Brain surgery is slow and dangerous, and removing a tumor can be like defusing a bomb. If a neurosurgeon makes a mistake, the damage is often permanent.
Neurosurgical disasters can be cruel. A patient can wake up and appear healthy only to die, a few days later, of a stroke or a hemorrhage that’s related, in “some unknowable way,” to the operation. And patients can live on despite severe brain damage—an outcome that’s a particular source of fear for Marsh.
A soldier’s life is deeply shaped by such moral luck. So, it turns out, is a neurosurgeon’s. “As I become more and more experienced it seems that luck becomes ever more important,” Marsh writes. Even so, he will be blamed for what goes wrong and praised for what goes right—treated as a murderer in the morning, by one family, and as a savior in the afternoon, by another.
In writing “Do No Harm,” Marsh has seemingly violated his code: he expresses many of the feelings that he’s worked very hard to keep hidden. But codes, by their nature, exclude the complexities of inner and moral life, and Marsh wants to understand himself—and wants us to know him—in the light of those complexities.
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