Senin, 09 Maret 2020

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Book Details

Title: The Angel and the Assassin: The Tiny Brain Cell That Changed the Course of Medicine
Author: Donna Jackson Nakazawa
Number of pages:
Publisher: Ballantine Books; 1 edition (January 21, 2020)
Language: English
ISBN: 1524799173
Rating: 4,9     41 reviews

Book Description

Review “A fascinating deep dive into the unsung heroes (and villains) inside our skulls . . . Donna Jackson Nakazawa has a journalist’s eye for story, a scholar’s understanding of the research, and a patient’s appreciation for how high the stakes truly are.”—Susannah Cahalan, New York Times bestselling author of Brain on Fire   “An inspiring account that will provide a game-changing view of health for generations of researchers, clinicians, and citizens for years to come. Bravo!”—Dan Siegel, M.D., clinical professor, UCLA School of Medicine, and executive director of the Mindsight Institute   “Riveting, engaging, and visionary.”—Terry Wahls, M.D., author of The Wahls Protocol   “Colorful, page-turning, and accessible . . . I have great hopes for the practical application of what Jackson Nakazawa reveals.”—Amy Myers, M.D., New York Times bestselling author of The Autoimmune Solution   “Few nonfiction writers can tell the tale of scientific inquiry so vividly that the reader can feel the excitement of discovery with every word. Donna Jackson Nakazawa is one of those writers, and this book tells the tale of one of the most intriguing and groundbreaking discoveries in all of medicine.”—Shannon Brownlee, senior vice president, Lown Institute, and author of Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer   “The Angel and the Assassin is one of those astonishing medical yarns that you almost can’t believe: how the power of this tiny cell was so long overlooked, how integral it has become to our understanding of neuroscience and immunology, how it has transformed the most basic ideas of who we are as humans. The book is especially essential reading for women, who face depression, Alzheimer’s disease, and autoimmune disorders at higher rates than men.”—Peggy Orenstein, New York Times bestselling author of Girls & Sex: Navigating the Complicated New Landscape   “Jackson Nakazawa puts forth a revolutionary new way of thinking about the brain’s immune system and its interactions with immune function in the rest of the body. Much of the information here was new to me and has made me more optimistic about the future of medicine.”—Andrew Weil, M.D., New York Times bestselling author of Eight Weeks to Optimum Health and Healthy Aging Read more About the Author Donna Jackson Nakazawa is the author of three previous books exploring the intersection of neuroscience, immunology, and emotion: Childhood Disrupted, which was a finalist for the 2016 Books for a Better Life award, The Last Best Cure, and The Autoimmune Epidemic. For her written contributions to the field of immunity, she has received the AESKU award and the National Health Information Award, which recognizes the nation’s best magazine articles on health. Jackson Nakazawa has appeared on Today, NPR, NBC News, and ABC News, and her work has appeared in The Washington Post, Health Affairs, Aeon, More, Parenting, AARP Magazine, and Glamour, and has been featured on the cover of Parade as well as in Time and USA Today. She blogs for Psychology Today and HuffPost. Jackson Nakazawa has been the recipient of writing-in-residence fellowships from the Virginia Center for the Creative Arts, Yaddo, and the MacDowell Colony. She lives with her family in Maryland. Read more Excerpt. © Reprinted by permission. All rights reserved. OneThe Accidental Neurobiologist As you enter Beth Stevens’s lab office in Boston, Massachusetts, where she serves as associate professor of neurology at Boston Children’s Hospital and Harvard, you’re greeted by a giant whiteboard. At its center sits an elaborate hand drawing of a microglial cell, rendered in bright green fluorescent marker. Tentacle-like arms extend probingly out from the cell’s blob-like center, each delicate arm pointing toward a different handwritten list of the primary research projects currently underway in Stevens’s lab, along with important deadlines. It’s clever. It’s nearly five o’clock in the afternoon. Stevens’s ten-year-old daughter, Riley, is finishing homework at her own child-sized desk not far from her mom’s. Riley’s hair—the same towheaded white-blond as her mother’s—hangs in neat pigtails. Riley pushes her glasses up on her nose, heads over to the majestic whiteboard, and picks up a marker and dry-eraser. Her blue eyes—also her mom’s—sparkle mischievously. “Riley, don’t erase that board!” Beth calls out. Her voice conveys pretend mom sternness. “All kinds of crazy things are going to start happening around here if that board gets erased!” Stevens’s husband, Rob, walks in just then to pick Riley up after school. He offers me a warm hello, then smiles playfully as he points out a silver espresso cup sitting on Stevens’s desk. The cup is still steaming.  “Yup, I just had another cup of espresso,” she says, exchanging a smile with her husband. A large mug with the words DEATH WISH COFFEE also sits on her desk. She looks at me and gives a minuscule shrug. “These mugs are gifts from my lab. I guess that should tell you something?”She kisses her daughter and husband goodbye before showing me around the lab. Stevens is stylish and crisp in an olive-green summer dress, her wavy blond hair neatly pinned back with a silver clip. She gestures under her desk, where research papers rise in foot-high stacks. “My reading pile!” she laughs. Above her desk, photos of her daughters, Riley and Zoe, are pinned to a bulletin board, interspersed with favorite pieces of their preschool artwork. There’s a photo of the beach house where she and Rob vacation every summer on Cape Cod. Stevens points fondly to a photo of herself embracing a young woman in a graduation cap and gown. They’re both smiling widely. “This is my first grad student.” There are several collages made up of the faces of dozens of the students and colleagues she’s worked with over the past twenty years. “Looking at all these faces makes me really happy when I’m feeling stressed,” she says.In the area outside her office sits an espresso machine, which Stevens gifted to her lab. She points out the “dual heads so two people can fill up at the same time.” (A fellow neuroscientist once described Beth Stevens as being a lot like “a four-shot espresso.” It’s an apt description.)A plate of cookies awaits kids who—like Riley—might come to the lab for a few hours after school to do homework while they wait for their mothers. (Yes, much of Stevens’s team is female.)Intermingled with the microscopes and computer screens there is one apparatus I’ve never seen before in a biology lab: a miniature brewery. “My postdocs and students brew our own beer,” Stevens explains, with a laugh. “We call it microgliale.” It’s a busy, cozy, happening, caffeine-fueled, fun place, Stevens’s lab. Today, there are fifteen postdocs and students working on different projects. Stevens runs a smaller second research group at the Broad Institute, a biomedical and genomic research center, and she is in high demand at neuroscience conferences all over the world to share her game-changing discoveries about the tiny cells that science almost forgot—microglia.  But it didn’t start out that way.In many ways, Beth Stevens is an accidental neurobiologist.Student of Nature Beth Stevens grew up in the small industrial city of Brockton, Massachusetts, known for its history of shoe manufacturing. Her father was an elementary school principal in downtown Brockton, and her mother taught at another local elementary school, closer to their home. Reading books and kitchen table arithmetic were both encouraged and supported. Stevens was bookish, like her family, but she also had a more hands-on brand of curiosity.She spent hours in her backyard turning over rocks, sitting in trees, looking at the undersides of leaves, smearing sap between her fingers, and watching insects, in an effort to discern the unseen workings of the natural world.Later, in middle school, when it came time to participate in the frog dissection that most students dreaded in biology, Stevens felt none of the squirmy hesitation of her classmates. “I couldn’t imagine anything more intriguing than seeing how the inside of a frog’s body worked,” she says, taking a sip of her espresso as we sit at her desk. After that day, “I know it might sound gross, but if I saw a dead squirrel or opossum on the side of the road—yes, roadkill, it’s awful!—I’d poke gently at it with a stick, just trying to peer inside. I wanted to understand how its body functioned, and why it died.”To young Beth, it seemed as if looking inside things was the most important and interesting thing you could do in the world.But there were no scientists in her family. When she did read about a biologist having discovered something exciting, it was invariably a man. She had the sense, growing up in her town, that she was a bit odd—one of those things that is not like the others, as the saying goes.“It certainly never occurred to me that my interests could lead to a career,” she recalls, looking back.That began to change when Stevens took an Advanced Placement biology course in high school. Her teacher, sensing her interest, told her stories about past female students who had gone on to become researchers. He held down a second job working in a medical lab, and he sometimes brought projects into class. “We’d be pouring different mediums into petri dishes and turning on Bunsen burners and I’d think, Wow, can you really do this as a job?” Beth says.When she graduated from high school in 1988, Stevens went on to study biology and medical laboratory science at Northeastern University in Boston, sure she’d later go to medical school. One term, she interned in a hospital lab, where she assisted researchers in identifying a food poisoning outbreak: Listeria monocytogenes bacteria lurking in store-bought sausages.After Stevens graduated, she wanted to find work that would help build her résumé while allowing her time to study for the MCATs. Her husband, Rob Graham, then her boyfriend, had landed a job working on Capitol Hill in Washington, D.C. Stevens was seeking lab experience—and one of the best and biggest labs in the world was situated on D.C.’s outskirts: the National Institutes of Health.It was 1993. “We moved to D.C. and I thought I’d wait tables at a Chili’s restaurant near NIH for a few months until I landed something,” Beth recalls. “On breaks I’d pull off my apron and run over to NIH to search the job board and drop off my résumé.” Stevens liked to read science journals in her spare time, and she’d recently read “the very odd and fascinating case of a woman with a parasitic infection inside her eye,” she tells me. “So I thought I’d really like to work in infectious disease.” Among the dozens of applications she put in, she submitted one to work for a Nobel laureate who was studying infectious disease and HIV. Ten months into her job search, Stevens got a call from the HIV lab offering her the position of lab tech. She was twenty-two years old and had, she thought, landed her dream job. But “I got another call around that time too—from a scientist whose lab I hadn’t applied to,” she says, with some bemusement.Doug Fields was, at that time, a young neurobiologist who was setting up his first lab at NIH. He’d called Stevens out of the blue. “He told me he’d thumbed through the rejected résumé pile in NIH’s personnel office, where mine had landed.” He explained that he was studying the firing patterns of neurons, and how that affected brain development.*“Going into neuroscience simply was not on my radar at the time,” says Stevens. Besides, to someone fascinated with viruses and infectious diseases, it seemed less interesting than studying HIV. So Stevens turned Doug Fields’s offer down.Then life took a circuitous turn. “I showed up for my first day of work at the Nobel laureate’s HIV lab, and the lab manager told me there was a hiring freeze; they’d forgotten to tell me I no longer had the job,” Beth says. “I went home feeling more dejected than I’d ever felt in my life. The next day I put my waitress’s apron back on and went back to serving burritos at Chili’s. After almost a year of looking, I’d only had two job offers.” She laughs. “And I’d turned one of them down!” Read more

Customers Review:

I can’t thank Donna enough for researching, writing, and publishing this book. As middle aged woman with a history of severe anxiety, digestion issues, a parent with Alzheimer’s, and now teenagers with multiple health issues, this book has finally tied everything together for me. If you or a loved one has suffered from issues such as an autoimmune disease, anxiety/depression, learning disabilities, cognitive issues/dementia/Alzheimer’s, leaky gut/digestive issues, chronic stress, high inflammation, etc. this book will finally explain how all of your symptoms are related. And more importantly, what you can do about it. I highly recommend this book and think it’s especially important that anyone working in the fields of medicine, mental health, and nutrition to read it. Thank you Donna!
I thought I was reasonably well informed about current trends in neuroscience, but much of the content here was brand new to me. Nakazawa is a fine writer which I already knew from her earlier work. Here she deftly creates a stunning narrative that upends conventional thinking about the brain and challenges many assumptions about mental and physical health – spoiler alert: at long last the dividing line between mental and physical wellbeing disappears. Outstanding work, I read it in one sitting.
Donna uses her great writing skill to turn mind bossy clinical talk into a flowing style that is easy to read and understand. You root for patients she walks alongside as they try cutting edge treatment for their resistant diseases and conditions. At the same time she builds a crescendo of hope fo people with autoimmune diseases and difficult to tame mental health conditionsI’ve put my money where these written words are as I have sent to my loved ones who suffer from autoimmune and trauma as well as my dear ones in the medical field copies of The Angel and the Assassin. Hopefully spreading the word of hope that is in the forefront of Donna’s eloquent book!(
Thank you, thank you, THANK YOU Donna Jackson N. for this transformative book that is SO needed! The information is of paramount importance and hopefully will SHIFT how we view the brain and its associated illnesses. May it be a wave or a whole new way of approaching this important subject and create changes needed for all affected by illnesses associated with the magical microgial cells. Congratulations, Donna. Please keep up your ardent and powerful work.
This new information about brain function promises to transform the lives of people who have been stuck in dead end lives with intractable mental illness.Thank you,Donna Jackson Nakazawa.
Donna Jackson Nakazawa’s well-referenced description of microglia physiology and pathology is impressive. As a practicing internist with a keen interest in medical research and its application to clinical medicine, The Angel and the Assassin is brilliant. As exciting and informative medical literature, it is in the company of Siddhartha Mukherjee’s The Empire of all Maladies (a history of the development of chemotherapy) and Jennifer Doudna’s A Crack in Creation (the discovery of CRISPR). Recent articles from NIH about microglia are useful adjuncts to this book. The Angel and the Assassin is important and enjoyable to read.
Donna Jackson Nakazawa is gifted story teller, and The Angel and The Assassin’s true tales of those suffering from brain disorders and those researching them is simply riveting. I was previously unfamiliar with microglia and amazed by their power to either stave off disease or wreak havoc when sent into overdrive. Since so many people suffer from mental health challenges, this new understanding of their relationship to auto-immune function seems a huge step forward in understanding how to help those who suffer. Depression, Autism, Alzheimer’s and other mental health disorders affect so many people. I was excited by researchers’ greater understanding of the role brain inflammation plays in these disorders and the new treatments that offer patients hope and relief.
DJN informs readers in an easy to read & understand way. She connected many dots for me regarding my own disease process. Highly recommend this book for anyone suffering from a physical or mental-health chronic condition.