Do No Harm
Stories of Life, Death and Brain Surgery
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Seslendiren:
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Jim Barclay
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Yazan:
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Henry Marsh
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Brain surgery is amazing. You are operating at a microscopic scale in a minefield primed with arteries carrying high pressure blood, on a soft fatty substance that contains the thoughts and memories of a fellow human being. Henry Marsh takes you down the operating microscope and shares his excitement and fear with the reader. Experienced as an audiobook, the narrative crackles in the middle of your own brain; I mostly took it all in at one listen (rare for me).
I suspect that writing this book was a cathartic experience for Marsh, and I sincerely hope it succeeded for him. As a brain surgeon, for thirty years, he has had to deal with the emotional burden of his day to day work having an impact on his patients that ranges from lifesaving, to death and worse. Marsh unflinchingly examines this question, without hubris, without delusions, with a searching honesty that is probably the quality I value most in a human being. He didn’t have to write this book (his job is being a surgeon), he is not a great writer (over keen on circumlocutions such as, ‘the contrast could not be greater with…’ and adding atmosphere via the weather), and I feel grateful that he has shared his very personal experiences.
The book gives fascinating insights into the relationship between surgeon and patient, these asymmetric strangers, from the doctor’s point of view.
Marsh sails by the political issues of the NHS; he simply is not interested. He hardly mentions rising costs or waiting lists, presumably because economics and management are simply not his bailiwick. He snipes at the farcical outcomes of targets and rules, he mildly regrets the loss of status and authority of consultant surgeons, he occasionally notes the outrageous costs involved - £4000 worth of one-time use kit littering the operating theatre floor. With winning insouciance he mentions how glad he is to enjoy private health care whenever he is ill, and feels no need to provide further explanation or apology, beyond his simple desire for dignity and his own, en-suite, hospital room.
By the way, once you have finished this book, you can see brain surgery videos on Youtube. Having read the book, they don’t seem as gory as they would without the book to guide you through.
Narration
I don’t think it is right for non-fiction narrators use accents to add colour to quotations (as I’ve said before). In this book, the patients speak with humble, cap-doffing, uneducated voices, while Henry himself speaks with an authoritative, received pronunciation, 'confident consultant' voice. I find it deeply patronising.
Stopping points are nicely coordinated with the book chapters.
An examined life, profoundly honest, freely shared
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Fascinating!
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Did me no harm!
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Good listen.
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very entertaining and interesting
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