Dr. Pietro Bartolo practices medicine on the tiny Italian island of Lampedusa, in the Mediterranean Sea. Lampedusa, known for its friendly people, sunny skies, pristine beaches, and turquoise waters famous for fishing, seems an idyllic place to live, work, and visit.
But for the past 20 years, Dr.Bartolo has cared for not just residents and tourists, but for hundreds of refugees- people who risk their lives crossing the Mediterranean from northern Africa, fleeing poverty and political unrest. The lucky ones land on shore injured and sick. The unlucky ones wash ashore dead, having died en route or drowning after falling from a capsized or wrecked boat, sometimes only a few feet from shore.
In this memoir, Dr. Bartolo shares the stories of many of these people, giving them the names and faces that we don’t see watching news stories about the refugee crisis. He also shares his own life story of growing up on the island, leaving for medical school, and returning to raise a family and to practice medicine.
He never expected to become the front-line help for hundreds of desperate people. With no specific training on how to manage an avalanche of desperate, sick, and injured refugees, and with little resources, he manages to put together a system for triaging, evaluating, and treating these people, then sending them on for more advanced medical care or to immigration centers in Europe.
For the less fortunate, he serves as medical examiner, to determine the cause of death for those who do not make it to Lampedusa alive; sometimes taking body parts to extract DNA to identify them, so families can be notified. He states he has never grown comfortable to this aspect of his job.
As a physician myself, I marvel at Dr. Bartolo’s caring and commitment to people who will never be able to repay him for his sacrifice. He approaches his work as a mission of mercy, and treats every person with the utmost respect, no matter their circumstance. Some of the people he treats become almost like family; he has even tried to adopt a couple of orphaned children but cannot due to legalities.
Dr. Bartolo’s story reads like a conversation. I think you will like him, and admire him for his dedication and selfless service. His life should encourage all of us to consider what we can each do to lessen someone else’s suffering.

Memories of an Italian doctor on the front lines of rescuing and treating the many, many refugees arriving onto the shores of the island of Lampedusa. An eye-opener!

I have seen TV broadcasts of the refugees struggles to escape their countries and start again in Europe, but Tears of Salt makes the crisis personal, bringing it into sharp focus. It is riveting and raw. It sent me countless times to the internet to look up places and diseases so I could understand better what the refugees and Dr. Bartolo were facing. This is a book that I heartily recommend. It would be a good complement to high school current affairs classes.

I had a hard time with this book. It may have been the translation, but the author flowed between the past and present with very little distinguishing the passages. This caused the book to feel very jumbled, losing it's important message. Since I did not finish the book, I do not intend to publish a review.

Not only does this provide an incredibly deep on-the-ground look at the ongoing refugee crisis and does an excellent work putting faces on the countless men, women and children that sacrificing everything for a desperate shot at a better life, but through Bartolo's narration readers grow to know a humble, hardworking figure whose selflessness provides a much-needed model in these times.