Mountains beyond mountains

Tracy Kidder

Book - 2009

In medical school, Paul Farmer found his life's calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. This account takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes minds and practices through his dedication to the philosophy that "the only real nation is humanity." At the heart of this book is the example of a life based on hope and on an understanding of the truth of the Haitian proverb "Beyond mountains there are mountains"--as you solve one problem, another problem presents itself, and so you go on and try to solve that one too. --- from publisher's description.

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Subjects
Published
New York : Random House Trade Paperbacks 2009.
Language
English
Main Author
Tracy Kidder (-)
Edition
Random House deluxe trade pbk. ed
Item Description
Originally published in hardcover and in slightly different form by Random House, 2003.
Physical Description
332 p. ; 21 cm
Bibliography
Includes bibliographical references.
ISBN
9780812980554
  • Part I. Doktè Paul
  • Part II. The Tin Roofs of Cange
  • Part III. Médicos Aventureros
  • Part IV. A Light Month for Travel
  • Part V. O for the P
  • Afterword
  • Epilogue
  • Acknowledgments
  • Selected Bibliography
  • A Reader's Guide
Review by Choice Review

This work chronicles the life of Dr. Paul Farmer, a physician and medical anthropologist who has become a leading expert on infectious diseases. Farmer is also cofounder of Partners in Health, an organization that collaborates with indigenous health care providers to establish clinics for underserved rural populations in Haiti, Peru, and Siberia. He began traveling to Haiti in the early 1980s and established Zanmi Lasante, a clinic that is located in a setting so inhospitable that all but one of the Haitian doctors whom Farmer employed chose to live elsewhere. Though Mountains beyond Mountains is intended as a biography, it focuses almost exclusively on Farmer's medical practice. Kidder, a Pulitzer Prize-winning author, writes clearly and engagingly as he invokes Farmer's saintly presence (inviting comparisons to Albert Schweitzer and Mother Teresa). At other times, however, Kidder allows Farmer's less saintly ambitions to emerge. This book is being widely used in freshman seminars at colleges across the United States, and it will likely stir debates on such wide-ranging issues as the politics of health care, the role of government funding, and ethics. ^BSumming Up: Highly recommended. General readers and undergraduates. S. D. Glazier University of Nebraska--Lincoln

Copyright American Library Association, used with permission.
Review by Booklist Review

Pulitzer Prize-winning journalist Kidder's inspiring story of American doctor Paul Farmer has now been adapted to good effect for young readers, with the help of coauthor French. As Kidder demonstrates, Farmer is a remarkable man. A noted epidemiologist who has worked with such infectious diseases as tuberculosis and AIDS, he is also a medical anthropologist, a clinician, and an expert in public health. His ambitious goal is to improve health policy for the poor on a global scale. By making himself a presence in the book, Kidder becomes a surrogate for the reader as he travels with Farmer to the slums of Lima, Peru; the prisons of Russia and Siberia; and to Farmer's base, in Haiti, the poorest country in the Western Hemisphere and a place Farmer has loved since he was a college student. Kidder expertly provides context for Farmer's life and work, including a look at his eccentric upbringing and his relationships with friends and colleagues. Though sometimes complex, the story is always accessible and often fascinating. Best of all, its focus on Farmer the humanitarian provides a much-needed education in empathy.--Cart, Michael Copyright 2010 Booklist

From Booklist, Copyright (c) American Library Association. Used with permission.
Review by Publisher's Weekly Review

Pulitzer Prize winner Kidder delivers this remarkable account of the life and times of Paul Farmer-a doctor and Harvard professor-who has made it his life's work to cure highly infectious diseases and help people in the poorest areas of the world. Narrator Lincoln Hoppe offers a steady reading that is slow and subdued. While the source material can be intense at times, Hoppe reads as if listeners won't fully understand the gravity of the story. The result is a somewhat underwhelming performance of an inspiring tale. Ages 12-up. A Delacorte hardcover. (Apr.) (c) Copyright PWxyz, LLC. All rights reserved.

(c) Copyright PWxyz, LLC. All rights reserved
Review by Library Journal Review

In his latest work, Pulitzer Prize winner Kidder (Among Schoolchildren; The Soul of a New Machine) turns his documentarian gaze on the life and work of Paul Farmer, a medical anthropologist and physician who has spent much of the past 20 years transforming healthcare in the impoverished central plateau of Haiti. Part biography, part public health text, and part travelog, his book follows Farmer from his childhood in Florida and Harvard medical education to his establishment of the Haitian clinic Zanmi Lasante and current status as an international expert in treating communicable diseases, such as AIDS and tuberculosis. Farmer's work is fascinating-as is the author's compassionate portrayal of the lives of the Haitians with whom his subject lives and works; if the book has a flaw, it is that it attempts to cover too much territory. Instead of trying to cram three books into one, Kidder could have taken any one of the three approaches that he used and made a complete and captivating study. However, he does include an excellent annotated bibliography for readers who desire more information on any of the themes covered in the book. Recommended for public libraries and public health collections. [Previewed in Prepub Alert, LJ 5/1/03.]-Eris Weaver, Redwood Health Lib., Petaluma, CA (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by School Library Journal Review

Gr 7-10-Tracy Kidder spent years following Dr. Paul Farmer's career and traveling with him. Dr. Paul decided at an early age that he wanted to help people, particularly the poor, and he felt the area of infectious disease was his calling. Shortly before starting Harvard Medical School, he traveled to Haiti and witnessed the devastating conditions there. He helped to found Partners in Health (PIH); led projects in Haiti, Siberia, Peru, and Russia; advocated for the treatment of multi-drug resistant TB for even the least fortunate, and helped with AIDs and tuberculosis research. Farmer embraced the idea of "mountains beyond mountains," tackling one problem and then starting on the others. He and other PIH members have changed the way people look at infectious disease and how the poor are treated. Lincoln Hoppe narrates this book (Delacorte, 2013) that has been adapted from a lengthier version (Random, 2003) for adults by Kidder. He speaks in a caring and compassionate tone, and the story flows just like a suspense novel. Farmer's story will inspire students. An excellent choice for current events classrooms as well as public and high school library collections.-Sarah Flood, Breckinridge County Public Library, Hardinsburg, KY (c) Copyright 2013. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by Horn Book Review

With an MD and PhD from Harvard and a teaching position at Brigham and Women's Hospital in Boston, Paul Farmer states that what he wants in life is to be a country doctor. What he is, though, is a doctor to countries: poor countries around the globe such as Haiti, Peru, Russia, and Rwanda, where the citizens have major health problems and little access to care. Here, French adapts Kidder's adult examination of Farmer (first published ten years ago), leaving the ethnographic journalistic approach intact and allowing Kidder's personal interpretations about the man to surface. He retains many of Farmer's own observations about the "O for the P" (or options for the poor) and narrations about Haiti that represent Farmer's views on the political, social, and medical situations in a country he loves. What has been cut is much of the science behind Farmer's infectious disease research, although French does retain a basic overview that leads to an understanding of MDR (multi-drug-resistant) TB and the way, before Farmer's intervention, such illnesses were misreported and ineffectually treated by the World Health Organization. Without making Farmer a saint (and for such a dedicated and driven individual, that's not easy), French's adaptation gives young readers a thoughtful examination of a complex man operating in a complex world. An author's note updates Farmer and his team's activities over the past decade. betty carter (c) Copyright 2013. The Horn Book, Inc., a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright The Horn Book, Inc., a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by Kirkus Book Review

Full-immersion journalist Kidder (Home Town, 1999, etc.) tries valiantly to keep up with a front-line, muddy-and-bloody general in the war against infectious disease in Haiti and elsewhere. The author occasionally confesses to weariness in this gripping account--and why not? Paul Farmer, who has an M.D. and a Ph.D. from Harvard, appears to be almost preternaturally intelligent, productive, energetic, and devoted to his causes. So trotting alongside him up Haitian hills, through international airports and Siberian prisons and Cuban clinics, may be beyond the capacity of a mere mortal. Kidder begins with a swift account of his first meeting with Farmer in Haiti while working on a story about American soldiers, then describes his initial visit to the doctor's clinic, where the journalist felt he'd "encountered a miracle." Employing guile, grit, grins, and gifts from generous donors (especially Boston contractor Tom White), Farmer has created an oasis in Haiti where TB and AIDS meet their Waterloos. The doctor has an astonishing rapport with his patients and often travels by foot for hours over difficult terrain to treat them in their dwellings ("houses" would be far too grand a word). Kidder pauses to fill in Farmer's amazing biography: his childhood in an eccentric family sounds like something from The Mosquito Coast; a love affair with Roald Dahl's daughter ended amicably; his marriage to a Haitian anthropologist produced a daughter whom he sees infrequently thanks to his frenetic schedule. While studying at Duke and Harvard, Kidder writes, Farmer became obsessed with public health issues; even before he'd finished his degrees he was spending much of his time in Haiti establishing the clinic that would give him both immense personal satisfaction and unsurpassed credibility in the medical worlds he hopes to influence. Skilled and graceful exploration of the soul of an astonishing human being. Copyright ©Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.

Chapter 1 Six years after the fact, Dr. Paul Edward Farmer reminded me, "We met because of a beheading, of all things." It was two weeks before Christmas 1994, in a market town in the central plateau of Haiti, a patch of paved road called Mirebalais. Near the center of town there was a Haitian army outpost-a concrete wall enclosing a weedy parade field, a jail, and a mustard-colored barracks. I was sitting with an American Special Forces captain, named Jon Carroll, on the building's second-story balcony. Evening was coming on, the town's best hour, when the air changed from hot to balmy and the music from the radios in the rum shops and the horns of the tap-taps passing through town grew loud and bright and the general filth and poverty began to be obscured, the open sewers and the ragged clothing and the looks on the faces of malnourished children and the extended hands of elderly beggars plaintively saying, "Grangou," which means "hungry" in Creole. I was in Haiti to report on American soldiers. Twenty thousand of them had been sent to reinstate the country's democratically elected government, and to strip away power from the military junta that had deposed it and ruled with great cruelty for three years. Captain Carroll had only eight men, and they were temporarily in charge of keeping the peace among 150,000 Haitians, spread across about one thousand square miles of rural Haiti. A seemingly impossible job, and yet, out here in the central plateau, political violence had all but ended. In the past month, there had been only one murder. Then again, it had been spectacularly grisly. A few weeks back, Captain Carroll's men had fished the headless corpse of the assistant mayor of Mirebalais out of the Artibonite River. He was one of the elected officials being restored to power. Suspicion for his murder had fallen on one of the junta's local functionaries, a rural sheriff named Nerva Juste, a frightening figure to most people in the region. Captain Carroll and his men had brought Juste in for questioning, but they hadn't found any physical evidence or witnesses. So they had released him. The captain was twenty-nine years old, a devout Baptist from Alabama. I liked him. From what I'd seen, he and his men had been trying earnestly to make improvements in this piece of Haiti, but Washington, which had decreed that this mission would not include "nation-building," had given them virtually no tools for that job. On one occasion, the captain had ordered a U.S. Army medevac flight for a pregnant Haitian woman in distress, and his commanders had reprimanded him for his pains. Up on the balcony of the barracks now, Captain Carroll was fuming about his latest frustration when someone said there was an American out at the gate who wanted to see him. There were five visitors actually, four of them Haitians. They stood in the gathering shadows in front of the barracks, while their American friend came forward. He told Captain Carroll that his name was Paul Farmer, that he was a doctor, and that he worked in a hospital here, some miles north of Mirebalais. I remember thinking that Captain Carroll and Dr. Farmer made a mismatched pair, and that Farmer suffered in the comparison. The captain stood about six foot two, tanned and muscular. As usual, a wad of snuff enlarged his lower lip. Now and then he turned his head aside and spat. Farmer was about the same age but much more delicate-looking. He had short black hair and a high waist and long thin arms, and his nose came almost to a point. Next to the soldier, he looked skinny and pale, and for all of that he struck me as bold, indeed downright cocky. He asked the captain if his team had any medical problems. The captain said they had some sick prisoners whom the local hospital had refused to treat. "I ended up buyin' the medicine m Excerpted from Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World by Tracy Kidder All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.