"One doctor, writing about D&X, said something that particularly struck me—that the actual practice of medicine, the stuff that goes on behind closed doors, is often gruesome, gory, and messy. Saws whine, bones crack, blood spatters. We outside of the profession are mostly shielded from this reality. Our model is white sheets, gleaming linoleum, and Dr. Kildare. Face-lift, hip replacement, bypass, liver transplant—many people would faint dead away at a detailed description of any of these. Doctors roll up their sleeves, plunge in, and do tough, nervy, drastic, and risky things with our very meat-bone-and-gristle bodies, under occasionally harrowing circumstances."

http://motherjones.com/politics/2004/09/way-it-was?page=4