Download , by Samuel Shem
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, by Samuel Shem
Download , by Samuel Shem
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Product details
File Size: 1307 KB
Print Length: 403 pages
Page Numbers Source ISBN: 0552991228
Publisher: Berkley; Reissue edition (September 7, 2010)
Publication Date: September 7, 2010
Sold by: Penguin Group (USA) LLC
Language: English
ASIN: B00400NHRO
Text-to-Speech:
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Amazon Best Sellers Rank:
#41,112 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
This was written about medicine in the early 1970s. Much has changed in the profession, and the world, since then. Still, there's an underlining theme in this story that has endured over time. I first read it in the late 70s and it was remarkably insightful. If you have a sensitive disposition, don't read this. It will be disturbing. If you're going into healthcare, you must read it. Its content has helped me cope over the last 40+ years and it prepared me to keep my patients safe. Samuel Shem has written an article recently, that you can Google, adding to the "House Rules" and reflecting on the timelessness of this story. I'd have given it six stars in the 70s. Now, I've given it four stars just because the general reader won't like the 70s attitude.Feel free to disagree about the "Some violence" tag I clicked. I felt the reader should have some warning about the suicide.
I read this book back in the late 70's and read it again only recently. I was curious to see two things : how much of the book I remembered correctly and how much the descriptions of that world were dated. I remember many silly details and had forgotten some major things and characters. In my mind the Fat Man figured much more prominently than he does. I guess I had built him up as sort of a Yoda figure over the years. Still, Fats remains perhaps my favorite character. Some of the medical procedures thankfully are no longer practice with the kind of frequency encountered in the book. Still it is amazing to me how much of the book deals with the same sort of conundrums the health care delivery systems do today. I'm not sure how someone who has never worked in an ER or ICU of a large teaching hospital can relate to the story, but I assure you that health care providers at that time were quite taken with the book. It provided a much needed recognition for the kind of soul sucking, energy draining, and morally bankrupt situations we were placed in on a daily basis. It has been compared to Catch 22 and I think that is probably fair though the two books come from different worlds. In both worlds, however, there are survivors and casualties and the House of God probably helped some to survive by the simple fact that misery loves company and company is therapeutic. This book was therapeutic for a past generation of house staff at all levels and disciplines. Upon revisiting it, I suspect it still provides some validation to the current one as well.
Sadly amoral, hopefully a representation of a small portion of interns who didn't have the moral fiber to see themselves through the rigors of medical school without indulging in their sick fantasies and lack of backbone to stick to what they knew was truly right. Couldn't read this past a third and parts of that were skimmed d/t such distasteful excuses of' literature '!
I am not a doctor but most of my immediate family is. I was raised by two MDs, my grand-father was a surgeon, my younger brother, my uncles were doctors or dentist. And then I was born and raised in France, so how could this book describing tong-in-cheek the excesses of internship in the US speak to me?It seems that the same causes generate the same effects: constant brushes with disease and death; excruciatingly long work hours with the day job sometimes followed by the emergency night before the next day's job; the necessity for a mental shield against burn-out from both these sources naturally causes cynicism and a form of alienation very acutely described by the author.My younger brother once told me on a Wednesday morning he was already working overtime for the week (more than 40h of work in just over two days). He was in Paris' public hospital system, therefore without all this layer of medicine for money that also exudes from the house of God.Doctors' suicides? This is too raw a topic for me to mention here.By far most of the testimonies from doctors I know support the case.How does what I know of the medical cursus in France match this testimony? As it turns out the title "House of God" is explicitly a direct translation of "L'Hôtel Dieu", the first and oldest hospital in the world, which is in Paris right next to Notre Dame.Did I enjoy reading this book? YES, at multiple levels - it is well written, fun to read and does give a very interesting perspective on this poorly known underworld. It did jive with what I know of the milieu, but I don't think it is necessary to know anything of it to enjoy the read.Let's just say that I read it on the recommendation by two very different doctors who don't know each other, one German and one New Englander.Not for the faint of heart, but if you like cringing dark humor and a walk on the wild side you should enjoy House of God.
I tell people, "Hey, you should read House of God" and they're like, "meh". I tell them, "Half the book is hard-core sex. And they're like, "What?Let me see that book.... hey, half this book is hard-core sex!" And it is.The novelty (pun intended) aside, I love this book for being utterly honest. Even if some aspects of work in the hospital are exaggerated, they exist nonetheless and I would say it's actually pretty accurate. In my short time as a student, I have observed at least half of the terrible coping mechanisms detailed in this book.... now that I know what I'm looking at.Some say this book is offensive, some say it's depressing, and some say it's hilarious. I say it's all of those things. Just like life as a medical resident.
I'm an MS4 reading this for the first time. Even though things have remarkably improved since the time period this was written, it still rings so shockingly true that I put this down three times until I could stomach finishing it on a long flight. There were times it made me laugh hysterically on crowded flights as well as times where I was crying without realizing. No matter what your specialty, House of God is a must read. Remember to read through the end as the afterword makes some great points that would be worthless to try and summarize here.
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