Overview

What does it cost to keep saying ""yes"" when a system prefers to say ""later""? Newly minted oncologist Dr. Jeremy McGovern has barely hung his white coat when Marisol-a young, undocumented mother with aggressive breast cancer-lands in his clinic. The treatment plan that could save her is controversial. The coverage she needs is denied. What follows is a gripping fight through insurer ""second looks,"" committee rooms that smell of toner, and the after-hours trenches where real care happens. With a nurse who deals in structure, an interpreter who worships precision, a pharmacist who outsmarts billing codes, and neighbors who show up with soup and rides, Jeremy and his team build a new playbook for survival-one hard-won ""yes"" at a time. As therapy meets red tape and policy meets people, Against the Tide turns a hospital into a neighborhood and a case into a cause. Urgent, clear-eyed, and deeply humane, this novel counts the real costs of compassion and shows why the hardest fights in medicine are the ones worth having. You'll love this book if you enjoy: Propulsive medical fiction with ethical stakes and heart Insider realism about denials, approvals, and ""administrative burden"" A found-family hospital team (nurse, interpreter, pharmacist, social worker, surgeon) A hopeful fight for care at the intersection of medicine and immigration Quiet victories and clean margins Perfect for readers of Samuel Shem's The House of God, Abraham Verghese's Cutting for Stone, Atul Gawande's clinician-centered narratives, or anyone who wants a novel with a beating heart behind the chart.

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