Being Mortal by Atul Gawande - A 20-minute Summary: Medicine and What Matters in the End


Instaread Summaries - 2014
    Being Mortal by Atul Gawande - A 20-minute Summary Inside this Instaread Summary: • Overview of the entire book• Introduction to the important people in the book• Summary and analysis of all the chapters in the book• Key Takeaways of the book• A Reader's Perspective Preview of this summary: Chapter 1 Gawande grew up in Ohio. His parents were immigrants from India and both were doctors. His grandparents stayed in India, and there were few older people in his neighborhood, so he had little experience with aging or death until he met his wife’s grandmother, Alice Hobson. Hobson was seventy-seven and living on her own in Virginia. She was a spirited widow who fixed her own plumbing and volunteered with Meals On Wheels. However, Hobson was losing strength and height steadily each year as her arthritis worsened.Gawande’s father enthusiastically adopted the customs of his new country, but he could not understand the way in which seniors were treated in the US. In India, the elderly were treated with great respect and lived out their lives with family.In the United States, Sitaram Gawande, Gawande’s grandfather, likely would have been sent to a nursing home like most of the elderly who cannot handle the basics of daily living by themselves. However, in India, Sitaram Gawande was able to live in his own home and manage his own affairs, with family constantly around him. He died at the age of one hundred and ten when he fell off a bus during a business trip.Until recently, most elderly people stayed with their families. Even as the nuclear family unit became predominant, replacing the multi-generational family unit, people cared for their elderly relatives. Families were large and one child, usually a daughter, would not marry in order to take care of the parents.This has changed in much of the world, where elderly people end up struggling to live alone, like Hobson, rather than living with dignity amid family, like Sitaram Gawande.One cause of this change can be found in the nature of knowledge. When few people lived to be very old, elders were honored. Their store of knowledge was greatly useful. People often portrayed themselves as older to command respect. Modern society’s emphasis on youth is a complete reversal of this attitude. Technological advances are perceived as the territory of the young, and everyone wants to be younger. High-tech job opportunities are all over the world, and young people do not hesitate to leave their parents behind to pursue them.In developed countries, parents embrace the concept of a retirement filled with leisure activities. Parents are happy to begin living for themselves once children are grown. However, this system only works for young, healthy retirees, but not for those who cannot continue to be independent. Hobson, for example, was falling frequently and suffering memory lapses. Her doctor did tests and wrote prescriptions, but did not know what to do about her deteriorating condition. Neither did her family… About the Author With Instaread Summaries, you can get the summary of a book in 30 minutes or less. We read every chapter, summarize and analyze it for your convenience.

The Hospital: How I Survived the Secret Child Experiments at Aston Hall


Barbara O'Hare - 2017
    We were human toys. Just a piece of meat for someone to play with.'Barbara O'Hare was just 12 when she was admitted to the psychiatric hospital, Aston Hall, in 1971. From a troubled home, she'd hoped she would find sanctuary there. But within hours, Barbara was tied down, drugged with sodium amytal - a truth-telling drug - and then abused by its head physician, Dr Kenneth Milner.The terrifying drug experimentation and relentless abuse that lasted throughout her stay damaged her for life. But somehow, Barbara clung on to her inner strength and eventually found herself leading a campaign to demand answers for potentially hundreds of victims.A shocking account of how vulnerable children were preyed upon by the doctor entrusted with their care, and why it must never happen again.

The Evil That Men Do: FBI Profiler Roy Hazelwood's Journey Into the Minds of Sexual Predators


Stephen G. Michaud - 1999
    Hazelwood's specialty, is sexual crime—sexually motivated serial killers to rapists to the frightening psychology that drives sexual sadists to the bizarre scenarios behind autoerotic deaths. Hazelwood consulted on the notorious "Barbie and Ken" case, the Atlanta child murderer, and the explosion aboard the USS Iowa. This is a fascinating look at the human dark side from an expert on the subject.

Beating Back the Devil: On the Front Lines with the Disease Detectives of the Epidemic Intelligence Service


Maryn McKenna - 2004
    They always keep a bag packed. They seldom have more than twenty-four hours' notice before they are dispatched. The phone calls that tell them to head to the airport, sometimes in the middle of the night, may give them no more information than the country they are traveling to and the epidemic they will tackle when they get there.The universal human instinct is to run from an outbreak of disease. These doctors run toward it.They are the disease detective corps of the U.S. Centers for Disease Control and Prevention (CDC), the federal agency that tracks and tries to prevent disease outbreaks and bioterrorist attacks around the world. They are formally called the Epidemic Intelligence Service (EIS) -- a group founded more than fifty years ago out of fear that the Korean War might bring the use of biological weapons -- and, like intelligence operatives in the traditional sense, they perform their work largely in anonymity. They are not household names, but over the years they were first to confront the outbreaks that became known as hantavirus, Ebola virus, and AIDS. Now they hunt down the deadly threats that dominate our headlines: West Nile virus, anthrax, and SARS.In this riveting narrative, Maryn McKenna -- the only journalist ever given full access to the EIS in its fifty-three-year history -- follows the first class of disease detectives to come to the CDC after September 11, the first to confront not just naturally occurring outbreaks but the man-made threat of bioterrorism. They are talented researchers -- many with young families -- who trade two years of low pay and extremely long hours for the chance to be part of the group that has helped eradicate smallpox, push back polio, and solve the first major outbreaks of Legionnaires' disease, toxic shock syndrome, and "E. coli" O157.Urgent, exhilarating, and compelling, "Beating Back the Devil" goes with the EIS as they try to stop epidemics -- before the epidemics stop us.

Sleepwalker: The Mysterious Makings and Recovery of a Somnambulist


Kathleen Frazier - 2015
    Eyes wide open. I was standing at an open window, staring at the dizzying curve of Riverside Drive, five floors below. I’d stopped, somehow, poised, about to jump.Growing up the good girl in an Irish American family full of drinkers and terrible sleepers, Kathleen Frazier was twelve when her seemingly innocent sleepwalking turned dangerous. Over the next few years, she was a popular A+ student by day, the star of her high school musical. At night, she both longed for and dreaded sleep.Frazier moved to Manhattan in the 1980s, hoping for a life in the theater but getting a run of sleepwalking performances instead. Efforts to abate her malady with drinking failed miserably. She became promiscuous, looking for nighttime companionship. Could a bed partner save her from flinging herself down a flight of stairs or out an open window? Exhaustion stalked her, and rest and love were seemingly out of reach.This is the journey Frazier illuminates in her intimate memoir. While highlighting her quest to beat her sleep terrors and insomnia, this is ultimately a story of health, hope, and redemption.

Sybil Exposed: The Extraordinary Story Behind the Famous Multiple Personality Case


Debbie Nathan - 2011
    Sybil became both a pop phenomenon and a revolutionary force in the psychotherapy industry. The book rocketed multiple personality disorder (MPD) into public consciousness and played a major role in having the diagnosis added to the psychiatric bible, Diagnostic and Statistical Manual of Mental Disorders. But what do we really know about how Sybil came to be? In her news-breaking book Sybil Exposed, journalist Debbie Nathan gives proof that the allegedly true story was largely fabricated. The actual identity of Sybil (Shirley Mason) has been available for some years, as has the idea that the book might have been exaggerated. But in Sybil Exposed, Nathan reveals what really powered the legend: a trio of women—the willing patient, her ambitious shrink, and the imaginative journalist who spun their story into bestseller gold. From horrendously irresponsible therapeutic practices—Sybil’s psychiatrist often brought an electroshock machine to Sybil’s apartment and climbed into bed with her while administering the treatment— to calculated business decisions (under an entity they named Sybil, Inc., the women signed a contract designating a three-way split of profits from the book and its spin-offs, including board games, tee shirts, and dolls), the story Nathan unfurls is full of over-the-top behavior. Sybil’s psychiatrist, driven by undisciplined idealism and galloping professional ambition, subjected the young woman to years of antipsychotics, psychedelics, uppers, and downers, including an untold number of injections with Pentothal, once known as “truth serum” but now widely recognized to provoke fantasies. It was during these “treatments” that Sybil produced rambling, garbled, and probably “false-memory”–based narratives of the hideous child abuse that her psychiatrist said caused her MPD. Sybil Exposed uses investigative journalism to tell a fascinating tale that reads like fiction but is fact. Nathan has followed an enormous trail of papers, records, photos, and tapes to unearth the lives and passions of these three women. The Sybil archive became available to the public only recently, and Nathan examined all of it and provides proof that the story was an elaborate fraud—albeit one that the perpetrators may have half-believed. Before Sybil was published, there had been fewer than 200 known cases of MPD; within just a few years after, more than 40,000 people would be diagnosed with it. Set across the twentieth century and rooted in a time when few professional roles were available to women, this is a story of corrosive sexism, unchecked ambition, and shaky theories of psychoanalysis exuberantly and drastically practiced. It is the story of how one modest young woman’s life turned psychiatry on its head and radically changed the course of therapy, and our culture, as well.

The Lobotomist: A Maverick Medical Genius and His Tragic Quest to Rid the World of Mental Illness


Jack El-Hai - 2005
    Into this crisis stepped Walter Freeman, M.D., who saw a solution in lobotomy, a brain operation intended to reduce the severity of psychotic symptoms. Drawing on Freeman’s documents and interviews with Freeman's family, Jack El-Hai takes a penetrating look at the life and work of this complex scientific genius.The Lobotomist explores one of the darkest chapters of American medicine: the desperate attempt to treat the hundreds of thousands of psychiatric patients in need of help during the middle decades of the twentieth century. Into this crisis stepped Walter Freeman, M.D., who saw a solution in lobotomy, a brain operation intended to reduce the severity of psychotic symptoms. Although many patients did not benefit from the thousands of lobotomies Freeman performed, others believed their lobotomies changed them for the better. Drawing on a rich collection of documents Freeman left behind and interviews with Freeman's family, Jack El-Hai takes a penetrating look into the life of this complex scientific genius and traces the physician's fascinating life and work.

En Route: A Paramedic's Stories of Life, Death, and Everything in Between


Steven "Kelly" Grayson - 2005
    When hearts stop working, when blood alcohol levels exceed limits we shouldn't contemplate, when bodies are extricated from car wrecks, he's been there to pick up the pieces, save our lives, and watch us slip away. His touching stories of life and death and the hilarious ones of times in between are here to give us an insight of what happens after we call 911, the ambulance doors close, or even what happens inside the ER when the nurse shows the family to the waiting room.

Making a Psychopath: My Journey into Seven Dangerous Minds


Mark Freestone - 2020
    Dr. Mark Freestone has worked on some of the most interesting, infamous and disturbing cases of psychopathology in recent years. His expertise has led to a consultant role on several TV series, helping them accurately portray their fictional villains. Now, he shares his phenomenal insight into the minds of some of the world's most violent real-life criminals.Angela "the Remorseless", a rare female psychopath, casually confessed to murder on national television without a hint of regret. Danny "the Borderline" switched from grandiosity to rage to despair within minutes and killed his defenseless friend without explanation. Tony "the Conman" preferred charm, intimidation and sexual abuse over physical violence and once tried to dupe someone into buying the Eiffel Tower. Jason "the Liar" had a fantasy life that led to vicious murders around Europe and preyed on those who see the good in people. Case by fascinating case, get to know seven of the most dangerous minds that Dr. Freestone has encountered over the last 15 years. These are up-close accounts of some of the most psychopathic criminals, and of what can happen if you fall victim to their supreme powers of manipulation.Exploring the many factors that make a psychopath, the complexities and contradictions of their emotions and behavior, as well as an examination of how the lives of psychopaths develop inside and outside the institutions that are supposed to contain them, Making a Psychopath opens up a window into the world of those who operate in a void of human emotion—and what can be done to control them.

Fly for the Prosecution: How Insect Evidence Helps Solve Crimes


M. Lee Goff - 2000
    To Lee Goff and his fellow forensic entomologists, each body recovered at a crime scene is an ecosystem, a unique microenvironment colonized in succession by a diverse array of flies, beetles, mites, spiders, and other arthropods: some using the body to provision their young, some feeding directly on the tissues and by-products of decay, and still others preying on the scavengers.Using actual cases on which he has consulted, Goff shows how knowledge of these insects and their habits allows forensic entomologists to furnish investigators with crucial evidence about crimes. Even when a body has been reduced to a skeleton, insect evidence can often provide the only available estimate of the postmortem interval, or time elapsed since death, as well as clues to whether the body has been moved from the original crime scene, and whether drugs have contributed to the death.An experienced forensic investigator who regularly advises law enforcement agencies in the United States and abroad, Goff is uniquely qualified to tell the fascinating if unsettling story of the development and practice of forensic entomology.

Un-Making a Murderer: The Framing of Steven Avery and Brendan Dassey


Shaun Attwood - 2017
    Sometimes mistakes are made. But even more terrifying is when the authorities conspire to frame them. That's what happened to Steven Avery and Brendan Dassey, who were convicted of murder and are serving life sentences.Un-Making a Murderer is an explosive book which uncovers the illegal, devious and covert tactics used by Wisconsin officials, including: Concealing Other SuspectsPaying Expert Witnesses to LiePlanting EvidenceJury TamperingThe art of framing innocent people has been in practice for centuries and will continue until the perpetrators are held accountable; turning conventional assumptions and beliefs in the justice system upside down, Un-Making a Murderer takes you on that journey.The profits from this book are going to Steven and Brendan and to donate free books to schools and prisons. In the last two years, Shaun Attwood has donated 15,000 books.

The Shift: One Nurse, Twelve Hours, Four Patients' Lives


Theresa Brown - 2015
    In the span of twelve hours, lives can be lost, life-altering medical treatment decisions made, and dreams fulfilled or irrevocably stolen. In Brown’s skilled hands--as both a dedicated nurse and an insightful chronicler of events--we are given an unprecedented view into the individual struggles as well as the larger truths about medicine in this country, and by shift’s end, we have witnessed something profound about hope and healing and humanity. Every day, Theresa Brown holds patients' lives in her hands. On this day there are four. There is Mr. Hampton, a patient with lymphoma to whom Brown is charged with administering a powerful drug that could cure him--or kill him; Sheila, who may have been dangerously misdiagnosed; Candace, a returning patient who arrives (perhaps advisedly) with her own disinfectant wipes, cleansing rituals, and demands; and Dorothy, who after six weeks in the hospital may finally go home. Prioritizing and ministering to their needs takes the kind of skill, sensitivity, and, yes, humor that enable a nurse to be a patient’s most ardent advocate in a medical system marked by heartbreaking dysfunction as well as miraculous success.

More Letters From The Pit: Stories of a Physician’S Odyssey in Emergency Medicine


Patrick J. Crocker - 2020
    

Stiff: The Curious Lives of Human Cadavers


Mary Roach - 2003
    They’ve tested France’s first guillotines, ridden the NASA Space Shuttle, been crucified in a Parisian laboratory to test the authenticity of the Shroud of Turin, and helped solve the mystery of TWA Flight 800. For every new surgical procedure, from heart transplants to gender confirmation surgery, cadavers have helped make history in their quiet way. “Delightful—though never disrespectful” (Les Simpson, Time Out New York), Stiff investigates the strange lives of our bodies postmortem and answers the question: What should we do after we die?“This quirky, funny read offers perspective and insight about life, death and the medical profession. . . . You can close this book with an appreciation of the miracle that the human body really is.” —Tara Parker-Pope, Wall Street Journal“Gross, educational, and unexpectedly sidesplitting.” —Entertainment Weekly

A Killer by Design: Murderers, Mindhunters, and My Quest to Decipher the Criminal Mind


Ann Wolbert Burgess - 2021
    With reported cases of sexual assault and homicide on the rise, the FBI created a specialized team—the “Mindhunters” better known as the Behavioral Science Unit—to track down the country's most dangerous criminals. And yet narrowing down a seemingly infinite list of potential suspects seemed daunting at best and impossible at worst—until Dr. Ann Wolbert Burgess stepped on the scene.In A Killer By Design, Burgess reveals how her pioneering research on sexual assault and trauma caught the attention of the FBI, and steered her right into the middle of a chilling serial murder investigation in Nebraska. Over the course of the next two decades, she helped the budding unit identify, interview, and track down dozens of notoriously violent offenders, including Ed Kemper ("The Co-Ed Killer"), Dennis Rader ("("BTK"), Henry Wallace ("The Taco Bell Strangler"), Jon Barry Simonis ("The Ski-Mask Rapist"), and many others. As one of the first women trailblazers within the FBI’s hallowed halls, Burgess knew many were expecting her to crack under pressure and recoil in horror—but she was determined to protect future victims at any cost. This book pulls us directly into the investigations as she experienced them, interweaving never-before-seen interview transcripts and crime scene drawings alongside her own vivid recollections to provide unprecedented insight into the minds of deranged criminals and the victims they left behind. Along the way, Burgess also paints a revealing portrait of a formidable institution on the brink of a seismic scientific and cultural reckoning—and the men forced to reconsider everything they thought they knew about crime.Haunting, heartfelt, and deeply human, A Killer By Design forces us to confront the age-old question that has long plagued our criminal justice system: “What drives someone to kill, and how can we stop them?”