The Deep Places: A Memoir of Illness and Discovery
The Deep Places: A Memoir of Illness and Discovery book cover

The Deep Places: A Memoir of Illness and Discovery

Hardcover – October 26, 2021

Price
$22.07
Format
Hardcover
Pages
224
Publisher
Convergent Books
Publication Date
ISBN-13
978-0593237366
Dimensions
5.77 x 0.88 x 8.53 inches
Weight
12 ounces

Description

“A harrowing, and often profound, account of how one man’s life can be laid almost to waste by Fate.” —Wall Street Journal “Douthat artfully weaves two stories together. The first is the story of his own illness, the increasingly outlandish treatments he is willing to try, and the havoc the affliction wreaks in his life. As he looks for a cure, he uncovers a second story: the strange tale of Lyme disease itself . . .xa0 No two chronic illnesses are exactly alike, but even so this book will likely resonate with anyone who has suffered from a chronic condition or has cared for someone who has.” —Paul W. Gleason, LA Review of Books “Vulnerable and moving.” —Alyssa Rosenberg, Washington Post “ The Deep Places is a powerful memoir about our fragile hopes in the face of chronic illness. Rossxa0Douthat is calling us all to courage and compassion: courage for those of us who suffer, and compassion to all those who walk alongside.” —Kate Bowler, New York Times bestselling author of Everything Happens for a Reason “A vividly narrated account . . . Douthat manages a really remarkable thing here: to weave together his story of a body’s pain, a mind’s vacillations, and a spirit’s struggles with an account of how the medical establishment deals with, or simply refuses to deal with, conditions it does not understand. That Douthat can weave all this into a unity and even make the book a kind of page-turner—that’s something special.” —Alan Jacobs, author of How to Think and Breaking Bread with the Dead “To call it a memoir about illness is to seriously underestimate this beautiful new book.xa0Douthat brings a believer’s heart, a journalist’s curiosity, and a writer’s talent to tell an achingly human story that is, ultimately, about life.” —James Martin, SJ, New York Times bestselling author of Learning to Pray “I read the book in one sitting. It is so profound and truthful about the human condition. I wanted it to go on and on. I had no idea that Douthat was such a poet of pain and hope.” —Rod Dreher, New York Times bestselling author of Live Not by Lies and The Benedict Option “This is a great book and it’s going to be important and it’s about a lot more than Lymexa0disease; to this nonsufferer it made Lyme disease fascinating.” —Peggy Noonan, columnist, The Wall Street Journal Ross Douthat has been an Op-Ed columnist for The New York Times since 2009.xa0Previously, he was a senior editor at The Atlantic . He is the author of The Decadent Society , To Change the Church , Bad Religion , and Privilege, and a co-author, with Reihan Salam, of Grand New Party . He is the film critic for National Review . He lives with his wife and four children in New Haven, Connecticut. Excerpt. © Reprinted by permission. All rights reserved. A Dark Wood I always wanted to move back to New England.My wife and I both grew up in Connecticut: Abby in a green town just far enough from New York to count as the country, me in the rust and brick and Gothic of New Haven. My mother’s family were Maine Yankees from Puritan stock with a solid three-xadcentury history of staying put in chilly soil. My wife’s ancestors were from Newfoundland and Ireland, cold seacoasts and autumnal skies. As kids, we both made the long drive to Maine in the summers—xadin my case to the coastline where my grandparents lived and my uncle and cousins worked as lobstermen, in her case to a Girl Scout camp way up in the North Woods, cabins speckling the shores of a deep-xadblue lake under the shadow of Katahdin, the highest mountain in the state.So living in the humid marshland of Washington, D.C., where we ended up together and married in our twenties, always felt like a mistake. The Mid-xadAtlantic was almost like the Northeast, but just slightly different in its temperature and color schemes—xadmore sweltering in the summer and less vivid in the fall, with more winter rain and June warmth than our remembered childhood worlds. I would have preferred a stark contrast, the prairie or the Rockies or the Californian chaparral. Instead the resemblance just reinforced our mutual homesickness for deep woods and colonial houses, birches and evergreens, old stone walls and blizzards.Then we had children, two daughters two years apart, and the drives back to see our families became harder, the nostalgia more intense. We lived in Capitol Hill, ten blocks from the Capitol dome, in a small row house in a gentrifying neighborhood. But once we had the kids the house felt tiny, the frequent terror alerts exhausting, the Beltway traffic between Ikea and Buy Buy Baby grueling. When we looked to the future, to more children and more space, the local school environment seemed punishingly competitive, an enemy of childhood. And the prices in the D.C. suburbs, for houses that we didn’t even like, were utterly insane.I had a romantic idea of the alternative. My own parents had grown up in beautiful places, my mother in a farmhouse on a saltwater cove and my dad near the beach in Santa Monica, but when I was young they ended up living in a blue-xadcollar corner of New Haven, in a ranch-xadhouse neighborhood that didn’t measure up to their memories of natural beauty. My mother pined for rocky coasts and spruce trees and high blue skies. My father missed the smell of eucalyptus. So I inherited an idea about land, beautiful land, as something intimately connected to the good life, yet always tantalizingly out of reach.But by the time I turned thirty-xadfive, it wasn’t out of reach anymore. Our row house, bought after the financial crisis, had appreciated absurdly in four years. I had a job as a New York Times columnist—xada lucky opportunity, a dream job—xadthat basically allowed me to live anywhere, so long as there was an internet connection and a way to fly or ride to Washington and New York. Many of the young families we knew talked about fleeing D.C. for their hometowns, or settling in some small, livable city, or even buying a Virginia farm. But for us the temptation was particularly sharp. We wanted to have another baby; my wife had just left her magazine job to write her first book. Why shouldn’t we blaze the trail, make the fantasy real?So we began taking the possibility seriously. We followed Connecticut real estate listings with an increasing obsessiveness, and whenever we headed north to visit our families, we made time for long drives through the country, letting our girls nap while we scoped out likely-xadseeming towns and random open houses. Eventually we took a more consistent approach with an actual realtor—although we were still haphazard enough in our visits that the agent, a polished Englishxadwoman whose daughters rode horses, regarded our intentions with a certain suspicion, as though she’d seen dreamers like us before.Abby tried to keep us grounded. We wanted the same general things, but she was a little less romantic about rural life. “It’s way too uncanny to imagine actually living there,” she said to me after a day trip through small towns in the northern part of the state, outposts of New York City for their summer residents, farm towns in the winter. “There’s nobody there half the year, who knows what the schools are like, we’d be two hours from New York, forty minutes from our parentsxa0.xa0.xa0. and you’re going to leave me alone in the country with the kids while you go traveling for work?”Honestly that was, in a way, my treasured plan. I had a vision of myself going out into the world, flying around to various Babylons for important meetings and interviews, and then coming home on a summer evening, down a winding road, up a drive lined with oak trees, to find my two—xadno, make it three; no, make it four—xadkids waiting for me, playing on swings in the July dusk in front of a big white colonial, my wife behind them, the whole scene an Arcadiaxa0.xa0.xa0.Not surprisingly, Abby wasn’t sold on this idyll, or the alleged bargains I kept finding—xadthe snowbound spread on six acres with a leaking roof and a huge artist’s studio attached; the “farmhouse” built into a hillside like a hobbit’s hole, if a hobbit had an investment banker’s taste. The first Connecticut house that she actually liked was far more sensible: a recent build in a more populated area, a four-xadbedroom house from the 1950s, at the end of a quiet cul-xadde-xadsac near a commuter rail station, walkable to a playground and a small downtown. It was lovely, livable, convenient, a good size for a growing family. I hated it.“It looks like Tony Soprano’s house!” I groused. “You can see McMansions from the kitchen window! What’s the point of going to Connecticut for something we can get in”—xadI let the contempt flow through me—xad“suburban Virginia?”Eventually, like a good husband, I started to talk myself into the sensible house. But by then, like a generous wife, she had talked herself out of it.Fortunately, there was an area where our ideas converged, which happened to be her childhood hometown. It was just ninety minutes from Manhattan, in between the Gold Coast of greater Greenwich and the small blue-xadcollar cities and real country to the north. It was near enough to train lines to be accessible to the city, far enough to be relatively affordable. It had a rural expanse but a thriving downtown with a bookstore and restaurants and even a small movie theater. It had excellent public schools and a lovely little Catholic church, where we had been married.Moving there with our children, buying a big house, and making ourselves comfortable with Little League games and dance lessons felt like a way to rewrite the story of Abby’s childhood as well. She had lived in a big house once: Her father had been a Wall Street numbers guy who descended into bankruptcy and ruin after the junk-xadbond era collapsed. He died suddenly when she was thirteen, leaving her schoolteacher mother to raise Abby and her sister alone. So her hometown had been for her a place of downward mobility, of childhood happiness succeeded by teenage sorrow. And it seemed (maybe more to me than to her) that to return in prosperity and triumph would give her the happy ending she deserved.“Unless you lose your job,” she said. “Or we lose all our money.”“That could happen in D.C., too,” I countered. “And in Connecticut we’ll have our family to help us, public schoolsxa0.xa0.xa0. We’ll raise chickens and join Costco.”So her doubts gradually yielded to my optimism, and then in the winter of 2015 we endured a sequence of what seemed at the time like hardships—xadthe teacher at my older daughter’s local public pre-xadK quit suddenly, our basement flooded when frozen pipes exploded, my wife and a friend were mugged while they strolled a baby in the nearby park—xadthat felt almost like providential pushes to sell, just sell, to take the money and flee north.For Abby, the decisive tribulation happened just outside our home. We had to parallel-xadpark our SUV on the street outside our front door, and every once in a while a car would come barreling down the mostly quiet street when we were hauling our girls, four and two, out of their car seats to the safety of the sidewalk. One slushy March day, when the piles of unmelted snow farther shrank the narrow street, one of these cars veered within inches of my wife as she fumbled with a car seat, almost dinging the open door behind her, and then slammed to a halt ten yards on, disgorging a furious driver who yelled at Abby for being so inconveniently available to be mowed down.“Right then and there, I thought, I don’t want to die on this stupid street,” she said to me afterward, as we huddled over my laptop and the real estate listings in her once and future hometown. Read more

Features & Highlights

  • NEW YORK TIMES
  • EDITORS’ CHOICE • In this vulnerable, insightful memoir, the
  • New York Times
  • columnist tells the story of his five-year struggle with a disease that officially doesn’t exist, exploring the limits of modern medicine, the stories that we unexpectedly fall into, and the secrets that only suffering reveals.
  • “A powerful memoir about our fragile hopes in the face of chronic illness.”—Kate Bowler, bestselling author of
  • Everything Happens for a Reason
  • In the summer of 2015, Ross Douthat was moving his family, with two young daughters and a pregnant wife, from Washington, D.C., to a sprawling farmhouse in a picturesque Connecticut town when he acquired a mysterious and devastating sickness. It left him sleepless, crippled, wracked with pain--a shell of himself. After months of seeing doctors and descending deeper into a physical inferno, he discovered that he had a disease which according to CDC definitions does not actually exist: the chronic form of Lyme disease, a hotly contested condition that devastates the lives of tens of thousands of people but has no official recognition--and no medically approved cure.From a rural dream house that now felt like a prison, Douthat's search for help takes him off the map of official medicine, into territory where cranks and conspiracies abound and patients are forced to take control of their own treatment and experiment on themselves. Slowly, against his instincts and assumptions, he realizes that many of the cranks and weirdos are right, that many supposed "hypochondriacs" are victims of an indifferent medical establishment, and that all kinds of unexpected experiences and revelations lurk beneath the surface of normal existence, in the places underneath.
  • The Deep Places
  • is a story about what happens when you are terribly sick and realize that even the doctors who are willing to treat you can only do so much. Along the way, Douthat describes his struggle back toward health with wit and candor, portraying sickness as the most terrible of gifts. It teaches you to appreciate the grace of ordinary life by taking that life away from you. It reveals the deep strangeness of the world, the possibility that the reasonable people might be wrong, and the necessity of figuring out things for yourself. And it proves, day by dreadful day, that you are stronger than you ever imagined, and that even in the depths there is always hope.

Customer Reviews

Rating Breakdown

★★★★★
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Most Helpful Reviews

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Refreshing to hear someone else struggling with chronic illness

As someone who has recently been diagnosed with a life-altering chronic condition, I appreciate Ross Douthat's honesty and transparency. He understands the complex issues people like us face.

I too am still alive.
37 people found this helpful
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Life Changing

I thought I was all alone. Not with chronic Lyme Disease; I knew that I had many co-sufferers there. In fact, I knew that there were a great deal more people with Lyme Disease than those listed on the CDC website. But I thought I was alone, or mostly alone except for a few wing-nuts, in trying really weird things in order to heal from chronic Lyme Disease. Some of which helped me, and keep helping me. I learned from Ross Douthat that not only am I not alone, I’m in good company.

If you were a healthy, athletic kid and young adult who liked the outdoors, say someone like me, then getting Lyme Disease at the tender age of 30 and remaining undiagnosed for a long time is a tough break. It’s more than a tough break, it’s heartbreaking, as Ross speaks of so movingly in his wonderful book. It effects every aspect of your life- your marriage, career, ability to have children, your fragile self-esteem, and certain friendships with people who don’t understand or cannot understand. All of these are put on the chopping block of your life.

Ross understands. He gets it. That in and of itself makes this book invaluable to me, but he offers so much more. “I will not give up, and neither should you!” he insists, sometimes pleading, other times shouting. Sobbing. This book is raw with his honesty, and I am so grateful to him for it. He could have taken the easier way out, and followed the path of many other Lyme books- here are the symptoms, and here is what you should do about it, etc, etc. But Ross doesn’t do that. He describes his excruciating, ever- shifting symptoms, but more than that, he says what it feels like to be a husband, journalist, provider, father, and believer when everything you cherish is being dismantled.

He also talks about the reality that this disease, while incredibly common, is dismissed nine out of ten times by the mainstream medical community. Imagine having all that physical, emotional, and sometimes mental suffering and being told by supposedly “good “ doctors, “You know chronic Lyme Disease doesn’t exist, don’t you?”, or “You can’t STILL have Lyme Disease!” , even though your blood tests show in black and white that, yup, you’ve STILL got Lyme Disease. That was Ross’s reality, my reality, and that of almost the entire Lyme community.

Ross got it bad, worse than me. He felt that he had no choice but to tackle it head-on, and tackle it he did. And this is where he has changed my life, and I will forever thank him for it. Because my symptoms were usually not so severe, I had unwittingly settled for a half-life, or in reality, a 1/3 life. Ross says, NO! Don’t do that! You deserve better than that, you deserve to keep working towards wholeness. He gave me a loving kick in the pants, and I am now more actively involved than ever in my own healing. Thank you, Ross.

Finally, he wraps this wonderful gift of a book in the prettiest writing, making it a pleasure to read. I will never forget the section where he compares weird Lyme treatments to the poet Yeat’s “foul rag and bone shop of the heart”. It was gorgeous prose, but more than that, it was true.

This book is not just for those who have Lyme or their caregivers. It is for all of us who suffer from chronic illness, or chronic anything. From pain that won’t go away, no matter how hard we try. “Keep trying!” Ross says. And you do. So much so that by the end of the book you’re not just rooting for Ross, you’re rooting for yourself.
31 people found this helpful
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An invaluable contribution to our understanding of Lyme Disease

Mr. Douthat covers the bases regarding the challenges of chronic Lyme Disease, from the often devastating toll of the disease itself to the myriad obstacles to correct diagnosis and effective treatment. But this story is about so much more than Lyme Disease. It is about a medical establishment that often fails us, with its politics, hubris, and a surprising lack of intellectual and scientific curiosity of too many of its members, who often dismiss and sometimes blame patients whose symptoms they don't understand. There are heroes in the story, too -- both healthcare providers who care enough about their patients to challenge the failed diagnostic and treatment protocols of an entrenched and often smug establishment, and patients themselves, who valiantly seek their own solutions to an illness that significantly reduces their quality of life. Yet Douthat tells his story with compassion for both Lyme sufferers and those who treat (or mistreat) them. He writes with eloquence, insight, and humor. And, he arrives at a tentative conclusion that some in the "medical" and "scientific" communities, who have profited from not reaching it, would be advised to reconsider: "post-treatment Lyme Disease" is the same disease as pre-treatment Lyme Disease. The Lyme spirochete, as shown in animal studies, can survive antibiotic and other treatment and continue to wreak havoc in the body. That continuing symptoms cannot simply be explained or written off as immune systems that turn on themselves or the mental or moral inadequacies of Lyme sufferers.
30 people found this helpful
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Beautifully written, informative, difficult story

Gorgeous writing, well-read by the author, tells a harrowing story of a chronic illness. If you’re a sufferer you’ll see yourself and your struggles portrayed as they rarely are: honestly, with little drama and lots of vulnerability. If you’re not, you’ll have an unparalleled window into its hell. In either case you’ll come away with a deeper understanding of the issues we face at the edge of medical knowledge.
29 people found this helpful
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Beautiful but Concerning

This is a beautifully written book about what happens when a smart guy who is experiencing generalized anxiety transfers to a new psychiatrist after moving to Connecticut. The psychiatrist "diagnosed" him with chronic (post-treatment) Lyme disease, a condition whose existence the totality of scientific evidence doesn't support. Douthat also never had an authenticated case of Lyme disease to begin with.

This is concerning in itself, as doctors are supposed to follow the medical evidence, at least in the clinical hour. Douthat then follows a self-navigated path, encountering a cottage industry of scientifically unsupported practices. He takes a prolonged course of antibiotics, (often self-prescribed), though controlled treatment trials show no benefit for this treatment approach, and it's associated with considerable harm.

Douthat's writing seems "sciencey," but he's a guy looking things up on the internet and swallowing whole the idea that post-treatment Lyme isn't recognized by the wider medical community because they are behind the times. Actually, it's not recognized because there's no clinical evidence for it: well-designed studies have already been done, disproving the claims of its supporters.

The "providers" in the mushrooming cottage industry of post-Lyme "treatment" are making plenty of money, pushing unsafe courses of antibiotics that don't perform better than placebo and are associated with harm. Also, Douthat never did receive treatment for his anxiety. His weight loss, muscle pain, sleeplessness, flushing, and occasional urges to sprint do seem consistent with anxiety.
14 people found this helpful
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Not as expected

Was more of a story about him than any valuable information. Said the same things over and over again.
10 people found this helpful
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FRS

What a disappointment this book is.
Extremely verbose , ad nauseam repetitions, extremely self centered....
And when you expect an uplifting denouement, you are slammed with the author unscientific comments about COVID-19.....
6 people found this helpful
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A Landscape of Pain

This is an exhilarating book, half-nightmare and half-detective story.

He writes sharply of the radical dichotomy between the medical establishment’s blasé attitude towards the disease and the Connecticut community who know someone who have it and know how real it is. He found the official line from doctors versus the lived experience of even wealthy, very stable types “consistently startling”.

Later he writes, “For the young, intense physical suffering was a lightning strike; for older people it generally became the weather...There was comfort there, sort of: I was just living in a storm that had rolled in a little early. But there was also betrayal, because so little of my education prepared me for this part of life.”

It’s an interesting juxtaposition to be reading this with an Eric Metaxas book ("Is Atheism Dead?") and the amazing series of “fortunate accidents” that God used to have life on our planet. There's a gentleness there. As the Psalm goes, “When I see the work of your hands, the moon and the stars which you arranged, what is man that you should keep in mind?”

This “arrangement” of the moon and the stars takes on a new luster with the science backdrop, how crucial Jupiter be as big as it is, how crucial the moon be where it is, etc.. Nothing haphazard about it.

But this paraphrase translation from Romans 11 kind of hits at the heart of things, that ties together the Douthat and the Metaxas:

"Make sure you stay alert to these qualities of gentle kindness and ruthless severity that exist side by side in God - ruthless with deadwood, gentle with the grafted shoot. But don’t presume on this gentleness."

That severity and gentleness is certainly exhibited in our physical earth and interior landscape which can be at turns charmingly gentle and ferociously ruthless.
6 people found this helpful
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Covers a Lot of Ground Well

Chronic Lyme is at an epidemic stage. He covers a lot of ground here on treatment, filial impact, and history. It’s a horrible disease that more people need to be aware of.
5 people found this helpful
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PERFECTION. AN AMAZING BOOK ON CHRONIC LYME, CHRONIC FATIGUE, FIBROMYALGIA. VERY HONEST

This is a very fascinating first person account of a man who found out the hard way that Lyme testing is junk. The ELISA and WESTERN BLOT miss huge numbers of positive Lyme. A good review of the history of Lyme, the evidence that it persists after 2-4 weeks of treatment.

People with fibromyalgia and chronic fatigue syndrome should read this book.

I would have liked more information on Babesia which is a brutal infection. But the author appears to not have been hit with this infection, so it makes perfect sense that it was not part of his detailed discussion..

Very well written. Easy to read in one sitting--I read it in a day

This is a very likable man. His humility is appealing.

This is a masterpiece that I hope will be read by hundreds of thousands. It is that good
5 people found this helpful