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Product details
File Size: 13152 KB
Print Length: 288 pages
Publisher: Farrar, Straus and Giroux; 1 edition (September 18, 2018)
Publication Date: September 18, 2018
Sold by: Macmillan
Language: English
ASIN: B0796X8QMD
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#22,411 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
I was curious to read Dr Jauhar's history of the heart not only because I have liked his NYTimes pieces on medicine but also since I knew him somewhat from being together in the Physics PhD program at UC Berkeley in the 1990s. I had enough of study after several years of quantum mechanics and non-linear dynamics, so what could possess this guy to go on to cut cadavers and medical residency (no sleep for 36 hours!) for years ?! ; the whole point of doing physics , after all, was to avoid matters of human messiness, things that bled, smelled and unlike the grand Universe, just died inexplicably one day. But after starting on Heart : A History I am grateful that Sandeep was more diligent in his path to understand this (after the brain) this poorly understood organ - the seat of emotion, where human civilization has sprung from. He has brought the physicist's eye to understand the mechanisms that work and fail - the cause and effect on human health and emotional wellness. Although the conclusions are, by now, well known - we need to eat, smoke less, exercise more and just go with the flow more in this bewildering world, we learn more on the reasons why. Dr Jauhar's prose, although sometimes fitful, keeps our attention throughout, by switching from one particular human story to the next - putting each in context of its times and our own. if I were to nitpick, I thought he could add more on the neat physical mechanisms that make this amazing piece of evolutionary engineering work. Leonardo da Vinci, for example, apparently was the first to realize how the aortic valve controlled blood flow one-way out of the heart - by creating vortices that closed the valve after each pump stroke - Walter Isaacson claims that scientists didnt recognize this until 500 years after the Renaissance. He also glossed over some important observations. for instance, the well known tendency for hypertension among African Americans is also common to South Asians who face less racism and inner city turmoil, so if not a genetic explanation, could it be that these peoples had adjusted to hotter climates where sweat simply loses salt, stabilizing blood pressure at a lower level ? Also, I wish he explained more on why the heart is considered the seat of emotion - yes, takotsubo cardiomyopathy - the weakening of the heart muscles when subject to adrenaline from stress may be part of the picture. But then why do people who exercise regularly, get regular doses of adrenaline, actually have healthier stronger hearts ?there were also a few too many personal anecdotes in the narrative, but that still doesnt take away much from this heart felt achievement. i remember a quip about Benjamin Franklin who 'quit science to be side-tracked into administration' . well I am glad Sandeep Jauhar quit physics to be sidetracked into medicine!
I bought this book after seeing a review in the Wall Street Journal. I have been a physician assistant for 20 years so I was at least familiar with most of the information contained within the book however, the background history of the advancements in cardiology was new to me. This information in the book solidified my belief that the best medicine for most humans comes from outside of medicine; what we refer to has "lifestyle changes". The most interesting/thought provoking information was in regards to African Americans and their cardiovascular event risks. I have always read and understood that their risks were due to some unknown genetic "flaw" but it is interesting to now understand that much of this event risk is due to environment. This is information that I can use in my daily practice. This book is meant for laypersons however, I found it very interesting and thought provoking. I plan to pass this book along to friends. I won't pass it along to my PETA friends - the volume of dogs killed to advance CV medicine was somewhat disturbing.
This is an inspiring roller coaster ride on the history of cardiac care advances highlighting the courage of patients, families, and the pioneers of these life saving therapies. You really can't put the book down until the ride is over! As a cardiologist, Dr. Jauhar provides his personal experiences of his own family and patients as examples of how technology has saved and extended lives while showing the sobering limitations of our treatments. This is a masterfully woven story that doesn't read like a boring technical recounting of historical milestones in cardiology.He keeps pausing throughout the book to reflect on the psychosocial impact on our hearts that is most often neglected by doctors and patients. He reminds us that the important missing links in preventing or treating heart disease are our social connections, emotional well-being, and lifestyle. In a world that loneliness and fear have crept into many aspects of our culture, this book is just the prescription that we all need for both our physical and emotional hearts.
Having greatly enjoyed Dr. Jauhar's previous excellent books, I was very much looking forward to reading this, and was not disappointed. He is a gifted physician author whose latest book will appeal not only to those interested in science and medicine, but anybody looking to gain some unique insights into one of our most vital and mysterious organs. He deftly combines history, biography, science, medicine, and philosophy with his own personal and professional experiences (as a cardiologist) in a highly approachable manner. This well researched book contains many fascinating facts about the heart and heart disease in a manner that is accessible to readers from a wide range of backgrounds. His reflections on the connection between the mind and the heart are particularly well written and thought provoking. This book is also of a size and length that would make for an ideal weekend or "short trip" or airplane read. As an added bonus, the cover art is an attractive bonus to any bookshelf! I would highly recommend this book.
Anyone with an interest in the mysteries of the human heart has to read this book. The details to which Sandeep goes are entirely expected from an academic he is as a cardiologist working in a busy hospital. But it’s his personal anecdotes from his family, his own training period and his brother make this book entirely readable and enjoyable. If you or anyone you love have had a cardiac illness, it’s a must read. Especially my South Asian community where the incidence of heart disease is extremely high.
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