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Twas the Nightshift Before Christmas

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An alternative cover edition for this ISBN can be found here.

Twas The Nightshift Before Christmas is the hilarious, poignant and entertaining story of the life of a junior doctor at the most challenging time of the year. With twenty-five tales of intriguing, shocking and incredible Christmas incidents, the British public will finally appreciate the sacrifices made and the challenges faced by the unsung heroes of the NHS.

Twas The Nightshift Before Christmas will be fully illustrated (as tastefully as possible) and will delight all of Adam’s fans throughout the festive period of Christmas 2019 and for many years to come.

144 pages, Hardcover

First published October 17, 2019

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About the author

Adam Kay

63 books3,493 followers
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 a major new comedy drama for the BBC.

His second book "Twas the Nightshift Before Christmas" was an instant Sunday Times number one bestseller and sold over 500,000 copies in its first few weeks.

"Dear NHS", edited by Adam Kay, was an instant Sunday Times number one with all profits donated to charity. His first children's book "Kay's Anatomy" will be released in October 2020.

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5 stars
27,180 (38%)
4 stars
27,781 (39%)
3 stars
13,219 (18%)
2 stars
2,034 (2%)
1 star
660 (<1%)
Displaying 1 - 30 of 4,546 reviews
Profile Image for Dr. Appu Sasidharan (Dasfill).
1,381 reviews3,655 followers
December 25, 2023
Medical detachment is something some healthcare professionals acquire after many years of experience.


To deal with difficult situations in a funny way is only a trait seen in those who are experts in what they do and have a great sense of humor. Adam Kay proved that he belongs to this category through his earlier book, This is Going to Hurt: Secret Diaries of a Junior Doctor.

My favorite three lines from this book.
"Would you believe there's a medical term specifically and exclusively for a mass of undigested Sharon fruit in an intestine? No wonder medical school takes so long, learning all this sh**."


"Full marks to the anesthetist wearing a badge that says; 'He sees you when you're sleeping, he knows when you're awake."


"Who's that you can see in his suit of magenta? It's me - I've been soaked head to toe in placenta"


It will be challenging to see the funny side for some readers who are not familiar with the gory side involving many complications that Medical professionals have to face in their professional life. But still, Adam Kay manages to make many readers smile regarding the remarkable Christmas eve he had in his life.

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You can also follow me on
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Profile Image for Petra X.
2,455 reviews35.7k followers
January 18, 2023
The book didn't live up to it's initial promise by never developing. It remained a selection of anecdotes taken from the Christmas shift every year from 2004 (afair) to the present. Occasionally it is laugh-out-loud funny or a broad smile, as in: "Full marks to the anaesthetist wearing a badge that says, "He sees you when you are sleeping, he knows when you are awake," but mostly it's just mildly amusing. Or not.

It doesn't compare to the clever, percipient This Is Going to Hurt: Secret Diaries of a Junior Doctor, not a book in the same league. It feels like a cobbled together piece to capture a bit of the David Sedaris market: short, funny book told by a self-deprecating author and good for a Christmas present. The author is a nice guy, but still, this book is not his best.
Profile Image for Hamad.
1,316 reviews1,625 followers
December 27, 2019
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“Would you believe there’s a medical term specifically and exclusively for a mass of undigested sharon fruit in an intestine? No wonder medical school takes so long, learning all this shit.”


Actual Rating: 3.5 stars

★ I read the author’s debut while I was studying for my final tests in med school and now I read this while I am officially a doctor! I received the license test results on the same day I received this book so that was definitely a sign!

★ I started and finished this book in one sitting in under 2 hours! I like it and it gave me a couple of laughs! Some of the entries were funny and some just made my mind go (… and?) I think this is highly subjective so my opinion does not really reflect how funny it was.

★ The book was short and I wish it was a bit longer, but after all, it is the doctor’s entries from real life and it is restricted to the Christmas shifts so I understand the number of pages!

★ I like that the author still has a message to deliver despite all the humor! This was less serious than book 1 and it has less Gynecology ward entries but I liked the ending and I guess it is kind of true. As the author says, thanks to all the doctors and nurses and medical staff working day and night and sacrificing their social life to keep the rest of the people healthy! Who knows, maybe in few years, I will publish my own medical diaries!

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Profile Image for Paromjit.
3,080 reviews26.3k followers
January 22, 2022
I listened to this audio narrated by the author, Adam Kay, a relatively short listen at 2 hours and 20 minutes, painting a picture of the hardworking NHS staff over the crazy and manic festive season. Kay mines his experience of the numerous Christmas periods in his years as a doctor, the horrors and joys, with a particular focus on his specialism of obstetrics and gynaecology. So we have birth of babies, the lottery associated with IVF treatments, and the oh so human sorrows associated with the failures of IVF. There is so much unbelievable material with the insanity of people and what they get up to as they present themselves in hospitals at Christmas, and something I just could not believe, families 'dumping' their confused grannies at A&E for the festive season! I had to take several moments to take in just how low people can go when it comes to their family members. As usual, Kay relates all this with humour, making this a fun and entertaining listen, whilst highlighting just how incredible our much put upon NHS is.
Profile Image for Jodie Sheerin.
470 reviews13 followers
October 17, 2019
The only complaint I have about this book is that it wasn’t long enough! I love Adam Kay’s writing and I love reading about his time as a doctor. I felt every emotion whilst reading this book - and I loved it! It was hilarious but also heartbreaking at times. It also makes me angry for the way NHS staff are treated, and it really shows what amazing people they are. I really wish that this book was longer as I was really enjoying reading it. It took me only 2 hours! I recommend this one to everyone - it’s a very interesting read. I’m hoping that there’s more to come from Adam Kay!
Profile Image for JustJJ.
215 reviews164 followers
December 29, 2023
Blog | Instagram

Rating: 4 stars

Cover: 🌟🌟🌟
With the blood bag stocking, this cover neatly alludes to medical and festive content in the book. However, it is still painfully simple and unremarkable.

Writing: 🌟🌟🌟🌟
The dry humour I loved in This is Going to Hurt is once again woven into the anecdotes in this book, though some punchlines fall flat. The cleverly written stories also have just enough details and context to make them clear and easy to follow.

“Who's that you can see in his suit of magenta? It's me - I've been soaked head to toe in placenta”

“Stop sticking root vegetables, remote controls, chocolate wrappers, fairy lights – or indeed anything else that’s irretrievable and inanimate (or, god help us, animate) – up your interval cavities for one day a year”

Content: 🌟🌟🌟🌟
Adam Kay shares even more stories about his experience as a junior doctor, focusing on the shenanigans and struggles that come with the festive season. Sad, frustrating tales were skilfully paired with comical and heartwarming moments, making the short book engaging and meaningful.

Narration & Audio: 🌟🌟🌟🌟🌟
Adam Kay narrates this himself and perfectly delivers the vocal range needed for his words.

“The job still gives a lot back, despite all it takes from you”

“A lot of the reward for this job comes in the form of a warm glow. It doesn’t make you look any less tired, you can’t pay the rent with it, and it’s worth a lot less than the social life you’ve traded it for, but this comforting aura of goodness and purpose definitely throws light into some dark corners and helps you withstand a lot of the shit.”

All in all, ‘Twas the Nightshift Before Christmas’ was a quick read that was as entertaining and raw as This is Going to Hurt. While it was not long enough to be as impactful, this book still contained a great message.
Profile Image for Johann (jobis89).
736 reviews4,681 followers
February 23, 2020
“Full marks to the anaesthetist wearing a badge that says, “He sees you when you’re sleeping, he knows when you’re awake.””

Having listened to the audiobook for Kay’s amazing account of life as a junior doctor, This Is Going To Hurt, earlier in the year, I was very much excited to read this little festive book in the run-up to Christmas.

Kay is simply hilarious. He perfectly combines his sense of humour with his compassionate side as he recounts the different Christmasses he has spent working in hospitals. Some entries are heartbreaking and incredibly sad, whereas others lighten the tone and had me in stitches of laughter! Who knew people stuck so many strange things in their orifices?! And there’s cute little hospital-themed festive illustrations dotted throughout, which I loved.

My only complaint is that it’s SO short. I understand Kay would be quite limited in terms of how many Christmas-related stories he has to tell, but it’s so easy to race through in about 2 hours. And it just left me wanting more.

Overall, this really reinforces how much we should appreciate the NHS and the staff who work their asses off every single day, not just at Christmas (my mum included). I love how passionate Kay is on this topic!

This would be a great stocking filler for those who work within healthcare - or just anyone who likes to laugh really! Absolutely hilarious yet poignant.

Trigger warnings for miscarriage, abortion. 4 stars.
Profile Image for Ken.
2,562 reviews1,375 followers
December 29, 2019
Following up from the brilliant This is Going to Hurt: Secret Diaries of a Junior Doctor with this festive treat, Kay helps explain the exact day to day life of the healthcare profession and the pitfalls of working over the Christmas period.

Just like the previous book, their were plenty of squeamish and odd antidotes explained in a brilliant humours way.

But more importantly it yet again highlights the amazing jobs those working in our NHS do and such never be taken for granted.
Profile Image for Sara.
1,493 reviews432 followers
December 4, 2019
A festive diary style look into working in the NHS, this has all the wit, heart and humour of Adam’s previous book, This Is Going to Hurt: Secret Diaries of a Junior Doctor with added tinsel and fairy lights. As before, some of the entries are hard hitting and difficult to read about, mixed with some other, more light hearted entries, that had me laughing out loud. I can see a lot of myself and my colleagues in Adam’s writing style, with an almost stoic approach to life with certain patients and situations that stay with you forever. There were many, many anecdotes and scenarios I’ve seen firsthand myself, and I could relate a lot to Adam’s thoughts and feelings on the NHS and working over the Christmas period.

Moral of the book? People are weird. Especially at Christmas.
Profile Image for Sarah.
1,616 reviews178 followers
December 9, 2019
For my full review, visit me at https://mrsbrownsbooks.wordpress.com/...

You know when a music artist has a really successful album and the producers decide it is a great idea to re-release it at Christmas time, except with a few extra tracks added in? And, being a massive fan, you feel obliged to purchase it because you like the artist’s music and you have that small doubt that maybe, just maybe, it won’t appear on the next full album? Well, this is the same thing, just in literary format. You feel like you should read it after the hilarity of This Has Got to Hurt yet, in reality, Kay should not have bothered at all.

For my full review, visit me at https://mrsbrownsbooks.wordpress.com/...
Profile Image for Sara.
374 reviews404 followers
December 6, 2020
Re-read Dec 2020 - Still love this!

I was super excited to pick this up as I absolutely loved its predecessor This is Going to Hurt
Thankfully this festive spin off was just as good/heart-warming/heart-breaking and kept me thoroughly entertained.
5*s
Profile Image for Ammar.
486 reviews212 followers
November 7, 2019
Funny
Short
Stories of six christmases spent in the ER or the labour ward
Totally season appropriate
Profile Image for Suz.
1,559 reviews860 followers
December 15, 2023
Adam Kay candidly shares his experience working almost every Christmas shift. No children, his peers pretty much were able to take the day off, but he, childless and (loosely) Jewish lucked out. This work takes a toll on families, and I get the impression his gave him a bloody hard time!

Many silly/crazy happenings are talked about here, the led green light up the nose of a child leaving a green face behind, the roasted 'tin man' gentleman whose fancy dress of tin foil creating his own human 'basting', the broken bones of children scooting down the stairs in their scalextric boxes were the tame tales.

Then there were the Mars Bars wrapping in place of a condom, a translucent appendige from using 'enlargement' internet devices, to unforutnately placed items in other orrifices.

The work was hard, the conditions terrible - missing mattress in the staff sleep area, no hand towels, terrible leave conditions; the appreciation slim. Adam Kay is a smart young man that got out of the game early, having only practiced as an obsetric and gynaecology doctor for a few years.

I did ask myself what a waste of such hard work in studying to get where he was, he also mentioned that. It wasn't a waste, he loved what he did but the work was brutal. His love is in writing. Interestingly he had a conversation with a patient giving birth who had nursed with him prior. She said she wasn't going back either. The work was so hard, overwork and all the rest. The NHS pushes their staff.

He implores those to leave the idiocies aforementioned for just one day, leave the understaffed medical personnel left on the wards at Christmas to work for those truly in need, and to thank those staff. Send a letter to your GP at Christmas in your card and appreciate those that work so bloody hard. Thank your pharmacist.

This book is interesting and candid. But don't read if you're adverse to language and a bit of gore.

I listened to this short audiobook on the BorrowBox platform and my public library. He narrates his own book very well.
Profile Image for Alice-Elizabeth (Prolific Reader Alice).
1,163 reviews164 followers
December 5, 2019
I’m on the fence about this one. On one hand, it was fun to dive back into more real-life stories from the NHS frontline, however, it was short in length and some T/W for miscarriage and abortion. Some of the entries I enjoyed, some not so much. For now, I’ve rated this one 3.5 stars but may edit in the future!
Profile Image for India M. Clamp.
308 reviews
December 15, 2022
Truly a brief and ribald rant by Adam Kay. Audible experience enticed laughter in many en route to an architectural paradise by the sea. Kayes’ style imparts a unique view and classification of the morose nature of holidays when experienced through the eyes of medical professionals. Learned what “G-y” dumping is and how “Turkeybone” in a trachea is a quotidian occurrence on Satan’s merry go round (aka “The ER”).

“Would you believe there’s a medical term specifically and exclusively for a mass of undigested sharon fruit in an intestine? No wonder medical school takes so long, learning all this s...”
---Adam Kay

There is a rationale why many healthcare workers choose to be purposely absent from the ER during the holidays. And their are those who live for the “rush” of the incoming patients whose conditions are further stressed by environmental factors, food and unresolved familial conflicts creating the ideal recipe for another “hell” round in the ER. Adam Kay heals naturally with humor and helps us to understand the meritorious and somber realities of holidays.
This entire review has been hidden because of spoilers.
Profile Image for Sonja Arlow.
1,233 reviews7 followers
July 16, 2020
I absolutely LOVED This Is Going to Hurt: Secret Diaries of a Junior Doctor but if you have not read it then THIS collection of stories won’t really make sense. It also feels a little like the stories in this one were the rejects that did not make the cut for the first book.

As the author himself states:

”In my first book, This is Going to Hurt, the most common reasons for entries being omitted included ‘too disgusting’ or ‘too Christmassy’. Here I make amends for both.

And because this was just a hodgepodge of stories with no real narrative arc it didn't feel as complete as the first book.

But I still enjoyed this author’s unique brand of humor and turn of phrase. And if you have spent anytime in a hospital over the Christmas season (whether as a patient or visitor) you will probably be able to relate in some way.

What struck me in this and the first book, is although the author deals with his daily struggles as a doctor with humor, there is a highly sensitive man behind the funny. There was one particular story in this book that got to me as much as it did Adam.


Recommended for fans of This Is Going to Hurt: Secret Diaries of a Junior Doctor
182 reviews10 followers
December 6, 2019
This was a really good book. I’ve read the first Adam Kay book which was great and this one was just as good. It was absolutely hilarious in a lot of parts and a few sad pages but the hilarious pages more than made up for it. I really hope Adam Kay writes another book. This was short but very sweet and I definitely recommend both books to everyone.
Profile Image for Bea.
211 reviews122 followers
January 21, 2023
I'm so glad this was my first read of the year - funny but melancholy at times, it was a wild ride and I'm all for it. Just as good as his first book This Is Going to Hurt: Secret Diaries of a Junior Doctor this very much lives up to the hype. I was excited to be learning more about working in a hospital and dealing with serious (and some not so much!) issues. How do some of these things happen???

Adam Kay narrating makes this hilariously entertaining and think it's worth listening to it on audio instead of reading it as you can really feel the happy emotions and the miserable from being a junior doctor working in a obstetrician and gynaecology ward. While wishing for a third book, I can definitely see myself listening to this again next Christmas season.

4.5/5 stars - would have loved for it to be longer!
Profile Image for Stephen.
2,174 reviews463 followers
April 30, 2020
a short enjoyable read about working in hospitals being a junior doctor at Christmas time it was funny in parts as most people forget NHS is 24/7 365/366 days a year thing
Profile Image for Lo.
201 reviews51 followers
March 17, 2020
I was lucky enough to go to a performance by Adam Kay at the Birmingham Literature Festival (if he is ever performing near you I strongly urge you to go and see him, he was hilarious, honest and insightful) and whilst I adored his first book This is Going to Hurt: Secret Diaries of a Junior Doctor, how nice he was at the book signing really sealed him as one of my favourite authors.

So when I found out that he was releasing another book this year, I immediately pre-ordered it and have been looking forward to reading it ever since.

And I can officially say that I was not disappointed! The stories are eye-opening, sometimes hilarious and provide an insight into the humanity of the NHS. I loved that Government Health Secretary’s were compared to Defence Against the Dark Arts Teachers in Harry Potter, you know they will be evil but you have to wait out the year to see how they are going to be evil!

4 stars
Profile Image for May.
336 reviews31 followers
March 24, 2025
A quick, enjoyable read, and even more relatable now that I've started working as a doctor myself. Adam Kay is definitely a talented writer and I'm looking forward to reading more of his books, whether about medicine or anything else. Also, could someone please stop slashing the health care budget??
Profile Image for my bookworm life.
524 reviews25 followers
November 16, 2023
Like many people i really loved 'This is going to hurt', it was hilarious, gross and had plenty of heart to it, and was certainly eye opening!. So when i saw that he was bringing out a second book, again , like many i was really looking forward to more!.

When this came through the door, firstly i was so let down by how small it was!, it's more of a 'gift book' and something you would just buy for someones stocking or something like that, it is nowhere near the size of the first book, i read this in about 90 mins, and all it left me was disapointed that i didn't have more to read. I was really expecting something twice the size, or even if it had been the same size and length as book one that would have been great! but this was just too short i couldn't really feel that into it to be honest.

Also with the general content of the book i felt let down also, with the first book it was full of stories that made me cringe , made me laugh, made me feel sad and every single one really highlighted the stress and demand working at a hospital brought. It was such an interesting read and obviously was very popular with many as it did so very well!. To me, this second book just feels like a quick little money grab, to get those sales and to get back on the charts again, which is such a shame really. Fans of the first book will no doubt buy this one too, and expect more of the same, not just in size but in content, for me it just didn't deliver on either. This book covers his experiences with working Christmas periods, each year has it's own short section divided up into a few different days. The stories included just aren't anywhere as good as the first book, there were a few that made me giggle a little bit, one that is sad but after such a warning for it i didn't feel it was very graphic at all, and a few festive themed mishaps of objects being where they shouldn't etc.

Overall all i felt was i wanted more, this wasn't the satisfying second book i hoped for, and i think for it's price it's not worth it. I would recommend getting it on a Kindle deal when it's 99p to be honest. This is a shame, as his first book is one of my favourites from the year that i've read, and i do really love his writing! but for me this just let me down.

Profile Image for Veronika Can.
321 reviews49 followers
December 8, 2024
Perskaičiau per vieną dieną. Gydytojo dienoraštis šventiniu laikotarpiu. Tikrai tokia sarkastiška ir vietomis su juodu humoru. Kai kur juokiausi, o kelios istorijos tikrai patiko, privertė susimąstyti, apgalvoti. Šiaip esmė apie gydytojus dirbančius per Kalėdas, ir jie negali rinktis, darbas būna aukščiau visko. Buvo ir daug kvailokų situacijų.

Pirmos autoriaus knygos neskaičiau, negaliu palyginti. O šią vertinu vidutiniškai, net labiau į mažąją pusę, manęs nesužavėjo.

🖋 Šiais metais pamatęs kalėdinį darbo grafiką nepuoliau muštis. Čia tik darbas, kažkam juk reikia dirbti. Gal taip mąstyti verčia herojaus kompleksas, nors visi gydytojai dedasi tokio komplekso neturintys; kur gi ne, betmenai su pypsiukais.
Profile Image for Tony.
624 reviews49 followers
December 14, 2019
Fucking fantastic. I’d give this ten stars were it possible. Here’s a lovely message from the end: actually, no. Read it, you’ll thank me for it!

Just wonderful.
Profile Image for Pantelis Andreou.
386 reviews60 followers
December 31, 2019
Felt so different from what i have read so far! Such a nice way to end the year!
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