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More Than It Hurts You

More Than It Hurts You

3.4 30
by Darin Strauss

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The acclaimed author of Chang and Eng returns with a literary showstopper -- a beautifully realized novel that at its heart is the story of a woman who will risk everything to feel something; a doctor whose diagnosis brings her entire life into question; and a man who suddenly realizes that being a good husband and a good father can no longer


The acclaimed author of Chang and Eng returns with a literary showstopper -- a beautifully realized novel that at its heart is the story of a woman who will risk everything to feel something; a doctor whose diagnosis brings her entire life into question; and a man who suddenly realizes that being a good husband and a good father can no longer comfortably coexist.

Josh Goldin was savoring a Friday afternoon break in the coffee room, harmlessly flirting with coworkers while anticipating the weekend at home where his wife, Dori, waited with their eight-month-old son, Zack. And then Josh's secretary rushed in, using words like intensive care, lost consciousness, blood. . . .

That morning, Dori had walked into the emergency room with her son in severe distress. Enter Dr. Darlene Stokes: an African-American physician and single mother whose life is dedicated both to her own son and navigating the tricky maze of modern-day medicine. But something about Dori stirred the doctor's suspicions. Darlene had heard of the sensational diagnosis of Munchausen by Proxy, where a mother intentionally harms her baby, but had never come upon a case of it before. It was rarely diagnosed and extraordinarily controversial. Could it possibly have happened here?

As their four lives intersect with dramatic consequences, Darlene, Dori, and Josh are pushed to their breaking points as they confront the nightmare that has become their new reality. Darin Strauss's extraordinary novel is set in a world turned upside down-where doctors try to save babies from their parents, police use the law to tear families apart, and the people you know the best end up surprising you the most.

About the Author
DARIN STRAUSS is the author of the international bestseller Chang and Eng and the New York Times Notable Book The Real McCoy. Also a screenwriter, he is currently adapting Chang and Eng with Gary Oldman. The recipient of a 2006 Guggenheim Fellowship in fiction writing, he teaches writing at New York University.

Editorial Reviews

Ron Charles
If you don't belong to a book club, Darin Strauss's bitter and brilliant new novel is reason enough to start one. You can always disband afterward, and in any case your discussion of More Than It Hurts You may be so heated that you'll never talk to those people again. Strauss has packed this gripping story with the whole radio dial of divisive, hot-button issues…Strauss made a name for himself with two historical novels based on real celebrities: Chang and Eng (2000), about the original Siamese twins, and The Real McCoy (2002), about a boxer at the turn of the last century. This time around, with an extraordinary degree of breadth and confidence, he's moved to a hyper-contemporary setting and invented his own characters.
—The Washington Post
Publishers Weekly

Strauss's third novel is the story of three ordinary individuals whose paths interconnect in extraordinary ways. Arthur Morey's exquisite performance brings those characters and many others to life in a believable and honest manner. His slight shifts in dialect are subtle yet flawless; his pacing is steady and allows the story to unfold nicely. There is an underlying sense of urgency and panic in each of Strauss's characters, and Morey allows it to sharpen his reading without going overwhelming it. Ultimately, listeners will be enthralled by the touching stories Strauss offers here, but Morey goes one step further and manages to bring the stories to vivid life. A Dutton hardcover (Reviews, Jan. 7). (June)

Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
Library Journal

In Strauss's (Chang and Eng) third novel, TV airtime salesman Josh Goldin learns that his wife, Dori, has just taken their eight-month-old son, Zach, to the emergency room. This sets off a series of events that eventually forces Josh to question the state of medical care, the legal system, and his wife's sanity. When Zach is treated a second time for mysterious, life-threatening symptoms, head pediatrician Darlene Graves becomes suspicious and calls in Child Protective Services (CPS). Suddenly, the Goldins' suburban Long Island lives are made difficult by visits from the CPS investigator, and Darlene's life, too, becomes stressful as a newspaper reporter attacks her for going after innocent people and her long-lost father, a former prison inmate, suddenly turns up wanting to build a relationship. Ultimately, it is Josh who finds himself most conflicted, caught between his love for his wife and the mounting evidence that Dori might, in fact, be harming their son. The narrative switches from medical to psychological to courtroom drama as each character is gradually forced to face his or her own reality. Highly recommended. [See Prepub Alert, LJ 2/1/08.]—Joshua Cohen, Mid-Hudson Lib. Syst., Poughkeepsie, NY

Product Details

Penguin Group (USA) Incorporated
Publication date:
Product dimensions:
5.70(w) x 8.30(h) x 1.40(d)
Age Range:
13 - 14 Years

What People are Saying About This

This book is harrowing, hurtling, heartbreaking and -- more than anything -- devastatingly accurate. Darin Strauss (a novelist whose talents sometimes seem limitless to me) has created characters whose complexities and dark motivations -- though they are always hidden from each other, and even sometimes from themselves -- are never hidden from their author. This is a brilliant, sharp, suspenseful novel, impossible to turn your gaze from. --Elizabeth Gilbert, author of Eat, Pray, Love

Darin Strauss has written a novel that is -- suture by suture, idea for idea -- peerlessly brilliant. Here is a supreme, mature novelist at the height of his powers. --Gary Shteyngart, author of Absurdistan and The Russian Debutante's Handbook

A prize-winning, front-cover-of-the- Times-Book-Review type of story that's sure to be one of the few novels of this era to be remembered in thirty years-and not just because it's going to be made into a movie. Destined to be the most important popular novel since The Corrections. --Kevin Baker, author of Paradise Alley

That rare thing: a blockbuster with a can't-miss commercial hook-and it's also a great story, a cross between Bonfire of the Vanities and The Lovely Bones. --David Lipsky, author of Absolutely American

Darin Strauss's latest is an eviscerating portrayal of contemporary American life, surgical and exact. At turns funny and disturbing, unsparing in its insights yet generous with understanding, More Than It Hurts You is a relentlessly rewarding piece of art. --Colson Whitehead, author of Apex Hides the Hurt and John Henry Days
From the Publisher
"[A] brilliant, sharp, suspenseful novel."
-Elizabeth Gilbert

"Wrenching and flawlessly involving."
-New York Daily News

"Chilling, insightful and bold."
-Chicago Tribune

-Publishers Weekly

Meet the Author

Darin Strauss is the award-winning author of the national and international bestseller Chang and Eng, as well as its screenplay for Disney Films and director Julie Taymor.  His work has been translated into 14 languages and he teaches at New York University and lives in Brooklyn, New York.

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More Than It Hurts You 3.4 out of 5 based on 0 ratings. 30 reviews.
bkrdr63 More than 1 year ago
Darin Strauss is a gifted writer who can describe events and feelings in ways that I have never thought of before. He worked very hard in order to make sure that the reader fully understood each character and his/her motivations. That said, sometimes the details bordered on the tedious(especially in reference to Josh's job and the world of big-time advertising) and I just wanted to get back to the story at hand. There are many shades of gray with each character and no good vs evil story here. Unfortunately, I didn't particularly like any of the characters. Although, I would say the book is well worth reading it is probably not for the more casual reader who likes their books more "plot-driven" than "character-driven".
Guest More than 1 year ago
I read this entire book but had to force myself through it after the first few chapters. I agree that the author spent too much time describing people and places time that should have been used to develop the underlying story more fully. At one point I thought some other book was mistakenly included in my printed copy! The premise was promising but the book disappointing.
LilRedRidingHood More than 1 year ago
This book moved very slow at a number of times and then ending left a lot to be desired.
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Anonymous More than 1 year ago
I liked this book alot. I always couldn't wait to get back to it. It was true to form. I have to admit I was a little disappointed in the ending. I guess that it does happen that way too.
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Guest More than 1 year ago
I loved this book. It's an incredibly powerful story, exceptionally told. My whole book club loved this one. I highly recommend it.
Guest More than 1 year ago
Darin Strauss in this, his third novel ('Chang and Eng', 'The Real McCoy'), permanently secures his position as one of America's finest novelists. The sheer variety of his choices of stories, his elegant ability as a wordsmith, and the fervor with which he approaches difficult issues within the context of creating a fascinating story are only a few of the reasons for his success. Strauss has the gift to create unique characters, develop them thoroughly and gradually throughout the weaving of his tale, and leave the reader with a high degree of concern about the future of these people long after the lat page of his novels are complete. Always electing to introduce rarely known information as a key to his works, MORE THAN IT HURTS YOU explores the definition and significance of the mysterious phenomenon Munchausen's Syndrome by Proxy (or MSP - the 'DSM-4 factitious disorder by proxy'). It is important to the author that the reader understand this complex entity: according to the dictionary it is defined as follows: 'Munchausen syndrome by proxy (MSP), a type of factitious disorder, is a mental illness in which a person acts as if an individual he or she is caring for has a physical or mental illness when the person is not really sick. People with MSP assume the role of a sick person indirectly by producing or lying about illness in another person under their care, usually a child under 6 years of age. (The term 'by proxy' means 'through a substitute.') People with MSP have an inner need for the other person (often his or her child) to be seen as ill or injured. It is not done to achieve a concrete benefit, such as financial gain. People with MSP are even willing to have the child or other patient undergo painful or risky tests and operations in order to get the sympathy and special attention given to people who are truly ill and their families. Factitious disorders are considered mental illnesses because they are associated with severe emotional difficulties'. Strauss very subtly investigates this syndrome through his creation of a happy family - Josh and Dori Golding and their infant son Zack. Josh is a well-liked, creative salesman for the television network Sparkplug, while Dori is a trained nurse/phlebotomist whose devotion to her family is exemplary. As Josh's attention to new work developments strays from his family focus, Dori rushes Zack to the hospital for gastric pain and subsequently for hematemesis and there is 'treated' the Pediatric ER doctor Darlene Stokes and her intern. Dr. Stokes fails to do certain blood screening tests and Dori accuses her of mismanagement. Zack of course recovers (we later learn that Dori has placed blood in Zack's emesis to begin the Munchhausen Syndrome by Proxy process) and the race between patient/parents and physician/hospital is on. Each of the characters reflects backgrounds that make them 'persons of interest': Darlene was the illegitimate child of a young African American woman, impregnated by one Charles Stokes, a drug dealer who is imprisoned where he changes his religion to Muslim and his name to Intelligent Muhammad. From this rather lowly background Darlene rises above her white classmates, elects to affiliate with her black brethren in housing and activities, becomes a physician, has a brief affair with the first man who pays attention to her (a Caucasian Jew), becomes pregnant, marries, has a child she names James, and when her husband dies, centers her life on her career, her son, and her single mother Alice. Josh Goldin is Jewish as is Dori, a girl of Turkish descent. As the accusation of Munchausen's Syndrome is made against Dori, the Goldin's seek advice from a haughty Jewish lawyer who manufactures concepts that Darlene has vindictive feelings against the Jewish Goldins (racism) and causes the Goldin's to believe his case against '
Guest More than 1 year ago
I was so disappointed in this book. I'm the type of person who reads while I eat, cook, clean, etc., but this book was hard to keep open. I didn't 'get' any of the characters and felt the author was more in love with his alliterations, descriptions, etc. than trying to grab the reader with the poignancy of what could have been a great book. Sorry, but this author is not on my list of must reads.
Guest More than 1 year ago
I cannot just read this book. I find myself going back and rereading and rereading, trying to figure out if I missed something or if this is just an awful book... It really is just a boring book, terribly written by the author.
Guest More than 1 year ago
The plot seems interesting until you actually begin to read it. I was only about twenty pages in when I stopped reading because I was so bored. I eventually picked it back up to finish, and I still couldn't get into it. It seems the author tried to make the characters more complex and instead added a lot of inane details that did nothing for the story. I forced myself to finish it but I don't recommend this one.
Guest More than 1 year ago
This book was nothing like I expected. There were way too many tangents and not enough focus on the 'Munchausen by proxy' story line.
Guest More than 1 year ago
I liked the plot, the character development and I did care for the people in the book.