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Family & Relationships. Sociology. Nonfiction. HTML: From the celebrated author of Nickel and Dimed, Barbara Ehrenreich explores how we are killing ourselves to live longer, not better. A razor-sharp polemic which offers an entirely new understanding of our bodies, ourselves, and our place in the universe, Natural Causes describes how we over-prepare and worry way too much about what is inevitable. One by one, Ehrenreich topples the shibboleths that guide our attempts to live a long, healthy life �?? from the importance of preventive medical screenings to the concepts of wellness and mindfulness, from dietary fads to fitness culture. But Natural Causes goes deeper �?? into the fundamental unreliability of our bodies and even our "mind-bodies," to use the fashionable term. Starting with the mysterious and seldom-acknowledged tendency of our own immune cells to promote deadly cancers, Ehrenreich looks into the cellular basis of aging, and shows how little control we actually have over it. We tend to believe we have agency over our bodies, our minds, and even over the manner of our deaths. But the latest science shows that the microscopic subunits of our bodies make their own "decisions," and not always in our favor. We may buy expensive anti-aging products or cosmetic surgery, get preventive screenings and eat more kale, or throw ourselves into meditation and spirituality. But all these things offer only the illusion of control. How to live well, even joyously, while accepting our mortality �?? that is the vitally important philosophical challenge of this book. Drawing on varied sources, from personal experience and sociological trends to pop culture and current scientific literature, Natural Causes examines the ways in which we obsess over death, our bodies, and our health. Both funny and caustic, Ehrenreich then tackles the seemingly unsolvable problem of how we might better prepare ourselves for the end �?? while still reveling in the lives that remain… (more)
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With too much time on our hands, we are obsessed with ourselves. Barbara Ehrenreich visits the catalog of diets, wellness, mindfulness, religion, movements, medicine and idiotic fads that preoccupy so many. Eternal youth, eternal life, and managed death are all symptoms.
We want to think we can beat the odds and maybe even death. Certainly deterioration is ripe for conquering. So we work out, eat “right”, supplement and moisturize. And if we deteriorate, it must be our own fault. Between the fads, the trends, the diets and the studies, “every death can now be understood as suicide” she says in Natural Causes.
It begins with a jaundiced look at preventive healthcare. We insist on too many pointless checkups, too many pointless surgeries and too many pointless drugs. It has become a “ritual” that doctors perform for our comfort. That doctors have begun having themselves tattooed with “DNR” (Do Not Resuscitate) is a clue how extending life a few days or weeks in intensive care is of little benefit.
The book is a total pleasure of clear thinking, precision word choice and sober reflection. All of it relatable. Her thoughts are our thoughts, her appreciations our appreciations. Validated and justified and rationalized. Her job has been to collect it all here, and reduce it to its true value and worth. The conclusion she comes to at the very beginning is that life is just a short pause in the ongoing processes of the universe, so don’t torture yourself, and enjoy it while it lasts.
David Wineberg
She takes on the medical industry and there consistent insistence on screenings and tests? How valid are all these tests and if one has them what do the findings mean? Tests, leading to more tests, leading to medicines that have side effects that are almost worse then the disease. I was diagnosed with MS over fifteen years ago, after five years of incorrect diagnoses and two unneeded surgeries. My neurologist immediately started me on an antibiotic spasm medication, an antibiotic depressant, because this diagnosis was sure to cause depression and Avonex. Avonex is a weekly, self delivered shot, and I decided to do it on Fridays, as I would have the weekend to recover. from the very beginning the side effects were horrible. I spent Friday nights and most Saturdays with a high fever, shivering and shaking. Just awful. Stuck with it for a few months and quit. Since then, except for treatments for excerbations, the only meds for this I take is my antispasmodic. Luckily for me, I feel I am better off.
Anyway there is much information presented in this book, some I agree with, some I want to look into further. It does, though give me the chance or choice to make an informed decision, and made me think of my future health decisions.
ARC from Netgalley.
Ehrenreich is at her best early on, describing her "mid-life revolt." She faces up squarely to mortality - including her own - in her sharp criticisms of the idea that if we only do all the "right" things (whatever those might be, according to whose lights), we can live almost literally "forever" (as some strange people with more money than sense have earnestly believed). Nope, sorry, folks - we are all going to die of something, even you. She prefers to make choices that will make her daily life pleasant, enjoyable and - yes, even healthy, and confesses to being a rather driven gym rat herself, but mostly because she is competitive and it feels good. There is plenty to criticize in medicine's wild swings of guidelines and recommendations, in "standards of practice" for treating nonstandardized human beings, and readers would do well to pay attention to this when their own physicians start plugging the tests and screenings. She chooses not to address Big Pharma and its abhorrent marketing, influencing, manipulating and outright gouging... maybe that's a whole book in itself, though.
And then we come to her beloved macrophages, the subject of her doctoral studies and research. They are important. They are tricky: they turn out not to be the stalwart guardians of our health that medicine believed they were for many years. But pages and pages and pages... lucidly enough described, but much too much of a mildly interesting side road.
There is some attention paid to the "mind-body" connection, with an appropriate amount of skepticism, and reminders that just because some celebrity or a single chick embryo study that got some press says something might be so, it may not be. The corporate co-opting of "mindfulness" exercises is pretty revolting.
And then it just kind of ends. It has the feel of several different magazine articles distended and stitched together, with macrophages slithering throughout. It's a patchy framework that hangs together only rather tenuously, with some good bits early on, but peters out. Worth a read for some chapters and skim the rest - definitely not her best, and overall rather disappointing when we know how good she can be.
Unfortunately, most of the book reads like a research paper, a style of non-fiction I don't enjoy. "Here's the point of this chapter. Here is every single bit of research I could find - here's a quote, here's another quote, but look at this quote." At one point I even felt she was contradicting her own self from a previous chapter; chapter 2 makes some really spot-on comparisons between the "rituals" of modern medical care and those of what we'd consider "primitive" healing ceremonies and techniques, a later chapter (I can't find it, I really need to keep stickies nearby when I'm reading) quotes with implicit outrage some new-agey source making the same comparison.
The chapters written from a personal perspective were very worthwhile. The book is short at barely 200 pages, so it's not a slog. A-OK.
Barbara Ehrenreich
March 13, 2019
Subtitled "An epidemic of wellness, the certainty of dying, and killing ourselves to live longer"
I read this book quickly, because the prose is very smooth, and easy to read. I had to return to it again to digest its philosophical and practical points,
The concept of "holism" "Everything - mind, body, and spirit, diet and attitude - is connected and must be brought into alignment for maximum effectiveness, whether to achieve "power" and "personal renewal" or just to lose a few pounds." Ehrenreich has a PhD in cell biology, and based on her studies of macrophages, she points out that the common condition of the body is a competition among cells, and even cooperation between cancer cells and macrophages to facilitate metastasis.
Ehrenreich is a sharp, incisive author, with a different perspective on medicine and medical rituals. I will subject some of my professional medical recommendations to greater scrutiny, and criticism.
Listed below are content from the book that caught my interest and provoked some thinking on my part:
The immune system actually abets the growth and spread of tumors, which is like saying that the fire department is indeed staffed by arsonists. We all know that the function of the immune system is to protect us, most commonly from bacteria and viruses, so it's expected response to cancer should be a concerted and militant defense.
You can think of death bed bitterly or with resignation, as a tragic interruption of your life, and take every possible measure to postpone it. Or, more realistically, you can think of life as an interruption of and eternity of personal nonexistence, and seize it as a brief opportunity to observe and interact with the living, ever surprising world around us.
Once I realized I was old enough to die, I decided that I was also old enough not to incur any more suffering, annoyance, or boredom in the pursuit of a longer life. As for medical care: I will see help for an urgent problem, but I am no longer interested in problems that remain undetectable to me.
Rather than being fearful of not detecting disease, both patients and doctors should fear healthcare. The best way to avoid medical errors is to avoid medical care. The default should be: I am well. Good way to stay that way is to keep making good choices – – not to have my doctor look for problems.
Not only do I reject the torment of a medicalized death, but I refuse to except a medicalized life, and my determination only deepens with age. As the time that remains to be shrinks, each month and day becomes too precious to spend in windowless waiting rooms and under the cold scrutiny of machines. Being old enough to die is an achievement, not a defeat, and the freedom it brings is worth celebrating.
One recent study found that almost half the man over 65 being treated for prostate cancer are unlikely to live long enough to get the disease anyway. They will, however, live long enough to suffer from the adverse consequences of their treatment.
The US Census Bureau reports that nearly 40% of people age 65 and older suffer from at least one disability, with 2/3 of them saying they have difficulty walking or climbing.
I think this was patched together from articles. I did appreciate the reflections on aging and foregoing intrusive medical testing.
The author has a PhD in cellular immunology. In this book she looks at ways humans try to prolong their lives, and whether or not they are or can be effective.
This was interesting, though a few chapters that went a little bit deeper into the biology (chapters that talked more about cells)
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