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Singular Intimacies: Becoming a Doctor at Bellevue, by Danielle Ofri
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Singular Intimacies is the story of becoming a doctor by immersion at New York's Bellevue Hospital, the oldest public hospital in the country. When Danielle Ofri first enters the doors as a medical student, she is immediately plunged into the teeming world of urban medicine. It is here that Dr. Ofri develops a profound instinct for healing and, above all, learns to navigate the tangled vulnerabilities of doctor and patient.
From the Trade Paperback edition.
- Sales Rank: #444150 in eBooks
- Published on: 2003-04-01
- Released on: 2003-04-01
- Format: Kindle eBook
From Publishers Weekly
These essays, some previously published, about the author's 10 years as a medical student, intern and resident at the oldest public hospital in the U.S. resonate with insight, intelligence, humor and an extraordinary sensitivity to both the patients she treated in this inner-city facility and the staff she worked with. The cofounder and editor-in-chief of a literary magazine, the Bellevue Review, Ofri is now an attending physician at Bellevue and brings to this memoir a combination of medical information and some very expressive writing. The author acknowledges that when she arrived to work on the wards, she had no idea what her responsibilities were or how to perform typical student tasks like drawing blood. Along with the technical skills she absorbed working overtime in a stressful atmosphere, Ofri also learned to truly care for her cases. In "Finding the Person," she describes, for example, why she continued to speak to and maintain a bedside manner with a comatose woman in front of the dying woman's family. "Intensive Care" recounts the story of Dr. Sitkin, a difficult supervisor who both alienated and won the respect of his medical team, and eventually took his own life. The tragic loss of her close friend Josh, a 27-year-old, who died from a congenital heart condition ("The Burden of Knowledge"), caused her to doubt the foundation of medical training, that knowledge is power. The pieces in this powerful collection are tied together by the struggle of a clearly gifted physician to master the complexities of healing.
Copyright 2003 Reed Business Information, Inc.
From The New England Journal of Medicine
Bellevue Hospital, probably the oldest hospital in America, began to serve George II's New York subjects in 1736 as a Public Workhouse and House of Correction with six beds for the sick. Included in the cost of construction were 50 gallons of rum. Forced by an epidemic of yellow fever to escape the filth of central Manhattan in 1794, the almshouse-prison-hospital complex found a haven at Belle Vue, an estate overlooking the East River. Bellevue became a teaching hospital, first by shedding its poorhouse and penitentiary and then, in 1847, by opening its doors to medical students. The horse-drawn wagons of the world's first hospital-based ambulance service began to clatter out of Bellevue in 1869, and four years later the hospital opened America's first nursing school. Over the ensuing years, Bellevue evolved into a behemoth built of bricks the color of dried blood, one side facing the East River, the other looming over First Avenue and 27th Street (Figure). In the 1950s, New York University medical students, of which I was one, thought it was the greatest hospital in the world's greatest city. The Old Bellevue is now a worn-out hulk occupied mainly by administrators. Its clinical services were transferred to the New Bellevue in 1973, and a part of the former poorhouse is undergoing conversion into a center for biomedical research. Now, 30 years after the Old Bellevue closed its doors to the sick, Danielle Ofri recounts in Singular Intimacies how it was to be a medical student and resident at the New Bellevue and how it is to serve the grande dame of New York medicine as an attending physician. Ofri is a gifted writer. Her vignettes ring with truth, and for any physician or patient who knows the dramas of a big-city hospital they will evoke tears, laughter, and memories. Indeed, any reader, physician or not, will find in Singular Intimacies the essence of becoming and being a doctor. Ofri's prologue tells the story of a 62-year-old French woman with lung cancer who, gasping for breath, gives the intensive care unit (ICU) team her final orders through an oxygen mask. "Air France," she says. "No other airline. My body must fly to Paris via Air France. . . . No ceremony before the interment . . . just a burial at Rue de la Colonnade." Ofri writes, "We file out of the room . . . our hands dangling awkward and useless, our tears threatening to give way." Ofri's epilogue reveals that after a week in the ICU, her French patient's pulmonary infiltrates and hypoxia gave way to antibiotics. "There was no sweeter music than that silvery Parisian accent floating into my ears. . . . The arc of her words shimmered in the air and her history settled softly into mine." Little wonder that Danielle Ofri is editor-in-chief of the Bellevue Literary Revue. Then there is "The Professor of Denial," a psychiatrist who is clearly in the terminal stages of an intraabdominal cancer but does not have a tissue diagnosis. The psychiatrist insists to the end that he has viral hepatitis. Despite obvious signs of his patient's impending death, Dr. Gursky, the attending physician, demands one invasive diagnostic procedure after another, including a laparotomy, to get the answer. All to no avail. Ofri's anguish at having to carry out Gursky's orders is the only point of clarity in this story. One wonders who was in denial -- the patient or Dr. Gursky. Ofri writes about Mrs. Whitney from South Carolina, whose brain lost its cortical function after she collapsed from cardiac arrest while visiting her daughter in New York. All the frustrations of caring for a patient in a vegetative state in the cardiac care unit of Bellevue Hospital and dealing with her family are examined. "It's just a coincidence that her eyes sometimes move toward you when you speak. But her cortex can't process anything they're seeing. I . . . I'm sorry." The arresting aspect of the story is Ofri's respect for the unseeing, unfeeling Mrs. Whitney and her hope that the staff that will continue Mrs. Whitney's care will "find the person within the patient." In these and 13 other stories, Ofri distills the terrors, frustrations, and joys of her life as a student and physician at Bellevue. Above all, Ofri has the precious gift of humility. It is this quality that graces her prose, transforming it from mere storytelling into memorable parables. Robert S. Schwartz, M.D.
Copyright © 2003 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
From Booklist
*Starred Review* Ofri chose to complete her medical education amid the kinetic life-and-death drama of Bellevue, the oldest public hospital in the U.S. She now tells the profoundly affecting story of her many rites of passage on the journey from student to doctor, describing with openhanded humility and candor her most awkward and terrifying moments--skirmishes with an elderly patient who suddenly turns aggressively amorous and an unrelentingly belligerent IV drug abuser--as well as revelatory encounters with a nurse who comforts her when she becomes paralyzed with fear over the risk of contracting AIDS and an astonishingly courageous and gracious lung cancer patient. Ofri, whose literary passion inspired her to help found the Bellevue Literary Review, learns something essential about healing, compassion, and death, just "how complex the act of becoming a doctor really is," and what it means to be human from everyone she comes in contact with, from the loving family members of terminally ill patients to a cantankerous but caring doctor who ends up committing suicide. And she relates each transforming experience in prose so powerful in its lucidity and quest for truth that it arouses both tears and wonder. Donna Seaman
Copyright © American Library Association. All rights reserved
Most helpful customer reviews
1 of 1 people found the following review helpful.
Good read but a little repetitive of other books in same genre
By Janet RArnold
I found this book interesting and straight forward without any diversions. However, reads like a number of other medical novels I have read.
22 of 22 people found the following review helpful.
Writing from Bellevue
By Late NIght Reviews
Danielle Ofri is the type of doctor you would be lucky to find, should you need one. This book is an extremeley intelligent and sensitive document of the interaction between doctor and patient, health and sickness, and the nature and limits of healing. It's also a hands-on, first person account of what it's like to work in one of the biggest and busiest hospitals in the country. Her essay, "Merced," on a patient who continuted to suffer from a mysterious and unknowable ailment, is a wrenching tale of a doctor who can't help her patient, despite incredible efforts and every modern mechanism. The fate of that patient is gripping and chilling, and she stays with me some three months after reading the book. Finally, for a doctor -- for anyone, in fact -- Danielle Ofri writes like a dream.
4 of 4 people found the following review helpful.
Outstanding!
By C. Davis
I knew that Danielle Ofri was an outstanding editor (if you haven't read the Bellevue Literary Review, edited by Ofri, run out a get a copy--it's one of the best journals being published today), now I learn that she's an outstanding author as well. Reading Singular Intimacies I found myself weeping, cheering, and just plain enjoying. She captures perfectly the transition from medical student to physician, the internal and external changes, the growing sense of expertise, and the arrival of true caring. Along the way she reveals herself as fully human and compassionate. Among the many currently popular books by physicians, this one stands out.
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