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Admissions

Admissions

Henry Marsh has spent a lifetime operating on the surgical frontline. There have been exhilarating highs and devastating lows, but his love for the practice of neurosurgery has never wavered. Prompted by his retirement from his full-time job in the NHS, and through his continuing work in Nepal and Ukraine, Henry has been forced to reflect more deeply about what forty years spent handling the human brain has taught him.

Moving between encounters with patients in his London hospital, to those he treats in the more extreme circumstances of his work abroad, Henry faces up to the overwhelming burden of responsibility that can come with trying to reduce human suffering. Unearthing memories of his early days as a medical student, and the experiences that shaped him as a young surgeon, he explores the difficulties of a profession that deals in probabilities rather than certainties, and where the consequences of your decisions alter not just the life of a patient but also of those around them. The overpowering human urge to prolong life can often come at a great cost to those who are living it, and to those who love them.

In this searing, provocative and deeply personal memoir, the bestselling author of Do No Harm finds new purpose in his own life as he approaches the end of his professional career and a fresh understanding of what matters to us all in the end.

Written and read by Dr Henry Marsh

(p) 2017 Orion Publishing Group
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Reviews

Sensational...Marsh is curmudgeonly, unflinching, clinical, competitive, often contemptuous and consistently curious. In Admissions he scrubs up just as well the second time around and continues to revel in his joyous candour
THE SUNDAY TIMES
Admissions is a humbling read, in which neurosurgeon Henry Marsh shares fascinating facts learnt during his 40-year career as a brain surgeon. He has a deep humanity that resonates throughout
GOOD HOUSEKEEPING
A truly extraordinary account. Henry Marsh's honesty and simple pragmatism underpin an amazing life of tantalising curiosity and contact with the most complex organ in the known universe. I often wonder about the physical structure of my own brain, about the bits that work and the bits that don't. I wonder at the minutiae, those microscopic fronds, the fragile fabric of jelly that defines me, and here is a man who has seen it, tweaked it, repaired it and yet still doesn't know it. It is tempting to try and find a magic in the mystery, but in fact this is a celebration of the magnificence of the brain
Marsh is, given his profession, a surprisingly emotional man, likably so. His account of his younger self that threads through this compulsive book is a Bildungsroman in itself. He is also a fine writer and storyteller, and a nuanced observer
OBSERVER
The maverick is back, even more blunt and irascible, with tales of thrilling, high-wire operations at medicine's unconquered frontier, woven through with personal memoir...Marsh in full spate is quite magnificent...a master of tar-black, deadpan humour
THE TIMES
Superb...a eulogy to surgery and a study of living. I didn't want this book to end. Henry Marsh is part of a growing canon of superb modern medical writers...whose storytelling and prose are transportative...His timing is also impeccable...His sentences, too, feel like works of the finest craftmanship, made with the love that goes into both his woodwork and surgery
DAILY TELEGRAPH
An enthralling book, unputdownable...it is an exhilarating, even thrilling read, a glimpse into a world we hope we may never have to enter
THE ARTS DESK
Emerging from his own brusque acceptance of the inevitability of suffering and death is a deep compassion for his patients and their families. It is fascinating to have [the brain] dissected, and with such psychological and clinical penetration, by someone for whom it is horribly untheoretical and immediate
LITERARY REVIEW
Marsh's commitment to truth-telling makes this a genuinely humbling as well as fascinating read. And, like Do No Harm, it leaves a deep and permanent impression
THE LADY
Fascinating...Marsh paints a vivid picture of the pressures imposed on a surgeon who is quite literally at the cutting edge of modern medicine
DAILY EXPRESS
Disarmingly frank storytelling. [Marsh] is, in spite of himself, hugely likeable...his reflections on death and dying equal those in Atul Gawande's excellent Being Mortal
ECONOMIST
[Marsh] is wise and insightful about the balance and confidence, truth and uncertainty faced by doctors...his insights about life, death and professional purpose are irresistible
SUNDAY EXPRESS
Epigramatically balanced and almost brutally candid...Admissions offers a reprise of many of [Do No Harm's] virtues, from the elegance of the writing to the undiminished sense of wonder at the complexity of the brain
MAIL ON SUNDAY
Transgressive, wry and confessional, sporadically joyful and occasionally doleful. It is in many ways a more revealing work than Do No Harm, and the revelations it offers are a good deal more personal...Marsh skilfully articulates the subtleties and frustrations of neurosurgery - but there is a deeper examination of death, and an angrier exposition of the shameful betrayal of the NHS by successive generations of politicians...honesty is abundantly apparent here - a quality as rare and commendable in elite surgeons as one suspects it is in memoirists...elegaic but consistently entertaining
GUARDIAN
This thoughtful account charting retirement and surgical work in Nepal and Ukraine brims with insights - not only on the fraught nexus of scalpel and brain, but on the complexities of ageing and the pleasures of beekeeping, tree-planting and carpentry
NATURE
I particularly relished his descriptions of the anatomy of the brain itself, as well as his can-do accounts of freeing cancerous masses from their baroque architecture - but I enjoyed (if this is the correct word) still more his willingness to delve as fearlessly into his own, troubled being ... accounts of highly undoctorly behaviour that nonetheless confirms Marsh as the man I would most like to have prying open my skull. Perhaps most disarming of all is Marsh's frankness about his own fears of growing older and dying ... should be distributed to every care home in Britain
NEW STATESMAN
Extraordinary...both exhilarating and alarming...harrowing but fascinating...It is a privilege to dance with [Marsh] through these engrossing, revealing pages
DAILY MAIL
With charm and black humour ... [Marsh] claims that "handling the brain tells you nothing about life - other than to be dismayed by its fragility", yet few memoirs have more sagacity. Admissions forces the reader to confront death, why we fear it and why we cling on
INDEPENDENT i paper
Wonderful...eloquent...a testament to the tenacity of the human spirit
FINANCIAL TIMES
The eloquent author of Do No Harm pulls no punches in this moving memoir, in which he reflects candidly on his life, experiences in medicine at home and in impoverished countries, the prospect of retirement ... and death
HUMAN GIVENS JOURNAL
Marsh is now almost as celebrated a writer as he is a brain surgeon. This, a sequel to his best-selling memoir Do No Harm, is a frank and provocative meditation on failures in living and dying as he approaches the end of his career in medicine
MAIL ON SUNDAY Summer Books
Henry Marsh's Do No Harm was an award-winning and revelatory look at the daily dilemmas of being a neurosurgeon. This follow-up is a humorous, irascible and opinionated look at his early life, his long career in the NHS and his retirement. Candid and curmudgeonly
THE TIMES Summer Books
Marsh's second book is a fine undertaking... More reflective than Do No Harm... Admissions is an attempt to place in context the professional life of that first book. He is, at times, disarmingly honest... There are deeply moving moments... On end-of-life care and euthanasia, Marsh is measured and convincing
TLS
[Marsh] is clearly a brilliant neurosurgeon, and a wonderful writer
NEW SCIENTIST
His descriptions of his work there [in Nepal and Ukraine] demonstrate again his gift with both scalpel and pen ... disarmingly self-effacing and honest
WASHINGTON POST
It feels like a privilege to spend time with Marsh, an exemplary person with lambent emotions whose fearsome skills and hidden fears are a reminder of how exultant, sad, ardent, and swift life really is
New Yorker
In this unflinchingly honest memoir, retired neurosurgeon Henry Marsh seamlessly intertwines his life experiences and surgical career. He reflects on both what he has learned by probing the brain, and our limited knowledge of mind, from emotions to consciousness
NATURE
Despite the human suffering, it is all heroic, strangely uplifting stuff
THE OBSERVER
Another superb book on brain surgery by Henry Marsh who has psnt his professional life cutting people's heads open...The prose sparkles with wit and intelligence
EVENING STANDARD
[Marsh] interleaves visceral details of brain surgery with childhood memories and moments of impeccably timed comedy
DAILY TELEGRAPH