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Doctored: The Disillusionment of an American Physician, by Sandeep Jauhar
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In his acclaimed memoir Intern, Sandeep Jauhar chronicled the formative years of his residency at a prestigious New York City hospital. Doctored, his harrowing follow-up, observes the crisis of American medicine through the eyes of an attending cardiologist.
Hoping for the stability he needs to start a family, Jauhar accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower. Blatant cronyism determines patient referrals, corporate ties distort medical decisions, and unnecessary tests are routinely performed in order to generate income. Meanwhile, a single patient in Jauhar's hospital might see fifteen specialists in one stay and still fail to receive a full picture of his actual condition.
Provoked by his unsettling experiences, Jauhar has written an introspective memoir that is also an impassioned plea for reform. With American medicine at a crossroads, Doctored is the important work of a writer unafraid to challenge the establishment and incite controversy.
- Sales Rank: #501859 in Books
- Published on: 2014-08-19
- Released on: 2014-08-19
- Original language: English
- Number of items: 1
- Dimensions: 9.20" h x 1.09" w x 6.30" l, 1.00 pounds
- Binding: Hardcover
- 288 pages
Review
�"In this searing critique of overtreatment, cronyism and cover-your-ass medical care, a cardiologist confronts the "collective malaise" infecting the American medical profession as he opens a vein to reveal his own complicity and shattered ideals. Jauhar offers, if not a cure, a prescription for restoring dignity to patient and healer alike."
-Nanette Varian, More magazine
New York Times bestsellerNew York Post Best Books of 2014Apple iBooks Best Books of August 2014
“In this absorbing memoir-cum-analysis, Sandeep Jauhar traces his years as a fledgling cardiologist against the backdrop of a health-care system in peril . . . An impassioned call to action.” ―Barbara Kiser, Nature
“A supremely well-written, thought-provoking memoir that strikes the perfect balance between ideas and sentiment.” ―G. Sampath, LiveMint
“An extraordinary, brave and even shocking document. Dr. Jauhar's sharply observed anxieties make him a compelling writer and an astute critic of the wasteful, mercenary, cronyistic and often corrupt practice of medicine today.” ―Florence Williams, The New York Times (Science)
“Highly engaging and disarmingly candid . . . Dr. Jauhar does a service by describing eloquently the excesses and dysfunctions of patient care and the systemic distortions responsible for them.” ―The Wall Street Journal
“Bold and fascinating . . . [Jauhar] interweaves his personal story as well as anecdotes about his patients into a meticulously researched and painfully honest account of a profession . . . This beautifully written and unsparing memoir puts a human face on the vast, dysfunctional system in which patients and clinicians alike are now entangled.” ―The Boston Globe
“Arresting...Dr. Jauhar's book is often moving, especially when he focuses on his patients...this thoughtful telling provides a service in itself. Because the first step toward healing is, of course, getting a good diagnosis.” ―Susannah Meadows, The New York Times
“A compelling call for reform.” ―The New York Daily News
“In this searing critique of overtreatment, cronyism and cover-your-ass medical care, a cardiologist confronts the 'collective malaise' infecting the American medical profession as he opens a vein to reveal his own complicity and shattered ideals. Jauhar offers, if not a cure, a prescription for restoring dignity to patient and healer alike.” ―More
“Precise, observant...Doctored features many vivid accounts of Jauhar's encounters with patients and colleagues, illustrating the high-stakes ethical and professional decisions physicians face daily. These stories, often deeply personal, bring a human dimension to his sharp critique of a ‘system that makes us bad, makes us make mistakes.'” ―Shelf Awareness
“Important reading as we debate health care.” ―Library Journal
“An engaging memoir that probes for the source of the ‘collective malaise' that grips [Jauhar's] profession.” ―The Federalist
“Sandeep Jauhar's Doctored is a passionate and necessary book that asks difficult questions about the future of medicine. The narrative is gripping, and the writing is marvelous. But it was the gravity of the problem--so movingly told--that grabbed and kept my attention throughout this remarkable work.” ―Siddhartha Mukherjee, author of The Emperor of All Maladies: A Biography of Cancer
“Medicine's radical transformation in recent years has brought both incredible scientific advances and an increasingly dysfunctional health care system. Doctored takes us behind the fa�ade and allows us to see the seamy underbelly. Jauhar's gift is to observe and to beautifully tell the stories. In doing so he leads us to a visceral understanding of what has gone wrong. Doctored is a manifesto for reform.” ―Abraham Verghese, author of Cutting for Stone
“Sandeep Jauhar specializes in peeling back the veneer, revealing the discomfiting truths of today's medical world. He is unafraid to dig deeply and honestly, both within himself and within the medical profession. Doctored raises critical questions that twenty-first-century medicine must answer if it is to meet the needs of its patients as well as of its practitioners.” ―Danielle Ofri, M.D., Ph.D., author of What Doctors Feel: How Emotions Affect the Practice of Medicine
“Sandeep Jauhar is a compelling storyteller, and Doctored gives us a fantastic tour through the seedy underworld of American medicine.” ―Lisa Sanders, M.D., Assistant Professor, Yale School of Medicine, and author of Every Patient Tells a Story
About the Author
Sandeep Jauhar, MD, PhD, is the director of the Heart Failure Program at Long Island Jewish Medical Center. He is the author of Intern and writes regularly for The New York Times. He lives with his wife and their son and daughter on Long Island.
Most helpful customer reviews
188 of 226 people found the following review helpful.
Been There, however...
By Steven Samuel
I, too, am a practicing cardiologist so I have "walked in Dr. Jauhar's shoes" and for many years longer (30). While many of his points about the practice of medicine, including the behaviors of some private practitioners, are well-taken and well-documented, he makes no attempt to offer suggestions or solutions. As other reviewers have noted, the book seems to be more about his personal financial and family states, and how the world hasn't taken care of him. Most cardiologists work harder than he does (in his clinical academic practice)--They have to see many more patients in a day to make ends meet, and they don't have Cardiology Fellows covering their hospital patients at night. And while the rewards of taking care of patients can be great, don't expect the patients or their referring doctors to beat a path to your door just because you think you're a great doctor. He seems to think it is his "due".
For me, this book picked up where his first book left off, continuing to bemoan his fate and the difficulty of his professional life. What seems clear is that Dr. Jauhar went into Medicine to please his parents, and to try to keep up with his older brother, not because he really wanted to. It seems like he lacks "the calling" and nothing short of accolades and more money will make him happy.
There are many better books on the market currently offering better analysis of the problems facing physicians and the health care sector, and offering thoughts toward solutions.
52 of 60 people found the following review helpful.
A more focused approach would have made for a better book.
By James H. King
As a physician, I'm not entirely sure what Dr. Jauhar's point is. I doubt that it comes as any surprise to anyone that there are greedy doctors just as there are greedy lawyers, greedy teachers, greedy dentists, whatever. What's more, Dr. Jauhar's vision seems rather parochial: you can either be a pristine academic or practice medicine in strip malls in New Jersey and New York. Really? I believe there are other options.
However, many of his insights, such as the problems associated with the dearth of primary care physicians, especially general internists, certainly are worthy of applause. He puts his finger on many of the frustrations of medical practice in our increasingly corporate society, but his insights seem a bit scattershot. A more focused approach would have made for a better book.
16 of 17 people found the following review helpful.
Well-written, timely, and sad commentary of the state of medicine in 2014
By SageRad
I have been a consistent reader of Dr. Jauhar's NYT columns and eagerly awaited the publication of this updated memoir and commentary on the state of US medicine in 2014. As a fellow physician, much of what the author has experienced rings true. I was, however, shocked at the way the cardiology colleagues in private practice set up shops to milk as many procedures from their marks, uh, I mean, their patients, as possible. Perhaps I am naive, but I have not encountered anything like that in my 19 year career. If this is all true, Dr. Jauhar should be able to earn multiples of his salary as a whistleblower.
In general, much of the author's experience parallels that of all doctors of our generation. You start a career wanting to help people and have a great professional career. As the years have gone by, the treadmill seems to get a little faster every year, the administrative hassles grow, and the paycheck gets a little smaller. Obviously, the doctor is the loser in this game, but the patient is also the loser. He or she gets a physician who is stressed out, hassled from every direction, frustrated, and has less time than ever to dwell on the encounter. Regrettably, I do not see the situation changing anytime soon, and I also see, on the horizon, a large egress from the profession of mid and late career docs, the ones who cared, worked early and late, and understood and possessed the best attributes of the culture of medicine of a bygone era.
Things will get worse, maybe much worse, before they get better.
Back to the book, I did not find many of the autobiographical aspects of the book to be very useful, especially when they did not pertain to the subject at hand. Many of us have families we wish we had more time with, marriages that are stretched and often strangled by the lifestyle, and successful and happy siblings or in-laws that make us reconsider our paths. At any rate, I read these parts quickly and/or skipped these sections entirely.
The author is a very talented writer, and I look forward to reading more of his work in the future. I hope that this book becomes a rallying point for physicians who care to work to make the system better.
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