No Apparent Distress cover art

No Apparent Distress

A Doctor’s Coming-of-Age on the Front Lines of American Medicine

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No Apparent Distress

By: Rachel Pearson MD
Narrated by: Rebecca Gibel
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About this listen

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. Contagious Diseases History & Commentary Medical Medicine & Health Care Industry Physical Illness & Disease Policy & Administration Professionals & Academics Medicine Health Care Medical Education Heartfelt

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All stars
Most relevant  
Absolutely brillianf read. Incredibly honest and humble writer. I thoroughly enjoyed this book. Laughed, cried and it certainly gave me plenty lf food for thought.

Excellent read

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Didn’t finish this, sounded a good book but the narration is terrible, every sentence has ‘he said or she said’ on the end.

He said ….. she said

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I didn't want to miss a word of it. As an English woman who has just been to an NHS hospital for a check up without paying except in taxes I found the book a real education.

A students frontline experience in America

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Living in the UK where we have the NHS this book is absolutely shocking. How in the land of the free and one of the richest countries in the world can people die because they don’t have medical insurance? This book is very frustrating, detailing how medical students volunteered at a free clinic to treat the uninsured. However there were tests and treatments that the clinic just couldn’t give. There are so many stories if patients with cancer who just couldn’t get the treatment they needed because they were uninsured. Absolutely shocking that the USA treats its people like this!

Shocking

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Sufficiently compelling account of a doctor's training & early experience in the US healthcare system. The differentials in treatment for the insured, the uninsured & by racial demographic in 'real' emergency rooms & county hospitals.

Medicine in the USA

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I enjoyed this book, an interesting insight into American healthcare or lack of. What I found rather jarring were the unnecessary “he said” “she asked”s, clearly an add on. Did the production team not have faith in the listener’s ability to differentiate who is talking? When a cheerful “he said” comes in the middle of a sensitive topic you do wonder why they did it.

HE SAID! SHE ASKED!

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The story itself is lovely. However, the book needed better editing. The amount of ‘he said’ and ‘she said’ was beyond awful.

Great Story Poor Writing

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struggled to finish looking for something else such as my new book choice today 10th

good book

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This might have been a good book if it weren’t for the narrator!
She talks so fast and at times it’s comical almost like a robot.
I gave up at chapter 4!

Narrator is terrible

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Overall narration is not good in my opinion. While some of the stories were interesting, the ‘he said’, ‘I said’ becomes very annoying and spoilt the listening experience immensely. It is like the story is being read and then ‘he said’, ‘I said’ has been inserted at the end of the sentence, in a totally different tone of voice instead of flowing.

Narration annoying

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