Review: Adam Kay – Undoctored

Undoctored
The Story of a Medic Who Ran Out of Patients
Adam Kay

“Now, Adam Kay returns and will once again have you in stitches in his painfully funny and startlingly powerful follow-up, Undoctored: The Story of a Medic Who Ran Out of Patients. In his most honest and incisive book yet, he reflects on what’s happened since hanging up his scrubs and examines a life inextricably bound up with medicine. Battered and bruised from his time on the NHS frontline, Kay looks back, moves forwards and opens up some old wounds.”

The title of this book is misleading. It suggests that Dr Kay literally ran out of patients, and mislead me into believing that this book was going to tell me how it happened! Instead, it’s a chronocle of sorts about his life after leaving medicine with a few bits of past-medical scenarios thrown in. I found it unsurprising that the medical system in the UK is just as broken for training doctors as Australia!

I read this book in a little under 3 hours – there wasn’t too much there that took me time to digest and contemplate. I felt that the humour felt crude to me and I wouldn’t read his other books for that reason. I think it is a loss to medicine that he gave up medicine – all those years of training and money put into it. I confess that I just don’t find a comedian to be as personally valuable to me as a doctor.

I’m not saying that Dr Kay’s experience should be overlooked or isn’t as valid as someone else’s trauma. However I didn’t find the book particularly funny or insightful. I’ve been blessed by some excellent non-fiction lately in this genre, and this book in comparison felt a bit cheap and left me undewhelmed. I definitely felt that I’d wasted my time and not gotten anything out of it.

This book is going to be best for someone with a British sense of humour and who has read the past books by Dr Kay. It’s not for me, and I think that Australians have far better sources of medical memiors at home.

Hachette | 13 September 2022 | AU$32.99 | paperback

Review: Dan Pronk – The Combat Doctor

The Combat Doctor
Dan Pronk

“Dr Dan Pronk served on over 100 combat missions in Afghanistan as a frontline special forces combat doctor, where the casualties he treated were his fellow SAS soldiers and commandos, local civilians and even the enemy. The thrill of adventure and the challenges of battlefield medicine brought out the very best in Dan; he discovered a sense of purpose in pushing his medical skills and courage to the limits. But there was a cost. The Combat Doctor is an extraordinary story of resilience and growth, and a tribute to the doctors and medics working behind the scenes in conflict around the world.”

How can someone so bright, be so dumb? If you are smart enough to get into medical school, surely you are smart enough to realise that military retaliation isn’t actually a bright idea most of the time. I understand the incredible and exciting challenge that you need to undertake to get into the special forces, but at the same time uh, isn’t creating long term medical problems like a bung knee a problem? It seems like a bit of a boys’ club, and that was always going to put my back up.

I find it extraordinary and rather depressing that millions of dollars are pumped into the military. If we are looking at the number of lives saved by an intervention, surely something like the medical problems described in Frontline Midwife would be a better use of funding. The more I think about it, the more upset I feel.

Oh dear. I saw that Hamish Blake had read and given a review and I was seriously worried about the book from then onwards. I guess I was hoping that this would have juicy details on how combat medicine actually works in terms of common injuries or treatments. What I got was a fresh face on the deaths that have occurred in the Australian military in quite recent history. It’s pointless! We live in Australia, I’m pretty sure that noone wants to invade here. The worst threat we’ve had are fires that needed the Navy to evacuate people.

I wouldn’t recommend this as reading. However, if someone else is super keen on the military and you want them to read SOMETHING then perhaps this is a good pick. It’s not badly written, it’s quite a good read, I guess I just disagree with the need for it.

Pan Macmillan | 30 August 2022 | AU$36.99 | paperback

Review: Dinesh Palipana – Stronger

Stronger
Dinesh Palipana

“A puddle of water on a highway changed Dinesh Palipana’s life forever. Halfway through medical school, Dinesh was involved in a catastrophic car accident that caused a cervical spinal cord injury. After his accident, his strength and determination saw him return to complete medical school – now with quadriplegia. Dinesh was the first quadriplegic medical intern in Queensland, and the second person with quadriplegia to graduate medical school in Australia.”

I didn’t really expect to enjoy this book, but Dr Palipana brings a hint of humour into everything. You’d think reading a book about someone who lost almost all his physical abilities would be quite depressing. Instead, this book is a tribute to the author’s resiliance and persistance. To some extent, it also exposes some of the negative aspects of living across different countries and having family that you aren’t sure how to work with.

This was quite easy reading, despite being a potentially tough subject. I finished it off in two sittings, and didn’t really need a brain-break in between. I wasn’t rushed to finish it, but I did want to know the ending. I still don’t know how he manages to get enough sleep!

The fact that the Australian medical system can change even a little to prepare an excellent Dr is amazing, and I hope to see more evidence from the author creating change from his experiences. I meet many doctors in my work, and I know that they are scarily smart! But, as Dr. Palipana says, it’s less about smarts, and more about the emotional connection that you can form with patients. Being a doctor isn’t about being ‘able-bodied’, being a doctor is a vocation and needs someone with compassion. Let’s hope for more of that in the future.

Pan Macmillan | 26 July 2022 | AU$32.99 | paperback

Review: Ben Bravery – The Patient Doctor

The Patient Doctor
Ben Bravery

“At the age of twenty-eight, with his Beijing-based science communications business doing well and a new relationship blossoming, Ben Bravery woke from a colonoscopy to be told he had stage 3 colorectal cancer…. Now, driven by his experience on both sides of the healthcare system, this patient-turned-doctor gives a no-holes-barred account of how he overcame the trauma of his illness to study medicine and shares what he believes student doctors, doctors, patients and their families need to do to ensure that the medical system puts the patient at the very heart of healthcare every day.”

Hmm, this was an interesting book, but not an outstanding one. While it was interesting to see the way that Ben-as-a-patient affected Ben-as-a-medical-student, it wasn’t anything particularly new to me. I also already had some pretty in-depth knowledge about how broken the medical system is in Australia.

The medical training provided to doctors in Australia is good in some ways (covers a lot of important information, very physiology/anatomy based) but bad in others. It seems to pay lip service to making compassionate great communicators out of doctors. As Ben exposes again in his book, there’s just so much crammed in and an idea that providing patient-centred care will take longer in a workplace where doctors are already overwhelmed.

It was fascinating to me that I saw the changing hospital/specialist centre size from both a patient (this book) and a nurse (A Caring Life) perspective. I also find it of interest because we usually assume that larger medical clinics will be better specialised to help people, even if this isn’t necessarily accurate. I felt that Ben’s attitude and understanding of his condition (and the humour he had to offer) was impacted by doctors the most. Now I’ll be waiting for a fully-fledged doctor’s thoughts on the system at the time!

I’d love to see a memoir or non-fiction from a higher up hospital administrator who is responsible for some of the funding and why student doctors / specialists / surgeons / every medical professional in the system are so overworked. I’m all for making sure doctors aren’t unemployed, but being underemployer or overworked is not good enough.

I am grateful that I live in Australia and healthcare is free. That’s reason enough that I might just be happiest with whoever I see in a hospital. What Ben advocates and encourages through his book is for patients and their families to feel confident speaking up for themselves. That’s something easier said than done, but I think it could be done.

I’d recommend this for readers interested in what it looks like to be a complicated cancer patient and the beginning trials of medical school. There’s some humour to keep it light, even if overall I think the book is a picture of the complicated nature of healthcare in Australia.

Hachette | 29 June 2022 | AU$32.99 | paperback

Review: Anna Kent – Frontline Midwife

Frontline Midwife
My Story of Survival and Keeping Others Safe
Anna Kent

“Anna Kent has delivered babies in war zones, caring for the most vulnerable women in the most vulnerable places in the world… In Frontline Midwife, Kent shares her extraordinary experiences as a nurse, midwife and mother, illuminating the lives of women that are irreparably affected by compromised access to healthcare. This is at once an astonishing story of the realities of frontline humanitarian work, and a powerful reminder of the critical, life-giving work of nurses and doctors at home and around the world.”

Nurses work bloody hard. Every novel, every book I read, I know that nurses work very hard for sometimes very little reward. My mother was a nurse in aged care and I understood how hard it was for her to deal with patients dying every shift. For Anna to be able to keep her head above water and to keep working as a midwife even with all the avoidable deaths is amazing all by itself.

Anna’s storytelling is spot on, and it makes for compulsive reading even if you know what the ending is. She manages to personalise all of the women she meets even as you know she is protecting their identities. It’s unsurprising that Anna suffers from PTSD and I am grateful and humbled by Anna’s willingness to share it with the world.

I would swear to you that I reviewed this book, but perhaps I did it only in my head. I certainly felt quite strongly positive about it while reading it, even if I found some of the messages to be mixed.

My problem with this book is that it is assumed that all women will want to have children. Kent recounts the story of triplets being born and wonders what their mother will do when she learns she can’t have more children. Um, isn’t three enough? Or, you know, she might like to do something else with her life rather than just produce children – she’s not going to die in childbirth at least. Perhaps she will be able to get an education? Perhaps she can be a local midwife.

I felt the same way about the woman who had had multiple miscarriages and then lost her husband right before successfully birthing a child. How will she provide for herself? How can you bare to bring up a person in poverty like that? Of course, it’s not the woman’s fault, or Anna’s fault – it’s a humanitarian crisis that shouldn’t exist but does because of the wealth disparity in the world. Please don’t interpret this review as a critique of who should be ‘allowed’ to have children – that’s another whole problem in itself.

Australians should feel blessed that Anna Kent has told this raw, honest story and also given a careful look into what Doctors without Borders can look like in practice. We don’t all need to be midwives, but we can all use more compassion. Buy this book for anyone who needs their eyes opened to the horrific realities that we still face in 2022. Buy it because you’re curious to know what it looks like in the war torn countries of the world. buy it because it’s ultimately a human story that we have all been part of.

Bloomsbury | 31st May 2022 | AU$29.99 | paperback