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Although Professor Stephen Westaby was born with the necessary coordination and manual dexterity, it was a head trauma sustained during university that gifted him the qualities of an exceptional heart surgeon: qualities that are frequently associated with psychopathy. His 35-year career has been characterised by fearlessness and ruthless ambition, leaving empathy at the hospital door as thousands of patients put their lives in his hands.

Grim Reaper sits on the heart surgeon's shoulder. A slip of the hand and life ebbs away. The balance between life and death is so delicate, and the heart surgeon walks that rope between the two. In the operating room, there is no time for doubt. It is flesh, blood, rib retractors and pumping the vital organ with your bare hand to squeeze the life back into it. An off day can have dire consequences - this job has a steep learning curve, and the cost is measured in human life. Cardiac surgery is not for the faint of heart.

In gripping prose, one of the world's leading cardiac surgeons lays bare both the wonder and the horror of a life spent a heartbeat away from death. When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be.

This audiobook chronicles the triumphs and failures of his surgical life. Having spent his childhood in the backstreets of a northern steel town, he went on to become one of the world's foremost heart surgeons. His drive for perfection in his profession took him to the world-renowned Harefield Hospital, the foremost heart surgery centre in Birmingham, Alabama and the newly-created Cardiothoracic Centre in Oxford. Then in 2019 in Wuhan he was the first Western doctor to learn about Covid-19 before the virus was identified.