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Life in the Balance

Life in the Balance

A Doctor's Stories of Intensive Care

by Jim Down
Paperback
Publication Date: 11/06/2024

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A moving, frank and unflinching-yet-witty account of the realities of intensive care medicine from Dr Jim Down, ICU consultant at one of London's top hospitals

In these stories, Dr Jim Down brings us to the very heart of the intensive care unit - the hospital section where the sickest patients are brought for emergency care. With honesty, humility and a streak of dark humour, Dr Down describes the quietly heroic work of doctors and nurses on the ICU, a place which sits at the cutting edge of medical technology, and where a split-second decision can make the difference between life and death.

From headline-grabbing cases like that of Alexander Litvinenko, who was admitted to Down's ward after his poisoning by Russian agents, to the appalling aftermath of a train crash, and the daily struggle to simply find enough beds, Jim Down provides a unique insight into life on The Unit, and the critical medicine doctors and nurses perform there.

Life in the Balance offers the first real glimpse of intensive care medicine; its immense challenges, its deleterious effects on doctors' mental health and also its enormous rewards. This profound work reframes the fragility of life and shows what it really means to care.

ISBN:
9780241506394
9780241506394
Category:
Health systems & services
Format:
Paperback
Publication Date:
11-06-2024
Language:
English
Publisher:
Penguin Books, Limited
Country of origin:
United Kingdom
Pages:
256
Dimensions (mm):
196x129x21mm
Weight:
0.18kg

A remarkably honest memoir of a life spent pulling people back from death
ADAM KAY, AUTHOR OF THIS IS GOING TO HURT

Whether treating famous Russian spies, the victims of terrorist attacks, or people taken close to death by Covid, he shows us what it's really like to care for those who are clinging to life, and describes with unflinching honesty the toll that working in intensive care can take on his own mental health
ALASTAIR CAMPBELL

Jim Down is as remarkable a writer as he is a doctor. It is like being by the patient's bedside in critical care, but more than that you are inside Jim's head as he struggles with ethical as well as medical dilemmas. What comes across most strongly is his humanity. If I'm ever in ICU I hope he's my consultant
FERGUS WALSH, MEDICAL EDITOR, BBC

Spies, terror, personal crisis, resolution and redemption; Life in the Balance really has it all ... a hilarious, beautiful book, I was sincerely moved
DR CHRIS VAN TULLEKEN

Beautifully written, witty and heartbreaking
OLIVIA COLMAN

Transport yourself into the angst ridden, terrifying, and at times hilarious world of the trainee doctor of the 1990s. A cross between This is Going to Hurt and Do No Harm ... highly recommended!
DR ANDREW JENKINSON, AUTHOR OF WHY WE EAT TOO MUCH

Jim Down

Dr Jim Down is a consultant in critical care and anaesthesia at University College London Hospitals. He chairs the ICU consultants' group, the department of anaesthesia weekly scientific meetings, and the UCLH Trust guideline committee. During the Covid-19 pandemic, he has been on a new full-time, full-shift clinical rota for ICU, and was appointed Trust Lead for Ethics.

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