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Confessions of a Surgeon: The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
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From Booklist
The life of a general surgeon is more guts than glamour. Often sleep-deprived and standing on his feet for hours, this physician-author navigates anatomical intricacies and deals with unexpected bleeding. Not to mention the pressure of a full bladder midway through an operation or worrying about a potential malpractice lawsuit. The job requirements of his profession include good judgment, an ability to think and act quickly, self-reliance, and a fondness for using one’s hands. The job description sounds stringent: “Show me where the problem is so I can fix it, remove it, rearrange it, drain it, or pass you on to someone else.†Yet in a series of sentimental clinical vignettes, the doctor divulges a wide range of feelings: pride, guilt, humility, regrets, failure, and, ultimately, burnout. His patients teach him many lessons. Trust makes the physician-patient relationship work. Detachment can be difficult. Imperfection is inevitable. Survival (of patients as well as the doctor) is the bottom line. Honest and angry, this cutting memoir by a midcareer surgeon feels like an act of penitence. --Tony Miksanek
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About the Author
Paul A. Ruggieri, M.D., is a practicing board-certified general/laparoscopic surgeon who has been operating for over 20 years. Dr. Ruggieri performed his surgical training at the world-renowned Washington University School of Medicine, Barnes Hospital, in St. Louis. He then spent three years as an active duty general surgeon in the U.S. Army. Currently, he is former chief of the department of surgery at a large community hospital in Fall River, Massachusetts, the very hospital he helped build as an ironworker before attending medical school nearly 30 years ago. Dr. Ruggieri has written several books for patients. He lives in Rhode Island with his wife and three stepsons. Visit his website at www.paulruggieri.com.
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Product details
Paperback: 272 pages
Publisher: Berkley; 1 edition (January 3, 2012)
Language: English
ISBN-10: 0425245152
ISBN-13: 978-0425245156
Product Dimensions:
5.5 x 0.7 x 8.3 inches
Shipping Weight: 8 ounces (View shipping rates and policies)
Average Customer Review:
4.2 out of 5 stars
204 customer reviews
Amazon Best Sellers Rank:
#144,922 in Books (See Top 100 in Books)
As a fellow physician I can really feel what you are writing. Though I am a dermatologist, I can relate to your experiences as a surgeon. I think few outside of the medical profession could understand this as well. Some may criticize your discontent with the system--they obviously know little about what physicians have to deal with daily. Making statements about being paid for your services is correct. Quite simply, you busted your ass to get to where you are, you truly do deal with life or death daily, and you have to deal with regulations that are time consuming and heinous, made by people who have no understanding what someone like yourself has to do. You have every right to be angry about it. I applaud you for sharing true stories about patients who you saved, who you didn't, and who you wanted to but couldn't. I understand your questioning yourself about the decisions you make. Though my field is so much less intense both in hours worked and severity, you vividly portray the true sacrifice you made to become a surgeon and to practice as one. I don't know how anyone could really understand and appreciate it unless they have worked 100 hour weeks taking care of patients. Though I don't do that now, I did in the past, and it is all the more reason I feel everything you are writing. The public should pay attention to your comments about the number of surgeons retiring in their 50's and 60's the shortage of surgeons to come, and the difference in training of the current generation. If it were up to me, you'd be paid multiples of what you currently earn. There is almost no amount of compensation that would not be justified for the sacrifices you incurred, the difficult life you lead, and the demands of your profession. When you write about the 7 hours throughout the night you spent assisting your colleague trying to find an ovary through dense scar tissue, and note that a plumber is paid more, you are not exaggerating, you are telling a fact. It is truly bullcrap that our society allows this blatant disregard for your skills. How much does a pilot make flying a plane 7 hours? An investment banker on wall street? Yet they do not face the potential of death and lawsuits. I hold you in high regard for writing what you did.
Dr. Ruggieri not only talks about surgery, but what it is like to have someone's life in your hands. He describes the blood, sweat, and tears one goes through on becoming a surgeon. You understand his human side. Women and men I know that are surgeons are some of the most highly disciplined people I know. One has to be. This surgeon admits that he makes mistakes. Should I ever be in a situation where I need this surgeon's help, he has my confidence, not because he has achieved perfection, but because he knows that he cannot achieve perfection.On a personal note, I am an electrical engineer, and it is within my abilities to design systems that are capable of performing robotic surgery. As I know all too well what could cause such a system to fail, I am more confident with a competent human surgeon. Thank you, Dr. Ruggieri for allowing yourself to be vulnerable. It indicates a high level of self confidence.
I originally bought this book in the Kindle version but then wanted to give it as a gift to a doctor friend so I bought this hard-cover version for him. The author, a successful surgeon, is remarkably forthright in his descriptions of the life of a surgeon, covering his days in medical school to his early practice and later as a more experienced and respected practitioner. It is his openness about his mistakes that makes the book so interesting. I certainly admire him. He is not happy with the way the practice of medicine is moving today and spends a lot of time refuting it. That part can seem a bit preachy but the book is well worth it.
This book is dedicated "To my father, John, the most honest man I have ever known." Clearly, Dr. Ruggieri emulates his father in this regard because this book is astonishly candid. As would likely happened if you heard anyone's candid thoughts, this sometimes leads you to think better, sometimes worse, of this candid surgeon, but the truthful portrayal of his thoughts is highly worthwhile.That didn't mean I didn't get irritated when he recounted how during a poorly-remunerated surgery he muses about how he's making less per hour than a plumber (conveniently forgetting that plumbers, too, have overhead costs and ignoring that he often makes amazing amounts per hour which surely should be averaged out). It's painful to to hear him recount how slow he was, as chief of surgery, to manage to remove a harmful and destructive surgeon's operating privileges and the very honest reasons why that was difficult and risky for him to do. He also tells how he got roped into taking the fall for another surgeon's malfeasance early in his career and the punishing consequences.He's honest too about how he HATES the "team" approach to surgery -- he became a surgeon BECAUSE he wants to be the one in charge.These are the honest ruminations of a surgeon who seems like a pretty ordinary and capable surgeon and person and for that reason they are really valuable.
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