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Incidental Findings: Lessons from My Patients in the Art of Medicine, by Danielle Ofri
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In Singular Intimacies, which the New England Journal of Medicine said captured the'essence of becoming and being a doctor,' Danielle Ofri led us into the hectic, constantly challenging world of big-city medicine. In Incidental Findings, she's finished her training and is learning through practice to become a more rounded healer. The book opens with a dramatic tale of the tables being turned on Dr. Ofri: She's had to shed the precious white coat and credentials she worked so hard to earn and enter her own hospital as a patient. She experiences the real'slight prick and pressure' of a long needle as well as the very real sense of invasion and panic that routinely visits her patients.
These fifteen intertwined tales include 'Living Will,' where Dr. Ofri treats a man who has lost the will to live, and she too comes dangerously close to concluding that he has nothing to live for;'Common Ground,' in which a patient's difficult decision to have an abortion highlights the vulnerabilities of doctor and patient alike;'Acne,' where she is confronted by a patient whose physical and emotional abuse she can't possibly heal, so she must settle on treating the one thing she can, the least of her patient's problems; and finally a stunning concluding chapter,'Tools of the Trade,' where Dr. Ofri's touch is the last in a woman's long life.
- Sales Rank: #1062882 in Books
- Published on: 2006-04-01
- Released on: 2006-04-01
- Original language: English
- Number of items: 1
- Dimensions: 8.27" h x .57" w x 5.22" l, .46 pounds
- Binding: Paperback
- 192 pages
From Publishers Weekly
Ofri, an attending physician at New York City's Bellevue Hospital and founder of the Bellevue Literary Review, again displays the same sensitivity and carefully crafted writing that distinguished her first medical memoir (Singular Intimacies). The emphasis in these 14 engrossing pieces is on her determination to learn from those she has treated. Ofri begins by recounting a time when the shoe was on the other foot, when she, as a first-time expectant mother, was the patient. After a sonogram, Ofri and her husband were rather casually told that their baby's umbilical cord was missing one artery. Her disorientation and anxiety that day deepened her ability to empathize with those who are ill. In "A Day in the Clinic," she describes how a language barrier left her unable to effectively comfort an Asian man with a brain tumor. In the especially moving "Terminal Thoughts," Ofri intuits that a woman's signature on a Do Not Resuscitate order and her refusal of dialysis were rooted in depression. Ofri reworks her pain medications and extracts a promise that the patient will stay on dialysis. The patient will not be cured, but Ofri's goal is not to provide happy endings; rather, she aims to wed compassion to medical training and knowledge, to recall her ongoing struggles to understand the sick and to make their lives more bearable. (Apr.)
Copyright � Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Ofri supported a postgraduate semisabbatical by taking temporary assignments, filling in where needed at a variety of hospitals and clinics as she traveled the country. The experience, originally planned as a quasi vacation to recover from the rigors of medical residency, resulted in much more than she bargained for. Indeed, Ofri learned more--the incidental findings of the title--about the softer emotional underbelly of medicine than she had picked up clinically. One can't help wondering whether this exceptional series of introspective essays on her experiences serves more to remind the Bellevue physician, as she now is, of patients' basic humanity than to record that humanity for posterity. The musings seem drawn from her very marrow and too personally raw to be originally intended for broad distribution. "In the end," she concludes, "medicine will always be about one patient and one physician together in one room, connecting through the most basic of communication systems: touch." Good writing + good doctor = good reading. Donna Chavez
Copyright � American Library Association. All rights reserved
Review
Ofri's thoughtful and honest second book-the title is inspired by her realization, during her own amniocentesis, that conditions that seem minor to doctors are monumental when they happen to you-is equal parts The Man Who Mistook His Wife for a Hat and Kitchen Confidential.—Nicholas Confessore, New York Times Book Review
"Dr. Ofri, a physician, distills wisdom from the maelstrom of New York City's Bellevue Hospital in this emotional memoir. In a series of poignant vignettes, the internist grapples with the hearts of the sick, literally and metaphorically. Her patients range from the terminally ill to manipulative hypochondriacs, from veiled Bangladeshi women to convicted felons. A must-read for students of psychology and medicine in need of a lesson in compassion."—Psychology Today
"Danielle Ofri is a finely gifted writer, a born storyteller as well as a born physician."—Oliver Sacks
"Ofri has so much to say about the remarkable intimacies between doctor and patient and how doctors come to understand their powers and limitations."—Perri Klass
"[Ofri's] writing tumbles forth with color and emotion . . . An important addition to the literary canon of medicine."—Boston Globe
"Ofri supported a postgraduate semisabbatical by taking temporary assignments, filling in where needed at a variety of hospitals and clinics as she traveled the country. The experience, originally planned as a quasi vacation to recover from the rigors of medical residency, resulted in much more than she bargained for. Indeed, Ofri learned more-the incidental findings of the title-about the softer emotional underbelly of medicine than she had picked up clinically . . . Good writing + good doctor = good reading."—Booklist
"Incidental Findings is a beautiful book. Ofri has enough faith in her patients, her profession, and herself to tell it all."—Robert S. Schwartz, M.D., New England Journal of Medicine
"The writing is engaging, and I highly recommend Incidental Findings to anyone who wants to read a short, well-written, and thought-provoking book."—Jason Chao, Journal of the American Medical Association
"A pleasure to read, thanks to the author's ability to see her patients as individuals and to form a genuine connection with them."—Kirkus Reviews
Most helpful customer reviews
1 of 1 people found the following review helpful.
but have enjoyed the physician's experiences as a relief from heavier subjects ...
By Ruth Smith
Have read only half of the book so far, but have enjoyed the physician's experiences as a relief from heavier subjects I've been reading. Interesting insider reflectio ns.
12 of 12 people found the following review helpful.
Wow!
By C. Azad
I rarely review books on Amazon because my writing always seems so abysmal in comparison to the work I'm reviewing. However, I really want to tell everyone what a wonderful book this is. I was deeply touched and found myself crying over several essays, wondering how my husband (a physician) manages. Ofri is a very good writer, and I thoroughly enjoyed this book. My only complaint was that it ended too soon, so I'm off to go buy "Singular Intimacies."
14 of 15 people found the following review helpful.
Compelling Read, Extremely well written
By Jenny Park
Recently I had finished reading SINGULAR INTIMACIES by Ofri and I was so disappointed that the book had to end. When I found out that she had written a new book, I picked it up right away. INCIDENTAL FINDINGS is an easier read in some ways because Ofri is now an attending physician at Bellevue. Her first book was a graphic depiction of a young doctor's education. Both books are exquisitely written, and I look forward to Ofri's third book (hopefully there will be one). I recommend her books to anyone who ever considered medicine as a profession, anyone who has considered any of the healing professions.
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