Honestly, I can't imagine a better tale.
A detective story that's at once mythically large and painfully intimate.
Just the simple facts are hard to believe: that in 1951, a poor black woman named Henrietta Lacks dies of cervical cancer, but pieces of the tumor that killed her--taken without her knowledge or consent--live on, first in one lab, then in hundreds, then thousands, then in giant factories churning out polio vaccines, then aboard rocket ships launched into space. The cells from this one tumor would spawn a multi-billion dollar industry and become a foundation of modern science--leading to breakthroughs in gene mapping, cloning and fertility and helping to discover how viruses work and how cancer develops (among a million other things). All of which is to say: the science end of this story is enough to blow one's mind right out of one's face.
But what's truly remarkable about Rebecca Skloot's book is that we also get the rest of the story, the part that could have easily remained hidden had she not spent ten years unearthing it: Who was Henrietta Lacks? How did she live? How she did die? Did her family know that she'd become, in some sense, immortal, and how did that affect them? These are crucial questions, because science should never forget the people who gave it life. And so, what unfolds is not only a reporting tour de force but also a very entertaining account of Henrietta, her ancestors, her cells and the scientists who grew them.
The book ultimately channels its journey of discovery though Henrietta's youngest daughter, Deborah, who never knew her mother, and who dreamt of one day being a scientist.
As Deborah Lacks and Skloot search for answers, we're bounced effortlessly from the tiny tobacco-farming Virginia hamlet of Henrietta's childhood to modern-day Baltimore, where Henrietta's family remains. Along the way, a series of unforgettable juxtapositions: cell culturing bumps into faith healings, cutting edge medicine collides with the dark truth that Henrietta's family can't afford the health insurance to care for diseases their mother's cells have helped to cure.
Rebecca Skloot tells the story with great sensitivity, urgency and, in the end, damn fine writing. I highly recommend this book. --Jad Abumrad
Look Inside The Immortal Life of Henrietta LacksClick on thumbnails for larger images
Henrietta and David Lacks, circa 1945. Elsie Lacks, Henrietta’s older daughter, about five years before she was committed to Crownsville State Hospital, with a diagnosis of “idiocy.” Deborah Lacks at about age four. The home-house where Henrietta was raised, a four-room log cabin in Clover, Virginia, that once served as slave quarters. (1999) Main Street in downtown Clover, Virginia, where Henrietta was raised, circa 1930s.
Margaret Gey and Minnie, a lab technician, in the Gey lab at Hopkins, circa 1951. Deborah with her children, LaTonya and Alfred, and her second husband, James Pullum, in the mid-1980s. In 2001, Deborah developed a severe case of hives after learning upsetting new information about her mother and sister. Deborah and her cousin Gary Lacks standing in front of drying tobacco, 2001. The Lacks family in 2009.
Over the past decade, through his writing in The New Yorker magazine and his books Complications and Better, Atul Gawande has made a name for himself as a writer of exquisitely crafted meditations on the problems and challenges of modern medicine. His latest book, The Checklist Manifesto, begins on familiar ground, with his experiences as a surgeon. But before long it becomes clear that he is really interested in a problem that afflicts virtually every aspect of the modern world--and that is how professionals deal with the increasing complexity of their responsibilities. It has been years since I read a book so powerful and so thought-provoking.
Gawande begins by making a distinction between errors of ignorance (mistakes we make because we don't know enough), and errors of ineptitude (mistakes we made because we don't make proper use of what we know). Failure in the modern world, he writes, is really about the second of these errors, and he walks us through a series of examples from medicine showing how the routine tasks of surgeons have now become so incredibly complicated that mistakes of one kind or another are virtually inevitable: it's just too easy for an otherwise competent doctor to miss a step, or forget to ask a key question or, in the stress and pressure of the moment, to fail to plan properly for every eventuality. Gawande then visits with pilots and the people who build skyscrapers and comes back with a solution. Experts need checklists--literally--written guides that walk them through the key steps in any complex procedure. In the last section of the book, Gawande shows how his research team has taken this idea, developed a safe surgery checklist, and applied it around the world, with staggering success.
The danger, in a review as short as this, is that it makes Gawande's book seem narrow in focus or prosaic in its conclusions. It is neither. Gawande is a gorgeous writer and storyteller, and the aims of this book are ambitious. Gawande thinks that the modern world requires us to revisit what we mean by expertise: that experts need help, and that progress depends on experts having the humility to concede that they need help. --Malcolm Gladwell
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Today the very ideas that made America great imperil its future. Our plans go awry and policies fail. History's grandest war against terrorism creates more terrorists. Global capitalism, intended to improve lives, increases the gap between rich and poor. Decisions made to stem a financial crisis guarantee its worsening. Environmental strategies to protect species lead to their extinction.
The traditional physics of power has been replaced by something radically different. In The Age of the Unthinkable, Joshua Cooper Ramo puts forth a revelatory new model for understanding our dangerously unpredictable world. Drawing upon history, economics, complexity theory, psychology, immunology, and the science of networks, he describes a new landscape of inherent unpredictability--and remarkable, wonderful possibility.
Read an Interview with Joshua Ramo Cooper, Author of The Age of the Unthinkable
How do you define the Age of the Unthinkable?It's an age in which constant surprise--for good or for ill--has become a fact of life and in which our old ideas about how to make the world safer and more stable are actually making it more dangerous and unstable.
What compelled you to write this book?It was clear to me that the models we were using to think about the world were wrong--often dangerously so. And I saw that many people who wanted to disrupt the systems we rely on--people as different as terrorists and hedge fund managers--had the upper hand when it came to understanding the nature of our age. I wanted to write a book that would help other people understand what was happening so we could manage what promises to be a very unstable period.
Where are some of the most "unthinkable" hot spots around the world today?These spots are all over the globe. But if I had to name a few of particular relevance I would list them as:
Gaza and Lebanon. Hamas and Hizb'allah not only resist Israeli attack but seem to get stronger and much shrewder the harder they are attacked.
Wall Street, USA. Complex financial products designed to manage risk in fact accelerate the spread of unimagined danger through the financial system.
Kyoto, Japan. A radical inventor named Shigeru Miyamoto remade the global video game business overnight by mixing up two things--video games and accelerometer chips from car airbags--into a new revolutionary game system called the Wii.
South Africa. The most expensive medical campaign ever to stop the spread of TB instead has led to the creation of a new, even more deadly super bug.
Russia. The end of the USSR and great economic booms didn't produce a US and democracy friendly system, as we hoped, but rather has led to an increasingly belligerent nation.
You describe Danish physicist and biologist Per Bak's "sandpile" theory which implies that sand cones, although relatively stable-looking, are actually deeply unpredictable. In Bak's experiments a single grain of sand could trigger an avalanche—or nothing at all. How do you think countries and leaders relate to this theory?The point is that whenever you think the world is stable, it's not. Even the smallest perturbations--home mortgage collapses or computer viruses--can cause tremendous dislocations. The pile in Bak's experiment is always growing in complexity and changing. So the lesson for us is that there are no simple policies or easy solutions; the problems we face rarely end, they just change shape. So we need a revolution in our way of thinking and in the institutions we use to manage the world if we are going to keep up with such a dynamic system.
You espouse that average citizens should take control of their lives and live in a "revolutionary" manner. What do you mean? Can established governments and revolutionaries co-exist?Sure they can. Google and the US government get along fine (more or less). What matters is that we all do three things: first we have to live lives that are very resilient, which means taking care of our selves, our savings, our family and our education so we can adjust to a rapidly changing world. Second, we all have to participate in a caring economy, devoting some of our life to helping others instead of relying on the government to help others for us. And finally we have to be innovative in how we live and think. We have to try to think of new ways to make a difference in the world as individuals, to help prepare our children to manage and control their own lives instead of relying on big corporations or the government to do so.
We are living in a deeply unpredictable moment in history in which things seem to be getting more unstable and it just keeps getting worse. What hopeful prospects do you see in our future?I think that basically what we are living in is a very disruptive moment. And this involves both disruption for bad ends (think 9/11) and for good (think of bio-engineering disease cures.) I'm optimistic because I basically believe more people want to disrupt for good than for bad. The challenge for us is simply to empower as many people to create, and to live as full lives as we can.
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