In his acclaimed memoir Intern, Sandeep Jauhar chronicled the formative years of his residency at a prestigious New York City hospital. Doctored, his harrowing follow-up, observes the crisis of American medicine through the eyes of an attending cardiologist.
Hoping for the stability he needs to start a family, Jauhar accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade’s worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors’ morale is low and getting lower, and when doctors are unhappy, their patients are apt to be unhappy as well. Blatant cronyism determines patient referrals, corporate ties distort medical decisions, and unnecessary tests are routinely performed in order to generate income. Meanwhile, a single patient in Jauhar’s hospital might see fifteen specialists in one stay and still fail to receive a full picture of his actual condition.
Unwilling to accept the prevailing norms, Jauhar fights to keep his ideals intact. But he, too, finds himself ensnared in the system. Struggling to pay back student loans and support a wife and son on his hospital salary, he resorts to moonlighting for a profit-driven private practice that orders batteries of tests just to drum up fees and ward off malpractice lawsuits.
Provoked by his unsettling experiences, Jauhar has written an introspective memoir that is also an impassioned plea for reform. With American medicine at a crossroads, Doctored is the important work of a writer unafraid to challenge the establishment and incite controversy.
A young doctor means a new graveyard.
I had been pedaling furiously for nearly a decade—on a stationary bicycle. Medical school, internship, residency, and fellowship: my education seemed as if it would never end. So it was with no small measure of relief that in the late spring of 2004 I accepted a position as an attending cardiologist at Long Island Jewish Medical Center in New Hyde Park, New York. This was the last step in a long and grueling journey. After medical school I’d completed three years of hospital
“Sandeep Jauhar’s Doctored is a passionate and necessary book that asks difficult questions about the future of medicine. The narrative is gripping, and the writing is marvelous. But it was the gravity of the problem—so movingly told—that grabbed and kept my attention throughout this remarkable work.”
—Siddhartha Mukherjee, author of The Emperor of All Maladies: A Biography of Cancer
“Medicine’s radical transformation in recent years has brought both incredible scientific advances and an increasingly dysfunctional health care system. Doctored takes us behind the façade and allows us to see the seamy underbelly. Jauhar’s gift is to observe and to beautifully tell the stories. In doing so he leads us to a visceral understanding of what has gone wrong. Doctored is a manifesto for reform.”
—Abraham Verghese, author of Cutting for Stone
“Sandeep Jauhar specializes in peeling back the veneer, revealing the discomfiting truths of today’s medical world. He is unafraid to dig deeply and honestly, both within himself and within the medical profession. Doctored raises critical questions that twenty-first-century medicine must answer if it is to meet the needs of its patients as well as of its practitioners.”
—Danielle Ofri, M.D., Ph.D., author of What Doctors Feel: How Emotions Affect the Practice of Medicine
“Sandeep Jauhar is a compelling storyteller, and Doctored gives us a fantastic tour through the seedy underworld of American medicine.”
—Lisa Sanders, M.D., Assistant Professor, Yale School of Medicine, and author of Every Patient Tells a Story
Praise for Intern
“Fascinating . . . Brutally frank.” —The New York Times
“A vivid portrait of the culture of a New York City hospital.” —The New York Times Book Review
“Excellent, well-written . . . Emotionally powerful.” —The New England Journal of Medicine
“Intense.” —New York