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352 pages, Hardcover
First published May 11, 2021
Cancer is a well-known complication of transplant; the immune suppression required after transplant prevents the body from performing its normal function of what I think of as cancer surveillanceThat's almost like jumping out of the frying pan into the fire of risk and fatal illnesses. And
Some of the handwriting was shaky, like the writer was trying desperately to keep their hand still. It was probably due to a tremor—a side effect of one of the commonly used immunosuppression drugs, a side effect that neither they nor I could do anything about.I knew a man in college on Lithium and other drugs to suppress his schizophrenia and the tremors in his hands and legs when trying to sit still were distressing even to look at. I think the drugs have improved considerably since then, so there is hope for the transplant drug too. Piers was still crazy though. He wrote me a 5 page poem - a love letter with imagery that I couldn't relate to from the world of voices and conversations in his head.
I can't say that the chapters about his desire for religion and conversion to Catholicism or some of the long introspective passages when the author was obviously burned out were gripping reading, But they were just blips in an overall really good reading experience. Lots of interesting anecdotes about patients he cared for deeply, about transplant programs, how people are selected (it helps if you know someone, don't smoke, are otherwise very healthy and live near a hospital that does a lot of transplants), and what can go wrong, or right.
The book ended on a lovely note. A black woman who needed new lungs was accompanied to the hospital by her two children, and then joined by a white man who embraced her for a long time. She had had a son who had died a year earlier and this man had been transplanted the young man's heart. They were joined forever in hurt and love.
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Notes on reading Excellent reading. It's a very emotional book, the doctor's emotion - how he feels for his patients, how his patients feel, how the families feel. It's a very different 'doctor' book. One really nice thing (also shared with the last book I read, Cook County ICU: 30 Years of Unforgettable Patients and Odd Cases) is determination to treat all people equally and to detail exactly how some populations, Black and those with lower iqs, do not receive the same level of care as the White and the bright. Both this doctor and Cory Franklin (Cook County) share insights into how they think the people affected must feel and why they make the medical choices they do.