Hot lights, cold steel Life, death and sleepless nights in a surgeon's first years

Michael J. Collins

Book - 2005

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Subjects
Published
New York : St. Martin's Press 2005.
Language
English
Main Author
Michael J. Collins (-)
Edition
1st ed
Physical Description
xii, 308 p.
ISBN
9780312337780
Contents unavailable.
Review by Booklist Review

If he didn't feel overwhelmed before the Mayo Clinic senior orthopedic surgery resident lobbed a beeper at him with the nonchalant order, Cover for me, 29-year-old ex-cabdriver, ex-construction worker, and, at the time, brand-new resident Collins certainly did then. It was his first day on the job, and instantly he began fielding calls from staff nurses requesting orders for patients he hadn't laid eyes on. If it hadn't been for his innate sense of humor--brilliantly demonstrated in this memoir of his Mayo residency--and a sense of perspective derived from that experience, he might have failed. He didn't, and here he honors those who helped him along the way and those whom he helped. As a man who recognizes that he, too, makes his living with his hands, Collins anguishes over the options available to a carpenter who had severed four fingers. After assisting at a young cancer patient's leg amputation, only to learn later that she had died within months, anyway, he agonizes over what drew him to his profession in the first place and what could possibly keep him on course. I wanted to be the guy who confronted the arbitrariness of life and strangled the unfairness out of it. Instead, while honing his craft, he learned from a Vietnam vet that the main thing patients deserve is compassion. If Collins' scalpel is as sharp as his pen, his patients are in capable hands, indeed. --Donna Chavez Copyright 2004 Booklist

From Booklist, Copyright (c) American Library Association. Used with permission.
Review by Publisher's Weekly Review

Collins begins this personal chronicle with an account of a choice he had to make between amputating a 14-year-old boy's leg and saving the limb at a greater risk to the boy's life. (He amputated the leg.) This dilemma came at the conclusion of Collins's grueling four years of residency at the Mayo Clinic, culminating in his appointment as chief resident in orthopedic surgery. Now in practice in Illinois, he details, with admirable humor and insight, the early, virtually sleepless years when he learned not only to perfect his craft but to come to terms with the emotional impact of causing pain and losing patients. Collins brings to life the dramatic moments when he made his first, terrifying incision and hand-drilled a traction pin into a weeping six-year-old's leg. Collins and his wife, Patti, wanted a large family, but the economic strain of having three children in three years (they eventually had 12) forced him to moonlight every other weekend at rural hospitals. There are moving passages about his love for Patti and the bonds he developed with other residents, and empathetic evocations of those he treats. Collins describes powerfully how he came to understand that his calling was not just to develop as a skilled surgical technician, but to treat his patients humanely as individuals. Agent, Meg Ruley. (Feb.) (c) Copyright PWxyz, LLC. All rights reserved

(c) Copyright PWxyz, LLC. All rights reserved
Review by Library Journal Review

Collins recalls his four-year residency in orthopedic surgery at the Mayo Clinic, which he tells us several times is "the most prestigious medical center in the world." His story alternates between the physical and mental demands of his training at the hospital and his attempts to create a home life with his wife, Patti, and their two young children. In humanizing detail and with little medical jargon, Collins recounts several cases in which he is both a participant and a student. Despite the best efforts of some of the world's best doctors, the patients involved often die. Offsetting these darker moments is Collins's relaxed style, which is punctuated by humor-frequently at his own expense. Easy to read yet thought-provoking, this memoir is an excellent introduction to the requirements of residency medical training. Buy wherever true stories of medical practice are popular or needed.-A.J. Wright, Anesthesiology Lib., Univ. of Alabama at Birmingham (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by Kirkus Book Review

An orthopedic surgeon's down-to-earth, fast-paced, and frequently funny memoir of his residency. Collins admits he felt like "the dullest scalpel in the drawer" at the start of his time at the Mayo Clinic, he admits. In short, punchy chapters he chronicles his four-year journey from terrified junior resident to skilled chief resident. Although Collins notes that surgeons are not generally known for their introspective qualities (and his memoir reflects that), he nonetheless freely describes the emotions he felt making his first incision into a living body, witnessing his first patient death, and conducting his first solo operation. As he grew in competence, he grew in confidence. Surgeons fix things, and for a time Collins rejoiced in the ability to do that increasingly well. He thrived on the gratitude and admiration of patients whose bones he had set or whose joints he had replaced. But he came to realize that it wasn't in his power to fix everything, a point made in the stories of a young woman whose cancer could not be halted despite extremely disfiguring surgery and of a boy whose horribly mangled leg Collins failed to save. In other pieces, the surgeon touches on the ethics of the residency system, in which the patient's right to the best care conflicts with the resident's need to learn. While much of the action takes place at the Mayo Clinic, Collins also shares his personal life. With his wife producing a baby each year, he had to take a second job as an emergency-room doctor to feed his growing family. One old car after another died, each replaced by an equally aging wreck. The subzero Minnesota winters vied with perennial lack of sleep as worst physical indignity. Throughout, Collins depicts with a born storyteller's skill the camaraderie among young residents as they journey to medical professionalism. We see them together in and out of the hospital, joshing, competing, and supporting each other. Highly animated--and rich in encounters both sad and hilarious. Copyright ©Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.