NATIONAL BESTSELLER
A grand tour of the human immune system and the secrets of health, by the Pulitzer Prize–winning New York Times journalist
“One of those rare nonfiction books that transcends the genre. ... Extraordinary.” —Douglas Preston
A terminal cancer patient rises from the grave. A medical marvel defies HIV. Two women with autoimmunity discover their own bodies have turned against them. Matt Richtel's An Elegant Defense uniquely entwines these intimate stories with science’s centuries-long quest to unlock the mysteries of sickness and health, and illuminates the immune system as never before.
The immune system is our body’s essential defense network, a guardian vigilantly fighting illness, healing wounds, maintaining order and balance, and keeping us alive. Its legion of microscopic foot soldiers—from T cells to “natural killers”—patrols our body, linked by a nearly instantaneous communications grid. It has been honed by evolution over millennia to face an almost infinite array of threats.
For all its astonishing complexity, however, the immune system can be easily compromised by fatigue, stress, toxins, advanced age, and poor nutrition—hallmarks of modern life—and even by excessive hygiene. Paradoxically, it is a fragile wonder weapon that can turn on our own bodies with startling results, leading today to epidemic levels of autoimmune disorders.
Richtel effortlessly guides readers on a scientific detective tale winding from the Black Plague to twentieth-century breakthroughs in vaccination and antibiotics, to the cutting-edge laboratories that are revolutionizing immunology—perhaps the most extraordinary and consequential medical story of our time. The foundation that Richtel builds makes accessible revelations about cancer immunotherapy, the microbiome, and autoimmune treatments that are changing millions of lives. An Elegant Defense also captures in vivid detail how these powerful therapies, along with our behavior and environment, interact with the immune system, often for the good but always on a razor’s edge that can throw this remarkable system out of balance.
Drawing on his groundbreaking reporting for the New York Times and based on extensive new interviews with dozens of world-renowned scientists, Matt Richtel has produced a landmark book, equally an investigation into the deepest riddles of survival and a profoundly human tale that is movingly brought to life through the eyes of his four main characters, each of whom illuminates an essential facet of our “elegant defense.”
##Biggest takeaway - There's no way to boost your immunity but to balance it.
評分##要不是自己得瞭不算很嚴重的自體免疫病,我今年也不會讀好幾本關於免疫係統的書。免疫係統是如此復雜和精確,隻能說連現代醫學對它的瞭解也依然很粗糙。過去我們總把免疫係統比喻成持續不斷與病原體戰鬥的激進係統,其實是錯的。過於活躍的免疫會傷害自身造成自體免疫病,免疫係統裏也有自我刹車、調解與其他細菌和病毒和諧共處的機製。書裏一些病人的例子,在吃一種藥壓抑/提升瞭免疫後又無意中帶來一係列副作用,又需要另外的藥在天平另一端進行調整,最後往往要十幾種藥一起吃。這個“平衡”實在太難把控。書最後總結的理念有點迴歸傳統智慧的意思:講究平衡、養生、holistic,吃飽睡好多運動,人人都知道,但不一定人人能做到。(我覺得中醫的【養生理念】,注意我說的是理念,有一定道理。但如果生病瞭還是要靠現代醫學,不要吃中藥)
評分##記者寫的書就是這樣,故事講的很生動很感人,科學的部分散亂又不深入。但總體上很值得一讀。
評分##Dr. Fauci!
評分##This is a book of fable/fiction...not a book of medicine..each patient is distinctive but the process is so generic:-(
評分##今年至今non-fiction讀的最好的一本,好喜歡這個風格的科普作品!
評分##要不是自己得瞭不算很嚴重的自體免疫病,我今年也不會讀好幾本關於免疫係統的書。免疫係統是如此復雜和精確,隻能說連現代醫學對它的瞭解也依然很粗糙。過去我們總把免疫係統比喻成持續不斷與病原體戰鬥的激進係統,其實是錯的。過於活躍的免疫會傷害自身造成自體免疫病,免疫係統裏也有自我刹車、調解與其他細菌和病毒和諧共處的機製。書裏一些病人的例子,在吃一種藥壓抑/提升瞭免疫後又無意中帶來一係列副作用,又需要另外的藥在天平另一端進行調整,最後往往要十幾種藥一起吃。這個“平衡”實在太難把控。書最後總結的理念有點迴歸傳統智慧的意思:講究平衡、養生、holistic,吃飽睡好多運動,人人都知道,但不一定人人能做到。(我覺得中醫的【養生理念】,注意我說的是理念,有一定道理。但如果生病瞭還是要靠現代醫學,不要吃中藥)
評分##讀到最後淚目瞭,看到Jason在與癌癥作鬥爭,同時也在與為瞭消滅癌癥而采取的對身體並沒有好處的痛苦的治療過程做鬥爭。太難瞭。瞭解瞭免疫係統一些基礎知識,記住瞭4個對免疫係統有影響的要素:stress, sleep, gut and hygiene.
評分##補碼。 相較於其他醫生本人寫的書,這本科普得更具有可讀性。 總結下來就是吃看得見原材料的食物,堅持運動,我們能做的,似乎也就這麼多。
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