Fragmented
A Doctor's Quest to Piece Together American Health Care
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Narrated by:
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Ilana Yurkiewicz MD
About this listen
There's an unspoken assumption when we go to see a doctor: the doctor knows our medical story and is making decisions based on that story. But reality often falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer's whims.
In this gripping narrative from medicine's front lines, Ilana Yurkiewicz reveals how a system that doesn't talk to itself puts insupportable burdens on physicians, patients, and caregivers. The stories she tells are at once harrowing and commonplace. A patient narrowly averts an unnecessary, invasive heart procedure by producing a worn rhythm strip he has carried in his pocket for a decade. A man diagnosed with leukemia while visiting from abroad has thirty-one physicians, but no one he can call "his" doctor, with tragic consequences. When Yurkiewicz's own father falls ill, a culture that incentivizes health care providers to react with quick fixes leads to weeks of additional suffering.
The system is hanging by a thread, and we need better solutions. Yurkiewicz issues a clear-eyed call for change, naming concrete reforms doctors and policymakers can make, and empowering patients and their loved ones to advocate for themselves in the meantime.
©2023 Ilana Yurkiewicz (P)2023 HighBridge, a division of Recorded BooksListeners also enjoyed...
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It’s not just you. Stress levels are at an all-time high—so much so that a recently convened panel of medical experts in the US has recommended that all adults under the age of 65 be screened for anxiety. In How to Release Anxiety, Gabby Bernstein offers simple, actionable steps for feeling better, living with more ease, and showing up for those around us. Gabby’s unusual advice: Rather than manage your anxiety, what if you befriended it? Gabby posits that what we befriend, we can ultimately be at ease with. So she invites us to get curious.
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Not my thing, but one good point
- By Scott on 10-22-22
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I Thought It Was Just Me (but it isn’t)
- Telling the Truth about Perfectionism, Inadequacy, and Power
- By: Brené Brown
- Narrated by: Lauren Fortgang
- Length: 10 hrs and 44 mins
- Unabridged
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Based on seven years of ground-breaking research and hundreds of interviews, I Thought It Was Just Me shines a long-overdue light on an important truth: Our imperfections are what connect us to each other and to our humanity. Our vulnerabilities are not weaknesses; they are powerful reminders to keep our hearts and minds open to the reality that we're all in this together.
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I'm sure its great if you are a mother ....
- By Leslie A Hill on 08-09-11
By: Brené Brown
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F--k Your Feelings: Master Your Mind, Accomplish Anything and Become a More Significant Human
- By: Ryan Munsey
- Narrated by: Ryan Munsey
- Length: 9 hrs and 15 mins
- Unabridged
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95 percent of decisions are based on feelings. Not logic. Not rational thought. Feelings. Can you feel the pull of emotions, hunger, guilt, pain, jealously, depression, and everything else weighing on every decision that you make? Business owners, entrepreneurs, regular people looking to get in shape, anyone with a goal that isn't terrified of tough love - you need to listen to F--k Your Feelings - as soon as possible! In this audiobook you'll learn how to use personal mind control techniques to control the way your brain is wired and much more.
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Science heavy for those of us who want the why
- By Beth T. Irwin on 10-29-18
By: Ryan Munsey
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The Finnish Guide to Happiness
- By: Melanie Dower
- Narrated by: Saskia Maarleveld
- Length: 2 hrs and 24 mins
- Original Recording
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If you ask a Finn, they will likely be as baffled as you are. That’s why Melanie Dower, an expat who has been living in Finland for the past decade, has taken up the charge. Her vantage as an outsider entrenched in Finnish culture uniquely positions her to identify the keys to Finnish happiness that elude the rest of the world and that Finns take for granted. From sauna to strong social safety nets, Finnish life is made up of a constellation of habits and structures that leave its residents relaxed, healthy, and fulfilled.
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INSPIRING BOOK. (Listening after Hurricane Helene)
- By Duchess on 10-21-24
By: Melanie Dower
What listeners say about Fragmented
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Christian Abreu
- 03-15-24
A sad reflection of the struggles physicians face in America
Love the cases and the way they were portrayed. It is truly something that’s been in my mind my entire career. I love how Dr Yurkiewicz presented her case in an understandable language and using her personal patient experiences. Lovely book!
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