What I Was Not Taught

Read. Laugh. Learn.

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Book Reviews

“I enjoyed immensely reading this book from cover to cover, with many laughs along the way. [John] has done an excellent job at capturing both the fun and foibles of learning and practicing anesthesia. Every anesthesia provider should read it for pleasure and education.”
~ C. Philip Larson, MD, Professor Emeritus, Stanford University, Anesthesia and Neurosurgery
Professor of Clinical Anesthesiology, UCLA School of Medicine

“What John has written in the pages of a rudimentary spiral bound book are currently just as valuable if not more [at times] than the leather bound shrink-wrapped volumes of Miller's.”
~ Kansas University Nurse Anesthesia Student, Class of 2011

“This book is not only laugh-out-loud hilarious but quite informative and helpful to the anesthesia student at all levels. It provides invaluable advice that, as the title states, you are NOT taught in anesthesia school–and does so in the most entertaining of ways! John Marble provides readers with lessons learned from years of “real world” experience, and in my opinion, those lessons have helped me become a better anesthesia provider. The book is well worth every penny. I highly recommend it. It is undoubtedly the most hysterical anesthesia book I have read, yet is filled from cover- to cover with practical information that is useful in every day practice. Who knew that learning could be so much fun?”
~ LSU Nurse Anesthesia Student, Class of 2009


Before getting started, I just want everyone reading this to know that what follows is not a self-righteous diatribe essentially stating my likes and dislikes as they relate to the practice of anesthesia; although it does mention some form of the word “I” 1,967 times. After all, “I” am by no means perfect and “I” make plenty of mistakes every day.

On the contrary, I simply wanted to put together a book that [at the very least] would make students aware of the situations and decisions that they will be faced with each day when exploring the new frontier of the operating room. It is NOT meant to be an anesthesia textbook. Instead, it is geared towards preparing the student in an attempt to get the most out of their clinical rotations while establishing a routine well before they are out and practicing in an unsupervised setting. Additionally, it encourages them to think outside of the box while learning anesthesia and to [tactfully] challenge overt misinformation, especially that in which its universality is severed outside of teaching institutions.

Though essentially extrapolated from my own clinical endeavors, I am convinced – and preliminary critical reviews by my peers have indicated – that the average student will gain more relevant clinical knowledge by reading this book [just once] than reading over and over those claiming to possess the “secrets” of certain professions. Even if the student reader disagrees with 90% of it, they are still exposed to the real-life situations presented within and are made aware of the possibility of alternative methods that can be utilized in order to avoid particular consequences. I whole-heartedly believe that I did not and that students will not get the gist of this information from “typical” anesthesia textbooks or reference manuals.

I must warn you that I generally have an opinion on everything and I’m not afraid of writing it down on paper; but please note that I did NOT say that I am “right” or “correct” about everything. Of course I’m taking a chance here, for I am not a scholar. I will not break things down to a cellular level while attempting to explain the concepts within; as this book is far from scientific. Furthermore, I really do not believe that it will be well received in certain anesthesia circles. Consequently, I feel the need to inform you that it can either be used as a template by those desiring the avoidance of unnecessary techniques or as toilet paper by those that it may rub the wrong way (no pun intended). You may think to yourself that I am dead on in my approach to a certain aspect of anesthesia practice while reading one section, but the next one may cause you to curse out loud and throw the book in disagreement. If you ever meet me, you may want to kick me in the crotch before shaking my hand. However, regardless of your viewpoint, it is my belief that you will have fun laughing out loud at the mistakes that I’ve made and the conclusions I’ve reached over the years. And if you’re not careful, you may even learn something new in the process. Have fun reading it and let me know of your feedback (both good and bad) via e-mail at elbramnhoj@yahoo.com.