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Do No Harm: Stories of Life, Death, and Brain Surgery Hardcover – May 1, 2015
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Henry Marsh
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Enhance your purchase
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Print length288 pages
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LanguageEnglish
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PublisherThomas Dunne Books
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Publication dateMay 1, 2015
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ISBN-10125006581X
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ISBN-13978-1250065810
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Editorial Reviews
Review
“Neurosurgery has met its Boswell in Henry Marsh. Painfully honest about the mistakes that can 'wreck' a brain, exquisitely attuned to the tense and transient bond between doctor and patient, and hilariously impatient of hospital management, Marsh draws us deep into medicine's most difficult art and lifts our spirits. It's a superb achievement.” ―Ian McEwan
“His love for brain surgery and his patients shines through, but the specialty--shrouded in secrecy and mystique when he entered it--has now firmly had the rug pulled out from under it. We should thank Henry Marsh for that.” ―The Times
“When a book opens like this: ‘I often have to cut into the brain and it is something I hate doing' – you can't let it go, you have to read on, don't you? Brain surgery, that's the most remote thing for me, I don't know anything about it, and as it is with everything I'm ignorant of, I trust completely the skills of those who practice it, and tend to forget the human element, which is failures, misunderstandings, mistakes, luck and bad luck, but also the non-professional, everyday life that they have. Do No Harm: Stories of Life, Death and Brain Surgery by Henry Marsh reveals all of this, in the midst of life-threatening situations, and that's one reason to read it; true honesty in an unexpected place. But there are plenty of others – for instance, the mechanical, material side of being, that we also are wire and strings that can be fixed, not unlike cars and washing machines, really.” ―Karl Ove Knausgaard, Financial Times
“Marsh, one of our leading neurosurgeons, is an eloquent and poetic writer. Do No Harm offers a rare behind-the-scenes look at the most mysterious part of human life. His descriptions of neurosurgery are at once fascinating and illuminating; a gripping memoir of an extraordinary career.” ―Daniel J. Levitin, PhD, author of The Organized Mind and This Is Your Brain On Music
“Do No Harm is a penetrating, in-the-trenches look at the life of a modern day neurosurgeon. With rare and unflinching honesty, Henry Marsh describes not only the soaring triumphs but the shattering tragedies that are so much a part of every surgeon's life. A remarkable achievement.” ―Michael J. Collins, author of Hot Lights, Cold Steel
“A soul-baring account of a practical-minded neurosurgeon who does not suffer fools or believe in souls, who favors ‘statistical outlier' over ‘miracle,' and who admits that a surgeon's ultimate achievement is marked by patients who ‘recover completely and forget us completely.' Readers, however, will not soon forget Dr. Marsh.” ―Katrina Firlik, author of Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside
“Do No Harm is a fascinating look into the reality of life as a neurosurgeon. The personal patient stories are gripping, providing the public with an incredibly candid look into the imperfections and perfections of a dedicated neurosurgeon. In Do No Harm, Dr. Marsh takes the reader into deep into a world of life, death, and everything in between. Despite it all, Dr. Marsh's commitment to his patients and his profession never wavers. You will not be able to put this book down.” ―Paul Ruggieri M.D., surgeon and author of Confessions of a Surgeon and The Cost of Cutting
“Do No Harm dares to reveal the raw and tender humanity behind brain surgery. Each story invites readers into the private thoughts of a neurosurgeon and astonishes them with the counterintuitive compassion required in the operating room.” ―Michael Paul Mason, author of Head Cases
“The outstanding feature of Do No Harm is the author's completely candid description of the highs and lows of a neurosurgical career. ... For its unusual and admirable candor, wisdom and humor, Do No Harm is a smashing good read from which the most experienced and the most junior neurosurgeons have much to learn.” ―AANS Neurosurgeon
“This thoughtful doctor provides a highly personal and fascinating look inside the elite world of neurosurgery, appraising both its amazing successes as well as its sobering failures.” ―Publishers Weekly (Starred Review)
“One of the best books ever about a life in medicine, Do No Harm boldly and gracefully exposes the vulnerability and painful privilege of being a physician.” ―Booklist (starred review)
“Henry Marsh peels back the meninges to reveal the glistening, harrowing, and utterly compelling world of neurosurgery. Top-notch medical writing.” ―Danielle Ofri, MD, PhD, author of What Doctors Feel: How Emotions Affect the Practice of Medicine
“The Knausgaard of neurosurgery. ... Marsh writes like a novelist.” ―The New Yorker
“Riveting. ... [Marsh] gives us an extraordinarily intimate, compassionate and sometimes frightening understanding of his vocation.” ―The New York Times
“A surprising page-turner, Do No Harm is British neurosurgeon Henry Marsh's mesmerizing memoir of his career highlights and low points, a fascinating blend of derring-do and humble pie. ... Marsh's prose is elegant and seasoned, with no false bravado. ... Marsh's gift for words helps him share his sense of wonder with his readers.” ―Seattle Times
“There's no denying the vicarious thrill of peeking over a neurosurgeon's shoulder in the operating theater, and Dr. Marsh delivers plenty of hospital drama. Yet what sticks with you are the moments when the lens flips and the field of view widens, and you realize that, in learning about the minutiae of neurosurgery, you're gaining insight into life itself.” ―The Wall Street Journal
“Like the work of his fellow physicians Jerome Groopman and Atul Gawande, Do No Harm offers insight into the life of doctors and the quandaries they face as we throw our outsize hopes into their fallible hands.” ―The Washington Post
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Product details
- Publisher : Thomas Dunne Books; 1st edition (May 1, 2015)
- Language : English
- Hardcover : 288 pages
- ISBN-10 : 125006581X
- ISBN-13 : 978-1250065810
- Item Weight : 12.8 ounces
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Best Sellers Rank:
#133,195 in Books (See Top 100 in Books)
- #14 in Thoracic & Vascular Surgery
- #17 in Neurosurgery (Books)
- #351 in Medical Professional Biographies
- Customer Reviews:
Customer reviews
Top reviews from the United States
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As an anesthesiologist, I read with a mix of amusement and rueful resignation. Dr. Marsh is a true representative of his species, the neurosurgeon. They are by turns kind, irritating, cocky, courageous, arrogant, brilliant, obsessive, awe-inspiring, and lonely. They usually graduated at the top of their medical school class. Their residency did not end until they were well into their 30’s. Many hospitals have lots of pediatricians, intensivists, internists, and hospitalists, but they only have one neurosurgeon. Even in a field of doctors, a collection of brainy nerds, they stand alone.
Their arrogance is undeniable. Henry Marsh relates how he was stuck in a line of shoppers at the grocery store and thinks with irritation that none of them could do what he just did today, so why does he have to wait behind them? Like fighter pilots or Special Forces, society is not comfortable with such people, but when we need them, we need them desperately. And we always need them.
There is a moment before every invasive medical procedure when you could pause and contemplate the enormous consequences of failure. If you spend too much time doing that, you will end up paralyzed, and the patient will suffer. If you spend too much time thinking about the appalling human carnage that will result from surgery gone wrong, you will never take up the knife. No matter how skillful, knowledgeable, and careful you are, there will be carnage. No one knows this better than the neurosurgeon. To cut into a human brain takes enormous hubris. Every procedure includes the risk of death, but there are worse things than death. Most doctors will see worse-than-death only rarely during their career, but the neurosurgeon sees it often. It is the nature of their specialty. It is beyond extreme. For example, I induce a death-like coma in my patients daily, then rescue them from it. Yet I could not abide such a life of enormous risk.
Dr. Marsh is a writer of depth and skill. He probably does everything well, if he does it at all. If you think that neurosurgery is fascinating, you should read this book.
Many times, Marsh's mistakes were so avoidable, like the (many) times he accidentally cut a nerve or severed a vital connection in the brain, that was not repairable. So, either Marsh only remembers the tragedies, or else he was a TERRIBLE surgeon. His dismal track record would never fly in America, where I live. He would have lost his hospital privileges years ago for incompetency.
I do believe this is the first time I have actively considered the end rating as I was reading but this was the kind of book that required such thinking.
Do No Harm is all about neurosurgeon Henry Marsh, his patients, their outcomes and how the British health care system would frequently get in the way. The book also came off as disjointed in that it really (to me) didn’t follow a specific path, instead meandering through Mr Marsh’s patients and cases. In the end, not having the cases presented chronologically didn’t detract from the fascination of the cases themselves and Mr Marsh, but it remained something in the back of my mind as I read the book.
It’s a rather long book and Mr Marsh is a very good writer with both the cases presented and the patients fascinating. If you’ve enjoyed other books of this ilk, then I’m sure Do No Harm will sit proudly on your shelf (physical, or in my case, cyber).
I finally decided to give the book 4 stars – well-worth reading, but not at the very top of the genre.
Top reviews from other countries
This is a fascinating look into neurosurgery and life as a neurosurgeon, written by such a surgeon at the end of his career. As often seems to be the case with life's strange coincidences Marsh's son suffered from a brain tumour as a little boy, his wife developed epilepsy late in life, and he himself has had a few surgeries (although nothing related to the brain specifically) so his stories are not only from the surgeon's viewpoint, but also from that of the patient and the frightened family member.
We all on some level know that doctors are only human and all surgery comes with some level of risk, but it was refreshing to really hear that from the surgeon's experience. One of the biggest surprises for me was the observation that most surgeons can cope relatively well with patients who are beyond saving, the certainty that surgery won't help and the patient will definitely die being easy to come to terms with. It's the cases where you can't be sure whether operating will help or not that are the most difficult. It makes sense when you think about it, uncertainty is always the hardest thing to cope with, but I'd never thought about it that way before.
Also fascinating was learning all about different types of brain tumours and other afflictions. Having never known anyone closely with a brain tumour, it was an education to learn how many types there are and how they differ in terms of symptoms, surgery and other treatments.
Overall the memoir felt honest and it was definitely quite humble which is not the stereotypical depiction of a surgeon who we are often led to believe have something of a God-complex! As a surgeon who worked in the NHS and some private practice for several decades it was interesting to see how things had changed, both in surgery and in the wider world of secondary care. Unfortunately it did lead to quite a few chapters including a lamentation on lack of beds, but that's a sad truth of the NHS these days and so probably hard to avoid.
Definitely a great read for pretty much anyone, unless you are squeamish at detailed descriptions of surgery!
This is a very honest and open book which has many short chapters, each focusing on individual case studies - different tumours and different patients all with their own complications or considerations. Whist there are some upsetting chapters they each give a different perspective on what needs to be taken into consideration prior to each and every surgery. Do No Harm gives an interesting glimpse into what it’s like to be a neurosurgeon and the things they go through inside and outside of the surgical theatre.
I was fascinated by the stories of time spent working in the Ukraine as well as around the UK within the NHS. In all this is an enlightening insight into the world of neurosurgery from Dr Henry Marsh. He is a man who whilst obviously extremely talented and a true life saver also comes across as absolutely human, tormented when things go wrong and truly grateful when things go right.



















