Monday, January 20, 2014

The Devil in the White City

The Devil in the White City opens on the Olympic, where Daniel Hudson Burnham, one of the architects of the 1893 Great Exposition in Chicago decides to send a message to his friend Frank Millet who's crossing the Atlantic in the opposite direction, on the RMS Titanic.  Eric Larson presumes that while waiting word of his friend's survival, Burnham's thoughts drifted back to their great project, the 1893 Great Exposition in Chicago.  One of Chicago's most innovative architects and the man who figured out how to build skyscrapers on Chicago's soft soil, the Exposition committee chose Burnham to oversee the construction and operation of the site, and Larson devotes about half the book to the troubled construction and ultimately successful execution of Chicago's grand step onto the world stage. 

Larson does a good job of describing the difficulties, both political and weather-related, which plagued the construction of what came to be known as the White City, and his description of the Exposition communicated the sense of awe visitors must have felt when they saw the first ever Ferris wheel and the gorgeous buildings filled with curiosities.  He leavens this sense of awe with creepy but engrossing chapters about H. H. Holmes, a pharmacist and landlord whose wives, secretaries, and business associates seem to disappear.  Holmes has an explanation for everything - they went back to their families, or ran away to marry, or followed another business opportunity.  Sure, his apartment building had odd, soundproofed rooms, and maybe the gas jets looked a bit odd, but no one put anything together.

No one, that is, until 1895 when Frank Geyer, a Philadelphia detective investigated a case of insurance fraud.  H. H. Holmes had taken out insurance policies on his business partner Benjamin Perzel, who disappeared soon afterward.  Holmes then took Perzel's children on a trip from which they never returned.  This last section reads like a tightly written police procedural, with solid detective work and a few lucky breaks.  Geyer captured America's first known serial killer.

Thursday, November 7, 2013

Hotel Pastis

Sometimes I just want to read something that makes me smile.  Something lightweight but not disposable, a book in which I can immerse myself and imagine that I'm not riding a commuter train in the dark both to and from work.  A book where I can feel the sunshine and taste the multi-hour meals.  When I'm in that sort of mood, I reach for Peter Mayle.  After careers in advertising and educational books (he wrote the "where did I come from?" books my grade school teachers used for introductory sex ed), Mayle moved to Provence in the late 80s and chronicled his year of renovation.  More travelogues followed, and then Hotel Pastis.  It's about a recently divorced ad man named Simon Shaw who falls in love both with Provence and a woman with whom he opens a hotel.  Oh, and there's a gang of bank robbers disguised as a cycling team doing training runs, and the son of Simon's former firm's biggest client who's not sure if he wants to win the Tour de France or earn three Michelin stars.  Add in an extremely competent assistant, an old man with a high ladder, an ex-wife who reappears every few months, avaricious fellow ad men, a disreputable relative, assorted tourists, a sour-tempered "journalist," the mayor's beautiful daughter, a commanding female chef, and a bull terrier, season with lavender, basil, and champagne, and sit back.  It's a pleasant vacation disguised as a 380-page paperback, and place to revisit every few years.

Wednesday, November 6, 2013

Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine

There cannot be two kinds of medicine.  There is only medicine that has been adequately tested and medicine that has not.
        - Marcia Angell

The above quote by the former editor of the New England Journal of Medicine sums up my attitude towards alternative medicine - either it works or it isn't medicine.  It's no coincidence that Dr. Paul Offit used Dr. Angell's quote to introduce his chapter on nutritional supplements.  As he points out, some of them may work, but because they're generally untested, we don't know which ones work, and what side effects they may cause.  Unlike Ben Goldacre whose Bad Science took on several affronts to science and sense, Offit focuses on supplements and the anti-vaccination movement, where he can focus on facts rather than outrage.  I'm not saying that Offit isn't outraged or that Goldacre didn't support his work, but the books have very different tones.  In contrast to Goldacre's slightly snarky wit, Offit writes in a more clinical voice.

Part of me understands why alternative medicine is so appealing.  It's personal, calming, and (mis)uses the word natural.  Clinical medicine is, well, clinical, dispensed by people whose demeanor usually ranges from slightly distant through cold to a combination of arrogant rudeness with a dash of God complex.  Natural remedies don't list adverse events; pharmaceutical ads include a laundry list of frightening side effects.  And many drugs originally came from plants, so supplements must be both effective and safe right?   Well, no, that's not true, and simple logic should tell you that.

Simple logic, however, can't stand up to repeated assaults by celebrities, by doctors who should know better, and by a federal law protecting supplement makers.  I was working in a testing lab and considering law school in 1994, and thoroughly horrified when I read that the 1994 Dietary Supplement Health and Education Act passed.  Basically, anything not classified as a drug can be marketed with no testing whatsoever, and cannot be withdrawn until a critical mass of dead bodies can be traced to its use.  It's perfectly legal for your supplement (which you think will improve your memory or increase your energy or just make you healthier over all) to contain no active ingredients, or to have failed every well-designed effectiveness study, or to be contaminated with known toxins (or, as the New York Times reported this week, may contain entirely different herbs than are listed on the label).  For the most part, this modern snake oil just drains the consumer's wallet, but due to the lack of testing, we just don't know which supplements are toxic or allergenic - and thanks to the DSHEA, we cannot know.  Offit tells us why this is the case - a supplement-loving Senator (Orrin Hatch) from a supplement-producing state (Utah) pushed through the law against the advise of the FDA thanks to the general weakness of scientific knowledge among the general public.

That lack of scientific knowledge explains why people are willing to believe B-list actresses rather than doctors when it comes to autism and menopause.  Jenny McCarthy now co-hosts The View, so her false claims that vaccinations cause autism are once again front-page news.  They are wrong, they are hazardous, and, as Offit explains, are just one item in a laundry list of potentially dangerous claims which charlatans use to prey on desperate parents.  Suzanne Sommers has been relegated to the infomercial circuit with her bio-identical hormones, and that probably makes her less of a threat.  Her position that bio-identical hormones (basically, the same molecule but from an herbal source) are safer and more effective than commercially produced pharmaceuticals, though, just doesn't make sense.  If it's the same molecule, it should have the same effect - and the same risk of side effects.  She's profiting from the ignorance of the general public.

Supplement producers, McCarthy, and Sommers are dangerous, but at least they're working from their own ignorance.  What about those who should know better?  Offit criticizes Dr. Oz for highlighting faith healers and therapeutic touch practitioners (therapeutic touch was disproved by a middle school student's science fair project) by providing a national platform for their unverified (and unverifiable) but deeply moving stories.  Andrew Weil - another doctor who should know better - promotes herbal cures based on small, badly designed studies.  There's no evidence they help anything other than Dr. Weil's financial well-being.

Offit also criticizes the late Dr. Linus Pauling, calling him both one of the greatest scientists and greatest quacks of the 20th Century.  A brilliant chemist and renowned peace activist, Dr. Pauling became a vitamin evangelist in the 1970s.  Clinical trials conduced in the ensuing decades, however, showed that high doses of anti-oxidant vitamins shorten life spans and increase cancer rates.  Too much of a good thing can kill you, but Pauling's earlier brilliance overshadows the hard facts put forth by faceless university academics.

Most of this is familiar territory.   Where Offit differs from other debunking doctors is that he explains how and why alternative remedies work.  Goldacre mentioned regression to the mean (we reach for remedies when we feel our worst and would feel better soon no matter what) and the placebo effect.  Offit actually explains what should really be called the placebo response.  Pain isn't all in our minds, but we can use our minds (through relaxation and trickery) to release endorphins.  These naturally produced pain killers can dull pain and cause other physiological responses.  When acupuncture or a supplement works, it's because we've fooled our brains into releasing endorphins, dulling our pain but not fixing the cause, be it a pulled muscle, an infection, or cancer.  This is why I think Do You Believe in Magic may be slightly more effective than Bad Science in convincing the public that most alternative remedies are ineffective.  Offit seems to understand why people want to believe in magic when Goldacre just snarks at their ignorance.  Goldacre is a more entertaining writer (Offit is perhaps a bit too clinical for some), but he's probably more likely to turn off those who need to hear his message.  I'm cynical enough (even when my office mate isn't expounding on health theories which only show he might not pass 4th grade science), though, to think that they're preaching to the choir.

Wednesday, October 30, 2013

After the Funeral

Agatha Christie can still get me.  I've read most of her books now, and even when I read a "new" one, I can guess the murderer, or at least narrow it down to a small group that includes the culprit.  Not this time - I'd identified three suspects and completely missed the murderer.

After the Funeral begins after Richard Abernathie's funeral.  A widowed septuagenarian mourning the death of his only son, his own death was not unexpected.  After his solicitor, Mr. Entwhistle, reads the will to the heirs, Abernathie's surviving sister says, "But he was murdered, wasn't he?"  No one takes her seriously - Cora had always been, well, a bit off, and she'd been estranged from the family since her marriage to an artist decades before.  Then (because this is an Agatha Christie novel), someone murders Cora, hacks her to death with a hatchet while she slept.  Does this mean that Cora was right?

Mr. Entwhistle isn't sure, so he calls on his old friend, Hercule Poirot.  Disguising himself as the representative of a refugee organization, Poirot invites the survivors - two grand-nieces and their 'unsuitable' husbands, a grand-nephew involved in questionable financial deals (doesn't every Christie novel have a young man cooking the books?), Richard Abernathie's "invalid" brother and his wife, Richard's favorite sister-in-law Helen, and Cora's paid companion - to Abernathie's home which he says his organization is buying..  A somewhat estranged family, visiting the about-to-be-sold family estate and bickering over the inheritance…so of course someone is attacked.  With one suspect hospitalized with a concussion, Poirot again gathers the family and accuses…the last person I would ever suspect.  And yet, once revealed, the murder's identity is completely obvious.

Christie tired of her most popular detective long before the public did.  She couldn't retire Poirot, but his appearances became less frequent as time went by.  It may not just have been weariness with the Belgian detective, though.  I've always though of Poirot as belonging to the era between World Wars (and Miss Marple, in her sleepy village where electricity and cars may replace candles and horses but nothing else changes, belongs to the post-war era).  Seeing Poirot in the 1950s and talking about death duties and societal changes, well, it just doesn't fit.  He was always more of a caricature than a character, but so were the Bright Young Things and the characters which populated screwball comedies.  The 1950s were more subdued, and Poirot was just a bit too unreal.

Sunday, October 27, 2013

The Big Short

Grant decided to investigate these strange Wall Street creations known as CDOs. Or, rather, he had asked his young assistant, Dan Gertner, a chemical engineer with an a MBA, to see if he could understand them.  Gertner went off with the documents explaining CDOs to potential investors and sweated and groaned and heaved and suffered.  "Then he came back, " says Grant, "And said, "I can't figure this thing out."  And I said, "I think we have our story." - page 177

That passage made me feel good.  Not about the financial market manipulations which nearly brought down the world economy five or six years ago, about myself.  Because I'm a chemical engineer with a JD and I could not follow the logic behind CDOs.  I read the business section of the paper, listen to Planet Money, understood enough about the difference between what banks would let me buy and what I could afford when I was house hunting, and I just could not wrap my mind around the financial instruments

Michael Lewis is an accidental insider to the world of finance.  He worked for Salomon Brothers in the late 80s, left, wrote Liar's Poker as a cautionary tale to save new college grads from losing their souls to large bonuses, and was shocked to find those kids he wanted to save used his book as a how-to manual.  When he escaped (his word), he thought that the investment world would eventually revert to a saner form, but he was wrong.

My college newspaper published this cartoon, lamenting the lack of moral career options for the late-80s math major.  A dozen years later, those math majors headed for Wall Street and created financial instruments which claimed to be "diversified" because they included risky investments from several different companies.  A subprime mortgage is a bad investment - that's why the borrower is paying a high interest rate.  Logically, 100 subprime mortgages should be a very bad investment - but when presented as 100 different investments, it magically becomes a "diversified" and therefore safer.  The housing market didn't collapse because individual borrowers were irresponsible per se - it collapsed because the experts figured out how to make money by essentially running an elaborate con game.

Lewis shows us this world through the eyes of a few outsider members - two guys who almost stumble into success, a doctor-turned-trader who's diagnosed with Asperger's Syndrome at the height of his success, and a man hired through nepotism who might have been the rudest man in New York City.  They took advantage of the system, but they also saw the warning signs a few months before the rest of the financial world and tried (too late) to warn others.  They made millions, and got out as the world collapsed.

One thing nagged at me throughout the book.  How much money is "enough?"  I like money, but I have a sense of enough, and of the trade offs involved.  If I work extra hours, I'll have a few more dollars two weeks later but if I leave early, I can meet a friend for dinner or go to the ballet.  It's a matter of finding the right balance.  Lewis's traders throw around seven and eight figure bonuses like the money in the change purse I keep in my glove compartment.  They can buy condos the way I buy a medium twist cone with chocolate jimmies - it's beyond what I can comprehend.  And yet, they want more.  People complain about athletes' and movie stars' salaries - but if Jimmie Rollins pops up or if Reese Witherspoon's movie tanks at the box office, no one gets hurt - and Rollins and Witherspoon actually do something.  Not necessarily something which will have much effect on the world as a whole, but they're doing something few others have the ability to do.  The Wall Street traders profiled in The Big Short make more money than all but the biggest stars, and they came close to destroying our entire financial system in the process.  And yet, no one complains about their paydays.

Thursday, October 17, 2013

The Constant Gardener

Warning - possible spoilers

Two weeks ago, the journal Science published an article claiming that reading literature improves your social skills.  While I generally agree with Neil Gaiman that so-called "fluff" reading has imaginative value, I also take issue with the assumption that genre fiction is fluff.  Some of it is - but some literary fiction is so concerned with being "literary" that the author downplays minor details like plot and characterization, resulting in a book that one can admire, but not really like.  Yes, there's some mediocre (or worse) genre fiction on the market and selling well, but I can't agree that a mystery can't be literature.

My first exhibit?  The Constant Gardner.  It appears to be an action-movie-in-waiting: a well-known espionage novelist, exotic locales, and an unsolved murder.   Lift off the first layer and you'll find an indictment of the modern pharmaceutical industry, and below that a love story in retrospect.  It also takes place largely in the mind of a grieving man, desperate to solve his wife's murder before he too dies violently.

Le Carre's novel starts as a conventional suspense novel.  Sandy Woodrow, a British diplomat in Nairobi, learns that another diplomat's wife has been found, murdered.  Tessa Quayle was, well, a bit of an embarrassment to the embassy; much younger than her undistinguished husband, flirty, and prone to quixotic forays into social justice.  Woodrow and his wife organize the funeral and hide Justin Quayle from the press, both men submit to police questioning about Tessa's life and death, and Justin returns to England.  So far, an ordinary if well-written mystery, highlighted by acidic sketches of domesticity in the diplomatic corps.  Once Justin returns to England, though, The Constant Gardener changes, becoming a more reflective piece which takes place more and more in Justin's mind as he travels through Europe, to Canada, and finally back to Africa, trying both to solve his wife's murder and to complete her mission.

You see, the diplomatic corps had completely misjudged Tessa.  She wasn't a flirt, but deeply in love with Justin (and Justin with her).  Neither was she a quixotic campaigner, but an Oxbridge trained lawyer and human rights campaigner who'd discovered that a promising anti-malarial drug had toxic side effects and that a corner-cutting pharmaceutical company didn't know - or care.  Using Justin's grief to frame the flashbacks, le Carre subtly transforms Tessa Qualye from a shallow dilettante to a fully realized character.  Perhaps she's a bit too "good" (after all, we're seeing her through the memories of her widower), but she's real, too stubborn and perhaps naive to be a saintly victim.  Justin also transforms from a middle-aged, mid-level, mediocrity into a man desperate to complete his wife's quest, even (or perhaps hopefully) at the cost of his own life.

I mentioned above that I believe The Constant Gardner is literature, despite its genre status.  It engaged both my emotions and my intellect more than some classics have (coincidence-heavy Jane Eyre, with the two-dimensional Mr. Rochester, for example).  Le Carre also had a more difficult task than the non-genre novelist, because he had to stay within a framework.  Genre fiction isn't easier than straight fiction - it's harder.  The author has the same duty to use rich language, create engaging characters, and craft a believable plot as any other novelist, but has to do so without violating the genre's rules.  Le Carre succeeded on this level as well.  After finishing the novel, I woke up in the middle of the night.  It wasn't because of a noise outside, or because I was thirsty or uncomfortable - it was because I second-guessed myself on the identity of Tessa's killer.

Sunday, September 29, 2013

Devil's Brood

I love The Lion in Winter - brilliant dialog, double and triple crosses, and all performed by an amazing cast.  It's a manipulated snapshot, though, a single event which didn't actually happen but which distills the complicated relationships between Henry FitzEmpress, Eleanor of Aquitaine, and their squabbling sons.  Sharon Kay Penman takes a more historically accurate approach as the third book in her Plantagenet series sprawls through the final 17 years of Henry's reign.

Penman writes long, complicated novels with frequent shifts in location and point of view, and in Devil's Brood does so deftly.  It helps, of course, that one of her protagonists is the brilliant, proud, and stubborn Eleanor who saw herself as Duchess of Aquitaine above all other roles.  It was this pride which led Eleanor to back their sons in a revolt against her husband, a decision which led her to spend years as Henry's prisoner.  While she's a captive, her sons continue to rebel and repent, constantly shifting alliances among themselves, their father, and Phillipe of France (who, apparently, did not look like a young Timothy Dalton, more's the pity).

Interestingly, Penman leaves Richard as a supporting character, whom she portrays as a dashing soldier with little internal life.  Instead, she focuses on Henry the Young King and Geoffrey, who are less well known.  Henry comes across as a bit like Tom Bertram - a rich, handsome, rabble-rousing frat boy given more power than he can handle.  He's a lousy general and has little promise as a ruler, but he's already been named king so his father has little choice but to forgive him for his rebellions.  Ultimately he's a tragic figure who, like so many of his era, dies from dysentery, an uncrowned king.  Penman's characterization of Geoffrey owes a bit to Goldman's play.  He's a forgotten son, a scheming spare given Brittany through his marriage to Constance, the true heir.  Geoffrey is also the most intelligent and tactically-minded son, and his marriage to the equally clever Constance echoes his parents' marriage.

It's Eleanor, though, who ties the threads together.  She's a prisoner, but a high-status one who receives news and occasional visits from her rebellious children.  Eleanor also has, for the first time in her life, time to reflect.  She doesn't regret placing Aquitaine ahead of her marriage, but she accepts the truth and misses being both Henry's lover and advisor.  Their relationship is unsurprisingly strained, but never totally broken, with affection buried under the frustration, most obviously when Henry has the unenviable task of telling Eleanor of their grandson's death, and those of the Young King and of Geoffrey.  Jailer and prisoner, they're still grieving parents who have not completely forgotten their passionate relationship, and her release on his death is bittersweet because she's lost the one person who was truly her match.

Sunday, September 15, 2013

Think Twice

I was in Tower Books on South Street with my ex-boyfriend Steve when I first saw Everywhere That Mary Went.  Or rather, Steve saw it and said I should buy it - it was about a Mary in Philadelphia.  The following Saturday, I decided to read a chapter or two before going to sleep, and the next thing I knew it was 4 am and I'd finished the book.  I loved Scotoline's first 8 or 9 books, tightly written mysteries that really capture my home town.  When I read her books, I feel like I know her characters because I do - or at least I've stood behind them in line at the Wawa.  A few years ago, though, she lost my interest.  Timeline issues with her Rosato & Associates series-that's-not-quite-a-series nagged at me, and her stand alone novels just didn't grab me.  I stopped looking for her newest books, and mainly bought this one because I saw it at the Center City Borders' closing sale.

I wasn't particularly optimistic about Think Twice which includes two tropes (the evil twin and the recurring villain) of which I'm not particularly fond.  Bennie Rosato's twin Alice Connelly is a cartoon, a manipulative cypher who knows exactly what her twin thinks without ever letting us into her mind or motivation.  She's allegedly reformed when she drugs Bennie and buries her alive before assuming her identity.  All she has to do is pretend to be Bennie for a few days, then she'll fly to the Cayman Islands with Bennie's money.  Easy, right?  Well, it might have been if the field where she'd buried Bennie hadn't been mowed a few hours later, uncovering enough of the coffin for Bennie to break free.  Or if Bennie's ex-boyfriend Grady hadn't shown up on her doorstep, hoping for a reconciliation.  So instead of simply convincing Bennie's associates, Mary DiNunzio and Judy Carrier, that she's Bennie, Alice has to convince her twin's former lover that she's Bennie - while Bennie (whom everyone thinks is Alice) tries to convince the police that she's the victim of identity theft.  This illustrates why I generally don't believe in conspiracy theories - there are too many things that can go wrong.

Anyway, Scotoline uses two plot devices I don't like involving a character I particularly dislike, but instead of being headed for probation, I'm actually eager to read the Scottoline books I've missed.  The Alice as Bennie/Bennie Hunts Alice story works until the slightly forced ending, but I'm OK with that.  Scotoline allows Grady, Mary, and Judy to doubt Alice just enough, and Alice gives reasonably plausible explanations.  More importantly Think Twice brought back Judy and Mary, along with the senior DiNunzios (and a distant relative whose appearance I'd normally consider padding, but whose few scenes were entertaining and well-integrated into the story).

Mary and Judy don't just remind me of people I've met - I could be either one of them, asking for advice or troubleshooting a plan with someone I've known forever and who can finish my sentences.  Their conversations (about work, about their love lives, about Mary's real estate purchases) sound like the conversations I've had, and Judy's assimilation into Mary's family reminds me of my mom reminding my friends that they "know where the glasses are" and have earned the right to open the fridge without asking.  Event their arguments are real, with the guilty party feeling, well, guilty, and regretting words as they hang in the air.  I don't see enough real, believable women in entertainment.  Bridesmaids stood out not because it was the first time women were allowed a gross-out scene, but because it showed women as actual friends, with real conflicts and regrets.  Mary's and Judy's relationship is like Annie's and Lillian's at the start of the movie, shadowing an outdoor exercise class and joking over breakfast.  It's how women really act - and how we're so rarely allowed to act in the media.  I'd like to think that an adaptation of any of the Rosato & Associates books would change that, but unfortunately, it's more likely that Hollywood would change the characters.

Monday, September 9, 2013

The Rise and Fall of the American Teenager

My cohort and I were never teenagers.  Or at least that's what Thomas Hine seems to believe.  We're used to it, sandwiched between the Baby Boom and the Millennials, Gen-X got saddled with a non-descriptive (and kind of stupid) name and were portrayed as whiny navel-gazers in Reality Bites and countless songs by grunge bands.  So maybe it's not a surprise that we only got a few paragraphs between the end of the Boomers' innocence and the rise of the Evil Teen shortly before the publication of The Rise and Fall of the American Teenager.

This was another of my, "Hmm...looks interesting" purchases (at the still-mourned Atlantic Book Warehouse instead of Daedalus - it's been on my shelf for about a decade), and I probably should have passed on it.  Hine's material is interesting, describing how American society viewed young people from the early Republic through the late 90s, but his style is bland and slightly sloppy.  I had a nagging feeling that he was drawing wider conclusions than his research supported and then throwing a veil of vagueness over complicated issues, or skipping cohorts (like mine) which didn't fit his narrative.  What I did find interesting was the look at then-contemporary teens.  The Millennials (now in their late 20s and early 30s) are the golden children - smart, entrepreneurial, and socially aware.  Quite different from the thrill killers and murderous prom-parents whose avatars starred in several Law & Order episodes.