is the first deep-dive investigation of a hazardous and illicit industry that has created a worldwide epidemic, ravaging communities and overwhelming and confounding government agencies that are challenged to combat it. "A whole new crop of chemicals is radically changing the recreational drug landscape," writes Ben Westhoff. "These are known as Novel Psychoactive Substances (NPS) and they include replacements for known drugs like heroin, cocaine, ecstasy, and marijuana. They are synthetic, made in a laboratory, and are much more potent than traditional drugs"--and all-too-often tragically lethal. Drugs like fentanyl, K2, and Spice--and those with arcane acronyms like 25i-NBOMe-- were all originally conceived in legitimate laboratories for proper scientific and medicinal purposes. Their formulas were then hijacked and manufactured by rogue chemists, largely in China, who change their molecular structures to stay ahead of the law, making the drugs' effects impossible to predict. Westhoff has infiltrated this shadowy world, becoming the first journalist to report from inside an illicit Chinese fentanyls lab and providing startling and original reporting on how China's vast chemical industry operates, and how the Chinese government subsidizes it. He tracks down the little-known scientists who invented these drugs and inadvertently killed thousands, as well as a mysterious drug baron who turned the law upside down in his home country of New Zealand. Poignantly, Westhoff chronicles the lives of addicted users and dealers, families of victims, law enforcement officers, and underground drug awareness organizers in the U.S. and Europe. Together they represent the shocking and riveting full anatomy of a calamity we are just beginning to understand. From its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many.

    Channelling our twin urges to explore and understand, geographers uncover the hidden connections of human existence, from infant mortality in inner cities to the decision-makers who fly overhead in executive jets, from natural disasters to over-use of fossil fuels.In this incisive introduction to the subject, Danny Dorling and Carl Lee reveal geography as a science which tackles all of the biggest issues that face us today, from globalisation to equality, from sustainability to population growth, from climate change to changing technology - and the complex interactions between them all.Illustrated by a series of award-winning maps created by Benjamin D. Hennig, this is a book for anyone who wants to know more about why our world is the way it is today, and where it might be heading next.

    He chronicles some of the most formative calls of his career in this autobiography that reads like crime fiction. McCarthy demonstrates with detail and clarity that the difficult choice is often the right choice. While not for the faint of heart, each entry in this collection provides poignant insight into the bonds between medics and the people and city they serve.

    My name is Hida Viloria. I was raised as a girl but discovered at a young age that my body looked different. Having endured an often turbulent home life as a kid, there were many times when I felt scared and alone, especially given my attraction to girls. But unlike most people in the first world who are born intersex--meaning they have genitals, reproductive organs, hormones, and/or chromosomal patterns that do not fit standard definitions of male or female--I grew up in the body I was born with because my parents did not have my sex characteristics surgically altered at birth. It wasn't until I was twenty-six and encountered the term intersex in a San Francisco newspaper that I finally had a name for my difference. That's when I began to explore what it means to live in the space between genders--to be both and neither. I tried living as a feminine woman, an androgynous person, and even for a brief period of time as a man. Good friends would not recognize me, and gay men would hit on me. My gender fluidity was exciting, and in many ways freeing--but it could also be isolating. I had to know if there were other intersex people like me, but when I finally found an intersex community to connect with I was shocked, and then deeply upset, to learn that most of the people I met had been scarred, both physically and psychologically, by infant surgeries and hormone treatments meant to "correct" their bodies. Realizing that the invisibility of intersex people in society facilitated these practices, I made it my mission to bring an end to it--and became one of the first people to voluntarily come out as intersex at a national and then international level.Born Both is the story of my lifelong journey toward finding love and embracing my authentic identity in a world that insists on categorizing people into either/or, and of my decades-long fight for human rights and equality for intersex people everywhere.

    A world-renowned scientist and freshwater expert, Gleick is a MacArthur Foundation "genius," and according to the BBC, an environmental visionary. And he drinks from the tap. Why don’t the rest of us?   Bottled and Sold shows how water went from being a free natural resource to one of the most successful commercial products of the last one hundred years—and why we are poorer for it. It’s a big story and water is big business. Every second of every day in the United States, a thousand people buy a plastic bottle of water, and every second of every day a thousand more throw one of those bottles away. That adds up to more than thirty billion bottles a year and tens of billions of dollars of sales.   Are there legitimate reasons to buy all those bottles? With a scientist’s eye and a natural storyteller’s wit, Gleick investigates whether industry claims about the relative safety, convenience, and taste of bottled versus tap hold water. And he exposes the true reasons we’ve turned to the bottle, from fearmongering by business interests and our own vanity to the breakdown of public systems and global inequities.   "Designer" H2O may be laughable, but the debate over commodifying water is deadly serious. It comes down to society’s choices about human rights, the role of government and free markets, the importance of being "green," and fundamental values. Gleick gets to the heart of the bottled water craze, exploring what it means for us to bottle and sell our most basic necessity.

    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 Thumpin’ is the story of that historic victory and the man at the center on whom Democratic hopes hinged: Congressman Rahm Emanuel, head of the Democratic Congressional Campaign Committee (DCCC). Chicago Tribune reporter Naftali Bendavid had exclusive access to Emanuel and the DCCC in the year and a half leading up to the elections and ended up with the story of a lifetime, the thrilling blow-by-blow account of how Emanuel remade the campaign in his own ferocious image. Responsible for everything from handpicking Congressional candidates to raising money for attack ads, Emanuel, a talented ballet dancer better known in Washington for his extraordinary intensity and his inexhaustible torrents of profanity, threw out the playbook on the way Democrats run elections.Instead of rallying the base, Rahm sought moderate-to-conservative candidates who could attract more traditional voters. Instead of getting caught in the Democrats’ endless arguments about their positions, he went on the attack, personally vilifying Republicans from Tom DeLay to Christopher Shays. And instead of abiding by the gentlemen’s agreements of good-old-boy Washington, he broke them, attacking his counterpart in the Republican party and challenging Howard Dean, the chairman of his own party. In 2005, no one believed victory was within the Democrats’ grasp. But as the months passed, Republicans were caught in wave after wave of scandal, support for the war in Iraq steadily declined, and the president’s poll numbers plummeted. And in Emanuel, the Democrats finally had a killer, a ruthless closer like Karl Rove or Lee Atwater, poised to seize the advantage and deliver what President Bush would call “a thumpin.’”Taking its cues from classic political page-turners like Showdown at Gucci Gulch and documentaries like The War Room, The Thumpin’ takes us inside the key races and the national strategy-making that moved the Democrats from forecasted gains of three seats in 2005 to a sweeping gain of thirty seats when the votes were finally counted. Through this masterful account of Rahm’s rout, Bendavid shows how the lessons the Democrats learned in 2006—to fight for every vote, to abandon litmus tests, and to take no prisoners—will be crucial to the party’s future electoral success, and shape the political course the nation will take in the twenty-first century.From the Hardcover edition.

     Elinor Cleghorn became an unwell woman ten years ago. She was diagnosed with an autoimmune disease after a long period of being told her symptoms were anything from psychosomatic to a possible pregnancy. As Elinor learned to live with her unpredictable disease she turned to history for answers, and found an enraging legacy of suffering, mystification, and misdiagnosis.In Unwell Women, Elinor Cleghorn traces the almost unbelievable history of how medicine has failed women by treating their bodies as alien and other, often to perilous effect. The result is an authoritative and groundbreaking exploration of the relationship between women and medical practice, from the wandering womb of Ancient Greece to the rise of witch trials across Europe, and from the dawn of hysteria as a catchall for difficult-to-diagnose disorders to the first forays into autoimmunity and the shifting understanding of hormones, menstruation, menopause, and conditions like endometriosis.Packed with character studies and case histories of women who have suffered, challenged, and rewritten medical orthodoxy--and the men who controlled their fate--this is a revolutionary examination of the relationship between women, illness, and medicine. With these case histories, Elinor pays homage to the women who suffered so strides could be made, and shows how being unwell has become normalized in society and culture, where women have long been distrusted as reliable narrators of their own bodies and pain. But the time for real change is long overdue: answers reside in the body, in the testimonies of unwell women--and their lives depend on medicine learning to listen.

    Here is a dramatic story of these people, revealing the history of the anti-gay policy pursued by the U.S. military authorities in World War II. Two 8-page photo inserts.

    Wealthy families took it on as a pet cause, generously bankrolling its research. The New York Times praised it as a wonderful "new science." Scientists, such as the brilliant plant biologist, Luther Burbank, praised it unashamedly. Educators as prominent as Charles Elliot, President of Harvard University, promoted it as a solution to social ills. America's public schools did their part. In the 1920s, almost three-fourths of high school social science textbooks taught its principles. Not to be outdone, judges and physicians called for those principles to be enshrined into law. Congress agree, passing the 1924 immigration law to exclude from American shores the people of Eastern and Southern Europe that the idea branded as inferior. In 1927, the U. S. Supreme Court joined the chorus, ruling by a lopsided vote of 8 to 1 that the sterilization of unwilling men and women was constitutional. That idea was eugenics and in the English-speaking world it had virtually no critics among the "chattering classes." When he wrote this book, Chesterton stood virtually alone against the intellectual world of his day. Yet to his eternal credit, he showed no sign of being intimidated by the prestige of his foes. On the contrary, he thunders against eugenics, ranking it one of the great evils of modern society. And, in perhaps one of the most chillingly accurate prophecies of the century, he warns that the ideas that eugenics had unleashed were likely to bear bitter fruit in another nation. That nation was Germany, the "very land of scientific culture from which the ideal of a Superman had come." In fact, the very group that Nazism tried to exterminate, Eastern European Jews, and the group it targeted for later extermination, the Slavs, were two of those whose biological unfitness eugenists sought so eagerly to confirm.

    At the height of the Troubles, Gerry Storey ran the Holy Family gym from the IRA's heartland territory of New Lodge in Belfast. Despite coming from a family steeped in the Republican movement, he insisted that it would be open to all. He ensured that his boxers were given a free pass by paramilitary forces on both Republican and Loyalist sides, so they could find a way out of the province's desperate situation. In the immediate aftermath of the 1981 Hunger Strikes, Storey would also visit the Maze prison twice a week to train the inmates from each community, separately. In itself, this would be a heroic story, but Storey went further than that: he became the trainer for world champion Barry McGuigan and Olympian Hugh Russell, who became one of the most famous photographers to document the Troubles. Even with all his success and the support of both sides, Storey still found himself subjected to three bomb attacks from those who were implacably hostile to any form of reconciliation. He also worked with the Protestant boxer Davy Larmour, who fought two bloody battles in the ring against Russell, his Catholic friend. At the same time, in Derry, the British and European lightweight champion Charlie Nash fought without bitterness after his brother was killed and his father was shot on Bloody Sunday – the most infamous day of the conflict.  Now, Donald McRae reveals the extraordinary tale of those troubled times. After years of research and intimate interviews with the key characters in this story, he shows us how the violent business of boxing became a haven of peace and hope for these remarkable and compassionate men.  In Sunshine or in Shadow is an inspirational story of triumph over adversity and celebrates the reconciliation that can take place when two fighters meet each other in the ring, rather than outside it.

    Using his own research and experiences throughout the world, Lieberman recounts without jargon how and why humans evolved to walk, run, dig, and do other necessary and rewarding physical activities while avoiding needless exertion.Exercised is entertaining and enlightening but also constructive. As our increasingly sedentary lifestyles have contributed to skyrocketing rates of obesity and diseases such as diabetes, Lieberman audaciously argues that to become more active we need to do more than medicalize and commodify exercise.Drawing on insights from evolutionary biology and anthropology, Lieberman suggests how we can make exercise more enjoyable, rather than shaming and blaming people for avoiding it. He also tackles the question of whether you can exercise too much, even as he explains why exercise can reduce our vulnerability to the diseases mostly likely to make us sick and kill us.

    A timely and important contribution to the body of recovery literature, Cruise Control provides understanding, empathy and encouragement to gay men seeking healthy sexual expression.

    In The Poisoner's Handbook Blum draws from highly original research to track the fascinating, perilous days when a pair of forensic scientists began their trailblazing chemical detective work, fighting to end an era when untraceable poisons offered an easy path to the perfect crime. Drama unfolds case by case as the heroes of The Poisoner's Handbook—chief medical examiner Charles Norris and toxicologist Alexander Gettler—investigate a family mysteriously stricken bald, Barnum and Bailey's Famous Blue Man, factory workers with crumbling bones, a diner serving poisoned pies, and many others. Each case presents a deadly new puzzle and Norris and Gettler work with a creativity that rivals that of the most imaginative murderer, creating revolutionary experiments to tease out even the wiliest compounds from human tissue. Yet in the tricky game of toxins, even science can't always be trusted, as proven when one of Gettler's experiments erroneously sets free a suburban housewife later nicknamed "America's Lucretia Borgia" to continue her nefarious work. From the vantage of Norris and Gettler's laboratory in the infamous Bellevue Hospital it becomes clear that killers aren't the only toxic threat to New Yorkers. Modern life has created a kind of poison playground, and danger lurks around every corner. Automobiles choke the city streets with carbon monoxide; potent compounds, such as morphine, can be found on store shelves in products ranging from pesticides to cosmetics. Prohibition incites a chemist's war between bootleggers and government chemists while in Gotham's crowded speakeasies each round of cocktails becomes a game of Russian roulette. Norris and Gettler triumph over seemingly unbeatable odds to become the pioneers of forensic chemistry and the gatekeepers of justice during a remarkably deadly time. A beguiling concoction that is equal parts true crime, twentieth-century history, and science thriller, The Poisoner's Handbook is a page-turning account of a forgotten New York.

    Through Chasten’s joyful, witty social media posts, the public gained a behind-the-scenes look at his life with Pete on the trail—moments that might have ranged from the mundane to the surprising, but that were always heartfelt.Chasten has overcome a multitude of obstacles to get here. In this moving, uplifting memoir, he recounts his journey to finding acceptance as a gay man. He recalls his upbringing in rural Michigan, where he knew he was different, where indeed he felt different from his father and brothers. He recounts his coming out and how he’s healed from revealing his secret to his family, friends, community, and the world. And he tells the story of meeting his boyfriend, whom he would marry and who would eventually become a major Democratic leader.With unflinching honesty, unflappable courage, and great warmth, Chasten Buttigieg relays his experience of growing up in America and embracing his true self, while inspiring others to do the same.