Early
An Intimate History of Premature Birth and What It Teaches Us About Being Human
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Narrated by:
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Ann Marie Gideon
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By:
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Sarah DiGregorio
About this listen
Inspired by the author’s harrowing experience giving birth to her premature daughter, a compelling and empathetic work that combines memoir with rigorous reporting to tell the story of neonatology - and to meditate on the questions raised by premature birth.
The heart of many hospitals is the Neonatal Intensive Care Unit (NICU). It is a place where humanity, ethics, and science collide in dramatic and deeply personal ways as parents, doctors, and nurses grapple with sometimes unanswerable questions: When does life begin? When and how should life end? And what does it mean to be human?
Nearly 20 years ago, Dr. John D. Lantos wrote The Lazarus Case, a seminal work on ethical dilemmas in neonatology. He described the NICU as “a strong, strange, powerful place”. The NICU is a place made of stories - the stories of mothers and babies who spend days, weeks, and even months waiting to go home, and the dedicated clinicians who care for these tiny, developing humans. The book explores the evolution of neonatology and its breakthroughs - how modern medicine can be successful at saving infants at five and a half months gestation who weigh less than a pound, when only a few decades ago, there were essentially no treatments for premature babies.
For the first time, Sarah DiGregorio tells the complete story of this science - and the many people it has touched. Weaving her own story, those of other parents, and NICU clinicians with deeply researched reporting, Early delves deep into the history and future of neonatology, one of the most boundary pushing medical disciplines: how it came to be, how it is evolving, and the political, cultural, and ethical issues that continue to arise in the face of dramatic scientific developments.
Eye-opening and vital, Early uses premature birth as a lens to view our own humanity, and the humanity of those around us.
©2020 Sarah DiGregorio (P)2020 HarperAudioListeners also enjoyed...
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How Doctors Think
- By: Jerome Groopman M.D.
- Narrated by: Michael Prichard
- Length: 10 hrs and 27 mins
- Unabridged
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On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
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Disappointing
- By Audiophile on 05-13-07
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Doctored
- The Disillusionment of an American Physician
- By: Sandeep Jauhar
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 38 mins
- Unabridged
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Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- By JW on 02-25-18
By: Sandeep Jauhar
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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When Breath Becomes Air
- By: Paul Kalanithi, Abraham Verghese - foreword
- Narrated by: Sunil Malhotra, Cassandra Campbell
- Length: 5 hrs and 35 mins
- Unabridged
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At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated.
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Phenomenal book!
- By A. Potter on 01-16-16
By: Paul Kalanithi, and others
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Less Medicine, More Health
- 7 Assumptions That Drive Too Much Medical Care
- By: H. Gilbert Welch
- Narrated by: L. J. Ganser
- Length: 8 hrs and 18 mins
- Unabridged
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The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
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The truth will set you free
- By Rene B Milner on 04-01-16
By: H. Gilbert Welch
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Confessions of a GP
- By: Benjamin Daniels
- Narrated by: Eamonn Riley
- Length: 6 hrs and 1 min
- Unabridged
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Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions.A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor.
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Very enjoyable
- By PCF on 05-27-17
By: Benjamin Daniels
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The Vaccine-Friendly Plan
- Dr. Paul's Safe and Effective Approach to Immunity and Health - from Pregnancy Through Your Child's Teen Years
- By: Paul Thomas MD, Jennifer Margulis PhD
- Narrated by: Bob Souer
- Length: 12 hrs and 41 mins
- Unabridged
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In The Vaccine-Friendly Plan, Paul Thomas, MD, presents his proven approach to building immunity: a new protocol that limits a child's exposure to aluminum, mercury, and other neurotoxins while building overall good health.
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Super helpful and great for someone caught in the middle of the argument
- By Casper on 08-23-18
By: Paul Thomas MD, and others
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Falling into the Fire
- A Psychiatrist's Encounters with the Mind in Crisis
- By: Christine Montross
- Narrated by: Christine Montross
- Length: 8 hrs and 56 mins
- Unabridged
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Falling into the Fire is psychiatrist Christine Montross's thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. Beautifully written, deeply felt, Falling into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment. At once rigorous and meditative, Falling into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind.
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Buy this book! and READ it
- By joyce on 08-15-13
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State of the Heart
- Exploring the History, Science, and Future of Cardiac Disease
- By: Haider Warraich
- Narrated by: Neil Shah
- Length: 11 hrs and 8 mins
- Unabridged
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In State of the Heart, the journey to rid the world of heart disease is shown to be reflective of the journey of medical science at large. We are learning not only that women have as much heart disease as men, but that the type of heart disease women experience is diametrically different from that in men. We are learning that heart disease and cancer may have more in common than we could have imagined. And we are learning how human evolution itself may have led to the epidemic of heart disease
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Good information, bad organization
- By Conor Cox on 09-03-19
By: Haider Warraich
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Patient Care
- Death and Life in the Emergency Room
- By: Paul Seward MD
- Narrated by: Jim Seybert
- Length: 5 hrs and 21 mins
- Unabridged
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Recalling remarkable cases - and people - from a career launched in the first days of Emergency Medicine, Dr. Paul Seward leads us in his memoir through suspenseful diagnoses and explorations of anatomy. Within the conditions of great stress and rapid decision-making that are routine in the ER, Dr. Seward tells us that medical staff must be more than technicians of the body: They must be restorers of the human.
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very enjoyable
- By Patricia Oxenham on 03-21-19
By: Paul Seward MD
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In Shock
- My Journey from Death to Recovery and the Redemptive Power of Hope
- By: Dr. Rana Awdish
- Narrated by: Dr. Rana Awdish, Teri Schnaubelt
- Length: 9 hrs and 2 mins
- Unabridged
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In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training, instantly lays bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
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Read this book!
- By CT on 11-08-17
By: Dr. Rana Awdish
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The Family Gene
- A Mission to Turn My Deadly Inheritance into a Hopeful Future
- By: Joselin Linder
- Narrated by: Khristine Hvam
- Length: 7 hrs and 17 mins
- Unabridged
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When Joselin Linder was in her 20s, her legs started to swell. She thought little of it until her health problems started to compound in ways that baffled her doctors. Diagnosed with extreme liver blockage and dangerous levels of lymph fluid, Joselin turned to the most similar case she could think of - her father's.
By: Joselin Linder
What listeners say about Early
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- TiffanyD
- 05-02-20
Not as niche as you might think
While the frame around this story is the author's own story of her daughter, this is only a bit of memoir membrane (placenta?) around an examination of how science and medicine has evolved in dealing with pre-term babies. Definitely some trigger moments for anyone who has spent time around newborns in medical distress, preemie or not.
I imagine some will come to this book through their own experiences with premature birth. I came to it through my interest in reproductive justice, but found myself also interested in the questions it raises about disability and health care. The author does a good job of weaving information about premature birth into some of this wider context. I like that she dedicated the final chapter to giving premature children their own voice, but I could have used even a bit more of their own stories and their own perspectives. I wish that chapter had been longer.
Overall, I was surprised at how much ground the author covered. I learned a lot.
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- R. Ash
- 08-08-21
Gripping read for this late preterm infant mom
As a mom of a 35 week late preterm infant, I didn’t know how much I would get out of this book. My child spent five days in the NICU at birth (and was readmitted for four more days before his due date). I felt like a fraud in a way claiming to have a premie because so many people think of early to moderate preterm infants as premies, not 35 weekers. This book was fascinating on a number of levels and even validating. I was surprised by how much of my experience and complex grief was common among moms of premies. Beyond my personal interest as a mom of a premie, this books is also political without being partisan. This has been one of the most thought provoking and timely books I’ve read in a long time.
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1 person found this helpful
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- PLCC
- 02-29-24
Lots of info
This was a great listen with lots of information about early birth from the standpoint of a mother and medical provider. Great information about the course of medicine and prematurity.
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- Amazon Customer
- 07-11-21
Veteran NICU Nurse
I have been a NICU Nurse for 38 years, my entire nursing career. Caring for these babies and their families is truly a passion. I was familiar with the history of evolution of neonatal medicine and NICUs , and have actually lived a good part of it. Despite my "solid base", I was moved to tears at times as the author related hers and other NICU parents stories intermingled with the history. A definite read for anyone involved, interested, or "touched" by the NICU world.
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- Stoute Residence
- 01-16-24
A NICU Mother Must-Have
The education from doctors, data, and “faith” make this a must have read for any NICU parent. As my baby’s advocate, I feel empowered with knowledge and nuance I never had.
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- Rich P
- 06-25-20
Worth the time - as long as there’s been enough time
Worth listening to by parents of preemies as long as it’s been enough time since your baby’s birth.
Not before. Good to hear the history and all the efforts of people who have worked to make preemies viable and survivable in the modern era.
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1 person found this helpful