As author and narrator, Julie Holland characterizes a bizarre cast of patients - schizophrenics, potential suicides, and those who think they're possessed by spirits - whom she met as admitting physician of the psychiatric emergency room of Bellevue hospital, in New York City. She also portrays the hospital staff, including arrogant doctors, kooky social workers, and supportive nurses. Turning a witty, astute lens on herself, she reveals an array of personal struggles - fear of a stalker, the death of a colleague, the challenges of staying sane while working with the insane. Holland's ironic and self-mocking tones and her varied accents are as engaging as her stories. Though her writing is sometimes disjointed, her pacing is exquisite.
It was just another night for Julie Holland, the attending doctor in the world famous Bellevue Hospital's psychiatric emergency room. Every weekend for nine years, it was Holland's job to evaluate and treat all patients admitted, from the schizophrenic to the bipolar to the traumatized, from the homicidal to the suicidal to victims of unthinkable crimes.
In this absorbing memoir, Holland provides a rare behind-the scenes glimpse into her life-altering experience at Bellevue, recounting stories of the patients who moved, terrified, fascinated, and amused her, the patients who helped her grow in ways she never imagined. Along the way, she documents her life outside the hospital - her relationship with her husband and the births of their children, her own therapy sessions, which helped her finally crack through the tough exterior she had formed, and her close bond with her best friend and mentor, Lucy, a fellow doctor whose battle with cancer left Holland forever changed.
©2009 Julie Holland; (P)2009 HarperCollins Publishers
"An extraordinary insider's look at the typical days and nights of that most extraordinary place, written with a rare combination of toughness, tenderness, and outrageous humor, this book is a fast read that you will savor long after you have put it down." (Andrew Weil, M.D.)
"Equal parts affecting, jaw-dropping, and engrossing." (Booklist)
Your opinion is never more irrelevant than when it's set against the opinions of three women.
As a veteran of crisis mental health centers substance abuse treatment locations and Psyche ER's myself; I found myself nodding and acknowledging Dr. Hollands words about fifty times during the reading.
The adrenalized reaction in response to a confrontation. The words and reactions of the patients. A plethora of sad stories from patients on a regular basis. The "shelter" seekers; drug seekers; and the homeless addicts seeking "three hots and a cot" individuals.
Equally familiar was the hardness, cynicism, and burnout. The helplessness of their situations and the helplessness you feel about changing any of it. The widening distance between the needs of the patients and the lack of care most states are providing the mentally ill. The author's time at Bellevue ended in 05 and the situation has only become worse in the last eight years. The lack of available treatment; particularly in rural areas now is pathetic. Oops, I'm about to get off on a rant.
I was pleasantly surprised at the excellent narration of the author. In many cases this is enough to turn a well written manuscript into an unlistenable disaster. So it was with more than a little trepidation that I used a credit for this selection. As it turned out; Julie Holland was an excellent reader and did a lot to heighten the enjoyment of the audiobook. All-in-all this is one of the best non-fiction selections I've had with Audible.
Both somewhat interesting and blatantly self-indulgent, this uneven memoir of Holland's nine years at Bellevue was worth a listen, but I really thought I'd like it more. I was really hoping to hear dozens of interesting stories about the human psyche through a doctor's eyes. There was some of that, but overall I found Holland's discussions of her turf battles with other egomanics, her sexual experimentations, and her crushes on other doctors all a bit disturbing and all a bit of blah, blah, blah. She evidently thinks that banter among doctors -- the sexual innuendo, the cutting remarks, the ego clashes -- is interesting, but it really just sounds like another day at the office for most of us, though I just admit that I was a bit surprised at the level of indescretion, immaturity, and overall childishness of some of her descriptions of her and her fellow psychiatrists' behavior. If you are looking for a book about office politics, I guess this is a pretty good one. If you are looking for a book about the human mind and behavior through the educated eyes of an experienced psychiatrist, then pass on this one.
I really wanted to like this book - my best friend is a psychiatrist and I love hearing stories from her job. I'm sorry to say I got really bored because rather than writing about the myriad interesting, funny or politically relevant things that take place in hospitals it seemed to be written about how cool, smart and unconventional the author is. I have been to prisons, spent time with crazy people and not only am I friends with gay people - I am a gay person, so maybe I am awesome and should publish a memoir too? Maybe if you are very sheltered you'd find this more interesting than I did.
It also didn't seem to be clear who the audience is because some of the acronyms would only make sense to a healthcare provider but then some things are over-explained. Which makes me think they're in there to sound impressive, like on Grey's Anatomy when they throw around a bunch of big words that don't make sense to make you think they're speaking doctor. This author may well be a fabulous person and there are nuggets of interest but overall the book was pretty annoying. I didn't make it through the whole thing, maybe it picks up at the end.
Mark of Tosa
I was hoping for insight into the workings and world of the psych ward, but found a self-indulgent book about a rather uninteresting author. This book was disappointingly boring.
I wanted to give it 2.5 stars but that wasn't an option. She writes pretty well and the narration is ok...at least it's not a distraction. The best way for me to describe the book in one word is boring. It just never gets going. If you want to know what goes on behind the doors of a Pych ER then buy this audio book but be prepared to be underwhelmed.
I liked how the author paralleled her story with those of her patients'.She highlighted the differences and the similarities in all of us. She was honest. Hard to hear, but real. I would like to read other books from her.
Her stories remind me of my medical work on E coast and why I prefer Oklahoma's people. The collapse of morality in NY portends the future of the U.S. as it further declines into a drugged welfare state plagued with crime. No mention of God in her work. Her fixation on the lesbian, hairy female armpits and humping men in scrubs is a mystery as to their contribution here. "I love both my mommys," was a clear case of abuse that sailed over Holland's, head in her desire to be hip. I remain undecided as to the usefulness of this book.
A+ When I am both entertained and educated by a book I find myself wishing, about half way through, that it will never end.
There are so many lessons to be learned for those who are willing; both inside and outside of the hospital environment.
Thanks to Julie Holland for writing this book. I wish she were my friend.
.not sure yet
I am pleased with her performance. I think she honestly presents her strengths and weaknesses and her growth.
So far there have been many moments. I ,also, worked in a psychiatric hospital for ten years and I found her stories to be believable and touching.
As I have not yet finished listening I will add more later.
Many of the failures of the mental health system are portrayed in this book, What has changed? We can do better that we are doing .... much better.
I am listening to the second volume of the book and thus far I have to say that I am quite satisfied. You learn a lot, how practice of medicine/psychiatry affects physicians, how society expects health care system to deliver for very complex problems for a very low price, how personal relationships define physician's perspective on patients, life in general and society.Being a physician can be very exhausting. Keeping your sanity and looking at people as people and not as some machine is important.
The book captured very well the day to day life at a psych ward.
It was a good read but i found it could have been longer and she could have gotten into a whole lot more detail...perhaps she should do a sequel. I would read it.
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