Dr Phil Hammond is unashamedly open about his profession. He provides a rare insight into the dark side of medical culture and training. As patients we can sometimes experience an overwhelming pressure to keep quiet and hand over our health care lock,stock and barrel to the doctor sitting in front of us. Doctors may want to do their best for every patient they meet, but in this book Hammond reveals to us a real human tapestry against which failure and mistakes occur routinely and unsurprisingly given the historical background, culture and initiation rites of medical students. It is a sad tale and it needs changing not only for the well being of patients but for the well being of doctors too. His message is like a clarion call to the public. Inform yourselves, remain constructively sceptical, and take responsibility for your health care. Above all do not be afraid to ask questions. If you don't know which questions to ask Dr Hammond has thoughtfully provided a list for you. There is also a message to the Royal Colleges. Open your eyes and end your culture of cover up and secrecy. Regulate your profession prospectively, be accountable for your mistakes. Patients do not expect you to be GOD, they expect you to give them clear, real anwers to the difficult questions they ask, so they can make informed choices which maintain their self- respect and dignity. Next time you are in a hospital as a patient make sure you have access to this book. it will act as a powerful advocate of your well-being and give you a measure of autonomy. Maria Shortis - parent of child who died following heart surgery at Bristol in 1987. Founder member BHCAG (Bristol Heart Children Action Group) Director CDCA -Constructive Dialogue for Clinical Accountability