Book Review: The Emperor of All Maladies, by Siddhartha Mukherjee
Siddhartha Mukherjee’s “The Emperor of All Maladies” is an exceptionally captivating read, combining historical accounts with scientific insights and personal narratives to create a biography of cancer. This Pulitzer Prize-winning book journeys through the centuries of humanity’s struggles and explores how we came to understand and treat some of the most difficult diseases in history.
The book starts with the origins of cancer, and Mukherjee introduces the term “The Emperor of All Maladies” as a fitting description of cancer. This symbolises its devastating and relentless nature. Several narratives of the disease, from different perspectives, were woven together. This explores key figures and pioneers in chemotherapy and cancer advocacy and highlight the contributions of individuals in developing our understanding within oncology.
The book does not neglect the most important characters: the patients. Highlights of the lives and experiences of cancer patients gives real tangible understanding of the cruelty of the disease. Mukherjee describes some of his own experiences, showcasing tales of resilience and despair alike, crafting compelling stories of both scientific and personal values. The evolution of cancer treatments was also detailed, ranging from the early and crude surgical interventions to the novel chemotherapy and radiation therapy. This is explained in detail as he described the biochemical and physiological processes involved in the mechanisms and origins of cancer cells. This then provides context to the explanation of how cancer treatments worked.
A key theme of “The Emperor of All Maladies” was the collaborative and multidisciplinary nature of cancer research and care. The importance of teamwork to ensure the most comprehensive care can be provided to patients. The clear life and death nature of cancer remains a critical factor to push the boundaries and advance our understanding and improvement of cancer outcomes. This then relates to the roles of various initiatives and charities involved in funding and advocating for cancer awareness and research. Throughout the book, Mukherjee discusses the ethical and moral dilemmas, such as consent, human experimentation, and trialling new therapies. This draws on the readers knowledge of basic ethical principles in considering how to best balance scientific progress with the well-being and rights of patients.
Ultimately, this book provides an engaging and thought-provoking account of the complex concepts within oncology. Through detailing historical accounts, personal narratives, and scientific explanations, this book offers an enlightening and humanising exploration of a disease that has affected countless lives.