David Zigmond

"If you want good personal healthcare - see a vet."

Icarus Plummeting

Due for release in early 2026

Why do we suffer? And how do we heal?

How much of healthcare lies beyond procedural and readily-defined fixes? And what is this vast but more elusive hinterland?

Such questions are vital to understanding how we may best engage with one another’s ill-fate, vulnerabilities and our inevitable transience. How this is done very much reflects the culture of the time: all our desires, delusions, efficiencies, fears and follies. Patterns of healthcare reflect not just biomedical objective facts: they tell us quite as much about our shared yet individual humanity.

Here is an unusual and highly readable exploration of these issues – an anthology of essays sourced from a frontline medical practitioner’s notebooks as he experienced his work changing over several decades. Lively vignettes capture the more intimate experiences of healthcare encounters and the enduring residues of meaning; perspectives varifocus between the personal, the professional and the cultural.

This book’s Leitmotif? Medicine’s undoubted modern bioengineering triumphs are often at the expense of our personal ecology – sharper and accelerating treatments displace and neglect our care; commodification is easier than comfort; and technical definition eclipses personal understanding. The price we pay for this loss of balance is heavy and wide, yet – like our industrialised environmental damage – its gathering momentum is insidiously treacherous.

Yet, as the stories here show, hope lies in reclaiming the centrality of personal relationships and understandings for our healthcare.

Icarus Plummeting
Human or Cyborg?
Healthcare’s trajectory in our digital age

Icarus Plummeting

“If this book were a painting, it would be hanging in a gallery. It’s a work of art. If it were a landscape, it would be rolling hills and dappled sunlight. It might be a mirror, reflecting ourselves, life; what it is and what it was. It could be a finely worked cabinet displaying everything that is precious and we should keep safe. 

This book hasn’t been written, it’s been crafted from years of priceless experience and observation. It’s a masterwork and a must-read.”

Roy Lilley

Veteran healthcare broadcaster and author

“Fascinating … Zigmond’s accounts from his fifty years as a frontline NHS doctor are brought to life with penetrating clarity and imagination.  His engaging and colourful language illuminate, then spotlight, how our complex personal underworlds are so often out of kilter with our publicly administered responses.  He shows us, too, how advances in our technology all too readily worsen this discrepancy.  This is a slim volume, yet it is packed with rewarding challenges and insights – personal, social and political.”

Caroline Wheeler

Political Journalist and broadcaster

“Zigmond does not analyse his stories, but rather invites us to allow them, by their resonance to analyse us.  Through their moral sensitivity, the stories invite us to be the person we really want to be.  This book is not about the ‘good old days’ and neither does it belittle our remarkable technological improvements.”

William House

British Journal of General Practice

“Yet again, David Zigmond has put together a marvellous book!  Doctors claim that medicine is both a science and an art, but so often we are hooked on the science and don’t give much thought to what the ‘art’ of medicine might actually mean.  Zigmond shows us just what it means – it means humanity. … We need to heed what David Zigmond is saying.”

Professor David Misselbrook

Es-Dean, Royal Society of Medecine, GP and author

“David Zigmond’s poignant and arresting stories tell us so much about what of great value we have carelessly discounted, trampled on and squandered.  This beautifully written book reminds us powerfully of so many other neglected or abandoned human possibilities.”

Sarah Hanchet

Psychotherapist and ex-NHS Manager

Icarus Plummeting is brialliant.  Zigmand regrounds us: his many colourful vignettes and sharp arguments make clear the price we are paying for neglecting certain principles. … This book’s tales may touch your heart, yet chill your foresight.”

Martin Simon

Social entrepreneur and Founder, Timebank UK

Icarus Plummeting is a very readable, highly challenging view of our culture.  If you want such serious matters conveyed to you by vivid and affecting personal stories – rather than data and abstract arguments – then this is the book for you.”

Simon Duffy

Social activist and author, and Director Citizen Network

Contact

For book sales enquiries:
info@filamentpublishing.com

Information and personal contact:
davidzigmond@icloud.com