On Call: A Doctor's Days and Nights in Residency

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More About This Book

Overview

On Call begins with a newly-minted doctor checking in for her first day of residency—wearing the long white coat of an MD and being called "Doctor" for the first time. Having studied at Yale and Dartmouth, Dr. Emily Transue arrives in Seattle to start her internship in Internal Medicine just after graduating from medical school. This series of loosely interconnected scenes from the author's medical training concludes her residency three years later.

During her first week as a student on the medical wards, Dr. Transue watched someone come into the emergency room in cardiac arrest and die. Nothing like this had ever happened to her before-it was a long way from books and labs. So she began to record her experiences as she gained confidence putting her book knowledge to work.

The stories focus on the patients Dr. Transue encountered in the hospital, ER and clinic; some are funny and others tragic. They range in scope from brief interactions in the clinic to prolonged relationships during hospitalization. There is a man newly diagnosed with lung cancer who is lyrical about his life on a sunny island far away, and a woman, just released from a breathing machine after nearly dying, who sits up and demands a cup of coffee.

Though the book has a great deal of medical content, the focus is more on the stories of the patients' lives and illnesses and the relationships that developed between the patients and the author, and the way both parties grew in the course of these experiences.

Along the way, the book describes the life of a resident physician and reflects on the way the medical system treats both its patients and doctors. On Call provides a window into the experience of patients at critical junctures in life and into the author's own experience as a new member of the medical profession.

Editorial Reviews

Publishers Weekly
During her three years as a resident in internal medicine at the University of Washington in Seattle, Transue wrote about her patients as a way to guard against burnout and share her experiences with friends and family. This moving collection of her stories conveys vividly, sometimes painfully, the atmosphere of overwork, exhaustion and insecurity in which a resident works; the long shifts and sleepless nights, the moments when she cannot contain her tears, the times when she is haunted by fears that she has made the wrong decision. But she never loses sympathy for her patients-the heart attack victim who regrets not remembering his near-death experience, the old woman who has a pet name for her walker, the psychotic who imagines he is in constant pain and just wants her to hold his hand, even the grumpy man with emphysema who smokes two packs a day and complains about the treatment he has to receive as a result, and the habitual drunks lined up every night on stretchers in a back hallway. It's reassuring to read that a doctor isn't afraid to express compassion for her patients and that she is eager to listen and learn as they talk about their hopes and fears. There are many touching moments here, especially when she's reminded by a patient who is dying that it's important to look out the window and enjoy the view on a sunny day. Her descriptions of medical procedures can be graphic, but she presents an intriguing picture of a side of medicine many people never see. (Aug.) Copyright 2004 Reed Business Information.
Kirkus Reviews
A young physician's on-the-spot notes from her three-year residency in internal medicine, shaped into a collection of pithy, revealing little stories. The stories, which range in length from a couple of pages to a dozen, begin with the first morning of Transue's internship and end on the last evening of her residency. (She received her postgraduate training at four hospitals in Seattle.) The transformation from frazzled, uncertain intern to assured, competent physician is a long process, one the author reveals as exhausting, challenging, full of surprises, and often scary. Nearly half the stories take place during Transue's first year: it's as an intern that her experiences with patients are most intense, and it is the year in which she learns the most. Her rotation takes her through intensive care, cardiology, oncology, and the emergency room; death is no stranger in these places, and the narrative shows her growing acceptance of this fact of life. Throughout, the stories focus on patients and their conditions: the homeless man in ER who's covered in bugs; the battered young liver patient who insists that her boyfriend would never hurt her despite black eyes, bruises, and a broken leg; the teenager wanting her first birth-control prescription; the 70-year-old woman learning that her late husband had given her a sexually transmitted disease; the old doctor dying of prostate cancer. Transue intersperses scenes from her private life-nightclubbing, dancing, sailing, working out at the gym-that offer a sharp contrast to her experiences inside hospital walls and give the reader as well as the author respite from disease and dying. In her second year, she becomes a resident, with responsibilityfor interns and students as well as for patients, a role that continues in her third year. By then, the excitement has faded, but her confidence has blossomed, and she is well launched in her medical career. The perfect gift for anyone contemplating medical school.

Product Details

  • ISBN-13: 9780312324841
  • Publisher: St. Martin's Press
  • Publication date: 8/1/2005
  • Edition description: Reprint
  • Pages: 256
  • Sales rank: 182,680
  • Product dimensions: 6.43 (w) x 8.27 (h) x 0.76 (d)

Meet the Author

Emily R. Transue, M.D. is a native of Toledo, Ohio. She attended Yale University, where she received her B.S. in 1992 with distinction in Biology. As an undergraduate, she co-organized the D.E.M.O.S. program for science teaching in elementary schools, which received several state and national teaching awards and was featured on "Good Morning, America." She received her M.D. from Dartmouth Medical School in 1996, and was the 1996 recipient of the Pharnmacia and Upjohn Achievement Award for distinction in Internal Medicine. She did her residency training in Internal Medicine at the University of Washington in Seattle, and was then awarded a Chief Residency position, which she completed in July of 2000. She works as a general internist at a multispecialty clinic in downtown Seattle.

Read an Excerpt

"The chemistry that happens between doctors and patients, the natural sympathy that is so strong in some interactions and so elusive in others, I sensed intuitively when I first started clinical work, but began to try to analyze only later. I have come to think that doctors and patients, like lovers or friends, can have a deep instinct to connect with each other in some instances and not in others. You can work around the connection, care for someone without it, learn to modulate it; the bond can appear suddenly after a long time of being absent. but the basic chemistry is real."

Copyright 2004 by Emily R. Transue

Customer Reviews

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Sort by: Showing all of 4 Customer Reviews

  • Anonymous

    Posted April 21, 2008

    Vivid Journey Through Residency

    I picked up Dr. Transue's book as my husband 'we are newly weds' is in his first year of residency. I wanted to find a way to understand what he is experiencing and be empathetic to him instead of being resentful about the days and nights he spends on call and the time at home he spends fatigued, studying and sleeping. He doesn't go into much detail about his day to day experience as I think he really wants a place that's free from the heavy weight of work. So, I looked to Dr. Transue's book to provide me with some insight about what he is facing. I get it now. This book offers vivid stories about patients and a doctor's emotional, physical and mental trials during residency. We learn about a resident's fears and their victories. I was sooo sad when the book came to a close. This is a great book for anyone as it is truly entertaining. I love that is has a glossary of medical terms in the back as well! Great read. Thank you Dr. Transue for writing about your experience.

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  • Anonymous

    Posted January 19, 2008

    Excellant Read

    I found this book absolutely inspiring. A great read and remarkably truthful.

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  • Anonymous

    Posted April 27, 2004

    A humane touch within a brilliant mind.

    Dr. Transue is a depleting breed of physicians that exhibit human compassion on a day to day bases.

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  • Anonymous

    Posted May 9, 2009

    No text was provided for this review.

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