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Illness … doctor … pathologist … investigation … diagnosis … treatment. Yes, I’m talking about THE FINAL DIAGNOSIS by Arthur Hailey.

At times, even an ace pathologist might have to send his findings in the form of slides to two experts who are contemporaries in the same discipline. Where one might say the tumour is malignant and the other non-malignant or benign.

So then, what does Chief Pathologist, Dr Joseph Pearson, finally script as his … final diagnosis? The basis on which the surgeon would have to decide whether the amputation of the leg is required or not. The pathologist is often known as the doctor the patient seldom sees.

In ‘THE FINAL DIAGNOSIS’, author Arthur Hailey unveils the tension-packed drama that is being played in the mammoth complexity of a great hospital. A world where one faulty diagnosis or one irrevocable error precipitates into appalling tragedies.

In the enthralling story, there is a continuous struggle between the Chief of Surgery, Kent O’ Donnel and Dr Joe (Joseph) Pearson, Chief Pathologist, who was once an ace pathologist, but with the passage of time, he has stagnated, which he realises towards the end of his career.

The book also describes the struggle of a young pathologist, David Coleman, who happens to be Dr Joe Pearson’s deputy, in terms of restoring the standards of a hospital laboratory. Controlled by the ageing but once brilliant doctor Joseph Pearson, Hailey takes us behind the reception areas, and into those emergency rooms and the bustling world of medicine, to reveal those hidden corridors of a world that the patient never gets to see.

The centre of action is the three-counties hospital in Burlington in Pennsylvania. The novel has a plethora of characters … the prime being:

Orden Brown—Chairman of Three Counties Hospital

Eustace Swayne—Board Member and a retail magnet of a departmental store empire.

Doctor Joseph Pearson—Chief Pathologist around whom the entire novel revolves.

Doctor Kent O’ Donnel—Chief of Surgery and Head of the Medical Board.

Doctor David Coleman—Deputy to Doctor Joseph Pearson

Doctor Charles Dornberger—The baby’s doctor … Paediatrician

Doctor Lucy Grainger—Orthopaedic Surgeon

Hilda Straugham—Chief Dietitian

Vivian Lobourton—Trainee nurse

Mike Seddons—Doctor

Alexander and his wife, Elizabeth.

The language is moving and precise, with tailor-made sentences that fit the bill. There is usage of high-toned vocabulary, but it doesn’t give that shade of verbosity. The intensity and tone of the sentences change as frequently as the change of scene. The flow of the book gives you a feel as if you’re seeing and not reading—something close to a movie. Most descriptions are vivid as if you are witnessing the scene. Especially, the ones that describe the happenings in autopsy, pathology and even surgery.

The novel makes an important point for doctors through the Chief Pathologist, Dr Pearson.  One should never give up his or her pursuit as far as the latest inventions in the medical world are concerned, no matter how much pressure of work there is. For that was the sole cause of doctor Pearson’s failure. And that holds good for any career today.

  And the scenes when Vivian is diagnosed with cancer and when Alexanders lose their newborn baby because of a faulty medical blood test report in the hospital are nail-biting and highly emotive.

I would give nine out of ten to this book. So, don’t just miss it.

One last point—I was amazed at the manner in which these doctors smoked in the hospital and drank at parties. And to their patients, they must be canvassing otherwise. It is said about authors that they try and paint the real picture of the times when the novel was written. I now believe in it ever more. This novel was written way back in 1959. Pick it up even if you have to find time.

Written and posted by Kamlesh Tripathi

Author, Poet, & Columnist

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https://kamleshsujata.wordpress.com

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