In 1977, at the age of 36, Jeffrey Cohen, a physicist at the University of Pennsylvania, was diagnosed with multiple sclerosis. But it wasn't until 10 years later that the "dirty details" began, when the disease had progressed to the point where he could not transfer himself out of his wheelchair. That point is where his wife Marion begins her memoir of caregiving: "If I had to explain it in three words, those words would be 'nights,' 'lifting,' and 'toilet.' And then, if I were permitted to elaborate further, I would continue, 'nights' does not mean lying awake in fear listening for his breathing. 'Lifting' does not mean dragging him by the feet along the floor. And 'toilet' does not mean changing catheters."

But "dirty details," Marion Cohen teaches us, involves more than "nights," "lifting," and "toilet." There is the loss, anger, fear, and desperation that envelops the family. She reveals what it felt like to be consistently in "dire straits" with no real help or understanding, what she characterizes as society's "conspiracy of silence." Chronicling their lives in the context of her husband's progressing disease, she discusses the raging emotions, the celebrations, the day-to-day routine, the arguments, the disappointments, and the moments of closeness. During the 15 years she cared for him at home, both continued to work on various projects, share in the rearing of their four children, and be very much in love. This powerful, honest narrative also delves into the process of making the "nursing-home decision" and those decisions Cohen made to put her and her family's life together again.

In this authoritative account, Robert H. Ferrell shows how the treatment of President Franklin D. Roosevelt's illness in 1944- 1945 was managed by none other than the president himself. Although this powerful American president knew that he suffered from cardiovascular disease, he went to great lengths to hide that fact—both from his physician and from the public. Why Roosevelt disguised the nature of his illness may be impossible to discern fully. He was a secretive man who liked to assign only parts of tasks to his assistants so that he, the president, would be the only one who knew the whole story. The presidency was his life, and he did not wish to give it up.

The president's duplicity, though not easily measurable, had a critical effect on his performance. Placed on a four-hour-a-day schedule by his physicians, Roosevelt could apply very little time to his presidential duties. He took long vacations in South Carolina, Warm Springs, the Catoctin Mountains, and Hyde Park, as well as lengthy journeys to Hawaii, Canada, and Yalta. Important decisions were delayed or poorly made. America's policy toward Germany was temporarily abandoned in favor of the so-called Morgenthau Plan, which proposed the "pastoralization" of Germany, turning the industrial heart of Europe into farmland. Roosevelt nearly ruined the choice of Senator Harry S. Truman as his running mate in 1944 by wavering in the days prior to the party's national convention. He negotiated an agreement with Winston Churchill on sharing postwar development of nuclear weapons but failed to let the State Department know. And, in perhaps the most profoundly unwise decision, Roosevelt accepted a fourth term when he could not possibly survive it.

In his final year, a year in which he faced crucial responsibility regarding World War II and American foreign policy, Franklin D. Roosevelt failed to serve the nation as a healthy president would have. Reading like a mystery story, The Dying President clears up many of the myths and misunderstandings that have surrounded Roosevelt's last year, finally revealing the truth about this missing chapter in FDR's life.