An intensive, timely spotlight on the gender disparities within the modern health care system that falls short on solutions.
A sturdy account of how sexism in medicine is hobbling women’s health care.
When Feministing.com editorial director and lifelong athlete Dusenbery was diagnosed with rheumatoid arthritis, she began an analysis of medical science’s lack of understanding of autoimmune diseases. As she probed further and began hearing stories from women whose health complaints were either dismissed or misdiagnosed, the author developed serious concerns about the lack of attention paid to the potential differences between men and women. She places blame in part on the male-dominated medical industry, which approaches gender gaps and their separate health-related concerns lopsidedly and with a marked lack of knowledge and trust. In her well-informed study, Dusenbery traces the history of women’s medicine and health care activism and presents a wide variety of anecdotal material from women who voice their experiences and their exasperation with a system that remains unsupportive, skeptical, and indifferent when confronted with reproductive issues, pain complications, sex-specific drug reactions, and general well-being. The same applies when addressing diagnostic delays, which can render a suffering woman unable to function in society or physically cope. The author notes that in matters of heart disease and women, the symptoms have been undertreated or misdiagnosed entirely under the universal “male model” platform of the condition. Her analysis progresses into greatly misunderstood issues of chronic pain, migraine disorders, endometriosis, and chronic fatigue syndrome, all supported with engaging stories of women who wound up either being considered “hysterical” or had their suffering categorized as psychosomatic. Within an organized, well-balanced combination of scientific and social research and moving personal stories, Dusenbery makes a convincing case for the need for drastic industry reform and clinical refinement. She also addresses larger issues of gender equality and how to confront a culture of sexism and rampant sexual harassment against women. A final clipped section on solutions, unfortunately, feels insufficient and begs for pages of elaboration.
An intensive, timely spotlight on the gender disparities within the modern health care system that falls short on solutions.Pub Date: March 6, 2018
ISBN: 978-0-06-247080-5
Page Count: 400
Publisher: HarperOne
Review Posted Online: Dec. 23, 2017
Kirkus Reviews Issue: Jan. 15, 2018
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
BOOK REVIEW
BOOK REVIEW
BOOK REVIEW
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
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