Delivering Doctor Amelia: The Story of a Gifted Young Obstetrician's Mistake and the Psychologist Who Helped Her

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Doctor Dan Shapiro, a writer and psychologist, takes us on a mesmerizing personal journey into his treatment of a brilliant young obstetrician.
Doctors in our society are often viewed as omnipotent, highly trained professionals who do not make mistakes, but they are, after all, still human. In Delivering Doctor Amelia, Dan Shapiro, who specializes in treating physicians, provides us with an intimate view of the vulnerability and sensitivity of doctors when their white coats come...
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Overview

Doctor Dan Shapiro, a writer and psychologist, takes us on a mesmerizing personal journey into his treatment of a brilliant young obstetrician.
Doctors in our society are often viewed as omnipotent, highly trained professionals who do not make mistakes, but they are, after all, still human. In Delivering Doctor Amelia, Dan Shapiro, who specializes in treating physicians, provides us with an intimate view of the vulnerability and sensitivity of doctors when their white coats come off. When Amelia Sorvino, a gifted obstetrician on Shapiro’s university hospital staff, comes to see him fearing that she has made a medical mistake, he ?nds himself struggling to help her overcome her self-doubts and fears, while reliving his own painful recovery from cancer at the hands of doctors just like her. As Amelia’s story unfolds, both doctor and patient are transported into their pasts. And through this journey of self-discovery, Amelia Sorvino becomes someone the reader is pulling for—a good woman whose career, family, and perhaps even life are in jeopardy.
Intense, moving, and deeply human, Shapiro’s narrative invites us inside the minds and pasts of two very different and yet intimately connected people: doctor and patient, psychologist and physician. Like the work of Kay Red?eld Jamison and Oliver Sacks, Delivering Doctor Amelia is a riveting narrative about the nature of healing, the power of redemption, and the compelling vulnerability of the human condition.

Author Biography: DAN SHAPIRO is an assistant professor of clinical psychiatry at the University of Arizona and the author of Mom’s Marijuana. An expert on physician self-care and physician-patient relationships, he has been featured in the New York Times and the Chicago Tribune, and on ABCNews.com. He lives in Tucson.

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Editorial Reviews

Publishers Weekly
An assistant professor of clinical psychiatry at the University of Arizona who has written about his life-threatening bout with cancer (Mom's Marijuana), Shapiro specializes in treating physicians. He recounts his experience with a patient and colleague who became convinced that she was incompetent. Dr. Amelia Sorvino (the name and other details have been changed), a young obstetrician in her 30s and very popular with both patients and faculty members, suddenly stopped working and announced that she was no longer a doctor. After several visits, she told Shapiro about the incident that had driven her out of medicine. Because her patient desperately wanted a vaginal delivery, Amelia took too long to finally perform a C-section, a decision that may or may not have caused cerebral palsy in the newborn. She is now being sued for malpractice. In honest and perceptive writing, the author details the ups and downs of this therapeutic relationship and includes descriptions of events in Amelia's own words. Sympathetic to the psychological problems that were undermining his patient's career and marriage, Shapiro was, however, sometimes plagued by hostile feelings toward her. In this very sensitive and engrossing medical memoir, Shapiro explains how, after Amelia attempted suicide, he had her hospitalized for a brief period, and he then was able to help her back to emotional health. (July) Copyright 2003 Reed Business Information.
Library Journal
In the medical community, physicians' mistakes often only become public in malpractice situations. The nature of the psychiatric specialty, however, assumes a confidentiality that makes public observation of case content very rare indeed. Clinical psychiatrist Shapiro (Mom's Marijuana), who specializes in treating physicians, quotes Mark Twain ("there was things he stretched, but mainly he told the truth") in describing how he wrote this compelling narrative about one doctor's professional error and its shattering human consequences. Shapiro's transcripts of his 29 professional sessions over a period of months with Dr. Amelia and the effects on both patient and analyst are a complex and emotionally engrossing interaction. Like Oliver Sacks (The Man Who Mistook His Wife for a Hat), Shapiro presents this medical case and its professional analysis from a unique perspective that the public seldom shares. His book is highly recommended for its naked revelations of the medical and psychiatric professions and its truths about the human condition, our frailties, and our vulnerabilities.-James Swanton, Harlem Hosp. Lib., New York Copyright 2003 Reed Business Information.
Kirkus Reviews
A fascinating view of the interactions between a psychologist and his patient during the therapeutic process. Shapiro (Clinical Psychiatry/Univ. of Arizona) specializes in physician-patient relations and in counseling people through medical crises. Here, his patient is an obstetrician who has given up delivering babies because of her anguish over a medical mistake: she feels that her delay in performing a Caesarian caused a baby to develop cerebral palsy. Shapiro divides his book into 29 sessions during which Amelia (a pseudonym) speaks at length about her thoughts, feelings, and experiences while he reacts both as her therapist and as a human being. His own long bout with Hodgkin’s (recounted in Mom’s Marijuana, 2000) and his wife’s unhappy experiences with a fertility specialist make Shapiro especially conscious of the consequences of medical misjudgments. Further, he cannot help but imagine his own small daughter as the victim of an obstetrician’s error, and his anger at Amelia is something he must recognize and deal with if the therapy is to proceed. Shapiro deftly weaves together the evolving emotions of both therapist and patient as Amelia descends closer and closer to suicide. Eventually, after therapy and hospitalization, she reaches the turning point that allows her to overcome doubts about her competence. Once she can again see herself as a caring physician, she is able to confront and apologize to the mother of the afflicted child. Telling much of Amelia’s story as though it were being spoken by a patient in therapy, Shapiro gives it a vivid and compelling immediacy. No need to be either doctor or patient to appreciate the situation, but this revealing narrative ofself-discovery will have special appeal for therapists.
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Product Details

  • ISBN-13: 9781400048953
  • Publisher: Crown Publishing Group
  • Publication date: 7/15/2003
  • Edition description: 1ST
  • Pages: 272
  • Product dimensions: 5.60 (w) x 8.68 (h) x 1.00 (d)

Meet the Author

DAN SHAPIRO is an assistant professor of clinical psychiatry at the University of Arizona and the author of Mom’s Marijuana. An expert on physician self-care and physician-patient relationships, he has been featured in the New York Times and the Chicago Tribune, and on ABCNews. He lives in Tucson.
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Read an Excerpt

Prelude: Lauren
I sat behind Lauren Riley in seventh-grade English. Like me, Lauren was a camouflaged soul, invisible to peers. She was bright and always had some precocious book in her bag like Richard Bach's Jonathan Livingston Seagull or J. D. Salinger's Franny and Zooey. The protagonists were always smart and sensitive and misunderstood.
In the race toward puberty Lauren was behind most. She was a little heavy around the middle, as if the extra stores of toddlerhood had never burned off. Breasts, which had a magical power over me, were starting to make their first appearance among our most advanced female classmates, but Lauren remained flat. She had long, straight brown hair and split ends. Her clothing was always conservative and never quite fit. She usually dressed in dark colors and some of her dresses were homemade, the stitching obvious. Our lockers adjoined. The inside of her locker door was covered with newspaper articles about famous women pilots and politicians and a carefully written list of countries she wanted to travel to in alphabetical order--1) Canada, 2) Denmark, all the way down to 10) USSR--with only Canada checked off at the top.
In seventh grade notebooks were our vanity plates. At the time, heavy blue canvas three-ring binders were the most common type. Using one of them, I could keep all of my subject notes in one place, making organization easy. Most students scrawled across the fronts of them. jesse and rachel, true love forever. Or the names of rock bands: blue oyster cult and acdc. Or sports teams: red sox, patriots, or celtics rule. Lauren carried separate notebooks for each class and had the names of famous women written on her binders. Forscience, she had madame curie written in neat cursive on the front of the notebook, and harriet tubman for history.
She redefined quiet. In English, if Ms. Pearlman asked an open question such as, "There are four points of extra credit toward your next test grade to anyone who can answer this very special question, a very challenging question," Lauren would sit as still as an oak and drop her head toward her desk.
"Who can tell me why Holden lied so often?" Ms. Pearlman asked us once. We'd been reading The Catcher in the Rye. I thought it was funny that he lied so much but I had no idea why. There was silence in the room as Ms. Pearlman slowly walked down our aisle. Paul Croteau and I figured it out once, that she paced a few miles every day up and down the aisles. Ms. Pearlman could wait for an answer. She was as patient as a stalker.
Ms. Pearlman arrived at Lauren's desk and smiled gently at her. "Lauren."
And Lauren said, without moving even a hair, "Maybe Holden lied to shield himself so that people would never really get to know him?," her soft voice disappearing into her desk. Ms. Pearlman smiled and repeated Lauren, as if she were translating for the rest of us, "That's right. Holden lied to shield himself," and then Lauren and Ms. Pearlman stared at one another, Lauren's eyes wide open like a scared rabbit, afraid of a follow-up question. Then Ms. Pearlman turned and continued up the aisle and Lauren exhaled softly into her hand.
Ms. Pearlman often tried to get Lauren to repeat whatever she'd said. When she asked us to explain why the man in "The Tell-Tale Heart" heard the pounding under the floor, four of us had provided answers like "Killing people makes your senses intense" or "The guy had, like, come back to life, man." Lauren said flatly, "He felt guilty." Ms. Pearlman prodded Lauren a few times to repeat herself until her voice was loud enough to be heard beyond her own desk, and then Ms. Pearlman stopped pacing. She smiled directly at Lauren, as if they had shared a private confidence. We all looked from one to the other, as if we were at a tennis match, before Ms. Pearlman went back to her pacing.
I teased Lauren every now and then. Her hair was so long that it occasionally covered my desk when she sat down, long brown strands fanning out across the surface like a peacock's tail. A few times I'd kneeled on my chair and put my head under her hair and asked David Roth to look at me.
"Check me out, I'm Lauren's twin brother." Lauren would spin quickly, a frown at first, and then a slight smile, and she'd gather her hair together and hold it to her chest. She never said anything, but I knew she wasn't angry.
One morning before English, I went to sit in my seat behind Lauren and found a note on my chair. It was folded in the "note" style, an elaborate origami square with triangular folds that made the note small and tight. Across it was my name written in neat cursive. I fought to open it and then stared at Lauren's careful handwriting. I need to tell you something...it read.
I said, "What's up?" but Lauren was turned away from me in her chair, her head down, and she didn't turn around. I waited. No response. I wrote a question mark below her writing on the note and tried to fold it back up in the right style but I couldn't get the final flap to fit. I gave up and dropped it back over her shoulder.
She opened it. While she wrote I considered the note and perked up. Recently I'd started to identify new feelings. One of them was for Lauren's best friend, a girl named Debbie. Notes were a common way to share romantic information because a friend could act as an ambassador and keep the evidence of everything said on both sides. The rules of adolescent diplomacy were elaborate and serious.
The note landed back on my desk. Folded perfectly as before. I struggled and then unwrapped it. You can't tell a soul. Standard procedure. I studied the letters. They were perfectly formed, the Y written in cursive looped perfectly. I scribbled "OK" and didn't even try to fold the note up properly. I dropped it again over her shoulder. Her head bowed and she scribbled more. Then she turned in her seat and looked back at me squarely and put the note on my desk, unfolded. Beneath my hastily scrawled "OK" was her response.
It's about me and my dad. I don't know what to do.
Not about Debbie. I sank. Lauren spun back around, leaving me staring into her fleshy neck. At the time, marital disputes were an epidemic. A lot of our friends' parents were divorcing. When Cathy Fox had suddenly vanished from math, Roland Cheyney had told me, "Her mother is taking her back to South Dakota where she's from. Man, like, it snows every day and it never gets above twenty degrees there." That night at dinner I'd studied my parents and cleared the dishes without being reminded. Maybe Lauren is going to have to live with her father?
There was some activity in the class and Ms. Pearlman quietly said, "Hush up, now," and then told all of us to turn to page 121 of our readers. Lauren reached under her desk and pulled up her Edgar Allan Poe reader. Then she folded her hands over her book, the ready student.
I wrote another ?? on the note and this time folded it to the best of my ability. When Ms. Pearlman looked down into her book and began to walk, her back to me for a moment, I slid the note around, onto Lauren's lap. She let it sit there. I pulled up my book, quickly found page 121, and waited. I felt eyes on me and looked at Ms. Pearlman, but she was opening her book and said, "The Raven." Looking to my left, I saw David Roth looking at me. He put his eyes toward Lauren, nodding slightly and then toward me, as if asking if we were "going out."
I gave him the finger, hiding it behind my other hand.
Ms. Pearlman told Michael Almonte to read. He was in the dreaded first spot in the front of the room in the corner. Michael was a bright kid who hated to read aloud but after a brief complaint, he complied and started with a slow pace, his voice carrying the slightest Italian accent.
Once upon a midnight dreary, while I pondered, weak and weary, Over many a quaint and curious volume of forgotten lore...
I'd met Lauren's dad once when he came to pick her up because Lauren's mother was sick. She was sick quite a bit. Mr. Riley was a short, slight man with a lot of hair. He wore black glasses that were too big for his face and had a chain on his belt that disappeared into his pocket. His pants were always baggy, as if he'd lost fifty pounds but had never bought new clothing.
The note landed back on my desk, again folded fastidiously. I used my pencil to pry it open. Ms. Pearlman asked Wallace Crenshaw, sitting next to Michael, to read next. Wallace barked out each word as if doing the play-by-play at a baseball game. Whenever he tripped over a word he started the entire sentence over.
I looked at Ms. Pearlman. She mouthed the words, as if she could magically help Wally read the lines accurately. I looked down into the note.
My father touches me.
Suddenly my mouth was dry and my whole body went stiff. Wallace Crenshaw's staccato rendition of "The Raven" screamed in my ears.
"'Tis some visitor," I muttered, "tapping at my chamber door; Only this, and nothing more."
And there it was. It descended on me like a curtain. A divide between childhood and adulthood, Lauren perched on one side, her plump childlike body holding out her hand to me, and I still on the other. My face felt hot.
I wrote, Tell your mom? and handed it around her into her lap.
She wrote for a few moments and I listened to Wallace pound out Poe's poem. Lauren's note landed back on my lap. No way. Would kill her. Ms. Pearlman called on someone else and I sat listening, my pencil hovering over the note. A fantasy brewed of me waiting with three friends for Lauren's father outside of Connecticut General, where he worked as an actuary. All of us wearing masks and carrying baseball bats. It would be dark. "Working late, Mr. Riley?" I'd ask him. Then we'd surround him and he'd ask who we were and what we wanted. I'd beat the bat in my hands a few times, like in the union movie, just to show we were serious, and his eyes would open wide. Maybe he'd pull out his wallet and offer it. "We don't want your fucking money," one of us would say. Then I'd say, "If you touch your daughter again, we'll kill you." My voice would be deep and powerful, like Paul Robeson's or Darth Vader's. I felt a rush of adrenaline and my head felt clearer.
She needed to be rescued. Call the cops, I wrote. I handed it over and Lauren read it and shook her head while she carefully wrote a response. What was wrong with calling the cops?
I looked up and Leo Gerome was reading.
And the silken sad uncertain rustling of each purple curtain Thrilled me--filled me with fantastic terrors never felt before.....
Lauren handed the note back. I opened it.
Won't work. Don't want foster care. They could take me and my little brother away. If the police didn't believe me, I'd be stuck with my father, and he'd know I'd told on him, then what?
I didn't have a response. I sat in the chair feeling restless. There had to be an answer. A good answer. There's always a solution. Isn't there? Lauren spun in her chair, grabbed the note, folded it up, and the exchange was over.
That evening, at home, I got down the yellow pages and looked up the number of an anonymous help line in Hartford. Then I called Lauren; her family's number was in the book. An adult male voice answered the phone and said, "Who is this again?" after I had already told him. When Lauren came on I asked how she was.
"Fine," she said, curtly. I heard his voice in the background asking who the hell it was. I realized it was probably the first time Lauren had been called by a boy.
I said, "I got the number of a hotline, for people in...you know...the same situation. Uh, it's..." and I read off the number quickly, but I could tell she wasn't writing it down. Then she said, matter-of-factly, "I have to go." And she clicked off.
I stood for a moment listening to the dial tone. It hadn't gone at all as I'd expected. On the bus, on the way home, I'd imagined us talking for an hour, and me eventually giving her the number. Of course, in my fantasy she didn't really need it anymore, because I'd been so helpful and, somehow, telling me had solved everything. I fantasized about her telling all of our friends, and especially Debbie, what a decent guy I was, how mature.
Then I began to worry. Maybe I shouldn't have given her so much advice? Maybe I should tell my parents? But that would probably make things worse; they'd call the cops, or the school principal, or reporters. Lack of assertiveness was never one of their shortcomings. I hung up and went down to my room, turned on a comedy show, and tried to forget it.
Lauren and I never spoke about it again. I didn't have the courage to ask her what had happened. Or even how she was. I stopped teasing her. I think I stopped talking to her altogether. When I saw her in the halls she usually had her head down, her notebooks pulled to her chest. When I saw her at her locker I waited for her to leave and then went to my locker.
Two years later, when we were in ninth grade, Lauren suddenly disappeared. She just didn't show up for school one day. There were rumors about her being pregnant, or a secret pothead, or that she was involuntarily put into a hospital up in Boston.
I never saw her again.
It's been twenty-two years since I last spoke with Lauren. I'm a clinical psychologist now. I can't say what impact she had on my choice of career, only that she's never far from my mind when I'm doing therapy. I'm still terrified of the feeling that someone will keep something hidden from me for a long time, and when they do tell me the truth, I'll be useless. When they finally beg me to throw something into the frothy water to save them I'll scurry along the banks, frantic, unable to find anything that will help.

Copyright© 2003 by Dan Shapiro
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