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No Apparent Distress: A Doctor’s Coming-of-Age on the Front Lines of American Medicine
PDF Download No Apparent Distress: A Doctor’s Coming-of-Age on the Front Lines of American Medicine
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In medical charts, the term "N.A.D." (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America's medical system when it comes to treating the underprivileged. Medical students learn on the bodies of the poor - and the poor suffer from their mistakes.
Rachel Pearson confronted these harsh realities when she started medical school in Galveston, Texas. Pearson, herself from a working-class background, remains haunted by the suicide of a close friend, experiences firsthand the heartbreak of her own errors in a patient's care, and witnesses the ruinous effects of a hurricane on a Texas town's medical system. In No Apparent Distress, she chronicles her experiences and the raging disparities in a system that favors the rich and the white. This is at once an indictment of American health care and a deeply moving tale of one doctor's coming-of-age.
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Audible Audiobook
Listening Length: 8 hours and 59 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Blackstone Audio, Inc.
Audible.com Release Date: May 9, 2017
Whispersync for Voice: Ready
Language: English, English
ASIN: B071RRWXSZ
Amazon Best Sellers Rank:
When I first purchased this book, it was an impulse purchase on the way to the airport for a 4.5 hour flight. I had been listening to NPR, and the particular show discussed the book and included a few interview comments by the author, Rachel Pearson. This book is written with the eloquence of someone who is a skilled writer passionate about her work in medicine. She cleverly juxtaposes the journey and life of becoming a doctor alongside patient stories and her own families experience on one side of healthcare issues. It is a sensitive and compassionate look inside the medical world in a way that makes me want to read more stories like hers — so many more. Alas, stories like this are rare. Her honesty and beautiful narrative storytelling made me smile and cry. Ultimately, No Apparent Distress left me with a lot of questions to problems we don't have answers for yet. This book is an enjoyable and accessible read for anyone interested in the topic, but undergraduate policy students, those seeking public service work, those pursuing a medical degree, and anyone who plans on working with marginalized populations, will find the increasing importance of the topics Dr. Pearson covers. Reading it was certainly a turning point for me that has driven my interest in healthcare policy.
I found this book very interesting because the author, Rachel Pearson, told the story of her medical school education at the institution where I was a basic science faculty member for about 33 years. She was probably out in the crowd in one of the Levin Hall lecture rooms as I taught in my last year there. Her perspective as a medical student, and particularly her experience providing medical care to indigent patients at St. Vincent's Clinic gave me a perspective that I had not gained in all those years of teaching and doing research. I hope she will continue to tell her story as she progresses in her career. I also hope that some of those politicians who do not think that providing medical care to those who have no financial means to access it should not be the responsibility of all of us, through our governments.
Dr. Pearson writes about her experiences as a medical student at the University of Texas Medical Branch-Galveston in the aftermath of Hurricane Ike. She relates moving stories of caring for individuals without health insurance at a student-run free clinic. She vividly displays the moral complexity of trying to incrementally improve patients' welfare and the distress that results from making mistakes.
With gifted story telling, the author gives us insight into the life of a medical student with a heart for the underserved. She learned that we all make mistakes and must learn to acknowledge them, apologize, make amends where possible and live with ourselves afterward. Kudos for your willingness to share your story thereby making it easier for the rest of us to share ours.
I grew up in Corpus and now in the medical field. I truly enjoyed reading about the struggles and reality physicians go through. I came across this book in a local magazine and so glad, I chose to read it. Makes me happy with the decision I made to work in the medical field.
I was particularly interested in this book because I know some of the parties, places, and incidents involved. This book gives a penetrating, though often disheartening, view of modern medical practice in the USA, especially how the poor suffer serious neglect.
The author, a young medical school student and physician, provides a compelling personal memoir and offers informed and often sobering insights into medical practice in the U.S., especially as it pertains to medical care for those who are least able to afford it. Highly recommended.
A great personal story of the experiences in becoming a doctor and caring for those who do not have resourses. It is revealing about the difficulties, disappointments, joys and learning process experienced. This book puts a human face on the recipients of care and the providers, both of whom struggle uphill.
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