A History of the Present Illness takes readers into overlooked lives in the neighborhoods, hospitals, and nursing homes of San Francisco, offering a deeply humane and incisive portrait of health and illness in America today. An elderly Chinese immigrant sacrifices his demented wife's well-being to his son's authority. A busy Latina physician's eldest daughter's need for more attention has disastrous consequences. A young veteran's injuries become a metaphor for the rest of his life. A gay doctor learns very different lessons about family from his life and his work. And a psychiatrist who advocates for the underserved may herself be crazy. Together, these honest and compassionate stories introduce a striking new literary voice and provide a view of what it means to be a doctor and a patient unlike anything we've read before.
In the tradition of Oliver Sacks and Abraham Verghese, Aronson's writing is based on personal experience and addresses topics of current social relevance. Masterfully told, A History of the Present Illness explores the role of stories in medicine and creates a world pulsating with life, speaking truths about what makes us human.
|Product dimensions:||8.90(w) x 6.10(h) x 0.90(d)|
About the Author
Louise Aronson has an MFA from Warren Wilson College and an MD from Harvard. She has received the Sonora Review prize, the New Millennium short fiction award, and three Pushcart nominations. Her fiction has appeared in Bellevue Literary Review and the Literary Review, among other publications. She is an associate professor of medicine at UCSF, where she cares for older patients and directs the Northern California Geriatrics Education Center and UCSF Medical Humanities. She lives in San Francisco.
Table of Contents
Snapshots from an Institution 1
An American Problem 11
Giving Good Death 23
Heart Failure 41
Becoming a Doctor 65
Twenty-five Things I Know About My Husband's Mother 101
Soup or Sex? 107
Fires and Flat Lines 115
The Psychiatrist's Wife 121
Blurred Boundary Disorder 137
Vital Signs Stable 151
Days of Awe 171
Lucky You 195
The Promise 225
A Medical Story 237
Most Helpful Customer Reviews
Louise Aronson is an exceptional writer. Although her new collection contains many "doctor stories" in the tradition of another great physician-writer, William Carlos Williams, it would be a mistake to pigeonhole them as such. These are stories about human beings facing difficult situations -- illness and death but also bad marriages, rebellious children and loneliness. The characters come from a variety of backgrounds, white middle class Americans to first generation immigrants, gulf war veterans and transvestites. And true-to-life, they don't find easy answers to their problems. We as readers watch them struggle to navigate and make sense of life's murkiness and can't help but sympathize. Aronson's style is simple and direct. It is powerful in an understated and unsentimental way. She also likes to play with form - one story is told via the description of a series of snapshots, for example, another in the form of list of things a character knows about her mother-in-law. These innovative forms are both refreshing as well as insightful and clearly not done just for the sake of experimentation. Louise Aronson is as good as Williams, Lahiri and Munro too. I bet many of these stories end up as staples in the best anthologies.
"History of the Present Illness" is a superb story collection. This is not the standard medical memoir: "here's what happened to me in the ER today." No, this is spell-binding fiction a la John Cheever or Alice Munroe. The stories are surprising, eclectic, engaging, and edifying. The characters are fully drawn and so alive on the page. There is not another book like this in the literary medical world. Once you start it, you will not put it down. Easily once of the best books I've read in a long time.
This book is a series of fascinating, 'lightly-linked' fictional short stories that all take place in the neighborhoods and hospitals of San Francisco, and all relate to medicine as it is actually practiced in the U.S. today. I call the stories 'lightly-linked' because the reader needs to pay attention to notice some of the connections and common characters deftly interwoven throughout. Although the linkages didn't really further the plot, they added an element of spice to the stories when I suddenly made the connections among the characters. This book isn't exactly light reading. There's a lot of grim and sad material in here. I found tears in my eyes more than once, and finished the book with a heavy heart. It really reinforces how our health care system is failing for so many people - immigrants, children, veterans, the elderly, and also the doctors. So don't buy this expecting some kind of TV version of a medical soap opera; this book is gritty, real, and uncompromising. Dr. Aronson astonishes in her ability to inhabit such a wide array of characters with such compassionate authenticity -- the elderly Chinese man who doesn't speak English and visits his demented wife daily; the recently returned Iraq war veteran; the mentally-disturbed psychiatrist; the child deeply traumatized by his mother's death -- all of these people and many more come alive in deftly-constructed prose. Sometimes Aronson's carefully-constructed prose is a bit too noticeable, as she experiments with a wide range of styles and voices throughout the book, but sometimes her prose is simply delicious, to the point that a single paragraph bears reading and re-reading. As with many story collections, I had my favorites, and others that I didn't like as much, and I'm guessing that these faves will differ for different readers. Overall, I give this book a full five stars, mostly because I know enough about the field of medicine to know that the author has completely nailed it in this collection - she has written a book of such authenticity that it doesn't matter if it's fiction or non-fiction - it's simply the truth.
I just finished reading this book for the second time. Shortly after the first time I read this compilation of sixteen fictional medical stories, the powerful video "Empathy: The Human Connection to Patient Care" from the Cleveland Clinic went viral, and I thought "This video is the perfect visualization of Dr. Aronson's stories." Her writing shows the thoughts and motivations of each character, even those "just passing through." For example, this passage from "Snapshots From an Institution": "With the tidy chrome machine hidden beneath his lap blanket, he wheeled himself down to the Total Care Unit kitchen, where he sold it at one third its retail value to a woman who smelled of garlic and dirty dishwasher and barely spoke English but knew her kids needed computers if they were going to avoid ending up like the young man from whom she bought the computer. (page 8)" My first read of this book was to just "inhale" the story plots and swallow them whole. During the second read-through, I spent time savoring the perfectly-chosen language Aronson uses to describe the difficult decisions of health care professionals and the complex life circumstances of patients. What I appreciated most was her variety of storytelling formats. In "Becoming a Doctor," Aronson uses the titles of classic works of feminist literature (The Second Sex, The Yellow Wallpaper) as subtitles for short snapshots of the medical training of a young female doctor. In "Twenty-Five Things I Know About My Husband's Mother" Aronson uses a simple numbered list to expertly craft a story of the life and death of a woman the narrator has never even met. Each story offers the reader a chance to reflect on their own interactions with the health care system and reconsider the lives in which patients and doctors are situated. There is a lot more room for understanding on both sides. Note: A few months after I first read this book, Dr. Aronson, the author, was awarded a prestigious Gold Foundation Professorship from the Arnold P. Gold Foundation where I work. I am excited for the opportunity to work more closely with such a talented and thoughtful writer!
Many of the episodes described seemed contrived and be designed to deliver messages about life style. One longer story recalled the story in early American literature of Ethan Frome. A man tries to end an unhappy triangle by committing suicide by running a sled into a tree with his new love. He is punished by his survival and her being rendered and invalid for whom he and his wife then have to care. It felt like fiction.