| Physicians -- United States -- Biography. |
| Physician and patient |
| Medical ethics |
| Awdish, Rana -- Health. |
| Doctor and patient |
| Doctor-patient relationships |
| Patient and doctor |
| Patient and physician |
| Patient-doctor relationships |
| Patient-physician relationships |
| Patients and doctors |
| Patients and physicians |
| Physician-patient relationships |
| Physicians and patients |
| Biomedical ethics |
| Clinical ethics |
| Ethics, Medical |
| Health care ethics |
| Medical care -- Moral and ethical aspects |
| Medicine -- Moral and ethical aspects |
Available:
Library | Shelf Number | Shelf Location | Status |
|---|---|---|---|
Searching... Dartmouth - Southworth | 610.92 AWD 2017 | NONFICTION | Searching... Unknown |
Searching... Fairhaven-Millicent | B AWDISH (RAN) AWD 2017 | NONFICTION | Searching... Unknown |
Searching... Foxboro - Boyden Library | 610.92 AWDISH | NONFICTION | Searching... Unknown |
Searching... Mansfield Public Library | 610.92 A | NONFICTION | Searching... Unknown |
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Summary
Summary
Now a Los Angeles Times Bestseller
The New York Times Book Review: "Awdish's book is the one I wished we were given as assigned reading our first year of medical school, alongside our white coats and stethoscopes...dramatic, engaging and instructive."
A riveting first-hand account of a physician who's suddenly a dying patient and her revelation of the horribly misguided standard of care in the medical world
Dr. Rana Awdish never imagined that an emergency trip to the hospital would result in hemorrhaging nearly all of her blood volume and losing her unborn first child. But after her first visit, Dr. Awdish spent months fighting for her life, enduring consecutive major surgeries and experiencing multiple overlapping organ failures. At each step of the recovery process, Awdish was faced with something even more unexpected: repeated cavalier behavior from her fellow physicians--indifference following human loss, disregard for anguish and suffering, and an exacting emotional distance.
Hauntingly perceptive and beautifully written, In Shock allows the reader to transform alongside Awidsh and watch what she discovers in our carefully-cultivated, yet often misguided, standard of care. Awdish comes to understand the fatal flaws in her profession and in her own past actions as a physician while achieving, through unflinching presence, a crystalline vision of a new and better possibility for us all.
As Dr. Awdish finds herself up against the same self-protective partitions she was trained to construct as a medical student and physician, she artfully illuminates the dysfunction of disconnection. Shatteringly personal, and yet wholly universal, she offers a brave road map for anyone navigating illness while presenting physicians with a new paradigm and rationale for embracing the emotional bond between doctor and patient.
Reviews (4)
Publisher's Weekly Review
Awdish's debut memoir is a compassionate and critical look at medicine and illness from both a doctor's and a patient's perspective. Awdish, the director of the pulmonary-hypertension program at Henry Ford Hospital in Detroit, suddenly saw things from the other side of the table when, late into her pregnancy, she arrived at the hospital where she worked with internal bleeding and a near-fatal preeclampsia condition, called HELLP syndrome. She describes the hospital as "an inner-city hospital with advanced subspecialty services that took care of the sickest of the sick" and recounts that as a patient there, she relearned how to approach patients. The baby died in utero, and for the several years she cycled in and out of the hospital fighting to stay alive with various organ failures that resulted from the condition. Her book is an intimate account of her recovery with the help of her doctors. Over the course of her journey, she comes to understand how doctors fail to fully humanize their patients, arguing that they become more concerned with patients' symptoms and a diagnosis than with the actual patients themselves. She also provides a self-reflective account of suffering from a chronic illness with the desire to be heard as a patient. She writes of her professional life: "It's a very different course than the one I set out on all those years ago when I believed healing to be clean, academic and straightforward. It's far more humble, honest, and informed by an ocean's weight of suffering." Awdish has written a unique and insightful memoir. Jacqueline Murphy, Inkwell Management. (Oct.) © Copyright PWxyz, LLC. All rights reserved.
Kirkus Review
A physician learns firsthand about the adverse aspects of the patient experience through her own catastrophic illness.Detroit-based critical care physician Awdish began experiencing waves of abdominal pain and nausea while seven months pregnant with her first child and checked in at her workplace emergency department. Even before she was diagnosed and treated, she personally acknowledged the detachment patients often experience between themselves and the medical professionals charged with their clinical care, something she categorizes as an "unsettling, largely unspoken reality" in contemporary medicine. While she blames the conventional methodology of physician training, with its unwavering focus on disease diagnosis and distance to avoid burnout, she also recognizes that, as a doctor, she was in need of compassionate care training in order to connect with patients on more levels than directly pathological. "Despite completing my training," she writes, "despite being surrounded by every form and severity of disease, I had yet to learn what it meant to be sick." This, and further episodes of enlightenment, underpins the book's core foundation. Awdish's initially unknown malady eventually ballooned into an affliction of nightmarish proportions. Miraculously delivered from her deathbed, she survived internal bleeding, a stroke, liver tumors, and a heartbreaking miscarriage. Awdish also had to suffer the callous missteps and insensitive presuppositions made by hospital staff. Punctuated by descriptions of harrowing moments like waking up while on a mechanical respirator or developing hernias after surgeons applied quick stitches meant for an irremediable patient, the utter senselessness of illness reverberates throughout this carefully written chronicle of suffering and recovery. As the author returned to her livelihood as a humbled physician and grateful mother, she fully embodied and shared the knowledge that there could indeed be "reciprocity in empathy" in medicine. A sobering, well-rendered reality check on the desperate need for advanced training on compassion-centric modes of patient care. Copyright Kirkus Reviews, used with permission.
Booklist Review
*Starred Review* In a gut-wrenching memoir approaching Job-level suffering, Awdish recounts her ordeal as a doctor-turned-patient and the many changes in her perspective and practice of medicine. During her seventh month of pregnancy, the 33-year-old Awdish goes into shock due to profuse internal bleeding. She is near death and has an out-of-body experience. She undergoes emergency surgery, is placed on a ventilator, and suffers a stroke. Her baby girl dies. Awdish's condition is misdiagnosed as HELLP syndrome, a rare combination of liver failure and bleeding during pregnancy. But it is actually the result of benign liver tumors (hepatic adenomas) that are prone to rupture and massive bleeding. Half her liver is surgically removed. She astonishingly returns to work at her demanding, high-pressure job and later gives birth to a son. Awdish's emotional tenor is electric (and understandable): angry, anxious, self-pitying, vulnerable, even terrified. But she's also heroic, smart, and determined. She ponders notions of risk, failure, remorse, and empathy in the medical profession. She wonders who or what should ultimately get the credit for her miraculous survival, the medical treatment and surgical skills of her physicians, fate, luck, or God? One thing is certain: Hope is not just hype. It's a real force and very potent.--Miksanek, Tony Copyright 2017 Booklist
New York Review of Books Review
If Bartolo's writing breaks open the wall between the physician and the rest of the world, then Awdish's memoir of her harrowing time as a patient in the intensive care unit where she works blows it open completely. Awdish's journey from physician to helpless patient and then back to reformed physician is equal parts dramatic, engaging and instructive. Her experience of acute illness makes very clear how doctors who believe they are in control of situations establish and perpetuate barriers between themselves and those in their charge. Most devastatingly for Awdish, and for many patients, is the often unintentional use of language that alienates the patient from the physician. While many books about medicine and illness address this, Awdish's work is singular in its rawness and willingness to show us a person at one with her pain and isolation, able to relate completely through her writing to the intense feelings of helplessness that confront almost every patient admitted to a hospital. Awdish's book suffers only when she slips into physician mode, searching for words to relate the profundity of medicine as a profession and calling. This takes us out of a story so beautifully constructed we can feel the tip of the scalpel and the weight of the large vascular tumor that is the cause of her yearlong nightmare. Awdish's book is the one 1 wished we were given as assigned reading our first year of medical school, alongside our white coats and stethoscopes, ft delivers the sobering message that being a physician does not confer upon you the ability to exist outside of life.
Table of Contents
| Introduction A Chance to Die | p. 1 |
| 1 Bled White | p. 11 |
| 2 A Hollowness | p. 32 |
| 3 Waiting to Fail | p. 59 |
| 4 Sequestered Words | p. 75 |
| 5 Increments and Impediments | p. 91 |
| 6 Shirting Frames | p. 116 |
| 7 Vulnerable Masses | p. 138 |
| 8 Censors of Light | p. 160 |
| 9 Revolutions | p. 175 |
| 10 Deliverance | p. 196 |
| 11 Relapse | p. 207 |
| 12 Broken Vessels | p. 234 |
| We Can Do Better-Communication Tips | p. 255 |
| Acknowledgments | p. 263 |