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Told by a unique voice in American medicine, this epic story recounts life-changing experiences in the career of a distinguished physician, and is described by The New York Times as “a true service [to history]. Dr. Reilly deserves a resounding bravo for telling it like it is.” Malcolm Gladwell agrees: “Brendan Reilly has written a beautiful book about a forgotten subject—what it means for a physician to truly care for a patient.”
Every review of One Doctor noted its beautiful writing and compelling story, the riveting tension and suspense. “Remarkable with heart-pounding pace and drama” (Publishers Weekly); “a gripping, moving memoir” (Abraham Verghese); “a terrific read” (The Boston Globe); “an astonishingly moving and incredibly personal account of a modern doctor” (The Lancet).
In compelling first-person prose, Dr. Brendan Reilly takes readers to the front lines of medicine today. Whipsawed by daily crises and frustra�tions, Reilly must deal with several daunting challenges simultaneously. As Reilly’s patients and their families survive close calls, struggle with heartrending decisions, and confront the limits of medicine’s power to cure, One Doctor lays bare a fragmented, depersonalized, business-driven health care system where real caring is hard to find. Every day, Reilly sees patients who fall through the cracks and suffer harm because they lack one doctor who knows them well and relentlessly advocates for their best interests. Filled with fascinating characters in New York City and rural New England—people with dark secrets, mysterious illnesses, impossible dreams, and limitless courage—One Doctor tells their stories with sensitivity and empathy, reminding us of professional values once held dear by all physicians.
- Sales Rank: #118364 in Books
- Published on: 2014-11-25
- Released on: 2014-11-25
- Original language: English
- Number of items: 1
- Dimensions: 8.37" h x 1.20" w x 5.50" l, .0 pounds
- Binding: Paperback
- 464 pages
Most helpful customer reviews
14 of 15 people found the following review helpful.
Rule One: Listen To The Patient
By prisrob
On this first day of 'The Affordable Care Act', I encourage everyone to read this book, we all need that 'One Doctor'.
In reading Dr Reilly's book I thought about a book I had read. Dr Jerome Groopman's, 'How Doctors Think'. Dr Groopman's explains that no one can expect a physician to be infallible, medicine is an uncertain science and every doctor sometimes makes mistakes with diagnoses and treatment. It is the frequency and seriousness of those errors that can be reduced by 'understanding how a doctor thinks and how he or she can think better'. Dr. Reilly goes one better and starts with the patient, listen to the patient, observe and examine the patient. Certainly all of the new technology is wonderful to help with diagnoses and treatment, but it can't always beat the one on one between patient and physician.
In flashbacks Dr. Reilly discusses his most recent challenging patients in 2010, while covering on-call for a two week interlude, in a large teaching hospital in New York City, and then to his career at Dartmouth Hitchcock Medical Center, in 1985 in New Hampshire. Hiram Hitchcock had given this hospital to the community in memory of his wife, Mary Hitchcock. In 1985, Dr Reilly had made house calls to his patients who needed them. He was their physician, he knew everything about them, and could see any minor abnormality. He did, however, miss the cause of one of his patient's delirium, and by the time he figured it out the patient had died. Dr Reilly discusses in detail the regrets and guilt physicians have when medical errors are made.
Reflecting on the way medicine was practiced 25 years ago and contrasting today's practice, Dr Reilly discusses some of the 19 patients he and his team round on, on a daily basis. Several critically ill, and Dr Reilly goes in early to makes his own rounds and meet and examine those patients on his own. During team rounds, the resident on call discusses the patient at the bedside, questions are asked, decisions are made. A lot of teaching is done by Dr Reilly and the team. But it is Dr. Reilly's experiences with his elderly parents that bring modern medicine home up close and personal.
Patients used to have one doctor who took care of them, in the clinic and hospital, sometimes at home. 15 years ago Hospitalists were born because of financial impediments. Primary Care Physicians still occur, but the bond of getting to really know the patient is no longer there. Fragmented care has been the result, but there are many signs that health care delivery is improving. Shared decision making, between the patient and physician is an up and comng improvement, and the work of 'The Dartmouth Atlas' by sharing the research of John Wennberg in looking at patient care variation in millions of Medicare patients across the country. Dr Reilly discusses in depth how medical care has changed, the negative and the positive outcomes. His hopes for medical care in the future, and where and how we got to the present.
Dr Reilly through his personal stories and experiences has shared his joy in medicine, his regrets, and his sadness. It is the stories of his patients that bring to us the compassion and medical competence inherent in Dr Reilly's medical care. The writing is superb, Dr Reilly's ability to explain medicine in terms that are understandable to all, gives us insight into the physician, our medical care and the questions we should ask our health care teams.
Highly Recommended. prisrob 10-01-13
21 of 26 people found the following review helpful.
A doctor's stories about what medicine does well, and what it doesn't
By James Hassett
If you want to understand what's wrong with US medicine, and what's right about it, buy this book. Brendan Reilly takes you inside two weeks of his practice as executive vice chair at New York Presbyterian Hospital making life and death decisions, working seventeen hours a day, educating the next generation of doctors, and dealing with patients and their families, some delightful, and others not so much. In his spare time he has to help make medical decisions for his own seriously ill mother and father, both in their 90s. Later, Dr. Reilly takes you back twenty years to his work as a small town primary care physician, where he practiced a personal brand of medicine which has nearly vanished as a result of economic pressures. The stories he tells illustrate how medicine has changed during his career, and what the future holds. To be honest, the only reason I bought this book is that the author has been a friend since college. When it comes to illness, I am a huge fan of denial. I have never before read a book about medicine, and I always turn to a different channel when doctors appear on the evening news. I planned to read the first few pages and send Brendan a nice email, but the book sucked me in. I ended up with greater insight into my own medical history, and even read some of his 55 pages of footnotes about how medicine got this way. And my wife, who is a nurse, liked it a lot more than I did.
10 of 12 people found the following review helpful.
The Case for NOT Specializing
By takingadayoff
One Doctor is author Brendan Reilly, who has spent his career as a general practitioner, treating the whole patient. His long career has had many successes, but there have been failures as well, mistakes, and regrets. He doesn't hold back and relates his most interesting cases.
One Doctor may also refer to Reilly's belief that medicine in the United States has moved too far away from the generalist, and too far towards specialization. Not only does specializing pay the doctor better, but it makes more money for the hospitals and protects against malpractice lawsuits. But it may not lead to better care for the individual. In Reilly's opinion, we each need one doctor who gets to know us over time, who sees us as a person rather than a symptom or a diseased body part.
Reilly brings up health care dilemmas throughout the book, but of course if you are an adult American, you already know the problems of health care in this country. We spend by far the most money per capita on health care in the world, but do not have (by far) the best health or longest lives. Too many people have little access to any health care at all. No real solutions are on the horizon.
More encouraging are the stories he tells, in cinematic detail, about current and past cases, leaving you on the edge of your seat. Mystery diseases, brilliant diagnoses, life and death situations. Even as Reilly makes a case for the medical community to see patients (not "consumers" or "clients") as individuals, he is making the reader see the doctors as individuals as well. His own personal drama concerns his aging parents, forcing the doctor to be both concerned advocate for them and dispassionate expert for patients in similar straits.
It all makes for gripping and thoughtful reading.
(Thanks to NetGalley and Atria Galley Alley for a digital review copy.)
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