Man's 4th best hospital

Samuel Shem

Book - 2019

The resident known as The Fat Man and his eccentric band of interns scattered to the four corners of the country. Today Fats, now rich and famous, has been lured across town to the House of God's WASPy rival, Man's Best Hospital. But the august institution has sunk from being ranked the best hospital in the country to an embarrassing, and unacceptable, 4th! Fats' mission? To help the hospital climb back up the rankings... while pursuing his own agenda. At his new Future of Medicin...e Clinic, the team comes back together with a daunting goal: "To put the human back into healthcare." -- adapted from jacket

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Subjects
Genres
Bildungsromans
Medical fiction
Novels
Published
New York : Berkley 2019.
Edition
First edition
Language
English
Item Description
Sequel to: The House of God.
Physical Description
369 pages ; 24 cm
ISBN
9781984805362
1984805363
Main Author
Samuel Shem (author)
  • Costa Rica
  • Man's 4th best hospital
  • The sick empire
  • Laws of man's 4th best hospital.
Review by Booklist Reviews

*Starred Review* What used to be Man's Best Hospital is now Man's 4th Best. After a slide down the rankings, the hospital president, hoping to regain the institution's former glory, hires his boyhood nemesis, the Fat Man, who brings along his old crew from Shem's earlier The House of God (1978), including Dr. Roy Basch. Fiction and reality tend to merge here: in The House of God, Basch writes a tell-all fictionalized book about his medical residency, while, in reality, that novel dramatized the residency of one Dr. Stephen Bergman, the real person behind the pseudonym Samuel Shem. Having returned to medicine at New York University's School of Medicine, Bergman/Shem witnessed the ravages that the twin evils of money and computer screens were causing in the profession and set about writing this sequel, in which the nearly indefatigable Fat Man and his do-or-die crew resist the money-grubbing interfaces that force doctors to spend more time checking boxes on their screens than talking to patients. When, shortly after the Fat Man's arrival, the doctors conveniently lose all access to the system for filing outgoing information, their new checkbox-free utopia leads to happier staff and better patient reviews. But their struggle against a powerful system is only just beginning. Filled with unforgettable characters and the shocking reality of the many rackets running through the medical industry, this sobering yet hilarious satire manages to offer a glimmer of hope for putting humans back into health care. Copyright 2019 Booklist Reviews.

Review by Publishers Weekly Reviews

After 41 years, Shem turns in a satisfying sequel to his cult novel, The House of God, a M*A*S*H-like look at the lives of a group of interns at a big city hospital. Now, these same interns are veteran doctors who are brought back together by their former mentor, the Fat Man, to teach a new generation of interns, this time at Man's 4th Best Hospital, a venerable medical institution hemorrhaging prestige and money. Narrated by Shem's stand-in, Roy Basch, he and his fellow older docs also see action staffing a walk-in clinic for the poor. Shem dramatizes in gonzo fashion how the big enemy isn't death or disease, but BUDDIES, the hospital conglomerate that triages profits before patients; HEAL, the difficult-to-navigate computer program used to keep track of patients and costs; and doctors who double- and triple-book surgeries to line their own pockets. In the end, Roy, Fats, and the other characters must face up to their own mortality as well as their patients'. As an author and psychiatrist, Shem never met an acronym he didn't want to exploit for comic effect. And he tends to make the same points over and over again—employing the humorous sensibility of an old Hope and Crosby routine. Nevertheless, this is a hilarious, horrifying, but always humanistic, take on a healthcare system that is in critical condition. (Nov.) Copyright 2019 Publishers Weekly.

Review by Publisher Summary 1

The sequel to the bestselling and highly acclaimed The House of God One of the most prominent and enduring titles in medical fiction is the bitingly funny House of God, which has sold more than 2 million copies, becoming required reading for generations of medical students and health care professionals. With Man's 4th Best Hospital, Samuel Shem "the comic genius and holy terror of medicine"* returns us to the hilarious and heartbreaking world of modern medicine. After The House of God, the resident knownas The Fat Man and his eccentric band of interns scattered to the four corners of the country. Today Fats, now rich and famous, has been lured across town to the House of God's WASPy rival, Man's Best Hospital. But the august institution has sunk from being ranked the best hospital in the country to an embarrassing, and unacceptable, 4th! Fats' mission? To help the hospital climb back up the rankings. But as always, he's pursuing his own agenda. . . At his new Future of Medicine Clinic, the team comes back together to renew their life-changing friendships and teach a new generation of interns and residents. In a medical landscape dominated by computer screens and corrupted by money, they have a daunting goal: "To put the human back into healthcare." Whatfollows is an emotional and laugh-out-loud novel that reflects the issues in American healthcare today, from the tyranny of computer screens to doctor burnout to the greed of the health insurance industry. * Bill McKibben

Review by Publisher Summary 2

A sequel to The House of God finds the Fat Man and Dr. Roy Basch overseeing a new Future of Medicine Clinic, where invasive technology and corruption challenge their efforts to render medical care humane again.

Review by Publisher Summary 3

The sequel to the bestselling and highly acclaimed The House of GodYears 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 thirty years.