BEST EPUB "✓ Final Exam: A Surgeon's Reflections on Mortality" || UNLIMITED (KINDLE) ☆

Final Exam: A Surgeon's Reflections on Mortality By Pauline W. Chen,

  • Title: Final Exam: A Surgeon's Reflections on Mortality
  • Author: Pauline W. Chen
  • ISBN: 9780307263537
  • Page: 399
  • Format: Hardcover
  • A brilliant young transplant surgeon brings moral intensity and narrative drama to the most powerful and vexing questions of medicine and the human condition.When Pauline Chen began medical school twenty years ago, she dreamed of saving lives What she did not count on was how much death would be a part of her work Almost immediately, Chen found herself wrestling with medA brilliant young transplant surgeon brings moral intensity and narrative drama to the most powerful and vexing questions of medicine and the human condition.When Pauline Chen began medical school twenty years ago, she dreamed of saving lives What she did not count on was how much death would be a part of her work Almost immediately, Chen found herself wrestling with medicine s most profound paradox, that a profession premised on caring for the ill also systematically depersonalizes dying Final Exam follows Chen over the course of her education, training, and practice as she grapples at strikingly close range with the problem of mortality, and struggles to reconcile the lessons of her training with her innate knowledge of shared humanity, and to separate her ideas about healing from her fierce desire to cure.From her first dissection of a cadaver in gross anatomy to the moment she first puts a scalpel to a living person from the first time she witnesses someone flatlining in the emergency room to the first time she pronounces a patient dead, Chen is struck by her own mortal fears there was a dying friend she could not call a young patient s tortured death she could not forget even the sense of shared kinship with a corpse she could not cast aside when asked to saw its pelvis in two Gradually, as she confronts the ways in which her fears have incapacitated her, she begins to reject what she has been taught about suppressing her feelings for her patients, and she begins to carve out a new role for herself as a physician and as human being Chen s transfixing and beautiful rumination on how doctors negotiate the ineluctable fact of death becomes, in the end, a brilliant questioning of how we should live.Moving and provocative, motored equally by clinical expertise and extraordinary personal grace, this is a piercing and compassionate journey into the heart of a world that is hidden and yet touches all of our lives A superb addition to the best medical literature of our time.
    Final Exam A Surgeon s Reflections on Mortality A brilliant young transplant surgeon brings moral intensity and narrative drama to the most powerful and vexing questions of medicine and the human condition When Pauline Chen began medical school twe

    One thought on “Final Exam: A Surgeon's Reflections on Mortality”

    1. This is certainly not a feel good, enjoyable read in the sense of warm fuzzies, but I believe it is something that most people should pick up if they have time I wanted to include in my review my favorite lines from the book, as Dr Chen is a very eloquent writer, but I realized quickly I would basically be copying the entire book She covers some VERY controversial topics such as how far DO you go with treatment in the face of a horrible prognosis, why would you stop treatment, why would you purs [...]

    2. I was drawn to this book for obvious reasons death and dying and was excited to read a book about the medical field that wasn t all fiction y and soap opera y I heard about this in the New York Times, and someone had cited it as one of the best books of 2007 After reading it, I find that title somewhat surprising, unless it was judged on the unique subject matter and not the writing itself Pauline Chen is a doctor, not a writer she described a nurse s eyebrows as luxuriant , but nonetheless dese [...]

    3. Before reading this book, I understood that physicians deal with matters of life or death Chen highlights the raw truth that physicians have to confront death daily and find ways to address this reality Yes, physicians save a lot of lives with their state of the art techniques, their experience, their collaboration with others, and even the instincts they draw on in fast past emerging crises However, physicians also have to develop an attitude, a manner, a relationship with death The book has a [...]

    4. Not long ago, I was at a Pittsburgh Symphony Concert which had pieces that reflected on death and mortality Pittsburgh Symphony reflections on death This is another view of the topic, in this case the final exam is for doctor s, who have to face the fact that their patient is facing death and how dealing with this should be part of the doctor s profession Pauline Chen, a transplant surgeon, makes the case that 1 providing care in death is not part of a regular doctor s training, 2 it really shou [...]

    5. Caring For the Ill and Personalizing Their Dying, 4 Mar 2007 I think it s like Dr Courtney M Townsend, a legend in surgery and a personal hero, recently told me We have two jobs as doctors to heal and to ease suffering And if we can t do the former, my God we better be doing the latter Pauline Chen A few years ago I was part of a poetry group of medical providers We shared poetry written by or for medical providers that described our work Most of these poems as it turned it were about the dying, [...]

    6. Hospital shows ER, Grey s Anatomy, House and so on have inured us to the sight of the moist workings underneath the skin, and inspired us with the drama of dedicated and usually good looking young doctors saving lives As for death, Luka and McDreamy and Gregory House take it in their stride on TV it s just the occasional unfortunate byproduct of so much heroism.Pauline Chen, a real life surgeon, has another way of looking at it Death is one thing medical school doesn t do a good job in preparing [...]

    7. If I had to pick a surgeon, this author may definitely be the one I would chose I picked up this book to get a better understanding of the doctors I am dealing with during my internship and I have to say I now have a much deeper respect for medical doctors overall than I did before The first chapter is all about the trials and tribulations of working with and through a cadaver from head to toe in Gross Anatomy and how that experience defines a doctor s life I realized right after that chapter th [...]

    8. Going into the medical field I m a Nursing Student you hear stories about the attitudes of Doctors that have been pervasive throughout the years Some people have excellent experiences with doctors that interact well, listen and truly try to work with the patient on the other side are experiences of Doctor knows best , never questioning and rarely explaining the full situation to the patient Surgeons are one of the specialties that suffer from this particular stigma That attitude has finally been [...]

    9. I really enjoyed Dr Chen s reflections and personal experiences about patient care and end of life care A lot of what she addresses relates to patient centered care for healthcare workers, and how they should interact with patients.There s always the dilemma keep fighting and pressing for treatment Or quit the expensive treatments, which could be detrimental than ameliorating for a patient at his her end, and focus on the quality of life and palliative care So it s up to the physician to under [...]

    10. A thoughtful look at how doctors in general and the author in particular cope with death and dying in their professional lives The book begins with Ms Chen s first year cadaver studies as an introduction to the clinical side of death She continues with stories from her training and internship residency with her eventual focus on transplant surgery combined with a general look at how her profession is slowly beginning to address death and dying issues within their training Since so much of a doc [...]

    11. This is a book everyone should read It s not easy she deals with the difficult issues of death and with her own and our mortality Her perspective is that of a physician dealing with dying on a daily basis But it is also an issue that sooner or later we all deal with related to our loved ones and eventually ourselves The vivid clinical descriptions made me stop in places to take a few deep breaths before continuing, but they served the purpose of focusing my attention and making reading a deliber [...]

    12. The subtitle of this book says it all A Surgeon s Reflections on Mortality Pauline Chen is a transplant surgeon with an apparently uncommon sense of reflective thinking While reading this book, I was moved by the realization of how much suffering both the buried, denied suffering of medical staff, and the often confused, scared suffering of dying patients is caused by western medicine s framing of death as defeat Chen makes the case that only when doctors face their own mortality, will they be a [...]

    13. Thought this would be a good book to read as the health care debate unfolds in the US I highly recommend the book to anyone in the medical professions, but think there are appropriate treatises on death and mortality for other audiences Mary Roach s Stiff The Curious Life of Human Cadavers offers a lighthearted glimpse into that which awaits us all For a philosophical and psychological examination of mortality, Ernest Becker s The Denial of Death is indispensable and potentially life changing [...]

    14. short stories and case studies full of compassion, eloquence, and candor if you care about people at all and suffering even a little, this book will appeal to you, altering a perception of medicine and mortality forever I defy anyone to come away uninspired.

    15. Required reading for a course for med school students A great jumping off point for discussion and reflection.

    16. Intrigued by an amazing article by a Dr Chen in the Virginia Quarterly Review titled Dead Enough The Paradox of Brain Death search the web using Chen brain death to see the article I couldn t resist ordering her newly published book, Final Exam In a most interesting and eloquent writing style, this liver transplant surgeon shares her own experiences through medical training and later as a practicing surgeon with death and dying, and in the telling also takes on issues in medical education and en [...]

    17. I enjoyed this book well enough that I finished it in one day Well written, and I found Pauline a likeable narrator and she kept me engaged throughout, though she does not often go deeper into how events she experienced effected her, and is very superficial about her own life, only revealing aspects that directly relate to death and dying I would be interested to read about how her experiences as a surgeon impacted her personal relationships She is not overly clinical, but the subject matter is [...]

    18. I wondered silently why I still could not save my patient despite all the knowledge and training and technology I began to speak, saying what I always did with grieving loved ones I wish I could have cured him, I wish I could have done .But then I heard Alfred s brother in law thanking me yet again for helping Alfred die at home and with his family You know, Dr Chen, he said, it was just as he had wished It was then I realized that I had done I had comforted my patient and his family I had ease [...]

    19. As a veterinarian, I found this book interesting particularly because our patients don t live as long and age quickly Additionally often the financial resources aren t there to simply do everything medical available for every pet We find ourselves having to focus on the quality of life and quality of end of life on a regular basis Often our pet owners mention something to the effect that they wish it was as easy to talk to their physician about those issues as it is to talk to us.

    20. Pauline Chen s book takes us through her years of medical school, her internships and residences She also gives us a look at her childhood and family The discussion through her cases looks at the many difficulties that come with mortality and decisions around level of care As a nurse I very much appreciated her reflections and how they helped me revisit many areas of my career.

    21. very humbling to read about a doctor s feelings of inadequacy regarding end of life care skills i wish this was taught in med school or was i asleep during that lecture, yet again darn so we wont be so lost heavy topic, but worth reading

    22. Brilliant meditation on what it means to become, and then to be, a surgeon by a transplant surgeon who happens to be a gifted writer A book about life and death as experienced by a surgeon.

    23. I liked it I think it s a good topic and decent book for future and probably also current doctors and nurses.This part about a benefit of residents working insane hours interested me pg 86 87At 4 30, after the operation was essentially done, the attending surgeon left my close friend Susan, also a surgical fellow, and me to finish closing up the patient s skin Together she and I had been up for over forty eight hours To hurry us along and prevent us from falling over, the sympathetic nurses had [...]

    24. This review originally appeared on my blog gimmethatbook.Final Exam was a book I picked up myself from the library It was on my own personal reading list, which I haven t been really able to get to these days This is not a new book it was published in 2007, but the ideas that Dr Chen speaks of should be relevant and in use today.The mission of all doctors is to maintain life by performing surgery, by prescribing medication, by encouraging life changes such as dieting or quitting smoking But ever [...]

    25. Great book topic, but the author is clearly a surgeon rather than storyteller Dr Atul Gawande is a better author on these sorts of topics That said, this book had great glimpses into the surgeon s training and dealings with death There is an interesting section on gross anatomy dissecting humans and another excellent section on the stupidity of the surgeon s long training hours pg 86 87At 4 30, after the operation was essentially done, the attending surgeon left my close friend Susan, also a sur [...]

    26. This book is exactly what the title describes it s a transplant surgeon s reflections on mortality Pauline Chen discusses a number of events and patients she s encountered, mostly from med school through her post residency transplant surgery fellowship, and how each of them in some way has shaped or is emblematic of her own feelings about death She identifies fear of death and reluctance to discuss it as a significant and pervasive problem in medicine, and doesn t fail to hold herself accountabl [...]

    27. Not for seasoned healthcare workers This is a great book for someone outside the healthcare profession As someone who has worked in a hospital for 20 years, this is mostly a reiteration of what I see on a daily basis.

    28. It is nearly impossible as we go about our daily duties to talk about our lives as finite Nonetheless, it is only by taking on these discussions that we can ensure our patients and our loved ones a good death, however each person may define that xv A friend of mine is writing a PhD dissertation on the concept and discourse of a good death In hospice, we let patients and their families define it for themselves, as Dr Pauline Chen suggests in the quotation above.In medicine, however, a good death [...]

    Leave a Reply

    Your email address will not be published. Required fields are marked *