Random Acts of Medicine: The Hidden Forces That Sway Doctors, Impact Patients, and Shape Our Health by Anupam B. Jena; Christopher Worsham

Random Acts of Medicine is a Malcolm Gladwell style book applied to health care systems. The authors — both physicians and public health researchers at Harvard Medical School — propose to explore the “hidden, but predictable ways in which chance affects our health and our healthcare system” through the use of “Natural Experiments,” that is observational studies that make use of naturally occurring differences in the world and measuring the impact. The two (along with colleagues) have used the approach to explore and answer a number of questions such as: does stress really age you? How does the month of a child’s birth impact their health and life success? What happens when all the cardiologists leave town? How does a marathon impact our health? Does your doctor’s politics affect the care they give? For each question (and there are many, many, more than the ones I have listed), the authors carefully explain the natural experiment, the sources of data, results, and what use can be made of the results (possible policy changes, or greater awareness of our own biases at work).

I found the book got better (more interesting to me) as it went on. The authors are careful not to assume that the reader knows anything about natural experiments, statistics, counterfactuals, etc. and they explain the (possibly new) concepts carefully, but not tediously. Still, if you are already familiar with the concepts it can get a little dull and I enjoyed all the actual experiments (many with surprising results) more than the introduction.

An easy read full of fun “I never thought about that” insights. Plenty of notes and references for those who want to investigate further. I always appreciate the kind of “popularized” topic books when they actually show their work, clearly separating them from the whopping pile of self help books that make claims without an iota of scientific support.

Thank you to Doubleday and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on July 11th, 2023

Kiss Me in the Coral Lounge by Helen Ellis (Memoir / Essays)

My first Helen Elllis book, though there are many. Laugh-out-loud funny “memoir” in essays written by a completely neurotic (and completely typical IMHO) New Yorker of a certain type and class. I like that all the snark is pointed (in a loving way) at herself and not at others. I also love that I get to both laugh and read about an actual happy marriage at the same time. Humor is the best lens through which to see the world if you can manage it.

Great storytelling, some insight and evolving personal understanding, but mostly just funny and not stupid. The stories do not feature lovable f-ups which is wonderful because, honestly I never find f-ups that lovable and don’t enjoy reading about them. Think of this book as a kind of more articulated and less curated instagram series. So much more depth! So many more laughs! A modern Nora Ephron.

Just a few funny quotes to give you the flavor:
“I gasped the kind of gasp that leaves your face looking like a cornhole board.”

“Papa likes to say, ‘your mother is such a good audience, she listens to a waiter list the specials like she’s in the front row of a Rolling Stones concert.’“

“My husband can’t lie. The man is less animated than a documentary on soap.”

“I wear my heart on my sleeve like a grenade. I wasn’t put on this earth to walk on eggshells. The world is my western omelette and everyone in it is diced ham.”

“I want to wear make up so heavy it exceeds JetBlue‘s carry-on limit.”

Thank you to Doubleday and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on June 13th, 2023

China by Edward Rutherfurd (Historical Fiction)

Writing: 5/5 Plot: 5/5 Characters: 5/5

A sweeping novel of China from 1839 – 1900, from the Opium Wars through China’s Century of Humiliation to the suppression of the Boxer rebellion. It’s the story of the conflicts surrounding the forced opening of China to Western trade, customs, and religion. The story is told through a variety of characters who span cultures, classes, backgrounds, and professions (including plenty of women characters with different roles, abilities and agendas). Multiple generations of characters such as a young English merchant trying to make his fortune (through opium), an upright Mandarin charged with enforcing the emperor’s ban of opium, a palace eunuch, a peasant girl, a mercenary pirate, a missionary, a Manchu bannerman, the emperor and various concubines and princes, and some craftsmen. The characters have depth, too. They reflect on what is happening, how they feel about their own role, and how to achieve their goals while maintaining their values (or how to shift their values to attain their goals).

I love that history itself is the protagonist in this novel, rather than the background setting for individual stories. Everything is told through the personal stories of the characters — either through participation in the action or through conversations between neighbors, colleagues, and family members. Even past history is exemplified in ritual and description of the origin of individual morality. This approach brings to the fore what it was like to live through these times with only direct observations and rumors as sources of information. And how very different that information was depending on your location, background, profession, culture and connections. Additionally, there were so many fascinating descriptions of various ways of life — all told in a style that was interesting because someone was learning it (e.g. a craft) or going through it — so always real and never dry. This was a long book, and I literally had trouble putting it down. (As a warning, one of these “fascinating” descriptions was about foot binding, and I skimmed through trying not to read that at all. Of all the atrocities visited upon humans, this is the one I find most horrific and barbaric (yes, even more than female circumcision which comes in a close second).

This is my first Rutherfurd and I’m now going back to read more. Meticulously researched, personal and accurate — a kind of modern day Michener for those old enough to remember classics like Tales of the South Pacific, Hawaii, The Source, or Caravans. After reading this, I have a far more in-depth understanding about the relationship between China and the West and of life in the 19th century.

Thank you to Doubleday Books and NetGalley for providing an advance copy of this book in exchange for my honest review. The book will be published on May 11th, 2021.