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Final Exam: A Surgeon's Reflections on Mortality (Vintage) ペーパーバック – 2008/1/8
購入オプションとあわせ買い
A brilliant transplant surgeon brings compassion and narrative drama to the fearful reality that every doctor must face: the inevitability of mortality.
“Uncommonly moving ... A revealing and heartfelt book." —Atul Gawande, #1 New York bestselling author of Being Mortal
When Pauline Chen began medical school, she dreamed of saving lives. What she could not predict was how much death would be a part of her work. Almost immediately, she 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 and practice as she struggles to reconcile the lessons of her training with her innate sense of empathy and humanity. A superb addition to the best medical literature of our time.
- 本の長さ288ページ
- 言語英語
- 発売日2008/1/8
- 寸法13.18 x 1.65 x 20.32 cm
- ISBN-10030727537X
- ISBN-13978-0307275370
商品の説明
レビュー
“Incandescent ... The real power of her book lies in her stories. Balanced and perfect, each one seeks out the reader’s heart like a guided missile, and explodes.” —The New York Times
“Final Exam is a revealing and heartfelt book. Pauline Chen takes us where few do.... Her tales are also uncommonly moving, most especially when contemplating death and our difficulties as doctors and patients in coming to grips with it.” —Atul Gawande, author of Complications: A Surgeon’s Notes on an Imperfect Science
“Chen has a clear and unwavering eye for exposing the reality behind the mythology of medical training.... We would all do well to listen to what she has to say.” —San Francisco Chronicle
“In graceful, lucid prose, [Chen] narrates key events through which medical students and trainees first encounter death and, ultimately, depersonalize it.... Fresh and honest.” —Los Angeles Times Book Review
抜粋
著者について
PAULINE W. CHEN attended Harvard University and the Feinberg School of Medicine at Northwestern University and completed her surgical training at Yale University, the National Cancer Institute (National Institutes of Health), and UCLA, where she was most recently a member of the faculty. In 1999, she was named the UCLA Outstanding Physician of the Year. Dr. Chen’s first nationally published piece, “Dead Enough? The Paradox of Brain Death,” appeared in the fall 2005 issue of The Virginia Quarterly Review and was a finalist for a 2006 National Magazine Award. She is also the 2005 cowinner of the Staige D. Blackford Prize for Nonfiction and was a finalist for the 2002 James Kirkwood Prize in Creative Writing. She lives near Boston with her husband and children.
登録情報
- 出版社 : Knopf Doubleday Publishing Group; Reprint版 (2008/1/8)
- 発売日 : 2008/1/8
- 言語 : 英語
- ペーパーバック : 288ページ
- ISBN-10 : 030727537X
- ISBN-13 : 978-0307275370
- 寸法 : 13.18 x 1.65 x 20.32 cm
- Amazon 売れ筋ランキング: - 698,012位洋書 (洋書の売れ筋ランキングを見る)
- - 67位Hospice Care
- - 394位Sociology of Death
- - 437位Medical Ethics
- カスタマーレビュー:
著者について
著者の本をもっと発見したり、よく似た著者を見つけたり、著者のブログを読んだりしましょう
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トップレビュー
上位レビュー、対象国: 日本
レビューのフィルタリング中に問題が発生しました。後でもう一度試してください。
患者さんを救うことを誇りにする医師たちは、それができないとわかったときその患者さんから遠のき、患者さんの死を敗北、と捉えるそうです。
しかしさまざまな患者さん、そして仲間の医師とのかかわりから、死とは生の延長の自然な現象で、死にゆく患者さんにどうよりそいケアをしていくか、という著者の内部洞察の変化が、克明に描かれています。
時に、読んでいてこちらの胸が痛くなるような体験談もあります。でも医師は、患者さんによって成長していくんだなと感じさせられます。
また、著者は台湾系のアメリカ人で、アジア系アメリカ人の人生を垣間見るにもいい作品だと思います。
他の国からのトップレビュー
It doesn't matter if you're interested in medicine, or interested in mortality. This is a non-fiction literature that is simply refreshing and enlightening, and should be read by all.
I have asked myself more than once: "How do surgeon's do it?" How do they get to that almost God-like place where they hold life in the balance for a period of time and we, the patient, put our utmost trust in them? It's quite amazing if you think about it.
The one aspect that is not often addressed or talked about is that of death. How does a doctor distance themselves enough emotionally so that they can continue to do their job? How do they get through the first time that they are actually responsible for a patient's death? These are tough questions that require a special journey for doctors. Dr. Chen's book outlines this journey from med student to a fully-fledged practicing physician specialist. She shares the shift that has taken place in medical studies that teach young doctors how to deal with death in a healthy way that includes palliative care. The journey is fascinating and touching.
As a patient, I always wonder. This book helped to pull the curtain back just a little bit more. Thank you Dr. Chen!
The parts that stood out to me most, however, were the ones that dealt with the emotions of the surgeons. It seems sometimes that to the public, surgeons are emotionless beings that serve only to cut someone up and move on to the next patient - but surgeons are people too, despite their apparent need to suppress their emotions while performing their jobs. But when does a patient become more than a patient, but a living piece of work that no matter how tired you are, you keep perfecting? When is it time to let that patient go?
Dr. Chen discusses candidly her first experience with death, when she was a sophomore in college, of her maternal grandfaather. Then in medical school she spent 12 weeks with a cadaver: "My very first patient had beeen dead for over a year before I laid hands on her." She writes about her first patient to die and her inability to contact a dying friend. She confronts her fears about her own mortality when she is about to harvest organs (a procedure she had done eighty-two times previously) from an automobile accident victim and discovers that the donor is a brain-dead thirty-five-year old Asian American woman: "For a moment I saw a reflection of my own life and I felt as if I were pulling apart my own flesh."
This beautifully written book reminded me of another fine book by another physician, Abraham Verghese's MY OWN COUNTRY, an account of his treating the first patients-- most of whom would certainly die horrible deaths-- with HIV/AIDS at the local VA hospital in Johnson City, Tennessee in the 1980's. Both these books should be required reading for medical students.
When I finished Dr. Chen's "reflections," I thought of (1) how fortunate her patients are to have a surgeon so sensitive and so human and (2) wondered how many physicians would take time out from their busy schedules to read her wise words.