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This Is Going to Hurt: Secret Diaries of a Junior Doctor

4.43  ·  Rating details ·  143,159 ratings  ·  9,864 reviews
Welcome to the life of a junior doctor: 97-hour weeks, life and death decisions, a constant tsunami of bodily fluids, and the hospital parking meter earns more than you.

Scribbled in secret after endless days, sleepless nights and missed weekends, Adam Kay's This is Going to Hurt provides a no-holds-barred account of his time on the NHS front line. Hilarious, horrifying and
Kindle Edition, 256 pages
Published September 7th 2017 by Picador
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Chloe Edges You can't. The author is not writing for the good of his health. Try amazon or audible.
Muna I recommend that you buy it or borrow it from the library and then pick a nice, comfortable spot and just start reading, don't stop. Don't stop until …moreI recommend that you buy it or borrow it from the library and then pick a nice, comfortable spot and just start reading, don't stop. Don't stop until you've read a couple of pages. Then when you're at the end of an entry that captures your attention, stop. Stop in order to think and reflect on what you would do differently if you were in Adam's shoes? How would you react to certain patients? How would you handle certain situations? This is how I went about reading it. I also found that the best time to read it was when I wasn't massively busy with anything. That way, I was able to concentrate and enjoy the book more than I thought I would. Maybe you could try it and see if this method works for you too :) (less)

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Average rating 4.43  · 
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 ·  143,159 ratings  ·  9,864 reviews

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Emily May
“So I told them the truth: the hours are terrible, the pay is terrible, the conditions are terrible; you’re underappreciated, unsupported, disrespected and frequently physically endangered. But there’s no better job in the world.”

I devoured this book in a single sitting. It is rare to find a book that can make you laugh and cry in equal measure-- especially, I think, a nonfiction book --but this one managed it just fine.

It's very British, with references to British TV shows I'm pretty sure t
I finished the book. It was a mostly irreverent look at the early years of being a junior doctor, then an obstetrician, until something catastrophic happens to a patient and the author turned from medicine to writing comedy. It was an excellent read, one good anecdote after another and rather than a review I'd like to summarise two. One concerns herbal medicine and the other the very serious topic of spousal abuse and how the hospital dealt with it in pregnant women.

1. Herbal A woman had come to
Cristina Monica
Jan 11, 2019 rated it really liked it
Shelves: memoir, science
4.5 stars. I have a newfound respect for doctors... and my mom, who is a nurse. I remember when I was a teenager, I would call her at her work to ask if she could get so and so from the store and sometimes she would respond with, ''I can't today, love, I'm too tired. I can barely keep my eyes open. I'll go tomorrow.'' I would be so annoyed when she would say that, not understanding the kind of pressure she was under at work (and just being a selfish brat). I'm so sorry, mom...
Ruby Granger
Jan 13, 2019 rated it it was amazing
SUCH an important book. Anyone who does not work in the NHS should be obliged to read this.
Sep 12, 2017 rated it really liked it  ·  review of another edition
Shelves: audible
A genuinely funny collection of stories from a former doctor; some so horrifying, surprising, or amusing that I had those hard-to-breathe-while-laughing moments, immediately making Audible clips and sending them to all my friends. It's not for the squeamish, be prepared for lots of blood, births, bad language, and assorted 'implements' stuck in places they really shouldn't be. Rarely have I been so impressed (if that’s the right word) by the willingness of individuals to achieve a memorable sex ...more
Jul 10, 2019 rated it it was amazing  ·  review of another edition
This book had me laughing hysterically one minute and desperately trying not to cry the next.
It was heart warming, hilarious and devastating all at once.
Easy 5*s
Diane S ☔
Jan 29, 2020 rated it really liked it  ·  review of another edition
Shelves: nfr-2020
I so needed this book. Of course in the states we don't have National Health, but many of the snippets of humor are universal. Irreverent humor, spread around. If you are easily offended this book is probably not one you want to read. The many things people can put in their bodies, unreal. Some of the stories are cringe worthy, some unbelievable, but things these young doctors encounter.

The ending though was serious and includes a letter to the National Health service, explaining the many change
I loved this. In part funny and heartwarming, yet also utterly heartbreaking and disillusioned. I think this strikes a particular cord with me at the moment as the author was an obs & gynae doctor, and I’ve recently spent time myself as an inpatient on such a ward.

This is the first book in a while where I’ve read passages out to my husband while laughing out loud one minute and then had to hold back tears the next. It’s a full on rollercoaster of emotions that also seems to very accurately desc
Lucy Langford
Apr 28, 2019 rated it really liked it  ·  review of another edition

Today crossed the line from everyday patient idiocy to me checking around the room for hidden cameras. After a lengthy discussion with a patient’s husband about how absolutely no condoms fit him, I establish he’s pulling them right down over his balls.

Extremely witty and funny!! I fully appreciated the use of Harry Potter aliases.

This gives a realistic picture of what it is like to work for the NHS as a junior doctor and jut trying to make your way up the ranks. It is a sad state the way t
Feb 27, 2020 rated it did not like it
Shelves: not-for-me
A series of supposedly funny anecdotes that felt more like a podcast than a novel.
Adam Kay was a junior doctor from 2004 until 2010, before a devastating experience on a ward caused him to reconsider his future. He kept a diary throughout his training, and This Is Going to Hurt intersperses tales from the front line of the NHS with reflections on the current crisis. .
This is one of those books that I keep getting asked about "Did you read This Is Going to Hurt: Secret Diaries of a Junior Do
Sonja Arlow
I am going to be in so much trouble when my sister finds out I gave this book to my niece as this is probably not a very appropriate book for a 17-year-old. But she is determined to become a doctor and she needs to know it’s not just about rockstar surgeries and making buckets of money. It is the most insane working hours, thankless work with crap pay.

The diary entries follow Adam’s ascend through the ranks, from a junior doctor to becoming a consultant, specialising in gynaecology or “brats and
Alice Lippart
Funny and devastating. Not for the squeamish.
Abby Sowden
Jul 26, 2018 rated it did not like it
This was a DNF for me, as a nurse working in the emergency room, I can relate to a lot of the references in this book, especially the dark humour - that’s how we healthcare professionals get through the stress of work. However, I could not stand Kay’s obnoxious views on the struggles doctors deal with day to day, yes being a doctor is relentless, stressful and brings little reward, however he seemed to me to be completely disrespectful of other healthcare professionals and actually quite insulti ...more
Kayla Dawn
Feb 19, 2020 rated it it was amazing  ·  review of another edition
Welp. Never laughed as much reading a book and if so such book certainly didn't also make me cry like this one.
Mar 05, 2019 rated it liked it
Shelves: e-books, 2019-reads
This review and other non-spoilery reviews can be found @The Book Prescription

Actual Rating : 3.5 stars

“A great doctor must have a huge heart and a distended aorta through which pumps a vast lake of compassion and human kindness.”

🌟 Yet another non-fiction I am reviewing at my blog! Who am I???
This book is special since it is an insight to the medical field. I read this as a medical student but I am reviewing it as a doctor now.

🌟 The book had a shaky start and I was not impressed which I actua
Dec 05, 2017 rated it did not like it  ·  review of another edition
Shelves: dnf
*Unpopular opinion*

This was a DNF for me.

I went into this book not really knowing what to expect so it probably shouldn't come as a complete surprise then that I didn't finish it. I think this book sums up why I never went into Medicine and in order to survive in the medical world, you need to detach yourself from some pretty horrific things.

Kay describes mortality in a very glib way which I suppose is accurate coming from a Doctor who deals with death on a regular basis. To me though life is m
Jack Edwards
Mar 23, 2019 rated it it was amazing
One of the most beautiful, heart-wrenching, hilarious books I will ever have the pleasure of reading. Adam Kay's style of writing is immaculate - so dry yet dripping with witticisms and hysterical anecdotes. I genuinely had to ration my reading of this because I couldn't put it down. I highly recommend this book, and wish it could be dished out as prescribed reading (if you'll pardon the pun).
André Oliveira
This book was just fine.

Adam Kay tells us some stories about being a doctor in a hospital, some are really funny, some are tragic. He tackles some NHS problems as well and how they can make a difference between a good or a bad treatment.

Some context: My girlfriend is a nurse so some of the stories or situations were not new to me and for me, it's normal that I felt bored reading some of the stories.

That being said: this book is important. It shows how working in a hospital is like, the stress th
~The Bookish Redhead~
This book was an amazing insight into the life of a former Doctor. It is set out in the format of a diary, which made for easy reading. I found some of the diary entries so utterly horrifying and surprising, I was sitting there thinking, what the hell? Put it this way, there was a tremendous amount of talk on people inserting extremely weird and wonderful objects up their vaginas to improve their sex lives. Yes, I was cringing.
This book was written light heartedly, and a great deal of it was act
Joey Woolfardis
Oct 07, 2018 rated it it was amazing
The first time in many years that I have stayed up late at night, curled up in bed, and read from start to finish an entire book.

From 8pm until a couple minutes after 1 o'clock the next morning, I devoured this book.

It is beautiful, wonderful, poignant, hilarious, heart-wrenchingly sad, happy and every other emotion humans ever feel.

A full review to follow, but the NHS needs to be saved right now.
Lo O'Neill
“3am attendance at labour ward triage. Patient RO is 25 years old and 30 weeks into her first pregnancy. She complains of a large number of painless spots on her tongue. Diagnosis: taste buds.”

I realised that I was going to love this book when I read the dedication and introduction, Kay’s brand of humour is right up my street; who doesn’t love a book whose dedication reads:

To James:for his wavering supporting.
And to me:without whom this book would not have been possible".

Then on to introductio
Johann (jobis89)
Jun 21, 2019 rated it really liked it
“So I told them the truth: the hours are terrible, the pay is terrible, the conditions are terrible; you’re underappreciated, unsupported, disrespected and frequently physically endangered. But there’s no better job in the world.”

A first-hand account of life as a junior doctor in all its joy, pain, sacrifice and maddening bureaucracy.

A really eye-opening read that provides insight into what it's really like to work for the NHS. My mother has been a nurse for 30+ years and from her I know how har
May 28, 2018 rated it really liked it  ·  review of another edition
‘This is Going to Hurt’ (2017) is essentially Adam Kay’s account of his time as a junior doctor in the UK’s National Health Service.

‘This is Going to Hurt’ is by turns, funny, moving, revealing, heartening and shocking. Kay has given us a very human account of life in the NHS in the role of a junior doctor and brings into sharp focus the absurdly long shifts and the super-human demands that are imposed and expected of doctors and many other health professionals in the NHS. It’s an account that
Leo Robertson
Jan 01, 2018 rated it it was amazing

Breezed through this one. The sense of humour worked well, balanced with the horrors of Kay's job.

An Xmas present from my sis. She said, "You won't regret quitting medicine after reading this."

She knows I don't, really, though reading this I wondered if I would.

I think people assume I regret quitting medicine more than I do, which is, not at all. It had "not for me" all over it, and I've never experienced such an immense relief since leaving. My body was like, "Yeees, shut this shit do
Mar 09, 2018 rated it really liked it
This is a non-fiction read all about the NHS and the way that the system works. It's told in a diary format from the years when Adam Kay was a junior doctor and was part of the system. We see how the NHS has been struggling as time goes on to keep up the standards and staff levels, and we see the strain it can take on a doctor. We also get to see the way that Adam Kay dealt with many of the tests on his own time and relationships.

However, at the heart of this story it's all about humour and anec
Kay practiced medicine for six years before leaving to write comedy for TV. These occasional diary entries spanning 2004 to 2010 are very funny indeed. He specialized in obstetrics and gynecology (“brats and twats”), and some of the humor is rather puerile but stays just the right side of tasteful. Although he plays his experience for laughs, he can be serious, too, showing how overworked and underappreciated young doctors can be – especially thanks to recent NHS policy. The incident that led to ...more
May 舞
Oct 31, 2018 rated it really liked it
Shelves: non-ficition
As a medical student, this book was of a special interest to me. I already know very well that working as a doctor is going to be physically exhausting and mentally taxing; however, reading about it from the perspective of someone with a first-hand experience is a different matter altogether.

That being said, This is Going to Hurt was a funny, entertaining read. I also learned a few things about gynaecology as a bonus. The final chapter was especially poignant, and I don't think I'll be able to
Jan 19, 2020 rated it really liked it
Overall: I loved this one and laughed so many times I lost count. I loved it so much that I read it in a day but it would be a great book to read and put down and come back to often 4/5 or 7.5/10

“The difference is obviously the whole ‘life and death’ thing, which is what separates this job from all others, and makes it so unfathomable to people on the outside.”

A collection of diary entries from a junior doctor working in labor and delivery. Some stories are hysterical, some are heartbr
In this book, set in the UK, it is apparent that undergoing medical training under their National Health System reaps huge emotional rewards (I can do great good), but little else in the way of monetary or personal rewards (I most likely will have to work the day of my own wedding/child's Christening/best friend's funeral). Adam Kay's diaries are quite fun and funny, loaded with a unique brand of dark humor I enjoy. Then as long days, derision, and under-staffing take their toll on him, the book ...more
Renee Godding
4.5/5 stars
This book meant more to me than I was expecting, mostly because of how painfully relatable this when it comes to the reality of the medical profession.

I could write a review from the point of view of a medical student/medical intern, who has also been a patient for years, but I’m not sure if I’m up for that right now. Let me know if you would be interested in seeing that in the future though.
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Adam Kay is an award-winning comedian and writer. He previously worked for many years as a junior doctor. His first book "This is Going to Hurt: Secret Diaries of a Junior Doctor" was a Sunday Times number one bestseller for over a year and has sold over two million copies. It has been translated into 37 languages and is winner of four National Book Awards, including Book of the Year, and will be ...more

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"Yes mummy, it's the part of the plane that's terrible".

This is how revolutions start.”
“So I told them the truth: the hours are terrible, the pay is terrible, the conditions are terrible; you’re underappreciated, unsupported, disrespected and frequently physically endangered. But there’s no better job in the world.” 46 likes
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