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Publisher's Summary

In medical charts, the term "N.A.D." (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America's medical system when it comes to treating the underprivileged. Medical students learn on the bodies of the poor - and the poor suffer from their mistakes.

Rachel Pearson confronted these harsh realities when she started medical school in Galveston, Texas. Pearson, herself from a working-class background, remains haunted by the suicide of a close friend, experiences firsthand the heartbreak of her own errors in a patient's care, and witnesses the ruinous effects of a hurricane on a Texas town's medical system. In No Apparent Distress, she chronicles her experiences and the raging disparities in a system that favors the rich and the white. This is at once an indictment of American health care and a deeply moving tale of one doctor's coming-of-age.

©2017 Rachel Pearson (P)2017 Blackstone Audio, Inc.

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  • Overall
    5 out of 5 stars
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  • Anna
  • CHARLOTTESVILLE, VA, United States
  • 05-24-18

I loved the candor of this book.

I am an epidemiologist for my state government who helps identify disinvested and underserved communities for doctors wanting to pay off their student loans to serve. I am often broken by the cranky calls from these newly minted physicians, dentists, and mental health providers who get so angry that they must serve where they are needed rather than where they WANT to live. This should be required reading for every medical student. I believe every medical student should train in rural and indigent care. I will share this book with everyone I can. Perhaps this first hand account can inspire the changes that I cannot.

77 of 81 people found this review helpful

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    2 out of 5 stars
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    3 out of 5 stars

I wanted to enjoy it more.

Her story is interesting and noble, but the writing seems to ramble at times making it challenging to follow along. I really wanted to enjoy listening to it more.

3 of 3 people found this review helpful

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    4 out of 5 stars
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    4 out of 5 stars

There are many phases to becoming a doctor

(As posted in GoodReads)
It's an encompassing look at the development, and the various stages thereof, of a physician in Texas. It's extremely interesting to experience with her the pain of the loss of a friend and the loss of patients. It's enlightening to view with her the realities of life and death and the mistakes that everyone has to make, even doctors. I only wish that we could have gone further with her. Perhaps that will be a sequel, but the purpose of that would only be to fulfill curiosities.

3 of 3 people found this review helpful

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    4 out of 5 stars
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Good story, could have used better editing

Pearson’s memoir is engaging, thought provoking, and provides a fascinating insight into the American medical treatment culture, as seen from a student. The only irritating point with the book is how often the author uses “he said/she said/I said,” and how the narrator contrasts the words with dialogue. It made the lack of variety in terms stand out, and was distracting. Otherwise a fabulous listen, and definitely an important one.

2 of 2 people found this review helpful

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Well told tale of broken system

Having gotten this on sale I wasn't sure what to expect. Very well written and well narrated. Getting good medical care at a fair price is no longer possible in this country even for those who can afford it. Big business has caused harm to people which is the first oath taken by a doctor (do no harm). With few exceptions hospitals are interested only in money not fair care of a patient. I already knew this before reading but this tale will nearly bring tears as the wrongs are so described.

2 of 2 people found this review helpful

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Shocking

I'm a doctor and I was shocked at the lack of health care in Texas for the poor. It is totally 3rd world down there. We have our problems in Washington state but at least we expanded Medicaid. It is truly unbelievable that it this Bible Belt place would find it morally acceptable to deny care to most poor people.

Although I enjoyed the book I did not like the reader. Her voice seemed preachy.

60 of 82 people found this review helpful

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Medical Stories Addict

I appreciated the writers honest telling of her struggles of training to be a doctor.

18 of 25 people found this review helpful

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Top notch book, unique look into the making of a Doctor

And the sad state of our health care field. To use the current political theme - America will never be great until all Americans have adequate health care.

1 of 1 people found this review helpful

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No Apparent Distress

Good Story, interesting but I feel like views are slanted but it's a true story.

1 of 1 people found this review helpful

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Ended Too Soon <br />

Really great life story. I love the fact the doctor admits to her human fails and uncertainties..
Great heart, wonderful soul.