I have had this book on my to read list for so long, I was so happy that I was finally able to find it and cross it off! This book follows the career of Dr. Thomas, the author, from when he was a child with a father as a doctor to then going himself to medical school to then research to running medical schools. There is an interesting mix of notes on the practice of medicine, interesting research avenues, and a memoir on being in medicine.
The parts of this book that interested me the most were the notes on the practice on medicine. This book is older, it was published in the 80s, and the author went to medical school back in the 30s. It is really interesting to see how it has all changed! He talks about how the issue of medicine was largely to make accurate diagnoses, there wasn’t much to be done in the way of treatment. Diseases just kind of took their course. There are also really interesting statements about the role of technology. In the present day and age, I can’t not think about AI and how this is all changing around us. And Dr. Thomas comes strongly against a lot of it, he doesn’t want physicians to be managing technology all of the time and not interacting with patients. Which I entirely agree with, we need to keep the human element in all of this. Also if my physician puts my symptoms into like ChatGPT in front of me I’m leaving, that isn’t worth my copay.
The parts on research largely didn’t interest me, mostly because the science is for sure out of date. I’m not an expert in immunology, which is what is covered here, so I am not going to like break down the advances in science. But it is interesting to hear about his life through these anecdotes.
A big part of Dr. Thomas’ life is going around from school to school in different roles. Which is fascinating to hear about as well! He seems to have had a lot of different positions and had a large network. I do wonder if that is how hiring still goes for leadership in medical schools or if that has changed as well. I wouldn’t be surprised if it’s still a lot of people calling in their friends.
It looks like Dr. Thomas died back in 1993, but he wrote
many more essays on medicine and other books as well on the subject. What an
impressive career! I’m glad I was able to pick up his work!