MY OWN COUNTRY : A DOCTOR'S STORY OF A TOWN AND ITS PEOPLE IN THE AGE OF AIDS

Rating:
Summary: A compelling view of the onset of AIDS in rural Tennessee.
Review: "My Own Country" combines medical fact with compelling personal history in a way that reveals the true nature of human understanding for what is "foreign" to us all. Dr. Abraham Verghese comes to rural Tennessee as the foreign graduate of a foreign medical school; rural Tennessee being one of the few areas that will allow him to practice in the United States. At the time of his arrival, the AIDS epidemic arrives as well. Dr. Verghese relates the stories of the victims and their families in the setting of his own acceptance among these bewildered people. Through careful detail, Dr. Verghese is accepted among the citizens of Johnson City, Tennessee, just as they slowly come to accept the reality of the AIDS virus and its consequences in their lives. Told in language easily understood by non-medically trained readers, this story becomes a history of our people and their ability to adapt to difficult and heart-rending life experiences. Dr. Verghese celebrates the ability of the human spirit to accept disease and its consequences while he uses his keen sense of observation to show his own acceptance among these "new people." Dr. Verghese's ability for insight into the pain and suffering of patients families and the ultimate triumph of our compasionate nature is beautifully rendered. This book cannot be recommended highly enough for the many areas in which it succeeds. Ultimately, the book becomes a history of AIDS, medicine and the way both interact with victims who little understand the disease itself.

Rating:
Summary: Full of fun, fear, folk and family stories
Review: Dr. Verghese beautifully captures the Appalachian essence of innocence and trust, and the clash that happens when a feared viral intruder puts its mark on relatives and neighbors. The exposure and initiation of a foreigner to country ways and mindset makes for some comical moments. The text is very creative, expressive and easy to read

Rating:
Summary: AIDS in America, really
Review: I read first this book shortly after its initial publication. The impact was enormous. I even went to a signing event an hour away from where I lived. What made this book great was that not only it talked about the real tragedy in rural, little educated America, that AIDS wrought there, but it was finely written, with feeling, and instructive. Such a rare blend in this type of litterture. This was not a report from the front, it was also the journey of a man whose whole life principles are challenged, and changed in front of other people's tragedy. Today, as I read it again, it has already that flavor of historical witnessing, but its emotion is still fresh. For those of us that are blase about too many tragedies in our lifes, we could read this book again to regain some of the compassion that we might have misplaced as our everyday life demanded our atention.

Rating:
Summary: AIDS in America, really
Review: I read first this book shortly after its initial publication. The impact was enormous. I even went to a signing event an hour away from where I lived. What made this book great was that not only it talked about the real tragedy in rural, little educated America, that AIDS wrought there, but it was finely written, with feeling, and instructive. Such a rare blend in this type of litterture. This was not a report from the front, it was also the journey of a man whose whole life principles are challenged, and changed in front of other people's tragedy. Today, as I read it again, it has already that flavor of historical witnessing, but its emotion is still fresh. For those of us that are blase about too many tragedies in our lifes, we could read this book again to regain some of the compassion that we might have misplaced as our everyday life demanded our atention.

Rating:
Summary: Profoundly moving
Review: The child of Indian expatriates, himself an immigrant, Dr. Abraham Verghese found a home among the country people of Tennessee and an extended family among this Bible Belt's first AIDS victims.

Verghese, who began his residency in Johnson City, Tenn. in 1980, gives two reasons for specializing in infectious diseases (ID). One, his mentor convinced him it was the only specialty where cure was common. Two, as it was not a glamor field, a foreign ID doctor had a better shot at training at a top university hospital.

Simple, sensitive and scrupulously honest, Verghese's book is alive to the ironies, tragedies and heroism of the first days of the AIDS epidemic.

After training in Boston, where he saw his first AIDS patient, Verghese and his wife returned to idyllic Appalachia in 1985, expecting their first child. Aware of his outsider status, Verghese sets about finding, and making, his place. His rounds encompass two hospitals, the Mountain Home VA, a residence where he sees elderly vets and a lot of lung cancer, and the modern Johnson City Medical Center, the "Miracle Center." The contrast is vivid.

Although Johnson City has no AIDS patients and its single experience with a New Yorker who didn't quite make it home to die is "suppressed like a shameful memory," Verghese sets out to educate the population, to prevent AIDS here if he can.

His first visit to a gay bar to show an educational video is fraught with discomfort on numerous levels. The stiff self-consciousness of his early encounters with gay men in Boston is being consciously replaced with curiosity. "There was an obvious parallel: society considered them alien and much of their life was spent faking conformity." Still, it's a small town and Verghese is a foreigner with a reputation to build.

But his educational efforts bring in his first cases. He is excited, on the cutting edge of medicine. The HIV virus has been identified and a cure is surely just around the bend. He makes house calls, gives patients as much of his time as they need, and in a zealous spirit of medical documentation, friendship and plain human curiosity, elicits histories so personal it's difficult to imagine them spoken aloud.

As his AIDS practice grows, Verghese encounters bigotry and anger among his colleagues and community. But more profound is the bravery and generosity of spirit the disease arouses among the most unlikely people - the poor, the uneducated, the sick. He is touched, humbled, uplifted by the friends and relatives of his patients and often by the patients themselves.

But the hideousness of AIDS cuts a nasty swath. The bravest face a horrible, lingering and disfiguring death, usually in the prime of life. Verghese's descriptions of disease are unflinching.

As his case load grows to 80 and death becomes a commonplace, Verghese is beset by nightmares of infection and feelings of helplessness. His wife, frightened and resentful, withdraws from him. Similar attitudes in the medical community arouse furious bitterness. All around him, his new friends, his self-made family, are dying. After five years his endurance snaps. Plagued by guilt and relief, Verghese leaves Johnson City.

"My Own Country" is an important, passionate book which cannot be recommended highly enough. Verghese's prose draws the reader directly into the complex beauty and brutality of the human heart. It's a cry for our times.