Armstrong writes about her experience as one of only a few people to participate in an experimental treatment for depression involving ten rounds of a chemically induced coma approximating brain death.For years, Heather B. Armstrong has alluded to her struggle with depression on her website. But in 2016, Heather found herself in the depths of a depression she just couldn’t shake, an episode darker and longer than anything she had previously experienced. This book recalls the torturous eighteen months of suicidal depression she endured and the month-long experimental study in which doctors used propofol anesthesia to quiet all brain activity for a full fifteen minutes before bringing her back from a flatline. Ten times. The experience wasn’t easy. Not for Heather or her family. But a switch was flipped, and Heather hasn’t experienced a single moment of suicidal depression since. The Valedictorian of Being Dead brings to light a groundbreaking new treatment for depression.

    Among them: a successful, first generation Chinese immigrant musician suffering sexual dysfunction; a young woman whose father abandoned her at age nine with her younger siblings in an isolated cottage in the depth of winter; and a glamorous workaholic whose narcissistic, negligent mother greeted her each morning of her childhood with Good morning, Monster.Each patient presents a mystery, one that will only be unpacked over years. They seek Gildiner's help to overcome an immediate challenge in their lives, but discover that the source of their suffering has been long buried.As in such recent classics as The Glass Castle and Educated, each patient embodies self-reflection, stoicism, perseverance, and forgiveness as they work unflinchingly to face the truth. Gildiner's account of her journeys with them is moving, insightful, and sometimes very funny. Good Morning Monster offers an almost novelistic, behind-the-scenes look into the therapist's office, illustrating how the process can heal even the most unimaginable wounds.

    Leana Wen likes to use. You don’t know it because good public health is invisible. It becomes visible only in its absence, when it is underfunded and ignored, a bitter truth laid bare as never before by the devastation of COVID-19.Leana Wen—emergency physician, former Baltimore health commissioner, CNN medical analyst, and Washington Post contributing columnist—has lived on the front lines of public health, leading the fight against the opioid epidemic, outbreaks of infectious disease, maternal and infant mortality, and COVID-19 disinformation. Here, in gripping detail, Wen lays bare the lifesaving work of public health and its innovative approach to social ills, treating gun violence as a contagious disease, for example, and racism as a threat to health.Wen also tells her own uniquely American story: an immigrant from China, she and her family received food stamps and were at times homeless despite her parents working multiple jobs. That child went on to attend college at thirteen, become a Rhodes scholar, and turn to public health as the way to make a difference in the country that had offered her such possibilities.Ultimately, she insists, it is public health that ensures citizens are not robbed of decades of life, and that where children live does not determine whether they live.

    All this changed with a phone call that set a journey of discovery in motion, leading to a series of shocking revelations that forced Stephanie to revise the meaning of almost every aspect of her very compromised childhood.American Daughter is at once the deeply moving memoir of a troubled mother-daughter relationship and a meditation on resilience, transcendence, and redemption. Stephanie's story is unique but its messages are universal, offering insight into what it means to rise above, heal, and forgive.

    Days earlier, she had been on the threshold of a new, adult life: at the beginning of her first serious relationship and a promising career at a major New York newspaper. Now she was labeled violent, psychotic, a flight risk. What happened?In a swift and breathtaking narrative, Cahalan tells the astonishing true story of her descent into madness, her family’s inspiring faith in her, and the lifesaving diagnosis that nearly didn’t happen.

    There he meets David Smith, a medical student recovering from drug addiction, and the two men begin a tennis ritual that allows them to shed their inhibitions and find security in the sport they love and with each other. This friendship between doctor and intern grows increasingly rich and complex, more intimate than two men usually allow. Just when it seems nothing can go wrong, the dark beast from David’s past emerges once again—and almost everything Verghese has come to trust and believe in is threatened as David spirals out of control.

    My BMI is 60.7. My shirts are size XXXXXXL, which the big-and-tall stores shorten to 6X. I’m 6-foot-1, or 73 inches tall. My waist is 60 inches around. I’m nearly a sphere. Those are the numbers. This is how it feels… So begins The Elephant in the Room, Tommy Tomlinson’s remarkably intimate and insightful memoir of his life as a fat man. When he was almost fifty years old, Tomlinson weighed an astonishing—and dangerous—460 pounds, at risk for heart disease, diabetes, and stroke, unable to climb a flight of stairs without having to catch his breath, or travel on an airplane without buying two seats. Raised in a family that loved food, he had been aware of the problem for years, seeing doctors and trying diets from the time he was a preteen. But nothing worked, and every time he tried to make a change, it didn’t go the way he planned—in fact, he wasn’t sure that he really wanted to change.In The Elephant in the Room, Tomlinson chronicles his lifelong battle with weight in a voice that combines the urgency of Roxane Gay’s Hunger with the intimacy of Rick Bragg’s All Over but the Shoutin’. He also hits the road to meet other members of the plus-sized tribe in an attempt to understand how, as a nation, we got to this point. From buying a FitBit and setting exercise goals to contemplating the Heart Attack Grill in Las Vegas, America’s “capital of food porn,” and modifying his own diet, Tomlinson brings us along on a candid and sometimes brutal look at the everyday experience of being constantly aware of your size. Over the course of the book, he confronts these issues head-on and chronicles the practical steps he has to take—big and small—to lose weight by the end.Affecting and searingly honest, The Elephant in the Room is a powerful memoir that will resonate with anyone who has grappled with addiction, shame, or self-consciousness. It is also a literary triumph that will stay with readers long after the last page.

    With brutal honesty, humor, and clarity, the author vividly describes her experiences as she rides her downward spiral: a near-miss with a notorious serial killer, a series of tragically hilarious misadventures in the California drug world, and a terrifying account of imprisonment at the hands of Japanese organized crime, to name a few. This revised and re-edited version contains three additional chapters that introduce readers to quirky characters, insights into standup comedy, resilience and recovery, and deliver an inspiring message about healing, hope, and courage to change.

    In addition to the practical and compassionate guidance that have made The 36-Hour Day invaluable to caregivers, the fourth edition is the only edition currently available that includes new information on medical research and the delivery of care.The new edition includes:-new information on diagnostic evaluation-resources for families and adult children who care for people with dementia-updated legal and financial information-the latest information on nursing homes and other communal living arrangements-new information on research, medications, and the biological causes and effects of dementiaAlso available in a large print editionPraise for The 36-Hour Day:

    "The disease I have is loving him." Their love affair was dramatic, urgent, overwhelming--an intoxicating antidote to the long, lonely days of early motherhood. But soon after they get together, K starts using again, and years of relapses and broken promises follow. Even as his addiction deepens, she stays, convinced she is the one who can get him sober. If she leaves him, has she failed? After an adolescence marred by family trauma and addiction, Nina can't help but feel responsible for those suffering around her. How can she break this pattern?In prose at once unflinching and acrobatic, Aron delivers a piercing memoir of romance and addiction, drawing on intimate anecdote as well as academic research to crack open the long-feminized and overlooked phenomenon of codependency. She shifts between visceral, ferocious accounts of her affair with K and introspective analysis of the part she plays in his addictions, as well as defining moments in the history of codependency, from temperance to the formation of Al-Anon to more recent research in the psychology of addiction. Good Morning, Destroyer of Men's Souls is a blazing, big-hearted book, one that illuminates and adds nuance to the messy tethers between femininity, enabling, and love.

    The author writes about the consquences of war and gives advice to young new medics.

    I am the one who came out on the other side of childhood; she is the one who searched for the door."In the tradition of The Glass Castle comes a debut memoir about a woman’s hopeful life despite the sad results of her mother’s choices. Moonlight on Linoleum is an affecting story of a girl who rose above her circumstances to become an early and faithful caretaker to her five siblings. It is about the power one finds in sisterhood to thrive in a difficult and ever-changing landscape as the girls bond in unconditional love despite constant upheaval and uncertainty. In these pages, Teresa Helwig crafts a moving portrait of a mother she loved completely even as she struggled to understand her. "Putting myself in Mama's shoes, which were most often white moccasins molded in the shape of her size seven-and-a-half foot, I see an eighteen-year-old girl with two children, one of them still a baby. . . . Her former husband is in Korea, drafted after their divorce; she has a sister who disappears from time to time, leaving yet another child in her care; she has no money, no high-school diploma, and a mother unhappy to have her home." Teresa and her sisters, who were added regularly throughout the 1950s and '60s, grew up with with their charismatic, troubled, and very young mother, Carola. Because of their stepfather’s roving job as in the oil fields, they moved frequently from town to town in the American West. The girls were often separated and left behind with relatives and never knew what their unstable mother would do next. Missing her mother became a habit for Teresa; one summer Carola dropped off her two daughters at her ex's family farm."If there were an idyllic summer of childhood, it was that summer on the Iowa farm. Yet, if I had to choose a time when I felt most forsaken by my mother, it was also that summer. Even back then, I was acutely aware of the paradox. On the outside, by day, I was like the morning glory vine twining around the back fence. Every day opened to a life I loved on the land. I reveled in and relished the absolute freedom and abandon of being turned loose in Eden.      "But then, each evening, after the sun set and the dinner dishes had been hand-washed and dried, I became like the moonflower vine climbing up the weathered boards on the side of the garage. The moonflower opens its large fragrant blooms at night; they shimmer like moonlight and sweeten the night air.     "I evolved a ritual at bedtime before crawling into my bed . . . I held Mama's Polaroid picture to my heart. I love you. Please come get us soon. I want to be with you more than I want to be anywhere else. These were my prayers, my blooms that opened to the night. Then I pursed my lips against the cool glass and kissed her smiling face goodnight."There were good times too: Carola made fudge for the girls during rainstorms, helped Teresa's cat deliver kittens, and taught her to play "You Are My Sunshine" on a toy piano. But when her husband was out working on the oil fields, Carola, who had married at fourteen, began to fill her time with men she met in the various towns her roving family moved to. She referred to her secret dating life as "going to Timbuktu," leaving Teresa in charge of her siblings. As Carola roamed and eventually developed crippling migraines, Teresa became a replacement mommy before her own childhood was fully in swing. Stress, guilt, and recurring nightmares marked her days and nights."In addition to the amphetamines [for weight loss], Mama was now taking barbiturates for her migraines. Her moods began to yo-yo. She became as hard to predict as the weather. When Daddy was out of town and Mama was in one of her fogs, I learned to fend for myself. And, being the oldest, I learned to fend for my sisters, too . . . It was around this time I came to realize a hard truth. Once your sisters begin looking up to you, as if you really could save them from being poisoned, as if you know a way out of a dark cave, there's no going back. You'll draw your last breath, trying to find that door to the Lost City of Enchantment, because you can't bear to let them down."Yet, even in the face of adversity, Teresa found beauty in the small moments: resting in the boughs of her favorite oak tree, savoring the freedom she found on her grandparents’ farm, and gleefully discovering the joys of dating and dancing. While Carola struggled for an exciting and satisfying life, Teresa faced adolescence and young adulthood, increasingly burdened by Carola's dysfunction. Finally, as the family splintered between colleges, homes, stepfathers, and their mother's disintegrating mental health, Teresa drove Carola to a mental hospital--where at last the mother of five found some peace and order.Upon leaving the hospital, sadly Carola continued in a downward spiral: more men, a drug addiction, a toddler son's death, and finally her own accidental overdose death in 1974. Though Carola's unhappy life meant Teresa's was marked by hardship and tragedy, Teresa found redemption in writing her mother's story and discovering empathy for the woman continually harmed by her own bad choices. The bonds of sisterhood helped sustain her, and today the girls are still close, still savoring the good in a childhood pocked with pain. Teresa, now a counselor and mother of a daughter, was able to conclude, after visiting her mom's grave and asking her blessing on the book, I believe joy and sorry rest together, the two sides of love. I have repeatedly uncovered places of joy inside my own heart tucked within the folds of sorrow.  With enormous skill and sensitivity, Teresa deftly explores the history she shared with Carola and the relentless love of a child for her mother.

    The tumour was located in the area of the brain that controls speech and language, and would eventually rob him of the ability to speak. Tom was 53 when he died, leaving Marion and their son Eugene, just two years old, alone. In short bursts of beautiful, textured prose, Coutts describes the eighteen months leading up to Tom's death. The Iceberg is an unflinching, honest exploration of staring death in the face, finding solace in strange places, finding beauty and even joy in the experience of dying. Written with extraordinary narrative force and power, it is almost shocking in its rawness. Nothing is kept from the reader: the fury, the occasional spells of selfishness, the indignity of being trapped in a hopeless situation. It is a story of pain and sadness, but also an uplifting and life-affirming tale of great fortitude, courage, determination – and above all, love.

    Before long Diana and her partner, Jack Moody—new to being a couple—have moved into a long-empty jungle house, cohabitating with bats, scorpions, toucans, iguanas, and the vulnerable but resilient butterflies. She comes to be obsessed with the array of iridescent creatures.Just ahead, although they don’t know it, are a hurricane and a global pandemic.This warm, funny tale of finding a way forward when the world seems to be falling apart is filled with the beauty of the natural world and a heartfelt cry to protect it—beginning with butterflies.

    While an illness keeps her bedridden, Bailey watches a wild snail that has taken up residence on her nightstand. As a result, she discovers the solace and sense of wonder that this mysterious creature brings and comes to a greater understanding of her own confined place in the world. Intrigued by the snail’s molluscan anatomy, cryptic defenses, clear decision making, hydraulic locomotion, and mysterious courtship activities, Bailey becomes an astute and amused observer, providing a candid and engaging look into the curious life of this underappreciated small animal.  Told with wit and grace, The Sound of a Wild Snail Eating is a remarkable journey of survival and resilience, showing us how a small part of the natural world illuminates our own human existence and provides an appreciation of what it means to be fully alive.