In medical school, Matt McCarthy dreamed of being a different kind of doctor the sort of mythical, unflappable physician who could reach unreachable patients. But when a new admission to the critical care unit almost died his first night on call, he found himself scrambling. Visions of mastery quickly gave way to hopes of simply surviving hospital life, where confidence was hard to come by and no amount of med school training could dispel the terror of facing actual patients.
McCarthy’s autobiography is an interesting and eye opening look into the American healthcare system. It would be interesting to see how it differs from a doctor’s experience in the NHS.
I must admit that I expected to see lots about patients who couldn’t afford the healthcare that they need, the idea of no NHS is not one I like, and I never really understood people who are against ‘Obamacare’ in the US. There was a little bit of that, but in was only really a very small part of the book, and I wouldn’t even say it was particularly hard hitting. At one point McCarthy was interning in the medical centre, which seemed pretty much like a drop in centre would be here in the UK, except that the same patients would keep returning. I say like a drop in centre because the treatment seemed rushed, and fairly basic, for example medication over other possible solutions which a specialist might recommend. Plus it seemed like it was mainly run by interns, which suggested a lack of continuity of care. McCarthy found that it was difficult to get to grips with the patient notes because there was a rush and lots of notes to read. He found reading just the latest notes wasn’t enough, but reading further took too much time. Part of this I think was to do with his approach, but it seems that with this patients would end up falling through the gaps.
There was also a section where he went to se and treat the homeless. This bit was too brief I felt, but he only did it for one night. There was certainly enough to give me admiration for people who do it. I think this bit would be pretty much the same in the UK, I imagine homeless people easily don’t see GPs, or go to appointments at hospitals, just because they are hard to keep contact with, and I’m not even sure if you can register with a doctor if you don’t have an address.
Anyway I am going on somewhat of a tangent. I really enjoyed this book. There were plenty of ups and downs and at times you thought that maybe Matt wasn’t cut out for it. After all being a doctor is one of those jobs where a mistake can really cost someone, even to the point of death. But everyone has to start somewhere and it was a real eye opener on how hard things are for doctors, especially those still training.
The hours were absolutely ridiculous. I mean you’d think that you want someone that important to be as sharp as possible when they were working, but the long days meant that was practically impossible. It certainly gave me more sympathy for the junior doctors over here (and I already supported them).
Despite the subject having the potential to be either over emotional or too dry I thought McCarthy did a really good job. There was emotion when it mattered, but it a way you had to be like a doctor and not get too bogged down in the emotions- and the way McCarthy wrote helped with that. He actually made it quite an easy read, and entertaining, which I hadn’t expected. I had expected it to be interesting, and it was, but I did expect it to be so entertaining. I thoroughly recommend
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