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Undeclared, Chris Higgins

Medical students still swear oaths in august ceremonies. Most sense they are being asked to inhabit a worn-out creed as if it was still meaningful. Higgins writes for undergraduate general education, but I thought of medical students. The real oaths are, Higgins reminds, humane vocational acts which help a trainee in “finding a worthy form…
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The Rich Flee and The Poor Take The Bus, Troy Tasssier

Take the dust-jacket off this one–it’s a banger of a design– and slip it over a dystopian YA novel. Then this can read as fiction. Dip into the now uncovered over the nonfiction afterwards and you will be only more discouraged. Of all the post-COVID post-mortems of how the purportedly most pandemic-ready failed, Tassier contextualizes…
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Case Study, Graeme Macrae Burnet

Burnet builds bits of several genres of a psychiatrist’s life–chapter, memoir, notebook– into a darkly comic novel haunted by a suicide. After Veronica jumps before the 4:45 to High Barnet, her sister blames the therapist. Going undercover as Rebecca, she seeks to uncover the therapist. There’s not much to him– he’s an uncommon failure, a…
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In Shock, Rana Adwish

Physicians wear white coats and treat illnesses, while patients wear hospital gowns and suffer them. The divisions defend doctors against reality: we will all wear the hospital gown someday and be diminished by illness. Awdish learned sooner, and far better, than most. She returned from harrowing illness with a composed narrative. On her wild plunge…
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The Lathe of Heaven, Ursula K. Le Guin

What do you give a shrink who reads? Speculative fiction as prophesy, but with a capacity to break your heart. This goes on the list of books I wish I had read twice: today and tomorrow. “Are there really people without resentment, without hate, she wondered. People who never go cross-grained to the universe? Who…
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Jayber Crow, Wendell Berry

A book about a barber, but a med student advised me to read it as a kind of doctor book. Jayber narrates a half century of executives supplanting farmers, tractors displacing mules, backhoes replacing shovels, and a man who walks away into the woods. Not backwards, but into a better economy, of barter, care, and…
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The Occasional Human Sacrifice, Carl Elliott

The truth does not always out. The righteous are rarely rewarded in the kingdom of academic medicine. For a quarter century now, Carl Elliott has been appealing to the conscience of medicine. Always coming after medicine at a slant, he can see what others cannot. For the first time, he writes about the company he…
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Accidental Kindness, Michael Stein

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Within Reason, Sandro Galea

The first couple of weeks of the pandemic we sang solidarity songs. Before we had time for a second verse, the choir fractured into dissonant songs. Working in the hospital during those days was disorienting as people starting singing angry songs at each other: I-VER-MECTIN! MASK-ING! Galea wants to bring us back together around a…
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The Eden Express, Mark Vonnegut

Paperback in the back pocket of my jorts for the last week? This reminder that the counterculture cracked-up slowly, then all at once. Lot of talk these days that psychiatry neglects meaning. Here’s a little account of the problems of a multiplicity of meanings: “One thing that makes me suspicious is that everyone seems to…