Two things kept me from enjoying this book. The first was that it could have used some editing. It was so long that Audible split its audiobook file into three parts, and a huge portion of the first section was concerning, not the 1918-1919 pandemic, but the history of medical education in America. The second was petty on my part, I admit, but it was slightly annoying that the author kept referring to John Hopkins University as "The Hopkins". The nickname just seemed too informal for the context of this book.The listening was much enhanced by the narration by Scott Brick, however.