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Hot Lights, Cold Steel: Life, Death and Sleepless Nights in a Surgeon's First Years, by Michael J. Collins
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When Michael Collins decides to become a surgeon, he is totally unprepared for the chaotic life of a resident at a major hospital. A natural overachiever, Collins' success, in college and medical school led to a surgical residency at one of the most respected medical centers in the world, the famed Mayo Clinic. But compared to his fellow residents Collins feels inadequate and unprepared. All too soon, the euphoria of beginning his career as an orthopedic resident gives way to the feeling he is a counterfeit, an imposter who has infiltrated a society of brilliant surgeons.
This story of Collins' four-year surgical residency traces his rise from an eager but clueless first-year resident to accomplished Chief Resident in his final year. With unparalleled humor, he recounts the disparity between people's perceptions of a doctor's glamorous life and the real thing: a succession of run down cars that are towed to the junk yard, long weekends moonlighting at rural hospitals, a family that grows larger every year, and a laughable income.
Collins' good nature helps him over some of the rough spots but cannot spare him the harsh reality of a doctor's life. Every day he is confronted with decisions that will change people's lives-or end them-forever. A young boy's leg is mangled by a tractor: risk the boy's life to save his leg, or amputate immediately? A woman diagnosed with bone cancer injures her hip: go through a painful hip operation even though she has only months to live? Like a jolt to the system, he is faced with the reality of suffering and death as he struggles to reconcile his idealism and aspiration to heal with the recognition of his own limitations and imperfections.
Unflinching and deeply engaging, Hot Lights, Cold Steel is a humane and passionate reminder that doctors are people too. This is a gripping memoir, at times devastating, others triumphant, but always compulsively readable.
- Sales Rank: #47672 in Books
- Brand: Collins, Michael J.
- Published on: 2006-01-24
- Released on: 2006-01-24
- Original language: English
- Number of items: 1
- Dimensions: 8.29" h x .91" w x 5.53" l, .68 pounds
- Binding: Paperback
- 320 pages
From Publishers Weekly
Collins begins this personal chronicle with an account of a choice he had to make between amputating a 14-year-old boy's leg and saving the limb at a greater risk to the boy's life. (He amputated the leg.) This dilemma came at the conclusion of Collins's grueling four years of residency at the Mayo Clinic, culminating in his appointment as chief resident in orthopedic surgery. Now in practice in Illinois, he details, with admirable humor and insight, the early, virtually sleepless years when he learned not only to perfect his craft but to come to terms with the emotional impact of causing pain and losing patients. Collins brings to life the dramatic moments when he made his first, terrifying incision and hand-drilled a traction pin into a weeping six-year–old's leg. Collins and his wife, Patti, wanted a large family, but the economic strain of having three children in three years (they eventually had 12) forced him to moonlight every other weekend at rural hospitals. There are moving passages about his love for Patti and the bonds he developed with other residents, and empathetic evocations of those he treats. Collins describes powerfully how he came to understand that his calling was not just to develop as a skilled surgical technician, but to treat his patients humanely as individuals.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
*Starred Review* If he didn't feel overwhelmed before the Mayo Clinic senior orthopedic surgery resident lobbed a beeper at him with the nonchalant order, "Cover for me," 29-year-old ex-cabdriver, ex-construction worker, and, at the time, brand-new resident Collins certainly did then. It was his first day on the job, and instantly he began fielding calls from staff nurses requesting orders for patients he hadn't laid eyes on. If it hadn't been for his innate sense of humor--brilliantly demonstrated in this memoir of his Mayo residency--and a sense of perspective derived from that experience, he might have failed. He didn't, and here he honors those who helped him along the way and those whom he helped. As a man who recognizes that he, too, makes his living with his hands, Collins anguishes over the options available to a carpenter who had severed four fingers. After assisting at a young cancer patient's leg amputation, only to learn later that she had died within months, anyway, he agonizes over what drew him to his profession in the first place and what could possibly keep him on course. "I wanted to be the guy who confronted the arbitrariness of life and strangled the unfairness out of it." Instead, while honing his craft, he learned from a Vietnam vet that the main thing patients deserve is compassion. If Collins' scalpel is as sharp as his pen, his patients are in capable hands, indeed. Donna Chavez
Copyright © American Library Association. All rights reserved
Review
“Like the very best episode of ER, Collins' memoir races from one trauma to the next, keeping this reader spellbound all the way. Collins' life as a surgical resident is heartbreaking one minute and triumphant the next. You'll laugh and cry and cheer along with him as his epic journey to become a doctor races toward its gripping conclusion. I love this book and won't soon forget it.” ―Augusten Burroughs, New York Times bestselling author of Dry and Magical Thinking
“One of the best, funniest medical memoirs I have ever read. Hot Lights, Cold Steel is at once darkly humorous and truly compassionate. Not since House of God has there been such a ferociously funny look at the world of hospital medicine.” ―Michael Palmer, New York Times bestselling author of Fatal and The Society
“I adore this book. It's so polished and hilarious. It brought back all the stomach-churning anxieties of my own residency so vividly that I felt exhausted reading it. Dr. Collins has my highest admiration. I give this book a 10+!” ―Tess Gerritsen, New York Times bestselling author of The Surgeon and The Apprentice
Most helpful customer reviews
43 of 43 people found the following review helpful.
Blood, Sweat and Tears
By C. Middleton
This is a well-written and highly polished memoir about an Orthopaedic surgeon's four year residency at the famous Mayo Clinic in Minnesota. Dr. Collins is a good writer, giving the impression that he poured his heart and soul into this text: it's funny, at times sad and gruesome in parts, but again, reading about the training surgeon, one gets the distinct feeling that these men and women, having to run through the depths of hell to finally get qualified, must be born to the task - or simply masochistic by nature.
If this memoir is to be believed, and there's no reason why it shouldn't, every nightmare story that you have heard about the four-year residency is absolutely true. It's astounding that these people manage to survive - the tortuous long stretches on their feet saving lives, sometimes reaching 60 to 70 hours is nothing less than miraculous. Treating patients day and night, constantly worrying that you'll screw up, taking peoples lives in your hands could send the most grounded individual around the bend - in some cases it does, but for the most part, these people get through to become qualified surgeons, as did Dr. Collins, but through a lot of blood sweat and tears.
Hot Lights, Cold Steel reads like a novel, as the characterization, structure of the plot and the pathos, the utter sadness of some of his cases, and the joy and exhilaration of his successes, had me just as enthralled as any top selling thriller. Dr. Collins has a gift for description as he illustrates the amputation of a limb, including a section of the patient's pelvis, in such detailed imagery, that it became difficult to read. He also has a great sense of humour, which I believe is so necessary to survive in this profession.
One of the more terrible of the Dr.'s experiences was the attempted resuscitation of a six year old boy who had been run over by a drunk. Collins and the ER staff did everything humanly possible to save the child, but his injuries were too severe. The undeserved death of innocence is hard to take, and it affected the attending staff in a big way. This was also terribly difficult to read. Then there was the young kindergarten teacher who just came in because of a slight pain in her hip, to discover her entire skeleton was riddled with cancer, unfortunately she died six months later. After reading about these cases one realizes that life is fleeting and fragile, and should never be taken for granted.
I have always had great respect for those in the medical profession, but this book has doubled that respect and opened my eyes to their tenacity, courage and skill. This is a great book and is highly recommended.
17 of 17 people found the following review helpful.
great book, fascinating story
By Edward C. Olliver
I loved this book! The story of Collins' surgical residency at the Mayo Clinic is passionate, well-told and very funny. The stories of the sometimes serious injuries facing his patients are balanced with often humorous stories about his young and growing family struggling to make ends meet. I enjoyed gaining an insight into the often difficult life of a barely paid, over-worked resident. What Scott Turow's "One L" was for law students, this book will be for residents. I highly recommend this book!
18 of 19 people found the following review helpful.
This is a great book!
By Eileen Keenan
Even though this is technically a medical memoir, there is no need to be a medical professional to appreciate this humorous and well-written book chronicling Collins' journey to become an orthopedic surgeon. Although the book primarily focuses on the patients he treated and the lessons he learned along the way, some of the funniest and most touching parts of the book center around Collins' ever-expanding family. Also entertaining are his woes revolving around several piece-of-junk cars. Collins has a cunning wit and a fantastic sense of humor that make this book a joy to read.
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