First, Do No Harm: The Dramatic Story of Real Doctors and Patients Making Impossible Choices at a Big-City Hospital

Lisa Belkin has created an amazing book here - she definitely did her research. The book consists of a few case studies of patients who pose ethical dilemas. Belkin takes you inside meetings of the ethics committee at the hospital, she takes you to the patient's bedside to see what the patient actually wants. Some of the patients she follows are a young kid who has been hospitalized for 15 years with a terminal condition, beating all odds by staying alive that long, several premature babies, and a man who was paralyzed almost completely after getting shot in the spine. It's a great look at medical ethics - Lisa Belkin's book asks all the right questions. The book is in a very easy-to-read format - the stories of the patients she follows are all intertwined throughout the book. For example, you'll read about Patrick for 30-or-so pages, and then she'll switch over to update you on Taylor's story. She does this because you are reading the stories in "real time" as they happened; all of this took place in a certain time span in the hospital. It's exciting and fast-paced non-fiction - I read it in two days and didn't put it down. It will break your heart, because often the ethics committee has to bring money into the discussion, as much as they would like to treat every patient as if money was not an issue. This book is SO worth reading, for anyone who is interested in medicine and healthcare at all.

Despite the major advances in knowledge, skills, and technology in the field of medicine, this book shows that ultimately life and death fall back on the human touch. Following the workings of an Ethics Committee in a major urban hospital over several months, Belkin clearly shows that medicine continues to be as much an art as a science and in many cases there are no "right" answers, even when decisions can affect whether a patient lives or dies. This is not a dry, mechanical review of how ethical decisions are made. Quite the opposite, the book captures your full attention from the very first page. You become fully involved in the heart-wrenching lives of actual hospital patients, as well as the no-win situations health care professionals and family members find themselves in when struggling with decisions that literally have life or death consequences. For example, when she describes the process in which the life support devices are withdrawn from a young patient you feel you are there in the room witnessing the tragedy. Some readers might scream within their minds not to do it - perhaps there is something else can be done? Others may feel a sense of loving compassion over the ending of someone's suffering. Both types will feel incredible compassion for those who had to make the actual decision and hopefully will never have to make such a choice in their own lives.

I could hardly put this book down until I was finished with it. It was not just eye-opening about how some of the ethical choices in medicine must be made, including the all-too necessary financial considerations. It showed how human doctors are and how difficult it can be for them to have to make heart-wrenching decisions in which there is no right answer, especially when it is clear that, no matter which choice they make, there is not going to be a good outcome for the patient. In spite of their training and attempt to insulate themselves emotionally from their cases in order to remain objective and professional, it's not always possible. Ms. Belkin's descriptions of doctors in tears was very moving, and proved to me that those people chose the right profession, because they really do care about their patients. I found, by searching for them on the AMA web site, that a lot of the doctors in this book are still in practice in Houston (one is in Albuquerque). This search gave absolute credence to the fact that these stories are not fiction but about real people.

Having a child featured in this book, I have read it several times. Lisa did a fantastic job when she wrote this book. You will find it to be a very insightful book. Having lived through this ordeal myself, I know that Lisa tried very hard to make sure that her facts are real and accurate. If you enjoy stories about the medical field I trully believe that you will find this one hard to put down until you have finished it.

Ms. Belkin follows the work of the ethics commitee at Hermann Hospital. For anyone who enjoys true medical stories and difficult biomedical ethics problems, this is a great novel. Ms. Belkin does not present solutions, since in most cases there are no "right" solutions. Instead she provides an objective account of the cases from the point of view of all parties involved. This would also be an excellent book to use for discussion in a biomedical ethics clas