The House of God is a satirical novel by Samuel Shem published in The novel follows a The Fat Man provides his interns with wisdom such as his own " Laws of the House of God" (which amount to 13 by the end of the book). One of. The House of God book. Read reviews from the world's largest community for readers. The hilarious novel of the healing arts that reveals everything y. Called “The House of God,” the book was drawn from real life, and 30 years after its initial publication, it is still part of the medical conversation.

House Of God Book

Language:English, Indonesian, German
Genre:Politics & Laws
Published (Last):12.09.2016
ePub File Size:30.73 MB
PDF File Size:15.48 MB
Distribution:Free* [*Registration needed]
Uploaded by: MARHTA

By turns heartbreaking, hilarious, and utterly human, The House of God is a The House of God and millions of other books are available for instant access. By turns heartbreaking, hilarious, and utterly human, The House of God is a mesmerizing and provocative novel about Roy earn your way to a free book!. House Of God by Samuel Shem, , available at Book Depository with free delivery worldwide.

Put yourself in the other person's shoes, feelingly.

The laws in the House of God

When you find someone who shows empathy, follow, watch, and learn. Law 16 : Speak up. If you see a wrong in the medical system, speak out and up. It is not only important to call attention the wrongs in the system, it is essential for your survival as a human being.

Law 17 : Learn your trade, in the world.

Your patient is never only the patient, but the family, friends, community, history, the climate, where the water comes from and where the garbage goes. Your patient is the world. Some have said that The House of God is cynical. And yet in rereading, it has a constant message that I was dimly conscious of in writing: being with the patient.

In the words of the hero of the novel, the Fat Man, "I make them feel that they're still part of life, part of some grand nutty scheme, instead of alone with their diseases.

Related Articles

With me, they still feel part of the human race. I have published two more novels -- Fine and Mount Misery. Also, with my wife, co-wrote the play Bill W and Dr.

During this time, as they say, life happened.

Navigation menu

There were many life struggles, and walks through the suffering. Luckily, at the right times, I was accompanied by others. From Mount Misery, and also from conducting gender dialogues all over the world while writing We Have to Talk, I learned the importance of shifting focus from a center on "I" or "You", to "We.

From Bill W. Bob, I learned that, in Bill's words: "The only thing that can keep a drunk sober is telling his story to another drunk. The self alone -- self-will or self-discipline -- will not work. What works is asking for help from a non-self-centered perspective. AA is an astonishing mutual-help organization, because alcohol and drugs are diseases of isolation.

I had always wanted to go back to my small town on the Hudson River and join my old mentor, a family doctor, in practice. Life had taken me elsewhere, but the beauty of fiction is that you can do in a novel what you haven't in the world. At a point toward the end of the novel, the fraught protagonist has to make a choice.

He struggles with it until he hears a kind of voice in his head: "Don't spread more suffering around. Whatever you do, don't spread more suffering around. The worst. They left, and I turned back to Rokitansky. Shame swept over me.

My stomach churned. Rokitansky, are you crying? Someone once said that the point of art is to be more real than reality.

House Of God

The House Of God is way more real than reality. Reality wishes it could be anywhere close to as real as The House of God. This is a world where young people — the kid just out of school, the blushing new mother — die. Even normal old people — your grandmother, your grandpa — can die.

Book Review: House of God

But the most decrepit, demented people, the ones for whom every moment of artificially-prolonged life is a gratuitous misery and you pray at every moment that God will just let them find some peace — somehow they never die. The Fat Man is right. The magical realism of House of God describes the reality of medical professionals infinitely better than the rational world of hospital mortality statistics.

Surely some treatment must get done somewhere? But where? It becomes a legend, The Place Where Treatment Happens, hidden in some far-off hospital wing accessible only to the pure-hearted. This sort of Kafkaesque picture is how medical care feels, and the genius of The House of God is that it accentuates the reality just a little bit until its fictional world is almost as magical-realist as the real one.

Given the stress of the dementia work-up, every organ system crumpled: in a domino progression the injection of radioactive dye for her brain scan shut down her kidneys, and the dye study of her kidneys overloaded her heart, and the medication for her heart made her vomit, which altered her electrolyte balance in a life-threatening way, which increased her dementia and shut down her bowel, which made her eligible for the bowel run, the cleanout for which dehydrated her and really shut down her tormented kidneys, which led to infection, the need for dialysis, and big-time complications of these big-time diseases.

She and I both became exhausted, and she became very sick. Like the Yellow Man, she went through a phase of convulsing like a hooked tuna, and then went through a phase that was even more awesome, lying in bed deathly still, perhaps dying. I felt sad, for by this time, I liked her. I began to spend a good deal of time sitting with Anna, thinking. I told him. Jo decided to go all-out on her dementia, right? Do nothing with Anna, and hide it from Jo.

Nothing to it. Basch uses hook and crook to prevent his patients from getting any treatment. This is so reminiscent of the bizarre incentive systems in real hospitals that it hurts.

But as the year goes on, everyone gets more and more frazzled. One intern has a mental breakdown. Basch runs through all sorts of interesting forms of neurosis.

Finally, the end of the year approaches, the original crop of interns thinned-out but triumphant — and then they realize they have to do the whole thing again next year as residents, which is maybe a little less grueling but still in the same ballpark.

So they decide, en masse, to go into psychiatry, well-known to be a rare non-terrible residency. House of God does a weird form of figure-ground inversion. An example of what I mean, taken from politics: some people think of government as another name for the things we do together, like providing food to the hungry, or ensuring that old people have the health care they need.

But this is viewed as a weird disease of the body politic, something that can be abstracted away as noise in the system.

And then there are other people who think of government as a giant pork-distribution system, where obviously representatives and bureaucrats, incentivized in every way to support the forces that provide them with campaign funding and personal prestige, will take those incentives.

And House of God does this to medicine. Doctors use certain assumptions, like: 1. The patient wants to get better, but there are scientific limits that usually make this impossible 2.

Medical treatment makes people healthier 3. Treatment is determined by medical need and expertise But in House of God, the assumptions get inverted: 1. The patient wants to just die peacefully, but there are bureaucratic limits that usually make this impossible 2.

Medical treatment makes people sicker 3. Sometimes people mistakenly receive unnecessary treatment that causes complications. House of God goes the whole way and does a full figure-ground inversion. The outliers become the norm; good care becomes the rare deviation. Real medicine looks at least as much like the bizarro-world of House of God as it does the world of the popular imagination where doctors are always wise, diagnoses always correct, and patients always grateful.

Insulin helps diabetes. Elsewhere or Mt. Some American doctors felt that The House of God resonated with their own experiences during their internship training. Patients in the book under Putzel who were not acutely ill could nevertheless be admitted to the hospital and undergo multiple invasive procedures, creating a revenue stream for the hospital but exposing the patient to risk and discomfort, and demoralizing the residents.

JAMA the Journal of the American Medical Association has a distinct collection of hundreds of articles titled "Less Is More" that discuss multiple areas of medicine where standard interventions seem to hurt patients.

Zebra noun: a very unlikely diagnosis where a more common disease would be more likely to cause a patient's symptoms — from the common admonition that "if you hear hoof beats, think horses, not zebras".

Buff the charts verb: to make a patient look well treated in the charts or medical records, without actually receiving any treatment. Cultural references[ edit ] In-jokes abound in the work.The House Of God is way more real than reality. Isolation is deadly, connection heals. The self alone -- self-will or self-discipline -- will not work.

Everyone thought that maybe they were just a uniquely bad person, or their hospital a uniquely bad institution. Bob, I learned that, in Bill's words: "The only thing that can keep a drunk sober is telling his story to another drunk.

House of God has a place beside them in the pantheon of books that have changed the world.

NICOLA from St. Paul
I do enjoy studying docunments solemnly . Browse my other posts. I take pleasure in plate spinning.