Let us know what’s wrong with this preview of, Published A fascinating insight into the working of a junior doctor, working in the criminally underfunded NHS that is used a political football. Overall, the book conveyed some new information and great sympathy for junior doctors but it came from a narrow perspective. This extraordinary memoir offers a glimpse into a life spent between the operating room and the bedside, the mortuary and the doctors' mess, telling powerful truths about today's NHS frontline, and capturing with tenderness and humanity the highs and lows of a new doctor's first steps onto the wards in the context of a health service at breaking point - and what it means to be entrusted with … Summary: This AU centers around Regina, a business woman and NYC transplant. (My Life) In Your Hands MLauren. Unfortunately it does so through a prologue, epilogue and fifteen chapters. In the end, it boiled down to a battle of words, of who could better manipulate facts and statistics to serve their interests. I was also disappointed that there was little discussion of a solution to the issues outlined other than a couple of references to the fact that someone has to pay for a 7 day NHS. Too much politics for me - the first one of these books I have struggled to enjoy. The answer was indeed in his own hands. But yet, just because you find yourself in the hands of the Lord, that does not mean that everything will all be rosy and smooth for you. After all, both her father and grandfather both had careers in medicine. The title and blurb promise the story of a new doctor's experience of being responsible for emergency patients, making life and death decisions. Be the first to ask a question about Your Life in My Hands. While this has been dismissed by some as an isolated case, it is in fact a microcosm of widespread failings in the entire health service. This is echoed by 2018 TV programmes like 'Ambulance' and 'Hospital' as well as friends working in high pressurised NHS environments where firefighting is all they are managing to do. By the end, this book had made me both cry and smile so much that I love it - it reminded me of why I want to study medicine in the future, and it reminded me of the beauty of the NHS. Nevertheless, this is an incredibly important book that the entire British public should read, but it's sad that the people who need to hear its message most (Theresa May & co) will never deem it important enough. Until I faced the prospect of losing a child, I didn’t know what grief was. Later, they become totems, a copy of the ubiquitous Oxford Handbook of Medicine, … Rachel Clarke is a self-proclaimed Junior Doctor activist who gives an articulate account of the issues that led to the junior doctors' strike. Nearing the end of the book, the reversal of roles is again brought to the fore as Clarke’s father was diagnosed with aggressive cancer, and she faced the anguish of being the loved one of a patient who might slip away at any moment. Your Life in My Hands continuously praises the work of the doctors and healthcare teams in England, and shows the dedication and compassion needed by the teams to continue to come to work and save lives, even when they feel that the government is working against them. That changed in 1876, when, after a tenacious fight led by Britain’s first female doctor, Elizabeth Garret Anderson, the law was changed to prohibit women’s exclusion from medical schools. But that presumption, it turned out, was a glib one – itself a failure of imagination. As the abrasive culture of Mid Staffs seeps through the NHS, Clarke notes that this has largely been the result of “the severely depleted numbers of frontline staff”, which aligns with the findings from Sir Robert Francis’ independent inquiry. From this, it is apparent that the most fundamental values of medicine—empathy, kindness and compassion—far outweigh the technicalities of treatment, at least from a patient’s perspective. During the historic junior doctor strikes of 2016, Rachel was at the forefront of the campaign against the government's imposed contract upon young doctors. Balancing the long years of medical school with her family and pregnancy, she still relished every moment of intensive studying and training. The seriousness of one public mistake has her life resting completely in one, Emma Swan's hands. However, this descended into an episode of embarrassment, as the ward consultant sternly reproached her and ordered the nurses to erect a portable screen around her. Not being from Britain myself, I found Your Life in My Hands a refreshing read as it unveiled much about the National Health Service (NHS) that I had not been fully aware of before. If you are looking to read a book about the work a Doctor does in the NHS, this isn't the right book. Over time, such irrational expectations will take a toll on frontline health workers, who are the backbone of the NHS. The boy realized that the wise woman had once again spoken correctly and truthfully. This is a tough read but it stands proudly next to the work of other doctors like Atul Gawande and Henry Marsh who have provided important insights into the lives of medical practitioners, desperately trying to meet the expectations of their patients and their expectations of themselves. Your Life in My Hands Author: Rachel Clarke Synopsis Written with intense feeling, this book offers an insight into the direct impact of political decisions on the work and lives of doctors, and the patients they care for. This is frontline medicine rather than grumpy surgeons or hospice philosophy. No matter how much doctors wish to be independent, they still fall under the subjugation of government bureaucracy and their choices are still influenced by political imperatives. Rachel Clarke is a self-proclaimed Junior Doctor activist who gives an articulate account of the issues that led to the junior doctors' strike. To see what your friends thought of this book, Your Life in My Hands: A Junior Doctor's Story. Enter your email address to subscribe to this blog and receive notifications of new posts by email. Patients are easily rankled when their hospitals, doctors and nurses fail to live up to their expectations, but they are often unaware of what exactly lies at the heart of these problems. Free shipping for many products! Title: Your Life in My Hands: A Junior Doctor’s Story. As Clarke shares some of the traumatic experiences she went through in understaffed hospital shifts, I am moved by her longing to do the best for her patients—a worthy desire which is constantly being thwarted by the long hours and an impossible workload. During last year's historic junior doctor strikes, Rachel was at the forefront of the campaign against the government's imposed contract upon young doctors. This was an excellent read. Something needs to be done. Everyone wants the health system to thrive, and it takes courage and conviction achieve this. The vision of the NHS is awe-inspiring, yet, sadly, it has been increasingly besieged by policies that contradict its founding principles. Summary. To be a medical novice who makes decisions which - if you get them wrong - might forever alter, or end, a person's life?In Your Life in My Hands, television journalist turned junior doctor Rachel Clarke captures the extraordinary realities of life on the NHS frontline. For myself, this has served as an invaluable introduction to the health system which I am about to enter but have never experienced first-hand. We know all along that Heidi is going to drown. Yet, even in the midst of despondence, Clarke expresses heartfelt gratitude towards her country’s health service for its collective decision to “provide healthcare without charge to those in need”. Anne Lamott, the beloved writer of memoirs including Bird by Bird and Traveling Mercies, once said, “You own everything that happened to you.... 'I am a junior doctor. Whilst it is true that the NHS was not created to deal with the wide range of treatments that are now available, and there are areas of waste, for example in the administration of prescription medicines, society and governments surely need to evolve to alleviate the problems. Without their health, the health of the rest of the nation will falter. While it is no fault of the individual, it can seem to some doctors like a personal failure. Yet, when she finally emerged as a junior doctor at over thirty years of age and entered into the profession she had pursued with fervour, she became disillusioned by the punishing workload and Health Secretary Jeremy Hunt’s unjust accusations towards junior doctors for failing to deliver an exemplary standard of care and a seven-day NHS. This review was originally posted on Waterstones.com. Take your life in your hands - Idioms by The Free Dictionary. But after a few interesting chapters to build up identification and empathy with this young doctor, she gets going with her polemical memoir. While I am personally not inclined to take any sides in such conflicts without a more complete understanding of the situation, I am nevertheless appalled by the Health Secretary’s avoidance of frank conversations with the people whom his policies will most directly affect. This book has also allowed me to see that medicine is essentially inseparable from politics. This culture of silence, compliance and submission that seems to be a subsidiary trait of the hierarchical nature of medicine only perpetuated the establishment of an increasingly brutal culture, where patients can no longer receive quality care. Title: Your Life in My Hands: A Junior Doctor’s Story. A polemic such as this one would be more effective if the author gave her suggestions for a better future rather than just rant about the past and present. I don't want to take anything away from the writing or the message which are both fluent and interesting - for a few chapters. In Your Life in My Hands Rachel Clarke talks passionately about life as a junior doctor in the NHS. So now it time for Rachel to follow in their footsteps. I have run arrest calls, treated life-threatening bleeding, held the hand of a young woman dying of cancer, scuttled down miles of dim corridors wanting to sob with sheer exhaustion, forgotten to eat, forgotten to drink, drawn on every fibre of strength that I possess to keep my patients safe from harm. MY LIFE IN MY HANDS is Alison's story: from her mother's rejection at birth, through a childhood deprived of affection in children's homes, to independence, a first class art degree, motherhood and critical success. Feeling the bird feebly moving in his hands as it tried to escape his grasp, he felt suddenly very ashamed. Although I do recognise that its angry tone is completely justified, it would have been nice to see more constructive criticism instead of just scathing criticism. Refresh and try again. Author: Rachel Clarke ⭐ ⭐ ⭐ ⭐ ⭐ Rating: 5 out of 5. At the age of 29 Rachel Clarke decided on a change of career, a starting out in journalism in television news she decided the pull of a career in medicine was too great. During last year's historic junior doctor strikes, Rachel was at the forefront of the campaign against the … I don't want to take anything away from the writing or the message which are both fluent and interesting - for a few chapters. 'I am a junior doctor. Medical student at the University of Oxford Review: Your Life in My Hands: A Junior Doctor’s Story by Rachel Clarke Jeremy Hunt and the BMA come out badly from this NHS memoir, says Phil Hammond. Although I do recognise that its angry tone is completely justified, it would have been nice to see more constructive criticism instead of just scathing criticism. 2017. Perhaps I'm biased because I am a nurse (although I did elect to leave the NHS earlier this year for reasons not dissimilar to those documented here) but I thought this was a brilliantly articulate book. They are not and should not be treated as working machines capable of withstanding back-to-back overnight shifts with minimal time to sleep, let alone time to spend with family. “There are reasons why nothing lasts forever” Prologue. take your life in your hands phrase. A polemic such as this one would be more effective if the author gave her suggestions for a better future rather than just rant about the past and present. This shows that medicine can never operate efficiently on an individual level; it takes a well-organised and system to keep the profession going. In Chapter 5, aptly titled “Kindness”, Clarke recounts the birth of her son and the vertiginous events that followed as her new-born son began exhibiting signs of seizure. A frightening account of life as a junior doctor on the NHS front-line. This is not your usual doctor's memoir and the 88 references would have been the clue if I had bothered to flick through the book before buying it. Definition of take your life in your hands in the Idioms Dictionary. Rings so many bells for me...I worked in NHS admin for 15 years as the current crisis built, flagging concerns at every stage. A modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality study guides that feature detailed chapter summaries and analysis … I've read quite a few of them this year (2019) but in my view, this was one of the better ones. Goodreads helps you keep track of books you want to read. Yet, according to Lawson, our predisposition to avoid antisocial hours and put family before career means we are more”, “the most frightening experience of my professional life was not those hours spent under fire in Congo’s killing fields but my first night on call in a UK teaching hospital.”. It is 4 a.m. It is 4 a.m. In Your Life in My Hands, television journalist turned junior doctor Rachel Clarke captures the extraordinary realities of life on the NHS frontline. I'd encourage anybody to read it, whether you have a medical background or not, especially if you want to truly understand what the BMA/Hunt Junior Doctor scandal was all about. A brilliantly written(the author was a journalist before a Dr) and frightening but starkly true picture of the NHS. I completely understand her desire to leave medicine when she felt she wasn’t doing a good enough job and was letting her patients down. While it was a seemingly trivial act for the nurse to set aside her duties and sit with Clarke for some time, it meant the world to a desolate and frightened new mother. And while there was much talk of over-crowded A and E departments, there was no mention of the general public who use hospitals inappropriately, or who smoke, drink and over eat themselves into ill health. Many always dream of being a nurse or a doctor specialising in specific areas of medicine, but no-one At the age of 29 Rachel Clarke decided on a change of career, a starting out in journalism in television news she decided the pull of a career in medicine was too great. A frightening account of life as a junior doctor on the NHS front-line. Throughout the book, Clarke makes striking associations between her own encounters and those at Mid Staffs, beginning with the death of her grandfather, who suffered a fatal fall as he was unable to get help from the hospital staff to use the bathroom. Again the woman spoke calmly, "The answer, my young friend, is in your hands. Doctors are humans too—like everyone else, they need rest and time to recuperate. Summary/Thoughts:. While it is true that technical expertise is an essential prerequisite of becoming a qualified doctor and saving lives, there is another element which is equally indispensable—the unreserved and genuine display of empathy and understanding. They braced and caught my fall when as a toddler I crashed upon the floor. The wise old man said, “You have a bird, my son.” The boy then asked, “Old man, tell me: Is the bird alive or is it dead?” The wise old man looked at the boy, thought for a moment and said, “Son, the answer lies in your hands.” This old story reminds us of a never changing and always relevant truth. Terrified and humiliated, Clarke was lost for words, until a nurse sat beside her with kind gestures and words of comfort. To me, this is sufficient to evince the enormity of the political decisions that were being made at the time. In his Memoirs, Anderson tells about the first reactions to Winesburg, Ohio when it was published in 1919. ", Mixed feelings about this one. Despite being at the lowest position in the hierarchy of the medical profession, Clarke, like many other junior doctors, felt the need to speak up and voice her concerns. If you are into politics, Question Time and Parliamentary debates, this book is for you! “The unexamined life is not worth living”. "Cancer, heart attacks, car crashes, brain damage - we know the bolts from the blue are out there, we just never believe it is us they will strike. Her leap from journalism into medicine was influenced by her parents’ background in medicine, as well as the irresistible allure of caring for patients through some of the toughest ordeals of their lives. In moments of distress, what patients need most is emotional support, and the smallest of actions from their doctors and nurses can make a huge difference. A good insight of the NHS and it's cracks. I love how Clarke reminisces the years of her childhood and youth, when her father would bring the entire family to visit his patients at the cottage hospital where he worked. Such a publicly funded system ensures that anyone ill enough to need medical treatment shall not be left to suffer in silence simply because they cannot afford the exorbitant fees. Published by John Blake Publishing. Under such psychological and physical exertion, how can they still be expected to exude confidence and warmth at a patient’s bedside? Medical professionals place patients at the heart of their work and leaving them vulnerable to deterioration in their absence is a huge risk that no doctor would willingly take. To a medical student books are both stepping stones and obstacles, huge tomes to surmount as much to absorb. How can they still be expected to perform delicate operations requiring sharp focus, steady hands and fastidious precision? by John Blake, Metro Publishing. They say: "We are large like your father's hands." A book about unlikely events which one would not believe could take place in a modern western country — a good story for adamant statists. Title: This Life Is in Your Hands: One Dream, Sixty Acres, and a Family Undone Author: Melissa Coleman Genre: Memoir ISBN: 0061958328 Pages: 336 Year: 2011 Publisher: Harper Source: Review copy provided by publisher Rating: 4.5/5. A Junior Doctors Story Title: Your Life in My Hands. The founding principles of the NHS resonate with me on a visceral level. Coupled with stories from the trenches, Clarke explores how the NHS struggles to support the people who believe in it so fervently. Her resilience, fortitude and humour are humbling, yet she rejects any notion of 'bravery'. A very well written account of what it's like to be on the frontline in the NHS and it's quite a harrowing story. In Your Life in My Hands Rachel Clarke talks passionately about life as a junior doctor in the NHS. A brilliantly written(the author was a journalist before a Dr) and frightening but starkly true picture of the NHS. But the repetitive tirade became tedious in book form. In her own hospital, Clarke also observed such unsettling callousness when a surgeon simply called for a palliative care nurse instead of setting aside time to talk to a patient about his cancer diagnosis. Summary 'I am a junior doctor. In the long run, without proper measures to ease the burden on overstretched doctors, patient care will be severely compromised. Yet, driven by the cardinal threat to their capacity to continue providing the best care to their patients, junior doctors went on strike for the first time in NHS history. The health system in the United Kingdom has always intrigued me; it seemed to be the apotheosis of equality in healthcare. Luckily for the NHS (and patients they care for), there are a lot of ‘Rachel Clarke’ s employed by them who are prepared to fight for what they believe in. 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