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Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner (Anglais) Relié – 25 septembre 2014


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Working Stiff

1

This Can Only End Badly

“Remember: This can only end badly.” That’s what my husband says anytime I start a story. He’s right.

So. This carpenter is sitting on a sidewalk in Midtown Manhattan with his buddies, half a dozen subcontractors in hard hats sipping their coffees before the morning shift gets started. The remains of a hurricane blew over the city the day before, halting construction, but now it’s back to business on the office tower they’ve been building for eight months.

As the sun comes up and the traffic din grows, a new noise punctures the hum of taxis and buses: a metallic creak, not immediately menacing. The creak turns into a groan, and somebody yells. The workers can’t hear too well over the diesel noise and gusting wind, but they can tell the voice is directed at them. The groan sharpens to a screech. The men look up—then jump to their feet and sprint off, their coffee flying everywhere. The carpenter chooses the wrong direction.

With an earthshaking crash, the derrick of a 383-foot-tall construction crane slams down on James Friarson’s head.

I arrived at this gruesome scene two hours later with a team of MLIs, medicolegal investigators from the New York City Office of Chief Medical Examiner. The crane had fallen directly across a busy intersection at rush hour and the police had shut it down, snarling traffic in all directions. The MLI driving the morgue van cursed like a sailor as he inched us the last few blocks to the cordon line. Medicolegal investigators are the medical examiner’s first responders, going to the site of an untimely death, examining and documenting everything there, and transporting the body back to the city morgue for autopsy. I was starting a monthlong program designed to introduce young doctors to the world of forensic death investigation and had never worked outside a hospital. “Doc,” the MLI behind the wheel said to me at one hopelessly gridlocked corner, “I hope you don’t turn out to be a black cloud. Yesterday all we had to do was scoop up one little old lady from Beth Israel ER. Today, we get this clusterfuck.”

“Watch your step,” a police officer warned when I got out of the van. The steel boom had punched a foot-deep hole in the sidewalk when it came down on Friarson. A hard hat was still there, lying on its side in a pool of blood and brains, coffee and doughnuts. I had spent the previous four years training as a hospital pathologist in a fluorescent-lit world of sterile labs and blue scrubs. Now I found myself at a windy crime scene in the middle of Manhattan rush hour, gore on the sidewalk, blue lights and yellow tape, a crowd of gawkers, grim cops, and coworkers who kept using the word “clusterfuck.”

I was hooked.

“How did it happen?” my husband, T.J., wanted to know when I got home.

“The crane crushed his head.”

He winced. “I mean, how come it toppled over?” We were at the small playground downstairs from the apartment, watching our toddler son, Danny, arrange all of the battered plastic trucks and rusty tricycles in a line, making a train.

“The crane was strapped down overnight because of the hurricane warning yesterday. The operator either forgot or never knew, and I guess he didn’t check it. He started the engine, pushed the throttle, and nothing happened. So he gunned it—and the straps broke.”

“Oh, man,” T.J. said, rubbing his forehead. “Now it’s a catapult.”

“Exactly. The crane went up, hung there for a second—and crumpled over itself backwards.”

“Jesus. What about the driver?”

“What do you mean?”

“Was the crane driver hurt?”

“Oh. I don’t know.”

“Well, what about the other workers?”

“I don’t know,” I repeated. “None of them were dead.”

T.J. was looking off into the trees. “Where did this happen?”

“I told you, on Sixth Avenue.”

“And what?”

“I don’t remember! What does it matter? You’re going to avoid that corner because a crane could drop on your head?”

“Well?”

“It doesn’t happen that often, believe me.” Our raised voices had drawn the attention of the other parents on the bench.

“Civilians,” T.J. warned under his breath, reminding me that no one on a playground full of preschoolers wanted to hear our discussion of a grisly workplace accident. “Did he have a wife, kids?” he asked quietly.

“He had a wife. I don’t know about kids.”

My husband looked at me askance.

“Look, I don’t deal with these things! The investigators take care of all that. I only have to worry about the body.”

“Okay. So tell me about the body.”

As part of my medical school training I had done autopsies before—but they were all clinical, patients who had died in the hospital. I had never seen a corpse like this one. “We had to do a full autopsy because it’s a workplace accident. It was amazing. He was a big guy, muscular. No heart disease, vessels clean. Not a scratch on his limbs or torso—but his head looked like an egg you smash on the counter. We even call it an ‘eggshell skull fracture.’ Isn’t that cool?”

“No,” T.J. replied, suddenly ashen. “No, it isn’t.”

I’m not a ghoulish person. I’m a guileless, sunny optimist, in fact. When I first started training in death investigation, T.J. worried my new job would change the way I looked at the world. He feared that after a few months of hearing about the myriad ways New Yorkers die, the two of us would start looking up nervously for window air conditioners to fall on our heads. Maybe we’d steer Danny’s stroller around sidewalk grates instead of rolling over them. We would, he was sure, never again set foot in murderous Central Park. “You’re going to turn me into one of those crazy people who leaves the house wearing a surgical mask and gloves,” he declared during a West Nile virus scare.

Instead, my experience had the opposite effect. It freed me—and, eventually, my husband as well—from our six o’clock news phobias. Once I became an eyewitness to death, I found that nearly every unexpected fatality I investigated was either the result of something dangerously mundane, or of something predictably hazardous.

So don’t jaywalk. Wear your seat belt when you drive. Better yet, stay out of your car and get some exercise. Watch your weight. If you’re a smoker, stop right now. If you aren’t, don’t start. Guns put holes in people. Drugs are bad. You know that yellow line on the subway platform? It’s there for a reason. Staying alive, as it turns out, is mostly common sense.

Mostly. As I would also learn at the New York City Office of Chief Medical Examiner, undetected anatomical defects do occasionally cause otherwise healthy people to drop dead. One-in-a-­million fatal diseases crop up, and New York has eight million people. There are open manholes. Stray bullets. There are crane accidents.

“I don’t understand how you can do it,” friends—even fellow physicians—tell me. But all doctors learn to objectify their patients to a certain extent. You have to suppress your emotional responses or you wouldn’t be able to do your job. In some ways it’s easier for me, because a dead body really is an object, no longer a person at all. More important, that dead body is not my only patient. The survivors are the ones who really matter. I work for them too.

I didn’t start off wanting to be a forensic pathologist. You don’t say to yourself in second grade, “When I grow up, I want to cut up dead people.” It’s not what you think a doctor should do. A doctor should heal people. My dad was that kind of doctor. He was the chief of emergency room psychiatry at Jacobi Medical Center in the Bronx. My father instilled in me a fascination with how the human body works. He had kept all his medical school textbooks, and when I started asking questions he would pull those tomes off their high shelf so we could explore the anatomical drawings together. The books were explorers’ charts, and he moved with such ease over them, with such assurance and enthusiasm, that I figured if I became a doctor I could sail those seas with him.

I never got the chance. My father committed suicide at age thirty-eight. I was thirteen.

People kept coming up to me during his funeral and saying the same thing: “I’m so sorry.” I hated that. It roused me out of my numbness, to anger. All I could think to say was, “Why are you saying you’re sorry? It’s not your fault!” It was his fault alone. My father was a psychiatrist and knew full well, professionally and personally, that he should have sought help. He knew the protocol; he had asked his own patients the three diagnostic questions all of us learn in medical school when we believe someone is having suicidal ideations. First, “Do you want to hurt yourself or kill yourself?” If the answer is yes, then you are supposed to ask, “Do you have a plan?” If again the patient answers yes, the final question is, “What is that plan?” If your patient has a credible suicide plan, he or she needs to be hospitalized. My father’s suicide plan was to hang himself, an act that requires considerable determination. After he succeeded in carrying out that plan, I spent many years angry at him, for betraying himself and for abandoning me.

Today, when I tell the families and loved ones of a suicide that I understand exactly what they’re going through—and why—they believe me. Many have told me it helps them come to terms with it. Over the years some of these family members have continued to call me, the doctor who was on the phone with them on the single worst day of their lives, to include me in the celebration of graduations, weddings, new grandchildren. You miss the person who was taken away from you most deeply during the times of greatest joy. Getting those calls, thank-you cards, and birth announcements—exclamation marks, wrinkled newborns, new life—is the most rewarding part of my job.

This personal experience with death did not cause me to choose a profession steeped in it. My dad’s suicide led me to embrace life—to celebrate it and cling to it. I came to a career performing autopsies in a roundabout way.

When I graduated from UCLA medical school in 1996 I wanted to be a surgeon, and I began a surgical residency at a teaching hospital in Boston. The program had a reputation for working its surgery trainees brutally; but the senior residents all assured me, conspiratorially, that the payoff outweighed the short-term cost. “You work like a dog for five years. Tough it out. When you’re done and you become an attending physician, you’ve got it made. The hours are good, you save lives all day long, and you make a lot of money doing it.” I bought the pitch.

Before long I started noticing that many of the surgeons’ offices had a cot folded away in a corner. “Who keeps a bed in his office? Somebody who never has time to go home and sleep, that’s who,” a veteran nurse pointed out. My workweek started at four thirty on a Monday morning and ended at five thirty Tuesday evening—a 36-hour shift. A 24-hour shift would follow it, then another 36, and the week would end with a 12-hour shift. I got one full day off every two weeks. That was the standard 108-hour work schedule. Sometimes it was worse. On several occasions I was wielding a scalpel for 60 straight hours relieved only by brief naps. I clocked a few 130-hour workweeks.

T.J. started buying lots of eggs, red meat, protein shakes, boxes of high-calorie snack bars he could stick into the pockets of my lab coat. He had to cram as much fuel into me as he could during the predawn gloom of breakfast, and again when I dropped into a chair at the dinner table, still in my dirty scrubs, the following night. During my fifteen-minute commute home, I’d often take catnaps at red lights—“I’ll just close my eyes for a minute”—and wake to the sound of the guy behind me laying on his horn, the light green.

Boston is T.J.’s hometown. His family was overjoyed when we moved back there from Los Angeles. We were eighteen when we started dating—college freshmen, practically high school sweethearts—and had entered our twenties happy, and serious about each other. I wanted to get married—but he had begun to have his doubts. He doubted, I would later find out, that he wanted to be married to a surgeon. I was fading into a pallid, shuffling specter and was steadily losing the man I loved, and who loved me.

Then, one day in September, I fainted on the job at the end of a thirty-six-hour shift. I dropped to the linoleum right next to a patient in his sickbed and awoke on a gurney being wheeled to the emergency room, an intravenous glucose drip in my arm. The diagnosis was exhaustion and dehydration. The head of the residency program, my boss, came in and stood next to the IV drip bag, obviously impatient but not visibly concerned. “Okay,” he said, “you’re just tired. Go home, take twelve hours off, and sleep. Drink plenty of fluids, all right?” I was in a daze, wiped out and ashamed, and could only nod back. “I’ll get somebody to cover your next shift,” the surgeon told me, his back to my bed as he hurried out the door.

As soon as the boss had left me alone in that ER bed, I was no longer ashamed. I was infuriated. Nobody should be expected to practice clinical medicine, much less perform surgery, on the three hours’ sleep I had been living with. But I had wanted to be a surgeon since I first picked up a scalpel in medical school. I had been in the operating room and watched lives saved, and wasn’t ready to give it up just because my body gave out on me one time. I went back to work.

Less than a month later I was forced to consider the hazards my patients might be facing at the hands of their exhausted doctors. The hospital pharmacy paged me during morning rounds. When I called in, a woman’s voice asked, “Do you really want to put two hundred units of insulin in this patient’s hyperal, Doctor?”

I had had a full night’s sleep and was as alert as I ever got to be, but I still blurted out the first thing that came to mind. “What? No! That’d kill a horse!”

Hyperal, short for hyperalimentation, is a type of intravenous nutritional supply that puts food energy directly into your bloodstream. It has to include a carefully calibrated number of insulin units—fifteen or twenty units, for instance—so that your body can maintain its healthy cycle of fuel storage and release. If instead you were to receive two hundred units of insulin, you would pass out from hypoglycemia and die within minutes of a fatal cardiac arrhythmia, a terminal seizure, or both.

“I didn’t write that order, did I?”

“What’s your name?”

“Dr. Melinek.”

“Melinek. Let’s see.” There was a shuffling of papers on the other end of the line. “No,” the woman finally replied, and I was able to breathe again.

“Okay,” I said. “How many units of insulin did the patient get in his hyperal yesterday?”

“Twenty units.”

“And the day before?”

“Twenty.”

“Let’s just make it twenty units, then.”

“Right,” confirmed the pharmacy technician, who had just saved somebody’s life.

The doctor who wrote that order during the last shift was a fellow surgery resident. He had almost killed a patient by writing an extra zero on a nutrition order. I didn’t fill out an incident report about the near-fatal mistake. Nobody had been hurt and nobody had died, so there was no incident. During one of those 130-hour workweeks, had I hurt patients without even knowing it? Had I killed anyone?

The end of my surgical career came three months later, when I caught the flu—ordinary seasonal influenza—and tried to call in sick. “There’s no one to take up the slack this time,” my boss scolded, as though my trip to the hospital ER in September had been some sort of shirking ploy. I swallowed two Tylenol, stuck the rest of the bottle in my pocket, and went to work.

The shift was a blur. The Tylenol wore off after a couple of hours, and I started shaking with chills. I took a moment to slip into an empty nurses’ alcove and measure my temperature: 102º. While I was gulping two more pills, an emergency came through the door, a young woman with acute appendicitis. Somebody thrust the medical chart in my hand as I followed the gurney down to the operating room. The patient’s fever was 101.2º—lower than mine.

My hands didn’t shake. I opened her up, tied off the appendix, cut it out, and sutured the site of excision. The room was swaying, and I was sweating in sheets—but I took a deep breath, focused all my attention on the needle, and finished stitching. That was the sixty-first operation I performed during six months of surgical residency, and the last. The minute I scrubbed out of the operating room, I told the chief resident I was too sick to work and had to go home right away. “Don’t feel too bad,” she tried to comfort me. “I once had a miscarriage while on call.”

I called T.J.—feverish, despondent, bawling. When he arrived at the residents’ call room, he closed and locked the door without a word. Then he crouched down by my bunk and asked, “Do you want to quit?” I confessed that I did. “Good,” T.J. said with conviction. “You should.”

“But what are we going to do? What hospital is going to take me if I quit?”

“Doesn’t matter,” he said. “Not anymore. Quit.”

He was right. It didn’t matter. All that mattered was getting out of there. I resigned my position as a surgery resident the next day. T.J. and I started spending time together again. On Valentine’s Day of 1997 we were walking down a street we had traversed on our first date, nine years before to the day, back when we were teenagers. When we reached the spot where we had first held hands, he stopped, took both of mine, and lowered one knee to the icy sidewalk. I was surprised, delighted, giggling helplessly. “Would you give me an answer, yes or no?” he pleaded. “My knee is getting cold.”

I was happy for the first time in nearly a year—but scared too. I had learned only what kind of doctor I did not want to be, and was convinced no hospital would take me as a new resident in any specialty now that I was damaged goods. The happiest I’d been in medical school was during the pathology rotation. The science was fascinating, the cases engaging, and the doctors seemed to have stable lives. The director of the pathology residency program at UCLA had tried to recruit me during my last year of medical school. “No, no,” I had told her back in the day, driven and cocksure. “I’m going to be a surgeon.”

More than a year later, I called her to ask if she knew of any pathology jobs, anywhere, for a failed surgery resident.

“Can you start here in July?” she asked.

“What do you mean?”

“Judy, I’ll keep a pathology residency position for you right here at UCLA if you’ll start in July.”

Even more shocking was T.J.’s enthusiasm for the idea. “You’ll be leaving your family behind again,” I pointed out.

“Doctor,” my fiancé replied, “I’ve followed you to hell and back. I’ll follow you to Los Angeles.”

Revue de presse

“Far from the magic we see on TV, Working Stiff describes forensic pathology in the real world. The book is a compelling and absorbing read.” (Kathy Reichs, author of the Temperance Brennan "Bones" series)

"Fascinating case studies and a refreshing irreverence toward death and autopsies make Working Stiff a funny and engrossing read." (Sandeep Jauhar, author of "Intern: A Doctor's Initiation" and "Doctored: The Disillusionment of an American Physician")

Working Stiff is an engrossing and revealing glimpse into the making of a medical examiner with a searing insider's view into working at the New York Medical Examiner's Office during and just after 9/11. The story of how the author dealt with her father's suicide during childhood and later had to deal with suicides as part of her duties is wrenching and compelling." (Jan Garavaglia, M.D. (Dr. G from the Discovery Channel Series and author of "How Not to Die")

"A riveting read, at once compassionate and morbidly fascinating." (Todd Harra, author of "Over Our Dead Bodies")

"Working Stiff is an eye-opening, gripping account of the life of a forensic pathologist working in New York City. Whether dealing with routine autopsies, surviving relatives, or the catastrophe of September 11, Dr. Judy Melinek reveals the dignity of being human in the face of death." (Leora Tanenbaum, author of "Taking Back God")

"In this engrossing tale of how Melinek became a forensic pathologist, she pulls back the sheet to show readers just what goes on after someone dies... Armchair detectives and would-be forensic pathologists will find Melinek’s well-written account to be inspiring and engaging." (Publishers Weekly)

"Both chilling and heart-warming at the same time, Judy Melinek's account explains how empathy and humanity are as important working with the dead as they are with the living. She strikes the balance just right in helping us better understand what we most fear, yet still fear it all the same." (Suzanne Nossel, Executive Director, PEN America Center)

"Melinek’s enthusiasm for her calling is always apparent, and her writing is un–self-consciously bouncy, absorbed and mordant (though not caustic).... A transfixing account of death, from the mundane to the oddly hair-raising." (Kirkus Reviews)

Working Stiff is the grossest book you'll ever love. But it is also so much more than that: Seamlessly fusing memoir, science journalism, riveting whodunit mysteries, and light humor about a dark topic, Working Stiff is a relentlessly fascinating and informative book from the first page to the last. Judy Melinek--whether she's re-enacting assaults in a courtroom while heavily pregnant, or fighting with lazy homicide detectives, or solving amazing forensic mysteries through the ghastly things she does with her corpses--is an unfailingly charming and even inspiring guide to the world of medical examiners. A remarkable achievement by Mitchell and Melinek. (Scott Stossel, editor of The Atlantic magazine, and author of the New York Times Bestseller "My Age of Anxiety")

"Spellbinding. . . . Melinek is movingly empathetic toward the families of victims. . . . An unforgettable story." (Booklist starred review)

"Working Stiff is a page-turning, engrossing book that reveals a hidden world and shows that the work of understanding death is actually a labor of life.” (Sciencethrillers.com)

"Melinek chronicles her time at the city’s Office of the Chief Medical Examiner — and it’s nothing like what you see on television." (New York Post)

“The flamboyant disclosures—how to handle rotting flesh or use pruning shears to snap ribs—are balanced by her soul-baring account of identifying human remains in the wake of the terrorist attacks in New York on 11 September 2001.” (Nature Magazine)

"An enthusiastic, readable chronicle of decomposition and poison residues, homicide and rape kits, crime scenes and court testimony, and working on bodies from the terrorist attacks of 9/11.” (Washington Post)

“Fun, sentimental where appropriate and full of smart science. Fans of CSI — the real kind — will want to read it.” (Washington Post)

"Working Stiff is an account of Melinek's years in training, complete with gory details, heartfelt emotions and plenty of ripped-from-the-headlines case studies. This mixture of nonfiction and narrative makes for compelling, informative reading as Melinek works through cases of homicide, accidental death, medical error and suicide--and becomes even more powerful as the authors recount the harrowing weeks and months following the 9/11 World Trade Center attacks, which brought more bodies and death to Melinek's door than ever before." (Shelf Awareness)

"Haunting and illuminating...the stories from [Dr. Melinek's] average workdays should also transfix the reader with their demonstration that medical science can diagnose and console long after the heartbeat stops." (New York Times)

"[Melinek's] true, frank and often funny account, written with her husband TJ Mitchell, reveals how as a young forensic pathologist her “rookie season” brought some incredibly harrowing deaths that would have rocked a less strong personality to the core in the Big Apple." (Mirror UK)


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Amazon.com: 231 commentaires
22 internautes sur 25 ont trouvé ce commentaire utile 
Staying Alive Is Mostly Common Sense 15 août 2014
Par prisrob - Publié sur Amazon.com
Format: Format Kindle Achat vérifié
"Staying alive is mostly common sense", Judy Melinek tells her husband, TJ, after he complains that listening to her daily stories of her work as a Forensic Pathologist, will cause him to wear gloves and a mask when he is out in public. Certainly the stories, Judy shares can be gruesome and cause one to wonder how they will die. After all, a pathologist gives you the last physician exam you will ever have.

Judy Melinek, the author, along with her husband, TJMitchell, gives us the story of her life as a Medical Examiner, or Forensic Pathologist in New York City. Here, she learned at the hands of some of the best pathologists in the world. Judy and TJ met at Harvard where they both graduated. Judy went on to study as a surgeon in a prestigious hospital in Boston. What this experience taught her was that she would be forever tired, and working as a surgeon under these conditions is dangerous to us, her patients. After taking a year off to bring her son into the world, she studied as a pathology resident in California, and then went to the Medical Examiner's office in New York City.

All of Judy's stories were exhilarating and informative, but the most unbelievable and realistic experience was after the 9/11 disaster. Each body and each body part, no matter how small, had to be examined. Judy relates the organization required and the skill set necessary to get through this trying time. The other point that Judy makes quite well, is that a autopsy is a medical discovery. You need to want to be a detective. One of the most important parts of the job, is communicating with the family. You are delivering the news on how a love one died. Some relatives are disbelieving, some don't want to know the truth. But, your word is the last word. Judy discusses her mentors, and what she learned under their tutelage. The stories are sometimes funny but always filled with the knowledge that comes from someone who truly knows their profession, and is probably one of the best.

I am a health care professional, so all of the stories describing the autopsy were informative, and brought me back to my anatomy and physiology years. For others, this detail may be too much, but I advise you skip over the parts that may disturb you, and concentrate on the stories. These are stories of the humans who inhabited the bodies that turned up in the Medical Examiner's Office. Dr. Judy Melinek gives us a rare glimpse into this world. I read this book during the Robin William's suicide, and Judy discusses her father's suicide and her reactions, which I found very helpful and filled with a daughter's memories. This book is well written, from Judy and her husband, TJ's perspectives. Memorable.

Recommended. prisrob 08-15-14
13 internautes sur 16 ont trouvé ce commentaire utile 
"To confront death every day, to see it for yourself, you have to love the living." 12 août 2014
Par Denise Crawford - Publié sur Amazon.com
Format: Format Kindle
"Let conversation cease. Let laughter flee. This is the place where death delights to help the living." These words welcomed Dr. Judy Melinek to the Office of the Chief Medical Examiner of the City of New York. Newly hired as a pathology fellow, she spent the next 2 years performing autopsies on a wide variety of cases to determine cause and manner of death for the official death certficate. This first person account puts the reader right into the mind and heart of the doctor as she receives her training and as she deals with many different situations in the morgue and out on a scene or in the city courthouse.

The book is rich in medical detail so be prepared for grisly, uncensored description of the cases Dr. Melinek witnesses or is tangentially involved in. Of particular horror are the sections recounting her experiences in the aftermath of both the 9/11 terrorist attack at the World Trade Center and the American Airlines Flight 587 crash in Queens. I was particularly moved recognizing again the incredible effort during that mass-casualty disaster and the valiant, heroic people who tried to sustain the living so they could identify and reclaim the dead.

A bit uneven, the narrative jumps around in time, but is suffused with the personality and innate character of the author and her dedication to her profession. I love to read anything medical, and found this book extremely satisfying -- clearing up any misconceptions about what the job of Medical Examiner is and isn't. I recommend it to anyone interested in forensic pathology in its stark reality. I'll be thinking about the content for a long while and will remember that death investigation reveals that most unexpected fatalities are "either the result of something dangerously mundane, or of something preditably hazardous." That's somewhat comforting, right?

Thank you to NetGalley and Scribner for the e-book ARC to review.
20 internautes sur 26 ont trouvé ce commentaire utile 
Bodies...lots and lots of bodies. Great details on what kills us. Yeah, it's morbid. 12 août 2014
Par Ryan J. Dejonghe - Publié sur Amazon.com
Format: Relié
Be careful what you ask for. A few weeks ago I reviewed Andrew Meredith's THE REMOVERS. In it, I asked for "more dead bodies." I even taunted them in my blog post with GIF images of bloody cadavers and an exploding whale. Well, Scribner listened and delivered.

Let's set this up a bit more: on one side, a medically trained examiner who uses all the precise and exact terms of the body's innards; combined with (married to) Harvard English major--you know, to make sure the wording is...just right. Yeah. You see where this is going? Then, take this dynamic duo to New York City. You know those one-in-a-million stories? Well, as the authors cleverly point out, New York City has 8 million people.

This husband and wife duo corresponded and plotted this book a lot through e-mail. Some of that behind the scene's stuff has been captured for our extended-gory interest. The husband's blog has a great sample of one such exchange (grocery shopping & dead bodies...whatever works).

WARNING! Thought I'd put this in all caps to get your attention. Just to be sure: WARNING! If you have any medical history whatsoever, be cautious about reading this book. If you drink, eat, or walk on the sidewalk, or breath, be cautious about reading this book. You think deaths are quick and painless? You might not want to read this book. (But really, if you are like me, I know you'll still want to--sicko!)

If you google my name and the words "cardiac arrest", you'll see why I was a bit squeamish when the authors talk about a heart busting through one of the body's cavity walls. I have friends with epilepsy, and the authors kindly point out how it kills. You like to drink? Yeah, Mr. Budweiser and his friends are big time killers. I was surprised about the lack of fatal car accidents in The Big Apple, but there's still plenty of others ways to get squashed. You'll see.

Here's the funny thing: amidst talking of death, decay, rot, and stench, you'll find moments of tenderness and life appreciation. Between Dr. Judy Melinek talking to the deceased's families, or her post-work conversations with husband T.J. Mitchell, there is plenty to be sentimental about. And then there's 9/11. Beside the serious issues, you'll also find a LOT of humor. I'm still laughing about how many folks walk around us with piercings hidden in their knickers: you'd be surprised.

Yes, I asked for more dead bodies. Instead of 10, I got over 200. I was scared, mortified, and shocked--and loved every minute of it. I could not put this book down. It was informative, very well written, and oddly satisfying. If you have any interest in this topic (and we know you do) then this will be an excellent book to pursue. (Just don't read it before bedtime or meals...bad idea.)

Thanks Scribner for providing this electronically for review. You answered the call and I had a hell of a time.
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Don't Miss Out On This One; A Story Which Should Be Told 28 août 2014
Par Karen - Publié sur Amazon.com
Format: Relié
I can't believe I almost missed out. I can't believe that I almost didn't read this book. As a matter of fact, I almost vowed never to read this book at all, even though I practically "lived" much of this exact book alongside Judy Melinek. Before nervously turning its pages, I had been caught up by the shock-inducing, sensationalized version of blood, gore, and cheap laughs found in one of the famous New York rags and I was actually losing sleep over it. I worried about a resurgence of painful memories for the families who had already grieved and suffered and I worried about the loss of dignity for the dead. I worried that my name might be in it. And I worried that there was the story of what we experienced during 9/11,unspoken by many because there are some things which just have no words. But mainly, really, deep down inside, I agonized over what the Boss would think. I thought of Dr. Hirsch, the most dignified, humble, and quite possibly, greatest human being I've ever known, and I thought about the emptiness which might be left behind as he watched years of thoughtful lessons, invaluable insights, and the impeccable professionalism which he sought from his staff and modeled himself on a daily basis, go down the drain in one fell swoop. But now that I've read it, I can honestly say I am glad I read it. In fact, it calls to mind one of my favorite "Hirschisms," what Dr. Hirsch refers to as the most difficult sentence to utter in the English language: "I was wrong." (Can you guess the second most difficult? Answer below.)

Judy Melinek has managed to tell an amazing and truthful story of what happens in the daily life of a New York City Medical Examiner. Her writing is lively, serious, sad, happy, and humorous in all the right places, with a just-right amount of detail and a clear explanation of medical terminology. She gives a factually accurate glimpse into the day-to-day workings of a fascinating profession which many people know very little about, and she throws the proverbial monkey wrench into the glamorized, low-lighting, Hollywood versions of Forensic Pathology. (Now if she could only DO something about those fee-for-hire "Celebrity Pathologists" whose faces and "expert professional opinions" grace our television screens ad nauseam on talk shows and cable news programs...).

As an "insider" who worked with Dr. Melinek, I can attest to the accuracy of many of her accounts. Truly, as one who knows, you just can't make this stuff up. I can also tell you that Judy's kindness, wit, and optimistic personality fill these pages, as well. For the reader's benefit, I have one story of my own that Dr. Melinek may not be aware of, but which bears testimony to her authenticity. Following the pathology residents' month long "auditions" at the Office of Chief Medical Examiner, Dr. Hirsch would meet with his senior staff and fellows to discuss which applicant or applicants would be the best fit for the office. Upon conclusion of the author's rotation, our opinions reflected Dr. Hirsch's own words, "Judy Melinek's a slam-dunk!"

In addition to the author's natural story-telling ability, one of the most compelling aspects of this book was the manner in which Dr. Melinek approached and described the events of 9/11 from a view point inside of the ME's Office. While I personally have chosen not to speak in detail about this most surreal, nearly overwhelming, and seemingly unending time in our lives, Judy Melinek has skillfully brought this important story to life in such a way that one feels it, relives parts of it, and is touched by it all over again without being launched into despair. Be forewarned, it is sometimes graphic and often heart-wrenching, as is rightfully so, however, Judy has included some of the more tender and inspiring aspects of that time which kept us all going during moments when we could have easily succumbed to the sheer weight of it all. My former opinion about the telling of this story has now changed: I believe it IS one that should be told, and I am thankful that it's Judy Melinek who has told it. And someday, as Judy has suggested, I will show this to my children when they are old enough, so that they will know "what we did and be proud." (BTW, the answer to the second most difficult sentence to utter in the English language according to Dr. Hirsch: "You were right.")

My worries have all been calmed. Judy Melinek has artfully brought us into her world and she has done so with the preservation of dignity, respect, and professionalism. I highly recommend this book, and I urge Dr. Melinek to begin work on a second, for I am certain she has enough material to fill the pages of many more (should she need to "borrow" some of mine, it would be my honor and pleasure).
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RICK “SHAQ” GOLDSTEIN SAYS: “CSI… GET OUT OF THE WAY AND LET A REAL PRO(WITH A BEAUTIFUL HEART) GET TO WORK!” 19 août 2014
Par Rick Shaq Goldstein - Publié sur Amazon.com
Format: Relié Achat vérifié
If you want to read a book that grabs you from the get go… and doesn’t let you go… even at the end… you’ve found it with “Working Stiff”. But be pre-warned… that you’re going to be grabbed in many different places. You’ll be grabbed by your heart… grabbed by your mind… grabbed by your soul… and you’ll definitely be grabbed by your stomach. Interspersed with all the aforementioned grabbing… periodically… you’ll also thankfully have your funny bone tickled once in a while. Judy Melinek is a forensic pathologist (and now also an associate clinical professor at UCSF Medical Center… which blessedly coincidental is the location at which my life was saved during brain tumor surgery) and co-author with her “house-husband” T.J. Mitchell.

The story of Judy’s travails following her dream of a life in medical care that started with the aim of becoming a surgeon… and having that derailed by the well-known inhuman hours demanded as an intern… that led to health issues… and the resulting career change led to her becoming a forensic pathologist… and hence… this terrific book. There are obviously certain down and dirty descriptions on singular events in her life’s work… that can’t be described in any way but graphically… and they are sometimes hard to take without even an imagined break by the reader. But what makes it tolerable… is that the author’s innate… goodness… and empathy… helps you “regroup”… and move on. Certain discussions are not masked in clinical medical mumbo-jumbo… they’re just said… “With an earthshaking crash, the derrick of a 383-foot-tall construction crane slams down on James Friarson’s head”… “His head looked like an egg you smash on the counter.”

Some people are just born with ingrained empathy for the human condition… still others are blessed with the ability to… see… learn… feel… and grow in these areas… still others… may live through something so horrible and possibly debilitating… like Judy living through her Father’s suicide when he was thirty-eight-years-old… and he was the chief of emergency room psychiatry at Jacobi Medical Center. (Judy was thirteen)… some crumble… some become a special person that winds up truly benefitting society as a whole. Judy is definitely the latter.

The detailed discussions of innumerable decedents… cover many homicides… many suicides… many being natural… many caused by surgery… some caused by malpractice… some non-definable. But through it all… Judy is a wonderful human being… during the brightest of days… and the darkest of nights.

The ending of the book is hard to summarize with the mere use of the written word. The end of the book is all about 9/11 from the coroner’s point of view… It is horrific! It is more than horrific… and it does something… as I try to put it into words… that can’t be defined as scary… or monstrous… it simply puts your feelings beyond human thought… or feelings… even this many years after. Long lines of refrigerated trucks… some for bodies… but as the author makes excruciatingly… yet tenderly… clear… more so for parts… really less than parts… bits and pieces. The blessed human beings like the author… that never forgot… even for one exhaustive… second… the domino affect… of humanity…a “part”… could quite possibly trigger… is beyond description…
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