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Product details
File Size: 1323 KB
Print Length: 194 pages
Publisher: Beacon Press; 1 edition (April 1, 2005)
Publication Date: April 1, 2005
Sold by: Amazon Digital Services LLC
Language: English
ASIN: B0069VUA4A
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Ofri's collection of essays is best when it describes the intricacies of a patient's symptoms, especially when there are cultural or language differences. Where the book doesn't shine is the slightly too often self-aggrandizement, the reinforcement of doctor-as-omniscient myth that many people believe. Perhaps an essay devoted to a misdiagnosis or other lapse in judgment could have humanized the author a bit more.
Dr. Ofri achieves a delicate balance with this book. On its face it's a series of vignettes about doctoring in the modern era--certainly a rich and fraught topic--but it does far more with this theme than do most such memoirs. While the medical details are handled effectively, the heart of the book, in every sense, is Dr. Ofri's encounters with her patients as individuals. Some she likes immensely; some she cannot find a way, despite her best efforts, to like. An elderly man does everything possible to thwart the delivery of care that will help him, yet wins her respect by challenging her assumptions about the roles of doctor and patient. She realizes that if she's going to help him as a doctor, she must somehow make time to engage his deeper doubts, some of which raise questions in her own mind. A young woman faces a crisis pregnancy alone; her doctor feels an obligation to step carefully outside her conventional role and make sure she is supported emotionally as well as medically. The personalities and life situations of some patients throw roadblocks in her path as she tries to care for them; other patients magnetize her toward them in ways that test the boundaries of the conventional doctor-patient relationship, posing dilemmas that she works through as we listen in.For Dr. Ofri, medicine is dialogue, not monologue. Sometimes the dialogue is with patients, and these passages are compellingly written. Other dialogues, equally compelling, are with the reader, as she carefully observes her responses and wrestles through conflicts and ambiguities to find a way forward. Her candor is reliable and sometimes startling: I was struck by her willingness to say what is usually taboo, to talk about her mixed feelings when confronted with a truly difficult or unlikeable patient. We expect doctors to be neutral and "professional," not allowing their personal likes and dislikes to enter the sacred space of the doctor-patient encounter; yet do we really want to be cared for by a doctor who suppresses her natural human feelings, or her intelligence as a social being? Dr. Ofri clearly would rather feel and wrestle with the consequences, and this is a brave position to take in the world of contemporary medicine.We see Dr. Ofri in situ, as an attending physician at Bellevue who mentors interns while struggling to keep up with the breakneck pace of a complex urban medical center. But we also see her far out of her element, on temporary assignment at a small-town Catholic hospital whose ban on discussing contraception and abortion flies in the face of her values as a liberal New Yorker. Each situation presents conflicts that must be worked through, sometimes with a satisfactory outcome and sometimes less so. As always, the rigorous candor of the writing ensures that all this self-reflection is never tendentious or cloying: on the contrary, we are engaged at every step. Dr. Ofri is on a journey, and the tale of her travels is a very good read.
The intimacy of Ofri's writing enables us to be with her as she listens to each patient's unbearably sad story, and by way of a miracle, manages to do the undoable. Her passion for the welfare of each patient, her doggedness, and her self-scrutiny epitomize the rare qualities of a natural healer. A remarkable storyteller, and a remarkable woman, Ofri's Incidental Findings is the middle child of her two other Bellevue inspired books, and should be required reading for every medical student.
Everything I have ever read by Danielle Ofri combines extreme intelligence and praiseworthy compassion. This book is no exception. Ofri's willingness to learn from her patients is quite impressive, given that so many doctors in this day and age do not think anyone without an M.D. has anything to offer them. The nature of the book allows it to be read in short bursts, which is a plus -- but, alas, she writes so well that the temptation to read through the entire book in a day, ignoring things like work and family, is great. I did that... and now I am reading it again, slowly, savoring the nuances I missed the first time. What pleasure! Definitely a high-value read.
Oh to have a physician like Danielle Ofri. A physician that is smart, and caring. Danielle is also a magnificent writer. She can bounce around a page and tell stories of her practice in detail so that you get to know her patients as well as she does.Her energy is only second to her inquisitive mind. Not lots of blood and guts, but honest feelings with a gift for humanity. A wonderful read and educational for all.
Discussed actual patients. Very interesting.
As a medical student-writer who tries hard to cling to my ideals of how I want to practice in spite of the ever-crazy world in which we train, Dr. Ofri's book gives me hope that my ideal practice truly is a reality. She is utterly human in her accounts of her journey in residency, speaking of mistakes and insecurities, but fearlessly takes us on that journey with her and allows us to watch how her patients transform her and she them. It also reminds me how important it is to carry the patient's story and to simply listen--and reminds me that because it is so important, it is also wholly possible, even in a 30-hour day. Highly recommended for anyone in medicine or considering going into it, as well as anyone who wants an honest glimpse at life in the hospital.
I have read other books by this author. If only all doctors could be as compassionate as her the world would be a better place. If I had my way it would be required reading for all medical students on how to treat your patients with dignity and feeling.
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