Se =e SRN CONFESSIONS OF AN INTERN 15) 10 ON THE MEMOIR OF A RELUCTANT DOCTOR ANIAY GUPTA, Atl Gawande and Sandeep Jaubar - they'are all ambiva Tent doctors with a passion for media and communication, jaubar, the latest {ojoin this growing clan of doctors, isa dhru lng cardiologist, director ofthe Heart Failure Program at Long Island Jewish Medieal Center an a medical journalist. Since 1998, he has been writing about medicine for The New York Times. Jauhar's memoir, “Intern: A Doctor’ initiation” published by Farrar, Straus ‘and Giroux (December 2007), isa refreshing nok atthe alluring and huerative medial pro Fessin. The book focuses on Jauba’s days and np intern nights asa resident at a busy hospital in New York (Gay, a ral tat Le him to question every assumption about medical care today. Residency ~and especially the fs year, ealled intern Islegendary for its brutality, Working 80 hours or more per week, most new doctors spend thelr fist year asking themselves why ‘hey wanted go be doctors inthe est place But more significantly the story of an immigrant family with strong cultural traditions and equally strong ambitions, hau ‘decided to earn a Ph.D. in physics from the University of California at Berkeley with ern is also a love story of sort ad 's parents were distressed when he ‘toughts of becoming a lawyer, academic or ‘write. They should have been relieved when hie decided to become a catdiologst, but they ‘were more concerned about him “changing horses in the middle f the stream. Jaubar’ internship was mote harcowing than most: He switched from physics to med cine in order to follow a more humane calling only to find medicine put patients’ concerns. last. He stu place among ssquadcons of cocky residents and doctors. He challenged the practices of internship in The ‘New York Times, attracting the suspicions of the medical bureaueraey. Then he suffered herniated disk and became a patient realize that todays high-tech, high-pressure ‘medicine ean be a humane science aftr al was an intern a decade ago, but Isl remember itthe way soldiers remember war Jauhar sas, recounting the frst year of his medica he pitas of nights oneal calling codes, informed con. ‘only 10 residency -navigatin sent, treating depression other than his own and generally coping with patents so exhausted, frustiated and scared, that patents and doctors alike just wanted to go home. Jauhar writes with destrityabout various incidents, eases, medical staff and patients he encountered during his residency These litle stories spice up the otherwise bland subject of med He wrltes abour the physical demands of boing doctor. "On call nights the ward was like sleeping village, and you were the night watchman on pateo with your penlight and stethoscope” Jauhar muses, “Sometimes | ‘worried about how I as going to get through another night on call, ‘unt I ealized that my patents » helping me. Their bodies had the homeostatic reserve, the ty to self core, to com. pensate for my mistakes Aer stugaling with theif cles of intemship,Jauhar grad ally arrives ata curve in the roads The month long rotation inthe ICU was turning point. Like phase transition, dhe transformation was almost imperceptible, yer the results were srtking, When I got back to the wards I is ‘coveted level of comfort I could never have imagined as an inter or even eaty on in my seeand yea” He siaecessully endures the rigors of his residency and looks back at his experience, “What a strange experiment {bad conducted! Bailing out of «promising physi earer in ‘my mid-twenties to goto medical school. And then a cinial residency in internal medicine \when I sasnt even sure T wanted to bea doc tot It had been a foolhardy mission, and yt it ‘occurred to me that | would doi all over agin,” Jauar reminisee Paton Summary ASTEUN® Nasal Spray (zeatin yoroereee) AS-telin -LASeen Ho MLOR te) “as summary contains iparantisfomation abut ASTELN tot meant 0 ak ne lace of our dc {oes instucons. Pease read careful belre you use ASTELNG Whenever youl your preston, ead the sccompanyig sunmary because tray cntan ne Intrnston. Ask your eat fyou ave quetns abot ASTELN, Whats ASTELIN? PASTELN I a restritn nasalsray maine ASTELN isan abhistaine proven to releve symptoms of ea onal algis nace ancien 8 year nd ote. Inan, in people 1 years and oe reeves syotame casas by anton ants such as plrtumes gare smoke, exaust fumes, chemist fos, and cid al These symptoms ince sneezing, ey ony nes, sty nse an pastasal or. Who should not use ASTELIN? 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