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Nestled in the Smoky Mountains of eastern Tennessee, the town of Johnson City had always seemed exempt from the anxieties of modern American life. But when the local hospital treated its first AIDS patient, a crisis that had once seemed an “urban problem” had arrived in the town to stay.
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Working in Johnson City was Abraham Verghese, a young Indian doctor specializing in infectious diseases. Dr. Verghese became by necessity the local AIDS expert, soon besieged by a shocking number of male and female patients whose stories came to occupy his mind, and even take over his life. Verghese brought a singular perspective to Johnson City: as a doctor unique in his abilities; as an outsider who could talk to people suspicious of local practitioners; above all, as a writer of grace and compassion who saw that what was happening in this conservative community was both a medical and a spiritual emergency.
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Out of his experience comes a startling but ultimately uplifting portrait of the American heartland as it confronts—and surmounts—its deepest prejudices and fears.
- Sales Rank: #22003 in Books
- Published on: 1995-04-25
- Released on: 1995-04-25
- Ingredients: Example Ingredients
- Original language: English
- Number of items: 1
- Dimensions: 8.00" h x 1.20" w x 5.10" l, .70 pounds
- Binding: Paperback
- 432 pages
From Publishers Weekly
Indian physician Verghese recalls his experience practicing in the remote, conservative town of Johnson City, Tenn., when HIV first emerged there in 1985.
Copyright 1995 Reed Business Information, Inc.
From Library Journal
In fall 1985 Verghese--who was born in Ethiopia of Indian parents--returned with his wife and newborn son to Johnson City, Tennessee, where he had done his internship and residence. As he watched AIDS infect the small town, he and the community learned many things from one another, including the power of compassion. An AIDS expert who initially had no patients, Verghese describes meeting gay men and then eventually others struggling with this new disease. Verghese's patients include a factory worker confronting her husband's AIDS, bisexuality, and her own HIV status and a religious couple infected via a blood transfusion attempting to keep their disease secret from their church and their children. This novelistic account, occasionally overly detailed, provides a heartfelt perspective on the American response to the spread of AIDS. Previewed in Prepub Alert, LJ 1/94.
- James E. Van Buskirk, San Francisco P . L .
Copyright 1994 Reed Business Information, Inc.
From Booklist
Infectious disease specialist Verghese is a Christian from subcontinental India who earned his M.D. in Ethiopia, and living in various cultures has helped him to be open-minded toward and supportive of his patients, who currently are the veterans and civilians living in and around Johnson City in east Tennessee. His book covers the five years in the latter 1980s when AIDS began to make itself felt in the area and during which he treated gays, victims of tainted transfusions, and infected spouses. Among the book's fascinating features are its portrayals of the gradually increasing impact of AIDS on the community, the changing relationships between Verghese and other health caregivers and the patients, and the frightening toll the disease took on families, friends, and society. Nor were Verghese himself, his wife, and even his children immune to those grinding forces. Few, if any, books written by someone without AIDS have offered such a perceptive and realistic perspective on this disease and its ramifications. William Beatty
Most helpful customer reviews
200 of 201 people found the following review helpful.
One of the best memoirs I've ever read
By Mari Lu Robbins (marilu3123@aol.com)
With the eye, ear and voice of a novelist and with the compassion of a healer, Dr. Abraham Verghese has taken his experiences as "the AIDS doctor" of east Tennessee and turned them into an incredible memoir. This is one of the most touching and engrossing books I've read in years.
When Verghese landed in Johnson City, Tennessee in 1985, he came as a newly-accredited infectious diseases specialist to treat veterans, most of whom had lung cancer and emphysema, and to spend one day a week in the town medical center he learned to call the "Miracle Center". When the center's first AIDS patient entered the hospital, it was the beginning of the plague which would soon extend across the country, not just in the big city locales where the majority of homosexual men and drug abusers lived. They were coming home to die.
Because the young doctor had a strong desire to help and an ability to tolerate the differences of others, he gradually found himself almost obsessed with caring for his patients. He loved them as people, and as they began to die, he mourned. They were on his mind constantly, even when he was home with his beautiful wife and small sons to the point where his marriage and the center of his home became endangered by his devotion to a setting and to people which excluded them.
This book is so beautifully written I could not put it down. Each patient became fully alive for me, thanks to Verghese's ability to describe them, and I, too, mourned them as they passed. This is a memoir I will not soon forget. Poignant in its humanity, staggering in the scope of its tragedy, it will remain Verghese's monument to Tennessee and the people he came to love in all their variety.
Wonderful book.
38 of 39 people found the following review helpful.
A compassionate doctor confronts the HIV epidemic
By Nancy K. Oconnor
As a doctor, I rarely enjoy books about physicians because they simply don't show the reality of our lives.
Unlike the soap opera sexuality and black humor (and ridicule) in many medical best sellers, Dr. Verghese writes a the simple tale of a doctor and his patients, told with quiet compassion and an eye for the small details of human experience.
He tells of the daily fight to keep people alive. And he tells the story of how ordinary Americans confront this new disease with courage.
Too often, Southern Americans are portrayed as bigoted religious homophobes by the literati. His stories of how the close knit families confront and accept their dying sons and husbands.
And he tells of the common --but rarely discussed-- story of immigrants. This a story I see in my own family, where one person comes, and then is joined by friends and family, and soon a thriving immigrant community invigorates the small towns of middle America.
Finally, he shows the strains of practicing medicine in the context of a daily life.
Most of the reviews paint this as a book about HIV, and it is.
But it is a book about families, about culture, and especially about the life of ordinary physicians who daily confront the struggle against sickness and mortality.
I would recommend it to anyone thinking of joining the medical profession.
0 of 0 people found the following review helpful.
Good for the first part
By Amazon Customer
The book was very interesting for the first 100 pages or so. I knew about the AIDS epidemic in the 80s from a factual standpoint, but reading this helped me to understand what it was like to be there and to be involved. However, the book could have been a lot shorter. It seemed to get repetitive and preachy.
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