• This Is Going to Hurt

  • Secret Diaries of a Junior Doctor
  • By: Adam Kay
  • Narrated by: Adam Kay
  • Length: 6 hrs and 17 mins
  • Unabridged Audiobook
  • Release date: 09-07-17
  • Language: English
  • Publisher: Picador
  • 4.5 out of 5 stars (26 ratings)

Regular price: $18.11

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Publisher's Summary

Welcome to 97-hour weeks. Welcome to life and death decisions. Welcome to a constant tsunami of bodily fluids. Welcome to earning less than the hospital parking meter. Wave good-bye to your friends and relationships.... 

Welcome to the life of a junior doctor. 

Scribbled in secret after endless days, sleepless nights and missed weekends, comedian and former junior doctor Adam Kay's This Is Going to Hurt provides a no-holds-barred account of his time on the NHS front line. Hilarious, horrifying and heartbreaking by turns, these diaries are everything you wanted to know – and more than a few things you didn't – about life on and off the hospital ward. And yes, it may leave a scar. 

Read by the author, this audiobook contains exclusive extra features, including an interview with the author by comedian and author Mark Watson and extra diary entries not featured in the book. 

©2017 Adam Kay (P)2017 Macmillan Digital Audio

Critic Reviews

"Painfully funny. The pain and the funniness somehow add up to something entirely good, entirely noble and entirely loveable." (Stephen Fry)

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What members say

Average Customer Ratings

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Important and Funny

Mostly it's a lot of funny stories about being a doctor (in the UK), but underneath the funny stuff are some important, deeper stories.

Medicine may be the most admired career, and yet Adam Kay walked away from it. Why?
That's what this book is about. It's about him coming to terms with giving up something he put so much into, and really took over his life, or perhaps ruined his life. It's a cautionary tale, too, about bad government policies that take a situation where physicians will do heroic work for pennies, and wrecking this valuable part of British society.

I really loved this book. It made me want to have the author as a friend.

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Hilarious insight into the life of a junior doctor

Would you recommend this audiobook to a friend? If so, why?

Couldn't recommend this book more highly, a must read for any soon-to-be or current medic.
Hilarious bite sized anecdotes from the under appreciated life of a junior doctor.

Any additional comments?

Would recommend this book 100% to anyone vaguely interested in medicine or the current state of the NHS.

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  • A. Grainger
  • 09-12-17

Brilliant!

The best book I have ever had the pleasure of listening to. Adam Kay made me both howl with laughter and cry with sorrow. His writing is eloquent and his reading of the book is brilliant. I highly recommend it to everyone, Fellow NHS staff will empathise with him and his struggles. Non NHS staff should listen to it for an insight into a truly unique world.

18 of 18 people found this review helpful

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  • The_Animagus
  • 09-23-17

Well written, Well told

Birth, death, and all the dirty stuff in between, Adam has written a fascinating account of being a Junior Doctor and beyond. In addition he tells his tales with the smoothness of a stage performer.
What's more, I'm a vet, and it's nice to know other medical professions get the same problems as we have. But nationalised, and with the health of the country on their shoulders.
Gods bless this NHS

24 of 25 people found this review helpful

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  • rachch
  • 09-20-17

Heartbreaking and hilarious!

I hardly ever write reviews but this is such a great audiobook I had to! I've seen Adam perform his music live several times and love his dry sense of humour but this book is on another level - but gave me more to think about afterwards than I expected. Excellent as an audiobook read by him.

8 of 8 people found this review helpful

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  • Dave
  • 11-29-17

A wonderful raconteur.

Probably not a good read if you are in the midst of pregnancy. But overall great anecdotes, not too ranty when it comes to the challenges of the NHS, incredibly funny in places and make you remember there’s nought so queer as folk.

7 of 7 people found this review helpful

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  • M
  • 12-21-17

Echoes what is happening in education too

Thanks for sharing this funny but heartbreaking tale of the issues leading up to the brain drain from the NHS and it’s ultimate privatisation. Wish you all the best in your new career but wish you’d been able to use your talents as a doctor as your empathy and emotional intelligence shine through the book.

5 of 5 people found this review helpful

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  • John B
  • 11-26-17

Shocking, emotional, funny insight

I was expecting the job to be hard, but nothing like this. I hope this book can help change many perspectives on what a life of a doctor really is.
Great book, would definitely buy a part two even if it was the more mundane.

5 of 5 people found this review helpful

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  • P Mac
  • 11-09-17

A must listen

A compelling book. Interesting, eye opening, funny, sad, awe inspiring and well presented in audiobook by the author. A must listen in my humble opinion.

11 of 12 people found this review helpful

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  • William
  • 09-11-17

Life is for enjoying not enduring.

If you could sum up This Is Going to Hurt in three words, what would they be?

Doctors need support.

What did you like best about this story?

The amount I learned.

What does Adam Kay bring to the story that you wouldn’t experience if you had only read the book?

Feeling.

Did you have an emotional reaction to this book? Did it make you laugh or cry?

Made me feel deeply for all those people who give their all for so little monetary return having to rely on their inner mental and emotional strength.

Any additional comments?

A must read that enables you help those who are helping you.

9 of 10 people found this review helpful

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  • Dr Marianne Ross
  • 11-04-17

Loved it

Should make all friends and family of medics listen to it. Cathartic, made me want to cry at times

6 of 7 people found this review helpful

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    5 out of 5 stars
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  • Adam Bharmal
  • 10-21-17

Amazing

Hilarious and crushingly poignant. Well worth a listen by medical students, doctors and everyone else

6 of 7 people found this review helpful

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  • Chris K.
  • 04-03-18

Witty, but profound in many ways.

Worth a look at, especially for those who have aspirations of status and medical prestige.

1 of 1 people found this review helpful

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  • Patrick Tolan
  • 03-27-18

Laugh out loud funny

Great book
This generation’s House of God
Funny and poignant.
Who would want to be a Dr in the NHS?

1 of 1 people found this review helpful

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  • Theres
  • 03-13-18

10/10 recommend this!

Where does This Is Going to Hurt rank among all the audiobooks you’ve listened to so far?

By far one of the most memorable books I have listened to.

What other book might you compare This Is Going to Hurt to, and why?

Eye opening, witty and very raw. The dry and straight faced humor is second to none.

Did you have an emotional reaction to this book? Did it make you laugh or cry?

I LOL'ed...and I sat in sad silence.

1 of 1 people found this review helpful

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  • fizzychi
  • 07-19-18

Best audible book ever!

Excruciatingly funny, highly recommended! I am also a medical doctor and this really took me back to my years as a junior resident (not so long ago!).

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  • Anonymous User
  • 07-02-18

Eye opening

Loved it. Very eye opening, hard hitting, hilariously funny and very sad. Validates that I could never do a job dealing with the general public!! Also highlights complete ignorance of the government.

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  • Anonymous User
  • 06-29-18

Best book ever

This was the funniest book, such a true look at all aspects of the health industry. I found myself laughing out loud . Thank you

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  • Kindle Customer
  • 06-20-18

Crushingly Real.

The truths of life as a junior doctor laid bare - joys, sorrows and mediocrities. It's hard to believe there's any credibility in the argument that doctors are "just in it for the cash" after having witnessed what they go through.

This is essential reading for anyone who wants to work in the field, and absolutely essential for anyone who wants to take control over public health services.

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  • Anita
  • 06-17-18

Great dinner party stories

Adam Kay would be a fun guest at a dinner party. He offers plenty of laughs about what patients put in their orofices and the funny, rude and outrageous things they say. He also talks about the tough conditions NHS doctors put up with. Most concerning is the extreme sleep deprivation and constant stress that seems to be a daily feature. While his memoirs will make you smile frequently and laugh regularly I think he missed an opportunity to give the issues he raises more substance. Nevertheless there are a number of anecdotes I’ve already repeated to my family.

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  • Paul
  • 04-18-18

To laugh when you want to cry

Would you listen to This Is Going to Hurt again? Why?

I will listen to this again, just to enjoy the reader's gorgeous patois and to catch some of the details I missed the first time through.

What was one of the most memorable moments of This Is Going to Hurt?

Always quirky, often surprising, frequently informative and sometimes revelatory; always witty and peppered with the truly funny, and sometimes sheer laugh-out-loud. Yet despite the author’s exquisite repartee and unfailing banter, despite his air of apparent detachment and his inviolable self, there resides a man who feels more than most, who suffers enough for two, who carries the weight of many. To hear Mr Kay tell his tale is like witnessing someone dear to you crack a joke when they’ve just stubbed their toe… it’s so funny but inside you double over with sympathetic pain.

Any additional comments?

This is a profoundly moving book. It makes one laugh and cry, and makes one glad and incandescent with anger. And although the 'lessons' in the book are somewhat specific to the NHS in the UK, the underlying truths are applicable to any country that professes to offer universal health. The NHS - and variants of it like Medicare in Australia - are a gift to their host nations. They must be preserved... actually, fostered, respected, funded and lauded, and above all, protected from the insidious and relentless dismantling by successive governments.

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  • roxana m.
  • 02-09-18

Would be hard not to like it

Absolutely loved it!!! So real and funny at the same time. I’ll probably listen to it again