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No Apparent Distress

A Doctor's Coming of Age on the Front Lines of American Medicine

Rachel Pearson (University of Texas)

$27.95

Paperback

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English
WW Norton & Co
10 August 2018
In medical charts, the term N.A.D. (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America's medical system when it comes to treating the underprivileged. Medical students learn on the bodies of the poor-and the poor suffer from their mistakes. Rachel Pearson confronted these harsh realities when she started medical school in Galveston, Texas. Pearson, herself from a working-class background, remains haunted by the suicide of a close friend, experiences firsthand the heartbreak of her own errors in a patient's care, and witnesses the ruinous effects of a hurricane on a Texas town's medical system. In a free clinic where the motto is All Are Welcome Here, she learns how to practice medicine with love and tenacity amidst the raging injustices of a system that favors the rich and the white. No Apparent Distress is at once an indictment of American health care and a deeply moving tale of one doctor's coming-of-age.

By:  
Imprint:   WW Norton & Co
Country of Publication:   United States
Dimensions:   Height: 211mm,  Width: 140mm,  Spine: 18mm
Weight:   220g
ISBN:   9780393355857
ISBN 10:   0393355853
Pages:   272
Publication Date:  
Audience:   General/trade ,  ELT Advanced
Format:   Paperback
Publisher's Status:   Active

Rachel Pearson, MD, PhD, is a resident physician who also holds a PhD from the Institute for the Medical Humanities. Her writing has appeared in Scientific American, the Guardian, the Texas Observer, and the New York Times Book Review.

Reviews for No Apparent Distress: A Doctor's Coming of Age on the Front Lines of American Medicine

A notable contribution to the medical bildungsroman. -- British Medical Journal Blogs Engrossing.... Pearson's vivid writing sometimes lulls you into the trance of a good story-character, voice, plot, conflict-but there's always the sucker punch at the end to remind you of the gruesome endpoint of the American healthcare system.... Her literary skill is apparent in her book. Her courage, honesty and doggedness are evident on every page. -- Danielle Ofri - New York Times Book Review No Apparent Distress is filled with the moving stories of a medical student's journey providing health care at the margins of American life. Rachel Pearson shines a spotlight on the brutal inequalities present within our healthcare system. -- Damon Tweedy, MD, author of Black Man in a White Coat Rachel Pearson comes from a hard place. In her memoir No Apparent Distress she tells the story of a Texas hospital that has been flattened by a hurricane and is being rebuilt-literally rebuilt-around her and her colleagues while they pursue their medical training. Working at a clinic for the poor and uninsured teaches Pearson the empathy she will need to cultivate if she expects to act as an effective advocate for her patients. It also teaches her about the inequities and injustices of the American health care system, and the labor of love required of anyone who decides to pursue the practice of medicine in this country. -- Judy Melinek, MD, and T. J. Mitchell, coauthors of Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner


  • Short-listed for Writers' League of Texas Book Award 2017

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