Internal Medicine: A Doctor's Stories


Terrence Holt - 2014
    Personal, poignant, and meticulously precise, these stories evoke Chekhov, Maugham, and William Carlos Williams, admitting readers to the beating heart of medicine. Internal Medicine is an account of what it means to be a doctor, to be mortal, and to be human.

Fascinomas - Fascinating Medical Mysteries


Clifton K. Meador - 2013
    A paralyzed teen recovers overnight. A woman complains her breast implants speak. A man and his dog become gravely ill at the exact same time. These strange real-life cases and many more can be found in author and physician Clifton K. Meador’s newest collection, Fascinomas. Combining the word “fascinating” with the term for a tumor or growth, “fascinoma” is medical slang for an unusually interesting medical case. These are the extraordinary stories medical professionals recall forever and pass from one colleague to another in hospital lounges and hallways. Every medical professional has at least one fascinoma to tell, and in this collection of bizarre-but-true stories, Meador retells some of the most memorable. In the vein of Berton Roueché, the famed medical writer for The New Yorker, the author of True Medical Detective Stories is back with an all-new book of complex cases, where medical professionals must often race against the clock to find clues in the most unusual places. Fascinomas is an entertaining and informative collection for physicians, nurses, medical students and those who simply can’t get enough of bizarre clinical cases. Written from the point of view of an experienced doctor, the stories are crafted in an engaging style that can be enjoyed by medical professionals and laypeople alike. More than just interesting tales, however, these real-life mysteries serve as great examples of the need for doctors to listen closely to and ask the right questions of their patients, even in the computer age, when so much information is at their fingertips. Sometimes the truth is stranger than fiction, and you never know where a crucial piece of evidence will be found by one of the detectives of the medical world.

Coronary: A True Story of Medicine Gone Awry


Stephen Klaidman - 2007
    Chae Hyun Moon, a celebrated cardiologist in Redding, California. Corapi had been suffering from exhaustion and shortness of breath, and although a physical examination and a conventional stress test revealed nothing abnormal, Moon insisted that the calcium level in Corapi's coronary arteries called for a highly invasive diagnostic test: an angiogram. A chain-smoking Korean immigrant known for his gruff bedside manner, Moon performed the procedure briskly and immediately handed down a devastating diagnosis: "I'm sorry; there is nothing I can do for you. You need a triple bypass tomorrow morning." He then abruptly left the room.Several hours later, however, Moon inexplicably decided the surgery could wait until Corapi returned from a previously scheduled cross-country trip. Unnerved by the dire diagnosis and also by Moon's inconsistent statements, Corapi sought other opinions. To his amazement, a second, third, and fourth doctor found that his heart was perfectly healthy. In fact, for a man his age, Corapi's arteries were "remarkably free of disease."Sensing a cause more disturbing than human error, Corapi took his story to the FBI. As local agent Mike Skeen soon discovered, Corapi was one of a number of people who had suspicions about Moon and Moon's go-to cardiac surgeon, Dr. Fidel Realyvasquez, an equally respected member of the close-knit northern California community. Working ata hospital owned by Tenet Healthcare, Moon would make the diagnoses and Realyvasquez would perform the surgeries. Together, these leaders of the Redding medical establishment put hundreds of healthy people at risk, some of whom never recovered. Soon Skeen launched a major investigation, interviewing numerous doctors and patients, and forty federal agents raided the hospital where the doctors worked.A timely and provocative dissection of America's medical-industrial complex, "Coronary" lays bare the financial structures that drive the American healthcare system, and which precipitated Moon's and Realyvasquez's actions. In a scheme that placed the demands of Wall Street above the lives of its patients, Tenet Healthcare rewarded doctors based on how much revenue they generated for the corporation.A meticulous three-year FBI investigation and hundreds of civil suits culminated in no criminal charges but a series of settlements with Tenet Healthcare and the doctors that totaled more than $450 million and likely put an end to Moon's and Realyvasquez's medical careers. The case's every twist and turn is documented here.A riveting, character-rich narrative and a masterpiece of long-form journalism, "Coronary" is as powerful as it is alarming. This is a hair-raising story of the hundreds of men and women who went under the knife, not in the name of medicine, but of profit and prestige. Brilliantly told, Stephen Klaidman's "Coronary" is a cautionary tale in the age of miracle medicine, and a shocking reminder to always get a second opinion.