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Doctored: The Disillusionment of an American Physician Hardcover – August 19, 2014


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Product Details

  • Hardcover: 288 pages
  • Publisher: Farrar, Straus and Giroux; 1 edition (August 19, 2014)
  • Language: English
  • ISBN-10: 0374141398
  • ISBN-13: 978-0374141394
  • Product Dimensions: 6.3 x 1.1 x 9.2 inches
  • Shipping Weight: 1.1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.1 out of 5 stars  See all reviews (101 customer reviews)
  • Amazon Best Sellers Rank: #10,363 in Books (See Top 100 in Books)

Editorial Reviews

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


“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.”
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“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 façade 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.


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Customer Reviews

Very well written.
Jeffrey T Cohen MD
With the massive overhauling of the health care system today, his book comes at a very appropriate time.
Jack
Dr. Sandeep Jauhar is a cardiologist and author.
David Kopacz

Most Helpful Customer Reviews

106 of 123 people found the following review helpful By Steven Samuel on September 10, 2014
Format: Hardcover
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.
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53 of 63 people found the following review helpful By Moore No Less on August 19, 2014
Format: Kindle Edition Verified Purchase
You absolutely must read this book before your next health checkup or hospital visit. It is a huge understatement to say that Dr. Jauhar's book is eye-opening, intelligent, straight-forward, enlightening and shocking. Doctored: The Disillusionment of an American Physician, is a major cautionary tale of were we actually are in 21st century American medicine. It is a very personal, professional and highly revealing look at our US health and medical industry that simultaneously leaves you with a nauseous and hopeful feeling. He also details in clear-speak how we can and must still do far better -- though in reality, genuine improvements may not happen before our grand kids have kids. Even if our Affordable Care Act is a good first step, after reading just the first chapter of Dr. Sandeep Jauhar's latest book, I now realize the ACA is probably just a mere baby step compared to where we still have to go. I wouldn't read Doctored if I was already laying in a hospital bed, fearing it might stress me more. Dr. Jauhar is clearly speaking from experience and the trenches. Everyone I know and love over and under 50 will be asked to read Doctored.
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34 of 42 people found the following review helpful By Jack on August 19, 2014
Format: Kindle Edition
Jauhar is the author of Intern: A Doctor's Initiation, a classic memoir about residency in a big-city hospital. In his latest memoir, Doctored, Jauhar is now an attending cardiologist. He quickly learns that the actual practice of medicine in today's society is nothing like he (or we) imagined that it was, should be, and could be. The issues of practicing medicine in today's rapidly evolving climate are neither simple nor have obvious answers.

Physician income issues are prominent in this book. Doctors are paid less than they were paid ten years ago, causing many to even moonlight to make ends meet. The incredible advances in medical technology, which save countless more lives today than 50 years ago, also are a part of the rapid increase in health care expenditure. The reliance that today's physicians have on testing has caused many of them to lose the art of being a physician, the laying of hands to diagnose.

Throughout this book Jauhar wrestles with the various complicated issues that today's doctors face in the practice of medicine like those above. With the massive overhauling of the health care system today, his book comes at a very appropriate time. Medicine is changing, whether physicians like it or not. As a practicing physician, I highly recommend this book for medical students and physicians, in addition to anyone interested in today's medicine and medical memoirs.

Two other recent medical memoirs to check out are Dr. Danielle Ofri's fantastic Singular Intimacies: Becoming a Doctor at Bellevue and Dr.
Read more ›
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26 of 32 people found the following review helpful By James H. King on September 2, 2014
Format: Kindle Edition Verified Purchase
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.
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