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Man's 4th Best Hospital
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Narrated by:
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Sean Runnette
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By:
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Samuel Shem
About this listen
The sequel to the best-selling and highly acclaimed The House of God
Years 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 30 years.
©2019 Samuel Shem (P)2019 Penguin AudioCritic reviews
“Samuel Shem has challenged generations of doctors in his writing to think deeply about why they chose medicine. His novels illuminate the humanistic core of clinical care, and serve as a bulwark against a system increasingly characterized by avarice and anonymity.” (Jerome Groopman, MD, author of How Doctors Think)
“If you want to know why the doctor spends all visit looking at a computer instead of you, and if you want to know how the doctor feels about it, this is the book for you: a mordantly funny tour through modern medicine with a powerful prescription for how to change." (Bill McKibben, best-selling author of The End of Nature and Radio Free Vermont)
“As he did in The House of God, Samuel Shem provides a bitter, caustic and overdue update on the cold and bureaucratic world that awaits the sick and the dying if they are lucky enough to be able to afford it.” (Arthur Caplan, professor of Bioethics at New York University Langone Medical Center)
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On rounds at Mount Misery, it's not always easy for Basch to tell the patients from the doctors: Errol Cabot, the drug cowboy whose practice provides him with guinea pigs for his imaginative prescription cocktails . . . Blair Heiler, the world expert on borderlines (a diagnosis that applies to just about everybody) . . . A. K. Lowell, née Aliyah K. Lowenschteiner, whose Freudian analytic technique is so razor sharp it prohibits her from actually speaking to patients . . . And Schlomo Dove, the loony, outlandish shrink accused of having sex with a beautiful, well-to-do female patient.
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Not as good as The House Of God
- By Thomas C. Kelley on 02-03-23
By: Samuel Shem
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The Chosen One
- By: Walt Gragg
- Narrated by: Peter Berkrot
- Length: 16 hrs and 1 min
- Unabridged
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Two months ago, a new leader arose in the Islamic world, the Mahdi - or the Chosen One. He has rallied fundamentalist Muslim forces across the Middle East who have driven deep into Saudi Arabia and Egypt. Standing against them is an allied force made up primarily of the American military. It's a desperate fight. From armored battles in the desert to American carriers desperately dodging waves of cruise missiles, the Mahdi proves to have many tricks up his sleeve.
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Predictable
- By Amazon Customer on 03-25-20
By: Walt Gragg
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Raised in Captivity
- Fictional Nonfiction
- By: Chuck Klosterman
- Narrated by: Chuck Klosterman, Sloane Crosley, Chris Gethard, and others
- Length: 7 hrs and 11 mins
- Unabridged
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Fair warning: Raised in Captivity does not slot into a smooth preexisting groove. If Saul Steinberg and Italo Calvino had adopted a child from a Romanian orphanage and raised him on Gary Larsen and Thomas Bernhard, he would still be nothing like Chuck Klosterman. They might be good company, though. Funny, wise and weird in equal measure, Raised in Captivity bids fair to be one of the most original and exciting story collections in recent memory, a fever graph of our deepest unvoiced hopes, fears and preoccupations.
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Two Favorite Stories: Fluke & Of Course It Is
- By Austin Pierce on 07-30-19
By: Chuck Klosterman
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The Infinite Plan
- A Novel
- By: Isabel Allende
- Narrated by: Isabel Allende, Luis Moreno
- Length: 16 hrs and 32 mins
- Unabridged
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Born in the Hispanic barrio of Los Angeles, Gregory Reeves grew up in poverty, survived the killing fields of Vietnam, and is now a lawyer in San Francisco. Though he has successfully survived this hard journey, Gregory’s life has suddenly gone off the rails thanks to an illusory and wrongheaded quest that has left him feeling lost and listless. To find what he is missing and what his heart truly wants, he must return to his roots. Only by excavating the past can he see the way to his future.
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Great story but too long
- By Ivan Colin on 01-08-23
By: Isabel Allende
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The Night Watch
- By: Sarah Waters
- Narrated by: Juanita McMahon
- Length: 18 hrs and 47 mins
- Unabridged
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Moving back through the 1940s, through air raids, blacked-out streets, illicit partying, and sexual adventure, to end with its beginning in 1941, The Night Watch tells the story of four Londoners - three women and a young man with a past - whose lives, and those of their friends and lovers, connect in tragedy, stunning surprise, and exquisite turns, only to change irreversibly in the shadow of a grand historical event.
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Sarah Waters is my new favorite author
- By Madeline S Weed on 08-18-24
By: Sarah Waters
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The Land Beyond the Sea
- By: Sharon Kay Penman
- Narrated by: Anne Flosnik
- Length: 31 hrs and 10 mins
- Unabridged
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The Kingdom of Jerusalem, also known as Outremer, is the land far beyond the sea. Baptized in blood when the men of the First Crusade captured Jerusalem from the Saracens in the early 12th century, the kingdom defined an utterly new world, a land of blazing heat and a medley of cultures, a place where enemies were neighbors and neighbors became enemies. At the helm of this growing kingdom sits young Baldwin IV, an intelligent and courageous boy committed to the welfare and protection of his people.
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Not Penman's best.
- By Katie Hammond on 03-14-20
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The Lady Glass
- By: Anneka R. Walker
- Narrated by: Aubrey Warner
- Length: 11 hrs and 5 mins
- Unabridged
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Theresia Dvorak has nothing left of her parents—nothing save her dowry, a priceless crystal vase stolen and sold by her own stepmother. Theresia will do anything to secure what is rightfully hers—even assume a false identity and steal her future back. When she gains entrance to a house party and has a memorable run-in with the handsome navel captain Rolland Reese, her mission is compromised.
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Nice little murder mystery
- By Kindle Customer on 09-26-24
By: Anneka R. Walker
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The Care and Feeding of Ravenously Hungry Girls
- By: Anissa Gray
- Narrated by: January LaVoy, Adenrele Ojo, Bahni Turpin, and others
- Length: 9 hrs and 56 mins
- Unabridged
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The Butler family has had their share of trials - as sisters Althea, Viola, and Lillian can attest - but nothing prepared them for the literal trial that will upend their lives. Althea, the eldest sister and substitute matriarch, is a force to be reckoned with, and her younger sisters have alternately appreciated and chafed at her strong will. They are as stunned as the rest of the small community when she and her husband, Proctor, are arrested, and in a heartbeat, the family goes from one of the most respected in town to utter disgrace.
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Loved It!
- By Amazon Customer on 02-22-19
By: Anissa Gray
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The Song of Sourwood Mountain
- By: Ann H. Gabhart
- Narrated by: Susan Bennett
- Length: 12 hrs and 14 mins
- Unabridged
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Though the century began with such promise, it is 1910 when Mira Dean’s hopes of being a wife and mother are dashed to pieces. Her fiancé dead from tuberculosis, Mira resigns herself to being a spinster schoolteacher—until Gordon Covington shows up. No longer the boy she knew from school, Gordon is now a preacher who is full of surprises. First, he asks Mira to come to Sourwood in Eastern Kentucky to teach at his mission school. Second, he asks her to marry him. Just like that.
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Inspiring/Moving
- By Kathy on 10-17-24
By: Ann H. Gabhart
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We Wish You Luck
- A Novel
- By: Caroline Zancan
- Narrated by: Kristen Sieh
- Length: 7 hrs and 27 mins
- Unabridged
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It doesn't take long for the students on Fielding campus to become obsessed with Hannah, Leslie, and Jimmy. The three graduate students are mysterious, inaccessible, and brilliant. Leslie, glamorous and brash, has declared that she wants to write erotica and make millions. Hannah is quietly confident, loyal, elegantly beautiful, and the person they all want to be; and Jimmy is a haunted genius with no past. After Simone - young best-selling author and erstwhile model - shows up as a visiting professor, and after everything that happened with her, the trio only become more notorious.
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This book is very boring
- By Anonymous User on 09-13-21
By: Caroline Zancan
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All the Children Are Home
- A Novel
- By: Patry Francis
- Narrated by: Kimberly Woods, Nora Hunter, Mia Barron, and others
- Length: 12 hrs and 3 mins
- Unabridged
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When Dahlia decided to become a foster mother, she had a few caveats: no howling newborns, no delinquents, and above all, no girls. A harrowing incident years before left her a virtual prisoner in her own home, forever wary of the heartbreak and limitation of a girl’s life. Eleven years after they began fostering, Dahlia and Louie consider their family complete, but when the social worker begs them to take a young girl who has been horrifically abused and neglected, they can’t say no.
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Great Potential, but the Ending Fell Flat
- By Brande Fraley on 05-03-22
By: Patry Francis
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Small Pleasures
- A Novel
- By: Clare Chambers
- Narrated by: Karen Cass
- Length: 9 hrs and 59 mins
- Unabridged
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1957: Jean Swinney is a feature writer on a local paper in the southeast suburbs of London. Clever but with limited career opportunities and on the brink of forty, Jean lives a dreary existence that includes caring for her demanding widowed mother, who rarely leaves the house. It’s a small life with little joy and no likelihood of escape.
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Awful ending
- By greyhound on 03-07-22
By: Clare Chambers
What listeners say about Man's 4th Best Hospital
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- Wendy
- 02-19-23
All too true
First, I love listening to Sean Runette (the voice of Roland Merullo's Buddha series - also first rate).
As a health care provider with over 50 years experience, I loved this. The decline of the American medical system is all too real. I have my own set of horror stories about insurance companies, billing errors, and the worst of all: electronic medical records! Yes, it takes 65 clicks to write a simple prescription!
While this is a fictional tale, the situations are all too real, and getting worse. The almightly dollar reigns supreme, and we are not patients but customers, often unable to decipher the maze of medical/legal information.
The stories do wander a bit but overall, this is a great snapshot of medical practice today.
I think this quote from one of docs is the summary of the medical dilemma today: Their mission is monetary!
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- Christian Abreu
- 01-28-23
Fantastic sequel to the House of God
Lovely book with a bittersweet ending. Talks a lot of truth about modern medicine using the characters of our very beloved first book. It’s lovely to see how they all turned out.
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- Catalina Maione
- 04-08-22
Love
This book helps me love myself always it is because the best, okay? I love you.
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- mlauth
- 10-26-23
Incredible Story of Doctors versus Admin
Phenomenal book about doctor trying to bring humanity back into medicine. Definitely, a different style compared to his original House of God but still good. Great read.
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- AURORA A FERRER
- 08-12-20
Outstanding
Amazing sequel to House of God. A modern day telling of Knights of the Round Table. As a medical student this was a must read. Thank you Samuel Shem for everything you've done and I hope to hear more in the future!
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- Jacqueline Frazer
- 01-29-24
Nailed it!
Once again Shem gives readers a view into the world of the physicians who want to care for patients but instead are at the mercy of the c-suite. Corporate greed, the strain of EMR on providers, and staying human and connected in medicine are explored. Fantastic!
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- Kenneth
- 09-16-22
Great stuff
I loved House of God, and I loved this story as well. 40 years and medicine has changed a lot, but I do not think it is for the better. It is nice to imagine that WE are not alone as healthcare providers.
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- Michael K. Benson
- 02-01-24
The truth about medicine
As a physician this story rings true with what it is truly like to practice medicine at the present time.
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- SF
- 06-26-21
Modern spin on "House of God"
I remain partial to the original "House of God," but it was nice to see Shem return with the modern update.
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- pwdmommy3
- 11-12-22
sad satire of acute medical care in US
Sad but accurate commentary of current US health care system. Calls a spade a spade here.
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