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God's Hotel: A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine, by Victoria Sweet
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San Francisco’s Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God’s hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves—“anyone who had fallen, or, often, leapt, onto hard times” and needed extended medical care—ended up here. So did Victoria Sweet, who came for two months and stayed for twenty years. Laguna Honda, relatively low-tech but human-paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished. Gradually, the place transformed the way she understood her work. Alongside the modern view of the body as a machine to be fixed, her extraordinary patients evoked an older idea, of the body as a garden to be tended. God’s Hotel tells their story and the story of the hospital itself, which, as efficiency experts, politicians, and architects descended, determined to turn it into a modern “health care facility,” revealed its own surprising truths about the essence, cost, and value of caring for the body and the soul.
Product details
Paperback: 432 pages
Publisher: Riverhead Books; Reprint edition (April 2, 2013)
Language: English
ISBN-10: 1594486549
ISBN-13: 978-1594486548
Product Dimensions:
5.5 x 0.9 x 8.2 inches
Shipping Weight: 12 ounces (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
479 customer reviews
Amazon Best Sellers Rank:
#71,953 in Books (See Top 100 in Books)
We stand at the cross roads of medicine, a battle for the soul of medicine. The old way versus the new way. We have become so sure of technology and been lead to believe that if we don't get on the more medicine is better medicine train, that we are old fashioned and not "good" doctors. However, God's Hotel, has us all pause before we cross that threshold. Somehow complicated sick patients that everyone gave up when in a caring environment, on less medications, and given the "tincture" of time will get better, sometimes miraculously. There is a fatal flaw to certain things in modern medicine that will never be able to be quantified and thus not adequately included in clinical studies."Dr. Diet, Dr. Quiet, and Dr. Merryman" are critical to what gives us purpose and the ability for the body and mind to recover. Dr. Sweet reminds us that in the end love is the most powerful medicine. Technology is not to be ignored but neither should love. This was beautiful reminder and one that needs to be part of medical and nursing training. As a practicing physician, in the uncertainty of what healthcare will become, we need to heed the advice before the lost art of healing and the compassion of medicine is forgotten.
Read this some time ago and was most impressed with the author's superb writing ability. The story put me in mind of my student nurse experiences at Bellevue Hospital over 50 years ago ( also "a hospital of last resort of sorts" ) for many of New York City's poor and forgotten. Dr. Sweet's ability to intertwine her medical experiences with her scholarly endeavors makes for an unusually compelling story. I couldn't put the book down. I bought this book as a birthday present for another nurse friend who, along with the author and myself, remembers a time and a place where individual patients were appreciated for their individuality and listened to in a way that no longer exists. My friend also could not put the book down and lent it to a retired physician who also enjoyed the book immensely.
This is how we are drawn to read books.On a recent trip to San Francisco, sitting at the Forest Park bus station, I gazed across the street and asked my friend what kind of hospital is Laguna Honda, that pinkish Spanish looking hacienda style building across the street. Oh, my friend said, my friend "Barbara", was a nurse and retired from there....and I am told there is actually a book written about the hospital. Later in my visit I met Barbara and listened to her story, which in turn led to me downloading "God's Hotel". Having worked in Medicine in my career, possessing an interest in the meditative qualities of medieval music, and somewhat of a "pilgrim" in my approach to life I was quickly engaged with the book's story all the way to the end."God's Hotel" is written by Victoria Sweet who we meet at the beginning of the book, a new MD clinician at the beginning of her career in medicine. She is drawn to work at Laguna Honda because of it's unusual status as one of the last free public hospitals for the chronically ill poor, a medieval alms house, in the world. It is patterned on the Hotel Dieu in Paris. However, practically it allowed Dr. Sweet to pursue a Ph.D in the History of Medicine by only requiring her to work in the Admitting Ward part-time. At the hospital she quickly becomes very engaged in caring for patients because the hospital's operating method allowed both physicians and nurses a great deal of freedom to pursue their healing art and science. At the same time, she finds a mentor for her Ph.D studies in pre-modern medicine with a doctor whose office is in one of the almost forgotten tower rooms.In the early chapters, "God's Hotel" juxtaposes Sweets increasing knowledge of pre-modern medicine through the study of the Benedictine Nun, Hildegard von Bingen and her treatment of patients. You, the reader may be familiar with her music! These first chapters lay out this medieval nun's understanding of the human body and what determines health and illness. Sweet frequently finds opportunities to examine her patients, understand their illness, and by applying Hildegard von Bingen's insights in pre-modern medicine.Lest you, the prospective reader of this book leap to the conclusion this is yet another book on homepathy, quack remedies, and the danger of vaccinations - it is not that.The main story in the book is the tension between Laguna Honda, as an Alms House, and it's progressive encounter with the pressures for modern, efficient health care delivery driven by insurers and hospital administrations. Sweet walks us through this encounter in a very personal way through the lives of her patients and her journey as a physician. Later in the book, she actually makes her thought and belief pilgrimage real by walking over fours years the famous St. Jean de Compostela pilgrimage route in France and Spain.If you work or study medicine, enjoy medieval music, and consider yourself a "pilgrim" in life......this book is for you.
Fascinating book of one doctor's experience of a hospital that allowed her to "sit" to listen to the patient and hear, on many levels, what was needed for healing. Overlapping her time at Laguna Honda Hospital in San Francisco, she earned a Ph.D. in medieval medicine, looking particularly at Hildegard Von Bingen. The juxtaposition of the two systems, exploration of her own insights and learning, and telling of the experiences of her patients, the other doctors, the politics and the change in western medicine over the time she worked made for very good reading - and a lot of learning, for her and for me!
This book I feel should be a mandatory read for all who are going into the health care field - medical & nursing students, etc and even hospital CEO's. It is a reminder of what real medicine is all about. Yes it is a business and you need money to stay open, etc. but it is so much more than that. Especially in the era of computers, the patient falls to the wayside, some doctors see the computer more than the face of their patients. Some doctors really too much on the computer, on print outs, about getting notes done, etc. They loose some of the most important tools - their instincts, the touch, feel and listen to/of the patient, the wonderful stories they may hear, the worry and fear they may see in their eyes, or the reassured and relaxed look when they trust. Sometimes the old ways are still the best ways. We need to keep a mesh of both so both sides benefit.
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