Death on the Operating Table
The author is an anesthesiologist who gives us a close glimpse at the life of a physician. He begins with the situation of a doctor driving to an emergency and who must stop at red lights and obey traffic laws the doctor does not have the advantage of emergency sirens and lights even though life and death are at stake. Most of us lay people don't think about such complications. The book is an interesting mixture of everyday life with its joys and pains. For example, the joys are described as breakfast in bed, going on trips to New York and its delicious delicatessen restaurants, making love to one's loving and caring wife. The pains are many, one of them being the loss of a child. In the mixture, we also find technical medical information including names of medical conditions, pharmaceuticals used in anesthesia, and medical procedures. At the very beginning of the book, the reader is captivated by a gripping account of the loss of a young patient on the operating table and the vain efforts to save him. The medical terminology and everyday family life events are two elements of the book to which are added the characteristics of a mystery novel. The reader is now presented with legalities, with histories of unexpected deaths in the operating room, and with the effort to understand if the deaths are unexplainable or if there is a plausible cause. The mystery novel becomes the main thread of the book. It involves doctors in many parts of the country reporting similar cases of apparently unexplainable operating room deaths. A flavor of novelty and diversion is added even in the medico-legal segments of the book with accounts of dinners, food, and French wine. And then, there are the plays on words: the orthopedic surgeon is nicknamed 'Napoleon Bones-Apart,'and the question of the tattoo ink gives 'mink, pink, sink, link.' An interesting character is introduced in the person of the nurse Margaret Kane. We learn that she was a former girlfriend of Dr. Phil Newman's, the book's main character. The past makes their working together difficult. The relationship between Phil Newman and Margaret Kane could be the subject of an entirely new story. Unfortunately, Margaret Kane is killed in a car collision between her Volkswagen and a Hummer driven by another doctor in the nurses'parking lot. The accident is described in a brief but poignant account in chapter eighteen. The metaphor of the death of the nurse in a Volkswagen being hit by the doctor in a Hummer, in the nurses' parking lot, gives some food for thought. The reader is brought back to the main thread of the book, the legal and detective aspects. There is a glimpse at the complications of legal maneuvers, malpractice court filings, and the involvement of insurance agents all of which are so time consuming, expensive, and exasperating to a physician that he considers changing professions. The involvement of anesthesiologists from around the world by internet to review 'complications and/or death under anesthesia' becomes a fascinating topic. The book is subtitled 'fiction?' The question mark is significant because the reader wonders whether these internet connections among doctors and library research in legal matters by physicians is an actual occurence. Even more so, the question mark points to the possibility that Dr. Philip Newman's findings regarding the connection among the apparently unrelated cases of deaths under anesthesia are real. Without giving away the solution to the mystery, this reviewer can say that if the findings are real, they have very grave implications in today's world. This reviewer will also say that Terr.O.R is a fascinating book which offers interesting medical information against a background of touching human relationships. All of this is placed in the setting of a detective novel. The expression 'good things come in small packages' can be applied to Terr.O.R. This reviewer recommends the 150-page book most high
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Overview
Unexplainable death under anesthesia occurs almost daily in American Operating Rooms. TERRO.R. is a contemporary maze of intrigue and frightful medical investigative discoveries in such cases of cardiac arrests on the O.R. table. Hopefully, this timely novel is fiction...