Kalaichandran, a pediatrician and journalist, starts by revisiting her travails working at an Ontario hospital where, she says, the hostility of senior staff caused her to develop anxiety, depression, and high cholesterol levels. The ordeal prompted her to research connections between mental and physical healing and embark on a tour of alternate therapies. The journey took her to a yoga training retreat in Mexico; a mass hypnosis session, which opened insights into the placebo effect (fake surgeries can be as effective as real ones in alleviating orthopedic pain and disability, she reports); new foods (she adopted the Mediterranean and Portfolio Diets and light fasting); and a trip on MDMA—ecstasy—to see whether psychedelics really do alleviate intractable mental problems. (As advertised, the experience showed her “a side to our existence that felt sublime and…connected to the larger universe,” she writes.) Kalaichandran also probes darker aspects of the medical profession that contribute to the unhappiness of doctors. These include residents’ sleep deprivation from 24-hour shifts (the practice was popularized by a cocaine-addicted surgeon, she notes), toxic hospital office politics, and bullying campaigns conducted by powerful doctors against underlings because of personal grudges, racism, and sexism—a dynamic that she credits with causing her own mental health issues. Kalaichandran presents a lucid, nuanced account of the science behind the unconventional ideas she explored amid an intricate analysis of social and psychological determinants of disease, drawing on observations of her own patients. Beyond the lucid exposition of studies and theories, there’s an evocative, spiritual richness in her prose, as when, for example, she analyzes the importance of accepting the inevitable through a plangent recollection of a patient dying of cancer: “And so, Priya had passed away, as a slow withering out of this world, while her mother fought her own resistance around letting go among the machines and cords and fluorescent lights of a small ICU room.” The result is a fascinating, hopeful meditation on sickness and recovery.
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English (US) ·