Autoren-Bilder

Margaret Overton

Autor von Good in a Crisis: A Memoir

3 Werke 55 Mitglieder 3 Rezensionen

Werke von Margaret Overton

Good in a Crisis: A Memoir (2012) 46 Exemplare
Hope for a Cool Pillow (2016) 6 Exemplare
Good in a Crisis (2013) 3 Exemplare

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Wissenswertes

Geschlecht
female
Nationalität
USA
Berufe
Anesthesiologist

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I want to engage in a larger conversation with society about issues surrounding health care, and while there are weighty, dry, dull factual tomes galore on the subject, there are comparatively few insider critiques. I received a review copy from Outpost19 of HOPE FOR A COOL PILLOW by Margaret Overton. I requested it because I am very much involved in the health-care machinery as the US practices it; I see first-hand the inefficiency and the indifference endemic in for-profit medicine. Margaret Overton’s memoir of her journey as a physician and a daughter through the upside-down world of end-of-life care is described by her publisher as follows:
Margaret Overton’s Hope for A Cool Pillow is a passionate argument for planning end-of-life care. As physician, daughter and student of American health care, Overton pulls from all corners, showing us the emotional, financial and physical costs of not being prepared. Her daily rounds reveal harrowing consequences, her studies at Harvard highlight the industry’s limits, and her own aging parents make her case universal. Deeply felt, frankly told, this book will challenge you — and then help you — make your own choices about end-of-life care.

I am hard-pressed to find fault with the book’s aims. I was deeply moved by the insider/outsider fault-line in Overton’s parents’ deaths from cancer and from simply wearing out, winding down from old age. Overton’s father’s death from cancer was a fairly painless, by modern American standards, affair. This was down to his insistence on preparing for his death long before it was on the horizon. This isn’t to say he suffered no pain; death hurts, and on many levels. His daughter’s M.D. helped his physical pain remain at the minimum available to (miraculously effective) drugs. Those who don’t have an M.D. in the family aren’t so lucky, as I know from attending more than one ill person’s last days. Doctors worry about lawsuits if they prescribe effective doses of pain-relieving drugs, since so many people sue for nonsensical crap like hastening a dying person’s death. Really? I myownself have never seen a case where that would not have been a merciful act. My mother’s death was not, luckily, attended by agonizing pain. Had it been, I would have made a loud and continual noise about relieving it, damn the consequences.

The other side of that story is living with pain. This is my own personal burden. I am afflicted with a genetic misery called severe tophaceous gout, which I’ve had symptoms of since 1981. It is, like all arthritic diseases, painful; and the medical establishment is scared witless to prescribe opioids except as a last resort. I am constantly called upon to remind them that total disability = last resort. Luckily I’m intelligent and stubborn and have facts at my fingertips. Many people in the assisted-living facility where I am waiting for God to remember me are not so lucky, and even more do not have champions who can or will go to bat for them. We are the throwaway people, the ones without families or support systems capable of shouldering with or for us the burden of wending our way through the labyrinthine care-delivery system. Reading Overton’s memoir made me more and more furious for that reason. She is an industry insider, she is a loving daughter, and she had battles and conflicts getting commonsensical care for her dying parents! The rest of us? Fuhgeddaboudit.

Overton’s overarching reason for writing this memoir, aside from the deeply personal ones that impel people to write memoirs, was to spark an intelligent conversation on the issues surrounding end-of-life care (and by extension all health care delivery) in a society reluctant to approach such a squicky topic. For my own part, my final wishes are, and have been, in writing and are clear: revive me if I code suddenly. If I die, donate the carcass to the local medical school wherever I happen to be; then fry the rest. I don’t care what anyone does with the ashes. That’s a lot more than most people will ever do, and the only reason I do it is the likelihood that I will die in an institution is high. Institutions are scared of death, so they do their damnedest to prolong life. As I age, my final directives will change; should my body decide to betray me in some new and unexpected way, I’ll consider how and when to change them based on that new information.

I urgently beg you all who read this to do at least as much as I have done. Do it in writing, make sure everyone around you knows where the writing is, even go so far as to have a lawyer draw up the forms and keep a copy with your will (one of which I am certain all my friends have because we’re all old enough to have significant assets to disperse, RIGHT?). Don’t put it off. I’ll leave you with the words of the wise, warm, and wonderful Margaret Overton’s hard-won wisdom on the subject for the reasons why:
I realized that what begins as a straightforward treatment or a simple hospitalization can gradually morph into a multi-week disaster with multi-organ failure not because a loved one isn’t getting good care but because a loved one is getting a lot of care. Was it when he had to go back to the operating room for bleeding? The first time, or the second time? When he couldn’t pee and had to have his prostate removed? Life gets complicated at the end. I realize that there comes a point in every person’s life when less is more. But how do you know when you’re at that point?

You don’t, and you can’t, if you’re not willing to think about it now, before it’s an emergency situation and someone you love, some stranger, someone who isn’t you, has to decide this crucial point on your behalf.
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richardderus | Sep 30, 2022 |
Good in a Crisis is ostensibly an account of the five or six turbulent years that followed physician Margaret Overton’s decision to divorce a seemingly boorish and philandering surgeon husband of twenty years. “The divorce,” writes Overton, “precipitated a series of midlife events that happened to someone who’d always assumed she was safe.” Many of the events life simply threw at her—her own urgent medical issue (two serious episodes with a potentially fatal cerebral aneurysm), an aging mother’s and college-aged daughter’s serious accidents, the sudden death of beloved fellow anesthesiologist friend, and the diagnosis of fatal brain cancer in another. In all the above, Overton lived up to her memoir’s title. In terms of her own (psychological) crisis, however, not so much. One might even argue that her intemperate, throw-all-caution-to-the-wind foray into the world of post-divorce dating was a crisis of the author's own making. And it is that crisis, rather than all the others listed above, that is the main subject of her memoir.

Good in a Crisis regales the reader with details of innumerable dates with creeps, oddballs, and losers, most of whom have only one thing on their minds. Safety may indeed be an illusion, as Overton avers, but surely prudence helps us all avoid at least some unsafe situations, and I know few people as "clueless" as Overton admits she was. This is not to say she’s an unlikable or unappealing narrator. On the one hand, I want to give her credit for being so honest about her foibles and gaffes. On the other, though, I admit to genuine worry about the possible professional consequences of publicly exposing such astonishingly poor judgment in personal matters. Aspects of her disastrous dinner dates and coffee shop meetings with wearers of make-up, those showing bizarre preferences for bilious green, possessors of brown teeth and slug-like or impaling tongues provide some humour, but the stories wear after a while. (I acknowledge that many readers may be more entertained by her adventures in dating than I was.) However, Overton's description of her “non-relationship” with a lay-about hoarder, her account of being showered by a profusely perspiring date during a decidedly non-erotic escapade, and, finally, her description of date rape in her own apartment gave me genuine pause.

Early on in the book, Overton writes—perhaps not as jokingly as I initially thought--that those in the throes of a divorce are wounded, crazy, and hurtful. They should be identified to the public with neon signs flashing “Buyer Beware” above their heads, she says. If insanity is, as Albert Einstein said, doing the same thing over and over and expecting different results, and if her account of compulsive and indiscriminate dating is to be believed, the author could be a textbook case to illustrate Einstein's point.

When it comes to memoir, we are primed to expect by book's end the articulation of a lesson learned, a meditation on the deeper meaning of an event or an episode. Good in a Crisis doesn’t deliver one. Or maybe what it delivers is an unintended one. “What’s the truth?” Overton asks about divorce early on in her book. “The truth is what happened between you and him or her, over the years, and what didn’t happen. The truth is what you said and didn’t say, how much you tried, how you changed, and whether you were lucky....In the end, who cares about the truth? You still end up divorced.” Yes, I would add, divorced you may be, but isn’t uncovering the truth of your own role in that divorce a worthy goal?

In the final pages, Overton tells us she eventually stopped “dating” entirely; she actually gave up on the internet! Hardly a breath later, though, she reveals that she still occasionally convinces herself that her friends are right and it’s the only way for a middle-aged woman to meet a man. She’ll sign up, pay for three months and quit after a day or two. Her quest to understand her “journey”, she goes on to say, has prompted her to change therapists, opting for a man, a kind of “surrogate guy” who might help her comprehend--not herself, as one would so dearly hope for her--but “how men think”. It may be a truism that life can change in a heart beat, but this memoir is a telling illustration of how the essential character of a person living that life may not. Presented with opportunities to learn lessons, gain wisdom, improve one’s judgment, people do not always take them. Good in a Crisis left me musing about how much personal agency you really have if you believe, as Overton says she does, in luck. Additionally, how much can you learn if you have little propensity for self-examination, if you don’t understand your own role in at least some of the life crises you find yourself in, or can’t be alone with yourself long enough to try to find out?

I thank NetGalley.com and the publisher for providing me with a free pre-publication copy of this book for review purposes.
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fountainoverflows | 1 weitere Rezension | Mar 17, 2012 |
Margaret Overton is an anesthesiologist but this is not the story of her career, it is a personal account of her midlife crisis. It begins with her divorce after twenty years of marriage and the challenges that follow. Though her marriage is no real loss, Margaret is hurt as her husband flaunts his much younger mistress, the latest in a long line of women, she discovers, and makes financial arrangements unnecessarily difficult. Margaret doesn't expect to be alone for long though and with her daughters on the verge of independence, she begins to search for a companion. In the middle of her first amorous encounter, she experiences a blinding headache which leads to the diagnosis of an aneurysm. While she is incredibly lucky to survive and the aneurysm is repaired, there are lingering, if subtle, psychological effects. Health regained and with a new appreciation for life, Overton throws herself back into the dating pool, but the waters are murky and Margaret quickly finds herself out of her depth.
While she is honest about her propensity for making increasingly poor choices, her lack of self awareness is startling during this period. An intelligent woman, she is nevertheless almost willfully naive, unable to recognise the warning signs her dates reveal. Overton seems determined to reveal the ridiculousness amongst the 'horror', and there are truly moments of real pain. I was shocked be her reaction to one particular incident where her response is not at all what I would expect from an educated, mature woman. There is a conversation in the course of the book between Margaret and her dear friend and colleague Neil, which Margaret recounts regarding a theory about the arrested maturity of doctors which I think rings true in general and certainly in Overton's case. Margaret sense of self preservation is more like an adolescents rather than a middle age woman's, when it comes to dating.
In amongst her adventures in dating online, Margaret faces several other crisis, the deaths of her close friends - Neil and Paul, her mother's rapid decline into dementia, her daughter's serious accident and the rebuilding of her career. The six years or so that Margaret's memoir recounts were undeniably tough, a series of crisis that Overton nevertheless overcame.

Good in a Crisis is an entertaining memoir but for me it was not the light-hearted, laugh out loud story the blurb led me to expect. That Margaret is able to look back on this difficult period of her life and find the humour in it, is admirable. Good in a Crisis is painfully honest and self deprecating, rarely is Margaret depicted in a good light, but I can imagine it could be a comfort and lesson for other woman floundering after life altering circumstances in midlife.
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shelleyraec | 1 weitere Rezension | Feb 5, 2012 |

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