This book was fabulous - its about the doctors commitment to understanding her patients and building long term relationships and how this is the foundation of her practice. It oozes of respect and humility, of humanity and hope. One of the best books about medicine that I have read. The patients’ stories are vivid, moving, often unforgettable. Polly Morland has written with incredible sensitivity, appreciation and descriptive ability about the valley and the people who live there. Professor Roger Jones OBE

A Fortunate Woman by Polly Morland | Book review | The TLS A Fortunate Woman by Polly Morland | Book review | The TLS

This was “Dr John Sassall”. How capable he was, how eccentric, how dedicated and how unlikely, nowadays, was revealed in John Berger’s classic 1967 book A Fortunate Man. Sassall was a friend and Berger shadowed him for some months, along with the Swiss photographer Jean Mohr. The subtitle of their collaboration is The Story of a Country Doctor. It is not a story as such; it proceeds through a series of vignettes, psychological explorations, case studies and in-depth enquiries into the relationship between one man and his calling, his patients and his environment. Most of us over the age of 30 can remember the family doctor we had when we were kids. They met us as babies and watched us grow up. They knew our stories, those of our siblings, our parents and often our grandparents, too. These stories were fundamental to the bond of trust between doctors and their patients. We are now learning that this deep, accumulated knowledge was also palpably beneficial in medical terms. Beautiful and fascinating … it combines the structural elements of storytelling with the skill of real-life reporting, clustering them in the brilliance of a cloisonné-finish. Dundee University Review of the Arts I was consoled and compelled by this book’s steady gaze on healing and caring. The writing is beautiful. Sarah Moss, author of Summerwater and Ghost Wall At the college’s threescore and 10, outgoing president Martin Marshall offers a sobering assessment of how the profession is bearing up. “There has to come a point,” Marshall says, “where doctors decide, I can’t do my job any more, and then the situation will spiral out of control. I would use the term crisis: so many parts of the NHS are under such enormous pressure that they are unable to provide the personal care that patients need, unable to provide effective care, and increasingly unable to even provide safe care.”

Morland writes about nature and the changing landscape with such lyrical precision that her prose sometimes seems close to poetry . . . There has been no shortage in recent years of books about healthcare . . . With this gem, Morland has done something similar for general practice. Let’s just hope the policymakers listen.

The big idea: why modern medicine can’t work without stories

As A Fortunate Woman ends, ‘after the longest of winters, comes spring’ and with her patients vaccinated, a return to face-to-face consulting, new staff and a trainee our Fortunate Woman is beginning to feel hopeful again: ‘She crouches down next to her bike to peer into a hole in the wall where a stone came loose a few weeks ago. Inside, there is now a nest. New life, she thinks.’ If you want to read a book that moves you both at the level of sentence and the quality of language and with the emotional depth of its subject matter, then A Fortunate Woman is definitely the book you should be reading’ - Samanth Subramanian, Baillie Gifford judge This will have an impact on all of us at some point. But without more widespread recognition of the problem, we might not even notice what we are missing out on. A longitudinal study of continuity of primary care in England published in 2021 showed that not only were fewer patients able to see their preferred GP, but fewer even had a preferred GP in the first place. We have, it seems, forgotten to expect, or even to want, a doctor who knows our stories. That experience of a doctor-patient relationship that’s more than transactional is slipping from collective memory. And if it’s something you have never known, why on earth would you cherish it, or fight for it? It’s worth reading A Fortunate Man as half of a diptych, followed by this new book, A Fortunate Woman, immediately afterwards. The latter came about through a perfect alignment of coincidences. The author, Polly Morland, is a journalist and film-maker with a kindly, dramatic writing style and a feel for the human story. In 2020 she was clearing her mother’s house, after her mother, suffering from Alzheimer’s, had been moved into a care home. It followed, she writes, a “frightening and chaotic” year of “doctors and paramedics, nurses and social workers”. They had all been “well meaning and professional”, but none had known her mother “before all this started, nor stayed long enough to get to know her now”. This book deepens our understanding of the life and thoughts of a modern doctor, and the modern NHS, and it expands movingly to chronicle a community and a landscape. A New Statesman Book of the Year 2022Care and Compassion. Dedication. Resilience. Adaptability. Crisis management. Continued learning. Family and community based holistic care. Above all a keen interest and mutual respect for her team and patients. So many wonderful foundations for an excellent example of what many of us want from “our doctor”.

A Fortunate Woman | NB Medical A Fortunate Woman | NB Medical

Listening has become even more crucial. Ten-minute appointments are bad enough. Covid meant doing that behind a mask and face-visor, in scrubs made of old duvet covers. Now there is the telephone consultation. In the before-times, the doctor made a point of accompanying a patient from waiting room to consulting room, because it gave her a chance to assess their mobility and demeanour. Now there is the phone. The doctor has become adept at reading a voice, its hesitancies, emotions, evasions; 16 calls in a morning is the norm.Revisiting Berger’s story after half a century of seismic change, both in our society and in the ways in which medicine is practised, A Fortunate Woman sheds light on what it means to be a doctor in today’s complex and challenging world. Interweaving the doctor’s story with those of her patients, reflecting on the relationship between landscape and community, and upon the wider role of medicine in society, a unique portrait of a twenty-first century family doctor emerges.