From Publishers Weekly
This energetic but unfocused account awkwardly merges several strands: the author's experience with the threat of breast cancer, discussions of genetic inheritance in Jewish families and a look at how the ability to test for genetic predispositions to various diseases is changing lives. With a family history of breast cancer, journalist Gessen (
Dead Again: The Russian Intelligentsia After Communism) was not surprised to learn she had inherited a deleterious mutation in the BRCA1 gene, one of two genes known to be linked to breast and ovarian cancer. The BRCA1 mutation was first discovered in Jewish women, a compact population with a higher-than-average breast cancer rate. Gessen describes her narrow options, with nondirective counseling steering her toward prophylactic removal of her breasts and ovaries. Then she jumps the track to talk about Dr. Henry Lynch, who, in 1966, first suggested that predisposition to cancer might be hereditary. Gessen also covers Huntington's disease, maple syrup disease among Old Order Mennonites, eugenics and how a genetic testing program is affecting marital choices for some Orthodox Jews. Gessen covers a fair amount of ground, but in a haphazard fashion. The book's strongest parts are on genetics and heredity in the Jewish community.
(Apr.) Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Life in the age of the human genome, with its promise of custom medicines and forewarnings of hereditary diseases, may appear to be on the road to utopia. But after Gessen learned that a gene mutation predisposed her to breast and ovarian cancer, she found that road slippery, that utopia farther away than it had seemed. Thirty-seven, with an adopted six-year-old son and a biological two-year-old daughter, she faced decisions about elective double radical mastectomy plus surgical removal of her ovaries. Before deciding, she did what any respectable journalist would do: researched the subject to learn all the options and their consequences and, she hoped, to find somebody who would make her decision easier—that is, decide for her. On the one hand, she succeeded by penning this report on the field of genetics, its benefits and pitfalls. On the other, she ended up having to make her own decision. She gives us an informative read, though she found no easy way. --Donna Chavez
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