It doesn’t take a trip to the doctor to know that the bond between physicians and patients isn’t what it used to be. Specialization, rising costs, managed care, the insurance industry, the shadow of litigation—so many factors have changed what was once a traditional relationship grounded in respect and caring. 

            In light of the altered climate in health care, this thoughtful book deals with the way that today’s doctors and patients view themselves and one another. Allen Weisse has observed the changing medical scene during half a century of treating patients and training future physicians, and he writes frankly here about how doctors and patients have come to deal with illness in the twenty-first century. 

Weisse first recalls his own brush with death as a young man diagnosed with testicular cancer—a time when one thinks of God and Death and little else. He then shares true stories of how different people have dealt with cancer, heart disease, stroke, infectious disease, AIDS, and other dire diagnoses—narratives enhanced by professional savvy and enriched by the kind of empathy that the survivor of such a calamity can provide.

Drawing from a storehouse of experiences shared by colleagues, patients, and friends, Weisse writes with passion, conviction, and clarity to encourage a renewal of the openness and trust that seem to be lacking in today’s doctor-patient relationships. These are accounts both uplifting and disturbing—some sad, others tinged with humor—intended to make doctors and patients alike come to a fuller realization that we are all together in this delicate but crucial business of staying alive.

            While not quite foreseeing a return to the Norman Rockwell image of the family physician, Weisse urges the kind of care and compassion that patients often feel is lacking from their doctors, and he reassures victims of seemingly hopeless conditions that, despite the obstacles they often face, there are still health care professionals who truly have their patients’ welfare foremost in mind. Lessons in Mortality is just what the doctor ordered for a health care system in crisis: an honest look at the medical profession that encourages greater understanding on the part of both physicians and patients, reminding us that what we most need is one another.

If laughter is good medicine, then the twenty-two essays offered here by Dr. Allen B. Weisse should prove a hearty antidote to a host of ills suffered by doctors, students and would-be students of medicine, amateur and professional medical historians, and, of course, patients, those of us who wonder what the medical profession is all about and how it affects us.

Often humorous and always informative, these essays cover a broad range of medical subjects. Weisse tackles medical ethics, offers advice to medical and premedical students and their families, delves into unusual episodes in medical history, confronts considerations of aging and self-image, and discusses the vagaries of rewards and recognition available from medical research. He also examines honesty in medical thinking, investigates ways of dealing with bureaucracies, and considers ways of learning to live with oneself. Finally, he evaluates the changing nature of medicine and medical research and looks into the roles of minorities and women in medicine.

Weisse knows whereof he speaks, enlivening each essay with personal anecdotes. When he explains past and current medical school admissions policies, for example, he approaches the subject with the combined knowledge of a former premedical student, a medical student, a faculty member, and an admissions chairperson over the past thirty years. As a medical researcher whose chief turned against him, he certainly knows what he is talking about in "Betrayal." He also writes with authority in his humorous account of how he, as a senior physician, struggles to keep on top of the overwhelming onslaught of medical advances ("Confessions of Creeping Obsolescence"). And in an essay to boost all of our spirits, he tells how an ivory tower physician (Weisse himself) gets drawn up in the service of the IRS bureaucracy and winds up tweaking its nose a bit ("In the Service of the IRS").

Perhaps nothing better illustrates the vigor, wit, and élan that characterize Weisse’s essays than his titles. "On Chinese Restaurants" deals with unusual syndromes and the way in which they have evolved and affected the way we look at ourselves. Other titles are "Pneumocystis and Me," "The Vanishing Male," "Say It Isn’t ‘No," "Bats in the Belfry or Bugs in the Belly?: Helicobacter and the Resurrection of Johannes Fibiger," and "PC: Politically Correct or Potentially Corrupting?"

Finally, two words in this book’s subtitle succinctly characterize Weisse’s essays: pertinent and impertinent—germane and irreverent information rakishly presented.