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More Than It Hurts You [Hardcover]

Darin Strauss (Author)
3.0 out of 5 stars  See all reviews (49 customer reviews)


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Book Description

June 19, 2008
The acclaimed author of Chang and Eng returns with a literary showstopper— a beautifully realized novel that at its heart is the story of a woman who will risk everything to feel something; a doctor whose diagnosis brings her entire life into question; and a man who suddenly realizes that being a good husband and a good father can no longer comfortably coexist.

Josh Goldin was savoring a Friday afternoon break in the coffee room, harmlessly flirting with coworkers while anticipating the weekend at home where his wife, Dori, waited with their eight-month-old son, Zack. And then Josh’s secretary rushed in, using words like intensive care, lost consciousness, blood. . . .

That morning, Dori had walked into the emergency room with her son in severe distress. Enter Dr. Darlene Stokes: an African-American physician and single mother whose life is dedicated both to her own son and navigating the tricky maze of modern-day medicine. But something about Dori stirred the doctor’s suspicions. Darlene had heard of the sensational diagnosis of Munchausen by Proxy, where a mother intentionally harms her baby, but had never come upon a case of it before. It was rarely diagnosed and extraordinarily controversial. Could it possibly have happened here?

As their four lives intersect with dramatic consequences, Darlene, Dori, and Josh are pushed to their breaking points as they confront the nightmare that has become their new reality. Darin Strauss’s extraordinary novel is set in a world turned upside down—where doctors try to save babies from their parents, police use the law to tear families apart, and the people you know the best end up surprising you the most.

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Editorial Reviews

From Publishers Weekly

The third novel from the author of Chang and Eng and The Real McCoy is an often satiric page-turner that tracks a Long Island family crisis. Josh Goldin is a happily married TV airtime salesman with an eight-month-old son. When baby Zack is treated twice for mysterious and life-threatening symptoms, the head of a pediatric ICU, Dr. Darlene Stokes, tells Child Protective Services that she thinks Josh's wife, Dori, suffers from Munchausen syndrome, whereby the afflicted injure their children deliberately to draw attention to themselves. The Goldins' ensuing battle to keep Zack provides grist for public debate about issues ranging from parents' rights to race (Dr. Stokes is black, the Goldins Jewish). Strauss takes delight in skewering a world in which everything (news coverage, legal representation, hospital beds) is for sale, sometimes digressively, always amusingly. The stereotypes are intentionally heavy-handed: Josh's perceptions almost always register through race and class-related fear and disgust. But the heart of the story—the unraveling of Josh's life and the steady erosion of his faith that ignorance can be a virtue and happiness a choice—is riveting. (June)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Bookmarks Magazine

Darin Strauss’s compelling new novel touches on many themesâ€"too many for some critics. It contemplates the nature of marriage and familial relationships, mental illness, privilege, class, and bigotry, while indicting American culture as a whole. Strauss dispatches his insights and evokes his characters with verve and skillâ€"critics frequently compared Josh to Updike’s Rabbit Angstromâ€"but the Washington Post detected a vein of chauvinism through Strauss’s female characters, particularly Dori, whose motives are never fully explored and whose actions remain inscrutable. Nevertheless, Strauss’s sensitive treatment of racism and anti-Semitism and his keenly discerning eye for the banalities of pop culture result in a suspenseful and moving novel that cleverly adds up to more than the sum of its many parts.
Copyright © 2004 Phillips & Nelson Media, Inc.

Product Details

  • Hardcover: 416 pages
  • Publisher: Dutton Adult (June 19, 2008)
  • Language: English
  • ISBN-10: 0525950702
  • ISBN-13: 978-0525950707
  • Product Dimensions: 9.1 x 6.4 x 1.4 inches
  • Shipping Weight: 1.4 pounds
  • Average Customer Review: 3.0 out of 5 stars  See all reviews (49 customer reviews)
  • Amazon Best Sellers Rank: #1,054,625 in Books (See Top 100 in Books)

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Customer Reviews

49 Reviews
5 star:
 (12)
4 star:
 (10)
3 star:
 (7)
2 star:
 (7)
1 star:
 (13)
 
 
 
 
 
Average Customer Review
3.0 out of 5 stars (49 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

38 of 47 people found the following review helpful:
2.0 out of 5 stars A Long, Winding Flop, August 2, 2008
By 
This review is from: More Than It Hurts You (Hardcover)
Being an avid reader who has worked in child protection, I approached this book with great interest. It concerns a suspected case of Munchausen by proxy, with the diagnosis made on a Jewish family by a black female doctor. The stress on race/ethnicity is pervasive throughout the book, sometimes seeming gratuitous. (When two characters are shown to their restaurant table, the waitress is described as "sway-bottomed Asian." When the doctor, Darlene Stokes, hurries to an elevator, it is "past a tragedy-struck white family who talked in sniveling whispers," and who are never mentioned before or after.)

Divergences from the main plot are quite long and detailed to the point of irrelevance, such as in the recounting of Darlene's college days. The author seems incapable of telescoping his vision of her background to keep the story moving for the reader. This occurs also with the early life of Darlene's mother, the work experiences of the child's father (Josh Goldin), and the background of the family's sleazy lawyer. Oddly, the background on the alleged child abuser (the child's mother, Dori Goldin) seems rather sketchy in terms of explaining her behavior.

Though obviously much work was done on this book, errors/implausibilities seem rather frequent. Darlene's mother indicates that she only had sex once with Darlene's father, in 1966. Yet later the author proclaims that Darlene was born on March 1, 1968 (?). Darlene receives a 6-year scholarship for med school yet, going by the dates, first becomes a resident 13 years later, with her husband loafing at home the whole time on an allowance from his father. Darlene's father, who has a long criminal record, is released from prison just in time to become a factor in her credibility, and also to inexplicably thwart a robbery. Late in the book, Josh just happens to run into Darlene at a store, conveniently providing a forum for their conflict.

Having worked in child protection, I was particularly thrown by what happened at the court hearing (which is not yet the book's climax). The state agency (CPS) all but disappears in favor of the hospital and its lawyer, such that the Goldins' lawyer, who plants news stories attacking Darlene, wins the day mostly by threatening the hospital's reputation. The hospital backs down, never calling Darlene to testify, and strong evidence found by CPS is somehow never presented. In reality, this would never happen. The state agency bears primary responsibility for getting the case to court, where government lawyers are its primary advocates, sometimes with an additional attorney for the child. The reporting doctor testifies or his/her findings presented, as is all relevant evidence from caseworkers, police, etc. The process cannot simply be steamrolled by an aggressive lawyer, no matter how many tabloid stories he plants.

Weaknesses in the main story may be what invited the lengthy divergences, with unnecessary scenes, characters, and details. A scene at the foster home, for example, primarily depicts the foster mother, but her husband or boyfriend emerges from the shower just in time for a description of his glistening body parts. We also receive a detailed description of an insipid art project he is leaving to display. Even in the aftermath of the hearing, on pages 382-3, new characters are being detailed who have no part in the rest of the book.

This novel deals with an interesting and complicated subject, and the writing is fairly good, but I found it generally disappointing for the reasons given above.
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12 of 14 people found the following review helpful:
4.0 out of 5 stars satirizing everything is for sale even health, July 2, 2008
This review is from: More Than It Hurts You (Hardcover)
In Long Island Josh Goldin loves his wife Dori and their eight month old son Zack. However, the TV salesman is very worried about Zack who twice has been rushed to the emergency room with strange life-threatening symptoms. African-American ICU pediatric chief Dr. Darlene Stokes reports the Goldin case to the Child Protective Services; her theory is that Zack's mom suffers from Munchausen syndrome, which causes her to inflict harm to her child in an attempt to draw attention to herself and her family.

CPS decides to take Zack away from his white Jewish parents who challenge the government agency in court. The public is divided between parental rights and children protection as the case is not quite as black and white as the two sides pretend it to be.

Extremely timely with the Texas Child Protective Services-Fundamentalist Church of Jesus Christ of Latter Day Saints incident and the media sell out to the Pentagon, Darin Strauss slices and dices the new American economy in which everything is for sale especially health (you may not be able to buy health unless your Cheney, but many Americans cannot afford anything but illness and death). Whether it is a hospital bed, a news report or a politician, the price is right. At times the powerful satirical elements overwhelm the basic social issue of parental rights vs. professional opinion re the welfare of a child as everyone is stereotyped to lampoon some aspect of society. Darin Strauss carves up Bush's American dream asserting that for many it is more a nightmare.

Harriet Klausner
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9 of 11 people found the following review helpful:
4.0 out of 5 stars A Real Page Turner, June 29, 2008
This review is from: More Than It Hurts You (Hardcover)
I haven't read his other books but I picked this up because of the great cover. Turns out it's a really riveting novel about a sick baby, a heartless doctor (well, she SEEMS heartless) and a husband and wife who don't know each other as well as they think. Definitely pick this up. It will break your heart a little but you'll be better for it. I'm off to buy his book about the original Siamese twins.
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