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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: #944748 in Books
- Published on: 2005-02-01
- Released on: 2005-01-27
- Original language: English
- Number of items: 1
- Dimensions: 9.56" h x 1.29" w x 6.38" l,
- Binding: Hardcover
- 320 pages
- Hardback
- Dust Jacket included
- No markings
- No dirt
- No dust
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
9 of 9 people found the following review helpful.
No editing or proofreading in Kindle version
By Bird Lover
Skip the Kindle version and buy the paperback or hardback. The Kindle version is riddled with typos and (presumably) digital conversion errors. If I were the author, I would be appalled that my publisher deemed this acceptable. When I complained to Amazon, they suggested I send them a detailed list of all the errors. I bought the book for $9.99 and they would like me to do the proofreading as well? Although this is the worst book I have come across in terms of errors (I would never buy another digital book published by St. Martin's Press), other Kindle books are similarly poorly edited and much of my initial enthusiasm for this medium has been dampened by the poor quality.
0 of 0 people found the following review helpful.
GREAT BOOK and Hilariously Funny
By David B. Crawley
This is a wonderful book. I love Dr. Collins’ hilarious sense of humor. I was actually laughing aloud through much of it. I had to stop and read some of the passages to my wife when she demanded to know what in the world could be so funny. When I finished the book, she read it, and I got to listen to her chuckling her way through it.
As a retired physician, I could easily relate to the doctor’s brutal schedule as a resident, the extreme fatigue, and his anxiety and self-doubt during the early years of training. I also could identify with the meager income and having to moonlight to make ends meet. The book ends with the completion of his orthopedic residency, and I was left with the impression that Dr. Collins thought his life would get a lot easier when he got out in practice. I thought that too, but, if anything, it got harder. Believe it or not, being a physician is a tough way to make a living. I hope it did get easier for you, Dr. Collins.
You are a very talented writer. I am recommending this book to all of my friends and especially to my physician friends. I look forward to your next book. David B. Crawley, M.D. - Author of "Steep Turn."
0 of 0 people found the following review helpful.
Didn't want to put it down.
By Brian R. Thompson
My wife will be starting her residency in July of 2016 (gen surg) and as a diligent husband, try to become more knowledgeable with what she has in her future (the medical field fascinates me as well). I was very impressed with how the book was written and the stories it told. I believe that there are many points in the book that are applicable to anyone, not just students looking at ortho or even medical students as a whole. I appreciated how he tied his family and friends into the story, as well as the physicians and caretakers at the hospital.
Helping my wife study through the past few years did help me in reading this. There were terms here and there that I would have had to look up if it were not for that (Anencephaly stumped me, now I know).
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