoner, flunking out and getting arrested numerous times, Bronson is a hard charger who’s not afraid to face nearly any challenge—especially, given his physique and genes, the necessity of losing weight: “If you’re husky, you’re always dieting in your mind,” he writes. Though vulgar and boastful, Bronson serves up a model that has plenty of good points, including his growing interest in nature, creativity, and the desire to “leave a legacy for everybody.”
The lessons to draw are obvious: Smoke more dope, eat less meat. Like-minded readers will dig it.Pub Date: April 20, 2021
ISBN: 978-1-4197-4478-5
Page Count: 184
Publisher: Abrams
Review Posted Online: May 5, 2021
Kirkus Reviews Issue: June 1, 2021
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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