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This Is Going To Hurt

This is Going to Hurt: Secret Diaries of a Junior Doctor is a nonfiction book by the British comedy writer Adam Kay, published in 2017 by Picador. It is a collection of diary entries written by Kay during his medical training from 2004 to 2010. Kay's book discusses political issues in the health care system of the National Health Service in the United Kingdom and societal conflicts between the general population and neglected doctors. Kay accomplishes this by incorporating humour into his personal anecdotes that depict his life as he progresses through his medical training, and his eventual resignation from this career.[1]

This is Going to Hurt


This is Going to Hurt is mostly composed of diary entries Adam Kay wrote during his medical training under the National Health Service. It was recommended to Kay to write this diary as a "reflective practice" in which he could log any interesting clinical experiences he experienced throughout his training. Five years after his resignation, Kay was officially removed from the medical register which prompted him to dispose of all the medical files he had been storing, leading him to review his reflective journal. Around this time in 2015, junior doctors entered contract disputes with the NHS leading the Secretary of State for Health and Social Care, Jeremy Hunt, to accuse junior doctors of being greedy. This event motivated Kay to respond to this accusation by releasing This is Going to Hurt, which illustrates his own experiences as a junior doctor.[2]

Kay began his medical training as a House Officer in 2004 with the United Kingdom's National Health Service after attending Dulwich College and Imperial College School of Medicine. In his comedic recollection of his time as a house officer, Kay describes four foreign objects he removed from patients' rectums, saving his first life, and long nights spent in the A&E. Kay became a Senior House Officer by August 2005, a year after officially becoming a doctor. It is at this point in his career that he decided to specialise in obstetrics and gynaecology, or "brats and twats" as Kay referred to it.[3]

In August 2007, Kay was promoted to Registrar, the third highest ranking position after Consultant and Senior Registrar. His diary entries in his time as these positions describe multiple successful births, failed births, infertility problems, and sexually transmitted diseases/infections, along with a gruelling workload that included sleepless nights, unpaid overtime, minimal gratitude from co-workers, sleeping in the car park, and inability to have someone cover a shift leading to minimal holiday and sick time. Throughout these experiences, Kay recalls times in which he gets close to quitting due to the vast amount of stress the job inflicted on his life, harming his health and social relationships. What kept him going was positive outcomes from helping patients in multiple ways ranging from helping couples become pregnant to delivering a multitude of babies a night. This feeling of being a "low-grade superhero" is what Kay claims helped him push through all the other inconveniences related to the job.[4]

On 5 December 2010, Kay began to perform a caesarean on a patient who had undiagnosed placenta praevia. Kay first delivered the placenta and then the baby, which was dead and unable to be resuscitated. The detached placenta caused heavy haemorrhaging; Kay and the senior consultants called into theatre failed to stop the bleeding and, after 2 hours and 12 litres of blood loss, a hysterectomy was performed. The mother was transferred to the intensive care unit and Kay was told to expect the worst. After this event Kay became depressed. Whilst he had followed best practice, and the missed placenta praevia should have been found in previous scans, Kay obsessed that he might have prevented the death of the baby and endangerment of the mother's life by somehow diagnosing the placenta praevia prepartum. Several months after this event, Kay resigned his position.[5]

The book combines these themes to form a powerful argument against Jeremy Hunt's comments concerning the motivation of doctors, justifying the view that doctors are not greedy, and do not pursue a career in medicine entirely motivated by money. Through this book Kay highlighted the many adversities junior doctors must face for the minimal pay they receive, and sought to spread awareness to support doctors in their contract disputes with the NHS.[5]

Shortly after its release in September 2017, Naomi De Pear of Sister Pictures acquired the television rights to This is Going to Hurt. Sister Picture, an independent production company founded in 2015, acquired these rights in a 12-way auction between other interested producers. The television series based on This is Going to Hurt is being written by Adam Kay and developed by Katie Carpenter along with Naomi De Pear, who will also executive produce the series.[8] On 6 July 2018, the BBC announced that the adaptation would be made by Sister Pictures and shown on BBC Two as a seven-part comedy-drama.[9] In February 2022 this adaption was broadcast as a seven-part comedy-drama on BBC1.

Credit may be the easiest of the three. A few hikes combined with promises of more already have led to an overall tightening of financial conditions. Bond issuance has dried up this year, with companies comfortably afloat on the cheaper debt they took on last year. The Fed started shrinking its balance sheet last week, likely further restricting liquidity over the next several months.

If this sounds excessively gloomy, risks of actual negative growth rates next year still look low. Even if savings and cash levels dwindle, there is plenty of room for households and companies to borrow. If inflation drops below 5 percent, as expected, there also will be greater confidence around a tighter range of borrowing costs. Moreover, unemployment that edges up a couple of percentage points would put it comfortably back at 2016 levels, when growth ended the year respectably above 2 percent.

Kay's writing is full of sharp moments like this, with his protagonist constantly sparring with patients, superiors, and colleagues alike. Midwife Tracy (Michele Austin) is more than a match for him in this regard, as is junior doctor Shruti (Ambika Mod), who grows in confidence as the series progresses. Harry (Rory Fleck-Byrne), meanwhile, is a solid and dependable force as Adam's partner, struggling to break through his shell in order to get him to open up about life in the hospital while navigating issues in their own relationship (Adam's icy parents, who he's yet to come out to, being one of them).

There's no doubt that in this scenario, moderately higher unemployment is, in fact, a goal of the Fed, with all the moral and political consequences that implies. But it goes too far to say workers bear the entire brunt of the war on inflation.

For a medical series laced with humor and heartbreak, you can't beat "This Is Going to Hurt," on AMC+ and Sundance Now for seven episodes starting this week. Ben Whishaw headlines this fact-based British sensation with an award-caliber tour de force that uses wit like a scalpel.

Of course, Adam is far from fine. Narrowly escaping dismissal for the lethal mistake of sending home an expectant mother whose distress he doubted, Adam addresses another complaint -- this one anonymous-- by accusing the few friends and colleagues he has left of betraying him.

Kay's decision to quit or carry on isn't resolved this season. But turning his crisis into cathartic comedy is a high-wire act that keeps you riveted from first scene to last. Kay and Whishaw succeed triumphantly in creating one of the best and most bracingly brilliant TV shows of the year. You'll laugh till it hurts.

For a medical series laced with humor and heartbreak, you can't beat \"This Is Going to Hurt,\" on AMC+ and Sundance Now for seven episodes starting this week. Ben Whishaw headlines this fact-based British sensation with an award-caliber tour de force that uses wit like a scalpel.

Love $mediaName? Stream this and more top quality series on HBO Max now! NME is supported by you. When you purchase through links, we may earn a commission. HBO Max is not currently available in the UK.

Grab the remote, set your DVR or queue up your streaming service of choice! GLAAD is bringing you the LGBTQ highlights on TV this week. Check back every Sunday for up-to-date coverage in LGBTQ-inclusive programming on TV.

This Is Going To Hurt, starring out actor Ben Wishsaw, will debut on AMC+ this Thursday. Created, written, and executive produced by out author and comedian Adam Kay, the limited series is based on his award-winning international memior of the same name. This Is Going To Hurt follows Adam (Whishaw), an overworked and overwhelmed gay doctor who is desperately clinging to his personal life. With 97-hour work weeks in the labor ward, life-and-death decisions, and terrifying responsibilities, Adam makes a mistake. This Is Going To Hurt: Thursday on AMC+ and Sundace Now.

Season two of P-Valley will premiere this Friday on Starz. When darkness descends upon Chucalissa, errybody and they mama must fight tooth and talon to survive. While some take flight to perilous new heights, others dig in their stilettos and stand their ground no matter the cost. Out actor Nicco Annan plays queer owner and proprietor of Mississippi strip club The Pynk, Uncle Clifford. P-Valley: Friday, on Starz. 041b061a72


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