'The Emperor of All Maladies' by Siddhartha Mukherjee

Stretching nearly 4,000 years of history, Pulitzer Prize winner, Siddhartha Mukherjee sets on a journey to document the biography of cancer in ‘The Emperor of All Maladies’. Drawing from a vast array of books, studies, interviews, and case studies, Mukherjee crafts a narrative that is as comprehensive as it is compelling.

Driven by curiosity and a desire to understand the origins of cancer, Mukherjee sets the tone by reflecting on his experiences as an oncology trainee, drawing insightful parallels to contemporary perspectives on the fight against this relentless disease. Mukherjee also pays homage to Ancient Egyptian and Greek physicians for their early observations on cancer, from the work on Imhotep to Claudius Galen. He then introduces Sidney Farber, whose monumental contributions to modern chemotherapy are brought to life through Mukherjee's exceptional storytelling—tracing Farber's journey from his initial observations to his unprecedented success in treating children with leukaemia.

As you progress through each chapter of this six-part book, your appreciation deepens for how far cancer treatments have advanced - and how much further they can go. Mukherjee’s unparalleled skill as a science communicator shines through, seamlessly weaving together groundbreaking scientific discoveries with the historical contexts in which they emerged contributing to an immersive reading experience.

Siddhartha Mukherjee, The Emperor of All Maladies:

Mukherjee also makes an effort to highlight the critical role of raising awareness in shaping public health outcomes. ‘Jimmy’ was a cancer patient that represented children with cancer, his real name was Einar Gustafson, but his individual story was able to galvanise large-scale support. As the face of the ‘Jimmy Fund’, he was able to assist in raising $231,485.51 for the Dana-Farber Institute subsequently becoming the official charity for the Boston Red Sox. 

Mukherjee underscores how storytelling can serve as a catalyst for change, not just in raising money, but also in enacting larger societal and governmental shifts. In 1971, President Richard Nixon signed the ‘National Cancer Act’, the first of its kind where federal funding went directly into advancing cancer research. What struck me most was how Mukherjee connects this historical event to the broader need for advocacy, as science doesn’t just happen in the lab. It is a collective effort, driven by awareness, to push funding and influence policy. The ability to link individual stories to broader missions, as Mukherjee illustrates, continues to be one of the most effective strategies in keeping cancer research in the public eye.

Mukherjee delves into the pivotal role of genetics in cancer research, tracing its evolution from the discovery of DNA's structure by Francis Crick, James Watson, and Rosalind Franklin to Robert Weinberg's ground-breaking work on how proto-oncogenes and tumour suppressors drive cancer progression. These discoveries ushered in a new era in cancer drug development. Mukherjee also emphasises the importance of collaboration and the rise of the internet, which gave birth to The Cancer Genome Atlas, a landmark program, that unites various research disciplines to diagnose, treat, and prevent cancer. In concluding the book, Mukherjee looks ahead to the future of cancer treatment, seamlessly connecting this discussion to his second book, ‘The Gene’. 

This book takes readers on a remarkable journey through the history of cancer, from the earliest recorded cases to groundbreaking discoveries in genetics. It weaves together compelling personal stories as well as pivotal moments in governmental policy. The storytelling is rich and immersive, drawing you in with its detail and depth. By the time you finish, you'll find yourself returning to its pages, eager to revisit the knowledge and insights it offers. 

Written by Saharla Wasarme

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