Weekends at Bellevue

Weekends at Bellevue
by Julie Holland

Weekends at Bellevue
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Book Summary Information

Author: Julie Holland
Edition: Hardcover
Audio: English (Unknown); English (Original Language); English (Published)
Published: 2009-10-06
ISBN: 0553807668
Number of pages: 320
Publisher: Bantam

Book Reviews of Weekends at Bellevue

Book Review: Read this book for yourself. You will be soo normal.
Summary: 5 Stars

If you expect this book to be some kind of 'report' about a psychiatrist's work at the emergency you may be disappointed. If you expect this to be a book about how one, or Julie Holland in particular, would be the *perfect* doctor for people that end up at the psych ER in Bellevue, you will not like everything you read.

This is an autobiography, written with a level of honesty that many of us would not dare have with our therapist. That way it is a great book. Julie's shocking honesty about how she had to learn to become more human is incredible. In the book she evolves over time from the hard person to in the end become the person who could no longer be hard enough to keep working there. She too needed therapy and she is open about it. That is, I think, why it is a book that mixes her personal stuff and the Bellevue nights throughout the book. This too is what make this book so valuable: the raw honesty about herself. The raw honesty about all of us.

Read this book for yourself. Reading this book will make you feel so normal. I recommend this if you ever think that you too may be crazy, get depressed or you sometimes fear your own thoughts. Julie's openness showed me that I'm pretty normal and that it is really OK to have to deal with my own demons. This book changed my life, or at least my view on life for the better. Thank you Julie.

I would have never picked up a book like this if I would not have met Julie Holland. It is not my field after all. Maybe it is written for people like you and me, not the medical professionals, so read on, you are human :-) . In Barns & Nobles it is stored under medical, to me it feels more like it fits under "learn about yourself" type of works.

I read it as an audio book, read by the author. Many authors are not good readers. Julie Holland pulls it off though. I guess her past as a singer helps her deliver the needed vocal richness.

If you want to learn more listen to the related interview by Terry Gross on Fresh Air [...]
Oh and a lot of it is plain fun to read.

Bart

Summary of Weekends at Bellevue

Julie Holland thought she knew what crazy was.
Then she came to Bellevue.

New York City?s Bellevue Hospital, the oldest public hospital in the United States, has a tradition of ?serving the underserved? that dates back to 1736. For nine eventful years, Dr. Holland was the weekend physician in charge of Bellevue?s psychiatric emergency room, a one-woman front line charged with assessing and treating some of the city?s most vulnerable and troubled citizens, its forgotten and forsaken?and its criminally insane. Deciding who gets locked up and who gets talked down would be an awesome responsibility for most people. For Julie Holland, it was just another day at the office.

In an absorbing memoir laced with humor, Holland provides an unvarnished look at life in the psych ER, recounting stories from her vast case files that are alternately terrifying, tragically comic, and profoundly moving: the serial killer, the naked man barking like a dog in Times Square, the schizophrenic begging for an injection of club soda to quiet the voices in his head, the subway conductor who watched a young woman pushed into the path of his train. As Holland comes to understand, the degree to which someone can lose his or her mind is infinite, and each patient?s pain leaves a mark on her as well?as does the cancer battle of a fellow doctor who is both her best friend and her most trusted mentor.

Writing with uncommon candor about her life both inside and outside the hospital?her professional struggles, personal relationships, and the therapy sessions that help her crack the hard shell she?s formed to keep the pain at bay?Holland supplies not only a page-turner with all the fast-paced immediacy of a TV medical drama but also a fascinating glimpse into the inner lives of doctors who struggle to maintain perspective in a world where sanity is in the eye of the beholder.
Amazon Exclusive: Julie Holland on Weekends at Bellevue

No one is immune from mental illness. After working at New York City?s Bellevue Hospital for nine years, as the psychiatrist in charge of admissions at the psych E.R. on Saturday and Sunday nights, I came away knowing this for sure. Over the years, I admitted heiresses and art dealers, altar boys and college students, homecoming queens, studio executives, bankers, lawyers, correction officers, and the list goes on. No matter who you are, what you do for a living, how much money you have in the bank, or how often you go to church, circumstances can transpire that will bring you to Bellevue. This is one of the hardest lessons for our patients to learn.

My years at Bellevue taught me many things, life lessons I could never have hoped to receive elsewhere, but the main take-home message was this: cherish your sanity, for it can be lost in the blink of an eye. Sometimes I saw the same patients repeatedly, alcoholics and addicts who were hitting bottom in regular cycles, showing up when their funds ran out. Other times, however, I met patients with no psychiatric history, who ended up at Bellevue when a bad break-up led to a suicide attempt, or a shared cigarette at a bar led to a PCP-induced psychosis. There are so many ways in which a life can suddenly unravel, and many of my patients could specify just when that started to happen for them--whether it was joining the army, leaving home for college, or living through the death of their child.

Many of the people I encountered at Bellevue tried strenuously to convince me that they did not belong there. Or vice versa. A big part of my job was learning how to separate the genuinely disturbed from the fakers (some people actually wanted to be admitted to Bellevue, if only for the promise of a clean bed and three meals a day), and to identify the people who had been misunderstood, misdiagnosed, who weren?t mentally ill at all. After a few years of Bellevue experiences under my belt, I developed a sixth sense for what real crazy looked like, sounded like, and yes, smelled like. One night a young man was brought in to the E.R. because he was found on a street corner preaching to passersby to give up their worldly possessions. I knew enough to listen and wait, and not rush to judgment, even though it might have seemed a no-brainer to admit him. Once I was able to draw him out, I learned that he had taken psychedelic mushrooms and then spent time in a Chelsea art gallery known as COSM, which I myself had been to and knew to be an intense, inspirational and potentially overwhelming experience, something that might well unhinge a person on mind-altering drugs. I spoke with him gently as his trip slowly ebbed, helping him to navigate his re-entry in the city hospital where he had landed with no money or identification. He stayed in touch with me for months afterwards, grateful that I was there to protect him when he soared--however briefly--beyond the boundaries of normal behavior.

There is a diaphanous membrane between sane and insane. It is the flimsiest of barriers, and because any one of us can break through at any time, it terrifies us, causing us to turn our backs on those who remind us of this painful reality. But spending so much time with people who marched out of the lockstep of sanity has made me less forgiving of the way the mentally ill are ostracized and shunned. We owe them something better. And we should remember that the barrier separating "them" from "us" is not nearly as secure as we might think.--Julie Holland

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