The Blood of Strangers: Stories from Emergency Medicine
Forget the niceties of plot development and the easy moralizing of the television shows. There's nothing glamorous about a hospital emergency room, that arena where every human flaw and frailty is exposed.Frank Huyler, a physician and poet, offers a sharp view of life-and-death realities. The emergency room, he writes in these affecting vignettes, is a place where the dominant mood is numbness, where doctors and patients alike have seen too much bloodshed and death. As a defensive reaction, Huyler writes, some doctors become addicted to drugs and other pastimes, while others assume arrogant, cavalier, or aloof airs. This is eminently understandable, and Huyler recounts the growing distance in his relationship with patients as "the earlier intimacy I had felt ... began to recede into the task." A fine storyteller, Huyler doesn't shy away from tales in which he comes up short, just as he shakes his head in bemusement at the ways of administrators and chiefs. In one episode, for instance, he writes of treating a comatose patient with aggressive measures under one attending physician's orders, then doing almost nothing under another's instructions.  The patient "was gone from the waking world, as nearly dead as a human being can be, lying at the edge but never quite crossing over"--but, amazingly, he survived both his injuries and the conflict between the two doctors.Reminiscent of the surgeon-essayist Richard Seltzer's best work, Huyler's memoirs take readers behind the surgical screen.--Gregory McNamee