In medical charts, the term "N.A.D." (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America's medical system when it comes to treating the underprivileged. Medical students learn on the bodies of the poor - and the poor suffer from their mistakes.
Rachel Pearson confronted these harsh realities when she started medical school in Galveston, Texas. Pearson, herself from a working-class background, remains haunted by the suicide of a close friend, experiences firsthand the heartbreak of her own errors in a patient's care, and witnesses the ruinous effects of a hurricane on a Texas town's medical system. In No Apparent Distress, she chronicles her experiences and the raging disparities in a system that favors the rich and the white. This is at once an indictment of American health care and a deeply moving tale of one doctor's coming-of-age.
©2017 Rachel Pearson (P)2017 Blackstone Audio, Inc.
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5 out of 5 stars
By Anonymous User on 09-12-17

Medical Stories Addict

I appreciated the writers honest telling of her struggles of training to be a doctor.

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4 out of 5 stars
By Cassandra Giedt on 11-09-17


I'm a doctor and I was shocked at the lack of health care in Texas for the poor. It is totally 3rd world down there. We have our problems in Washington state but at least we expanded Medicaid. It is truly unbelievable that it this Bible Belt place would find it morally acceptable to deny care to most poor people.

Although I enjoyed the book I did not like the reader. Her voice seemed preachy.

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1 of 2 people found this review helpful

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