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Hospital: Man, Woman, Birth, Death, Infinity, Plus Red Tape, Bad Behavior, Money, God andDiversity on Steroids by Julie Salamon
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List Price: $25.95 Our Price: $17.13 (Hardcover) Usually ships in 24 hours
40 new, 8 used (from $14.00)
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Publisher: Penguin Press HC, The (5/15/2008) ISBN: 1594201714 Hardcover: 384 pages Dimensions: 9.3 x 6.3 x 1.4 inches Average Customer Review: based on 8 reviews.
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A bestselling author and award winning journalist follows a year in the life of a big urban hospital, painting a revealing portrait of how medical care is delivered in America today
Most people agree that there are complicated issues at play in the delivery of health care today, but those issues may not always be what we think they are. In 2005, Maimonides Hospital in Brooklyn, New York, unveiled a new state-of-theart, multimillion-dollar cancer center. Determined to understand the whole spectrum of factors that determine what kind of medical care people receive in this country, bestselling author Julie Salamon spent one year tracking the progress of the center and getting to know the characters who make the hospital run. Located in a community where sixty-seven different languages are spoken, Maimonides is a case study for the particular kinds of concerns that arise in institutions that serve an increasingly multicultural American demographic. Granted an astonishing “warts and all” level of access by the hospital higher-ups, Salamon followed the doctors, patients, administrators, nurses, ambulance drivers, cooks, and cleaning staff. She explored not just the action on the ground—what happens between doctors and patients—but also the financial, ethical, technological, sociological, and cultural matters that the hospital community encounters every day.
Drawing on her skills as interviewer, observer, and social critic, Salamon presents the story of modern medicine, uniquely viewed from the vantage point of those who make it run. She draws out the internal and external political machinations that exist between doctors and staff as well as between hospital and community. And she grounds the science and emotion of medical drama in the financial realities of operating a huge, private institution that must contend with issues like adapting to the specific needs of immigrant groups that make up a large and growing portion of our society.
Salamon exposes struggles of both the profound and humdrum variety. There are bitter internal feuds, warm personal connections, comedy, egoism, greed, love, and loss. There are rabbinic edicts to contend with as well as imams and herbalists and local politicians. There are system foul-ups that keep blood test results from being delivered on time, careless record keepers, shortages of everything except forms to fill, recalcitrant and greedy insurance reimbursement systems, and the surprising difficulty of getting doctors to wash their hands.
This is the dynamic universe of small and large concerns and personalities that, taken together, determine the nature of our care and assume the utmost importance. As Martin Payson—chairman of the board at Maimonides and ex-Time-Warner vice chairman—puts it: “Hospitals have a lot in common with the movie business. You’ve got your talent, entrepreneurs, ambition, ego stroking, the business versus the creative part. The big difference is that in the hospital you don’t get second takes. Movies are make-believe. This is real life.”
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A fabulous book
This is a fabulous book. It is easy to forget that it is not fiction; the characters and the situation and setting are fascinating and their depth and complexities so well portrayed. The story itself is at once inspiring, depressing, hopeful and overwhelming. Maimonides Hospital is unique, but really this book is about every medical practice. Over and over again I felt an odd sense that this was about my practice in a small Maine town... a practice that is homogenous in every way that is easily described in demographics, but as diverse as every face and family and experience. Ms. Salamon gets it exactly right: that health care is emotional and spiritual and about human dynamics, both beautiful and ugly. Her writing of the Maimonides story so perfectly shows how nothing is simple in health care and yet it really is all very simple. Because this book truly is about humankind and our survival together, it is certainly a great read for anyone, not just readers in the medical field. (But a must read for everyone in the medical field!) (Jennifer Oddleifson)
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How Hospitals Really Work
Most of us see hospitals only from a patient's bedside or though overheated TV medi-dramas. But if you want to know how these complex health care machines really work, pick up Julie Salamon's Hospital. It is a sometimes uplifiting, sometimes frightening, look at how a combustible mixture of skill, ego, money, and compassion somehow turns into good medical care.
Salamon, who spent a year roaming both the corporate offices and the patient floors of Maimonides Hospital in Brooklyn, nails it. In some ways, this place could only happen in New York, but in others, it is just like every other hospital in America. Salamon, a keen observer and writer, tells the story of Maimonides through the eyes of an unforgettable cast of characters. If you want to know what our crazy health care system means for those in the trenches, including the patients, read Hospital.
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How to be a better doctor
"Hospital" is an extraordinary accomplishment. Salamon's year at Maimonides Hospital illuminates Brooklyn, and clarifies everything. Readers will enjoy a privileged journey which inspires hope while never shrinking from the death which modern medicine cannot, and should not, defeat.
Speaking personally, every doctor will be a better doctor after they read this book.
Robert L. Cohen, MD
New York, NY
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Smarter than "ER," more entertaining than "Scrubs," and more drama than "Grey's Anatomy"
Usually when I hear someone mention health care, my eyes tend to glaze over. It's an issue that affects us all, but it's not always an interesting one. This book changed my mind about that. It offers a glimpse into the human side of health care by portraying an array of doctors, nurses, patients, administrators, and community leaders. Salamon thoroughly explains the interactions and conflicting interests of each group. She shines light on the things that are broken about health care in America and also reveals what is succeeding. Not only do I feel that I learned a great deal from reading this book, but I also found it quite entertaining. The rivalries, culture clashes, and money woes made for a satisfying read.
If you've ever been to a hospital, it would be worth your time to read Hospital.
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I've read all...
...Julie Salamon's nonfiction writing, beginning with The Devil's Candy - still the best book about movie making I've ever read, and including her memoir about her parents' Holocaust experiences and emigration to the US, The Net of Dreams.
Salamon's writing is first-rate. The first three reviewers of this book - who also gave her five stars - actually describe the book better than I can.
Salamon is a truly "easy" writer. Reading her non-fiction is a true pleasure.
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