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This Is Going to Hurt

Secret Diaries of a Medical Resident
Written by: Adam Kay
Narrated by: Adam Kay
Length: 5 hrs and 48 mins
5 out of 5 stars (50 ratings)

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Publisher's Summary

Best-selling author Adam Kay channels Henry Marsh and David Sedaris to tell us the "darkly funny" (The New Yorker) - and sometimes horrifying - truth about life and work in a hospital.

Welcome to 97-hour weeks. Welcome to life and death decisions. Welcome to a constant tsunami of bodily fluids. Welcome to earning less than the hospital parking meter. Wave goodbye to your friends and relationships. Welcome to the life of a first-year doctor.

Scribbled in secret after endless days, sleepless nights, and missed weekends, comedian and former medical resident Adam Kay's This Is Going to Hurt provides a no-holds-barred account of his time on the front lines of medicine.

Hilarious, horrifying, and heartbreaking by turns, this is everything you wanted to know - and more than a few things you didn't - about life on and off the hospital ward. And yes, it may leave a scar.

©2019 Adam Kay (P)2019 Little, Brown Spark

What the critics say

"Brilliant. Five stars. Amazing." (Mark Haddon, best-selling author of The Curious Incident of the Dog in the Night-Time)

"Darkly funny...heartbreaking." (The New Yorker)

"Bloody funny." (Minnie Driver, actress)

What members say
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Brilliant!

Insightful, funny and dark - all at once. Well written, easy to read and definitely a solid page Turner. I found it eye opening from an outsider's perspective of the NHS, especially having friends who work in the industry. A must read for all healthcare practitioners!

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Bevan turning in his grave

Adam Kay’s dark and ironic memoir catalogues his rise through the interminable NHS hierarchy to Senior Registrar (nearest North American equivalent would be Fellow) level in OBGYN.
Nye Bevan would probably not have started if he had envisioned this future for the NHS when he championed its formation in 1948. Sadly, things have gone badly awry compared with the model for which Bevan aimed and achieved over the first few decades of the NHS. Chronic underfunding by many Tory governments and the constant reorganization, enough to make Gaius Petronius wince, have now undermined the project. The under-staffing, lack of resources and fewer seniors to help with difficult cases have turned the old “see one, do one, teach one” mentality that was always there into a deadly survival game. The lack of pastoral care for the trainees is astonishing and the results predictable. Clearly there are huge patient safety issues and high levels of burn out in the junior staff. Kay details all of this and more as he rattles through post after post with little sleep, a deteriorating relationship and some true medical horror stories including the final denouement. We were told by our consultants in the 70s and 80s when I trained in the NHS that punishing rotas and no sleep shifts were good enough for them and made them the superb physicians we beheld, so bloody well get on with it and don’t expect me to bale you out. I am really disappointed to see that things hadn’t changed all that much when Kay penned these diaries. Perhaps there will be changes now in the era of COVID and now that the NHS has been brought to its knees. Thank you, Adam Kay for your frank portrayal of life in the trenches and I hope that you are now in a calmer place.

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So fabulous!

Very funny. loved it so much and will recommend to anyone with a medical interest.

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  • TracyO
  • 2019-12-12

Superb.

It’s “superb” in my best English accent. Some nasty stuff is talked about, but, the human body is nasty.

2 people found this helpful

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  • Sandra J. Keck
  • 2020-01-04

A Tale of a Physician's Adventure

Funny and hits home on what really goes on behind those "Medical Personnel Only" doors in a hospital or doctor's office. Medicine is a science, as well as a personal interaction with an individual's private being. Adam has expertly woven tales that share the stress, exhaustion, difficulty, and exhilaration of being responsible for human lives. This is well worth a listen/read. It will certainly give you the perspective of a physician's life. Thank you Adam for sharing your innermost thoughts, and giving us a better clue as to the real person behind the scrubs.

1 person found this helpful

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  • Paulina Ladreyt
  • 2020-06-10

hilarious

I had no idea what to expect -- and found myself laughing out loud many times. Very enjoyable.

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  • arisierra
  • 2020-05-07

An entertaining look behind the curtain

I really liked this read! It paints a serious picture of life as a doctor but is still punctuated with light-hearted (sometimes wholly inappropriate) stories. a must read!

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  • Celestia
  • 2020-05-04

Threw me off

the narrator seems to change half way though the read but it was just a little wierd and quickly forgot about it. gives me a whole new appreciation for my doc-lings (medical students) at my work. and also makes me terrified to have children with all of the horror stories! but it was very enjoyable and had enough humor thrown in that it made up for most of the nightmare scenarios

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  • tony ayala
  • 2020-04-20

Blown away

Definitely check out if you like gallows humor but also check out if you would like your heart broken to be broken.

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  • Amazon Customer
  • 2020-03-29

Awesome story!

A great listen, especially in this time of ‘shelter within’. Great humor and really enjoyed the stories. Kudos to all the doctors for their tireless work in all fields.

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  • Corey Nixon
  • 2020-03-11

great book, recommend to anyone!

I am a GP in America and I would recommend this book to anyone around the world who works in medicine or has interest in it. It is both hilarious and a true insight into the hard and tireless efforts of those who work in the NHS.

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  • ryan adams
  • 2020-02-24

Interesting! Yet very short

I enjoyed the content. Parts of it is hilarious, and others will drop your jaw. it just wasn't worth a credit when you compare how much you can get out of another book

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  • Briana C.
  • 2020-02-20

Fantastic

This book is by far one of the more real and still entertaining journeys a physician will take. I would highly recommend!