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The Soul of Medicine: Tales from the Bedside, by Sherwin B. Nuland
PDF Download The Soul of Medicine: Tales from the Bedside, by Sherwin B. Nuland
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Like all doctors, Sherwin Nuland collects stories, and over thirty years in the practice of surgery, he has collected a consider number of both his own stories as well as the stories of surgeons he has worked with and admires. The remarkable stories told in this book are filled with the lessons of humanity. They describe that sacrosanct connection between two people we call the doctor-patient relationship, and that othe relationship between the mentor and student, so important to the perpetuation of medical knowledge, judgement, wisdom and character. Doctors have peculiar ways of approaching certain kinds of problems, and many of those ways are captured with with grace and elequence in The Soul of Medicine.
- Sales Rank: #234123 in Books
- Brand: Brand: Kaplan Publishing
- Published on: 2009-04-14
- Released on: 2009-04-14
- Original language: English
- Number of items: 1
- Dimensions: .90" h x 5.50" w x 8.00" l, .78 pounds
- Binding: Hardcover
- 232 pages
- Used Book in Good Condition
From Publishers Weekly
National Book Award–winner Nuland (How We Die) turns over his latest collection to the stories of more than a dozen specialists describing their most memorable patients. What is extraordinary about Nuland's compilation is not the medical heroics but the instances of fallibility and vulnerability that prove the doctor is not just human but caring. A bronchoscopist tells of a famed thoracic surgeon who botches a procedure to recover a small cap a child has swallowed Well, chappies, he chirped, here's my chance to demonstrate the procedure again. Rather like a double feature at the cinema, yes? When that, too, fails, the frustrated surgeon must do major surgery to rectify what should have been a 10-minute fix. Even the scoundrel who gets a nurse fired rather than be caught in his own impropriety shows a recognizable humanity in his hilarious retelling of barging into a procedure unwashed and unwanted, and being chased from the premises by a mad-as-hell surgeon. Nuland adds his own commentary after many of the stories, but it's just window dressing. Here's medicine as it's actually practiced—by humans awed by the privilege of both their practice and patients. (Apr.)
Copyright � Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Nuland takes the Canterbury Tales one quirky step further with these stories he collected from medical specialists ranging from anesthesiologist to urologist, in which each focuses on a particularly difficult or memorable professional event and/or patient. Identities and locations are carefully concealed by placing just about everyone, unless the story hinges on locale, at a teaching hospital called Canterbury. Names are changed, and not just to protect the innocent. No one really needs to know the identity of the randy young chest surgeon whose regular dalliances with hospital “probies” (probationary female employees) nearly cost him his job. Worse, to save his own skin, the scoundrel made a preemptive attack that cost his accuser her job. One might, however, like to know the name of the ethical Jewish ophthalmologist who never ratted out the out-of-wedlock pregnant daughter of his racist military superior. In all, the tales indeed resemble Chaucer’s—some humorous, others poignant, and where they are cryptic, accompanied by a note from the more-than-skillful narrator. --Donna Chavez
From The Washington Post
From The Washington Post's Book World/washingtonpost.com Sherwin Nuland is one of the country's most preeminent doctor-writers. To his books, he brings the perspective of over 30 years of surgical practice and a passion for medical history. The combination has appealed broadly to readers both within and without the ranks of medicine. For doctors, Nuland's voice has validated the realities of a profession from which impossible things are sometimes expected. For patients, his books were among the first to pierce the veil of mystery separating patients from their seemingly all-knowing and all-powerful physicians. The idea for Nuland's newest book, "The Soul of Medicine," is a terrific one. Over the course of his career, both as a practicing surgeon and as a clinical professor at Yale, Nuland has had the chance to work with a host of exceptionally talented doctors in a range of specialties. For "The Soul of Medicine," he has asked 16 of them to tell the story of their most memorable patient and, with two of his own additions, cobbled them together into a modern-day version of "The Canterbury Tales." Here, Canterbury is the fictionalized name of the prestigious medical institution where our storytellers' practices intersect, and the tales themselves are delivered by specialty: The Urologist's Tale, The Pediatrician's Tale and so on. Since the book ostensibly focuses on patients, it's surprising to find physicians so prominent in the stories. The doctors' personalities take over, and the patients and their diagnoses -- rare and perplexing as they may have been -- fade into the background. Far more striking than elusive diagnoses or anatomical oddities are the sometimes touching but frequently galling descriptions of the ways in which these doctors viewed and interacted with their patients and, at times, their subordinate colleagues. It is in these interactions that the book's thematic allusion to "The Canterbury Tales" seems most apt, for many of the tales feel more medieval than modern, more historical retrospective than current commentary. As an example, there is the married surgeon in the 1940s who proudly tells of bedding student nurses in a hospital construction site. When the nursing supervisor catches him, he lies to the hospital president and has her fired. Nuland appropriately chastises the "scoundrel" in his commentary following the tale, but the larger question is, given the revelation of such behavior in Samuel Shem's classic novel "House of God," why include it? Fortunately, "The Soul of Medicine" also contains far more poignant -- and relevant -- examples of physicians' human failings: an anesthesiologist who allows an obviously manic surgeon to proceed with an operation, placing the patient in grave danger; a neurosurgeon who unleashes his fury on a man who beat a boy to death, "want[ing] to be sure that [the man] could see the bits of brain clinging to my gown, the front of which was soaked in the fresh still-scarlet blood of the child he had killed." But the segues into and out of these emotional passages are rapid. As a result, the reader is not given adequate time to contemplate the life-altering moments for both patient and healer that the best of these stories reveal.
Copyright 2009, The Washington Post. All Rights Reserved.
Most helpful customer reviews
8 of 8 people found the following review helpful.
I almost didn't buy this one
By Trudie Barreras
Having previously purchased five of Nuland's books, I almost didn't buy this one. However, I found it quite enjoyable and quite different. The "Tales" of the various "memorable cases" from many specialists were quite interesting, and the "narrator's" commentaries on most of them were interesting as well. It is fortuitous, perhaps, that I read this book just as the National debate on health care reform is reaching rather absurd dimensions, and if nothing else, it gave me some perspective and in some cases comedy relief. I believe that writing like Nuland's can really shed important light on some of the core issues of health and healing, for those who want to gain wisdom and not just add to the chaos and confusion.
0 of 0 people found the following review helpful.
Stories aren't modern but fun read
By Ana Ta
I'm really liking the book and nearly finished it but it's a bit outdated. Stories are from 1900-1970s, I would guess but they are really interesting and funny. It's a good read
0 of 0 people found the following review helpful.
Vivid and honest
By Kevin
The tales in this book can be joyful, heartbreaking, or appalling, but the one thing they have in common is their honesty. The Soul of Medicine: Tales from the Bedside offers a real and unforgettable look into the most memorable experiences faced by a selection of (mostly) admirable physicians.
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