What’s it all about?:

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. The result is a first-hand account of life as a junior doctor in all its joy, pain, sacrifice and maddening bureaucracy, and a love letter to those who might at any moment be holding our lives in their hands.

What did I think?:

I have been hearing about this book literally EVERYWHERE and it has been taunting me for months now, pleading to be read. At the moment and probably for the forseeable future, I work for the NHS as a scientist and come into contact with a lot of junior doctors, usually by phone when I’m giving out patient results. My mum also used to work for an NHS hospital as a nurse on an emergency surgery ward so she too is more than familiar of the importance of forging good relationships with doctors. You could say, as a family, we’re very aware of the crucial need for our health service and I was excited to read a book that would uncover an inner secret sanctum I may not have had complete and exclusive access to before. I actually listened to this book on Audible after recently getting into audiobooks as a way of reading more when I’m out and about and I couldn’t have picked a better first choice of book. This Is Going To Hurt is a no holds barred account of what it’s really like to work for the institution that is the NHS and deals frankly and hilariously with a variety of patients that Adam Kay has worked closely with as a doctor.

Adam Kay, author of This Is Going To Hurt, pictured here enjoying his own book!

This brilliantly funny work of non-fiction is told in the form of diary entries from when Adam was a junior doctor right the way through his career which ended when he was a senior registrar. Some diary entries are shorter than others but in each one, Adam’s dry wit and passion for what he was doing shines through and we hear fascinating tales of his work, mostly in gynaecology that have the power to make you laugh, shock and amaze you and by the end of his journey in medicine, irrevocably break your heart. Adam bares his soul in this memoir and doesn’t hold back from the grittier, nastier side of what it’s like to work as a doctor with the NHS in the current situation that it finds itself now – understaffed, underfunded and supremely underappreciated.

Honestly, what on earth did we do before the NHS?

Throughout this book, when I wasn’t laughing, I was filled with admiration and a new-found respect for the work that doctors do, the severe pressures they are under, the extended shifts that they work, the fatigue and stress that they must suffer and the walls that they have to put up to protect themselves in highly emotive and painful situations. Personally, I would have loved to have been a doctor but even if I had got the grades, reading This Is Going To Hurt only brought back to me what I had suspected about myself all along. I couldn’t do it. I’m a bit of a sensitive soul and the emotional aspect of the job, which is of course unavoidable, would be far too devastating for me to handle. As a result, I give an internal “high five” to EVERY doctor/nurse out there who deals with often heart-rending decisions on a daily basis.

I don’t want to go into too much detail about the cases that Kay talks about for fear of spoiling it for anyone who hasn’t read this yet but let me assure you, some of the incidents that he recalls are forever etched in my mind, the mental imagery of some will probably never be erased! Obviously, patients have complete anonymity but I often wonder if the real-life patient behind the author’s case reads this book and cringes with embarrassment, recognising the resemblance to their own experience! He doesn’t shy away from detailed, descriptive passages and some recollections might be a bit too graphic for the queasier audience but I found his brutal honestly and candour both refreshing and fascinating. I particularly loved the sections where he bemoans the state and instability of the health service, the expectations placed on doctors and the alarmingly little time given to ensure doctors’ mental heath is being taken care of considering what they have to see and experience during a regular shift.

I can’t stress enough how wonderful and amazing this book really is if you’re in the mood for something that will make you laugh and cry in equal measure. Curious about the experience of junior doctors in the NHS? Adam Kay strips it all back with unflinching honesty and everyone is invited in to observe.

Would I recommend it?:

But of course!

Star rating (out of 5):