File Size: 916 KB
Print Length: 288 pages
Publisher: Thomas Dunne Books; 1 edition (October 3, 2017)
Publication Date: October 3, 2017
Henry is a compelling writer in a stream of awareness kind of way. He or she starts out a section to tell you a story and then weaves his way through the chapter, occasionally touching on the initial topic, but bringing in many strings that weave throughout the book. Since he has a long career as a neurosurgeon, he's a lot of stories. But, when you think about it, when a person needs a doctor to operate on their brain, it is rarely going to go 100% well. There is either prior harm, or a high possibility of damage from the operation. Some sounded quite sad to me. Of course he included functions that have haunted him as you might picture.
As Henry worked as a doctor for the British Health system, this individual understandably rants about his frustration and compromises of care, the way that system is setup. And then there are the rules, created by bureaucrats that don’t necessarily understand the flow of drugs. He or she also has little good to say about the American “for profit” system which generally seems to promote medical intervention, to increase profits, regardless of the advantage to the patient. His eventual retirement was because of to frustration with a system that has altered radically from when he began. But Henry for the love of the art, instead continued on to help two former fellow workers outside of 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 numerous things.
**** The author; Henry is an avid exercise person and has maintained his health, yet he is anticipating dementia, due to his family history. From several points in this book he attributes dementia to many other exposures, which was new to me. Scary.
**** The author, 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 a lot more energy than me.
**** Also amazing, Henry had a short time in his junior, where he was hospitalized in a psych keep. He seemed self committing and once out, shifted with his life. We found his reference to some transcendental instances captivating. It kind of makes you wonder how he or she is wired. He’d indicated that his symptoms were such as a form of epilepsy.
The author in writing this publication is at an area in his life where this individual is reviewing his role in other’s suffering or cure. If he sees a patient with an not curable tumor, where operating would only add recovery to the patients travails with really no resolution, this individual is inclined to tell the patient, to go live what you have left the best way you can. Then to his wonder another surgeon will assure the patient of a much better outcome only to instill, what Henry was wanting to avoid. In his thoughts, this is obviously as a stroke to the doctor’s ego, or for profit, as in these cases it was clear the outcome was not proceeding to be beneficial. Can make you kind of wonder about the second thoughts 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 desire. With all the competition or the for pay system, you will find it uncommon to find a cosmetic surgeon, not to recommend surgery, regardless of the chance or opportunity for support. It’s a situation that causes abuses. His good friend 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 didn’t care and didn’t want criticism for a poor outcome. Henry was pressured to admit the truth to this patient, though he was not responsible for her result. Even with a successful outcome, patients in Nepal are in a predicament that a person with deficits will need to be cared for by your 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 of course, if an outcome is bad due the underlying condition, through no fault of the doctor, the medical doctors are considered at fault and can receive assault, death threats and legal issues through the family.
Sadly this book failed to leave me with a good feeling about the medical profession. When you are in the hospital you assume a certain standard of treatment. Having followed my Mom through multiple stays and even my own stays, often you find the spaces 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 neurosurgeon in Britain’s National Wellness Service (NHS). Specifically, the new medical memoir about admitting patients with diseases of the brain to the hospital for surgery. On a deeper level, the title works as a form of confession in which Marsh reveals cases where his skills fell short, and how those failures profoundly influenced his patients’ outcomes and his subsequent performance. Finally, the title telegraphs a worry of old-age decline in the grip of dementia. Like all his patients, he too may become a dreaded patient entrance 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 own and professional problems, and at 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 National politics, Philosophy and Economics at Oxford University before deciding on neurosurgery. He mixes that scholarly background with a no-nonsense ethos which makes for lively reading amid the seething discontent.
Exactly what really fuels his frustration, though, is the entrance that he may lose the actual thing he built his entire life around: the mind. Marsh is not a man who 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 great britain, it also tells of his training and operating in Nepal, The Ukraine, a masterclass/workshop in the US and so forth. A fantastic book for me and written in such a way that it is very easy to understand for the non-medical reader.
The publication has a wonderful speaking style, I got so much out of it, so much knowledge yet it was presented so simply. Reading the book it felt almost as if I was sitting in on one of his medical lectures-I just wanted to hear more from your pet, it never got dull. I found out later that he has written another book and feel eager to get this. This particular latest book worked fine as a standalone for me, it didn't seem necessary to have read his previous book-yet We definitely feel the need to read more of his amazing stories now.
I won a pre-publication copy of this publication in a Goodreads Special offer.
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