One Doctor: Close Calls, Cold Cases, and the Mysteries of Medicine

$21.50
by Brendan Reilly M.D

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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. An epic story told by a unique voice in Ameri­can medicine, One Doctor describes life-changing experiences in the career of a distinguished physi­cian. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today. Whipsawed by daily crises and frustra­tions, Reilly must deal with several daunting challenges simultaneously: the extraordinary patients under his care on the teeming wards of a renowned teaching hospital; the life-threatening illnesses of both of his ninety-year-old parents; and the tragic memory of a cold case from long ago that haunts him still. As Reilly’s patients and their families survive close calls, struggle with heartrending decisions, and confront the limits of medicine’s power to cure, One Doctor lays bare a fragmented, depersonal­ized, business-driven health-care system where real caring is hard to find. Every day, Reilly sees patients who fall through the cracks and suffer harm because they lack one doctor who knows them well and relentlessly advocates for their best interests. Filled with fascinating characters in New York City and rural New England—people with dark secrets, mysterious illnesses, impos­sible dreams, and many kinds of courage—One Doctor tells their stories with sensitivity and empathy, reminding us of professional values once held dear by all physicians. But medicine has changed enormously during Reilly’s career, for both better and worse, and One Doctor is a cautionary tale about those changes. It is also a hopeful, inspiring account of medicine’s poten­tial to improve people’s lives, Reilly’s quest to understand the “truth” about doctoring, and a moving testament to the difference one doctor can make. Reilly’s medical narrative nicely intertwines true stories of challenging patients—­difficult diagnoses, tough medical and ethical decisions, and the management of critically ill people—with valuable lessons on doctoring and patienthood. A fever of unknown origin, profound thyroid deficiency, severe hypoglycemia, chest pain, delirium, bleeding bladder cancer, and life-threatening infection of a heart valve are some of the medical problems encountered. Reilly, a hospital physician with 40 years of experience, also recounts caring for his elderly parents. He writes about the importance of grunt work in medicine, sustained doctor-patient relationships, and clinical instinct. The doctor confesses, Over the years I’ve learned to listen to my gut, but that doesn’t mean I can trust it. Indeed, medical decision making can be hard and hazardous. Risk and probability always factor into it. A medical problem can be handled in multiple ways, but outcomes are never guaranteed. Benefit and harm are both possibilities. Reilly admits that physicians know lots about regret but rarely discuss it. Empathy and thoughtfulness—One Doctor has oodles of it. --Tony Miksanek “A gripping memoir by a doctor’s doctor. Reilly’s career has taken him from inner city hospitals to remote rural practices. He writes movingly about what it is like on the front lines: the mysteries, the frustration and the rewards of his chosen calling. A must read for the general public and any young person contemplating a career in medicine.” (Abraham Verghese, author of Cutting for Stone) “One Doctor contains the essence of all of it: our humanity and nobility – and why we are all entranced by medical dramas of every kind. A stunning book." (Christiane Northrup, M.D., ob/gyn physician and author of the New York Times bestsellers, Women's Bodies, Women's Wisdom and) “Extraordinary up-close story-telling. Brendan Reilly takes us bedside to witness the dramas and dilemmas of everyday medicine. One Doctor is a love story about a man and his lifelong passion for the mysteries and miracles of medicine.” (Lisa Sanders, New York Times columnist and author of Every Patient Tells a Story) “Brendan Reilly has written a beautiful book about a forgotten subject – what it means for a physician to truly care for a patient. One Doctor shows why this matters today more than ever before.” (Malcolm Gladwell, author of Blink, The Tipping Point, and Outliers) “Heart-pounding pace and drama … remarkable … His book is about more than the joy of saving lives and the sadness of losing them – it’s an intimate exploration of modern medicine and the human condition.” ( Publishers Weekly ) "Reilly provides valuable insight into modern medicine as he relates his most challenging cases up to the present. Gripping and compassionate." ( New York Daily News ) “Reilly’s medical narrative nicely intertwines true stories of challenging patients with valuable lessons on doctoring and “patienthood.” Empathy and thoughtfulness— One Doctor has oodles of it.” ( Booklist ) "Compassion, dedication, respect, professional competence, humility. All of these

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