As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the O.R. and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting. He uncovers the truth about the abusive, exhaustive training and the arduous devotion of his old-school education. He explores the twenty-four-hour challenges that come from patients and their loved ones; the ethics of saving the lives of repugnant criminals; the hot-button issues of healthcare, lawsuits, and reimbursements; and the true cost of running a private practice. And he explains the influence of the "white coat code of silence" and why patients may never know what really transpires during surgery. Ultimately, Dr. Ruggieri lays bare an occupation that to most is as mysterious and unfamiliar as it is misunderstood. His account is passionate, illuminating, and often shocking-an eye-opening, never- before-seen look at real life, and death, in the O.R.
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Paul A. Ruggieri, M.D., is a practicing board-certified general/laparoscopic surgeon who has been operating for over 20 years. Dr. Ruggieri performed his surgical training at the world-renowned Washington University School of Medicine, Barnes Hospital, in St. Louis. He then spent three years as an active duty general surgeon in the U.S. Army. Currently, he is former chief of the department of surgery at a large community hospital in Fall River, Massachusetts, the very hospital he helped build as an ironworker before attending medical school nearly 30 years ago. Dr. Ruggieri has written several books for patients. He lives in Rhode Island with his wife and three stepsons. Visit his website at www.paulruggieri.com.
The life of a general surgeon is more guts than glamour. Often sleep-deprived and standing on his feet for hours, this physician-author navigates anatomical intricacies and deals with unexpected bleeding. Not to mention the pressure of a full bladder midway through an operation or worrying about a potential malpractice lawsuit. The job requirements of his profession include good judgment, an ability to think and act quickly, self-reliance, and a fondness for using one’s hands. The job description sounds stringent: “Show me where the problem is so I can fix it, remove it, rearrange it, drain it, or pass you on to someone else.” Yet in a series of sentimental clinical vignettes, the doctor divulges a wide range of feelings: pride, guilt, humility, regrets, failure, and, ultimately, burnout. His patients teach him many lessons. Trust makes the physician-patient relationship work. Detachment can be difficult. Imperfection is inevitable. Survival (of patients as well as the doctor) is the bottom line. Honest and angry, this cutting memoir by a midcareer surgeon feels like an act of penitence. --Tony Miksanek
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