Intensive Care is an affecting view from the trenches, a seasoned doctor's minute-by-minute and day-by-day account of life in the Intensive Care Unit (ICU) of a major inner-city hospital, San Francisco General. John F. Murray, for many years Chief of the Pulmonary and Critical Care Division of the hospital and a Professor at the University of California, San Francisco, takes readers on his daily ward rounds, introducing them to the desperately ill patients he treats as well as to the young physicians and medical students who accompany him. Writing with compassion and knowledge accumulated over a long career, Murray presents the true stories of patients who show up with myriad disorders: asthma, cardiac failure, gastrointestinal diseases, complications due to AIDS, the effects of drug and alcohol abuse, emphysema. Readers will come away from this book with a comprehensive understanding of what an ICU is, what it does, who gets admitted, and how doctors and nurses make decisions concerning life-threatening medical problems.
Intensive care for critically ill patients is a new but well-established and growing branch of medicine. Estimates suggest that 15 to 20 percent of all hospitalized patients in the United States are treated in an intensive or coronary care unit during each hospital stay, so there is a real possibility that the reader will either be admitted to an ICU himself or herself or knows someone who will be. Murray not only offers a real-time account of the diagnosis, treatment, and progress of his patients over the course of one month but also conveys a wealth of information about various diseases and medical procedures in succinct and easy-to-understand terms. In addition, he elaborates on ethical dilemmas that he confronts on an almost daily basis: the extent of patient autonomy, the denial of ICU care, the withdrawal of life support, and physician-assisted suicide.
Murray concludes that ICUs are doing their job, but they could be even better, cheaper, and--most important--more humane. His chronicle brings substance to a world known to most of us only through the fiction of television.
John F. Murray is Professor Emeritus of Medicine at the University of California, San Francisco, where he was Chief of the Pulmonary and Critical Care Division from 1966 to 1989. He is coeditor of the Textbook of Respiratory Medicine (third edition forthcoming in 2000).
"This is an excellent book, full of this eminent doctor's expertise, and his never-failing compassion for his ramshackle alcoholic and drug-addicted patients. San Francisco General Hospital is famous for its care of the disadvantaged who are not wanted in private hospitals. . . . I predict that this book may well become a classic of its kind."—Carolyn Kizer, author of The Nearness of You
“I started this book skeptical about reading yet another doctor's story--but once into it, I read straight through with great interest and deep appreciation. Writing lucidly, engagingly, and often eloquently, Murray uses his month's tour of duty as senior physician to the intensive care unit of an academic hospital in San Francisco as a prism. Through it he lays out a spectrum of the elements of modern medicine's art and science and shares his thoughtful insights into the ethical, economic, and human overtones of caring for sick people in today's society.”—Leonard Laster, author of Life After Medical School