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Ratings and Book Reviews (6 25 star ratings
6 reviews
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  • Loved it

    As a retired nurse, I totally get it. The general public doesn’t understand the emotional and physical strain involved.

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  • Insightful

    Hard to put this one down. Talented doctor and a gifted writer.

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  • Reading This Will Hurt

    Horrifying doesn’t begin to describe many of the author’s experiences and actions in this book! As a comedy writer for tv, he is very good at telling a story in a funny way. However most of the stories also include gory descriptions, profanity (including taking the Lord’s name in vain), or a lack of concern for the feelings of patients and even so called friends. After reading this book, especially after the placenta story, I am wondering if he did keep a journal and how much is manufactured or changed for entertainment value. He does seem prone to exaggerate at times. Remember, Adam Kay now writes comedy for television. Adam describes the whole experience as “perversely exhilarating” which feels like this was a bit of a narcissistic power trip. Interestingly he shows us the foibles of other medical staff in questionable integrity but his honesty is nearly always above reproach. There is the episode where he hypothetically talks about a humiliating passive aggressive surgical act he could have done in regards to a patient but claims to have not followed through with as it could lead to potential litigation. This “funny” situation places him as a potential ‘social justice hero’. Frankly, an intolerant passive-aggressive doctor is frightening! One of the job non-benefits that surprised Adam Kay was frequent over time that strained personal relationships. He complains about total fatigue and uncompensated work hours throughout the book because of understaffed hospitals. He says they don’t even have time to eat or take breaks most of the time. Very dangerous to have over tired medical personnel! Perhaps you might say we need to hire more doctors. Forbes has suggestions for fixing medical schools and through this improving the medical system. The most notable suggestion is to stop incentivizing medical schools and students to focus more on specialty practice over general medicine. Adam Kay’s assertion that he respects patients’ choices rings hollow as he describes scare tactics he employs to bully patients into his way of thinking. Forceps with birth and cesarean deliveries seem to be the standard of care despite the briefly acknowledged risks they entail. Mocking patients for being overweight, using natural remedies, or religious beliefs were other demeaning stories. Yet the author seems unsatisfied not knowing the end result for his patients. One of his more human aspects. His further feelings of awkwardness in dealing with grieving patients and wish to do more is a familiar feeling for most of us. He talks about the necessity of developing a “hardened emotional exoskeleton” to deal with all the hard stuff that happens with patients. Maybe that acounts for half the abhorrent attitude he exhibits toward other patients in this memoir. More of the job stresses and inconsistencies is shown as he points out patients often forget doctors are real people with homes and emotions. The same is often said about doctors not treating patients as humans. Perhaps we could each treat everyone with tolerance and respect as fellow brothers or sisters and see how it improves our society. This Is Going to Hurt concludes with a plea to not allow government, i.e. British government, “to take a pickax to the (nationalized) health-care system.” I suggest taking a different approach. More government controls, more legislation will never fix what was broken through that process in the first place. As more doctors and hospitals embrace meditation, yoga, healing touch, and now we may begin to see health coaches involved in patient care there may begin to be more tolerance toward patient choice in the medical system in general. Let us hope! Tyler Cowen’s new book Big Business: A Love Letter to an American Anti-Hero looks like it has some interesting advice on the topic of healthcare reform. I am intrigued by what I’ve read about the book and hope we can integrate more free market principles in the healthcare system. Interestingly, Medicare Part D’s success in reducing costs and improving health outcomes seems to be in large part because of the increased choices and free market principles it afforded. When I first read the title, This Is Going to Hurt, I did not realize it referred to how it would feel to read (and review) this book. I urge you to consider reading Big Business: A Love Letter to an American Anti-Hero instead! I received a free advanced reader copy of this book. All opinions are completely my own.

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  • Honest and so funny!

    Inside account of a dr.'s training in OBS/GYNE told with humor. Laughed out loud at some of his stories. Truth IS stranger than fiction.

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  • Fantastic

    Absolutely beautifully written, inspiring, heartwarming, and light and funny in all the best places.

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