Lamas starts off with telling us "I became the resident who didn’t let anyone die." A seemingly laudable goal, but she never looked beyond that moment. These are stories of what comes after extreme life saving measures are taken. The stories start out pretty gloomy, but get more hopeful as the book goes along, so don't bail. I almost did, but I'm glad I didn't.
Still, I don't think she dug deeply enough. Her stories left me with a lot of questions she didn't answer. For instance, finances didn't seem to be a problem for anyone in her stories. I find that very difficult to believe. Even 20 years ago when I had the best health insurance available, we took a huge hit when my son had his chest crushed by a horse breaking its leg. The bills trickled that in for over a year were staggering & he only spent a week in ICU with very little aftercare. I can't imagine what the bills would be like today.
Well narrated & put together. I'm glad I read it, but I'm torn between 3 & 4 stars. She just didn't dig deep enough for all the good info she did present. Still, I recommend it.
Table of Contents
Introduction: She sets up what her work was like, briefly seeing patients as they came in & needed life saving treatments. The tech was dazzling in what it could do that night, but eventually she wanted to find out what happened after that.
1: You Can Stop Humming Now: This is the first case where she got close enough to a patient to want to see what happened to him afterward. She was upbraided by the administration for checking without any work-related need & prior authorization. IOW, the system wanted her to remain focused & distant. That's not terrible since the constant pain could tear a doctor apart. Still, it's not great, either. People become room numbers.
2: Ten Percent: In far too many cases, too few people ever make it out of critical care units. Sure, their lives are saved, but they might be vegetables or zombies drugged into accepting the tubes & machines that keep them 'alive'. That's not life, IMO. I watched 2 grandfather's suffer that way for weeks against their & family wishes. It's plain torture, but the sadistic assholes 'saved' them again. Hell no! So make a Living Will & make sure you have a proper Health Proxy filled out even if you're on the same page with the person you've been married to forever. We have.
3: Life on Battery: This is the first hopeful story about a guy that has a heavy duty pacemaker & has to wear a battery pack unless he's plugged into a 20' extension cord. He still manages to live, though. His story is followed up in the Afterword, too.
4: Nightmares After the ICU: PTSD from the torture of ICU care. Yes, it's a real thing. My son has told me about it. Many medical procedures are tough to distinguish from torture, but life saving ones, complete with drugs & restraints, are often scarring.
5: Emergence: A sad case of the aftermath from a drug overdose where the brain was starved of oxygen for too long. IMO, another case where saving the patient wasn't worth it.
6: Where the Bridge Ends: A lung transplant is horrendous, but this young lady has managed it fairly well.
7: Networking for a Kidney: The hospital donor lists are long & tough to get on, but this guy managed to find one through social media. Strange as hell. I can't imagine anyone would give up a kidney to a stranger. I'm far too self-centered to even contemplate it.
8: An Unexpected Adulthood: Cystic Fibrosis treatment has come a long way very quickly. Kids from the 1980s thought they'd die before they were 20, but now they're approaching 40 & still surviving, sometimes very well. How the hell do you live a life like that? Marriage, kids, & a house weren't in the cards, but suddenly become possibilities. Wow! Mind blowing.
9: How It Begins: The transplant process. If you've ever thought about one or know someone who has, this is worth reading.
Afterword: Follows up on her & the folks mentioned in these pages. Pretty good ending.