Genetic Rounds A Doctor's Encounters in the Field that


Genetic Rounds A Doctor's Encounters in the Field that Revolutionized Medicine Renowned pediatrician and author Dr Robert Marion whose bestselling book The Intern Blues is revered by doctors of all ages offers a powerful and moving account of his experiences in modern genetics His gripping stories illuminate a cutting edge field of impossible moral complexities and incredible scientific breakthroughs that draw him deep into the lives of his patients and their families when they need him the most Genetics is a specialty of secrets After thirty years as a pediatric geneticist in New York City Dr Robert Marion knows things about his patients that their friends their families and even they themselves do not Having access to this kind of inside information is at once a terrific honor and a terrible burden It reuires Dr Marion to play detective philosopher physician and friend sometimes all over the course of a single visitIn Genetic Rounds he tells the surprising true stories of daily life as a clinical geneticist From the girl whose bones break at the lightest touch to the boy who is unable to sweat Dr Marion imparts the life long lessons he has learned from his most incredible cases He walks us through perplexing medical puzzles that have sharpened his wit and transformed him into a Sherlock Holmes in his field He shares ingenious practical insights that have changed his patients' lives And he delves into the moral uandaries through which his patients in turn have changed his life Should he wait until after Christmas to break bad news to a frightened family Should he tell a close friend that his daughter may have a life threatening previously undiagnosed disease And most importantly how can he persevere in a specialty that deals with so much heartbreakThe first book of its kind Genetic Rounds is the story of a remarkable doctor in a field unlike any other With unforgettable candor and compassion Dr Marion not only explores the human side of medicine he shows what medicine can teach us about being humanGenetic Rounds is part medical detective story part scientific tour de force and part highly personal and emotional story of a doctor and the children and families who have shaped his career and his life in this fascinating field Perri Klass MD author of Treatment Kind and Fair Letters to a Young DoctorFrom Genetic RoundsI've learned that in medicine virtually anything is possible that no matter how difficult or unlikely a situation might be with hard work perseverance persistence and the ability to work with people who are brilliant and creative miracles can happenPraise for The Intern BluesA candid gripping account The New York Times Book ReviewA thought provoking study of real human beings BooklistAn important book for anyone contemplating the long arduous task of becoming a doctor Library JournalPraise for Learning to Play GodClear immediate and moving provides as good a feel for the texture of medical training as any I've read The New York Times Book Review

  • Hardcover
  • 304 pages
  • Genetic Rounds A Doctor's Encounters in the Field that Revolutionized Medicine
  • Robert Marion
  • English
  • 21 October 2015
  • 9781607144601

10 thoughts on “Genetic Rounds A Doctor's Encounters in the Field that Revolutionized Medicine

  1. Allyson Brown Allyson Brown says:

    An interesting insight into the life of a clinical geneticist Filled with all of the emotion and heartfelt stories of the families whose mysteries fill the pages

  2. Mallika Makkar Mallika Makkar says:

    uick and easy yet highly illuminating read Only note author does a good job of explaining some medicalscientific concepts yet does not go into much detail about others This may create some confusion for readers who may be outside of the field but given that the focus is on the human side of disease it shouldn't cause too much trouble Otherwise really enjoyed the book

  3. Alyssa Alyssa says:

    One of my favorite medical reads

  4. Mazola1 Mazola1 says:

    Robert Marion has a job that most people would find a tad depressing Dr Marion is a pediatric geneticist Like pediatric oncologists Dr Marion sees lots of very very sick children While it's true that in the 30 years since Dr Marion began to practice his sprecialty there has been an information boom in genetics in most cases there's still no effective treatment for genetic disorders and diseases Perhaps that's why Dr Marion writes that the experience of working in this field for all these years has afected me changed me made me less idealistic and jaded In Genetic Rounds Dr Marion tells the stories of some of his most memorable cases Most involve children with rare deadly and devastating genetic abnormalities Many of these diseases are truly horrifying such as Sanfilippo syndrome in which a genetic defect causes an inability to break down chemicals in the blood resulting in a buildup of these chemicals in the bloodstream and the organs of the body including the brain The end result is a deterioration of neurologic functioning and an early death Another disease caused by a defect in a single enzyme causes a buildup of toxic substances in the bloodstream resulting in neurologic and other problems including extreme sensitivity to light blistering and scarring of the skin and patchy areas of hair loss and indiscriminate areas of hair growth on the skin Sufferers of this disease may account for the origin of vampire and werewolf legends The end result is extreme social isolation and usually an early death due to severe anemia Not only do these diseases kill their child victims but they impose a sad and heavy burden on their grief stricken parents Sadder yet although genetics can confirm the disease there is as yet no effective treatment Most of the disorders that afflicted Dr Marion's patients are caused by a single mutation in a single gene Reading Dr Marion's stories of what causes these disorders their often relentless progression and the sorrow and sadness they inflict on those who have them and their families gives one a sense of how thin the line between normal and abnormal truly is In that sense knowing what can and sometimes does go wrong sheds light on the wonder of what happens when things go right The great hope offered by genetics is that someday knowing all the changes in the genetic code that predispose people to diseases will allow medicine to prevent those diseases

  5. Sandra Sandra says:

    Lots of interesting short stories about rare and interesting genetic case studies He made this very easy for the layperson to understand As I read his chapter on acute intermittant porphyria I understood what he meant by dumb luck We don't see this much at all in the USA but I happened to remember studying about this in my hematology class many years before I even decided to become a pharmacist This lady comes into the pharmacy with what I thought might be a blood disorder from her symptoms Out of my mouth pops maybe you have a congenital disorder such as AIP Her mouth just dropped open and unfortunately for me she thought I was an expert in the area since that is what she had It turns out it is very difficult to find a doctor that deals with this condition Then she comes in with a book of drugs that sufferers can't take together otherwise it starts an attack The problem was that the books contradicted each other and so she was basically asking me what drugs would not start her disease going to keep her out of the hospital I now know a lot about AIP as I read about it but at the time I really didn't know anything about it

  6. Martin Martin says:

    This book is both fascinating and terrifying Fascinating because 1 a House with an excellent bedside manner is a wonderful find 2 His humanness is on clear display showcasing his foibles as well as his successes however the book does have a touch of TMI 3 The diagnostic process is a thing of wonder 4 It like action movies makes the reader think he can now walk around diagnosing people 5 The field is just getting warmed up Terrifying because 1 The book deals with literal death sentences 2 The author doesn't accurately convey how rare these diseases are putting a bit of a fright into an untrained reader Overall I'm pleased to have found an alternate to Atul Gawande whose books I've exhausted and I needed something good in the interim while I wait for his next book This was excellent I'll proceed to the rest of Marion's books and continue seeking in the field of medicine

  7. E E says:

    I really enjoyed reading it as its very accessibly written with a relatable human voice It's for the layperson though as a genetics professional I also thoroughly enjoyed it and could empathize with his feelings in the tough decision making and conflict Although it's about a clinical geneticist many of the stories could have been written by a genetic counsellor It's a great book for others to read and learn about what it's like for the profession; I think next time someone wants to know what I do I will recommend it as a way to find out I really liked the postscript sections as I felt they added information and helped wrap up the essay He covered a variety of conditions though all fairly similar in how they may affect a family the reactions the families were not the same and therein lies what makes interacting with the families in genetics so constantly interesting

  8. Katie Katie says:

    I loved this book It was a uick read that brought me right back to my masters degree in Genetic Counseling In fact some of the stories were uite familiar since they were gathered from older essays that I must have read or heard about Several of the chapters made me put down the book and cry for those kids and families who struggled with terrible health issues but overall the book was uplifting I would definitely recommend this book to anyone considering going into genetic counseling or other clinical genetic feilds

  9. Jane Jane says:

    Robert Marion is the author of a number of excellent medical memoirs but has not published any books since the 1990s Genetic Rounds a collection of case histories from his experience as a clinical geneticist is almost worth the wait Some essays focus on the medical mystery aspect of his cases while others are predominantly about ethical dilemmas or personal reflections Overall this is a very good book but some of the cases will be familiar to readers of the Vital Signs column in Discover

  10. Becca Becca says:

    This is a very well written book but since I share the same job as Dr Marion it really just felt like a slice of my life The cases designed to highlight extraordinary rare diseases are very much part of my daily life I was hoping for a little insight into how our job shapes our lives and reflections regarding taking care of a population of patients that is almost entirely children with disabilities

Leave a Reply

Your email address will not be published. Required fields are marked *