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Man's 4th Best Hospital
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Narrated by:
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Sean Runnette
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By:
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Samuel Shem
About this listen
The sequel to the best-selling and highly acclaimed The House of God
Years after the events of The House of God, the Fat Man has been given leadership over a new Future of Medicine Clinic at what is now only Man's 4th Best Hospital, and has persuaded Dr. Roy Basch and some of his intern cohorts to join him to teach a new generation of interns and residents. In a medical landscape dominated by computer screens and corrupted by money, they have one goal: to make medicine humane again.
What follows is a mesmerizing, heartbreaking, and hilarious exploration of how the health-care industry, and especially doctors, have evolved over the past 30 years.
©2019 Samuel Shem (P)2019 Penguin AudioListeners also enjoyed...
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Critic reviews
“Samuel Shem has challenged generations of doctors in his writing to think deeply about why they chose medicine. His novels illuminate the humanistic core of clinical care, and serve as a bulwark against a system increasingly characterized by avarice and anonymity.” (Jerome Groopman, MD, author of How Doctors Think)
“If you want to know why the doctor spends all visit looking at a computer instead of you, and if you want to know how the doctor feels about it, this is the book for you: a mordantly funny tour through modern medicine with a powerful prescription for how to change." (Bill McKibben, best-selling author of The End of Nature and Radio Free Vermont)
“As he did in The House of God, Samuel Shem provides a bitter, caustic and overdue update on the cold and bureaucratic world that awaits the sick and the dying if they are lucky enough to be able to afford it.” (Arthur Caplan, professor of Bioethics at New York University Langone Medical Center)
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In the southwestern desert, a mysterious cult prays for the return of the Visitors. Only one creature can derail that grand and glorious event: An evil entity, known as the Duad, can keep the Visitors from arriving and prevent the transfiguration to come. Daley, who lives nearby, has a far more serious problem: an alien consciousness that has taken up residence in her head.
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So ready to see what's ahead next!
- By Stacy on 10-09-21
By: F. Paul Wilson
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Finding Chika
- A Little Girl, an Earthquake, and the Making of a Family
- By: Mitch Albom
- Narrated by: Mitch Albom
- Length: 4 hrs and 54 mins
- Unabridged
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Chika Jeune was born three days before the devastating earthquake that decimated Haiti in 2010. She spent her infancy in a landscape of extreme poverty, and when her mother died giving birth to a baby brother, Chika was brought to The Have Faith Haiti Orphanage that Albom operates in Port Au Prince. With no children of their own, the 40-plus children who live, play, and go to school at the orphanage have become family to Mitch and his wife, Janine. But at age five, Chika is suddenly diagnosed with something a doctor there says "no one in Haiti can help you with."
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BUY READ AND RECOMMEND THIS BOOK
- By The Birds. on 11-05-19
By: Mitch Albom
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Little Matches
- A Memoir of Finding Light in the Dark
- By: Maryanne O'Hara
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When their only child was diagnosed with cystic fibrosis (CF) at the age of two, Maryanne O'Hara and her husband were told that Caitlin could live a long life or be dead in a matter of months. Thirty-one years later, Caitlin lost her battle with this devastating disease following an excruciating two-year wait on the transplant list and a last-minute race to locate a pair of healthy lungs. The sudden spiral of events left Maryanne in an existential crisis, searching to find an answer to the eternal question: Why we are here?
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I don't know who needs to read it...
- By H. Hill on 04-18-23
By: Maryanne O'Hara
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Missing Parts
- By: Lucinda Berry
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Growing up abandoned by her father and raised by a single mother, Celeste was determined to create the perfect family - but even perfect families have secrets. Her days are filled with a rewarding career, a devoted husband, and her four-year-old daughter. Celeste is the only one who knows the precarious house of cards her family is built upon - until the day her daughter falls critically ill. Then her world quickly spirals out of control, her secret threatening to destroy her marriage, family, reputation, and sanity.
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SPOILER ALERT. Sigh...
- By Kelly on 10-08-20
By: Lucinda Berry
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Impostor: An Alexander Gregory Thriller
- Alexander Gregory, Book 1
- By: LJ Ross
- Narrated by: Hugh Dancy
- Length: 7 hrs and 3 mins
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After an elite criminal profiling unit is shut down amid a storm of scandal and mismanagement, only one person emerges unscathed. Forensic psychiatrist Doctor Alexander Gregory has a reputation for being able to step inside the darkest minds to uncover whatever secrets lie hidden there, and soon enough he finds himself drawn into the murky world of murder investigation. In the beautiful hills of County Mayo, Ireland, a killer is on the loose. Panic has a stranglehold on its rural community, and the Garda are running out of time.
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Great beginning to a new series
- By Maine Knitter on 11-03-19
By: LJ Ross
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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White Hot Light
- Twenty-Five Years in Emergency Medicine
- By: Frank Huyler
- Narrated by: Gary Bennett
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In the late 1990s, a young physician in Albuquerque, New Mexico, published a stunning memoir of his experiences in the highly charged world of the ER. Presented in a series of powerful, poetic vignettes, The Blood of Strangers became an instant classic. Now, over two decades later, Dr. Frank Huyler delivers another dispatch from the trenches—this time from the perspective of middle age. In portraits visceral, haunting, sometimes surreal, Huyler reveals the gritty reality of medicine practiced on the razor’s edge between life and death.
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Even Better than The Blood of Strangers
- By Elizabeth Darcy on 10-14-20
By: Frank Huyler
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Weekends at Bellevue
- By: Julie Holland MD
- Narrated by: Julie Holland MD
- Length: 10 hrs and 53 mins
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His name was Joshua Silver. He was 23 years old, educated, and had an impressive vocabulary. The NYPD had found Joshua Silver naked in Times Square, barking like a dog. It was just another night for Julie Holland, the attending doctor in the world famous Bellevue Hospital's psychiatric emergency room.
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An Uneven Memoir
- By A. M. Dalessandro on 09-24-10
By: Julie Holland MD
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Last Girl Standing
- By: Lisa Jackson, Nancy Bush
- Narrated by: Angela Dawe
- Length: 12 hrs and 15 mins
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At Bristol High they were an elite clique known as the Five Firsts: Amanda, Bailey, Carmen, Delta and Zora...ABCD & Z. They could have accepted their classmate, Emmy, as "E", but with her bookish disposition and her embarrassing status of scholarship student to boot, they rejected her and chose wealthy Zora instead. At a pre-graduation party just before the end of senior year, Lance Ventura, the hottest guy in school, falls down an embankment toward the river and is barely rescued in time to save his life. One of the Five Firsts, Carman, rushes to save him, but isn't so lucky.
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Real life
- By lisa on 06-09-20
By: Lisa Jackson, and others
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On Call in the Arctic
- A Doctor's Pursuit of Life, Love, and Miracles in the Alaskan Frontier
- By: Thomas J. Sims
- Narrated by: Sean Pratt
- Length: 9 hrs and 15 mins
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Overall
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Performance
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Story
Imagine a young doctor, trained in the latest medical knowledge and state-of-the-art equipment, suddenly transported back to one of the world’s most isolated and unforgiving environments - Nome, Alaska. That’s what happen to Dr. Sims. His plans to become a pediatric surgeon were drastically changed when, on the eve of being drafted into the army to serve as a MASH surgeon in Vietnam, he was offered a commission in the US Public Health for assignment in Anchorage, Alaska, where he was scheduled to act as chief of pediatrics at the Alaska Native Medical Center.
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Great Story, Great Narrator
- By Katie Lamb on 02-18-20
By: Thomas J. Sims
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Doctored
- The Disillusionment of an American Physician
- By: Sandeep Jauhar
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 38 mins
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Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- By JW on 02-25-18
By: Sandeep Jauhar
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Healing Hearts
- A Memoir of a Female Heart Surgeon
- By: Kathy Magliato
- Narrated by: Renée Raudman
- Length: 8 hrs and 28 mins
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Dr. Kathy Magliato is one of fewer than a dozen female heart surgeons practicing in the world today. She is also a member of an even more exclusive group - those surgeons who perform heart transplants. Healing Hearts is the story of the making of a surgeon who also calls herself a wife and mother.
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Healing Hearts
- By Jean on 01-14-12
By: Kathy Magliato
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The Blue Cotton Gown
- A Midwife’s Memoir
- By: Patricia Harman
- Narrated by: Abby Craden
- Length: 9 hrs and 1 min
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Heather is pale and thin, seventeen and pregnant with twins when Patricia Harman begins to care for her. Over the course of the next five seasons Patsy will see Heather through the loss of both babies and their father. She will also care for her longtime patient Nila, pregnant for the eighth time and trying to make a new life without her abusive husband. And Patsy will try to find some comfort to offer Holly, whose teenage daughter struggles with bulimia. She will help Rebba learn to find pleasure in her body and help Kaz transition into a new body.
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Hope, Heartbreak, Compassion
- By Susie on 10-16-13
By: Patricia Harman
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The Kingdom of Jerusalem, also known as Outremer, is the land far beyond the sea. Baptized in blood when the men of the First Crusade captured Jerusalem from the Saracens in the early 12th century, the kingdom defined an utterly new world, a land of blazing heat and a medley of cultures, a place where enemies were neighbors and neighbors became enemies. At the helm of this growing kingdom sits young Baldwin IV, an intelligent and courageous boy committed to the welfare and protection of his people.
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On rounds at Mount Misery, it's not always easy for Basch to tell the patients from the doctors: Errol Cabot, the drug cowboy whose practice provides him with guinea pigs for his imaginative prescription cocktails . . . Blair Heiler, the world expert on borderlines (a diagnosis that applies to just about everybody) . . . A. K. Lowell, née Aliyah K. Lowenschteiner, whose Freudian analytic technique is so razor sharp it prohibits her from actually speaking to patients . . . And Schlomo Dove, the loony, outlandish shrink accused of having sex with a beautiful, well-to-do female patient.
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What listeners say about Man's 4th Best Hospital
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- Wendy
- 02-19-23
All too true
First, I love listening to Sean Runette (the voice of Roland Merullo's Buddha series - also first rate).
As a health care provider with over 50 years experience, I loved this. The decline of the American medical system is all too real. I have my own set of horror stories about insurance companies, billing errors, and the worst of all: electronic medical records! Yes, it takes 65 clicks to write a simple prescription!
While this is a fictional tale, the situations are all too real, and getting worse. The almightly dollar reigns supreme, and we are not patients but customers, often unable to decipher the maze of medical/legal information.
The stories do wander a bit but overall, this is a great snapshot of medical practice today.
I think this quote from one of docs is the summary of the medical dilemma today: Their mission is monetary!
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- Christian Abreu
- 01-28-23
Fantastic sequel to the House of God
Lovely book with a bittersweet ending. Talks a lot of truth about modern medicine using the characters of our very beloved first book. It’s lovely to see how they all turned out.
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- AURORA A FERRER
- 08-12-20
Outstanding
Amazing sequel to House of God. A modern day telling of Knights of the Round Table. As a medical student this was a must read. Thank you Samuel Shem for everything you've done and I hope to hear more in the future!
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- Jacqueline Frazer
- 01-29-24
Nailed it!
Once again Shem gives readers a view into the world of the physicians who want to care for patients but instead are at the mercy of the c-suite. Corporate greed, the strain of EMR on providers, and staying human and connected in medicine are explored. Fantastic!
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- Kenneth
- 09-16-22
Great stuff
I loved House of God, and I loved this story as well. 40 years and medicine has changed a lot, but I do not think it is for the better. It is nice to imagine that WE are not alone as healthcare providers.
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- Michael K. Benson
- 02-01-24
The truth about medicine
As a physician this story rings true with what it is truly like to practice medicine at the present time.
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- SF
- 06-26-21
Modern spin on "House of God"
I remain partial to the original "House of God," but it was nice to see Shem return with the modern update.
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2 people found this helpful
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- mlauth
- 10-26-23
Incredible Story of Doctors versus Admin
Phenomenal book about doctor trying to bring humanity back into medicine. Definitely, a different style compared to his original House of God but still good. Great read.
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- Catalina Maione
- 04-08-22
Love
This book helps me love myself always it is because the best, okay? I love you.
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- pwdmommy3
- 11-12-22
sad satire of acute medical care in US
Sad but accurate commentary of current US health care system. Calls a spade a spade here.
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