When Breath Becomes Air, by Paul Kalanithi*****

This beautifully written memoir is for sale today, and definitely worthy of a re-blog!

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whenbreathbecomesairPaul Kalanithi was a promising young physician who had nearly finished completing ten years of training as a neurosurgeon when he was diagnosed with Stage IV lung cancer. His twin ambitions had been to become a neurosurgeon and to write. When he realized how little time was left of his too-brief life, he decided to spend his remaining time writing this book. Thank you, Net Galley and Random House Publishing House for the DRC. Dr. Kalanithi died in March 2015, but he left this luminous memoir behind as part of his legacy. It is available to the public January 19, 2016.

The memoir starts with fond adolescent memories that left me dumbfounded, not only at the level of privilege he was born into, but the assumptions that go along with that. I was afraid I would fall into the uncomfortable place of not being able to generously review a dead…

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When Breath Becomes Air, by Paul Kalanithi*****

whenbreathbecomesairPaul Kalanithi was a promising young physician who had nearly finished completing ten years of training as a neurosurgeon when he was diagnosed with Stage IV lung cancer. His twin ambitions had been to become a neurosurgeon and to write. When he realized how little time was left of his too-brief life, he decided to spend his remaining time writing this book. Thank you, Net Galley and Random House Publishing House for the DRC. Dr. Kalanithi died in March 2015, but he left this luminous memoir behind as part of his legacy. It is available to the public January 19, 2016.

The memoir starts with fond adolescent memories that left me dumbfounded, not only at the level of privilege he was born into, but the assumptions that go along with that. I was afraid I would fall into the uncomfortable place of not being able to generously review a dead man’s memoir. To make matters worse, I read two other memoirs that bitterly recounted the arrogance of doctors. I set this one aside about a third of the way into it until I could look at it with fresh eyes, and I am glad I did.

The spell of entitlement is broken by the forty percent mark; in fact, when he decides to continue in college simply because he isn’t done learning—a luxury that would never occur to most of us—I find myself interrupted mid-eye-roll when he mentions that in order to afford his apartment, he has to take a part time job. Now we are back in the realm of the real, and I can relate to the author.

With deft pacing and remarkable eloquence, he takes us into the world of the medical student, and we go with him to his first dissection and learn a few basic facts about the brain, including what tumors, both benign and malignant can do, and what priorities are generally set in maintaining its function. He explains why doctors sometimes recommend against heroic measures to continue a patient’s life when the patient inside is forever gone. There is information that should be shared, and information that should sometimes be saved for later; we see this from a much more personal vantage point later on.

And upon Kalanithi’s own diagnosis of terminal cancer, which has invaded his lungs and his brain, he is left “searching for a vocabulary with which to make sense of death.” Once his medical options are gone—oh, so swiftly!–he delves into poetry, philosophy, and even religion in order to come to terms with what he knows will happen, as well as the frustratingly ambiguous aspect of not knowing how long that will take.

Despite the fact that his death interrupted his writing, Kalanithi’s work is eloquent and absorbing, and it really didn’t feel as if it were under length to me. Maybe its brevity is what prevents it from becoming too emotionally taxing for the reader to absorb. It should rank high along with the work of Mitch Albom and Randy Pausch as a story that helps us learn to let go. Because as he points out, death will come for each of us. It always wins; the only question is when.

This book contains an epilogue written by his wife Lucy, but it stands quite nicely on its own.

Recommended for those facing death or dealing with loss, as well as for those who just like a powerful, hyper-literate memoir.

A Thousand Naked Strangers: A Paramedic’s Wild Ride to the Edge and Back by Kevin Hazzard *****

AthousandnakedstrangersTake a former journalist; make him a paramedic in a high-poverty, high-danger area for a decade; then turn him loose again to write about it, and he will play his readers like violins and make us like it. A Thousand Naked Strangers is a high octane, gloriously visceral ride in an ambulance and out of one, through Southeast Atlanta, Georgia. Thank you to Net Galley and to Scribner for the DRC. Since I read multiple galleys at a time and I loved this one best, I tried to feed it to myself in small nibbles, like Mary Ingalls hoarding her Christmas candy, but it was just too riveting and I could not stay away.

At the memoir’s beginning, our guy is just looking for work. With just a few months of training, he can become an EMT. His journalistic career wasn’t working out as he had expected, and he found himself working as a paperboy instead, delivering the newspaper for which he had written. That’s about as rock bottom as it gets.

He becomes an EMT; then he sets out to discover whether he wants to commit to the extra year and a half of schooling required become a medic. Once in, he’s hooked, not so much in spite of the risk and unpredictability of the job, but because of it.

And when you think about it, what other job pays so very little, involves so much danger, and gets so little respect? Teaching comes to mind, but being a rescue worker trumps even that, particularly for the low pay and insane hours–holidays missed–to do it, a person needs to be young, and to be an adrenaline junkie. And for a decade, Hazzard fits that description.

When he starts out, he is callous, as youth often are, speculating with his partner about what constitutes the perfect call. The perfect call, to their way of thinking, has requirements that are measured in the number of dead and wounded, the amount of danger. Does the patient have to survive in order for it to be a perfect call? Nah.

Over the years he matures, and he becomes more respectful of the patients with whom he deals. He talks to addicts, hookers, and children in a way that is forthright and kind. The job takes a lot out of him, but it also gives him a lot. He grows up. He deals with the dead; the nearly dead; those that are feigning death; and those that are just looking for a free ride somewhere. He delivers babies in record numbers, and he transports a guy on a roof down to the ambulance. He sees just about everything, from suicides to homicides, from the domestically abused, to the kid with a roach in her ear. He plays the wildest imaginable pranks, and once in awhile he gets called on the carpet for it.

Some of the incidents described in this memoir are just drop-dead funny, if you’ll pardon the pun, and I laughed out loud more than once. Some are incredibly dark. Some just left me with a feeling of awe. But although the tone changes many times, the pacing is absolutely consistent. Hazzard’s journalistic background shows; every single word is there for a reason. It is tight, taut, and urgently compelling, all the way through.

So it’s entertaining, but it’s also educational. I didn’t know the distinction between an EMT and a paramedic before I read this memoir. I also didn’t know that not a holiday goes by without someone having a heart attack. I didn’t know that just about everyone, regardless of their level of intoxication, says they’ve had two drinks. And I didn’t know about the tension between paramedics and firefighters, between paramedics and cops.

There’s more, but you can’t have it all in this nifty review; I’ve given you enough to move forward. If you want your own job to look easier, get this memoir. If you’re retired and have a little more time to read now, get this memoir. If you are staying home with little kids and wonder when you should call an ambulance and when you should deal with your own mess, get this memoir. And if you are considering going into the field yourself? Get this memoir!

It’s for sale January 5, 2016, but you can order it right this minute.

The Reel Civil War: Mythmaking in American Film, by Bruce Chadwick****

thereelcivilwarI found this gem at my favorite used bookstore in Seattle, Magus Books, which is just a block from the University of Washington. Its strength, as the title suggests, is in tracing the story of the American Civil War as told by the cinema. Those interested in the way in which movie impacts both culture and education in the USA would do well to find this book and read it.

Chadwick spends a considerable amount of time and space carefully documenting the myth produced by Gone with the Wind, a completely unrealistic, idealized portrait of the ruling planter class of the deep South. Many of us would, in years gone by, have been inclined to dismiss this concern by saying that after all, the book and movie were primarily intended as a love story, but Chadwick demonstrates that this is not so. He ferrets out actual interviews with Margaret Mitchell herself in which she insists that this is exactly the way it was. Her sources? Former plantation owners, of course.

To this day, if an avid reader goes to Goodreads.com and under the caption “explore”, goes to “listopia” and from there selects a list of readers’ favorite Civil War titles, GWTW will place within the top ten, and sometimes be the foremost title, selected over nonfiction as well as more accurate fiction. I find this horrifying.

The research regarding the Civil War itself is nothing I haven’t seen before, but Chadwick makes excellent use of strong secondary sources to document the fact that Black folks in the pre-war South were neither happy nor well treated. He takes apart the myth Mitchell constructed in a meticulous manner, one damn brick at a time. Hell yes. About ten percent of the way into the book, Chadwick’s removed, scholarly tone changes to one of articulate outrage, and I found this tremendously satisfying.

Chadwick follows Civil War films forward, after first also examining Birth of a Nation, a painfully racist film which was famous at the time because of its length; its original claim to fame was not content, but technology. For those that have not seen the film, this will be interesting reading also, and those that have seen it may pick up some new information as well.

A couple of generations later, the more realistic and highly acclaimed Roots television miniseries told the story of Black America in a way that hadn’t been represented on film before. Chadwick is again careful in his documentation and clear in his explanation.

The book’s final film treatment is of the most positive and accurate film depiction of African-Americans is the film Glory. This reviewer used this film in the classroom. It depicts the Black Massachusetts infantry that tried to take Fort Wagner and in doing so, inspired President Lincoln to order more Black troops to be armed and trained for combat in the American Civil War.

For those interested in the connection between film and American history, and of the American Civil War in particular, this book is recommended.

Thirty-Eight Witnesses: the Kitty Genovese Case, by AM Ronsenthal***

38witnessesAM Rosenthal was a journalist, but in the 1960’s he was moved to write this relatively brief book—if fictional it would be considered a novella—about the failure of neighboring New Yorkers to come to the aid of Kitty Genovese, a woman that was murdered in 1964. I received this DRC free of charge from Net Galley and Open Road Integrated Media in exchange for an honest review.

The crime, one that occurred before drive-by shootings and mass killings in schools and other public places became an all-too-frequent occurrence in the USA, horrified New York and all that heard about it. The killer attacked 28 year old Kitty Genovese as she returned home from work. She lived in a middle class neighborhood, and when police later investigated, they would learn that 38 witnesses heard her scream for help. Nobody called the police until it was too late to save her. This is especially horrifying given that the killer left her bleeding after stabbing her several times, and she had the time, while he moved the car, to approach an apartment building and make her way inside its doors. But before she was able to go further, her murderer parked the car and returned to finish the job. She screamed a number of times, and one man opened his window and yelled at whoever was down there to leave her alone. Later the coroner would testify that had any of the witnesses phoned the police sooner, Kitty could have been saved. Instead she bled to death.

Largely Ronsenthal uses this opportunity to wax philosophical, both about the callous nature of people in general, and of New Yorkers. One New York newspaper managed to infer that it was her own fault by referring to her as a “barmaid” and mentioning that she was not living with her husband; the takeaway from this appearing to be that had she stayed with the mister and been home raising kids, she would not have been in danger. In this instance I think we can surmise that half a century later, any journalist who got that kind of misogynistic garbage past his editor would have heard from readers.

I found this little nugget hard to review. Part of it was due to a stereotype I wasn’t aware I carried; I assumed this attack was somehow related to the mafia (note the Italian last name). Whoopsie! Yes, I know that not everyone that bears an Italian name has a mobster in the family. So it goes.

But also, it’s an unusual piece of writing in that it isn’t really a memoir, isn’t really philosophy, isn’t really sociology. But the overall thesis appears to be that human beings don’t take good enough care of each other. He also uses the occasion to speak in defense of New York cops, who performed their jobs as well as they could in this circumstance. But what timing, given the behavior of NYPD of late! The piece hasn’t really aged all that well.

The writer speaks of a time in India when he himself failed to help others, a time when he regularly strolled past beggars that were ragged, often badly disabled or diseased, and he didn’t help them. He brought this item back time and again to where it felt a little like breast-beating and gnashing of teeth. I wasn’t interested in providing the author with the catharsis he seemed to be reaching for. For that, get a therapist already!

In all, I think his narrative is probably geared more toward native New Yorkers, and since the event is long gone and doesn’t really have a modern parallel, the niche that may be interested has shrunk to New Yorkers of Social Security age.

The writing was fluent, as one might expect of a seasoned journalist, but its prime period has come and gone. I was happy to read it free, but would not have wished to pay for the privilege.

The Warmth of Other Suns: The Epic Story of America’s Great Migration, by Isabel Wilkerson *****

thewarmthofothersunsIf you have any interest whatsoever in African-American history; American history in general; or Black Studies, this book should already be on your shelf. It is one of the most important volumes to have been written in decades, a comprehensive yet readable and enjoyable look at a migration that dwarfs the smaller California Gold Rush and Dust Bowl migrations in size and scope. Black folks started to leave the south as Jim Crow became entrenched. They did so often at their peril; Caucasians who wanted that cheap and servile day labor were so violently opposed that Blacks planned their departure, in many cases, with the utmost secrecy, buying the train ticket from their own backwater hamlet to a nearby town so no one would suspect they really meant to go to Chicago, Milwaukee, Washington DC, New York City, or any of a number of places in the north and west where there was no official Jim Crow.

Though they still faced a disappointing amount of racism, from segregated neighborhoods to hotels that magically became “full” just long enough for the Black traveler to get back into the car, things were much less tense in their newly found homes. Like immigrants who come to the US from Third World countries, they found that although they did not yet possess the things the White man had, regardless of their own professional qualifications, they did enjoy a better standard of living and lived under less fear than they had back in Mississippi, Texas, or any other part of the Jim Crow south. Some grew homesick and went back where they’d come from, but most did not.

Wilkerson received a Guggenheim fellowship to help support the vast amount of research-related travel and time it took to compile this masterly piece of research, for which she used over 1,200 interviews. Her scholarship is meticulous. Every speck of information provided by a primary source is backed up. She won the Pulitzer for this book, and that is not surprising.

In my own reading of this work, in which she follows the stories of three individuals, interlacing their stories with her more journalistic reporting of the facts on the ground, I found it helpful to skip to the section in which she explains her methodology, before I read further. Thus, I read the introduction, then skipped to the methodology (since I had initially wondered what good 1,200 interviews did if we were going to just follow three, but she cleared that up quite nicely), then the main body of writing, start to finish.

It’s a large tome, and I usually restrict my reading of physically large works to a small portion of each day due to my own issues with arthritis and pain. That went out the window while I read this. It is anything but dry; I could not put it aside. It was as riveting as the most unforgettable biography or memoir, and I kept reaching for sticky notes to mark passages I found particularly compelling.

Sometimes I end my reviews by suggesting a particular book is worth reading, but only if you can get it free or cheaply. Not this time. This is a book the serious reader will want on his or her bookshelves. It is one to refer back to again and again after having read it. If you don’t own it yet, go out and buy it. I hope that in the near future, it will become one of those books that every scholar will be expected to have read in order to be taken seriously. It’s that important…and how lucky we are that it is also fun to read!