Direct Red: A Surgeon's View of Her Life-or-Death Profession - Tapa dura

In this powerful and sometimes shocking account, a surgeon reveals her experience of hospital life with rare frankness.

In her mid-twenties, Gabriel Weston - an arts graduate with no scientific qualification beyond high school-level biology - decided to become a surgeon. She enrolled at night school, then went through many years of medical school and surgical training.

Now in her late thirties, she has achieved her ambition and is working as a surgeon in a British hospital. "But I have never quite managed to shake off the feeling that I am an imposter,"she says. "Even when operating, it sometimes seems like I am on the outside looking in."

Direct Red is the result of those observations. It is a superbly written, startlingly raw account of her experience of life in a hospital. All her own doubts, mistakes, and incongruous triumphs are faithfully recorded. It is also a revealing and at times chilling account of what she sees around her. The world of surgery is secret and closed - or was until now.
Excerpt
I knew that this man needed to be opened up immediately. I phoned the on-call consultant, offering to meet him in theatre.

"Not so fast," he objected. "You youngsters are always in such a hurry." When he finally did concede that we needed to go to theatre, he picked up a coffee on the way.

Physiology forced pace on the situation: once we cut the man open, we were confronted with the sight of the hollow cavern of the patient’s abdomen filling with blood as quickly as a basin fills with water.

This consultant did not have a clue what to do; didn’t know the simplest emergency measures. He dressed his incompetence in a mannered slowness of action. It took him almost an hour to admit he wasn’t coping, at which point he shouted at the scrub nurse: "Get me another surgeon! Any surgeon!"

The night taught me the paramount value of a quick response.

Gabriel Weston is now a part-time ENT surgeon.