Jim Down

'A remarkably honest memoir of a life spent pulling people back from death' - Adam KayIn these stories, Dr Jim Down brings us to the very heart of the intensive care unit - the section of the hospital where the sickest patients are brought to be cared for until their condition improves. With honesty, humility and a streak of dark humour, Dr Down describes the quietly heroic work of doctors and nurses on the ICU, a place which sits at the cutting edge of medical technology and where a split-second decision can make the difference between life and death. From headline-grabbing cases like that of Alexander Litvinenko, poisoned by Russian agents and admitted to Down's ward, to the appalling aftermath of a train crash, Life in the Balance offers an inside glimpse of intensive care medicine, its immense challenges, deleterious effects on doctors' mental health and enormous rewards. Its profundity will make you reconsider the fragility of life and reframe your understanding of what it means to care.

'A remarkably honest memoir of a life spent pulling people back from death' - Adam KayIn these stories, Dr Jim Down brings us to the very heart of the intensive care unit - the section of the hospital where the sickest patients are brought to be cared for until their condition improves. With honesty, humility and a streak of dark humour, Dr Down describes the quietly heroic work of doctors and nurses on the ICU, a place which sits at the cutting edge of medical technology and where a split-second decision can make the difference between life and death. From headline-grabbing cases like that of Alexander Litvinenko, poisoned by Russian agents and admitted to Down's ward, to the appalling aftermath of a train crash, Life in the Balance offers an inside glimpse of intensive care medicine, its immense challenges, deleterious effects on doctors' mental health and enormous rewards. Its profundity will make you reconsider the fragility of life and reframe your understanding of what it means to care.

All royalties, a minimum of £2.50 from the sale of each book, will be paid to NHS Charities Together (registered charity no. 1186569) to fund vital projects. When the UK went into lockdown in March 2020 to contain the spread of the Covid-19 virus, artist Tom Croft offered to paint an NHS key worker’s portrait for free. Unsure how to help and offer his support, he wanted to capture and record the bravery and heroism of frontline workers who were risking their physical and mental health for our wellbeing. Tom suggested that other artists might want to do the same. He made his offer via video message on Instagram and was immediately contacted by Harriet Durkin, a nurse at the Manchester Royal Infirmary, who had contracted Covid-19 and, now recovered, was about to return to the frontline. Tom’s portrait of Harriet, wearing PPE, was the first in what became a global art project. The response to the initiative was staggering and Tom personally paired up 500 artists and NHS workers in the first two weeks. When numbers reached the thousands, Tom set up a traffic light system so that artists and frontline workers could match themselves. Portraits in all mediums followed, from oils to pencil, sculpture to ceramic, mosaic to mural. This book presents a selection of these remarkable images, including some by leading artists such as Alastair Adams and Mary Jane Ansell, showcased here as both a celebration and a remembrance, in physical form, of the dedication of our NHS key workers. ‘I just couldn’t imagine what it must be like to have to put on your PPE and head into the frontline of the pandemic, so I wanted to try and thank NHS workers in some small way. We are indebted to them, so to be able to commemorate, celebrate and record their experiences through portraiture felt fitting. This collection will stand as a permanent record of their bravery in a time of national crisis.’ Tom Croft