AND FINALLY

The latest compelling memoir from the British neurosurgeon.

In 2014, Marsh published the excellent Do No Harm; in 2017, he followed it up with an equally fine sequel, Admissions. Now past 72 and retired, he writes about becoming a patient. Doctor writers produce a steady stream of such books, but this is among the best. Despite being retired, Marsh “continued to think that illness happened to patients and not to doctors.” He assumed that the urinary difficulties he had been experiencing for years were the result of benign prostatic enlargement, which affects most men as they age. In fact, he had prostate cancer, which had probably spread. The author does not hide his terror at this news. He reviews his life, finding much to applaud but plenty of regrets, and he capably describes his experiences as a patient. Like anyone, he hoped for good news, perhaps even that he may be cured, but it never came. More unnervingly, listening to his doctors revealed that he (like they) held too high an opinion of himself. Patients who love their doctors tell them so, while disappointed patients mostly keep quiet. Doctors who write memoirs admit flaws, but lack of compassion is rarely among them. To his distress, observing how the doctors dealt with him, Marsh realized that he could have done better in the compassion department. This is not a denunciation of the medical profession; almost everyone he encountered treated him kindly. Accepting that he would die but fearful that he might suffer, he reserves his hatred for opponents of assisted suicide: “It is as though they think that assisted dying is cheating” or “that there is something ‘natural’ about dying slowly and painfully.” The author offers a fascinating account of his often disagreeable treatment but remains entranced by the wonders of the natural world, science, and love for his family. The conclusion finds him still alive and, readers will hope, writing another book.

Another masterful memoir from Marsh.