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Critical Care: A New Nurse Faces Death, Life, and Everything in Between, by Theresa Brown
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“Among all the recent books on medicine, Critical Care stands alone.“ — Pauline Chen, author of Final Exam
“A must read for anyone who wants to understand healthcare. Extraordinary.” — Elizabeth Cohen, MPH, CNN Senior Medical Correspondent
Critical Care is the powerful and absorbing memoir of Theresa Brown—a regular contributor to the New York Times blog “Well”—about her experiences during the first year on the job as an oncology nurse; in the process, Brown sheds brilliant light on issues of mortality and meaning in our lives.
- Sales Rank: #47848 in Books
- Published on: 2011-04-26
- Released on: 2011-04-26
- Original language: English
- Number of items: 1
- Dimensions: 8.00" h x .50" w x 5.31" l, .37 pounds
- Binding: Paperback
- 224 pages
Review
“Theresa Brown’s arresting account of life on the wards offers palpable testimony that nurses are first responders and primary healers in our times of crises.” (Mehmet Oz, MD, author of YOU: The Owner's Manual health series)
“If Theresa Brown tends her patients as well as she tells her story, they are lucky patients indeed. This absorbing dispatch from the front lines of medical care captures the daily travails and triumphs of nursing with humor, compassion, and sometimes terrifying immediacy.” (Julie Salamon, author of Hospital and The Devil’s Candy)
“Critical Care is a gift from an English-teacher-turned-nurse who writes from a deeply human context about her first year in a hospital oncology ward...A book of stirring stories about how we live, care for the sick and die.” (Richard M. Cohen, author of Blindsided and Strong at the Broken Places)
“Brown shows us what it means to be a nurse and helps us understand that nurses need as much intensive care as their patients. Sometimes more!” (Suzanne Gordon, author of Nursing Against the Odds)
“A beautifully written account of a nurse’s first year on the wards, a medical memoir that combines lyricism and compassion with searing honesty and well-timed laugh-out-loud wit...I loved this book.” (Pauline Chen, author of Final Exam)
“A must read for anyone who wants to understand healthcare. This extraordinary book will open your eyes to the reality of nursing. If you or your loved one ends up in the hospital, you’ll wish you had someone like Nurse Brown at your side.” (Elizabeth Cohen, MPH, CNN Senior Medical Correspondent)
From the Back Cover
"Doctors heal, or try to, but as nurses we step into the breach, figure out what needs to be done for any given patient today, on this shift, and then, with love and exasperation, do it as best as we can."—from Critical Care
"At my job, people die," writes Theresa Brown, capturing both the burden and the singular importance of her profession. Brown, a former English professor at Tufts University, chronicles here her first year as an R.N. in medical oncology. As she does so, Brown illuminates the unique role of nurses in health care, giving us a deeply moving portrait of the day-to-day work nurses do: caring for the person who is ill, not just the illness itself.
Critical Care takes us with Brown as she struggles to tend to her patients' needs, both physical (the rigors of chemotherapy) and emotional (their late-night fears). Along the way, we see the work nurses do to fight for their patients' dignity, in spite of punishing treatments and an often uncaring hospital bureaucracy. We also see how a twelve-hour day of caring for the seriously ill gives Brown herself a deeper appreciation of what it means to be alive. Ultimately, this is a book about embracing life, whether in times of sickness or health.
As she takes us into the place where patients and nurses meet, Brown shows us the power of human connection in the face of mortality. She does so with a keen sense of humor and remarkable powers of observation, making Critical Care a powerful contribution to the literature of medicine.
About the Author
Theresa Brown, R.N., lives and works in the Pittsburgh area. She received her B.S.N. from the University of Pittsburgh and, during what she calls her past life, a Ph.D. in English from the University of Chicago. Brown is a regular contributor to the New York Times blog "Well." Her essay "Perhaps Death Is Proud; More Reason to Savor Life" was included in The Best American Science Writing 2009 and The Best American Medical Writing 2009. Critical Care is her first book. She lives with her husband, Arthur Kosowsky, their three children, and their dog.
Most helpful customer reviews
11 of 12 people found the following review helpful.
Great except for Political Injection
By JanRDmom
I am in a medical field and have worked in several hospitals. I love reading medical stuff, and I loved reading this book.
Brown does a great job of writing, since after all, she was a PhD English major/ instructor. She relates many situations to appropriate literature. I recently finished "The Shift" and enjoyed that one also.
I would have given this 5 stars, but just gave 3 due to the injection of the political statement about George W. Bush, which was off-topic and totally unnecessary, not to mention WRONG. Specifically, she references a discussion she had with a patient/ Vietnam War veteran if he thought the President regretted "all the destruction he had unleashed in the Middle East and the many dead American soldiers." His answer was, "no, He's the kind of guy who never feels bad about anything." Then she writes, "It was interesting to me that postmortems on the Bush presidency came to a
similar conclusion."
My suggestion to the author is to read Bush's own book, "Decision Points", as well as Dana Perino's (his last Press Secretary) book, "And The Good News Is". She would learn the "up close and personal" real picture of Bush. Recently he's painted portraits of many wounded solders he visited. That doesn't sound like someone who doesn't care.
23 of 23 people found the following review helpful.
Wonderful medical memoir
By Monica J. Kern
This is the well-written and gripping story of the author's first year in her new career as a nurse on an oncology hospital floor. Brown came to nursing after leaving the fairly pampered life of an English professor, and I found myself admiring her courage in making such a drastic career change. I've read a lot of medical memoirs written from the perspectives of doctors and patients; this is the first nurse's memoir I've read. I found myself appreciating the nursing perspective a great deal; as Brown makes abundantly clear, the vast majority of hands-on patient care in hospitals is delivered by nurses, not M.D.s, most of whom in Brown's book remain rather shadowy figures that she is always having to track down to obtain permission to do what she already knows is right for her patients.
Because Brown works on an oncology unit, there are not a lot of cheery stories of miraculous recoveries to be found in the pages of this memoir. Many of her patients will and do ultimately relapse; some of them die during the year that this book covers. Brown makes an excellent case for the need to improve how the medical establishment deals with patients and families on end-of-life issues. Probably the most emotionally powerful sections of the book are those involving Brown's feelings of helplessness as it becomes clear that a patient is very near the end of life and the difficulties inherent in talking with the patient and family members about their preferences for aggressive treatment at this stage. If you have not had such conversations regarding DNR orders and health proxies with your loved ones before reading this book, you'll definitely be inspired to do so after.
Equally powerful and illuminating are the sections of the book where Brown describes how she is able to cope with the knowledge that so many of her patients will not get better and in fact will die prematurely: She focuses on the moment and the fact that, while she and medicine may not be able to save a particular patient's life, she CAN work to make this a better day for them right now--and maybe that's enough.
Brown doesn't mince words when it comes to describing some of the less pleasant aspects of nursing (I had no idea that doctors would even contemplate performing a poop transplant [!!], as they considered in one example of intractable diarrhea). While that sort of detail made it clear to me that I would never be cut out to be a nurse myself, simply reading about Brown's matter-of-fact acceptance that taking care of sick people will involve messy stuff like blood and poop--and that it is no big deal at all for her and her colleagues--will probably make any future hospital stays I endure a lot less embarrassing for me.
Brown also does a good job of explaining just what it is that nurses do all day and why they may not be available to answer your every push of the call button within 60 seconds. It's exhausting, physically demanding work, and anybody who anticipates being in a hospital at any point of their lives (which, face it, is just about all of us) should be eternally grateful that there are dedicated professionals like Brown who are willing to endure the stress and burn-out of nursing because they care about people.
One of the sections of the book that resonated the most with me was the epilogue, where Brown talks about the lesson that SHE has learned from her patients: Life is fragile. We are every one of us vulnerable, and every day is a wonderful gift. She relates the anecdote of her husband indulging a mid-life impulse to buy the grand piano he had long dreamed of, a decision that brought him "a joy like nothing else in his life." She ends her book with words that we would all do well to heed: "People say, why wait? But really they should say, don't wait. Listen when you can, tell the people in your life you love them, and buy the piano."
0 of 0 people found the following review helpful.
Ok
By Amazon Customer
Just ok. As a former ICU nurse, I found this book too analytical in one sense, and too naive in another. She seems not to know the basics at times long after becoming a nurse. She advocates for the patient, but goes about it the wrong way. Doesn't seem to what to try to fit in with staff,doesn't address being bullied with manager.
She works ontology, people die. People code, 2deaths in 2-3 months sounds fairly normal. Not sure how much she helped patients&families cope. Seemed to what to go about it in a way that over rode how the treatment was being given. 2 stars for explaining hospital jargon and how things may work day to day. Otherwise, I didn't like this book and don't recommend
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