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This book is fantastic, and I d say it s a must read for everyone Confessions of a Surgeon is entertaining and informative I watch a lot of Grey s Anatomy, so I thought I knew a little bit about surgery hahahhahahah not really , but this was a real look into the medical world Dr Ruggieri uses entertaining cases from his life to educate us, and provides a commentary on the current state of medical surgical affairs Be warned though, his account of current affairs is highly biased and emoti This book is fantastic, and I d say it s a must read for everyone Confessions of a Surgeon is entertaining and informative I watch a lot of Grey s Anatomy, so I thought I knew a little bit about surgery hahahhahahah not really , but this was a real look into the medical world Dr Ruggieri uses entertaining cases from his life to educate us, and provides a commentary on the current state of medical surgical affairs Be warned though, his account of current affairs is highly biased and emotional obviously I would advise not taking his words to heart because of the deep, but understandable bias the good Doctor holds You also receive some knowledge about medical procedures and real surgical techniques, and I really enjoyed this being mixed in This book was educational, and entertaining enough so that I won t instantly forget the valuable knowledge I have learned Surgeons rock I really couldn t decide how many stars to give this book It did provide some intriguing insights into surgery, as well as some helpful advice to patients, but I didn t like the author s attitude some of the time I shouldn t have been surprised, since he s a surgeon, but I found him arrogant at times, which is pretty much my 1 pet peeve His nostalgia for the old school training of surgeons, even as he acknowledges that the new training and new practices benefit patient SAFETY is baffling I really couldn t decide how many stars to give this book It did provide some intriguing insights into surgery, as well as some helpful advice to patients, but I didn t like the author s attitude some of the time I shouldn t have been surprised, since he s a surgeon, but I found him arrogant at times, which is pretty much my 1 pet peeve His nostalgia for the old school training of surgeons, even as he acknowledges that the new training and new practices benefit patient SAFETY is baffling Other times, though, he was muchhumble As I read, I compared him to Atul Gawande, the author of Complications and Better, and a surgeon himself who still manages to be humble and thoughtful, and Ruggieri can t hold a candle to Gawande as far as writing style or personality I don t know quite what to make of this book It haspolemics and political commentary than I expected, and the author seems to take 3 pages to explain what could be explained in one.The author opens most chapters with a real live example of what the chapter is about, then develops the theme But the development always seems somewhat disjointed.In spite of the above, I am left with admiration for the author, who is obviously a dedicated and competent surgeon who wants to do the right thing I don t know quite what to make of this book It haspolemics and political commentary than I expected, and the author seems to take 3 pages to explain what could be explained in one.The author opens most chapters with a real live example of what the chapter is about, then develops the theme But the development always seems somewhat disjointed.In spite of the above, I am left with admiration for the author, who is obviously a dedicated and competent surgeon who wants to do the right thing for his patients and improve his profession.The white coat code of silence is the term the author gives to the way his profession protects the incompetents This is actually one of the best sections He opens with the example, describes how, as department head, he has to make a decision about renewing a surgeon s operating privileges, and how he waffled back and forth on what his decision should be and the factors that affect the decision Ultimately, as one would expect, he made the right one.He writes about knowing when to operate as opposed to how to operate, as well as the need for exploratory surgery He gives kudos to the nurses, who are quick to recognize when the surgical patients are not recovering like they should be, and get the surgeon involved in the evaluation.Overall, not a bad book, but one that can t seem to make up it s mind whether to editorize on what s wrong and how to fix it, or whether to write a day in the life of a surgeon I expected the latter, but got a lot of the former What is the white code of silence Why are surprises nefarious malignancies to a surgeon Is it true this surgeon worked iron before governing a scalpel Ruggieri escorts us down a cold sterile hall to the O.R as he enters hearing cracking ribs of a blonde boy undergoing CPR greet him as he exclaims what the hell happened How forgoing relationships, romance or fun is common surgery is a way of life Surgeons are the closest things to gods and showing weakness is not an option unless you d What is the white code of silence Why are surprises nefarious malignancies to a surgeon Is it true this surgeon worked iron before governing a scalpel Ruggieri escorts us down a cold sterile hall to the O.R as he enters hearing cracking ribs of a blonde boy undergoing CPR greet him as he exclaims what the hell happened How forgoing relationships, romance or fun is common surgery is a way of life Surgeons are the closest things to gods and showing weakness is not an option unless you desire to be devoured I watched the actions mainly and admired these stone sentinels of self reliance who had to be in control of all outcomes Ruggieri, 126 Paul A Ruggieri s description is symphonic and ambrosial in his ovary exam description being like a bowl of warm jelly The white code of silence is substantive and illustrates why we may desire to consult pro publica pre surgery Brilliant surgical prose within Buy it The book is ramble The text is very uneven, from his frustrations with the nurses that refuse to sleep with him because of his low income of course to generalities on the system and boring insignificant personal happenings So he would go into details about the body on which he studies Anatomy, than go into a few paragraphs on how Medicine is taught in the first semesters.Ruggieri is a victim And a bully He is a true believer and a fine product of the system.Ruggieri is a victim of a system The book is ramble The text is very uneven, from his frustrations with the nurses that refuse to sleep with him because of his low income of course to generalities on the system and boring insignificant personal happenings So he would go into details about the body on which he studies Anatomy, than go into a few paragraphs on how Medicine is taught in the first semesters.Ruggieri is a victim And a bully He is a true believer and a fine product of the system.Ruggieri is a victim of a system raised by bullies like himself, petty goblins who perceive themselves as gods Sadly, Ruggieri assumes what he has been told that he is smart, competent, god like and his unhappiness stems from the daily reality checks He does not have the analytical power to understand that his education was long and expensive as a way of keeping an elitist gang Yes, you have to have money and time and ambition in order to get there Smarts are undesirable So he is trained for years in competences that 1 he will never use 2 he does not remember beyond a few technical terms.Most of the time Ruggieri is the bully And emotion is his reason He is special not because of the few operations he does, but because More than thirty million people a year in this country enter hospitals to undergo surgery, for conditions including bad joints, clogged heart arteries, and diseased gallbladders.Not only that there are thousands of surgeons, but the act is made possible by insurance, by pharmaceutical companies, by medical equipment producers and the numerous medical personnel that is not a surgeon Ruggieri is also a prick I ve long wanted to push open the O.R doors and show the public the mysterious place where lives are improved, saved, damaged, and, sometimes, lost Yes, he can But he never will Because this book is not about giving the public access to his lair, but rather to bitch of how some people don t bow in awe when his disinfectant smelling body is passing though the halls.The worst part the lack of reason For him, surgery is magical Hence a calling and may the gods have mercy on the miserable getting on the hands of this gambler All the accounts of the patients are the same way he goes on the morning at the end of his night shift some background to seem informed , the medical highlights as to what to be careful of in order to avoid the lawyers , and the conclusion the patient has never went up above the cadaver from Anatomy class.Occasionally we get glimpses into Ruggieri s misogynism the medical student is presented as male, the nurses as female, and the nurses don t bother with him as a student not because he is an entitled loser, but because he is long from making a good income.And, of course, he is a conservative Hence, he repeatedly notices how the new generations were not bullied proper enough and hence the force might not be strong enough with them in the operating room.The second star is for his candid descriptions It s not a bad book I could have given it a 3 star if I would not have been so annoyed at the writing style There isn t any.Ruggieri sounds like a decent man, excellent discerning surgeon, and a dedicated professional But he does not write well There are some words so often repeated I and me being the most used pronouns.Maybe I have become spoiled within such volumes of non fiction and medical which have had such excellent progression and editing This book was interesting, but he takes 7 p It s not a bad book I could have given it a 3 star if I would not have been so annoyed at the writing style There isn t any.Ruggieri sounds like a decent man, excellent discerning surgeon, and a dedicated professional But he does not write well There are some words so often repeated I and me being the most used pronouns.Maybe I have become spoiled within such volumes of non fiction and medical which have had such excellent progression and editing This book was interesting, but he takes 7 pages for what could be said better in two It s jumpy in organization, despite trying to be chronological It was the MOST successful at impressing upon me the immense importance of staying out of the hospital unless there are no other alternatives I have been hunting down and devouring every medical memoir I can find for the past few weeks, and so far, I have loved every one that I ve come across This one, being the memoir of a surgeon, promised to be a favorite I am working toward, someday, becoming a surgeon myself.However, I was let down, and didn t find myself enjoying this one all that much.There were some fascinating descriptions of procedures and operations, most notably a few pages describing a Thyroid surgery, but they were f I have been hunting down and devouring every medical memoir I can find for the past few weeks, and so far, I have loved every one that I ve come across This one, being the memoir of a surgeon, promised to be a favorite I am working toward, someday, becoming a surgeon myself.However, I was let down, and didn t find myself enjoying this one all that much.There were some fascinating descriptions of procedures and operations, most notably a few pages describing a Thyroid surgery, but they were few and far between, not to mention the author s mediocre writing skills.In my reading of medical blogs and posts online, I have gotten the impression that surgeons are generally regarded as assholes with control issues and God complexes This book could be used as evidence for this stereotype.I found the narrator, Dr Ruggieri, to be absolutely insufferable His candor and apparent willingness to share both good and bad sides of himself though I cannot recall any of the good would have better remained hidden bydescription of hospital life and operations.Ruggieri tells us that he loves being in the O.R so much because he is God in there, and yes, he really does use that wordthan once, also calling himself King of the O.R He gives little evidence of concern for any of the patients mentioned, but shows much concern over legal trouble, his good name, and having the job require as little work as possible while adding up to the highest paycheck He never mentions any of the nurse s names, and writes of O.R scenes as if they are slaves in awe of his every movement.There is nothing necessarily wrong with wanting to get home on time, cursing when a patient unexpectedly crashes, or bragging about your new Porsche But the way that Ruggieri comes across to the reader is as a disenchanted, crass individual.Besides being an asshole, he is also frequently annoying, using the word fondle when talking about human organs numerous times, and having ridiculous conversations with them as well.A partially likable memoir at times about an entirely unlikable narrator True story 1 I was in graduate school in aerospace engineering before I finally gave up the idea of going to medical school and instead decided to be a rocket scientist I thought for sure that I was going to be an orthopedic surgeon long before I thought I was going to work in satellites.True story 2 From what Reggieri says in his book, life as a surgeon is very similar to life as a spacecraft systems engineer He saves lives, I work on 100 million dollar satellites For him, a bad outcome me True story 1 I was in graduate school in aerospace engineering before I finally gave up the idea of going to medical school and instead decided to be a rocket scientist I thought for sure that I was going to be an orthopedic surgeon long before I thought I was going to work in satellites.True story 2 From what Reggieri says in his book, life as a surgeon is very similar to life as a spacecraft systems engineer He saves lives, I work on 100 million dollar satellites For him, a bad outcome meanssurgery or death For me, it means a broken satellite and a very expensive insurance claim There are many overpriced tools going into both of our jobs And a lot of new ish regulation Finally, we both kind of thrive on something going wrong, being the hero in the middle of the night.Honestly, this is one of the times I wish Goodreads allowed half star ratings I d give this a three and a half Ruggieri confesses what I ve long suspected is true of my surgeons I ve had 13 surgeries They think they re akin to gods They don t get enough sleep Seeing someone damage themselves pisses them off And oh do they hate failure.Ruggieri does a reasonable job of painting a picture of life on the other side of the scalpel It s obvious he think there should betransparency in medical and medical error reporting, and he touches that a lot He seems to be an advocate for patient s right to know All of that I can get behindhaving searched for info on my doctors and especially my surgeons I can appreciate that I know next to nothing about any of the people that have cut into me Sure, I know their accoladesbut do I know their major complication rate Nope.I guess that I wished this book focused a little less on the disease itself I found myself getting somewhat hypochondriac as I read pages of the book where he described someone feeling otherwise fine having a gut full of tumors I also wish he was a little less repetitive All in all, it was an interesting non fiction title, but I d avoid reading it if you get WebMD itis (READ E-PUB) º Confessions of a Surgeon: The Good, the Bad, and the Complicated...Life Behind the O.R. Doors ß As an active surgeon and former department chairman, Dr Paul A Ruggieri has seen the good, the bad, and the ugly of his profession In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost He shares the successes, failures, remarkable advances, and camaraderie that make it exciting He uncovers the truth about the abusive, exhaustive training and the arduous devotion of his old school education He explores the twenty four hour challenges that come from patients and their loved ones the ethics of saving the lives of repugnant criminals the hot button issues of healthcare, lawsuits, and reimbursements and the true cost of running a private practice And he explains the influence of the white coat code of silence and why patients may never know what really transpires during surgery Ultimately, Dr Ruggieri lays bare an occupation that to most is as mysterious and unfamiliar as it is misunderstood His account is passionate, illuminating, and often shocking an eye opening, never before seen look at real life, and death, in the OR Dr Ruggieri is a talented writer I read a review of this book in the Wall Street Journal which led me to the library to read it for myself This book educated me on the good and bad of surgery and surgeons I appreciate that the book was not too descriptive of the actual surgeries Each chapter leads the reader into one or two cases in which Dr Ruggieri decides whether or not to perform an operation Occasionally he chooses not to perform an operation despite peer pressure by other doctors T Dr Ruggieri is a talented writer I read a review of this book in the Wall Street Journal which led me to the library to read it for myself This book educated me on the good and bad of surgery and surgeons I appreciate that the book was not too descriptive of the actual surgeries Each chapter leads the reader into one or two cases in which Dr Ruggieri decides whether or not to perform an operation Occasionally he chooses not to perform an operation despite peer pressure by other doctors The writer lets you see how and why decisions are made both in emergency situations and known health problem situations Dr Ruggieri is very honest in his writing He admits mistakes he made and describes what it is like to be sued He also details the cost of his malpractice insurance and the often ridiculous processes required by the insurance company to document and protect against such lawsuits This is a great layman s guide to a world that we would otherwise not understand It is valuable reading and I recommend this book to any reader who currently has a heartbeat