A Historical past
By Sandeep Jauhar
Illustrated. 269 pp. Farrar, Straus & Giroux. $27
In Richard Selzer’s fictional story “Whither Thou Goest,” a widow searches for the person who obtained her late husband’s coronary heart. The liver, kidney and corneas had been in different people, however she wanted to be with the guts. When she and the stranger finally join, it’s as if she’s recovered misplaced love.
I, however, all the time thought-about the guts a pump, a lot the best way a health care provider defined it to Sandeep Jauhar throughout his cardiology fellowship. “In the end,” the physician stated, “cardiology is mostly a problem of plumbing.”
Jauhar shortly discovered in any other case. His gripping new guide, “Heart: A History,” had me practically as enthralled with this pulsating physique half as he appears to be. The tone — a doctor enthusiastic about his specialty — takes a pointy flip from his first two memoirs. The primary, “Intern,” was stuffed with uncertainty; the second, “Doctored,” with disillusionment.
Jauhar hooks the reader of “Heart” within the first few pages by describing his personal well being scare — an examination confirmed obstruction within the main artery feeding his coronary heart. We don’t hear extra about his situation once more till the ultimate chapter, when an extra evaluation reveals untimely ventricular contractions, “a mostly benign condition in which my heart flutters or does a sort of flip-flop when an extra, unexpected beat comes in.” Sandwiched between his personal coronary heart checks is his journey to know this organ that has mystified and frightened him ever since he was a baby and heard about his grandfather’s sudden loss of life from a coronary heart assault.
Most chapters launch with a riveting scene: a affected person within the thick of getting a coronary heart transplant, say, or having open-heart surgical procedure. You’re feeling as should you’re watching an episode of a medical tv drama. Earlier than we discover out what occurs, Jauhar takes us again in time to clarify the discoveries that made all of those advances attainable.
That’s the place the tales get notably unusual and charming.
We examine Werner Forssmann, who tried one of many first cardiac catheterizations in 1929. He did it on himself. Forssmann threaded a skinny tube by way of his arm till it pierced his proper atrium. Colleagues referred to as him a quack. Virtually 30 years later, he gained the Nobel Prize in Physiology or Drugs.
We go into an working room the place a younger woman is having open-heart surgical procedure, tethered to a heart-lung machine. Then we be taught that the idea for this machine started with one physician’s brazen concept of connecting a affected person to a different particular person’s blood provide. He was impressed by the best way a fetus feeds off its mom. Six of seven instances ended with a loss of life.
Finally, the heart-lung machine changed the volunteers. The machine received off to a tough begin too: 17 of the primary 18 sufferers died. As one of many mid-20th-century researchers remarked, “You don’t venture into the wilderness expecting to find a paved road.”
Enjoyable info are sprinkled all through. The grownup coronary heart beats about three billion instances between delivery and loss of life; the quantity of blood that passes by way of an grownup coronary heart each week is sufficient to fill a swimming pool.
Jauhar is at his greatest when writing in regards to the coronary heart. At instances, he veers off subject. I commend him for volunteering at floor zero after the 9/11 assaults, however I’d have most well-liked listening to extra in regards to the girl who suffered from stress-related coronary heart illnesses than the work he did figuring out our bodies.
Jauhar visited the wellness middle of Dean Ornish, the physician who promoted a Mediterranean eating regimen. I needed to know Jauhar’s knowledgeable opinion on how this regime compares with others.
Regardless of these quibbles, “Coronary heart” is chock-full of absorbing tales that infuse recent air into a subject that’s usually relegated to textbooks or metaphors about pumps, plumbing or love.