Selasa, 11 November 2014

!! Ebook Download The House of God: The Classic Novel of Life and Death in an American Hospital

Ebook Download The House of God: The Classic Novel of Life and Death in an American Hospital

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The House of God: The Classic Novel of Life and Death in an American Hospital

The House of God: The Classic Novel of Life and Death in an American Hospital



The House of God: The Classic Novel of Life and Death in an American Hospital

Ebook Download The House of God: The Classic Novel of Life and Death in an American Hospital

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The House of God: The Classic Novel of Life and Death in an American Hospital

Will be shipped from US. Brand new copy.

  • Sales Rank: #80754 in Books
  • Published on: 1980-12-30
  • Binding: Mass Market Paperback

Most helpful customer reviews

3 of 3 people found the following review helpful.
Five Stars
By howmac
It's a Classic, must read for all new & young doctors, and enjoyable for older doctors

0 of 0 people found the following review helpful.
Honesty can be horrifying
By Marianne Broz Wassel
Absolutely mind-blowing account of the life and lives of interns at an East Coast hospital.....possibly Mass General in the 70's. Some of the hours of duty have been changed (as have the techniques) in recent years, but becoming an MD is quite different from the fairytale that a layperson often imagines.. Fortunately, I know an integrity-driven and incredibly honest physician who encouraged me to read the book. I'm intensely grateful to her; and from now on, I intend to stay well.

2 of 7 people found the following review helpful.
An interesting book. Should be read by physicians in training
By Carlos T. Mock
The House of God by Samuel Shem, MD

This is the fourth or fifth time I've read this book. Each time I take a star off in my review.

My first time was just before I started my internship at Cook County Hospital in Chicago. The last one was today. Originally written in 1978, under the shadow of the Nixon Watergate scandal, the book covers a year in the internship of Dr. Roy G. Basch at The House of God - a hospital built by very rich Jews so that Jewish doctors could get trained.

Dr. Basch comes from an idealistic pursue of the practice of medicine and is immediately confronted with the reality of GOMERes - an acronym for Get Out of My Emergency Room - patients. Goreres are very old people with incurable diseases that The House of God is determined to keep alive because it means monetary compensation for the hospital. Gomeres don't die and they can always hurt you more - two of the laws that Basch's savvy resident - The Fat Man - has created to help in the survival of interns. By doing nothing to the gomeres, they improve their condition. By intervening, they get worse. The book's satire is painful and very negative to the practice of medicine culminating in the final law: The practice of medical care is to do as much as nothing as possible.

Basch suffers from one bad experience to the next and it climaxes with the suicide of Wayne Potts - one of the interns. His descent into madness is broken thanks to the intervention of his girlfriend - and future wife - Berry, and two policemen - Sargent Finton Gillheeny and Officer Quick - who hang out in the House of God's ER to learn from the brilliant minds of the educated medical professionals. After being rescued from impending doom, Basch realizes he needs to get away from medicine and opts to do a psychiatry residency instead - after a year off.

Having passed the zenith of a successful career in Obstetrics and Gynecology and currently retired - I have a different perspective on this interesting work: medicine is not for everyone. The only purpose of the internship and residency programs in our country is to weed away those who are not fit to practice medicine. Dr. Basch had no business being an internist and his residency save the world from a very bad doctor being allowed to practice. For the truth is that no matter where you are in your career, it will always be the same: long hours and lots of work.

I'm scared of those who are trying to make resident loads"easier.' I feel they are doing a disservice to the American public. When I was working as a private attending in the western suburbs of Chicago, I worked 36 hour shifts. I worked tired and sometimes with little sleep. But I loved my work. I still miss the craziness of multiple deliveries in one night. It was my residency experienced at Cook County hospital who prepared me for that task.

By shielding the new residents from hard work, I fear we'll be allowing unqualified doctors to practice freely. From the days when C-Section rates were 2% to today when the rate is 33% - Obstetricians have lost the art of our profession. It's of no surprise tome that the US is the only industrialized nation where maternal mortality is increasing and our infant mortality rate is ranked 167th in the world. I strongly feel that we need to keep residents' workload more to the tune of what the real world will expect them to tolerate.

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