No Apparent Distress: A Doctor’s Coming-of-Age on the Front Lines of American Medicine is inspiring, dispiriting, and profoundly informative all at the same time. Author and MD Rachel Pearson tells the story of medicine in America and how it has developed into a skewed system that favors the rich and the white.
Pearson beings her story at the beginning of her own journey into medicine. A former creative writing major and Texas native, Pearson decides to change her career path and pursue a future in medicine. No Apparent Distress catalogues this journey as Pearson attends medical school in Galveston, Texas, a notoriously diverse and poverty ridden area. Volunteering time at a student-run, free clinic, shadowing doctors on procedures she’s only ever read about, Pearson begins to unravel the unethical nature of medical training.
Throughout her training, Pearson is confronted with the reality that she is learning on those who can’t afford to complain or ask for better. She is making mistakes, time and again, as a student and a doctor in training, on patients who don’t have health insurance, who don’t have any other choice but to accept sub-par care at the hands of a learning medical student. Pearson herself comes from a working-class background, and the effects of inadequate, faulty, and often rushed care has affected her family as well. Pearson’s own mother contracted hepatitis-C during an unnecessary blood transfusion after giving birth to her daughter without health insurance.
Pearson has a unique way of weaving her own person experiences into a larger conversation about healthcare, the care of the unhealthy, and the prejudice biases that drive these very American systems.
A beautiful and frightening portrayal of American medicine, No Apparent Distress, is a book so relevant to our current times that anyone can relate. Whether you are the lucky one standing on the side of the insured receiving adequate care, or you’ve experienced the distress of inadequate care, No Apparent Distress will find resonance with you somewhere.
Published by W.W. Norton and company in May of 2017, No Apparent Distress by Rachel Pearson is available for purchase at your local bookstore.
FTC Disclaimer: This book was given to me in return for a fair and honest review of the text.