
The People's Hospital
Hope and Peril in American Medicine
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Narrated by:
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Ricardo Nuila MD
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By:
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Ricardo Nuila MD
About this listen
“Nuila’s storytelling gifts place him alongside colleagues like Atul Gawande.”—Los Angeles Times
This “compelling mixture of health care policy and gripping stories from the frontlines of medicine” (The Guardian) explores the question: where does an uninsured person go when turned away by hospitals, clinics, and doctors?
Here, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital that prioritizes people over profit. First, we meet Stephen, the restaurant franchise manager who signed up for his company’s lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Then Christian—a young college student and retail worker who can’t seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaid—and puts a life-saving transplant just out of reach. Roxana, who’s lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And finally, there’s Ebonie, a young mother whose high-risk pregnancy endangers her life. Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening.
Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good health care is with good insurance. As listeners follow the moving twists and turns in each patient’s story, it’s impossible to deny that our system is broken—and that Ben Taub’s innovative model, where patient care is more important than insurance payments, could help light the path forward.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2023 Ricardo Nuila. All rights reserved. (P)2023 Simon & Schuster, Inc. All rights reserved.Listeners also enjoyed...
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Critic reviews
"Physician Ricardo Nuila brings the full extent of his passion for people to his narration of his experiences with American healthcare. A doctor on staff at Ben Taub Hospital in Houston, Nuila saw firsthand the destructive aspects of for-profit healthcare and how often those who were truly suffering would end up in his public hospital when it was almost too late. Examining the history and current issues of the American healthcare system, this audiobook is a tough listen. Nuila embraces his emotions as he tells personal stories of real-life cases. What results is a powerful audiobook that leaves the listener both fascinated and horrified by what is happening to those who cannot access healthcare in our first-world nation." (AudioFile Magazine)
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Overall
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In the tradition of books by such bestselling physician-authors as Atul Gawande, Siddhartha Mukherjee, and Danielle Ofri, this beautifully written memoir by an emergency room doctor takes place during one of his routine shifts at an urban ER. Intimately narrated as it follows the experiences of real patients, it is filled with fascinating, adrenaline-pumping scenes of rescues and deaths, and the critical, often excruciating follow-through in caring for the patients’ families.
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Deeply Moving. Insightful and Timely
- By ElizOF on 02-27-23
By: Farzon A Nahvi
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What Patients Say, What Doctors Hear
- By: Danielle Ofri MD
- Narrated by: Ann Richardson
- Length: 9 hrs and 8 mins
- Unabridged
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Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements.
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Newbie review follows. Be ware
- By Dennis Adler on 09-15-17
By: Danielle Ofri MD
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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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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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The Emergency
- A Year of Healing and Heartbreak in a Chicago ER
- By: Thomas Fisher
- Narrated by: Ta-Nehisi Coates, Thomas Fisher
- Length: 7 hrs and 50 mins
- Unabridged
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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.
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Meh
- By chel_c42 on 03-29-22
By: Thomas Fisher
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Legacy
- A Black Physician Reckons with Racism in Medicine
- By: Uché Blackstock MD
- Narrated by: Uché Blackstock MD
- Length: 8 hrs and 6 mins
- Unabridged
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Growing up in Brooklyn, New York, it never occurred to Uché Blackstock and her twin sister, Oni, that they would be anything but physicians. In the 1980s, their mother headed an organization of Black women physicians, and for years the girls watched these fiercely intelligent women in white coats tend to their patients and neighbors, host community health fairs, cure ills, and save lives.
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I Feel Validated!
- By Lisa M Walker on 07-13-24
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The Final Diagnosis
- Obscure Cases of Death, Disease & Murder
- By: Cynric Temple-Camp
- Narrated by: John Voce
- Length: 10 hrs and 28 mins
- Unabridged
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From a rare and deadly amniotic avalanche to a victim of roasted peanuts ... The bestselling author of The Cause of Death and The Quick and the Dead returns with more stranger-than-fiction stories of death, disease and murder—as well as new perspectives on high-profile cases, including the disappearance of Ben Smart and Olivia Hope, the trial of Mark Lundy, and the ill-fated journey of Ansett Flight 703.
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Interesting stiries
- By Ann on 08-22-24
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If I Betray These Words
- Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First
- By: Wendy Dean, Simon Talbot
- Narrated by: Wendy Dean
- Length: 10 hrs and 26 mins
- Unabridged
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Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system. If I Betray These Words confronts the threat and broken promises of moral injury—what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.
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Dust bowl
- By Doc on 04-12-23
By: Wendy Dean, and others
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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
- Unabridged
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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 Blue on 06-20-14
By: Brendan Reilly
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What Doctors Feel
- How Emotions Affect the Practice of Medicine
- By: Danielle Ofri MD
- Narrated by: Andi Arndt
- Length: 7 hrs and 46 mins
- Unabridged
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While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care.
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Book resonates with outpatient internist
- By Juli W. on 09-19-22
By: Danielle Ofri MD
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Attending
- Medicine, Mindfulness, and Humanity
- By: Dr. Ronald Epstein M.D.
- Narrated by: Jonathan Todd Ross
- Length: 7 hrs and 52 mins
- Unabridged
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As a third-year Harvard Medical student doing a clinical rotation in surgery, Ronald Epstein watched an experienced surgeon fail to notice his patient's kidney turning an ominous shade of blue. In that same rotation, Epstein was awestruck by another surgeon's ability to slow down and shift between autopilot and intentionality. The difference between these two doctors left a lasting impression on Epstein and set the stage for his life's work - to identify the qualities and habits that distinguish masterful doctors from those who are merely competent.
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Better if he had insisted on the technical support
- By Anonymous User on 08-08-18
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Trauma Room Two
- By: Philip Allen Green MD
- Narrated by: David de Vries
- Length: 4 hrs and 56 mins
- Unabridged
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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
- By M. Murphy on 11-11-17
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The House of God
- By: Samuel Shem
- Narrated by: Sean Runnette
- Length: 14 hrs and 54 mins
- Unabridged
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By turns heartbreaking, hilarious, and utterly human, The House of God is a mesmerizing and provocative journey that takes us into the lives of Roy Basch and five of his fellow interns at the most renowned teaching hospital in the country.
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First time I started it I hated it...
- By Tamara T. on 01-20-16
By: Samuel Shem
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Better
- A Surgeon's Notes on Performance
- By: Atul Gawande
- Narrated by: John Bedford Lloyd
- Length: 7 hrs and 34 mins
- Unabridged
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The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
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A MUST read . . .
- By Kathy in CA on 08-11-14
By: Atul Gawande
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Every Deep-Drawn Breath
- A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU
- By: Dr. Wes Ely
- Narrated by: Grover Gardner, Dr. Wes Ely
- Length: 9 hrs and 48 mins
- Unabridged
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Over the next ten years, 40 to 60 million people in this country will be admitted to the ICU. Most of these hospitalizations will be sudden, unexpected, and harrowing experiences that can alter patients and their families physically and emotionally, with effects that endure for years. In this rich blend of science, medical history, profoundly humane patient stories, and personal reflection, Dr. Wes Ely describes his mission to prevent patients from being inadvertently harmed by the technology that is keeping them alive.
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A clarion call in medicine
- By S. Langdon on 09-13-21
By: Dr. Wes Ely
Healthcare review
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Important book
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Thought Provoking
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yes!
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Excellent book.
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Outstanding Book
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Ben Taub Nurse
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Interesting Portrayal of Healthcare in the USA
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The People’s Hospital
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This is essential reading for every American.
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