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“Illuminates human fragility in tales both lyrical and soul-wrenching.” ―Danielle Ofri, New York Times Book Review
In this “artful, unfailingly human, and understandable” (Boston Globe) account inspired by his own experiences becoming a doctor, Terrence Holt puts readers on the front lines of the harrowing crucible of a medical residency. A medical classic in the making, hailed by critics as capturing “the feelings of a young doctor’s three-year hospital residency . . . better than anything else I have ever read” (Susan Okie, Washington Post), Holt brings a writer’s touch and a doctor’s eye to nine unforgettable stories where the intricacies of modern medicine confront the mysteries of the human spirit. Internal Medicine captures the “stark moments of success and failure, pride and shame, courage and cowardice, self-reflection and obtuse blindness that mark the years of clinical training” (Jerome Groopman, New York Review of Books), portraying not only a doctor’s struggle with sickness and suffering but also the fears and frailties each of us―doctor and patient―bring to the bedside.- Sales Rank: #94830 in Books
- Published on: 2015-10-12
- Original language: English
- Number of items: 1
- Dimensions: 8.30" h x .80" w x 5.50" l, .50 pounds
- Binding: Paperback
- 288 pages
Review
“[T]his book illuminates human fragility in tales both lyrical and soul-wrenching…. Holt dissects the medical experience in exquisite and restrained prose.” (Danielle Ofri - New York Times Book Review)
“Whether or not you classify this collection of nine stories as nonfiction, they ring true in both details and spirit, starting with a doctor’s evolution from the first night on call as an intern and ending with ethical questions that a physician ponders 40 months later, his residency complete… Dr. Holt never settles for easy answers, and the questions he poses―reflecting the frequent uncertainties of doctors and patients alike―will leave readers thinking long after the final page is turned.” (Alice Cary - BookPage)
“Holt, who also holds a master’s in fiction writing and a PhD in literature, is an excellent story teller… [T]he portrait Holt offers is artful, unfailingly human, and understandable.” (Dennis Rosen - Boston Globe)
“Holt’s new collection of stories, captures the feelings of a young doctor’s three-year hospital residency―the powerlessness, the exhaustion, the chaotic and seemingly endless shifts, and above all, the intensity of being with people in moments of extremity―better than anything else I have ever read… Holt’s unadorned prose and pitch-perfect dialogue contribute to the realism of these stories. At times they have the atmosphere of a hospital version of film noir, the narrator sounding as tough as Raymond Chandler’s Philip Marlowe in his effort to be efficient and unflappable… Anyone who’s considering becoming a doctor, or anyone who wants to know what’s at the core of a doctor’s initiation, should read this book.” (Susan Okie - The Washington Post)
About the Author
Terrence Holt is a writer and an internist specializing in geriatric medicine, teaching and practicing at the University of North Carolina in Chapel Hill.
Most helpful customer reviews
12 of 13 people found the following review helpful.
INSIGHTFUL LOOK INTO A RESIDENTS LIFE
By Patricia Kershman
As a retired medical transcriptionist, I found this book enjoyable and well written. What was really "scary" to me was the fact that these Residents work so many long back to back shifts caring for humans and making life threatening decisions regarding someones body. The AMA really needs to change and stop this practice of working residents and interns on back to back 24 hour shifts. Who does it help? A "good read" for anyone who has worked with doctors and nurses in hospitals.
11 of 12 people found the following review helpful.
A healing touch for a weary reader
By Susan Bodiker
A combination of Chekhov and Hawthorne...haunting, beautifully written stories about doctors, patients and life. I treasured every word.
9 of 10 people found the following review helpful.
"I have tried, more than anything else, to be faithful to the inner life of medicine."
By E. Bukowsky
Terrence Holt wrote "Internal Medicine" over a period of ten years after he completed his residency. Many doctors who produce books about how they honed their skills insist that everything they tell us is basically true, except that they changed names and identifying characteristics to protect their patients' privacy. Holt, on the other hand, claims that he can do justice to his subject only " by transforming it into a parable." The author creates scenarios that encapsulate what he learned during his training. The patients he describes are "assemblages drawn from a variety of sources, compiled from multiple cases."
This introduction almost persuaded me to put "Internal Medicine" down without going further. After all, I crave verisimilitude--not flights of fancy--in works of non-fiction. I persisted out of curiosity, and found Holt to be a gifted and sensitive writer who captures the terror, uncertainty, exhaustion, and exhilaration that medical trainees must feel while they stumble along, trying to acquire experience, knowledge, and self-confidence.
Holt evokes the vulnerability of a patient who is wheeled into the emergency room and left on a gurney for hours, has terrible symptoms and waits in trepidation for his prognosis, and senses that that a cure is unlikely--there may nothing more that anyone can do. In addition, Dr. Holt takes us on rounds; consults with other doctors and nurses; wracks his brain to come up with correct diagnoses and a sensible treatment plans; responds to codes; tackles the unenviable task of informing families that their loved ones have passed on; and uneasily navigates the twilight zone between life and death.
There are also bizarre passages about uncooperative individuals who are both mentally and physically ill, a tormented oncologist who blithely ignores the Hippocratic Oath, and a woman whose face is disfigured, but derives comfort from the sight and sound of birds. Certain sections are contrived and melodramatic, and may displease readers who prefer realism to fabrication. Still, "Internal Medicine" packs a wallop. It is a powerful, engrossing, and often dispiriting exploration of how physicians deal with (or fail to deal with) the demands of their challenging profession.
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