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	<title>Comments on: REVIEW: Something for the Pain (One Doctor&#8217;s Account of Life and Death in the ER) by Paul Austin</title>
	<atom:link href="http://dearauthor.com/wordpress/2008/12/04/review-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin/feed/" rel="self" type="application/rss+xml" />
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	<description>Book reviews, industry news, and commentary from a reader's point of view</description>
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		<title>By: Jayne</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-188095</link>
		<dc:creator>Jayne</dc:creator>
		<pubDate>Fri, 16 Jan 2009 01:21:50 +0000</pubDate>
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		<description>You&#039;re very welcome. It was a pleasure to read. And thanks for stopping by. I always enjoy getting a chance to chat with authors.</description>
		<content:encoded><![CDATA[<p>You&#8217;re very welcome. It was a pleasure to read. And thanks for stopping by. I always enjoy getting a chance to chat with authors.</p>
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		<title>By: Paul Austin</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-188053</link>
		<dc:creator>Paul Austin</dc:creator>
		<pubDate>Thu, 15 Jan 2009 21:01:51 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-188053</guid>
		<description>Dear Jayne,

I just came across your posting and want to thank you for your kind words about &quot;Something For the Pain.&quot;  

It means so much to find out that people find something of value in the book. 

And yes, you&#039;re right, Sally was brave to let me write the book.  There were some things I half-way expected her to delete, but she didn&#039;t.  A friend said, I should&#039;ve called it, &quot;I Married a Goddess.&quot;  No argument there.

Again, thank you for your kind words about SFTP.

Paul</description>
		<content:encoded><![CDATA[<p>Dear Jayne,</p>
<p>I just came across your posting and want to thank you for your kind words about &#8220;Something For the Pain.&#8221;  </p>
<p>It means so much to find out that people find something of value in the book. </p>
<p>And yes, you&#8217;re right, Sally was brave to let me write the book.  There were some things I half-way expected her to delete, but she didn&#8217;t.  A friend said, I should&#8217;ve called it, &#8220;I Married a Goddess.&#8221;  No argument there.</p>
<p>Again, thank you for your kind words about SFTP.</p>
<p>Paul</p>
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		<title>By: LizA</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182530</link>
		<dc:creator>LizA</dc:creator>
		<pubDate>Thu, 04 Dec 2008 21:56:53 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182530</guid>
		<description>This sounds interesting, esp. from a cultural point of view. It seems from all these posts, that there is a lot more pressure on doctors in the US than in other parts of the world. At least over here where I live, if you are off, you are off. if you work in a hospital, someone else is taking your job. and if you work outside the hospital, people are referred to another doctor (who will refer to you when he is off). it is probably a bit different in the deep country, but not by much. Of course there might be emergencies that require every doctor in 100 km to attend, but these are extremely rare.... at least in my experience, and I grew up as the daughter of two MDs and now have a brother who is one. 
That&#039;s not to say that it is an easy life - lots of night/weekend shifts, lots of pressure, mobbing, long hours....</description>
		<content:encoded><![CDATA[<p>This sounds interesting, esp. from a cultural point of view. It seems from all these posts, that there is a lot more pressure on doctors in the US than in other parts of the world. At least over here where I live, if you are off, you are off. if you work in a hospital, someone else is taking your job. and if you work outside the hospital, people are referred to another doctor (who will refer to you when he is off). it is probably a bit different in the deep country, but not by much. Of course there might be emergencies that require every doctor in 100 km to attend, but these are extremely rare&#8230;. at least in my experience, and I grew up as the daughter of two MDs and now have a brother who is one.<br />
That&#8217;s not to say that it is an easy life &#8211; lots of night/weekend shifts, lots of pressure, mobbing, long hours&#8230;.</p>
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		<title>By: Nikki</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182529</link>
		<dc:creator>Nikki</dc:creator>
		<pubDate>Thu, 04 Dec 2008 21:51:38 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182529</guid>
		<description>I rarely ever pick up this kind of a book.  It feels like a little PTSD gets triggered when I read about an experience similar to my own.  The crappy hours, the idiot interns, the nurses who didn&#039;t know what they were doing... it goes on.  

I will say that if you really want to become a physician, people need to carefully evaluate their reasons.  The pay is less than fabulous, the amount of debt is astronomical, and you end up giving away a very large portion of your life with questionable return.  I know that I question the value of my sacrifice sometimes when I see my high school friends married or with children.  Meanwhile... I am still in training.  My med school friends ask, what happened to our youth, where did our twenties go!!   

And Leah, I agree with your husband about what fields he thinks are best.  The only thing is with the way the economy and possibly the entire health care machine is going it might not be that way in a few more years.  Even in my 3 years of residency the medical world changed a lot, primarily because of reimbursements.  After my fellowship I will likely try to avoid private practice as much as possible because there is more time spent on filling out forms than on taking care of patients.</description>
		<content:encoded><![CDATA[<p>I rarely ever pick up this kind of a book.  It feels like a little PTSD gets triggered when I read about an experience similar to my own.  The crappy hours, the idiot interns, the nurses who didn&#8217;t know what they were doing&#8230; it goes on.  </p>
<p>I will say that if you really want to become a physician, people need to carefully evaluate their reasons.  The pay is less than fabulous, the amount of debt is astronomical, and you end up giving away a very large portion of your life with questionable return.  I know that I question the value of my sacrifice sometimes when I see my high school friends married or with children.  Meanwhile&#8230; I am still in training.  My med school friends ask, what happened to our youth, where did our twenties go!!   </p>
<p>And Leah, I agree with your husband about what fields he thinks are best.  The only thing is with the way the economy and possibly the entire health care machine is going it might not be that way in a few more years.  Even in my 3 years of residency the medical world changed a lot, primarily because of reimbursements.  After my fellowship I will likely try to avoid private practice as much as possible because there is more time spent on filling out forms than on taking care of patients.</p>
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		<title>By: Emmy</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182527</link>
		<dc:creator>Emmy</dc:creator>
		<pubDate>Thu, 04 Dec 2008 21:37:08 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182527</guid>
		<description>&lt;blockquote&gt;He said there was a pot that all the incoming interns contributed to at the beginning of the year (July) that would go to the first one who either 1) got his wife pregnant or 2) got pregnant herself. Generally it took until May for someone to claim the money&lt;/blockquote&gt;

*gigglesnort* Somebody needs to write a non-fic book about hospital romances. Diamond rings have been flying around my medical center like popcorn lately. Four of our staff on my unit got married last month alone, and several more are engaged. Also, three women are preggers, and an equal amount of the guys have pregnant wives/girlfriends.</description>
		<content:encoded><![CDATA[<blockquote><p>He said there was a pot that all the incoming interns contributed to at the beginning of the year (July) that would go to the first one who either 1) got his wife pregnant or 2) got pregnant herself. Generally it took until May for someone to claim the money</p></blockquote>
<p>*gigglesnort* Somebody needs to write a non-fic book about hospital romances. Diamond rings have been flying around my medical center like popcorn lately. Four of our staff on my unit got married last month alone, and several more are engaged. Also, three women are preggers, and an equal amount of the guys have pregnant wives/girlfriends.</p>
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		<title>By: Jayne</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182526</link>
		<dc:creator>Jayne</dc:creator>
		<pubDate>Thu, 04 Dec 2008 21:36:17 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182526</guid>
		<description>&lt;a href=&quot;http://ahyesmedschool.blogspot.com/&quot; rel=&quot;nofollow&quot;&gt;This is a blog written by a guy in med school&lt;/a&gt;. Or this was while he was in med school. Now he&#039;s in his first year of residency. It&#039;s absolutely hilarious. He now has another blog called &quot;Ah yes, Residency.&quot; I think he managed to put up 4 posts the whole intern year.</description>
		<content:encoded><![CDATA[<p><a href="http://ahyesmedschool.blogspot.com/" rel="nofollow">This is a blog written by a guy in med school</a>. Or this was while he was in med school. Now he&#8217;s in his first year of residency. It&#8217;s absolutely hilarious. He now has another blog called &#8220;Ah yes, Residency.&#8221; I think he managed to put up 4 posts the whole intern year.</p>
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		<title>By: Michelle</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182523</link>
		<dc:creator>Michelle</dc:creator>
		<pubDate>Thu, 04 Dec 2008 21:28:40 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182523</guid>
		<description>I loved most of the ER nurses and ICU nurses, as an intern they could be your best friend and be on your side.   

I don&#039;t envy the surgeons, they have the rawest deal.  I remember as a med student the surgery interns/residents were told they would only get 1 day off for a wedding-first marriage only, no time off for second marriages.</description>
		<content:encoded><![CDATA[<p>I loved most of the ER nurses and ICU nurses, as an intern they could be your best friend and be on your side.   </p>
<p>I don&#8217;t envy the surgeons, they have the rawest deal.  I remember as a med student the surgery interns/residents were told they would only get 1 day off for a wedding-first marriage only, no time off for second marriages.</p>
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		<title>By: Jayne</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182510</link>
		<dc:creator>Jayne</dc:creator>
		<pubDate>Thu, 04 Dec 2008 21:10:15 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182510</guid>
		<description>&lt;blockquote&gt;Brett said that when he interviewed at Duke for a 7yr residency (in 1989 or 90), the person he talked to declared with pride that no one who entered their program married was married by the time they finished.&lt;/blockquote&gt;

Another person I  know - gee, I seem to know a lot of doctors and nurses - went to med school at Duke. He said there was a pot that all the incoming interns contributed to at the beginning of the year (July) that would go to the first one who either 1) got his wife pregnant or 2) got pregnant herself. Generally it took until May for someone to claim the money.   

&lt;blockquote&gt;And as for nurses–there is no one better than a good nurse. Doctors need you guys to survive, and if they’re smart, they’ll remember it.&lt;/blockquote&gt;

Nurses, med techs, radiology techs....it takes a lot of people to get sick people well.</description>
		<content:encoded><![CDATA[<blockquote><p>Brett said that when he interviewed at Duke for a 7yr residency (in 1989 or 90), the person he talked to declared with pride that no one who entered their program married was married by the time they finished.</p></blockquote>
<p>Another person I  know &#8211; gee, I seem to know a lot of doctors and nurses &#8211; went to med school at Duke. He said there was a pot that all the incoming interns contributed to at the beginning of the year (July) that would go to the first one who either 1) got his wife pregnant or 2) got pregnant herself. Generally it took until May for someone to claim the money.   </p>
<blockquote><p>And as for nurses–there is no one better than a good nurse. Doctors need you guys to survive, and if they’re smart, they’ll remember it.</p></blockquote>
<p>Nurses, med techs, radiology techs&#8230;.it takes a lot of people to get sick people well.</p>
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		<title>By: Leah</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182492</link>
		<dc:creator>Leah</dc:creator>
		<pubDate>Thu, 04 Dec 2008 20:00:09 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182492</guid>
		<description>&lt;blockquote&gt;I recall in the PBS show that Keishon and Meljean mentioned that two or three of those interns the show followed were already divorced after only a few years of marriage.&lt;/blockquote&gt;

I dated my husband when we were in high school, but didn&#039;t hook up with him seriously until we were in our 30&#039;s.  I often wish I had married him much earlier, because I think that we missed so much time.  I know residency really sucked and I think &quot;I could have helped him&quot;  (cue the violins).  But in reality, I know it would have been difficult, and at that age, I might have been a hindrance instead, particularly if the babies had shown up.  Brett said that when he interviewed at Duke for a 7yr residency (in 1989 or 90), the person he talked to declared with pride that no one who entered their program married was married by the time they finished.  

And as for nurses--there is no one better than a good nurse.  Doctors need you guys to survive, and if they&#039;re smart, they&#039;ll remember it.</description>
		<content:encoded><![CDATA[<blockquote><p>I recall in the PBS show that Keishon and Meljean mentioned that two or three of those interns the show followed were already divorced after only a few years of marriage.</p></blockquote>
<p>I dated my husband when we were in high school, but didn&#8217;t hook up with him seriously until we were in our 30&#8217;s.  I often wish I had married him much earlier, because I think that we missed so much time.  I know residency really sucked and I think &#8220;I could have helped him&#8221;  (cue the violins).  But in reality, I know it would have been difficult, and at that age, I might have been a hindrance instead, particularly if the babies had shown up.  Brett said that when he interviewed at Duke for a 7yr residency (in 1989 or 90), the person he talked to declared with pride that no one who entered their program married was married by the time they finished.  </p>
<p>And as for nurses&#8211;there is no one better than a good nurse.  Doctors need you guys to survive, and if they&#8217;re smart, they&#8217;ll remember it.</p>
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		<title>By: Jayne</title>
		<link>http://dearauthor.com/feeder/?FeederAction=clicked&amp;feed=Articles+%28RSS2%29&amp;seed=http%3A%2F%2Fdearauthor.com%2Fwordpress%2F2008%2F12%2F04%2Freview-something-for-the-pain-one-doctors-account-of-life-and-death-in-the-er-by-paul-austin%2F&amp;seed_title=REVIEW%3A+Something+for+the+Pain+%28One+Doctor%26%238217%3Bs+Account+of+Life+and+Death+in+the+ER%29+by+Paul+Austin/comment-page-1/#comment-182482</link>
		<dc:creator>Jayne</dc:creator>
		<pubDate>Thu, 04 Dec 2008 19:44:58 +0000</pubDate>
		<guid isPermaLink="false">http://dearauthor.com/wordpress/?p=7409#comment-182482</guid>
		<description>&lt;blockquote&gt;As a dr’s wife, you always have to realize that you and the kids will never, ever come first. If you make plans, someone out there who’s been nursing an inflamed appendix for three days will finally decide that maybe, just maybe, they need to go to the ER (by which time, it’s burst). You can’t even be mad about it either–because while your plans are trashed (or your house, or your nerves), that person might DIE, so you just suck it up and go on. And as reimbursements decline and liabilities increase, it’s not like the buckets-o-money are there anymore, either. Maybe for the older guys, but not for people coming in during the last 5-10 yrs.&lt;/blockquote&gt;

Austin, as I said, is honest almost to a fault about the impact his job has had on his wife and family. And in his author&#039;s note, he stated that their deal was that he could write whatever he wanted but she then got to read what he&#039;d written and could cross out what she didn&#039;t want to go in the book. 

I don&#039;t envy doctors&#039; spouses at all. If your spouse is any good at his/her job and has the compassion &lt;em&gt;needed&lt;/em&gt; for the job - along with the bossing skills as you mentioned - then they&#039;re going to be gone for huge chunks of your life. My doctor friend pulls down a good living but IMHO, she earns that money. 

I recall in the PBS show that Keishon and Meljean mentioned that two or three of those interns the show followed were already divorced after only a few years of marriage.</description>
		<content:encoded><![CDATA[<blockquote><p>As a dr’s wife, you always have to realize that you and the kids will never, ever come first. If you make plans, someone out there who’s been nursing an inflamed appendix for three days will finally decide that maybe, just maybe, they need to go to the ER (by which time, it’s burst). You can’t even be mad about it either–because while your plans are trashed (or your house, or your nerves), that person might DIE, so you just suck it up and go on. And as reimbursements decline and liabilities increase, it’s not like the buckets-o-money are there anymore, either. Maybe for the older guys, but not for people coming in during the last 5-10 yrs.</p></blockquote>
<p>Austin, as I said, is honest almost to a fault about the impact his job has had on his wife and family. And in his author&#8217;s note, he stated that their deal was that he could write whatever he wanted but she then got to read what he&#8217;d written and could cross out what she didn&#8217;t want to go in the book. </p>
<p>I don&#8217;t envy doctors&#8217; spouses at all. If your spouse is any good at his/her job and has the compassion <em>needed</em> for the job &#8211; along with the bossing skills as you mentioned &#8211; then they&#8217;re going to be gone for huge chunks of your life. My doctor friend pulls down a good living but IMHO, she earns that money. </p>
<p>I recall in the PBS show that Keishon and Meljean mentioned that two or three of those interns the show followed were already divorced after only a few years of marriage.</p>
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