Saturday, February 28, 2015

THE DOCTORS' PLAGUE by Sherwin Nuland ✮✮✮⭐︎

One of the great truths of science is that in seeking the answer to one question, the greatest discoveries are often made.  It is of such a quest that Sherwin B. Nuland seeks to enlighten his reader in his nonfiction work, The Doctors' Plague: Germs, Childbed Fever, and the Strange Story of Ignác Semmelweis.  Nuland writes with passionate enthusiasm about the history of childbed fever and Ignác Semmelweis, the discoverer of its cause, a man all but lost in the annuls of history.  In helping the reader to understand Semmelweis and the importance of his discovery, the author outlines the history of the illness that sparked his single-minded quest for answers and introduces many important medical and political figures of the time.  Informing about the clinical aspects takes precedence, but along the way readers learn a fair amount about the medical culture of the primary setting of the book: Vienna, in the middle of the nineteenth century.
After a lovely narrative telling the tale of a young, pregnant woman dying of childbed fever after the hospital delivery of her child, a fairly comprehensive recitation of the history of childbed fever is given.  Covered are the many people who attempted to dig their way to the root of the devastating illness whose eradication is the central theme of the book.  This information is given in a couple of chapters—one about the earliest postulations and another setting the scene for the medical community which Semmelweis would soon join.  
Finally, the author begins telling the story of Ignás Semmelweis, a young physician, who chose obstetrics after unsuccessfully attempting entrance to more respected fellowships, because he knew he would not face rejection again.  It might be said that fate led Semmelweis, who originally aspired to the practice of law, to the Allgemeine Krankenhaus and thrust his agile, inquisitive mind towards solving a problem that had bedeviled midwives, physicians, and their patients for more than 2,200 years.  It was Ignás Semmelweis who finally drew the first lasting connection between the importance of hand-washing in halting the spread of infection, including that which caused childbed fever, from patient to patient.

What makes Semmelweis’s story so engaging is not only the fact that he solved a medical mystery that had an import stretching beyond hospital delivery rooms.  His story shows the importance of two practices long viewed as necessary in ensuring that discoveries of scientific import are acknowledged as credible: establishing laboratory experiments that can be replicated by others in the field and publishing written accounts of all findings.

Sherwin Nuland does an excellent job highlighting Semmelweis’s resistance to laboratory experiments, which the doctor deemed unnecessary; he felt the recorded drops in mortality rates of childbed fever in hospitals which instituted mandatory hand-washing spoke for themselves.   Another area the author spends even more time discussing is the effect of Semmelweis’s failure to write about his findings.  Semmelweis was very fortunate that he had friends who were well respected within the medical community and wrote on his behalf.  Their enthusiasm for his discovery, however, hurt Semmelweis in the end, because they didn’t adequately cover all 
aspects of his research and a critical detail was neglected.  The other doctors claimed that Semmelweis had found that infection was spread when doctors went into the delivery room, without adequate hand sanitizing, after dissecting corpses of those who died of childbed fever.  They neglected to mention that Semmelweis also discovered that infection transferred from other sources, such as an infected knee and cancerous pus from an infected breast.  This omission caused doctors at hospitals that did not practice autopsies to discount Semmelweis’s theory; since they did not deal with cadavers, their cases of childbed fever could not be attributed to the only cause that Semmelweis apparently espoused.  

While the author writes in a convincing and vivid fashion about the main themes in the book, the book does have a couple of definite weaknesses.  Foremost of them is that the book is in desperate need of a more definitive timeline.  For the vast majority of the book the reader is bounced literally from Before the Common Era into the mid-nineteenth century and back and forth to various times in between.  This structure makes following the process of discovery very challenging.  The second issue that makes the book more challenging than it likely needs to be is that in a couple of chapters right at the beginning of the book the reader is subjected to a very dry, arduous recitation of names, dates, and theories.  The information is necessary to the story but would have gained a more attentive audience if woven in a more anecdotal fashion into the flow of the narrative.

Overall, I definitely feel that the book’s strengths outweigh its weaknesses.  Nuland creates a convincing argument for Semmelweis’s place in history—in the beginning he is a bit too enamored of his protagonist, but he does come round to an honest assessment of his subject in the end, making his opinions seem well-reasoned and valid.  A complete, if disorganized, history of childbed fever is presented in such a way that the book will appeal beyond the reader of medical chronicles.  General history and politics, social issues, women’s studies, and even the psychological make-up of Semmelweis are all interwoven into the narrative, making for a story with broad appeal.

Wednesday, February 11, 2015

MAMA KOKO AND THE HUNDRED GUNMEN by Lisa J. Shannon (✮✮✮✮⭐︎)

Currently, I am doing a multiple year reading challenge through most of the African nonfiction on my TBR, with the addition of a few novels.  Based on the advice of a friend who also enjoys reading nonfiction about The Dark Continent, one of the first books to go on my challenge list was Lisa Shannon’s The Thousand Sisters.  Since my Congo books were slated for next year, I had yet to experience her writing; however, when I was offered a review copy of this, her newest book, I jumped on it.

Lisa had the opportunity to travel to the home village of a friend, a Congo born woman married to an American who served in the Peace Corps in her village.  Francesca’s family’s region had recently become embroiled in the tragic despotic conflict that has been spreading across the borders of several neighboring countries.  Lisa convinced her that they should travel to the area together, with Francesca acting as translator and guide, in order for Lisa to document and then share with the west the continued abuses and trials suffered by the people of the region.

Lisa Shannon is a well-known activist for the women of Congo and has devoted her life to raising awareness of their plight.  As such, I expected an insightful look at the hardships experienced by her subjects, but I was completely unprepared for what an outstanding narrative writer she is.  She brings Congo to sweat-soaked, dust-laden reality.  Its people come vividly to life as she shares their humor under duress, their love for each other, and their despair over the calamity that has descended on their once bucolic corner of Africa.

Mama Koko is primarily the story of Francesca’s family (Mama Koko is her mother) and their reminiscences.  Lisa relates first person interviews, observes the situation at the time of her visit, and shares her insight.  In addition, Lisa is unflinching in her analysis of her own motivations and emotions.  There is an appendix at the end of the book where a brief but very informative history of the descent of Congo into chaos is detailed.  Lisa states that she wanted the focus of the book to be on the family and their experiences, but as someone unfamiliar with the genesis and progression of the conflict, I appreciated her synopsis.

At the conclusion of the book, Lisa gives a list of organizations that aid victims of violence in Congo and encourages readers to learn more about their critical efforts.  There is also a listing of all the people mentioned in the book and a distinguishing characteristic.  My guess is that list will be moved to the front of the final publication, but if not, be aware that it is in the back and rather useful while you read, as there is a large cast of players in the narrative.  Although they were not included in my galley, it looked as though there are going to be a significant number of maps in the finished product, which has been available for purchase since 3 February.

Chronology was the sole reason that this book did not garner five stars from me—I gave it a solid four and a half in places that allow halves.  Lisa gives a linear narration of her interviews in the order she conducted them, along with her own experiences, as opposed to the order in which the events being recounted happened.  At times, I lost my grasp of how the many occurrences slotted together.


That single gripe aside (and truly, it in no way affected the impact of the story Lisa was trying to tell), I would recommend this book to anyone who seeks to better understand the non-combatant viewpoint of a region in violent crisis.  This story is not told as a journalist might report the conflict.  It is the chronicle of one motivated, compassionate woman driven to share the anguish of families caught in the cross-fire of a tumultuous battle which came unbidden to their doorstep and which they have never embraced as their own.  This is a book aimed at encouraging each of us to engage, both on an emotional and a hands-on level, in one of the great tragedies of our time.  

Friday, January 23, 2015

☊ An Artist of the Floating World by Kazuo Ishiguro (✮✮✮✮)

What a lovely little novel!  This tale of Japan, set just after the Second World War and with flashbacks to the pre-war period, gives its reader a peek into the culture of the time and carries a message relevant to the plot of the book and even modern lives.

The story follows Ono, an artist of some repute, and slowly unfolds a tale of how the past bleeds into the present and can have far-reaching effects on those we love.  Centered around the marriage negotiations for his daughter, which brings the reader quite nicely into the sphere of Japanese culture at the time, the novel has a much deeper theme.  In a subtle unfolding of choices made and how they are perceived by Ono and others, and thus reaching forward through time to affect the characters, the reader glimpses life in post-warJapan.  However, the message is such that it is one easily grasped by and relevant to a modern, western reader.

Narrated by David Case, this brief audio clocks in at a mere six and a half hours.  While I would not call the narration outstanding, Case does a creditable job of voicing each of the characters distinctly.  I would probably recommend reading this one in print, as there were several parts where I backed up the audio in order to hear again passages which I found especially engaging.

If you are a reader who enjoys a gradually unfolding plot and a message that takes an infinitesimal turn just as you think you have grasped the heart of the moral, this tale, gentle on the surface but roiling beneath, will give you a contemplative few hours.



☊ A SOLDIER OF THE GREAT WAR by Mark Helprin (✮✮✮✮)

Certainly, this tome by Helprin is not for the faint of heart: the book is just shy of eight hundred pages and the audio clocks in at thirty-one hours.  Until the end of the book, I was not thinking it would earn more than three stars from me.  In the end, I had to acknowledge that despite its weaknesses, the book deserved more regard.

Helprin gives as our narrator a man in his seventies, who, having missed a bus, ends up taking a walk of some great distance through the countryside with a young man.  Along the way he shares wisdom, philosophical musings, and the biggest story of his life.  

Loving as I do great characterization, I couldn’t help but fall in love with Alessandro Giuliani and all the people from his very full life that his narration brought alive.  In light of his conversations, we come to know what life was like in Italy before, during, and after the First World War.  We learn how people thought, what they dreamed of, and what their struggles were.  Helprin’s marvelous gifts of description and depth of thought shine through Alessandro as the teller of his tale. 

However, at times the descriptive language goes, in my opinion, a bit overboard.  The author writes very expressively and has command of the subtle use of metaphor.  Unfortunately, he is also far too fond of similies, and they often jump glaringly out of the prose.  That is not to say that all of them are over-written (although I still groan at the description of a lady’s chin being likened to an opera house balcony—seriously?); some are lovely and apt, but the bad outweigh the good and there are just far too many.

The timeline of the book is crisp, and the format of beginning and ending the book when Alessandro and the young man are on the road walking makes for a smooth narrative.  Unfortunately, not all the intermediary transitions were as easy.  For instance, at one point Alessandro is seemingly at death’s door from a fever, and then, rather jarringly, he is suddenly in a museum admiring a painting.  At first I thought he must be in a fever induced delirium and flashing back, but no, the narrative really did make that leap.

I would be absolutely remiss if I did not give a lot of the credit for how much I enjoyed this novel to the outstanding narration of David Colacci.  His reading infused every character with distinct personality, respected the author’s intent, and effectively carried me through both the active and more passive parts of the novel.


Weighing the good and the bad, I debated between three and a half and four stars and finally decided that the general fluidity of the writing and how arresting and contemplative it was deserved the higher rating.  While parts of the plot sped along, others dragged quite mightily, and to enjoy this novel you must be a reader of patience who enjoys a lot of introspection and observation in between the action.

Monday, January 5, 2015

☊ THE SUPREMES AT EARL'S ALL-YOU-CAN-EAT by Edward Kelsey Moore (✮ ✮ ✮ ✮ ✮)

Nothing beats starting a new year with a five-star read!  Last year I only had two the entire year, so they are pretty rare for me.  But Ladies of PBT, what were you thinking?  I ask for suggestions for relationship books that will not put me over the edge at the moment and more than one of you came up with this one?  My word!  Everyone dies in this book!  (Or so it seemed to my over-sensitized perception.)  However, for some odd reason, the book was okay for me; I cried, but I laughed, too—a lot.  So I thank you for your suggestion. 

Leading off an extensive cast are the Supremes, three vibrant women from the small town of Plainview, Indiana, who bond as girls, support each other through all of life’s less stellar moments, and remind each other of the humor in existence (and not always in a mortal body).  Through these women the reader comes to know their neighbors and parents, who run the gamut from comfortingly normal to out-and-out bizarre.

This is one of those novels where one would be hard-pressed to explain a plot.  It is more a meander through lives shaped by a small town and circumstance, which might sound less than scintillating but in Moore’s hands becomes a journey of worth.

And the journey doesn’t end with death.  I think that is why this book was more of a comfort for me than an instrument of depression in the wake of my daughter’s passing.  Picturing our Winter up in Heaven, or even shadowing us all—with Eleanor Roosevelt in tow—couldn’t do other than make me smile.

Helping me interpret the story were narrators Adenrele Ojo and Pamella D’Pella.  I appreciated the humor, which came shining through in both of their performances and think they both did a good job giving individuality to the characters.  However, the narration was very slow (I sped up to 1.5) and there seemed little point in having two narrators alternating chapters.

This is definitely a book that I recommend, but if you are someone who needs a faster paced novel, it might not be your thing.  I love good character novels, so it was perfect for me.


Saturday, January 3, 2015

☊ WHERE'D YOU GO, BERNADETTE? by Maria Semple (✮ ✮ ✮ ✮⭐︎)

Originally, I got a print copy of this book from the library, but a few days later it popped up on my Overdrive window while I was searching for a new audio, so I decided to give that a try.

Written in epistolary format, I wasn’t sure how this novel would work as an audio.  The story line is woven among the first person narration of Bee, the fourteen year old protagonist, and correspondence of various types, from emails to receipts for services rendered.  Not a format I favor in print, let alone audio, but oddly enough, it worked.

This was a book that caught my attention for the humor theme Play Book Tag was reading for the month of December.  Initially, the novel seems very funny, but as you progress through the tale of this bright girl’s eighth grade year, the humor becomes progressively more muted, darker.  Through Bee’s storytelling and the “first person” bits and pieces from the lives of the adults surrounding her, a novel of far greater consequence emerges.  As you learn more about the characters, you become, in turn, more empathetic with each and every one, no matter how buffoonish and unlikeable they seemed at the outset.  In the end, I felt that Play Book Tag’s January theme of relationships far better reflected the novel. 

It is Bee’s relationship with her mother, Bernadette that anchors the story.  When Bernadette mysteriously disappears from a life spinning out of control in some pretty far-fetched ways, Bee begins compiling written records of all kinds from everyone who might be able to shed some light on the situations leading up to her disappearance.  While the plot stretches credulity to the snapping point, it lends to creating the frenetic energy that powers the emotional connectivity between the characters.

The frenetic tone of the novel is very well conveyed through the narration of Kathleen Wilhoite.  I almost gave up on the audio a few minutes into the book, as the frenzied tenor of the reading grated on me.  Luckily for me, it was the middle of the night and I couldn’t be bothered to search for another book, so I persevered.  In the end, I am so glad that I did.  Wilhoite was the perfect narrator for this tale, matching the character of the novel to a tee and imbuing every participant with their own distinct personality.  It wouldn’t surprise me if this ends up being my best audio winner for 2015.


Thursday, January 1, 2015

THE BEST OF 2014

Although I didn't do a very good job keeping up my blog this year, there were many stellar books that stand clearly in my mind as the year's reading highlights. The first two titles were my only five star reads this year, the second three I gave four and a half stars, and the last five were four star reads.:

The Invention of Wings - Sue Monk Kidd (novel)
Four Queens: The Provencal Sisters Who Ruled Europe - Nancy Goldstone (history)
The Art of Hearing Heartbeats - Jan-Philipp Sendker (novel)
Moonwalking with Einstein - Joshua Foer (science)
Savage Harvest - Carl Hoffman (history)
Blood Diamonds - Greg Campbell (history)
A Constellation of Vital Phenomenon - Anthony Marra (novel)
Empire of Blue Water - Stephan Talty (history)
Salt: A World History - Mark Kurlansky (history)
Matterhorn - Karl Marlantes (novel)

Best Audio of the Year: The Invention of Wings - Sue Monk Kidd

What made these outstanding (Titles I reviewed show up maroon--click on the title to be connected to my thoughts.):


The Invention of Wings - Sue Monk Kidd: Hetty and Sarah will live inside my head for a very long time.  Their story was powerfully told through the excellent narration of Adepero Oduye and Jenna Lamia.





Four Queens: The Provencal Sisters Who Ruled Europe - Nancy Goldstone:  A wonderful story of four sisters who’s lives paint a vivid picture of life in thirteenth-century Europe.


The Art of Hearing Heartbeats - Jan-Philipp Sendker: We all have things we are seeking in our lives.  Sometimes what we learn along the way is more important than arriving at our destination.





Moonwalking with Einstein - Joshua Foer:  What a fascinating look inside the art and science of memory.  Engagingly written and full of useful information to go along with the story that frames the book.



Savage Harvest - Carl Hoffman: I couldn’t care less about primitive art or the Rockefellers, but this quasi-mystery was just plain great story-telling.






Blood Diamonds - Greg Campbell: You will never, ever look at your engagement ring quite the same way again.  An important story that needed telling.




A Constellation of Vital Phenomenon - Anthony Marra: A story of our times about how people in the worst situations can connect and touch each other’s lives for good or evil.






Empire of Blue Water - Stephan Talty:  A rollicking good yarn about Henry Morgan, the great age of pirates, and how the Spanish lost their grip on the New World.






Salt: A World History - Mark Kurlansky:  You really can tell the history of the world through salt (who’d a thunk it?) and turn it into a genuinely fascinating tale.







Matterhorn - Karl Marlantes: Raw and unflinching, full of characters you cannot evict from your head.  Not an easy read by any stretch of the imagination, but vital reading for anyone who wants to try to understand Vietnam.