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Do No Harm: Stories of Life, Death, and Brain Surgery, by Henry Marsh
Free Ebook Do No Harm: Stories of Life, Death, and Brain Surgery, by Henry Marsh
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Named a Notable Book of the Year by The New York Times Book Review and The Washington Post
What is it like to be a brain surgeon? How does it feel to hold someone’s life in your hands, to cut into the stuff that creates thought, feeling and reason? How do you live with the consequences of performing a potentially lifesaving operation when it all goes wrong?
With astonishing compassion and candor, leading neurosurgeon Henry Marsh reveals the fierce joy of operating, the profoundly moving triumphs, the harrowing disasters, the haunting regrets and the moments of black humor that characterize a brain surgeon’s life. Do No Harm provides unforgettable insight into the countless human dramas that take place in a busy modern hospital. Above all, it is a lesson in the need for hope when faced with life’s most difficult decisions.
Product details
Paperback: 320 pages
Publisher: Picador; Reprint edition (June 7, 2016)
Language: English
ISBN-10: 125009013X
ISBN-13: 978-1250090133
Product Dimensions:
5.6 x 0.8 x 8.3 inches
Shipping Weight: 10.6 ounces (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
662 customer reviews
Amazon Best Sellers Rank:
#8,090 in Books (See Top 100 in Books)
My expectations for this book exceeded the reality. It's a good book - possibly even deserving four stars - but not great, and certainly not as great as the glowing reviews led me to expect.Dr. Marsh (or "Mr." Marsh, as apparently Brits don't refer to their doctors as "Dr.") seems to be a decent man; as humble as a brain surgeon can be and very much aware of his failings. However, even when the most noble and human/humane of his attributes come through, there's a certain aloofness and sang-froid to his writing. Maybe it's just British reserve. In addition, he tells story after story of the surgeries he's performed, some of his own personal tribulations, patients he's seen, and so on, to the point that the book seems to be (and possibly is) little more than a compilation of articles written for a magazine or newspaper.The book also suffers by comparison to the wonderful memoir "On the Move" by Oliver Sacks, which is supremely human and much more of a narrative than this work.All in all, not an ignoble work, but not the best by far.
This book is well written, gripping, and fascinating. Sometimes it is sad or gruesome. It is accurate in the descriptions of medical details, surgical procedures, and the life of brain surgeons. If you like to think of your physician as a demi-god you should not read this book. If you can handle the truth, read on.As an anesthesiologist, I read with a mix of amusement and rueful resignation. Dr. Marsh is a true representative of his species, the neurosurgeon. They are by turns kind, irritating, cocky, courageous, arrogant, brilliant, obsessive, awe-inspiring, and lonely. They usually graduated at the top of their medical school class. Their residency did not end until they were well into their 30’s. Many hospitals have lots of pediatricians, intensivists, internists, and hospitalists, but they only have one neurosurgeon. Even in a field of doctors, a collection of brainy nerds, they stand alone.Their arrogance is undeniable. Henry Marsh relates how he was stuck in a line of shoppers at the grocery store and thinks with irritation that none of them could do what he just did today, so why does he have to wait behind them? Like fighter pilots or Special Forces, society is not comfortable with such people, but when we need them, we need them desperately. And we always need them.There is a moment before every invasive medical procedure when you could pause and contemplate the enormous consequences of failure. If you spend too much time doing that, you will end up paralyzed, and the patient will suffer. If you spend too much time thinking about the appalling human carnage that will result from surgery gone wrong, you will never take up the knife. No matter how skillful, knowledgeable, and careful you are, there will be carnage. No one knows this better than the neurosurgeon. To cut into a human brain takes enormous hubris. Every procedure includes the risk of death, but there are worse things than death. Most doctors will see worse-than-death only rarely during their career, but the neurosurgeon sees it often. It is the nature of their specialty. It is beyond extreme. For example, I induce a death-like coma in my patients daily, then rescue them from it. Yet I could not abide such a life of enormous risk.Dr. Marsh is a writer of depth and skill. He probably does everything well, if he does it at all. If you think that neurosurgery is fascinating, you should read this book.
After reading Dr. Marsh's account of his career as a neurosurgeon, I must say that I was very impressed at how tangible and accessible his writing expressed his thoughts and feelings about his patients and himself. I learned a great deal about brain tumors and other diseases of the brain and spinal cord. It was interesting to see how Dr. Marsh continually questioned himself after performing surgeries - "Did I do everything I could?" "How do I break bad news to the patient and his family?" Although not necessarily a humble man, he unmistakably displayed great empathy for his patients and frequently agonized over the inevitable blunders neurosurgery brings. The times he cried when there was nothing more that could be done to help his unfortunate patients were very touching. By the end of the book, I realized what a fine line there is between life and death and admired his courage for continuing to overcome his own self-doubt in order to operate on patients with very serious brain disorders and poor prognosis. Thank you, Dr. Marsh, for sharing the underbelly of a neurosurgeon's life.
As I read this book, I pondered how many stars I would end up giving it.I do believe this is the first time I have actively considered the end rating as I was reading but this was the kind of book that required such thinking.Do No Harm is all about neurosurgeon Henry Marsh, his patients, their outcomes and how the British health care system would frequently get in the way. The book also came off as disjointed in that it really (to me) didn’t follow a specific path, instead meandering through Mr Marsh’s patients and cases. In the end, not having the cases presented chronologically didn’t detract from the fascination of the cases themselves and Mr Marsh, but it remained something in the back of my mind as I read the book.It’s a rather long book and Mr Marsh is a very good writer with both the cases presented and the patients fascinating. If you’ve enjoyed other books of this ilk, then I’m sure Do No Harm will sit proudly on your shelf (physical, or in my case, cyber).I finally decided to give the book 4 stars – well-worth reading, but not at the very top of the genre.
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