logo Wed, 25 Dec 2024 18:46:26 GMT

Do No Harm


Synopsis


'A SUPERB ACHIEVEMENT' IAN MCEWAN

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What is it like to be a brain surgeon?


How does it feel to hold someone's life in your hands, to cut through the stuff that creates thought, feeling and reason?

How do you live with the consequences when it all goes wrong?

DO NO HARM offers an unforgettable insight into the highs and lows of a life dedicated to operating on the human brain, in all its exquisite complexity. With astonishing candour and compassion, Henry Marsh reveals the exhilarating drama of surgery, the chaos and confusion of a busy modern hospital, and above all the need for hope when faced with life's most agonising decisions.

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Winner:
PEN Ackerley Prize
South Bank Sky Arts Award for Literature

Shortlisted:

Costa Biography Award
Duff Cooper Prize
Wellcome Book Prize
Guardian First Book Award
Slightly Foxed Best First Biography Prize

Longlisted:

Samuel Johnson Prize for Non-Fiction

Summary

Chapter 1: The Hippocratic Oath

* Explores the ethical responsibilities of healthcare professionals, with a focus on the Hippocratic Oath.
* Real example: A doctor struggles to balance her personal beliefs with her obligation to provide unbiased medical care to a patient with a controversial condition.

Chapter 2: The Patient-Physician Relationship

* Discusses the importance of trust, respect, and communication in patient-physician interactions.
* Real example: A patient with anxiety disorder feels uncomfortable discussing his symptoms with his doctor, who comes across as dismissive.

Chapter 3: Informed Consent

* Examines the ethical and legal aspects of informed consent and the patient's right to autonomy.
* Real example: A surgeon performs a procedure without fully informing the patient of its potential risks, leading to a lawsuit.

Chapter 4: Confidentiality

* Highlights the importance of protecting patient privacy and confidentiality.
* Real example: A healthcare worker breaches patient confidentiality by gossiping about a patient's condition to a colleague.

Chapter 5: Conflicts of Interest

* Explores the ethical dilemmas that arise when healthcare professionals have conflicts of interest.
* Real example: A doctor accepts payments from a pharmaceutical company to prescribe its medication, which may not be in the best interest of patients.

Chapter 6: End-of-Life Care

* Discusses ethical issues related to end-of-life decisions, including euthanasia and palliative care.
* Real example: A family faces a difficult choice when their elderly parent is diagnosed with a terminal illness.

Chapter 7: Research Ethics

* Explores the ethical considerations in conducting medical research involving human subjects.
* Real example: A clinical trial is approved without ensuring adequate protection for vulnerable participants.

Chapter 8: Healthcare Disparities

* Examines the ethical implications of healthcare disparities and inequities based on race, gender, or socioeconomic status.
* Real example: A minority patient experiences discrimination and barriers to accessing quality healthcare.

Chapter 9: Health Policy and Ethics

* Discusses the role of ethics in shaping health policy decisions, such as resource allocation and healthcare access.
* Real example: A government proposal to reduce healthcare funding raises concerns about the ethical consequences for underserved populations.

Chapter 10: The Future of Healthcare Ethics

* Explores the emerging ethical challenges and opportunities presented by advancements in technology, genomics, and artificial intelligence in healthcare.
* Real example: The development of gene editing therapies raises complex ethical questions about the potential risks and benefits.