When Médecins sans Frontières (MSF) offered to send Maureen Mayhew to Taliban-occupied Afghanistan, she refused. Fearing she would be forced to give up her independence to preserve her safety, it was the last place on earth she wanted to volunteer medical expertise. But events didn’t unfold as she had anticipated and in April 2000, wrapped in unfamiliar clothing, she stepped out onto the Afghan dust for the first time. Walking toward Taliban immigration officials, a fire raged in her belly and a tremor shot through the hand grasping her blue knapsack. Little did she know that she would return to this country seven more times over the span of a decade, learn to converse in the regional Afghan language of Dari, and develop lasting relationships with women, men—even members of the Taliban—and families through her work as a physician.

In Hand on My Heart: A Canadian Doctor's Awakening in Afghanistan, Mayhew juxtaposes her experiences of Afghanistan as a foreign, female physician with her personal journey of questioning who she is as a professional woman in the 21st century. As she travels from one remote outpost to another, sharing cups of tea in secret, muddling through language barriers, and brokering trust with her patients, she finds her Western beliefs challenged and makes sense of her own struggles with gender roles. With curiosity and tenderness, Mayhew reflects on moments of disorientation, fear, wonder and joy. Hand on My Heart is a moving account that takes readers on an uncharted path into the mysteries of the human heart.

Maureen Mayhew earned a medical degree from McGill University, a Masters degree in public health from Johns Hopkins University, a fellowship in research methods from the University of British Columbia and a certificate in life coaching from the Co-Active Training Institute. She has practised medicine in eight provinces and two territories of Canada, as well as abroad with Médecins sans Frontières. Currently, she volunteers for MSF as a peer support worker. As a UBC clinical professor, she has instructed on topics in global health, refugee health, remote health care and primary care. Her research has been published in peer-reviewed, scientific journals and portrayed in two educational films. She has published articles about her experiences in Afghanistan in the Canadian Medical Association journal and contributed to Outside the Wire: The War in Afghanistan in the Words of its Participants. Her passions include travelling to far reaches of the globe, active forays into nature, stunning photography, and novelty of many sorts.

Maureen Mayhew's profile page

“Equal parts adventure story, personal memoir, and empathetic portrait of the Afghan people, Hand on My Heart gives us a literally behind-the-veils view of life in one of the world’s least understood countries. Maureen Mayhew writes with a doctor’s precision and a novelist’s sense of story about her decade on the ground in Afghanistan as a physician, gaining rare access to the family and intimate lives of people caught up in the tides of history. The story is by turns sad, wise, and joyful, leaving the reader deeply moved by Mayhew’s personal story, the story of Afghanistan, and the deep thread of shared humanity running throughout both.”

—Thomas Hayden, Stanford University, author of Sex and War and On Call in Hell

“A remarkable and revealing journey into the heart of both Afghanistan and the insightful narrator. As this compassionate and nonjudgmental narrative unfolds, Dr. Mayhew immerses herself in Afghan customs, including the importance of family and belonging, and discovers a new way of seeing and knowing herself. Hand on My Heart is a compelling story of medical aid, of discovery, and personal growth.”

—Barbara Sibbald, former MSF volunteer, medical humanities editor and author of The Museum of Possibilities and the forthcoming Twelve Annas to a Rupee

“From first touchdown on a desolate airfield, Hand on My Heart travels beyond the journalistic and political images of Afghanistan and lifts the veils to reveal the hearts of the Afghan people. Through the lens of a physician, Dr. Maureen brings the reader on her daily adventures, confronting fears and isolation with respect and joy. Building trust and learning the language, she bonds with men and women to confront the web of religion, gender, and health. Always teaching yet learning even more, she explores the relationships of men and women and sees herself. The book demystifies the human side of Afghan life and reminds us of the universal connections we all share.”

—Thomas A. Burke, PhD, MPH, Professor Emeritus, Johns Hopkins University, Bloomberg School of Public Health