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Critical Care: A New Nurse Faces Death, Life, and Everything in Between

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Review

“Theresa Brown’s arresting account of life on the wards offers palpable testimony that nurses are first responders and primary healers in our times of crises.” (Mehmet Oz, MD, author of YOU: The Owner's Manual health series)“If Theresa Brown tends her patients as well as she tells her story, they are lucky patients indeed. This absorbing dispatch from the front lines of medical care captures the daily travails and triumphs of nursing with humor, compassion, and sometimes terrifying immediacy.” (Julie Salamon, author of Hospital and The Devil’s Candy)“Critical Care is a gift from an English-teacher-turned-nurse who writes from a deeply human context about her first year in a hospital oncology ward...A book of stirring stories about how we live, care for the sick and die.” (Richard M. Cohen, author of Blindsided and Strong at the Broken Places)“Brown shows us what it means to be a nurse and helps us understand that nurses need as much intensive care as their patients. Sometimes more!” (Suzanne Gordon, author of Nursing Against the Odds)“A beautifully written account of a nurse’s first year on the wards, a medical memoir that combines lyricism and compassion with searing honesty and well-timed laugh-out-loud wit...I loved this book.” (Pauline Chen, author of Final Exam)“A must read for anyone who wants to understand healthcare. This extraordinary book will open your eyes to the reality of nursing. If you or your loved one ends up in the hospital, you’ll wish you had someone like Nurse Brown at your side.” (Elizabeth Cohen, MPH, CNN Senior Medical Correspondent)

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From the Back Cover

"Doctors heal, or try to, but as nurses we step into the breach, figure out what needs to be done for any given patient today, on this shift, and then, with love and exasperation, do it as best as we can."—from Critical Care"At my job, people die," writes Theresa Brown, capturing both the burden and the singular importance of her profession. Brown, a former English professor at Tufts University, chronicles here her first year as an R.N. in medical oncology. As she does so, Brown illuminates the unique role of nurses in health care, giving us a deeply moving portrait of the day-to-day work nurses do: caring for the person who is ill, not just the illness itself.Critical Care takes us with Brown as she struggles to tend to her patients' needs, both physical (the rigors of chemotherapy) and emotional (their late-night fears). Along the way, we see the work nurses do to fight for their patients' dignity, in spite of punishing treatments and an often uncaring hospital bureaucracy. We also see how a twelve-hour day of caring for the seriously ill gives Brown herself a deeper appreciation of what it means to be alive. Ultimately, this is a book about embracing life, whether in times of sickness or health.As she takes us into the place where patients and nurses meet, Brown shows us the power of human connection in the face of mortality. She does so with a keen sense of humor and remarkable powers of observation, making Critical Care a powerful contribution to the literature of medicine.

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Product details

Paperback: 224 pages

Publisher: HarperOne; 1 edition (April 26, 2011)

Language: English

ISBN-10: 0061791547

ISBN-13: 978-0061791543

Product Dimensions:

5.3 x 0.6 x 8 inches

Shipping Weight: 6.4 ounces (View shipping rates and policies)

Average Customer Review:

4.6 out of 5 stars

131 customer reviews

Amazon Best Sellers Rank:

#64,284 in Books (See Top 100 in Books)

Theresa Brown, former university English Professor, who decided to change her occupation and become an oncology nurse, is a wonderful and powerful writer. After reading her second book, "The Shift" that chronicled one shift on an oncology floor of a hospital, I just had to read something else by this extraordinary lady. And so, I chose her first book "Critical Care: A new nurse faces death, life, and everything in Between." Like "The Shift" this book is a powerful, in your face, beautifully stuctured novel that presents a startling and realist depiction of the life and death ordeals and trails that these selfishless, dedicated nurses face every day. Amazing and enlightening.

This is the well-written and gripping story of the author's first year in her new career as a nurse on an oncology hospital floor. Brown came to nursing after leaving the fairly pampered life of an English professor, and I found myself admiring her courage in making such a drastic career change. I've read a lot of medical memoirs written from the perspectives of doctors and patients; this is the first nurse's memoir I've read. I found myself appreciating the nursing perspective a great deal; as Brown makes abundantly clear, the vast majority of hands-on patient care in hospitals is delivered by nurses, not M.D.s, most of whom in Brown's book remain rather shadowy figures that she is always having to track down to obtain permission to do what she already knows is right for her patients.Because Brown works on an oncology unit, there are not a lot of cheery stories of miraculous recoveries to be found in the pages of this memoir. Many of her patients will and do ultimately relapse; some of them die during the year that this book covers. Brown makes an excellent case for the need to improve how the medical establishment deals with patients and families on end-of-life issues. Probably the most emotionally powerful sections of the book are those involving Brown's feelings of helplessness as it becomes clear that a patient is very near the end of life and the difficulties inherent in talking with the patient and family members about their preferences for aggressive treatment at this stage. If you have not had such conversations regarding DNR orders and health proxies with your loved ones before reading this book, you'll definitely be inspired to do so after.Equally powerful and illuminating are the sections of the book where Brown describes how she is able to cope with the knowledge that so many of her patients will not get better and in fact will die prematurely: She focuses on the moment and the fact that, while she and medicine may not be able to save a particular patient's life, she CAN work to make this a better day for them right now--and maybe that's enough.Brown doesn't mince words when it comes to describing some of the less pleasant aspects of nursing (I had no idea that doctors would even contemplate performing a poop transplant [!!], as they considered in one example of intractable diarrhea). While that sort of detail made it clear to me that I would never be cut out to be a nurse myself, simply reading about Brown's matter-of-fact acceptance that taking care of sick people will involve messy stuff like blood and poop--and that it is no big deal at all for her and her colleagues--will probably make any future hospital stays I endure a lot less embarrassing for me.Brown also does a good job of explaining just what it is that nurses do all day and why they may not be available to answer your every push of the call button within 60 seconds. It's exhausting, physically demanding work, and anybody who anticipates being in a hospital at any point of their lives (which, face it, is just about all of us) should be eternally grateful that there are dedicated professionals like Brown who are willing to endure the stress and burn-out of nursing because they care about people.One of the sections of the book that resonated the most with me was the epilogue, where Brown talks about the lesson that SHE has learned from her patients: Life is fragile. We are every one of us vulnerable, and every day is a wonderful gift. She relates the anecdote of her husband indulging a mid-life impulse to buy the grand piano he had long dreamed of, a decision that brought him "a joy like nothing else in his life." She ends her book with words that we would all do well to heed: "People say, why wait? But really they should say, don't wait. Listen when you can, tell the people in your life you love them, and buy the piano."

I love nonfiction books and anything to do with the medical field. This book brought me back when I sat with my daughter in the hospital fighting for her life. She won the battle with leukemia. And let me tell you, it was some battle. I realized that poison was being put in my girl, when I went to use her restroom. There was a biohazard sign on it. Her urine was so toxic. I could not use it! She won the battle, and if it was not for the wonderful nurses surrounding her, it might not have ended well.

I pray no one in my immediate family ever gets hit with cancer. I am the medical case in our family. Diabetes Type 1 diagnosed in 1983. Pancreas transplant 12/1999, kidney transplant 6/2000. Three months of dialysis. Diabetic diarrhea and diabetic Gastroparesis. I felt for all the patients in the "poop" chapter. It is very humbling, humiliating and hard to deal with. Thank you for cleaning it up. I love my nurses when I'm in the hospital and I thank you from the bottom of my heart for all you do. I always wanted to be a nurse but knew I couldn't deal with the bodily secretions from both ends. My tag reflex is very powerful.

My daughter (age 13) is considering nursing as a career. I ordered this nursing autobiography for her and of course read it first to see if it was appropriate for a child to read. I thought it was very we1l-written and did not shrink from difficult topics such as death and feces. It does have the word sh-- in it, but only on reference to the actual substance, not as a swear word. One gets a picture of the difficulties of nursing paperwork, the physical stength needed, working relationships with other nurses, and the hospital heirarchy. One also sees the joys of helping patients and their loved ones be comfortable physically and emotionally and the vital joy of saving lives. I learned a great deal about what a nurse's daily working life is really like. I think this is an excellent book for anyone who is considering nursing as a career or just wants to learn more about a nurse's life.

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