I finished reading my first book in third grade. I handed in one of many assignments, and in the quiet, grey room, summer break imminent, I took the novel out of my desk and lay it on my lap. For some reason, I felt the need to hide it, to secretly turn the final pages. As I approached the end of a story about a girl who wanted to play soccer with the boys, I was no longer comprehending the words. I was too excited at the empty white space of the last page. I had done it, finished a book. In my young life, it was one of the first times I felt pride in an individual accomplishment.
From that point on, books became an escape for me. I gravitated toward fiction, toward romance, and later, thriller. Each week, I’d ride my bike to the trailer library (yes, you read that right) a couple of streets away in my barren South Jersey town, and I’d peruse the shelf next to the door. The ones I chose always had a red heart on the spine, and the stories were about teenage girls slipping into cardigans and putting on mascara, hoping to capture the attention of a cute boy. Usually, they did, and in the process, gained self-confidence and acceptance of their flaws. I dove into whatever was available, pushing aside The Babysitter’s Club series (always a critic) for the blonde-haired Sweet Valley High twins, who drove convertibles and went shopping and eventually recovered from Jessica Wakefield’s escapades. Even those books, though, were were the equivalent of eating a few bags of Sour Patch Kids, so I turned to vampires and magic mirrors and ghosts in the books of R.L. Stine and Christopher Pike. Once, I even got my hands on a copy of Stephen King’s Carrie, and, despite my apprehension, read through chapters about tampons and sex and drugs and cursing. I had discovered a secret world behind the pages of books. They became a compulsion, a way to cope with whatever anxiety the real world brought.
Books have become more than that for me, now. I read to escape, of course, but I also read to learn, to study the writer’s craft, to discuss, to teach, and to connect. Because more than anything else, books are a way to connect to other human beings, whether fictional or real. The people in books get into our hearts, they plant themselves like seeds in our souls. I’ve found that my soul has very fertile soil.
I spent the first chapters of Rebecca Skloot’s The Immortal Life of Henrietta Lacks trying to escape it, rather than seeking it out as an antidote to daily troubles. I spent the last chapters crying. The story, while beautifully told, is so sad. Before scientists took Henrietta’s cells, she was a poor woman trying to mother her growing family. She became sexually active early in life, married her cousin, and started having babies. Her husband’s adultery made her contract viruses like syphilis and HPV. Over time, the pain in her abdomen became unbearable, and she endured radiation treatment secretly, without telling her family. She was so used to struggling and bearing burdens by herself, and hoped that she’d be cured and could one day see her children grow. Perhaps if she ignored the word “cancer,” she didn’t really have it.
But Henrietta’s cancer was so invasive that it astounded doctors both then, at the time of her death in the 1950′s, and now. She died in pain, in heartache, her only wish being that her children would be taken care of.
Because of the way Skloot structured the book, then, we read about the lives of Henrietta’s children from her perspective. I read about Deborah and Joey as a mother, heartbroken by the abuse they endured by their father’s girlfriend, the sexual abuse Deborah suffered from a man in her neighborhood. They needed their mother. Everyone does. But she was gone.
Of course, Skloot’s work shows that Henrietta was alive in another way. Scientists marveled at the way her cells reproduced, and they began to use them in all sorts of experiments for decades after. Eventually, an industry was built to ship and use the cells, all while the Lacks children grew and struggled. To this day, they still don’t have health insurance.
What strikes me about this story is so many things, but one is how much our ancestry means to our identity. The people who came before us, the heritage that is passed own, is more than just a story. It seems to be part of our bodies, our spirits, our cells. The pain that Henrietta experienced was visible psychologically and physically in her children, and I can only use the words of her family—”Thank God”—that Deborah’s grandchildren are starting to break away from that pain through knowledge and education. And hope.
Deborah, Henrietta’s daughter who works closely with the author, worries that she can’t trust Skloot because she has been victimized and used so often by scientists and even a con artist in the past. But by working on the book, she starts to discover a way to reach her mother. She holds on to her bible, a strand of hair, a blown up picture of her cells. She even sees those cells in a microscope. Later, she finds out about the horrible treatment of her sister, who was committed to an institution in the 1950′s under the banner of “idiocy.” Even though the knowledge of cruelty toward her sister is painful, she feels better to have some connection to her, some way—even though only through a troubling photo—to know her. Through research, Deborah can finally connect with her family and her past, and when she dies (before the book is published), she dies in peace.
I loved the way that the Lacks family thinks of Henrietta’s cells as part of her spirit, as the work of God. In the chapter, “Soul Cleansing,” Deborah’s cousin Gary tries to heal Deborah with his touch, his faith, and the words of the Bible. He helps her lift the burdens of the troubling information she’s found. After Deborah walks out of the house, relieved, he tells Skloot to read a passage from the Bible: ”I give them eternal life, and they shall never die.” While Skloot politely maintains that she won’t be converted, I would have to say that anyone reading has to be. But that’s not the only miraculous moment. Joey, who later changes his name to Zakariyya, is overcome with anger about his childhood and the rest of his life. Yet after seeing his mother’s cells in a microscope and hanging a framed photograph of them in his small apartment, he begins to soften. After Deborah’s death, he seeks out peace and kindness instead of crime. He takes joy in his siblings’ children.
Another element of this book that is so interesting is the inherent distrust that the Lacks’ family had toward Rebecca Skloot at the outset of her project. For decades, the family was treated poorly, not given any information about their mother or what had happened to her cells and her body, and didn’t believe any person—especially a white person—who claimed to have good intentions. Finally, though, Deborah does commit to helping Skloot with the book as a way to tell her mother’s story. Despite moments of apprehension, they form a close bond that shows that they can overcome a past haunted by prejudice and inequality. That, too, feels not so much like a miracle, but an impressive and heartwarming symbol. In that way, this sad tale has a happy ending, or at least a future full of promise.
So Maladjusted Bookclubbers, it’s your turn. What intrigued you about this story? What issues of race, ethics, spirituality, or family did you connect with? Remember to subscribe to the comments section so we can have an ongoing discussion.










{ 22 comments… read them below or add one }
So I completely forgot to read it, and I am SO sorry because I fully intended to. And here’s the really weird part, I looked at it at the bookstore earlier this week thinking there is something important about this book. No joke.
No surprise I read for all the same reasons as you. It’s a necessity, without it I feel off-kilter. And yes we read so many of the same books in our youth. The first novel I ever read was The Secret Garden. Once I started, I couldn’t stop. I consumed books, and still do. However I do go through cycles, sometimes I want mindless inhalers, and other times I feel ready to really dig deep and read.
I will read this one…soon!
I get it! It’s easy to forget. But I really think you would like this book, so get thee to a bookstore. And then feel free to come back (late is not a problem) and share your views.
This book is filled with so much that we could discuss. I thought that you would gravitate towards the ethical pieces more in your review (maybe that is to come later).
I am struggling to come up with words to express how deeply impressed I was with the book. For non-fiction, it held my attention and I flew through it. There were moments when I felt enraged, almost to the point of tears. The first was with Henrietta’s husband, Day for not protecting and caring for his children. The abuse that those children endured was criminal. Another was Elsie’s treatment (hah if you could call it that!) at the mental institution. The description of her picture and knowing how she died, as a mother, it was painful to read.
I respect Skloot’s dedication to fact-finding, pouring over thousands of records, describing and educating on the history of tissue culture and her genuine care (and at times fear) of both Deborah and Zakariyya. To research to this extent, both the medical history and the family history was no trivial matter. To weave the two is an art that I will never forget and will highly recommend to anyone who will listen.
I also think she maintains a very balanced perspective on the ethical dilemmas associated with tissue culture and research, the people, science and laws involved. It speaks volumes of an author who clearly was fond of and spent much personal time with a family who has suffered in the name of science and yet not reaped any reward for the same.
You called my bluff, Cathy. I did not put as much time into this post as I have in previous ones, mainly because I am bombarded with work right now. But I hoped that I could depend on the bookclubbers to bring up interesting discussion points, like the ethics, so thank you for doing that! Yes, I was mad about the way Elsie, particularly, was treated. It broke my heart. And I was also mad at Day for being such a shitty father. Can I say that? Shitty. But as far as science using the cells, or using other human tissue, I have to say that I’m torn. HeLa cells seem different based on this story, but I understand why scientists need to use human cells and why people can’t always know the situation. I do support the endeavors of science, so I respect that these sorts of thing need to be done. I do, however, agree that the names should never be revealed. What is so sad about this story is that Henrietta represents a segment of the population who is often disregarded or forgotten about, and this book was a way to see the truly human element in these studies.
As far as Skloot, I think what she has done is amazing, and I meant to say more about that in this post. She weaves so much complex information and human story effortlessly, and my head is not wired for science. I’m so glad she’s getting the respect she deserves for this book. Can you believe she had to struggle so hard to get it published?
It is very hard to discuss the ethical issues here because I truly see both sides. The one example of the man who died in the 1920′s with some disease (can’t recall what) but they unfroze it 50 years later and found a cure which wasn’t possible at the time the tissue was taken. It’s impossible to outline “all” the medical problems that your tissues might be used to help solve, hence “informed consent’ becomes a bit dicey.
I wish John Hopkins would at least extend free medical coverage to Henrietta’s descendants. That seems reasonable but they’d never do it because it would be an admission of “something” and in this ever litigious world, the lawyers would never let that fly.
And no! I cannot believe she had a tough time getting the book published. I have done nothing but rave to everyone and anyone I came across as I was reading it. In fact, lent it to a friend who’s going to lay on a beach for a week.
“There were moments when I felt enraged, almost to the point of tears. The first was with Henrietta’s husband, Day for not protecting and caring for his children. The abuse that those children endured was criminal. Another was Elsie’s treatment (hah if you could call it that!) at the mental institution. The description of her picture and knowing how she died, as a mother, it was painful to read.”
YES, Cathy. I almost don’t know where to start with my comments on this book (so many thoughts!), but I’ll start here, responding to this, because I totally agree. One of the things I enjoyed the most about this book was the chance to peek into worlds that I know exist(ed) out there but that I have never experienced first hand. I thought that Skloot did an amazing job of describing those worlds and weaving them into the story– so much so that, yes, I was enraged and in tears at times when I let myself think too deeply about what it would have been like to live under those circumstances.
I can’t believe how far we have come as a society in such a short period of time. Most people today would be absolutely horrified to hear about Elsie’s treatment– and yet, why weren’t people back then? I don’t think it was a race thing, in this case? Did we really think so little of people with disabilities that we thought it okay to treat them like that? How is that possible?
I hate to say it but I have little confidence that the American Health System pays much better attention to the mentally disabled. People are all too ready to shun and institutionalize – and do we really know what goes on behind those closed doors. Maybe not as severe as Elsie’s time, but surely rape and abuse are rampant.
I think society in general thinks poorly of mentally disabled people – then and now.
Maybe Skloot’s book can help to bring this issue of treatment towards people with disabilities to light not only from the past, but as a way to tackle it in the present. The man who Deborah and Rebecca meet at the Crowne institution seems to be a good guy in this battle.
Not surprisingly (given the fact that I am raising an African American little boy), I am compelled to comment on the issues that surrounded the treatment of AA people and medicine. As much as I’ve read about racism and prejudice in this country, I am still stunned when I read real life examples of what it was like to live in our country as an African American such a short time ago. Separate hospitals? That’s just a start. The Tuskagee syphilis studies? Letting AA men die just to see what syphilis did to the human body? Recruiting AA men because people thought that AA people were a “notoriously syphilis soaked race?” Horrifying. And yet so real. It’s mind boggling.
And yet. It’s much easier to confront those clear cut, black and white issues of the past than it is the lingering racism that exists inside our medical system and country today. Just one example: the infant mortality rate among African-Americans is 14.1 in 1000 deaths– more than twice our national average (don’t get me started on the fact that we are 28th in the world for our infant mortality rate). There is SO much that goes into this statistic– poverty, access to nutrition, access to health care, access to education…. and yet as a country, we are moving farther and farther away from attacking this problem, preferring instead to blame the very people who we helped put in this situation.
Amen, sister. Thank you for bringing this up. The syphilis studies were absolutely horrifying. I was quite intrigued by how the codes that came from the Nuremberg Trials ended up affecting U.S. policies, but only after a significant amount of damage had been done. It is shocking, you’re right. I seriously can’t understand the resistance to health care overhaul, but your point resonates in that it is an old, biased way of thinking.
I was also struck by the evolution of our medical field from Henrietta’s time to now. Not only in terms of informed consent, but also in terms of our move out of the age of the MD engaging in “benevolent deception” for the good of the patient. I can not imagine how angry I would be if my physician decided to just keep me in the dark or *lie* to me about my body or my diagnosis or my options for treatment. Physicians are human, too–they have emotions that influence their decisions and they (gasp) make mistakes– and I simply can’t imagine turning my health care over to one person without having any ability to be heard or give input into that care. There is a downside to letting patient have more say, of course–I am sure that this is part of what has driven up health care costs, because patients now know what to push for (thank you, Internet) and physicians have to be careful to cover themselves so that they aren’t sued for missing something by denying a patient a test or a treatment. I am sure there are times when a patient pushes for something that is not needed, or is perhaps even harmful. Still, I can’t help but believe that this evolution has been one for the better.
I was so struck by the treatment of Henrietta’s family by the medical field. So sad that Deborah through that she was being tested for cancer but then couldn’t get the “results” of the test despite calling Hopkins every day (when, of course, in reality, they had not tested her for cancer at all, but had only come to take her blood for research). Being a daughter of a mom who died from ovarian cancer, I know first hand how real the fear and anxiety is, and my heart went out to Deborah so many times because she was SO confused and no-one in the medical community seemed willing or able to talk her through any of what was happening, even when they were–at the very same time–using her for their own gain. Was this due to the arrogance of the medical field ? Or due to the fact that Deborah and her family were poor and black? Or (in all probability) due to both?
I’m a little on the fence on this part. I had a mother with a very complicated medical life and, as such, I became acutely aware of medical terminology outside of also having a great education. The experience with my mother really taught me how to be an advocate for my health. However, I think that is not the norm. I know a lot of people, even some with higher degrees where their limited medical knowledge and fear of unknowns prevents them from asking the right questions and (potentially) receiving the right care. Often I am surprised at people’s lack of medical knowledge and know-how to deal with the system and I have to remind myself that most people didn’t grow up the way I did.
Oh – but let me be clear – for no one to explain to Deborah what was going on – that was shameful and wrong. In fact, I think the medical community has a much higher bar to set when it comes to those populations with less knowledge to make sure they completely understand what’s going on with them and their bodies. They were very shady – bad bad bad.
You’re right. My heart broke for Deborah, too. (See, I told you the book was heartbreaking.) I can’t believe no one was honest with her. It seems that in general, in the medical industry, professionals are not taught enough about the human element of what they’re doing. They get caught up in the fact that they have to perform good science while forgetting there are humans attached to those tissues and those studies. This is why I have become a great believer in holistic medicine instead. The other thing that was interesting is that Deborah had a mentality of “respect” for these doctors, so she didn’t question them. It is completely fair to question our doctors! I think we need to be taught that now, in 2011.
Sorry this comment is not about the book but I had to tel you it made me smile to remember our little trailer library. Who would have thought in the Northeast? But we South Jersey girls know better ;)
I haven´t had the time to read the book due to personal matters. But I´ll do it as soon as I can. Being a cancer survivor myself I think I am in a high debt to Henrietta and I owe a lot to her and her children.
I didn’t read the book, but I will add it to my list! Being a scientist myself, I hate to see these types of things happen to people. Ethics is such an important part of what we do every day. The drugs we manufacture go into patients and there is no tolerance for any type of unethical behavior.
My mother had M.S. and I spent so much of my teen years advocating for her. I think a big part of the problem is people’s implicit trust in doctors. While you should trust your doctor, you should also question them all of the time. They are only human too and can make mistakes or decisions based on what they think is best. I am a firm believer in getting second opinions without shame. It is your life and body that is at risk, not theirs.
Hello! Through a good friend I found your blog and was so pleased to have taken your advice and suggestion to read Henrietta’s story. This was one of those, ‘I can hardly get my kids to bed soon enough’ books for me! I have always found books with biology, genetics, and the usual muckety muck of the medical world fascinating. And utterly messy. Add in the intensely personal life of a real woman, a real mother, and it was hook, line, and sinker for me.
I live with a healthy till it hurts guy, my lovable husband, therefore digging through medical terminology, research studies of vaccines, food labels, the latest super vitamin pamphlets, etc. is a daily occurence around here. We are always looking for the most natural route to health. Not anti-medical establisment by any means, but definitely questioning authority even when it is the ‘all-powerful & all knowing’ doctor! This book only furthered my desire to question my family’s medical treatments; now and in the future. In today’s world (not Henrietta’s, as I believe she certainly did what was best for herself at the time, and certainly with the limited resources she was given in the ‘colored ward’! For the love! Was that really only a little more than half a century ago?) I am always amazed at the amount of time people put into researching their next cell phone purchase, or what kind of cable company best fits their family, or which car will get the best gas mileage, etc. But what about medical treatments? Do they spend the same amount of agonizing over a potentially life altering medicine, vaccine, or surgery? Or do they just trust their doctor?
Years ago I read Debbie Bookchin & Jim Schumacher’s “The Virus and the Vaccine.” It lacks the personal connection all of us women felt with Henrietta’s story, but it is rich with the sometimes scary truth of medicine’s secret dark side and that of the bottom line often known as the bottom dollar. It reads like a medical thriller and will not dissapoint you. Thanks again, for the recommendation. I will treasure what Henrietta has done for thousands and likely millions of others, but also what she has shown me about the health of my own family :)
Thanks so much for joining the club, Stephanie! And I’m very glad you liked the book.
My first experience with starting to doubt the medical field—just a little bit—was during my labor with my son. It ended in surgery, and I really didn’t think that was necessary. So the second time I was pregnant, I looked into midwifery and doulas, who have a more holistic approach to the body. This taught me that drugs are not always a solution. I’ve started to read more about things like hospice care for cancer patients and now go to acupuncture once a month. These things are not accepted as much by the medical industry. In fact, I think many doctors think that acupuncture is just junk science. Anyway, I’m astounded by the disconnect and in general, hope to see the medical industry change. I also find that more holistic doctors spend more time with patients, are often more honest, and form real human relationships.
I’ll look into that book you mention!
This was a well put together book that did a great job of telling two stories at once. The first, and obvious one was the story of Henrietta’s struggle and her survivors troubles of dealing with the aftermath. But I liked getting the inside story on Rebecca Skloot’s process of gathering the information and dealing with the family in order to get the whole story. The way the two stories are intertwined made for a great two-in-one read.
As for the miriad of issues this book brings to the table, it’s hard for me to describe how I feel. To hear the whole story left me feeling torn every which way from Sunday. There were so many things done “right” and so many things done “wrong” through the whole process it’s hard to pick a side and define a straight and true answer from it. Every single one of us is grateful for the fact that cells were taken for all the medical advancements they have played a part in creating. Most readers would agree the fact that they were taken without her consent or the family’s knowledge was wrong (though SOP for the times back then). In the end I think all we can do is look back upon the results of this incident and use it to refine our continually evolving process by which we define our rights within our society as individuals versus our needs to provide for the greater good of all.
So glad that you’re keeping the reading spirit alive, Scott. I, too, enjoyed finding out about Skloot’s process. I don’t know much how one goes about writing this kind of book, and I realized what a labor of love it is. She was paying for everything with loans and credit cards! Not only that, but then it was very difficult for her to get it published. (Crazy, huh?) I just hope she’s reaping some significant benefits now, and from all of the positive critic’s reviews, I think she is.
Jana, I think one of the most striking elements of this book for me was how people did not know what was being done with their tissue and their medical records in this era. Right after I read the book, we switched to a new insurance and because of the book, I looked at the privacy policy closely. And some of it freaked me out a little…I began to wonder, once the insurance company gets ahold of my data is it safe? Do I REALLY know what is being done with it?
The other striking element of the book that stays with me a couple of months after reading the book is how heartbreaking it was that no one really took the time to explain to Deborah and her family what the HeLa cells were and what was really going on. They suffered more than they needed to because nobody treated them and their mother like human beings…until the end, of course.