In Stitches
The true story of an A&E doctor that became a huge word-of-mouth hit – now revised and updated.
FROM THE PUBLISHER THAT BROUGHT YOU CONFESSIONS OF A GP.
Forget what you have seen on Casualty or Holby City, this is what it is really like to be working in A&E.
Dr Nick Edwards writes with shocking honesty about life as an A&E doctor. He lifts the lid on government targets that led to poor patient care. He reveals the level of alcohol-related injuries that often bring the service to a near standstill. He shows just how bloody hard it is to look after the people who turn up at the hospital door.
But he also shares the funny side – the unusual ‘accidents’ that result in with weird objects inserted in places they really should have ended up – and also the moving, tragic and heartbreaking.
It really is an unforgettable read.
First published in 2007 when The Friday Project was a small independent, In Stitches went on to sell over 15,000 copies in the UK, the majority of which have come in the years since then. It has proved to be a real word-of-mouth hit.
This new edition includes lots of additional material bringing Nick’s story completely up to date including plenty more suprising, alarming, moving and unforgettable moments from behind the A&E curtain.
Книга издана в 2013 году.
Читать In Stitches онлайн беплатно
Copyright
William Collins
An imprint of HarperCollinsPublishers Ltd.
1 London Bridge Street
London SE1 9GF
First published in Great Britain in 2007 by Friday Books
Text © Dr Nick Edwards
A catalogue record for this book is available from the British Library
In Stitches is not authorised or endorsed by the NHS and opinions expressed within this book do not reflect those of the NHS. All situations and characters contained within the book are amalgamations of different scenarios at different hospitals and names and timings have been changed to protect anonymity. The author would like it to be known that he is writing under a pseudonym.
All rights reserved under International and Pan-American Copyright Conventions. By payment of the required fees, you have been granted the non-exclusive, non-transferable right to access and read the text of this ebook on-screen. No part of this text may be reproduced, transmitted, downloaded, decompiled, reverse engineered, or stored in or introduced into any information storage and retrieval system, in any form or by any means, whether electronic or mechanical, now known or hereinafter invented, without the express written permission of HarperCollins ebooks
HarperCollinsPublishers has made every reasonable effort to ensure that any picture content and written content in this ebook has been included or removed in accordance with the contractual and technological constraints in operation at the time of publication
Source ISBN: 9781905548705
Ebook Edition © MAY 2013 ISBN: 9780007332700
Version: 2018-11-15
To Mrs Edwards: everything I do, you make possible and worthwhile. Thank you so much.
Disclaimer: this book is an attempt to take a humorous look at what it is like to work in a British Accident and Emergency Department. Much of it is tongue in cheek, so do not use it as a guide on how to manage illnesses. Call your GP or, if you can’t be bothered to wait for their receptionist to answer the phone, call an ambulance and come on down to your local A&E department for 3 hours and 59 minutes of fun.
Introduction
It was a fairly standard Saturday at work; generally busy and stressful but interrupted by episodes of upset, excitement and amusement. However, being honest, I quite enjoyed myself. I found pleasure in successfully treating someone’s heart failure and liked being able to mend a patient’s dislocated shoulder. I was amused by a drunk and injured tough-looking biker-type who had got into a fight over a game of chess. And I had a quite fascinating conversation with a man in his late 80s (who came in after a car accident), who insisted on telling me about his current sex life difficulties. Overall, if you have got to work, then working in A&E (Accident and Emergency) is one of the most interesting jobs I could think of and I am glad that it is the job I do.
Admittedly, I got mildly frustrated by the sheer number of patients who were revelling in the British culture of getting as pissed as possible, starting a fight and then coming in to A&E. And yes, I got a little weary of seeing a number of patients who had not read the big red (and quite explicit) sign as they walked in, and who had neither an accident nor an emergency and should have seen an out-of-hours GP (if one had been more readily available). However, overall, I saw a lot of patients who genuinely needed our services and whom we could help, which is the bit of my job that I love.
There was one patient that I took an instant liking to. She was in her mid-80s and had such a fast wit and spark to her personality that she felt like a breath of fresh air as I was treating her. She touched my emotional heartstrings because she reminded me of my Great Aunt.
She came in after having collapsed at home with abdominal pain, vomiting and diarrhoea. We were busy and she had had to wait 2 hours to see me. I quickly made the diagnosis of a possible gastro-enteritis (stomach bug), gave her some fluids, took some blood, organised an X-ray and arranged for admission. I wanted to wait for the results, spend more time with her and manage her care accordingly, but in a flash she was whisked away to a care of the elderly ward for me never to see her again. An hour after she arrived on the ward (and before she was seen by the ward doctors), she suddenly deteriorated and her blood pressure fell. This wasn’t noticed as quickly as it might have been had she stayed in A&E as the ward nurses were so rushed off their feet (two trained nurses having to look after 24 demanding patients).
She had been rushed out of A&E to get her to a ward so that she wouldn’t break the government’s 4-hour target (and because the A&E department has not got the resources to continue safely caring for patients for longer than a few hours in addition to seeing all the new ones constantly coming through the doors). I also had to pass responsibility over to the other doctors before her blood tests were back and before a definitive diagnosis was made. I later learned that she had been anaemic, which had put stress on her heart, and that she then ended up on the high-dependency ward, needing a blood transfusion.
