File Size: 1159 KB
Print Length: 289 pages
Publisher: Weidenfeld & Nicolson (May 4, 2017)
Publication Date: May 4, 2017
Henry is a compelling writer in a stream of consciousness kind of way. He or she starts out a chapter to tell you a story and then weaves his way through the chapter, occasionally touching on the initial topic, but bringing in many threads that weave throughout the book. Since he has a long career as a neurosurgeon, he has a lot of stories. Yet, when you think about it, when a person needs a doctor to operate issues brain, it is rarely going to go 100% well. Right now there is either prior harm, or a high possibility of damage from the operation. Some sounded fairly sad to me. Of course he included businesses who have haunted him as you may think about.
As Henry worked as a doctor for the British Health system, he understandably rants about his frustration and compromises of care, the way that system is create. And then there are the rules, created by bureaucrats that don’t necessarily understand the flow of medicine. He or she also has little good to say about the American “for profit” system which seems to promote medical intervention, to increase profits, regardless of the profit to the patient. His / her eventual retirement was credited to frustration with a system that has altered radically from if he started out. But Henry for the love of the fine art, instead continued on to help two former fellow workers outside the UK: Dev in Nepal, Igor in the Ukraine. However, both have left him with a different twist on healthcare than seen in Great britain, but not better for different reasons.
What struck me in this writing were a number of things.
**** The writer; Henry is an avid exercise person and has maintained his health, yet he is anticipating dementia, due to his family history. At several points in this book he attributes dementia to many other exposures, which was new to me. Scary.
**** The writer, while being a doctor is also an avid do-it-yourselfer, repairing a former home and is currently into a new project. This struck, me as amazing, considering how busy doctors are. He must have much more energy than me.
**** Also amazing, Henry had a short point in time in his junior, where he was in the hospital in a psych keep. He seemed self committing and once out, moved on with his life. I actually found his reference to some transcendental instances engaging. It kind of makes you wonder how he is wired. He’d indicated that his symptoms were such as a form of epilepsy.
The writer in writing this guide is at a point in his life where he is reviewing his role in other’s suffering or cure. If he sees an individual with an incurable tumor, where operating would only add recovery to the patients travails with really no resolution, he is inclined to explain to the patient, to go live what you have left as best you can. Then to his amazement another surgeon will ensure the patient of the outcome only to instill, what Henry was seeking to avoid. In his brain, this is plainly as a stroke to the doctor’s ego, or for profit, as in these cases it was clear the outcome was not heading to be beneficial. Tends to make you kind of wonder about the second views all of us are prompted to get as due diligence. As my earlier statement indicated the people that go to a neurosurgeon are in grave straits, they could be seen as a last hope. Using the competition or the for pay system, you will find it rare to find a doctor, not to recommend surgery, regardless of the risk or opportunity for support. It’s a situation that causes abuses. His buddy in the Ukraine was comfortable lying to patients after a poor result extending hope where there was none, due to his error, as truly it seemed he did not care and didn’t want criticism for a weak outcome. Henry was pushed to admit the facts to this patient, though he was not responsible for her result. Even with a successful outcome, patients in Nepal are in a scenario that a person with deficits will need to be cared for by the family for the remainder of their life and be a considerable burden to the family. Outcomes a few weight to all. Unfortunately, there a doctor is seen as omnipotent and when an outcome is bad due the underlying condition, through no fault of the doctor, the medical doctors are considered at problem and can receive violence, death threats and legal issues through the family.
Sadly this book would not leave me with a good feeling about the medical profession. If you are in the hospital you assume a certain standard of treatment. Having followed my friend through multiple stays and even my own stays, often you find the breaks that the critical patient can fall through., The title “Admissions” means many things in Henry Marsh’s ruminations on his 40-year career as a brain surgeon in Britain’s National Wellness Service (NHS). Specifically, a fresh medical memoir about acknowledging patients with diseases of the brain to the hospital for surgery. About a deeper level, the title works as a form of confession in which Marsh reveals instances where his skills fell short, and how those failures profoundly influenced his patients’ outcomes and his subsequent performance. Finally, the title telegraphs a concern of old-age decline in the grip of dementia. Like all his patients, he too may become a dreaded patient entry to the hospital.
Marsh explores these levels of meaning in an angry, deeply personal book. Marsh is angry at the NHS for disrespecting doctors’ instincts - and precipitating his retirement. He's angry at the vandals ransacking his weekend workshop/retreat, at unequal health care, at his personal and professional problems, including his mortality. He or she channels all that rage into his storytelling making Marsh’s book a cut above the typical polite and careful medical memoirs. Marsh is a well-read doctor having studied Governmental policies, Philosophy and Economics at Oxford University before deciding on neurosurgery. He combines that scholarly background with a no-nonsense ethos that makes for lively reading among the seething discontent.
Just what really fuels his frustration, though, is the entry that he may lose the very thing he built his entire life around: the mind. Marsh is not a man that will go gently into that dark night, and that angry passion makes his story a compelling and readable one., This was definitely my kind of book-I love medical memoirs. It was engaging and fascinating from the outset. Enormously interesting. Honest, uncovering, often eye-opening. As well as the author’s work in the UK, it also tells of his teaching and operating in Nepal, The Ukraine, a masterclass/workshop in the US and so on. A fantastic book for me and written in such a way that it is very easy to understand for the non-medical reader.
The guide has a wonderful speaking style, I got so much out of it, a great deal knowledge yet it was presented so simply. Reading the book it felt almost as if I was soaking in on one of his medical lectures-I just wanted to hear more from your pet, it never got uninteresting. I found out later that he has written another book and was wanting to get this. This latest book worked fine as a standalone for me, it didn't seem to be necessary to have read his previous book-yet I actually definitely feel the need to read more of his amazing stories now.
I won a pre-publication copy of this guide in a Goodreads Special offer.
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