To Act as a Unit
The Story of the Cleveland Clinic
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Narrated by:
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Phil Thron
About this listen
Amidst the horrendous carnage of World War I, three Cleveland surgeons who had practiced together in peacetime and volunteered for battlefield hospital duty in France observed firsthand the value of collaborative medical care - of specialists from different fields thinking and acting together “as a unit” for their patients’ benefit, as Dr. George Crile put it.
The idea of group practice was novel in American medicine at the time. Solo physicians were the norm. But as Crile and his colleagues, Drs. Frank Lower and William Lower, compared experiences via letters and late-night chats around the cook stove, they grasped the potential of applying to civilian care what they’d learned about military organization, efficiency, and cooperation across medical and surgical specialties.
Back home in Cleveland, the three surgeons and internist Dr. John Phillips, also a military medical corps veteran, founded Cleveland Clinic in 1921. The group practice began with 42 patients, 24 physicians, and 60 support personnel. The one-two punch of a disastrous fire fueled by toxic X-ray films and the onset of the Great Depression almost spelled Cleveland Clinic’s end in its first decade. But the founders’ vision and the drive and determination of the leaders who followed them helped Cleveland Clinic grow to become one of the world’s best and most respected healthcare organizations.
Published to commemorate Cleveland Clinic’s centennial, To Act as a Unit tells the epic story of the hospital system’s conception and rise to prominence. You’ll meet pioneering researchers and clinicians whose innovations are the basis for today’s advanced medical care - from Dr. F. Mason Sones, whose fortuitous accident with a cigarette proved that coronary angiography was possible, to the surgical team that performs groundbreaking, life-changing face transplants. There are candid accounts of the organization’s successes and struggles as it transformed from a local enterprise to a regional, national, and still-expanding international operation. Profiles of the people who have helped shape Cleveland Clinic provide insights, including the story of current CEO and President Dr. Tom Mihaljevic, whose commitment to caring for patients and communities stems from his upbringing during economic and political tumult in Croatia. An up-to-the-minute chapter recounts the harrowing and inspiring story of Cleveland Clinic’s response to the COVID-19 pandemic.
To Act as a Unit draws on first-person accounts, historical texts, and original reporting. The book is essential for history and medicine enthusiasts, and anyone who wants to understand the evolution and operation of an elite healthcare organization.
©2021 Cleveland Clinic (P)2021 Cleveland ClinicListeners also enjoyed...
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A must read
- By kara kuntz on 05-20-21
By: Jason Karlawish
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- By: Marty Makary MD
- Narrated by: Marty Makary MD
- Length: 9 hrs and 29 mins
- Unabridged
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One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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Very important book!
- By Wayne on 05-17-21
By: Marty Makary MD
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The Social Transformation of American Medicine
- The Rise of a Sovereign Profession and the Making of a Vast Industry
- By: Paul Starr
- Narrated by: Sean Runnette
- Length: 24 hrs and 5 mins
- Unabridged
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Considered the definitive history of the American healthcare system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition is a must-listen for anyone concerned about the future of our fraught healthcare system.
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Fascinating Survey of Healthcare in Amerixa
- By Rob on 06-24-19
By: Paul Starr
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Silent Invasion
- The Untold Story of the Trump Administration, Covid-19, and Preventing the Next Pandemic Before It's Too Late
- By: Deborah Birx
- Narrated by: Kathe Mazur
- Length: 22 hrs and 3 mins
- Unabridged
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In late February 2020, Dr. Deborah Birx—a lifelong federal health official who had worked at the CDC, the State Department, and the US Army across multiple presidential administrations—was asked to join the Trump White House Coronavirus Task Force and assist the already faltering federal response to the Covid-19 pandemic. For weeks, she’d been raising the alarm behind the scenes about what she saw happening in public—from the apparent lack of urgency at the White House to the routine downplaying of the risks to Americans.
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Great insight into Public Health
- By Ann-Karen Weller on 05-09-22
By: Deborah Birx
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Haiti After the Earthquake
- By: Paul Farmer
- Narrated by: Meryl Streep, Edoardo Ballerini, Edwidge Danticat
- Length: 14 hrs and 7 mins
- Unabridged
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On January 12, 2010, a major earthquake struck near Port-au-Prince, Haiti. Hundreds of thousands of people died, and the greater part of the capital was demolished. Dr. Paul Farmer, U.N. deputy special envoy to Haiti, who had worked in the country for nearly thirty years treating infectious diseases like tuberculosis and AIDS, and former President Bill Clinton, the U.N. special envoy to Haiti, had just begun to work on an extensive development plan to improve living conditions in Haiti.
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If you read one book about Haiti make it this one
- By Bryan on 06-07-12
By: Paul Farmer
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Polio
- An American Story
- By: David M. Oshinsky
- Narrated by: Jonathan Hogan
- Length: 14 hrs and 37 mins
- Unabridged
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This comprehensive and gripping narrative, which received the 2006 Pulitzer Prize for history, covers all the challenges, characters, and controversies in America's relentless struggle against polio. Funded by philanthropy and grassroots contributions, Salk's killed-virus vaccine (1954) and Sabin's live-virus vaccine (1961) began to eradicate this dreaded disease.
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Wonderful
- By Patricia B Tripoli on 07-22-08
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The Antidote
- Inside the World of New Pharma
- By: Barry Werth
- Narrated by: Sean Pratt
- Length: 16 hrs and 27 mins
- Unabridged
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In 1989, the charismatic Joshua Boger left Merck, then America's most admired business, to found a drug company that would challenge industry giants and transform health care. Barry Werth described the company's tumultuous early days during the AIDS crisis in The Billion-Dollar Molecule, a celebrated classic of science and business journalism. Now he returns to tell a riveting story of Vertex's bold endurance and eventual success.
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For me this was not interesting
- By Yan on 06-26-17
By: Barry Werth
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Reinventing American Health Care
- How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System
- By: Ezekiel J. Emanuel
- Narrated by: William Dufris
- Length: 11 hrs and 57 mins
- Unabridged
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Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health-care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own American story, and why reform has bedeviled presidents of the left and right for more than one hundred years.
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The book lacks integrity
- By Richard M. Shaner on 06-02-16
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Bellevue
- Three Centuries of Medicine and Mayhem at America's Most Storied Hospital
- By: David Oshinsky
- Narrated by: Fred Sanders
- Length: 14 hrs and 41 mins
- Unabridged
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David Oshinsky, whose last book, Polio: An American Story, was awarded a Pulitzer Prize, chronicles the history of America's oldest hospital and in so doing also charts the rise of New York to the nation's preeminent city, the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution.
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Fascinating
- By Jean on 12-14-16
By: David Oshinsky
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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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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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Beating Back the Devil
- By: Maryn McKenna
- Narrated by: Ellen Archer
- Length: 9 hrs and 37 mins
- Unabridged
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The universal instinct is to run from an outbreak of disease. These doctors run toward it. They always keep a bag packed. They seldom have more than 24 hours before they are dispatched. They are told only their country of destination and the epidemic they will tackle when they get there.
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Interesting Stuff - Only criticism is pacing
- By Tim on 07-23-05
By: Maryn McKenna
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Engine of Impact
- Essentials of Strategic Leadership in the Nonprofit Sector
- By: William F. Meehan III, Kim Starkey Jonker
- Narrated by: C. J. Lengua
- Length: 7 hrs and 32 mins
- Unabridged
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We are entering a new era - an era of impact. The largest intergenerational transfer of wealth in history will soon be underway, bringing with it the potential for huge increases in philanthropic funding. Engine of Impact shows how nonprofits can apply the principles of strategic leadership to attract greater financial support and leverage that funding to maximum effect.
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Must listen for all nonprofit leaders
- By Peter A. Mello on 02-09-19
By: William F. Meehan III, and others