If you have ever been curious about the life of a modern diverse inner city NHS GP in Britain today, then I would recommend you read this stellar memoir from Dr Amir Khan. When I was reading this I did not realise he was already famous, having appeared on TV and has a huge following. This is so well written and so easy to read, he relates experiences and anecdotes from his 15 years as a GP, a profession which is a vocation rather than a job, which is just as well because the nature of his role has changed drastically through the years. When he began it was an attractive profession, this is no longer so, you have to achieve the impossible in the 10 minutes allocated to each patient, where appointments are hard to come by, in a NHS facing unprecedented pressures. There is the fear of complaints, rising levels of paperwork, long hours, tight budget constraints, burnout, an ageing population leading to increasingly complex medical issues and the requirement for changing ways of delivering a service in the era of Covid 19 and lockdown. Now the NHS struggles to recruit GPs, and many are quitting, like Amir's friend, Daniel.
There is no such thing as a normal day for a GP, Amir relates with humour and wit, the medical issues and the lives of his patients, an emotional roller coaster of a ride that touches on both the highs and lows, from having difficult conversations, delivering the worst of news, the death and grief over losing patients he has got to know so well through the years to the relief when, against all the odds, things work out, as when a young girl whose life had comprised of continually being in and out of hospitals, gets a life saving heart transplant in time. Some of what happens makes the mind boggle as when a stranger in a garden centre pulls his trousers down in public, with Amir forced to diagnose his groin rash and the remedy, there are fears when a patient is seen with a hammer, and patients who bring their cats in with them for their appointments, triggering an allergic reaction in a trainee GP. Amongst the pus, blood, and bodily fluids that are the norm, there is domestic violence, alzheimer's dementia, STDs, and so much more in a practice serving a impoverished and deprived local community.
Given the stresses and pressures, its a wonder that Amir has not been ground down, but he manages to still love his job, thanks to the odd lights at the end of the darkest of tunnels, when what he does makes a life changing difference and where there is the occasional miraculous outcome. I was seriously disturbed as I read about the terrifying abuse GPs and NHS have to handle, and the threats and intimidation when Amir refuses to give a unwarranted sick note to a aggressive patient. This is a great memoir, utterly compulsive, it made me laugh and cry, and so informative, and I must admit I wished Dr Khan was my GP! Highly recommended. Many thanks to Random House Ebury for an ARC.