The Emergency
A Year of Healing and Heartbreak in a Chicago ER
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Narrated by:
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Ta-Nehisi Coates
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Thomas Fisher
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By:
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Thomas Fisher
About this listen
The riveting, pulse-pounding story of a year in the life of an emergency room doctor trying to steer his patients and colleagues through a crushing pandemic and a violent summer, amidst a healthcare system that seems determined to leave them behind
“Gripping . . . eloquent . . . This book reminds us how permanently interesting our bodies are, especially when they go wrong.”—The New York Times
ONE OF THE BEST BOOKS OF THE YEAR: Time
As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives. Like them, he grew up on the South Side; this is his community and he grinds day in and day out to heal them.
Through twenty years of clinical practice, time as a White House fellow, and work as a healthcare entrepreneur, Dr. Fisher has seen firsthand how our country’s healthcare system can reflect the worst of society: treating the poor as expendable in order to provide top-notch care to a few. In The Emergency, Fisher brings us through his shift, as he works with limited time and resources to treat incoming patients. And when he goes home, he remains haunted by what he sees throughout his day. The brutal wait times, the disconnect between hospital executives and policymakers and the people they're supposed to serve, and the inaccessible solutions that could help his patients. To cope with the relentless onslaught exacerbated by the pandemic, Fisher begins writing letters to patients and colleagues—letters he will never send—explaining it all to them as best he can.
As fast-paced as an ER shift, The Emergency has all the elements that make doctors’ stories so compelling—the high stakes, the fascinating science and practice of medicine, the deep and fraught interactions between patients and doctors, the persistent contemplation of mortality. And, with the rare dual perspective of somebody who also has his hands deep in policy work, Fisher connects these human stories to the sometimes-cruel machinery of care. Beautifully written, vulnerable and deeply empathetic, The Emergency is a call for reform that offers a fresh vision of health care as a foundation of social justice.
©2022 Thomas Fisher (P)2022 Random House AudioListeners also enjoyed...
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Critic reviews
"This book reminds us how permanently interesting our bodies are, especially when they go wrong. Fisher’s account of his days is gripping. . . . His frustration, his outraged intelligence, is palpable on every page. . . . the best account I’ve read about working in a busy hospital during Covid.”—The New York Times
“A briskly paced, heartfelt, often harrowing year in the life of an ER doctor on Chicago’s historically Black South Side.”—San Francisco Chronicle
“The Emergency is graphic and gut-wrenching, as it should be. It is an undeniable call for a just health-care system, as it will be.”—Ibram X. Kendi, author of How to Be an Antiracist
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In her former career as an English professor, Theresa Brown had been shielded from the harsh reality of death. That all changed the day she decided to become an oncology nurse. In Critical Care, Theresa writes powerfully and honestly about her first year on the hospital floor. With great compassion and a disarming sense of humor, she shares the trials and triumphs of her patients and comes to realize that caring for a patient means much more than simply treating a disease.
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Excellent all the way around!
- By Susan on 10-12-17
By: Theresa Brown
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When Breath Becomes Air
- By: Paul Kalanithi, Abraham Verghese - foreword
- Narrated by: Sunil Malhotra, Cassandra Campbell
- Length: 5 hrs and 35 mins
- Unabridged
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Overall
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Performance
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Story
At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated.
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Phenomenal book!
- By A. Potter on 01-16-16
By: Paul Kalanithi, and others
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In Shock
- My Journey from Death to Recovery and the Redemptive Power of Hope
- By: Dr. Rana Awdish
- Narrated by: Dr. Rana Awdish, Teri Schnaubelt
- Length: 9 hrs and 2 mins
- Unabridged
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Overall
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Performance
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Story
In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training, instantly lays bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
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Read this book!
- By CT on 11-08-17
By: Dr. Rana Awdish
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God's Hotel
- A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine
- By: Victoria Sweet
- Narrated by: Victoria Sweet
- Length: 13 hrs and 44 mins
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Overall
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Performance
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Story
San Francisco's Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God's hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves - "anyone who had fallen, or, often, leapt, onto hard times" and needed extended medical care - ended up here. So did Victoria Sweet, who came for two months and stayed for 20 years. Laguna Honda, lower-tech but human-paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished.
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Great read
- By kayla solomon on 04-08-17
By: Victoria Sweet
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Rise and Shine
- The Path to Life
- By: Simon Lewis
- Narrated by: Kelsey Grammer
- Length: 8 hrs and 59 mins
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Overall
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Performance
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Story
Crushed between a truck and a tree, Simon and his wife were both pronounced dead at the scene of a horrific car accident. Enduring a broken skull, jaw, arms, clavicle and pelvis, followed by a coma, Simon lives to tell his remarkable journey from tragedy to triumph.
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Amazing opportunities for healing!
- By Leah on 04-29-17
By: Simon Lewis
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Confessions of a Surgeon
- The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
- By: Paul A. Ruggieri MD
- Narrated by: Eric Martin
- Length: 8 hrs and 2 mins
- Unabridged
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Overall
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Performance
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Story
As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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Enjoyed the anecdotes!
- By suzanne on 07-31-17
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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- By: Marie Brenner
- Narrated by: Kirsten Potter
- Length: 15 hrs and 41 mins
- Unabridged
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Overall
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Performance
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Story
In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- By Josh on 07-18-22
By: Marie Brenner
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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Overall
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Performance
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Story
There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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Confessions of a GP
- By: Benjamin Daniels
- Narrated by: Eamonn Riley
- Length: 6 hrs and 1 min
- Unabridged
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Overall
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Performance
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Story
Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions.A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor.
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Very enjoyable
- By PCF on 05-27-17
By: Benjamin Daniels
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The Second Opinion
- By: Michael Palmer
- Narrated by: Franette Liebow
- Length: 9 hrs and 43 mins
- Unabridged
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Overall
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Performance
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Story
Here, Michael Palmer has created a cat-and-mouse game where one woman must confront a conspiracy of doctors to uncover an evil practice that touches every single person who ever has a medical test. With unforgettable characters and twists and betrayals that come from the most unlikely places, The Second Opinion will keep you guessing...and looking over your shoulder.
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great story line; unnecessary love affair
- By Anonymous User on 05-26-09
By: Michael Palmer
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Patient Care
- Death and Life in the Emergency Room
- By: Paul Seward MD
- Narrated by: Jim Seybert
- Length: 5 hrs and 21 mins
- Unabridged
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Overall
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Performance
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Story
Recalling remarkable cases - and people - from a career launched in the first days of Emergency Medicine, Dr. Paul Seward leads us in his memoir through suspenseful diagnoses and explorations of anatomy. Within the conditions of great stress and rapid decision-making that are routine in the ER, Dr. Seward tells us that medical staff must be more than technicians of the body: They must be restorers of the human.
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very enjoyable
- By Patricia Oxenham on 03-21-19
By: Paul Seward MD
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Advice for Future Corpses (and Those Who Love Them)
- A Practical Perspective on Death and Dying
- By: Sallie Tisdale
- Narrated by: Gabra Zackman
- Length: 7 hrs and 11 mins
- Unabridged
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Overall
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Performance
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Story
You get ready to die the way you get ready for a trip. Start by realizing you don't know the way. Listen to a few travel guides. Study the language, look at maps, gather equipment. Let yourself imagine what it will be like. Pack your bags. This book is one of those travel guides - a guide to preparing for your own death and the deaths of people close to you. The fact of death is hard to believe. Sallie Tisdale explores our fears and all the ways death and talking about death make us uncomfortable - but she also explores its intimacies and joys.
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I thought I had more time...
- By Alyssa on 09-09-19
By: Sallie Tisdale
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Knocking on Heaven's Door
- The Path to a Better Way of Death
- By: Katy Butler
- Narrated by: Katy Butler
- Length: 10 hrs and 28 mins
- Unabridged
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Overall
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Performance
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Story
Like so many of us, award-winning writer Katy Butler always assumed her aging parents would experience healthy, active retirements before dying peacefully at home. Then her father suffered a stroke that left him incapable of easily finishing a sentence or showering without assistance. Her mother was thrust into full-time caregiving, and Katy became one of the 24 million Americans who help care for aging parents. In an effort to correct a minor and non - life threatening heart arrhythmia, doctors outfitted her father with a pacemaker.
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A better way to narrate a book about death?
- By MAUREEN on 10-21-13
By: Katy Butler
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Inferno
- A Doctor's Ebola Story
- By: Steven Hatch MD
- Narrated by: Steven Hatch MD
- Length: 11 hrs and 31 mins
- Unabridged
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Overall
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Performance
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Story
Dr. Steven Hatch first came to Liberia in November 2013 to work at a hospital in Monrovia. Six months later, several of the physicians Dr. Hatch had mentored and served with were dead or barely clinging to life, and Ebola had become a world health emergency. Hundreds of victims perished each week; whole families were destroyed in a matter of days; so many died so quickly that the culturally taboo practice of cremation had to be instituted to dispose of the bodies.
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Good story, spoiled by politics.
- By Roman Vogel on 07-22-17
By: Steven Hatch MD
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He helped save people every day - but he had no idea how to save himself. Jason Sautel had it all. Confident in his abilities and trusted by his fellow firefighters, he was making a name for himself on the streets of Oakland, California. His adrenaline-fueled job even helped him forget the pain of his childhood - until the day he looked into the eyes of a jumper on the Bay Bridge and came face-to-face with a darkness he knew would take him down as well.
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Real..... and good!
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Trauma Room Two
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In every hospital emergency department there is a room reserved for trauma. It is a place where life and death are separated by the thinnest of margins. A place where some families celebrate the most improbable of victories while others face the most devastating of losses. A place where what matters the most in this life is revealed. Trauma Room Two is just such a place. In this collection of short stories, Dr. Green takes the listener inside the hidden emotional landscape of emergency medicine.
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Too much descriptive narrative
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A Double Dose of Dilaudid
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Welcome to a small-town Emergency Room in rural Ohio. While it's true our ER doesn't see the stabbing and gunshot action ERs see in inner cities, we have no shortage of the sad, the scary, the painful, and the just plain dumb. With more than 20 stories, things ER workers want to say to patients, and Emergency Room bingo, A Double Dose of Dilaudid will take you on a joyride to the funnier side of the ER. See what a bored husband did to get out of a date night with his wife, find out what happens when you try to make your own meth, and more.
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feels like author can't stay on the same subject
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What listeners say about The Emergency
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Ms. J.
- 10-19-23
Great book. Very insightful.
A must read for anyone considering a career in medicine or even a trip to the ER. Good book, good narration.
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- Tracy Koogler
- 06-15-22
Reality of health care
This is an amazing story and very true to Chicago. People, if you or your family can drive to the hospital of choice please do. Insurance issues are very real.
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- Darlene
- 09-29-22
An Exceptionally Accurate Portral
Truly loved and appreciated this book so much! I intend to purchase a hard copy and share with like minded Healthcare professionals and those who wish to learn more about the challenges in a broken system.
The author Dr. Fisher, humbly highlights the untimely Pandemic affecting the entire world with emphasis on the emergency department of one of the prestigious hospitals of our country, The University of Chicago Medical Center.
Surprisingly, bringing to light how VIPs verses the poorer south side of Chicago patients of lesser economical resources are treated vastly different including his own mother.
I humbly thank you for bringing truth to the forfront.
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- B H
- 08-07-22
Very Enlightening!
A great book and narration! It held my attention the entire time. It was amazing to hear the perspective of an ER doctor during the height of Covid.
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- Ben Wilson
- 04-13-22
Enjoyed this MD's personal journey through COVID
I was captivated by the experience of this ER doc during COVID and the impact on clinicians and patients during this pandemic. I found most persuasive his explainer on how health inequities not only hurt black and brown patients, but destroy our healthcare system. I liked the way he made his professional experience feel so personal was very compelling. I also enjoyed the letter format and the way he integrated his family into the overall story. Although I am cynical, I am hopeful that the aspirations the author has for our healthcare system provide a roadmap to improve it.
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- EJ Reader
- 04-10-22
This book is a bellwether for change
This book has left me awestruck and dumbstruck and moved to tears of pride and of heartbreak. Pride in knowing the author truly cares and in knowing and feeling his passion for human health, equity and Justice. This author is clearly embarking on a mission to change the healthcare system as we know it. I know this book will be part of that change. The author has artfully and thoughtfully shined a light on so much of what is wrong in our healthcare system. The way be intertwined policy and predicament with sincere letters to patients - and to his mom - it was brilliant and beautiful. This book is a triumph and a bellwether ringing for change. Dr. Fisher is and will continue to make a difference. Not just for the lives of south siders for whom he cares every day, but for our broken healthcare system. Our broken country.
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- TBell
- 11-20-23
The truths about racial inequities in healthcare are devastating!
It was a riveting and real story of the vast inequities in healthcare for Black Americans no matter their connections or socioeconomic status. Definitely worth a read.
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- Marjorie
- 10-10-22
Healing and Heartbreak says it all
I felt like I was riding on the author's roller-coaster. Such a mixture of disturbing problems, hard work and sensitive resolutions described by a Black ER doctor in a hospital serving a largely poor Black community. An excellent way to get a glimpse into a difficult world
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- Tech Guy
- 05-08-22
A sobering must-read
This was a sobering account of the truths about the American healthcare system and how it has failed Black and poor people.
This is a must-read for anyone who cares enough to pursue better health outcomes for all people. This is a human rights issue that demands immediate remedy.
I applaud Dr. Thomas Fisher for having the courage to speak the truth as an insider about healthcare disparities that persist in this country.
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- Isaac Gneiting
- 03-09-23
Important, especially for healthcare workers
I’ve listened to this book twice now and am inspired by it. There is a great mix of ED stories and information about faults in the system. I love emergency medicine because of its impartiality; however, Dr. Fisher has to deal with many issues that fail at impartiality in his ED. What a great example. I feel better prepared to enter the medical field because of this read.
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