Life and Death Decisions: Fighting to save lives from disaster, disease and destruction (Hardback) - Dr Lachlan McIver

An action-packed tale of medicine in the most remote, poverty-torn areas of the globe from a Medecins Sans Frontieres doctor. Set to appeal to fans of War Doctor.

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'Just brilliant. The book of the decade.' - Professor Tim Flannery, Former Australian of the Year


'An honest, powerful and riveting book that demonstrates Lachlan's courage in the face of the hardest of circumstances.' - Levison Wood, Award-winning author, explorer and photographer


'Wow. A hugely important and enjoyable book that will restore your faith in humanity and what is possible... Deeply moving and at times tragic but never losing a sense of optimism or hope.' - Sir Jeremy Farrar, Director of the Wellcome Trust

Lachlan was sixteen when he found his father dead on the side of a dirt road in North Queensland, Australia. He had suffered a sudden heart attack and died alone. It was this tragedy that motivated Lachlan to train as a doctor specialising in providing medical care for people living in remote, resource-deprived locations.

Lachlan's work with the World Health Organization and Medecins Sans Frontieres has taken him to some of the world's most extreme environments, from the sinking islands of the Pacific to epidemics and war zones in the Middle East and sub-Saharan Africa.

In this no-holds-barred memoir, Lachlan recounts his experiences treating patients ravaged by tropical diseases, managing war wounds with drug-resistant infections, delivering babies by the light of a head torch, dealing with the devastating effects of climate change and narrowly avoiding being kidnapped by militia in the Democratic Republic of the Congo.

Tackling such impossible problems day in and day out inevitably takes a personal toll. Lachlan is ultimately forced to face his own battles with depression, alcohol abuse and bankruptcy.

Life and Death Decisions is a deeply human look at the personal cost of our broken global health system and a vital call to action.

About the Author

Dr Lachlan McIver is a rural medicine and public health specialist with a PhD in the health impacts of climate change. He currently works as the Tropical Diseases and Planetary Health Advisor at the headquarters of Medecins Sans Frontieres in Geneva. Lachlan is an Associate Professor at James Cook University and is the founder and past Chair of Rocketship Pacific Ltd - an international non-profit organisation dedicated to improving health in Pacific island countries. Lachlan's work has taken him to thirty different countries and he has published over fifty scientific articles and textbook chapters. He regularly speaks at international conferences on health. For more information, visit drlachlanmciver.com