by Sharon Kane
We would like to think that brain surgeons are infallible, though of course that is an unrealistic expectation, as Henry Marsh’s Do No Harm: Stories of Life, Death, and Brain Surgery (2014, Thomas Dunne Books) demonstrates. Marsh shares his weaknesses, misjudgments, and anxieties as a neurosurgeon along with fascinating details of adventures he’s had in the operating room. We come to admire his talents in both his medical specialty and his writing as he “attempt[s] to give an honest account of what it is like to be a neurosurgeon” (p. x).
Most of the chapter titles indicate the conditions that lead to the need for Marsh’s services. The chapters include details of particular surgeries (most of which include a lot of blood), conversations with patients pre-and-post surgery, and explanations of how Marsh makes decisions in situations that are fraught with risk. Readers can feel his remorse and anguish when patients worsen after surgery, and his exhilaration when a seemingly hopeless scenario turns around due to his skill.
In one chapter, Marsh describes himself as a patient. He explains, “Most medical students go through a brief period when they develop all manner of imaginary illnesses . . . until they learn, as a matter of self-preservation, that illnesses happen to patients, not to doctors” (p. 215). He notes that doctors often dismiss their own initial symptoms and can be slow to diagnose themselves. But he could not ignore the effects of a vitreous detachment and thus had to place himself in the hands of a retinal surgeon. Another time, he broke his leg, and after that surgery his doctor “insisted on keeping me in hospital for five days on the grounds that I was a doctor and would not listen to his medical advice that I should rest my leg. . .” (p. 228). Some of his colleagues saw him in the hospital and “looked somewhat startled to see me disguised as a patient in a dressing gown with a leg in plaster” (p. 229).
Marsh manages to turn everything into a story, which is what makes this nonfiction account of his career so fascinating. He presents ethical dilemmas and then brings us along on his rounds as he deals with them. Marsh is an expert in his field and is someone I would trust.
Appropriate for high school and beyond
biology, ethics, careers, ELA