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In Shock
  1. Sophie Voase
  1. Department of Neurology, University Hospital of Wales, Cardiff, UK
  1. Correspondence to Dr Sophie Voase, Department of Neurology, University Hospital of Wales, Cardiff, UK; sophievoase{at}

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Our neurology department book club recently discussed ‘In Shock’ by Dr Rana Awdish, a critical care physician practising in the USA. ‘In Shock’ describes Dr Awdish’s sudden transition from physician to patient caused by a major haemorrhage while pregnant. This sadly resulted in the loss of the child she was carrying and propelled her into multiorgan failure, requiring a lengthy intensive care admission, followed by many years of further surgeries. The book tells of her medical journey and how her experiences as a patient have made her a better doctor.

We were struck by the many examples of poor communication throughout the book. A particularly haunting episode came early on when an inexperienced obstetrics trainee asked, ‘Can you show me where you see that?’ in response to Dr Awdish’s agonising observation of the lack of fetal heartbeat on …

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  • Contributors SV was the sole author of this work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.