Reflections on change
I have recently enjoyed reading the recollections of a London based neurosurgeon (Do No Harm, Norman Marsh, Phoenix, 2014) and was intrigued by the similarity of our viewpoints. The author is slightly younger than me, works in a different medical system in a different country and has different stresses (they kill, we cripple), but our psychology as surgeons is the same. Marsh writes of surgery as 'single combat' and I have long known that a challenging operation is like going to war. But the most interesting thing was how we both view the changes that have occurred in our disciplines during our professional lives. Some of them are worth reflection.