No Apparent Distress

A Doctor's Coming-of-Age on the Front Lines of American Medicine

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Pub Date 9 May 2017 | Archive Date 30 Apr 2017

Description

In medical charts, the term “N.A.D.” (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America’s medical system when it comes to treating the underprivileged. Medical students learn on the bodies of the poor—and the poor suffer from their mistakes. Rachel Pearson confronted these harsh realities when she started medical school in Galveston, Texas. Pearson, herself from a working-class background, remains haunted by the suicide of a close friend, experiences firsthand the heartbreak of her own errors in a patient’s care, and witnesses the ruinous effects of a hurricane on a Texas town’s medical system. In a free clinic where the motto is “All Are Welcome Here,” she learns how to practice medicine with love and tenacity amidst the raging injustices of a system that favors the rich and the white. No Apparent Distress is at once an indictment of American health care and a deeply moving tale of one doctor’s coming-of-age.

In medical charts, the term “N.A.D.” (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America’s medical system when it comes to treating the...


A Note From the Publisher

LibraryReads nominations due by 3/20 and IndieNext nominations due by 3/3/17.

LibraryReads nominations due by 3/20 and IndieNext nominations due by 3/3/17.


Advance Praise

No Apparent Distress is filled with the moving stories of a medical student’s journey providing health care at the margins of American life. Rachel Pearson shines a spotlight on the brutal inequalities present within our healthcare system.” - Damon Tweedy, MD, author of Black Man in a White Coat

“Rachel Pearson comes from a hard place. In her memoir, No Apparent Distress, she tells the story of a Texas hospital that has been flattened by a hurricane and is being rebuilt—literally rebuilt—around her and her colleagues while they pursue their medical training. Working at a clinic for the poor and uninsured teaches Pearson the empathy she will need to cultivate if she expects to act as an effective advocate for her patients. It also teaches her about the inequities and injustices of the American health care system, and the labor of love required of anyone who decides to pursue the practice of medicine in this country.” - Judy Melinek, MD, and T. J. Mitchell, coauthors of the New York Times best-selling memoir Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner

No Apparent Distress is filled with the moving stories of a medical student’s journey providing health care at the margins of American life. Rachel Pearson shines a spotlight on the brutal...


Available Editions

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ISBN 9780393249248
PRICE US$26.95 (USD)

Average rating from 5 members


Featured Reviews

If you are deeply concerned about the plight of the poor in America—and, in particular, the roadblocks they face in getting even the smallest health care need met—then this is going to be an extremely difficult book for you to read.

As I write this review,the date is currently January 23, 2017. Three days ago, Donald Trump was inaugurated as the 45th President of the United States of America. The House of Representatives and the Senate is in Republican control and it's just a matter of time before a new Supreme Court Justice is appointed—who will most certainly be a Conservative—which means all three branches of the Federal government will be under Republican control. By the time this review is published in late April, it is very likely that under this Republican majority, the Affordable Care Act will have been repealed, which will be particularly devastating to the most vulnerable in our society who gained coverage through the medicaid expansion (if they were fortunate enough to live in a state that expanded medicaid).

Which makes this a most timely read, indeed.

No Apparent Distress recounts the author's days as a medical student in Galveston, Texas, detailing some of her experiences working in St. Vincent's Student-Run Free Clinic. Staffed by volunteer students and physicians from University of Texas Medical Branch, St. Vincent's offered health services for the uninsured poor. Financial limitations restricted the care patients received, sometimes with deadly results.

Pearson doesn't shy away from admitting her own mistakes and shortcomings as a medical student; she shares those stories with regret and the 20/20 hindsight that wisdom brings. Nor does she hide her frustration about the disparity of care available to the insured vs. the uninsured, given examples of the inequalities she noticed while working/learning at the office of another doctor whose patients were insured and had considerable financial means, as well.
The Haves... and the Have-Nots.

If ever there was a book that inspired compassion for those less fortunate, it's this one. If you're seeking understanding about what it's like to be poor and uninsured in America, I urge you to read this book. It's definitely an eye-opener.

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