If I could give this book ten stars, I would.
This work of nonfiction, which reads like a gripping novel, covers six months in Houston’s Hermann Medical Center.
Hugely entertaining and informative, it relates the events of this time through specific case studies, meetings of the Hospital Ethics Committee, and the cost of providing medical care to uninsured and at-need patients.
The first patient we meet is Patrick. Born with a digestive tract disorder, the 15-year-old has spent most of his life in the hospital. A lifetime hooked to machines and feeding tubes has left his body unable to perform functions that should occur naturally. His story, told throughout the book, is a continued debate of whether to continue life support or allow him to die.
Armando, a 25-year-old gunshot victim, comes to the hospital with a C-1 spinal cord injury, paralyzed from the nose down. His doctors sadly realize Armando is forever to be a “head in a bed,” incapable of any independent movement for all his remaining days.
Newborn baby girl Taylor is the third case, born severely premature with a birth weight of barely a pound. Sustained by lifesaving measures and scores of family and medical professionals, every organ in her palm-sized body fights for survival.
In the height of Taylor’s struggle her mother asks, “Would God want her to live this way?”
Essentially, this question drives the meetings of the Hospital Ethics Committee (on moral and legal, rather than religious grounds). Even if staff CAN keep a patient alive, SHOULD they? Conversely, although a patient or their parents may opt for death, when is it right to cease lifesaving efforts?
This question weighs every day at Hermann Medical Center.
Founded by the estate of oil and land tycoon George Henry Hermann following his 1914 death, the history of the hospital tracks neatly with advances in modern medicine. Prior to that, hospitals served mostly as warehouses for the sick and dying, and most surgeries were mere amputations. The introduction of antibiotics and surgical strides made hospitals places of healing.
As medical possibilities grew, so did expenses. This particularly concerned centers such as Hermann, originally designated to provide free care to the “indigent, sick and infirm.” A lofty goal, but daunting in a modern era when hospital stays for lifelong patients such as Patrick could run into the millions of dollars.
The stories of these patients and this hospital make FIRST, DO NO HARM a compelling read. Barely able to put this book down, I finished it in three days with a great appreciation for modern medicine and the dedicated souls in its practice.