- Format: Kindle Edition
- File Size: 505 KB
- Print Length: 288 pages
- Publisher: Picador; Air Iri OME edition (12 September 2017)
- Sold by: Macmillan (AU)
- Language: English
- ASIN: B073GW2MNX
- Text-to-Speech: Enabled
- Word Wise: Enabled
- Customer Reviews: 11,082 customer ratings
- Amazon Bestsellers Rank: #151 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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This is Going to Hurt: Secret Diaries of a Junior Doctor - The Sunday Times Bestseller Kindle Edition
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So clinically funny and politically important for supporters of the NHS that it should be given out on prescription., The Guardian
Painfully funny. The pain and the funniness somehow add up to something entirely good, entirely noble and entirely loveable. -- Stephen Fry
Finally a true picture of the harrowing, hilarious and ultimately chaotic life of the junior doctor in all its gory glory, dark comedy and unavoidable sadness. A blisteringly funny account shot through with harrowing detail, many pertinent truths and the humanity we all hope doctors conceal behind their unflappable exteriors. -- Jo Brand
As hilarious as it is heartbreaking - and it IS heartbreaking (also hilarious). -- Charlie Brooker
From the Back Cover
PRAISE FOR THIS IS GOING TO HURT:
‘A blisteringly funny account of the lot of the junior doctor, shot through with harrowing detail, many pertinent truths and the humanity we all hope doctors conceal behind their unflappable exteriors’
‘What an amazing book. I laughed so hard and often I nearly choked, but it’s also very moving and important. Everyone should read it’
‘By turns hilarious, shocking, heartbreaking and humbling’
‘Unputdownable . . . a spit-your-tea-out-laughing clarion call to stand up for junior doctors with all our might’
‘Laugh-out-loud funny and heartbreakingly sad. I’d prescribe this book to anyone and everyone – it’s wonderful’
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The read itself is enthralling, amusing and disturbing - all the lightest possible of ways. So - if you are looking for a book that gives you an insight (albeit a singular one) into a system which, at your worst of times, SHOULD be your savior - then read this. Then eat well, keep fit and stay away from harm as your life may depend on it...
There are some real laugh-out-loud moments. The guy who stuck his dick in a fan comes to mind, for example. And it’s surprising what people will put up themselves. A doctor often needs to psychologise his way past patients with weird ideas, inflicting common sense by any means available.
For all this lightness of touch, though, Kay’s final message is grim. Obsessed with KPI’s and cost-cutting, successive governments have screwed the idealism of medical professionals to breaking point. The conditions these people work under are brutal and would not be tolerated in any other profession. So why, when it’s a case of life and death, or the difference between a healthy life or an impaired one, is the government so insistent on forcing these highly trained people to leave either medicine or the country? This is a crie de couer that should be read by every Brit.
Very insightful and laugh out loud funny!
Then I read the positive reviews which said I would laugh out loud. Well, the anecdotes were amusingly written and I applaud Dr Adam for his openness which gives us an honest look behind the scenes.
It was an eye-opener for me and I thoroughly recommend it to anyone who has either fell under the scalpel or held one.
Top international reviews
I have been the impatient Nurse paging an already overstretched junior doctor to come and review a patient, prescribe more pain relief or fluids, check Gent or Vanc levels or write a discharge letter (as the patient is standing in front of me dressed, holding their packed belongings with their angry relative who has come to collect them...because the Consultant told them 7 hours ago on the ward round they could go home after dinner).
I have taken junior doctors a cup of tea, a biscuit and a “patients sandwich” from the ward fridge because it’s 6pm and they haven’t eaten or drank anything since before their shift started 9 hours ago.
I have been there on a ward round when they have been belittled by a Consultant in front of their colleagues and the patient for not ordering a test the day before, or because they didn’t give an answer to a seemingly straightforward question and have been met with raised eyebrows and “did you graduate from medical school Dr?” from said Consultant.
I have also been the nurse on Nightshift when things have been the “Q” word, turning a blind eye as a junior doctor sneaks into the Day unit next door for some shut eye because they are exhausted on their 5th night. Or sitting at the Nurses Station swapping comical stories about patients, because sometimes you need that shared humour to get you through to the end of your shift.
I left the wards for a less stressful stint in Occupational Health after 6 years of working rotational shifts, which I appreciate on the grand scale of things is not that long at all. However, for my own sanity I felt I had no choice. I was burnt out, stressed, irritable, permanently exhausted through crazy shift patterns (3 nights, a sleep day then a day shift, off for two then back in for 3 days?) sick of constantly being short staffed, being left unsupported (especially on nights) and having to make decisions above my pay grade then being chastised for it in the morning by Sister, missing countless social and family gatherings because of “being on shift”, my husband and I were on the road to starting IVF treatment after unsuccessfully trying for a baby for nearly 3 years....the list goes on.
The NHS relies on the goodwill of its staff working past their time, (usually writing up notes or Incident forms that you haven’t had time to do during your shift), or swapping their shift due to staff shortages at the last minute, relies on them building their own support network instead of giving them the right support to deal with traumatic events that are all too common in the job (but no amount of training will ever prepare you for), working through their breaks “because the ward is too busy”....etc, etc
The pressures of the job are increased ten fold by the pressures of management, audits, paperwork (sometimes its like paperwork for the sake of paperwork) which is generated by our unrealistic government. And also not forgetting the negative attention the media places on the situation giving some patients/relatives the idea that your fair game in questioning your abilities and informing you the papers said this or that so it must be true...it’s sad to think that this wonderful system that was once the envy of the world has been brought to its knees, leading valuable and extremely competent staff to leave the profession in their droves.
I completely understand about black humour in times of stress and it is a stressful job but all of what he lists as ‘anecdotes’ were human beings and even if they did some weird things and weren’t too bright - they still didn’t deserve to be the butt if his jokes and used to earn him a penny or two when he gave up doctoring.
I’m not even sure that he liked his patients and I think it’s probably just as well he has left the profession. I finished the book but I wouldn’t recommend it and I’m not sure how it gets all the good reviews - well I am, he no doubt has a very good agent and publicity machine.
Dr Kay is a nasty piece of work. He is rude, arrogant, condescending, hates his job, moans about his pay, his patients, his colleagues, etc etc etc.
He speaks about his patients as if they are beneath contempt.
He is condescending regarding his friends other professions too as if no one else works. I can tell you for nothing lawyers often aren't free all weekend and night. Ever been a duty solicitor in crime and had to spend all night in the cells and be paid a lousy wage.
Interestingly, THE first time he was the most senior person on the ward with a dire emergency that ended in tragedy, he falls to bits and quits medicine.
He was clearly never cut out to be a doctor, he hated every minute of it and is no great loss to medicine.
The book itself is boring and repetitive. It's the same events shuffled in a slightly different order and plenty of moaning.
Also he used to be part of a comedy duo called Amateur Transplants. Plenty of filthy condescending disrespectful songs about patients there too. I wouldn't be surprised if this whole book is a work of fiction.
Being from medical profession I can't believe how accurately this book captures the reality. I would like to say this was overdramatised but unfortunately Adam has only touched the tip of the iceberg... something needs to be done soon otherwise all good doctors will leave and you will be treated by barely passing drunkards... winter was coming but is here now..
Thank you Adam for a wonderfully, hilarious, well-written account we thoroughly enjoyed it.
Whiney, patronising and arrogant. Hated it!