Reviews of what you should be reading next.

Category: Medical (Page 6 of 7)

The Nurses by Alexandra Robbins

 

nurses

 

 

In this lively, fast-paced narrative, New York Times bestselling author Alexandra Robbins digs deep into the subculture of nursing, drawing readers into a brilliantly captivating in-depth investigation of the extraordinary working lives of nurses and the shocking behind-the-scenes secrets that all patients and their loved ones need to know.

The Nurses is told through the real-life stories of four women in different hospitals: Molly, funny, well-loved, and confident enough to quit a longtime job after her hospital ramps up its anti-nurse policies. Lara, a superstar nurse who tries to battle her way back from a near-ruinous prescription-drug addiction. The outspoken but compassionate Juliette, a fierce advocate for her patients. And Sam, a first-year nurse, struggling to find her way in a gossipy mean-girl climate she likens to “high school, except for the dying people.”

Readers will root for these bedside heroes, who operate in a world filled with joy and violence, miracles and heartbreak, dark humor and gripping drama. It’s a world of hazing—“nurses eat their young.” Sex—not exactly like on TV, but more prevalent than many imagine. Drug abuse—disproportionately a problem among the best and the brightest. There are true-life archetypes—the handsome, suave doctor, the patient brought back from death, the hunky male nurse. And bullying—by peers, by patients, by hospital bureaucrats, and especially by doctors, an epidemic described as lurking in the “shadowy, dark corners of our profession.”

The result is a riveting page-turner, insightful and thought-provoking, that will leave readers feeling smarter about their healthcare and undeniably appreciative of the incredible nurses who provide it.

Thanks to Net Galley for this ARC in exchange for an honest review.

Alexandra Robbins is familiar with bringing the reader into a closed society; she is the author of [easyazon_link identifier=”0786888598″ locale=”US” nw=”y” tag=”gimmethatbook-20″]Pledged: The Secret Life of Sororities[/easyazon_link]. Her research is exhaustive, thorough and massive. For THE NURSES, she has interviewed hundreds of nursing professionals, active and retired, along with intensive reading of healthcare related books.

The plot is exactly as described–we are following the stories of four nurses as they navigate their way through their workdays at different hospitals. The workplaces are vastly different; one is in a low income area and very dangerous, another is in a better area but understaffed, yet another employs a staff that is closeminded and cliquey.  Each chapter covers a different subject, such as interpersonal difficulties, healthcare in general, the physical danger to nurses, availability of loose drugs and therefore the potential to become hooked, and the doctor’s and healthcare industry’s attitude towards nurses in general.

As I read, I simply could not believe what I was seeing. My perception of nursing changed 180 degrees as I made my way through the book. Discard your vision of a glamorous, overpaid, angel in white. Be prepared to hear about nurses getting fired for following doctor’s orders, drunk patients wreaking havoc and causing serious permanent injury, staff surfing the Internet and being “too busy” to give aid to their coworkers, and the overwhelming, constant burden of having too many patients under your care.

The more I read, the less I want to be anywhere near a hospital.

Gore and lengthy descriptions of medical procedures are not a part of this book. Rather, there are recountings of conversations, incidents, and situations that these nurses found themselves dealing with on a daily basis.  The book is detailed and can be a bit long winded, just a bit, especially with some of the statistics that seem to go on for a while, but they are relevant and serve to educate the reader.

I’m interested to see what the nursing community has to say about this book–will there be an outpouring of agreement, or is Robbins sensationalizing the truth? Either way, THE NURSES is well written and thrusts you into a world most of us don’t normally see. Most of us probably aren’t even aware that this shady underbelly of medicine exists. Kudos to Robbins for bringing it to the forefront.

Want your own copy? You can pick it up [easyazon_link identifier=”0761171711″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

 

 

 

Internal Medicine by Terrence Holt

Z

A collection of essays about life as a surgical intern.

Terrence Holt, whose In the Valley of the Kings was hailed as a “work of genius” (New York Times) and made Amazon’s Top Ten Short Story Collections of the year, brings a writer’s eye and a doctor’s touch to this powerful account of residency.

Intense, ironic, heartfelt, and heartbreaking, these nine vivid stories put us at the bedside of a patient dying in a house full of cursing parrots, through a nightmarish struggle to convince a man that he has cancer, at a life-and-death effort to keep an oxygen mask on a claustrophobic patient, and in the lounge of a snowbound hospital where doctors swap yarns through the night.

Out of these “dioramas from the Museum of Human Misery”, Holt draws meaning, beauty, wonder, and truth. Personal, poignant, and meticulously precise, these stories evoke Chekhov, Maugham, and William Carlos Williams, admitting readers to the beating heart of medicine. Internal Medicine is an account of what it means to be a doctor, to be mortal, and to be human.

This book was on my “to-read” list, so I picked it up from the library. Attempts to reach the author for a review/giveaway copy were unsuccessful.

It only took a few pages for INTERNAL MEDICINE to become a great read. Told in the voice of a doctor, explaining how he handled difficult cases during his internship, this book is alternately chilling and poignant. The take away message is this: doctors have self doubt and fatigue just like everyone else, despite the brave front they put on.

Each chapter told the story of one patient, and how Holt learned from their situation. One lesson was patience, one was bravery, one was teamwork, and so on. Brilliant details and situations that everyone can identify with are what makes this such a moving and important read.

As I read about the woman whose oxygen saturation was dipping into the 80’s, yet she kept ripping her O2 mask off due to claustrophobia, I ferverently hoped I would never be ill and lingering in the hospital. The intimate details of how the human body betrays us all is what will stay with you, long after the book is finished. Holt’s writing style is easy to follow, and full of honesty.

Each chapter can be read as a stand alone, and I recommend that–for you will need time to digest the life lessons revealed with each patient’s final outcome. Holt does not hide his fear, his disgust, his anger, and his weariness. He exposes himself –  and the entire medical profession – with stories that cannot help but touch your soul. What makes this book so wonderful is that the stories take place during his internship, where each moment is a learning experience and a doctor’s intuition is “make or break”.  The spin on each chapter would be totally different if it was written under the guise of a man who was completely comfortable with his medical knowledge, with his ability to heal and comfort. Instead, there are questions and internal monologues, which make the doctor not larger than life, but truly human and with foibles.

The book can be graphic at times, so beware. Seasoned readers of the medical genre will enjoy it, as there are some things that I haven’t read about previously. The scenes and maladies are diverse, and there is a chilling story from a mental hospital thrown in for good measure. The only chapter I had a problem with was the last one: a seemingly out of place fable (told  on a regular basis by doctors) about an incident that may or may not have taken place in real life–a rambling and unsatisfying tale told (in this case) by an older doctor in an on call room where others are trying to get some rest.  I’m not sure why the author chose to end with this story, as it took the life out of the other eight chapters that went before.  Other than that, I have nothing but praise for INTERNAL MEDICINE. This should be on the must read shelf for all those about to enter the medical profession.

Want your own copy? You can pick it up [easyazon_link asin=”0871408759″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here[/easyazon_link].

 

 

 

 

 

 

Canine and Feline Behavior for Veterinary Technicians and Nurses by Julie Shaw and Debbie Martin

behavior

Thanks to Wiley-Blackwell for offering me this textbook in exchange for an honest review.

This comprehensive textbook contains nine chapters and three appendices, and is geared towards the veterinary technician, rather than the veterinarian. Oftentimes, it’s the technician that assesses the patient before the doctor enters the room and can be indispensable in offering guidance and advice to weary pet owners. The chapters read as follows:

  • The role of the veterinary technician in animal behavior
  • canine behavior and development
  • feline behavior and development
  • the human-animal bond
  • communication and connecting the animal behavior team
  • learning and behavior modification
  • problem prevention
  • specific behavior modification techniques and practical application for behavior disorders
  • introductory neurophysiology and psychopharmacology

As you can see, there is a chapter for everything, with the final one discussing medications as a last resort. The chapters can be read progressively or referred to here and there to educate a client on a particular issue. The focus here is to understand the patient and correct unpleasant habits in a way that the pet will accept, without cruelty or harsh discipline. The book advises that shock collars or physical punishment is not akin to learning, and so is not the best method to use.

Also extremely helpful is the chapter about communication and connecting the behavior team. Occasionally there will be that animal that will not resolve its behavior, no matter how hard the owner tries. If euthanasia is being considered, there will be many different ways the owner may react, and the book goes through the stages of grief and how to help the owner through this challenging time.

The book is accompanied by many color photos, graphs, tables, and diagrams illustrating the text and adding another level of understanding. Here is an example of a schematic that gives a great deal of information at a glance:

behvior book pic

Flowcharts are typically easy to read, and this one also has notes at the bottom that correlate with the numbers in the red circles. Both beginning and experienced behavior techs will appreciate what this book has to offer–and their patients will too!

The appendices (found after chapter 9) are broken down into Forms and Questionnaires, Training Exercises, and Samples and Letters.  There is also a companion website that offers handouts, review questions, and additional images.

There is a lot packed into this text, and technicians will be better able to assist the veterinarian after becoming familiar with the material covered. Even if the technician is not part of the full-time behavioral staff, they will be able to educate the client thoroughly and become more adept at handling patients. Wiley has created another indispensable book for the veterinary technician! You can pick up your copy here.

Gemini by Carol Cassella (plus INTERVIEW)

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Many thanks to author Carol Cassella for gifting me this book in exchange for an honest review.  At the bottom of the page there will be a link to a Q&A I did with the author–enjoy!

An unidentified woman is hit by a car and abandoned along a rural highway in western Washington. She is life-flighted to a Seattle trauma center, where she’s admitted to the intensive care unit overseen by Dr. Charlotte Reese, who battles to keep her “Jane Doe” patient alive while a police investigation tries to discover who is responsible for this hit and run—a charge that could turn into murder if this gravely injured woman dies. Charlotte also senses a more covert battle brewing with the hospital’s legal department when they assign a professional guardian to stand in lieu of Jane’s unknown family and make critical decisions about her care. In frustration, Charlotte and her boyfriend Eric, a science journalist, begin their own efforts to find Jane’s family, veering across the professional boundary between physician and patient. As their lives become more entangled, the truths Charlotte learns will radically alter her own life more profoundly than they alter her patient’s.

 

This book made my heart ache with sorrow and joy so much, that I had to put it down at times to let my feelings ebb away, in order to absorb what was happening next. Cassella strikes a chord as she writes about young love, loss, and coming to terms that your life could be so much more, but isn’t. The separate plot of Raney and Bo, who meet as children and move in and out of each other’s lives,  is told as flashbacks, interspersed with the present tale of the nurse Charlotte as she navigates her relationship with Eric while she  is trying  to find out the identity of Jane Doe.  Eric has a health issue that prevents him from being able to commit fully to Charlotte, and she is becoming discouraged. As she learns more about Jane and who she is, she becomes forced to make decisions that will affect the rest of her life, while putting Eric at a crossroads he never wanted to reach. Cassella’s writing allowed me to empathize with Charlotte, and captured the stress and wariness of both partners as they face things that could tear them apart.

However, the story of Raney, a young artist from the poor side of Quentin, Washington, and Bo, who spends a few summers in Quentin with his aunt, is where the story really shines. They grow older and develop feelings for each other that never really fade away, no matter how many times life causes them to part. Each emotion is told with heartbreaking texture, first from Raney’s perspective, then from Bo’s. Life gets in their way, as Raney must care for her ailing grandfather while Bo, from a well to do family, attends college and travels the world.

Each of the four characters must make sacrifices and learn how to make the best out of every situation.  Raney, by far, is the one that shines brightly throughout, as a girl who guards her heart and nurtures her feelings for Bo over the years. I was overcome with emotion time and time again, turning pages as quickly as I could to see what would happen to Raney next. I was affected by her story so much I still think about her to this day and feel as if I could cry. Not many fictional characters get under my skin, but Raney did.

Cassella is adroit at mixing medical situations with real life problems, and the story comes to a resolution that is plausible and bittersweet. If you can get to the last page and not be affected, perhaps you had better check to see if your heart still beats within you. These characters will stay with you for a long time. GEMINI is a must read. You can pick up your copy [easyazon_link asin=”1451627939″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here[/easyazon_link].

 

Click here to be taken to the page with the EXCLUSIVE interview I did with Carol!

 

Smoke Gets In Your Eyes by Caitlin Doughty

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Many thanks to the author, Caitlin Doughty, for gifting me this book in exchange for this honest review.

When I first learned this was published I knew I had to read it. As an almost-mortician (I was accepted into American Academy McAllister Institute of Funeral Service many years ago but never went) I really wanted to hear what Ms Doughty was going to say. Her writing is wry and emotional, and it’s easy for the reader to understand her quest to find out why death means so much to her.

The story starts out as she finds a job at a crematorium, then goes off to mortuary school in hopes of learning all she can about the funeral industry. Her motives are such that she wants to oppose the general business/embalming aspect of funerals and death; she believes in a “green” disposal, which may mean anything from cremation to being buried in the earth in a biodegradable container. Doughty feels that our attitude towards death is that of an ostrich in the sand; we prefer not to acknowledge it or prepare for it.  This, she feels, is wrong. If you are able to come to terms with your eventual passing you will not have any fear, and it’s a healthier way of living.

The author illustrates this way of thinking in each of her anecdotes. Beware–this book is not for the faint of heart, as there is a good deal of description of dead bodies, what happens when you get cremated, and some near death experiences of Doughty’s. However, that does not overshadow the main thrust of the story; we can feel Doughty’s mistrust and discomfort at the funeral industry, and are able to learn why she thinks that way.

An incident that happened at a shopping mall when the author was younger sets the background for so much discussion of mortality: she watched and heard a young girl fall to her death from the second floor of a mall, and that stayed with her for many years. She developed tics and habits, to “ward off” death coming for her, and then realized that she could come to terms with it, as we all should. She feels that Americans especially are in denial about death, whereas in other parts of the world people are more comfortable;  she illustrates this by including snippets of information on death and funerary customs around the globe, which I found interesting and enlightening.

Thinking about the end of your own life may seem depressing to you, but it is important that you get your affairs in order and not be afraid. It’s a lot easier said than done, but Doughty pleads her case well. She exudes a feeling of caring and encouragement, and hammers the point home that this is the one thing that brings us all together, no matter what race, color. creed or species you are.

I enjoyed the mix of humor and pathos in her writing, and would love to see something else in this vein. Doughty can be found at the Order of the Good Death online, and also has her own YouTube channel, known as “Ask A Mortician”. She is exactly what the funeral industry needs: an honest voice that demonstrates caring and empathy. I’d be honored to let Ms. Doughty handle my end of life care–would you? Read this book and let me know what you think. You can pick up your own copy [easyazon_link asin=”0393240231″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here.[/easyazon_link]

 

Doctored by Sandeep Jauhar

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This was another book I picked up at the library for myself, and I was excited to see the author of [easyazon_link asin=”0374531595″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”default”]Intern: A Doctor’s Initiation[/easyazon_link] had written another book. This one is of a bit darker tone, as he talks about his struggle to keep focused and happy saving lives and battling insurance companies. The main focus of this book is money and cronyism: how much it costs for medical care, how much the doctors are getting paid, ways to circumvent insurance companies’ unwillingness to pay, and quid pro quo buddy systems where referrals are the goal.

Once again, as in other books written by doctors, this was pretty depressing. On page 11 Jauhar talks about how doctors are disillusioned:

In 2001, 58% of about 2000 physicians questioned said their enthusiasm for medicine had gone down in the previous five years, and 87% said their overall morale had declined during that time. More recent surveys  have shown that 30 to 40% of practicing physicians would not choose to enter the medical profession if they were deciding on a career again, and an even higher percentage would not encourage their children to pursue a medical career.

There are many reasons for this disillusionment besides managed care. An unintended consequence of progress is that physicians increasingly say they have inadequate time to spend with patients. Medical advances have transformed once terminal diseases – cancer, AIDS, congestive heart failure – into complex chronic conditions that must be managed long term.

So.  We have people living longer, restrictions placed on doctors by HMOs, pressure to make ends meet at home,  and doctors being forced to produce referrals in order to maintain the old boy network. That could definitely make anyone disillusioned. What’s scary about this situation is that people’s lives are at stake here. All anyone wants is to be able to trust their physician, that he will do no harm.

Jauhar tells his story, warts and all: he is frustrated at not being able to practice his own medicine, without having to network. His marriage is straining due to lack of money. He seems to be suffering from depression that is untreated. Personally, I would not want to be in the hands of a doctor that was being pressured on so many fronts. But Jauhar perserveres, tries to practice good medicine, and attempts to play the game. He marvels at the circumstance of a man, admitted to the hospital because of shortness of breath. During his 30 day, $200,000 stay, he was seen by SEVENTEEN doctors and underwent TWELVE procedures. He was discharged with only “minimal improvement in his shortness of breath” and “follow ups…with SEVEN specialists“.

As the book proceeds further, Jauhar discusses taking away the financial incentive to over test patients, and make suggestions on how to fix our beleagured healthcare system. His arguments are sound, and probably could only happen in a perfect world. I urge you to read this book, only if it will help arm you against unscrupulous surgeons and the overreach of the billing department.

The only problem I have with the book is that I wasn’t sure if Jauhar wanted to make it a story about him, or a general story about our healthcare. He will start off a chapter with a patient’s story, then end up talking about how it affected him and how frustrated he was,  then insert a dialogue he had with his young son. Then the next chapter will start off with personal thoughts and stories about how he was mentally checked out of his marriage, and suddenly mention a patient. There was also a  long part about him trying to moonlight, but not billing enough, not seeing enough patients, and not playing the game–but instead of trying to fix things, he seems to go into a vapor lock (that could be the depression) and let things just swirl around him and get worse.  He seemed to be very wishy washy here, and let his brother and father galvanize him into action by calling in favors and getting him money making opportunities. Nothing he did made him happy, and that whole middle section of the book was very depressing and drawn out. Eventually things get better at home for the author…..but our healthcare system stays broken.

This was a very illuminating read, and a good follow up to INTERN– we see how Jauhar grows as a doctor and becomes more self aware.  DOCTORED is a great book for anyone who thinks all doctors are millionaires. Want your own copy? You can pick it up [easyazon_link asin=”0374141398″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]here.[/easyazon_link]

Screen Shot 2014-12-13 at 12.27.15 PMHello everyone. My name is Michael Nail (on the right). I’m the webmaster here at Gimmethatbook. I make sure the website looks nice, runs quickly, and doesn’t blow up. I also run the giveaways, which means that I have the honor and exquisite pleasure of announcing the winner of the Judy Melinek book giveaway:

Congratulations @enterprise314! Your copy of [easyazon_link asin=”1476727252″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”default” cloaking=”default” localization=”default” popups=”yes”]Working Stiff[/easyazon_link] by Judy Melinek will arrive as quickly as our beloved United States Postal Office’s fastest rickshaw can reach you. Be kind, and give the poor fellow a drink of water when he gets to you.

As for all you unfortunate souls who didn’t win, don’t fret. At Gimmethatbook, there will always be another giveaway, another book, and another chance. As for those who didn’t enter, tsk-tsk. For shame. Enter next time!

Handbook of Canine and Feline Emergency Protocols by Maureen McMichael

I received this textbook from publisher Wiley-Blackwell in exchange for this honest review,

When an emergency presents to your small animal clinic, there isn’t time to find a textbook and search through the index for help. This second edition is designed to assist veterinary personnel find answers fast.

Highlights:

  • 19 chapters spotlighting different emergencies by type
  • Chapters are in alphabetical order with thumb tabs
  • Spiral bound for easy handling
  • Over 165 cases detailed
  • Cases are outlined by history, clinical signs, diagnostics, treatment, and prognosis
  • At the end of each chapter there are references for further reading
  • Images accompany some cases for clearer understanding (update to Second Edition)
  • Companion website at www.wiley.com/go/mcmichaelhandbook that gives you access to calculations, review questions, video clips and more

This text is easy to understand and will help you triage and support animals in an emergency.  There is even a chapter on Procedures and Protocols that walks you through uncommon (for single doctor small animal practice) tasks such as blood crossmatching, thoracotomy tube placement, CSF collection and lipid infusion.  Each procedure is laid out with sections for indications, equipment, procedure steps, technique, complications, and contraindications. Some textbooks have an overabundance of information, causing overload at a critical time. For those who need a quick refresher to jog the memory that has been buried since vet school, this book is perfectly created.

I especially enjoyed the review questions on the website. You can test your knowledge in quick bites and get your answers right away, with an explanation. This book will be a terrific addition to any clinic library and will be referred to repeatedly in times of emergency.

Want your own copy? You can pick it up here.

Working Stiff by Judy Melinek, MD (plus GIVEAWAY!)

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At the end of this post there will be a link you can click to enter a giveaway for a SIGNED hard copy of this book.

Some people have a firm idea of what being a medical examiner must be like: they swoop to the scene of a crime, wearing their best clothing, spend a few hours examining the body, then they hold a glamorous press conference to tell the world how  stray hairs and  stomach contents helped solve the crime.

Not so much. Becoming a medical examiner takes hard work, a strong stomach, the desire to see justice done, and the ability to listen to the dead speak. Dr Judy Melinek is one of those people, and Working Stiff is the story of her first two years as a rookie forensic pathologist. As luck would have it, she spent that time in the best classroom in the world: New York City, July, 2001. Not only did she experience the September 11th attacks firsthand, she also worked on the American Airlines flight 587 crash, and performed hundreds of other autopsies (both criminal deaths and natural causes).

Each chapter is about a different person, how they died, why they died, and how the cause of death was determined. Beware: there are extensive, gory, detailed descriptions of each body that would cause a normal person to gag, drop the book, and flee. However, if you are like me and enjoy reading about floaters, maggots, lividity, and a phenomenon known as “respirator brain”, then this is the book for you.  There are a great deal of fun facts that you will love learning, such as:

“I could tell right away Fanelli had died of hypothermia because his stomach lining, which is supposed to be smooth and pink, was instead deep crimson and pitted with dark brown ulcers. When  your core body temperature drops below 95 degrees, your body goes into a crisis management mode, cutting off the blood supply to nonessential organs in order to keep critical functions running. The interrupted blood to the stomach comes flooding back in the late stages of hypothermia and causes a reperfusion injury called leopard skin gastric cardia. To this day I have never seen a more clear case of it. Each body tells a story, and this one told the miserable story of a man freezing to death.” 

The author’s way of telling a story is honest and filled with wry humor.  Her emotions for the dead shine through, and her dedication to the job is evident, as she tells the story about a cold case that she solves with the help of a forensic anthropologist.  Every case has its own moral, and the resolution is often poignantly brought forth in a gentle way, thanks to the wonderful writing style of Dr Melinek. This book is unique in that you can learn something about how the body works, how humans handle death, and marvel at how the smallest of details can make a world of difference.

I truly enjoyed reading this, as it fits perfectly into my preferred genre. In fact, my only complaint is that it was too short–I hope Dr Melinek has another book on the horizon soon!

I have one SIGNED copy for giveaway; use the box below to enter!

[raw] a Rafflecopter giveaway[/raw]

Want to buy your own copy now? [easyazon_link asin=”1476727252″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]Click here.[/easyazon_link]

Final Exam: A Surgeon’s Reflections on Mortality by Pauline W. Chen

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Final Exam was a book I picked up myself from the library. It was on my own personal reading list, which I haven’t been really able to get to these days. This is not a new book; it was published in 2007, but the ideas that Dr Chen speaks of should be relevant and in use today.

The mission of all doctors is to maintain life–by performing surgery, by prescribing medication, by encouraging life changes such as dieting or quitting smoking. But–everyone eventually dies, no matter how brilliant the surgeon was, or how much weight a patient lost. Many doctors gloss over this fact and prefer to focus on living and making a better quality of life.

Who will champion a better quality of death? No, Dr Chen is not  going to talk about euthanasia, or discuss funeral services. She is going to bring to the forefront a subject that has been assiduously avoided in human medicine for a long time: death is very much a part of life, and it should not be spoken of in hushed tones or pushed to the back of one’s mind. To truly care for your patients, you must realize that death is truly part of life.

No one wants to consider their own mortality, especially someone who is going to the hospital for an operation.  Dr Chen postulates that all doctors can give better care by embracing their own personal feelings and fears about death, and listening to what their patients are telling them, either with words or what their body is saying.

There is a great deal of explicit description in Final Exam:  of medical procedures and people struggling to die, those with sickness or those who have developed complications after surgery. Dr Chen starts out with her own personal experience with a cadaver in medical school and brings us all the way to her visceral reaction when a good friend of hers dies.

This book’s message is a powerful one, and not for the faint of heart. I thoroughly applaud Dr Chen for suggesting that doctors make themselves more emotionally available and vulnerable. Too often a patient’s death is couched in a sense of failure, of medicine gone wrong. A delicate balance needs to be attained, and I hope Dr Chen has started a dialogue by writing this book.

I loved this. You can pick up your own copy [easyazon_link asin=”030727537X” locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”default” cloaking=”default” localization=”default” popups=”yes”]here[/easyazon_link]!

Also, if you haven’t already, download the Kindle reading app here.

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