"Exceptionally well written, organized and presented."—Midwest Book Review
"An affecting account of living fully with a difficult disease."— Kirkus Reviews
"It is refreshing to read the perspective of Dr. Doggett and how she is handling MS clinically and personally. Her life-long dedication to medicine and compassionate fight to serve patients with MS is exemplified in this book. There is a great credibility when Dr. Doggett tells a patient “I understand.” This has encouraged me as a person with MS, just to know a practicing physician truly gets it!"
— Micah Love, MS warrior, activist, and author
"Lisa Doggett’s thoughtful new memoir, Up the Down Escalator, offers rare and vital insights into a health care system that continues to leave too many behind. As a family physician contending with MS, Doggett offers a raw, heartfelt account of her struggles to sustain a small community clinic, confront her own health challenges, and raises awareness for those who have been ravaged by the system's inequities. This book demands attention from those who seek a more just and compassionate world and want to understand how to make it so."
— Stacey Abrams, political leader, voting rights activist, and New York Times bestselling author
“Lisa Doggett writes candidly and with immense good humor and grace about her fears—for her health, her patients, her children, her husband—and her frustrations with same. She can be neurotic, unhappy, angry, but more than anything she is compassionate, strong, and always learning. To grab at our gut, a memoir must be fearless and unflinchingly honest. Funny helps, too. Doggett delivers, and how.”
—Julie Powell, New York Times bestselling author of Julie and Julia
"A physician serving impoverished, uninsured patients, while coping with her own serious health problem, could be a story filled with darkness—but not this memoir. Instead, Dr. Lisa Doggett offers the consistent luminescence of compassion and hopefulness along with a much-needed vision for a more humane healthcare system. It is truly inspirational!"
—Ron Pollack, chair emeritus, formerly founding executive director, Families USA
"Texas native, Dr. Lisa Doggett’s new memoir, Up the Down Escalator: A Doctor Navigates Disease and Disorder, brings rarely shared personal reflections of a compassionate primary care physician who provides health care to the poor and forgotten but must face her own unknown future when she receives a diagnosis of Multiple Sclerosis (MS). In vivid details, Dr. Doggett shares her experiences as clinician, mother and wife through meaningful and intimate conversations, and personal monologues of internal thought processes and private emotional struggles. As a result, I came to reflect on my own privilege, clinical care experiences, periods of personal struggles, and the growing truth of my own vulnerability. Yet, Up the Down Escalator is inspiring and uplifting, for those curious about physicians with their own health challenges, or for those with the challenge of MS. But most all, Dr. Doggett’s memoir speaks to all of us of that fragility of our human experience buoyed by the profound discovery of the power of our human spirit through love and our inner determination. A beautiful read!"
—David W. Willis, MD, FAAP, Senior Fellow, Center for the Study of Social Policy, Director for the Nurture Connection Initiative
"To be heard, seen, and believed is what any person wants from a doctor. To have that doctor understand and share the exam table side of the doctor-patient relationship is rare and eye-opening. Lisa walks us through that progression in her career and personal life. A must read for doctors and patients alike."
—Lisa Sailor, MS and disability activist
"In Up The Down Escalator, Dr. Lisa Doggett capably knits together her personal journey from loss to hope following her diagnosis of MS with the heart-wrenching stories of those she cared for with compassion and humility. She shows us the power of love and purpose against the odds of a disease that does not discriminate and a healthcare system that does."
—Léorah Freeman, MD, PhD, Neurologist and MS specialist, Dell Medical School, The University of Texas at Austin
“Lisa Doggett weaves together the complexity of being a physician, a parent, and a patient. In a book that will hold the reader’s attention from the first page to the last, Doggett copes with the ordeal of getting a diagnosis and finding effective treatment, and the challenges of building a life and career with multiple sclerosis. One does not have to have MS to be inspired by this book and how Doggett shares her challenges with clarity, transparency and humility.”
—Joy H. Selak, PhD, author of You Don’t LOOK Sick! Living Well with Invisible Chronic Illness and CeeGee’s Gift
2023-08-01
A physician’s life juggling a busy career and motherhood is further complicated by multiple sclerosis.
In 2009 Doggett, while working on her personal efficiency in her clinical practice and raising two young children, began experiencing unexplained dizziness and double vision. “This time, I was the medical mystery,” she writes. “I kept racking my brain for an explanation and willing myself to make it disappear.” A diagnosis of MS refocused her energies, and she embarked on a wellness journey, bolstered by community connections yet hobbled by unpredictable relapses, depression, denial, sleeplessness, and, eventually, hard-won acceptance. The author, co-founder of Texas Physicians for Social Responsibility, writes candidly about the challenges of treating uninsured patients, many of whom suffered from mental illness and chronic disease. Doggett highlights a wide variety of clinical cases, tapping into the “intimate connection with misery” she has experienced with her own illness during her career. Thankfully, the author sprinkles in lighthearted moments—e.g., an anecdote about meeting her future husband, Donny, at a party at MIT. Most memorable are Doggett’s knowledgeable perspectives on the countless thorny aspects of American health care. She wrestles with an “unfair and unethical” system that “value[s] quantity over quality, and procedures—biopsies, surgeries, colonoscopies—over face-to-face time and the thinking part of medicine.” She also struggles with the unavailability of birth control for those who need it and the complex paradox of health insurance. The author presents a real-time narration of her spinal tap procedure, and she consistently demonstrates her resilience and personal growth. The text is smoothly and meaningfully narrated, and her testimony validates those living with chronic illnesses while offering hope in the form of new and proactive avenues toward symptom management. Readers struggling with MS (or careerdom and motherhood) will find much to ponder and appreciate in Doggett’s candid perspective.
An affecting account of living fully with a difficult disease.