Fragmented
A Doctor's Quest to Piece Together American Health Care
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Narrated by:
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Ilana Yurkiewicz MD
About this listen
There's an unspoken assumption when we go to see a doctor: the doctor knows our medical story and is making decisions based on that story. But reality often falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer's whims.
In this gripping narrative from medicine's front lines, Ilana Yurkiewicz reveals how a system that doesn't talk to itself puts insupportable burdens on physicians, patients, and caregivers. The stories she tells are at once harrowing and commonplace. A patient narrowly averts an unnecessary, invasive heart procedure by producing a worn rhythm strip he has carried in his pocket for a decade. A man diagnosed with leukemia while visiting from abroad has thirty-one physicians, but no one he can call "his" doctor, with tragic consequences. When Yurkiewicz's own father falls ill, a culture that incentivizes health care providers to react with quick fixes leads to weeks of additional suffering.
The system is hanging by a thread, and we need better solutions. Yurkiewicz issues a clear-eyed call for change, naming concrete reforms doctors and policymakers can make, and empowering patients and their loved ones to advocate for themselves in the meantime.
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By: Ryan Munsey
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I Thought It Was Just Me (but it isn’t)
- Telling the Truth about Perfectionism, Inadequacy, and Power
- By: Brené Brown
- Narrated by: Lauren Fortgang
- Length: 10 hrs and 44 mins
- Unabridged
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Based on seven years of ground-breaking research and hundreds of interviews, I Thought It Was Just Me shines a long-overdue light on an important truth: Our imperfections are what connect us to each other and to our humanity. Our vulnerabilities are not weaknesses; they are powerful reminders to keep our hearts and minds open to the reality that we're all in this together.
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I'm sure its great if you are a mother ....
- By Leslie A Hill on 08-09-11
By: Brené Brown
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Tools of Titans
- The Tactics, Routines, and Habits of Billionaires, Icons, and World-Class Performers
- By: Tim Ferriss
- Narrated by: Ray Porter, Kaleo Griffith, Tim Ferriss, and others
- Length: 22 hrs and 41 mins
- Unabridged
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The latest groundbreaking tome from Tim Ferriss, the number-one New York Times best-selling author of The 4-Hour Workweek. For the last two years, I've interviewed more than 200 world-class performers for my podcast, The Tim Ferriss Show. The guests range from super celebs (Jamie Foxx, Arnold Schwarzenegger, etc.) and athletes (icons of powerlifting, gymnastics, surfing, etc.) to legendary Special Operations commanders and black-market biochemists. For most of my guests, it’s the first time they’ve agreed to a two-to-three-hour interview.
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If I could sum it up: too much of a good thing
- By Brian Sachetta on 06-08-20
By: Tim Ferriss
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The Complete Guide to Fasting
- Heal Your Body Through Intermittent, Alternate-Day, and Extended Fasting
- By: Jimmy Moore, Dr. Jason Fung
- Narrated by: Jimmy Moore
- Length: 7 hrs and 36 mins
- Unabridged
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Thousands of books have been written about the latest and greatest diets that will help people lose weight and improve health. But a key element in any successful nutritional health program is a tried-and-true method that most people haven't thought about - yet it could be revolutionary for taking health to the next level. This ancient secret is fasting.
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Hard to get through
- By MCT on 06-03-17
By: Jimmy Moore, and others
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Becoming the Narcissist's Nightmare
- How to Devalue and Discard the Narcissist While Supplying Yourself
- By: Shahida Arabi
- Narrated by: Julie McKay
- Length: 19 hrs and 53 mins
- Unabridged
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Although clinical research has been conducted on narcissism as a disorder, less is known about its effects on victims who are in toxic relationships with partners with Narcissistic Personality Disorder. Individuals with this disorder engage in chronic devaluation and manipulation of their partners, a psychological and emotional phenomenon known as "narcissistic abuse". Unfortunately, the full extent of what narcissistic abuse entails is not taught in any psychology class or diagnostic manual.
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Finally
- By zero on 12-08-16
By: Shahida Arabi
What listeners say about Fragmented
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Christian Abreu
- 03-15-24
A sad reflection of the struggles physicians face in America
Love the cases and the way they were portrayed. It is truly something that’s been in my mind my entire career. I love how Dr Yurkiewicz presented her case in an understandable language and using her personal patient experiences. Lovely book!
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