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Do No Harm: Stories of Life, Death, and Brain Surgery, by Henry Marsh
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Review
“Neurosurgery has met its Boswell in Henry Marsh. Painfully honest about the mistakes that can 'wreck' a brain, exquisitely attuned to the tense and transient bond between doctor and patient, and hilariously impatient of hospital management, Marsh draws us deep into medicine's most difficult art and lifts our spirits. It's a superb achievement.†―Ian McEwan“His love for brain surgery and his patients shines through, but the specialty--shrouded in secrecy and mystique when he entered it--has now firmly had the rug pulled out from under it. We should thank Henry Marsh for that.†―The Times“When a book opens like this: ‘I often have to cut into the brain and it is something I hate doing' – you can't let it go, you have to read on, don't you? Brain surgery, that's the most remote thing for me, I don't know anything about it, and as it is with everything I'm ignorant of, I trust completely the skills of those who practice it, and tend to forget the human element, which is failures, misunderstandings, mistakes, luck and bad luck, but also the non-professional, everyday life that they have. Do No Harm: Stories of Life, Death and Brain Surgery by Henry Marsh reveals all of this, in the midst of life-threatening situations, and that's one reason to read it; true honesty in an unexpected place. But there are plenty of others – for instance, the mechanical, material side of being, that we also are wire and strings that can be fixed, not unlike cars and washing machines, really.†―Karl Ove Knausgaard, Financial Times“"Do No Harm is a penetrating, in-the-trenches look at the life of a modern day neurosurgeon. With rare and unflinching honesty, Henry Marsh describes not only the soaring triumphs but the shattering tragedies that are so much a part of every surgeon's life. A remarkable achievement."†―Michael J. Collins, author of Hot Lights, Cold Steel“A soul-baring account of a practical-minded neurosurgeon who does not suffer fools or believe in souls, who favors ‘statistical outlier' over ‘miracle,' and who admits that a surgeon's ultimate achievement is marked by patients who ‘recover completely and forget us completely.' Readers, however, will not soon forget Dr. Marsh.†―Katrina Firlik, author of Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside“"Do No Harm is a fascinating look into the reality of life as a neurosurgeon. The personal patient stories are gripping, providing the public with an incredibly candid look into the imperfections and perfections of a dedicated neurosurgeon. In Do No Harm, Dr. Marsh takes the reader into deep into a world of life, death, and everything in between. Despite it all, Dr. Marsh's commitment to his patients and his profession never wavers. You will not be able to put this book down."†―Paul Ruggieri M.D., surgeon and author of Confessions of a Surgeon and The Cost of Cutting“"Do No Harm dares to reveal the raw and tender humanity behind brain surgery. Each story invites readers into the private thoughts of a neurosurgeon and astonishes them with the counterintuitive compassion required in the operating room."†―Michael Paul Mason, author of Head Cases“"Henry Marsh peels back the meninges to reveal the glistening, harrowing, and utterly compelling world of neurosurgery. Top-notch medical writing." --Danielle Ofri, MD, PhD, author of What Doctors Feel: How Emotions Affect the Practice of Medicine "The outstanding feature of Do No Harm is the author's completely candid description of the highs and lows of a neurosurgical career. … For its unusual and admirable candor, wisdom and humor, Do No Harm is a smashing good read from which the most experienced and the most junior neurosurgeons have much to learn." †―AANS Neurosurgeon“This thoughtful doctor provides a highly personal and fascinating look inside the elite world of neurosurgery, appraising both its amazing successes as well as its sobering failures.†―Publishers Weekly (Starred Review)“Like the work of his fellow physicians Jerome Groopman and Atul Gawande, Do No Harm offers insight into the life of doctors and the quandaries they face as we throw our outsize hopes into their fallible hands.†―The Washington Post“Riveting. ... [Marsh] gives us an extraordinarily intimate, compassionate and sometimes frightening understanding of his vocation.†―The New York Times“The Knausgaard of neurosurgery. ... Marsh writes like a novelist.†―The New Yorker“A surprising page-turner, Do No Harm is British neurosurgeon Henry Marsh's mesmerizing memoir of his career highlights and low points, a fascinating blend of derring-do and humble pie. ... Marsh's prose is elegant and seasoned, with no false bravado. ... Marsh's gift for words helps him share his sense of wonder with his readers.†―Seattle Times“There's no denying the vicarious thrill of peeking over a neurosurgeon's shoulder in the operating theater, and Dr. Marsh delivers plenty of hospital drama. Yet what sticks with you are the moments when the lens flips and the field of view widens, and you realize that, in learning about the minutiae of neurosurgery, you're gaining insight into life itself.†―The Wall Street Journal“One of the best books ever about a life in medicine, Do No Harm boldly and gracefully exposes the vulnerability and painful privilege of being a physician.†―Booklist (starred review)
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About the Author
HENRY MARSH studied medicine at the Royal Free Hospital in London, became a Fellow of the Royal College of Surgeons in 1984 and was appointed Consultant Neurosurgeon at Atkinson Morley's/St George's Hospital in London in 1987. He has been the subject of two documentary films, Your Life in Their Hands, which won the Royal Television Society Gold Medal, and The English Surgeon, which won an Emmy, and is the author of the New York Times bestselling memoir Do No Harm and NBCC finalist Admissions. He was made a CBE in 2010.
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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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![[(The Organists' Manual: Technical Studies and Selected Compositions for the Organ)] [Author: Roger E. Davis] published on (February, 1986)](https://lh3.googleusercontent.com/blogger_img_proxy/AEn0k_saRy8vOvsXwghGyYxQUgkH-YmsbhgeagyLEyVs4wJCkZy_nmRtlxDeM_ZkLuX_4RC2TEXbrzSffw76Vesfqz3Xu0HG2MQHMTvqzRAKUudKlF1XqOHJllJp=s0-d "[(The Organists' Manual: Technical Studies and Selected Compositions for the Organ)] [Author: Roger E. Davis] published on (February, 1986)")
![[(The Organists' Manual: Technical Studies and Selected Compositions for the Organ)] [Author: Roger E. Davis] published on (February, 1986)](https://lh3.googleusercontent.com/blogger_img_proxy/AEn0k_tKKDCK2ZAH9e6tEeeo3U56lTdkivF0CFVi46R8GzBNah-5TRsYTmknDibOvTzCM4U37avJYuVlJc0EiYM8QoT68BQFARi-0Y3s=s0-d "[(The Organists' Manual: Technical Studies and Selected Compositions for the Organ)] [Author: Roger E. Davis] published on (February, 1986)")
