Thursday, August 22, 2013

A great read - "Unaccustomed Earth" and an update on the Rabies girl

Well, I couldn't stop myself from telling you all about the wonderful book I just finished, a collection of stories by Jhumpa Lahiri called Unaccustomed Earth. You may remember this accomplished author from her most recent book, also stories, Interpreter of Maladies. 

This lovely book has eight unrelated tales of people who are both bound by family structure and its complicated relationships and also alienated, each in his or her own way. Each story has its own memorable (if sometimes bewildering) characters and its own way of describing the process of coming together or falling apart or sometimes both. The families stretch to a community, usually of exiles, who stand in for far-off parents or grandparents, a refuge in a new world.

The writing is just beautiful, so careful, so descriptive. It took very little for me to get involved with these characters and want to follow each story to the end, which I did pretty quickly. This one is a keeper, I have no idea why it sat so long on my "to-read" shelf. Luckily, it won out over The Horse, the Wheel and Language, on my recent trip to Cincinnati as I loved it.

Now, for the update on the rabies girl, which I forgot to include in my last post. Those who were able to get to Jean's parent's LOVELY home (thanks again) may remember that RadioLab had a recent episode on a girl in Wisconsin who contracted rabies which unfortunately was not diagnosed until way too late.

Rabies is considered the most fatal disease; its mortality rate is 100%. This poor girl, only 15 or 16 years old developed odd symptoms that progressed very quickly from a tingling in her arm to double vision to almost comatose within weeks.

After exhausting all possibilities, her mother finally remembered she had been bitten by a bat. They hadn't thought much of it but obviously the bat was rabid. Doctors told her to take her daughter home to die.

Except for one doctor, an infectious disease specialist in Milwaukee, who took on the case and in doing so, reviewed 20 years of case studies on rabies. In one, he found an amazing ray of hope - this study determined that  rabies does not so much destroy the brain, as usually thought, but disrupts it. Sadly, it disrupts the base functions of the brain long enough to kill the patient. Autopsies showed not only an undamaged brain, but no rabies in the tissue around the brain.

So this doctor put the girl in a coma and had machines perform the functions the brain should, like breathing and ingesting water. AND she lived! And recovered, at least almost all of her functions. Of course, no one on record had recovered from rabies, so this treatment became known as the "Milwaukee Protocol" and has to date been used on 30 patients.

The good news is that 6 patients recovered, out of the 30, a big step up from everyone dying. The most interesting thing is that further study has found that the patients who recovered had enough antibody in their systems that they likely would have recovered anyway. So now doctors think rabies is 100% fatal...until it's not.

Here is the link to the RadioLab story. If you haven't listened before, give it a try, it is endlessly fascinating. http://www.radiolab.org/popup_player/# Rodney versus death.


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