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The Naked Surgeon
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We are not meant to touch hearts. We all have one, but most of us will never see one. The heart surgeon now has that privilege but, for centuries, the heart was out of reach even for surgeons.

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Reviews

'UK consultant cardiac surgeon Samer Nashef joins the swelling ranks of medics who have penned frank inside stories. Piquant detail abounds ... but it is Nashef's long study of risk that injects nuance. It began in 1977, when he discovered that arterial surgeons were responsible for the worst outcomes in a sample of abdominal aortic aneurysm operations. Such failures have, he shows, driven quality measurement in medicine, including his own heart-surgery risk model, EuroSCORE.'

--Barbara Kiser "Nature "

'One can't help but think of Henry Marsh when reading Samer Nashef ... Nashef does a fine job of guiding the reader though the surgical and statistical intricacies and he writes clearly, with plentiful moments of humour.'

--Peter Forbes "The Independent "

'A readable and generous book.'

--Kitty Wheater "Irish Examiner "

'[The Naked Surgeon] takes a scalpel to the medical profession and asks if patients get the standard of care they have the right to expect from their surgeons ... A valuable resource.'

--Freddie Wood "Irish Independent "
'Sam Nashef's brief and absorbing account of the development of safer outcomes in cardiac surgery is a valuable insight into the mindset of all surgeons. The book places in context important episodes in the development of cardiac surgery and describes the process of driving down mortality rates within a specialty that was initially very dangerous but has now become very safe.
'This book is a must read for all surgeons at any stage in their careers but more importantly the book should be mandatory reading for those that would try to understand the inner workings of the surgical mind. Here I would include particularly anaesthetists, operating theatre staff, surgical nurses, surgical managers and all surgical patients past, present and future.'
--Steve Bolsin

'Bold, brilliant ... [The Naked Surgeon explains] why risk-adjusted surgical outcomes, and similar assessment in all specialities, are so important. And it details the many traps that the well-meaning can walk into when compiling or comparing data. Nashef's writing is lucid, free of medical jargon and, unlike many academic books, it is not dry, being strewn with anecdotes and jokes ... An essential book for anyone contemplating surgery, medical treatment, or a career in medicine.'

--Leyla Sanai "Independent on Sunday "

'[The Naked Surgeon] takes a Malcolm Gladwell-esque look at what happens in operating theatres ... If a book-length examination of the topic sounds dry, it isn't. Nashef's humanity and compassion shine through.'

--The Times
'A superb book for anyone who wants to understand the challenges and complexities of transparency and accountability in the NHS. Told through the eyes of a heart surgeon, it's gripping, honest and numerate -- an essential companion in our journey from blind trust in doctors to kind truth.
'The Naked Surgeon is both is a very important and timely book. Heart surgeon Samer Nashef takes us on a gripping journey from blind trust in surgeons to kind truth. His writing is engagingly honest and numerate, and he is unashamedly open about the risks, benefits and past disasters of his profession, and the importance of focusing on outcomes and knowing where you're heading. Secrecy and cover-up have done huge damage to patients, professionals and the NHS, but the new march to absolute transparency must also be handled with care. Statistics are always simplifications, further distorted in the media, and there is a delicate balance to be had in holding professionals to account and scaring them away from innovation and operating on those who are at highest risk and have most to gain. This book will be vital to anyone who has to weigh up the pros and cons of surgery. And that's most of us, at some stage.'--Dr Phil Hammond

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