• This Is Going to Hurt

  • Secret Diaries of a Junior Doctor
  • By: Adam Kay
  • Narrated by: Adam Kay
  • Length: 6 hrs and 17 mins
  • Unabridged Audiobook
  • Release date: 07-09-2017
  • Language: English
  • Publisher: Picador
  • 5 out of 5 stars (110 ratings)

Regular price: $26.53

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Publisher's Summary

Welcome to 97-hour weeks. Welcome to life and death decisions. Welcome to a constant tsunami of bodily fluids. Welcome to earning less than the hospital parking meter. Wave good-bye to your friends and relationships.... 

Welcome to the life of a junior doctor. 

Scribbled in secret after endless days, sleepless nights and missed weekends, comedian and former junior doctor Adam Kay's This Is Going to Hurt provides a no-holds-barred account of his time on the NHS front line. Hilarious, horrifying and heartbreaking by turns, these diaries are everything you wanted to know – and more than a few things you didn't – about life on and off the hospital ward. And yes, it may leave a scar. 

Read by the author, this audiobook contains exclusive extra features, including an interview with the author by comedian and author Mark Watson and extra diary entries not featured in the book. 

©2017 Adam Kay (P)2017 Macmillan Digital Audio

Critic Reviews

"Painfully funny. The pain and the funniness somehow add up to something entirely good, entirely noble and entirely loveable." (Stephen Fry)

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What members say

Average Customer Ratings

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    5 out of 5 stars
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    5 out of 5 stars

Witty, but profound in many ways.

Worth a look at, especially for those who have aspirations of status and medical prestige.

1 of 1 people found this review helpful

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    5 out of 5 stars
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Laugh out loud funny

Great book
This generation’s House of God
Funny and poignant.
Who would want to be a Dr in the NHS?

1 of 1 people found this review helpful

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    5 out of 5 stars
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10/10 recommend this!

Where does This Is Going to Hurt rank among all the audiobooks you’ve listened to so far?

By far one of the most memorable books I have listened to.

What other book might you compare This Is Going to Hurt to, and why?

Eye opening, witty and very raw. The dry and straight faced humor is second to none.

Did you have an emotional reaction to this book? Did it make you laugh or cry?

I LOL'ed...and I sat in sad silence.

1 of 1 people found this review helpful

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    5 out of 5 stars
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Hillarious and heartbreaking

Definitely recommend this book for anyone with an interest in medicine/health or just for anyone who loves hilarious and at the same time heartbreaking and sobering stories. I stayed up till 3am one night to finish it because it was just too good to go to sleep.

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Not for the prudish but well written/read

DISCLAIMER: If you are at all squeemish about language or such. Don't read this book. The author is a former Obstetrics and Gynaecology doctor so his anecdotes generally relate to the private regions of both genders, birthing, fertility and related activities. His language is... shall we say "colourful" at times.

Having said that, he brings a window into the world of a "junior" doctor and the impact that has on their lives, relationships and mental health, in a fresh and amusing way. I put "junior" doctor in quotation marks because he rises up the ranks with around 6 years clinical experience but "junior" apparently refers to anyone below consultant.

I enjoyed the fact that he used Harry Potter pseudonyms for anonymity and linked them somewhat to the characters. Particularly unpleasant patients or superiors shared names with death eaters, annoying ministry officials took the names of annoying ministry of magic employees, an early tutor was "Professor Flitwick" and Adam's best friend was Ron Weasley.

Most of the book takes a light hearted look, and somewhat sarcastic jab, at the NHS. In fact the book was born out of a comedy act which sought to redress what Adam felt was an unfair portrayal of junior doctors by politicians. However, it ends with quite a serious explanation of his departure and a very clear expression of his feelings about the NHS vs Junior Doctors disputes of 2015/2016. As a teacher in NZ facing similar industrial disputes I found I identified with much of what he was saying in this section. Obviously not the level of consequence/responsibility doctors carry, but many of the other aspects like a workload in compatible with a personal life (although for NHS doctors it's far worse), serious understaffing, underfunding causing issues with patient (or, for us, student) care, the government's blame game, and the stress caused by unfair expectations, to name just a few.

Overall, I felt this was an accurate representation which had the ring of truth. Adam clearly has a gift for comedy and writing as well as the intelligence for medicine.

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Soooo Good

Couldn't stop listening. A very important book. Should be compulsory listening for anyone who visits the dr., has been to hospital or is interested in how the NHS operates & the extreme conditions doctors work under.

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Best audible book ever!

Excruciatingly funny, highly recommended! I am also a medical doctor and this really took me back to my years as a junior resident (not so long ago!).

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Eye opening

Loved it. Very eye opening, hard hitting, hilariously funny and very sad. Validates that I could never do a job dealing with the general public!! Also highlights complete ignorance of the government.

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Best book ever

This was the funniest book, such a true look at all aspects of the health industry. I found myself laughing out loud . Thank you

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Crushingly Real.

The truths of life as a junior doctor laid bare - joys, sorrows and mediocrities. It's hard to believe there's any credibility in the argument that doctors are "just in it for the cash" after having witnessed what they go through.

This is essential reading for anyone who wants to work in the field, and absolutely essential for anyone who wants to take control over public health services.

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  • Giveaman Amask
  • 17-06-2018

Important and Funny

Mostly it's a lot of funny stories about being a doctor (in the UK), but underneath the funny stuff are some important, deeper stories.

Medicine may be the most admired career, and yet Adam Kay walked away from it. Why?
That's what this book is about. It's about him coming to terms with giving up something he put so much into, and really took over his life, or perhaps ruined his life. It's a cautionary tale, too, about bad government policies that take a situation where physicians will do heroic work for pennies, and wrecking this valuable part of British society.

I really loved this book. It made me want to have the author as a friend.

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  • Lauren
  • 23-09-2017

Hilarious insight into the life of a junior doctor

Would you recommend this audiobook to a friend? If so, why?

Couldn't recommend this book more highly, a must read for any soon-to-be or current medic.
Hilarious bite sized anecdotes from the under appreciated life of a junior doctor.

Any additional comments?

Would recommend this book 100% to anyone vaguely interested in medicine or the current state of the NHS.

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  • The_Animagus
  • 23-09-2017

Well written, Well told

Birth, death, and all the dirty stuff in between, Adam has written a fascinating account of being a Junior Doctor and beyond. In addition he tells his tales with the smoothness of a stage performer.
What's more, I'm a vet, and it's nice to know other medical professions get the same problems as we have. But nationalised, and with the health of the country on their shoulders.
Gods bless this NHS

30 of 31 people found this review helpful

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  • A. Grainger
  • 12-09-2017

Brilliant!

The best book I have ever had the pleasure of listening to. Adam Kay made me both howl with laughter and cry with sorrow. His writing is eloquent and his reading of the book is brilliant. I highly recommend it to everyone, Fellow NHS staff will empathise with him and his struggles. Non NHS staff should listen to it for an insight into a truly unique world.

23 of 24 people found this review helpful

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  • rachch
  • 20-09-2017

Heartbreaking and hilarious!

I hardly ever write reviews but this is such a great audiobook I had to! I've seen Adam perform his music live several times and love his dry sense of humour but this book is on another level - but gave me more to think about afterwards than I expected. Excellent as an audiobook read by him.

9 of 9 people found this review helpful

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    4 out of 5 stars
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  • Dave
  • 29-11-2017

A wonderful raconteur.

Probably not a good read if you are in the midst of pregnancy. But overall great anecdotes, not too ranty when it comes to the challenges of the NHS, incredibly funny in places and make you remember there’s nought so queer as folk.

8 of 8 people found this review helpful

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  • M
  • 21-12-2017

Echoes what is happening in education too

Thanks for sharing this funny but heartbreaking tale of the issues leading up to the brain drain from the NHS and it’s ultimate privatisation. Wish you all the best in your new career but wish you’d been able to use your talents as a doctor as your empathy and emotional intelligence shine through the book.

7 of 7 people found this review helpful

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  • John B
  • 26-11-2017

Shocking, emotional, funny insight

I was expecting the job to be hard, but nothing like this. I hope this book can help change many perspectives on what a life of a doctor really is.
Great book, would definitely buy a part two even if it was the more mundane.

5 of 5 people found this review helpful

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  • P Mac
  • 09-11-2017

A must listen

A compelling book. Interesting, eye opening, funny, sad, awe inspiring and well presented in audiobook by the author. A must listen in my humble opinion.

11 of 12 people found this review helpful

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    5 out of 5 stars
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  • William
  • 11-09-2017

Life is for enjoying not enduring.

If you could sum up This Is Going to Hurt in three words, what would they be?

Doctors need support.

What did you like best about this story?

The amount I learned.

What does Adam Kay bring to the story that you wouldn’t experience if you had only read the book?

Feeling.

Did you have an emotional reaction to this book? Did it make you laugh or cry?

Made me feel deeply for all those people who give their all for so little monetary return having to rely on their inner mental and emotional strength.

Any additional comments?

A must read that enables you help those who are helping you.

11 of 12 people found this review helpful

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  • Dr Marianne Ross
  • 04-11-2017

Loved it

Should make all friends and family of medics listen to it. Cathartic, made me want to cry at times

7 of 8 people found this review helpful

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    5 out of 5 stars
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  • Adam Bharmal
  • 21-10-2017

Amazing

Hilarious and crushingly poignant. Well worth a listen by medical students, doctors and everyone else

7 of 8 people found this review helpful