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Awdish in shock
Awdish in shock





awdish in shock

She offers practical tips for effective communication at the end of the book. We should teach our learners to do better. We need to connect to patients in their time of suffering. She shows us through her harrowing experience that we need to be intentional about our words and interactions. It’s a wise choice to keep the focus on the true strength of the book: her narrative as the patient. Generally, Dr Adwish does not refer the reader back to the known literature. In Shock touches on many themes present in literature: wellness, burnout, physician-patient communication, and dehumanization. This time she is treated with empathy, respect, and compassion by the learners charged with her care. She has another bout of shock several years later. She also begins to note larger-scale changes at her institution-learners are now being specifically taught skills in communication and empathy. Anecdotes of Dr Adwish encouraging empathy and patient-centeredness on a small scale with her own ICU team parallel her gradual physical and emotional recovery. Just as we learn pathology, we can learn empathy. While the subject matter could easily lend itself to being dreary, Dr Adwish maintains a persistent tone of hope. One key passage depicts Dr Adwish mourning the death of a pediatric patient, then being chastised-after all, the work must go on. She knows this well, having been through it herself.

awdish in shock

Dr Adwish examines the educational culture causing this phenomenon: the grueling hours, the pressure to dispassionately diagnose a variety of pathology in pursuit of competency, and the lack of emphasis on humanism. While rounding on a patient with a presentation eerily similar to her own, she notices: “What was missing any acknowledgment of the absolute shattering horror of this particular sequence of events. Eventually, she resumes her work as a critical care attending. In one memorable example, an obstetric resident asks Dr Adwish, who has just identified the absence of a fetal heartbeat in her own ultrasound, “Can you show me where you see that?” (p 26).

awdish in shock

In Shock juxtaposes a series of organ failures, major surgeries, and code events with careless comments, dismissive behaviors, and occasional outright bullying from medical teams. The true shock comes when she is further traumatized by her fellow physicians’ inability to be present with loss and suffering, and to respond compassionately. Instantly she is thrown from her role of physician into the patient role. In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope by Rana Adwish, MD, FCCP, details the traumatic experience of a pregnant critical care physician who loses her unborn first child and nearly dies of hemorrhagic shock. Publication Information: New York, St Martin’s Press, 2017, 272 pp., $25.99, hardcover Book Title: In Shock: My Journey From Death to Recovery and the Redemptive Power of Hope







Awdish in shock