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Doctored: The Disillusionment of an American Physician Paperback – August 11, 2015
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Sandeep Jauhar
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Print length288 pages
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LanguageEnglish
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Publication dateAugust 11, 2015
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Dimensions5.47 x 0.72 x 8.21 inches
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ISBN-100374535337
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ISBN-13978-0374535339
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Editorial Reviews
Review
“In this absorbing memoir-cum-analysis, Sandeep Jauhar traces his years as a fledgling cardiologist against the backdrop of a health-care system in peril . . . An impassioned call to action.” ―Barbara Kiser, Nature
“A supremely well-written, thought-provoking memoir that strikes the perfect balance between ideas and sentiment.” ―G. Sampath, The Hindustan Times
“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.” ―More
“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
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Product details
- Publisher : FSG Adult; Reprint edition (August 11, 2015)
- Language : English
- Paperback : 288 pages
- ISBN-10 : 0374535337
- ISBN-13 : 978-0374535339
- Item Weight : 8 ounces
- Dimensions : 5.47 x 0.72 x 8.21 inches
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Best Sellers Rank:
#438,631 in Books (See Top 100 in Books)
- #233 in Hospital Administration (Books)
- #734 in Public Health Administration
- #1,141 in Medical Professional Biographies
- Customer Reviews:
Customer reviews
Top reviews from the United States
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This story is not pretty. While the setting is the medical profession, it could be any profession where market forces come into play. It is the old story of should I do "what everybody else is doing."
However, I want to address other reviewers' complaints that Sandeep offers no solutions. A memoir isn't written to provide solutions. It is written to share a story. Sandeep has accomplished this task, and done it well.
Too often in business you hear a boss say: "Don't bring me a problem unless you also bring me the solution." This view reflects conventional business wisdom, and it is wrong. Smart bosses know that people who discover a problem might not honestly know what the solution is. Their value is to exposing the problem to somebody who can get assistance. This alerting is always the first step toward problem solving, especially if the source of the problem multi-departmental. The second step is not the solution, either. It is getting the key solution creating people engaged. The third step is actually working on a solution.
Therefore, Sandeep has done us a service. He is sharing a problem the medical community has. The problem is not going away, so let's not fault him for not presenting a solution. Instead, let's find the people (and organizations) that are best suited to tackle the issues he raises.
Sandeep has done his part. Now others must do their part.
Dr. Jauhar's frank talk about his personal struggles elevates this book to five star status. He speaks candidly about middle age, family dynamics, financial struggles, greedy doctors and (as a reserved person) his struggle to play the politics necessary to drum up enough business to make a private practice profitable. As one of his colleagues said to him, you are not a smiley face person. Granted it is sometimes hard to have empathy for with Dr. Jauhar. He has a loving wife and children, guaranteed lifetime employment and when he gives up living in Manhattan for financial reasons, he settles for a large house in the suburbs.
This book opened my eyes about the business of medicine and hopefully going forward I will be a wiser and more vigilant consumer.
In general, much of the author's experience parallels that of all doctors of our generation. You start a career wanting to help people and have a great professional career. As the years have gone by, the treadmill seems to get a little faster every year, the administrative hassles grow, and the paycheck gets a little smaller. Obviously, the doctor is the loser in this game, but the patient is also the loser. He or she gets a physician who is stressed out, hassled from every direction, frustrated, and has less time than ever to dwell on the encounter. Regrettably, I do not see the situation changing anytime soon, and I also see, on the horizon, a large egress from the profession of mid and late career docs, the ones who cared, worked early and late, and understood and possessed the best attributes of the culture of medicine of a bygone era.
Things will get worse, maybe much worse, before they get better.
Back to the book, I did not find many of the autobiographical aspects of the book to be very useful, especially when they did not pertain to the subject at hand. Many of us have families we wish we had more time with, marriages that are stretched and often strangled by the lifestyle, and successful and happy siblings or in-laws that make us reconsider our paths. At any rate, I read these parts quickly and/or skipped these sections entirely.
The author is a very talented writer, and I look forward to reading more of his work in the future. I hope that this book becomes a rallying point for physicians who care to work to make the system better.
Top reviews from other countries
The author gives very vivid examples , telling the stories of many of his patients as well as his own struggles with his commitment as a doctor and his duties as a husband and father. A very recommandable book!
I was not a huge fan of the writing style. While I am sure the author meant to make himself more accessible as a character in his narrative, I found the constant references to his low self-esteem (especially in relationship to his older brother and his parents) more off-putting than endearing.
All in all, if you are a fan of MD. authors (as I am) the book is a valid addition to your personal library, even if you don't fall in love with the author, the book raises some very important points about the relationship between Economics and Medicine, a topic which will (and has to) remain a focus of attention for modern society.