I came to this book sceptical, as someone who has worked within the medical system and understands both its complexity and its constraints. I also carry a healthy distrust of journalists writing about medicine, and I worried this might be a simplistic hit piece.
It isn’t.
I hadn’t followed this defamation case at the time, but it’s clear how much time and consideration went into not only the initial articles, but the subsequent case and finally this book.
The book is extremely well researched, very readable and raises genuinely uncomfortable and important questions. Medical professionals are understandably inclined to focus on the good work being done. There will always be dissatisfied patients, and most clinicians will accumulate complaints over a long career. If this were simply an exposé of “disgruntled” patients unhappy with Dr Al Muderis’ bedside manner or surgical outcomes, the portrayal here would be deeply unfair.
But it becomes clear that this is not about the odd mismatch of expectations or someone having an off day. Instead, what Grieve describes, and is substantiated through the court case, is a surgeon emboldened by fame, ego, greed, and god-complex, and, unfortunately, a system that enables this behaviour.
One of the strongest aspects of the book is its examination of medical culture: the reverence afforded to high-profile consultants, the power they wield, and how difficult it is for concerns to be raised about those at the top. The failures of AHPRA are particularly disheartening. That Dr Al Muderis currently has no conditions on his AHPRA registration is deeply unsettling. It raises serious questions about the effectiveness of medical regulation, and about how many other practitioners may be operating with similar impunity.
The sections involving Sue Chrysanthou SC make for compelling reading. Seeing such a prominent lawyer so thoroughly exposed is strangely satisfying.
For audiobook listeners there are a couple of oddly long pauses and one unusual pronunciation of amenorrhoea but otherwise no issues.
Duty to Warn is a well written and important read.