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Malignant: How Cancer Becomes Us, by S. Lochlann Jain
Download Malignant: How Cancer Becomes Us, by S. Lochlann Jain
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Nearly half of all Americans will be diagnosed with an invasive cancer—an all-too ordinary aspect of daily life. Through a powerful combination of cultural analysis and memoir, this stunningly original book explores why cancer remains so confounding, despite the billions of dollars spent in the search for a cure. Amidst furious debates over its causes and treatments, scientists generate reams of data—information that ultimately obscures as much as it clarifies. Award-winning anthropologist S. Lochlann Jain deftly unscrambles the high stakes of the resulting confusion. Expertly reading across a range of material that includes history, oncology, law, economics, and literature, Jain explains how a national culture that simultaneously aims to deny, profit from, and cure cancer entraps us in a state of paradox—one that makes the world of cancer virtually impossible to navigate for doctors, patients, caretakers, and policy makers alike. This chronicle, burning with urgency and substance leavened with brio and wit, offers a lucid guide to understanding and navigating the quicksand of uncertainty at the heart of cancer. Malignant vitally shifts the terms of an epic battle we have been losing for decades: the war on cancer.
- Sales Rank: #398946 in Books
- Published on: 2013-10-15
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x .90" w x 6.00" l, 1.12 pounds
- Binding: Paperback
- 304 pages
Review
"Brilliant."--Barbara Kiser"Nature" (10/09/2013)
"A whip-smart read."--Becky Lang"Discover" (10/23/2013)
From the Inside Flap
"The writing is marvelous and the scholarship is incredible -- but you aren't prepared for the disarming humor, or the delicate dissection of the psyche that Jain achieves. I could not stop reading this book."
Siddhartha Mukherjee, author of Emperor of All Maladies, Pulitzer Prize Winner
"Malignant is a beneficent book, a tough gift for all of us. Iweneed this scholarly, angry, intimate, objective, smart, moving book that teaches us how to endure and even maybe thrive in the rubble.’"
-- Donna Haraway, author of Simians, Cyborgs, and Women
"Malignant is the most important book about cancer in decades.� Lochlann Jain brilliantly compels us to look straight into its metastases and cultural malignancies.� In cancer's claws we find, not just the limits of existence, but also a poetics of resistance."
-- Jonathan Metzl MD, PhD, author of The Protest Psychosis
I found myself entertained, informed, surprised and ultimately transformed by this wonderful narrative.”
-- Abraham Verghese, author of Cutting for Stone
About the Author
S. Lochlann Jain is Associate Professor in the Department of Anthropology at Stanford University and author of Injury: The Politics of Product Design and Safety Law in the United States.
Most helpful customer reviews
8 of 8 people found the following review helpful.
eloquent, dense prose situating cancer in IVF, screening, self-identity, malpractice realms-- a must-read for survivors
By kbirdlincoln
I'm a one year, post-treatment (surgery, chemo, radiation) woman "living in prognosis" with the specter of breast cancer.
This is a must-read for anyone diagnosed with breast cancer. Although, I can't decide if I would recommend it before you go through the whole treatment-decision making process or after. After reading it, I felt empowered, angry, sad, betrayed, and scared that this is only one of two books that I've come across so far (the other one being The Truth in Small Doses) that calls out on the carpet the way cancer research, pink fund-raising, and the "brave survivor" box breast-cancer patients are forced into are complicated, messy, frustrating things.
So yeah, reading it beforehand might give you the gumption to call into question doctor's opinions on chemotherapy or a too-short breast exam, or feel unwilling to demand test results right away because you're a "good" patient, but it also might leave you feeling depressingly frustrated with the complicated truth behind diagnosis, questions of prognosis and life expectancy, and options for treatment.
But this book is also a must-read because Jain is an anthropologist, and her perspective on the cancer industry in this book comes from some unexpected directions-- stances I had never considered or come across in other books: that of a misdiagnosed, potential malpractice suit plaintiff, queer, and politics of fertility (In Vitro) etc. And the prose is eloquent and dense.
Jain starts by acknowledging the shifting, complicated meanings inherent in the word "cancer" itself. Something I began to realize half-way through my own process. "Cancer" can be a death sentence when you first hear it from the nervous physician telling you the biopsy results, then it becomes a specific-sized tumor after surgery, and then something to be eradicated by various treatments, during treatment an identity you either show the world or try to hide, and then finally post-treatment, a constantly hovering presence. Jain writes of her doctor's office
"Cancer in all its nounishness, refers to everything...and nothing. Cancer pervaded the office, residing in each of these objects and people and the relations among them, but nowhere could it be specified as a thing. The main tumors were gone: cancer had only just begun."
Jain's identity leads her to delve into various and often-overlooked or over-simplified aspects of the cancer beast. Having undergone fertility treatments in order to be an egg donor, being misdiagnosed with breast cancer, and then undergoing treatment as a self-identified butch queer in a cancer culture that emphasizes makeup, wigs, and protheses, Jain calls into question the medical industry's screening practices, failure to divulge or acknowledge links between fertility treatments and environmental toxins to cancer, the "brave face" breast cancer patients are expected to put on, as well as the way tort law and malpractice law interacts with diagnoses of cancer.
Political? Yes. Well-written social science? Yes. Challenging and emotionally draining to read? Very much yes. Because after this, you can't keep the illusion of the "doctor mommy" who knows best. You will have to educate yourself and be your own advocate both as a patient and as someone living in the wider world with friends and family who are exposed to carcinogens.
We don't know why some cancer spreads. We don't know why some cancer is indolent for years and then becomes aggressive, nor do we know how much radiation exposure or environmental toxin or genetic susceptibility tips one over the edge into cancer-world.
And that makes me frustrated after all the fund-raising and "buying" pink that we as Americans do. Books like this help us focus on the real areas: improving doctor-patient relationships, insurance, screening practices, and research into causation.
5 of 5 people found the following review helpful.
A must read!
By Maureen
Lochlann Jain's willingness to expose her private thoughts and fears so publicly, about such an intensely personal scary time is truly admirable. It's her vulnerability and underlying strength woven throughout the story of the "business" of cancer that makes her book so powerful. Lochlann brilliantly puts into words what so many cancer patients (me included),were afraid to question, and for various reasons didn't have the voice, ability or courage to articulate. Her book is thought provoking; scaring me in parts with her insight into the chemicals used to treat cancer patients, reminding me of the conveyor belt feelings of being a patient, the conflicted feelings towards money making "pink" campaigns, and how grateful I am to have experienced excellent physicians and care. Reading Lochlann's book validated some of my feelings towards the treatment process and the business of fundraising for cancer. It's also prompted me to question the ethics of a society that produces masses of carcinogens while spending billions to treat cancer. I hope her book is widely read, and acts as a catalyst for discussion and change.
16 of 20 people found the following review helpful.
A masterpiece
By Sudhir Jain
It is a book by someone who suffered the worst of the desease, neglect by the specialist when the cancer was growing, several extensive surgical operations, chemotherapy, radiation, you name it. She survived, not to tell the tale so the reader would commiserate with her, but to thoroughly research Cancer in multiple fields and write a masterpiece; not just for academics but for the physicians, lawyers, politicians concerned with the welfare of their voters and not the least patients. A great work, it will be read and reread for years to come.
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