I had several problems with this book, but here are some of my main ones:
1) Fatphobia- I spend my life arguing with people about how fatphobic GPs can be, but this guy made my experiences of fatphobic GPs and nurses seem tame. I won't go into too much detail, but in my opinion, if you find the thought of touching a fat patient's stomach more disgusting than the various bodily fluids you will inevitably come across as a registered doctor, then maybe becoming a health professional was not the best life choice (also, 22 stone isn't that fat, and the fact that Max Skittle imagined his 22 stone patient being lifted from her house by a crane is fucking disgusting).
2) Arrogance- by his own admission, Skittle seems entirely incapable of being told what to do, be given friendly advice, or receive constructive criticism. Simply being told that he perhaps needed to become a better team player sent him down a depressive, self-doubting thought spiral like a fucking drama queen. Honestly, I feel like this guy is a God Complex waiting to happen.
3) Tone- in short, I think this book has a tone problem. Skittle appears to be aiming for a mix of the humourous (a la This Is Going to Hurt by Adam Kay- a far superior book) and profound (a la When Breath Becomes Air by Paul Kalanithi) and in my opinion epically fails at both. This book was neither funny nor profound, and most of the time I felt myself cringing at the offhand and callous way Skittle referred to most of his patients. If you just want an excuse to whine about your patients, start a fucking diary or go see a therapist.
4) Personal details- yes Max, I know you love your wife, I assume that's why you married her. You don't need to remind me of that fact on every other page. Also, I know how much babies shit, and however much you may be interested in your baby's bowel movements, I can assure you that the audience categorically is not.
5) The Tory apologism- slightly less obvious, but the fact that Skittle failed to mention our government's shambolic handling of the pandemic in the end note, as well as the chronic underfunding of the NHS, screams 'Tory bastard' to me (but I may be a little biased here).