Dr. Liam Farrell, a family physician from Northern Ireland, has written a brilliant and witty book describing his life in medicine. The book is comprised of two parts. The first is a moving and harrowing description of Dr. Farrell’s struggle with morphine addiction. Comprised of one chapter, it describes his anticipation of an injection in passages that are poignant, riveting, and intensely human. The second and greater part of the book is a compilation of short columns he wrote for the British Medical Journal. Dated across the many decades of his career, they are organized into thematic chapters such as “Christmas and New Year,” “The NHS”, and “House Calls.”
The BMJ articles sparkle with Dr. Farrell’s wit. Screamingly funny satire and sarcasm are dazzlingly showcased. What I found the most delightful was the sheer literacy of it: the BMJ columns are peppered throughout with clever literary allusions, often hilariously contrasted with the prosaic setting of a family practice. (For example: “A chubby chap, like Oliver Hardy (without the sense of humour), he was a firm subscriber to Dylan Thomas’s philosophy: ‘Do not go gentle into that good night/Rage, rage against the dying of the light,’ but decided to so subscribe at an inappropriately early age.”) Many of the columns affectionately mock an everyman patient “Joe,” whose hypochondriasis is equalled only by his undignified complaints involving his nether regions. Some pieces are laugh-out -loud whimsy, as in the chapter in which famous mythical figures come to his surgery. I was in stitches when Achilles, trailed by a Greek chorus, comes in with his mighty thews and an ankle injury. Others describe more true-to-life topics, such as an award-winning description of an attempt to smuggle a gunshot victim over the border during the Irish Troubles. Throughout it all, Dr. Farrell’s literary voice compels – alternately soaring, self-deprecating, scalding, and satirical.
Despite its humour, something noble emerges from this book. The reader is highly amused, but also changed – we are gifted with a rare glimpse into a life spent striving to confront the challenges of front-line medicine. What emerges is a vision of a true career - a lifetime spent in committed service.
My only wish for this book would be for it show even more of Dr. Farrell’s impressive range. The first chapter on his drug addiction underscored how he can explore the depths of desperate and dark subjects. As a physician, he no doubt encountered tragic cases of trauma and serious illness; perhaps because these topics do not lend themselves to the BMJ column format, they are rarely developed in that part of the book. I am looking forward to future writings from this gifted writer in which the full scope of his prodigious talent can be expressed, including treatments of more serious material. Perhaps we can look forward to a novel one day?