Having worked for the NHS many years ago, I have had first-hand experience of the stress involved in working for the UK’s largest employer. I did long hours, juggled many conflicting priorities and dealt with people in genuine need of care. All from the relative comfort of my desk. I was a manager, a tiny cog in a huge machine. I lasted a year.
‘This is Going to Hurt‘ is an autobiographical account of what it is like to be on the real front line of the NHS, as a junior doctor. Tough doesn’t even begin to cover it.
Adam Kay kept a diary from his early days as a House Officer, the lowest rung of the hospital hierarchy, right through to when he became a Senior Registrar some 6 years later. He is a very, very funny writer, describing his daily encounters with the exasperated tone of someone who can’t help but marvel at the oddities (and sometimes stupidity) of his patients. There is no sugar-coating; some of the anecdotes are graphic, messy and often smelly. But funny nevertheless, in a peek-through-your-fingers way.
About half way through the book, Kay’s anecdotes gradually stop being so amusing. Kay specialises in Obs & Gynae and struggles on, poorly supported by senior colleagues, swimming against an endless tide of mothers and babies, caesareans, ventouse and forceps. Yes, the journal entries are still comical, but the writing is shot through with a permanent sense of panic, exhaustion, always feeling on the back foot, being hopelessly ill-prepared and inexperienced. Kay’s relationships with his partner and friends begin to founder, he has no life other than work.
I suffered an obstetric emergency when my son was born (I’ll spare you the details, but suffice to say there was a lot of blood) and I will be forever indebted to the team of doctors and nurses who worked around the clock to save my life. Engulfed by the trauma of my own experience, I thanked the staff profusely, but didn’t give a second thought as to how those medics may have been affected by my suffering. They were just doing their jobs. Adam Kay’s book put me right on that score. The diary ends shockingly abruptly.
‘This is Going to Hurt‘ does hurt. It is a painful indictment of a system which is broken from the inside, and which exploits those amongst us who are willing to take on the responsibility of studying and practising medicine, for the common good.
Read this book. It will make you want to hug your doctor. Although probably not just after she has performed your colonoscopy.