God's Hotel: A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine

Sold by Penguin
25
Free sample

Victoria Sweet's new book, SLOW MEDICINE, is on sale now!

For readers of Paul Kalanithi’s When Breath Becomes Air, a medical “page-turner” that traces one doctor’s “remarkable journey to the essence of medicine” (The San Francisco Chronicle). 

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.

Read more

About the author

Victoria Sweet has been a physician at San Francisco’s Laguna Honda Hospital for more than twenty years. An associate clinical professor of medicine at the University of California, San Francisco, she is also a prize-winning historian with a Ph.D. in history and social medicine.
Read more
4.3
25 total
Loading...

Additional Information

Publisher
Penguin
Read more
Published on
Apr 26, 2012
Read more
Pages
432
Read more
ISBN
9781101561812
Read more
Features
Read more
Language
English
Read more
Genres
Biography & Autobiography / Medical
Health & Fitness / Health Care Issues
Medical / Essays
Read more
Content Protection
This content is DRM protected.
Read more
Eligible for Family Library

Reading information

Smartphones and Tablets

Install the Google Play Books app for Android and iPad/iPhone. It syncs automatically with your account and allows you to read online or offline wherever you are.

Laptops and Computers

You can read books purchased on Google Play using your computer's web browser.

eReaders and other devices

To read on e-ink devices like the Sony eReader or Barnes & Noble Nook, you'll need to download a file and transfer it to your device. Please follow the detailed Help center instructions to transfer the files to supported eReaders.
The New York Times bestselling author of Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession

The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.

Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable.

At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.

An introduction to the life and work of Hildegard.

• Reveals the life and teachings of one of the greatest female artists and intellectuals of the Western Mystical Tradition.

• Contains 24 full-color illustrations by Hildegard of Bingen.

• Includes commentary by Matthew Fox, author of Original Blessing (250,000 sold).

Hildegard of Bingen (1098-1179) was an extraordinary woman living in the Rhineland valley during most of the twelfth century. Besides being the abbess of a large and influential Benedictine abbey, she was a prominent preacher, healer, scientist, and artist. She also was a composer and theologian, writing nine books on theology, medicine, science, and physiology, as well as 70 poems and an opera. At the age of 42, she began to have visions; these were captured as 36 illuminations--24 of which are recorded in this book along with her commentaries on them. She also wrote a text describing these visions entitled Scivias (Know the Ways), now published as Hildegard of Bingen's Mystical Visions.

Author Matthew Fox has stated, "If Hildegard had been a man, she would be well known as one of the greatest artists and intellectuals the world has ever seen." It is a credit to the power of the women's movement and our times that this towering genius of Western thought is being rediscovered in her full grandeur and autonomy.

Virtually unknown for more than 800 years in Western history, Hildegard was featured as one of the women in Judy Chicago's Dinner Party in the early 1980s and published for the first time in English by Bear & Company in 1982. In addition to her mystical teachings, Hildegard's music has been performed and recorded for a new and growing audience.
A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine.

Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.

Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.

At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.

Complications is a 2002 National Book Award Finalist for Nonfiction.

What's the right thing to do for mom and dad as they get older?

Thanks to advances in science and medicine, more of our parents are living longer than ever before. And though we are rewarded with more time with the people we love, we are also faced with new sets of complications—more diseases, more disability, more need for support and careful judgments. Yet while our health care system may help people live to an older age, it doesn't perform so well when decline eventually sets in. We want to do the best thing but are overwhelmed with the staggering choices we face.

Geriatrician Dennis McCullough has spent his life helping families to cope with their parents' aging and eventual final passage, experiences he faced with his own mother. In this comforting and much-needed book, he recommends a new approach, which he terms "Slow Medicine."

Shaped by common sense and kindness, grounded in traditional medicine yet receptive to alternative therapies, Slow Medicine advocates for careful anticipatory "attending" to an elder's changing needs rather than waiting for crises that force acute medical interventions—an approach that improves the quality of elders' extended late lives without bankrupting their families financially or emotionally. As Dr. McCullough argues, we need to learn that time and kindness are sometimes more important and humane at these late stages than state-of-the-art medical interventions.

My Mother, Your Mother will help you learn how to:

—form an early and strong partnership with your parents and siblings;
—strategize on connecting with doctors and other care providers;
—navigate medical crises;
—create a committed Advocacy Team;
—reach out with greater empathy and awareness; and
—face the end-of-life time with confidence and skill.

Although taking care of those who have always cared for us is not an easily navigated time of life, My Mother, Your Mother will help you and your family to prepare for this complex journey. This is not a plan for getting ready to die; it is a plan for understanding, for caring, and for helping those you love live well during their final years. And the time to start is now.

疾病醞釀了多久,療癒的時間就要多長……

在疾病與死亡之間,還有多少種可能?

面對疾病,還有多少種選擇?

是否,我們忘了──人不只是軀體?

這裡的醫師、護士與病人,讓我相信了日常小事的重要,

也讓我目睹了宛如植物終能綻放綠意的療癒過程;

那不只是醫療,更是一種奇蹟,彷彿是一種魔術戲法。──維多莉亞.史薇特/作者 

【推薦人】

作家、精神科醫師/ 王浩威 家庭醫學科醫師/吳妮民 春禾劇團教學暨藝術總監/郎祖筠  NEWS98《財經起床號》節目主持人/陳鳳馨  天主教耕莘醫院總院長、天主教失智老人基金會執行長/鄧世雄  小說家/駱以軍

一家殷勤款待的醫院,一段段以耐心與關愛守候的療癒旅程,宛如悲喜交集的人生劇場:

如果醫生診斷病人的時間不是兩分鐘,而是兩小時;

如果護士的願望不是休假,而是讓每位病人都擁有一床親手編織的毛毯;

如果醫院肯讓病人在院內靜心休養兩個月,還願意把花費在藥品的開銷,用來提供良好的飲食、按摩等照料……

這種種現代看起來「無效率」的醫療模式,在深池醫院發揮了魔法,創造奇蹟。

二十多年前,史薇特醫師初次來到舊金山的深池醫院。原本她只打算待兩個月,然而,在這所源自中世紀的醫療院所、美國的最後一家救濟院裡,史薇特感受了現代醫學逐漸消失的殷勤款待氛圍,更有機會採用幾乎消失的「緩慢療法」。

「我在這裡照顧了1686位患者,他們教了我許多事,改變了我,也以始料未及的方式改變了我的醫療。」史薇特在本書寫下她在深池醫院的所見所聞,與尋找醫學精神的感思。

在史薇特筆下,深池醫院宛如悲喜交集的人生劇場:這裡既是醫院,也像庇護所、失業棲身處、中途之家、復健中心,需要長期醫療照護的人,舉凡芭蕾舞者、搖滾樂手、教授或小偷都來到此地,愛滋病房裡還養過母雞。有人在這裡甩掉男友,有人在這裡找到另一半,有人帶著對新生活的期待而離開,不久卻在街頭告別生命。在這些故事中,我們看見患者與醫生面對病痛或生死時的心情轉折,以及身心靈照護的本質、代價和價值……等真實寫照。

現代醫學把人體視為需要修理的機器,但在深池醫院,史薇特醫師和夥伴重新找回古老的醫療概念:人體是個需要悉心照料的園地,用飲膳休息導引的復原力量,遠勝過「對抗疾病」。她深切體會到,醫生並不需要做很多事,往往只是最簡單的處方,病人就會好轉;就像飲食區分為速食和慢食一樣,醫療或許可以「無為而治」。

儘管在醫療健保改革的浪潮中,深池醫院的經營管理方式最終也被迫改變。史薇特醫師這本動人的紀錄,除了緬懷那樣美好的醫病關係,更提供一種人文視野的省思,闡釋了療癒應有的本質:

































「生命本應緩慢,療癒無法用效率衡量。」

疾病醞釀了多久,療癒的時間就要多長……

在疾病與死亡之間,還有多少種可能?
面對疾病,還有多少種選擇?
是否,我們忘了──人不只是軀體?

這裡的醫師、護士與病人,讓我相信了日常小事的重要,
也讓我目睹了宛如植物終能綻放綠意的療癒過程;
那不只是醫療,更是一種奇蹟,彷彿是一種魔術戲法。

──維多莉亞.史薇特/作者

 

【推薦人】
作家、精神科醫師/ 王浩威   家庭醫學科醫師/吳妮民 春禾劇團教學暨藝術總監/郎祖筠  NEWS98《財經起床號》節目主持人/陳鳳馨  天主教耕莘醫院總院長、天主教失智老人基金會執行長/鄧世雄  小說家/駱以軍

一家殷勤款待的醫院,一段段以耐心與關愛守候的療癒旅程,
宛如悲喜交集的人生劇場:

如果醫生診斷病人的時間不是兩分鐘,而是兩小時;

如果護士的願望不是休假,而是讓每位病人都擁有一床親手編織的毛毯;

如果醫院肯讓病人在院內靜心休養兩個月,還願意把花費在藥品的開銷,用來提供良好的飲食、按摩等照料……

這種種現代看起來「無效率」的醫療模式,在深池醫院發揮了魔法,創造奇蹟。

二十多年前,史薇特醫師初次來到舊金山的深池醫院。原本她只打算待兩個月,然而,在這所源自中世紀的醫療院所、美國的最後一家救濟院裡,史薇特感受了現代醫學逐漸消失的殷勤款待氛圍,更有機會採用幾乎消失的「緩慢療法」。

「我在這裡照顧了1686位患者,他們教了我許多事,改變了我,也以始料未及的方式改變了我的醫療。」史薇特在本書寫下她在深池醫院的所見所聞,與尋找醫學精神的感思。

在史薇特筆下,深池醫院宛如悲喜交集的人生劇場:這裡既是醫院,也像庇護所、失業棲身處、中途之家、復健中心,需要長期醫療照護的人,舉凡芭蕾舞者、搖滾樂手、教授或小偷都來到此地,愛滋病房裡還養過母雞。有人在這裡甩掉男友,有人在這裡找到另一半,有人帶著對新生活的期待而離開,不久卻在街頭告別生命。在這些故事中,我們看見患者與醫生面對病痛或生死時的心情轉折,以及身心靈照護的本質、代價和價值……等真實寫照。

現代醫學把人體視為需要修理的機器,但在深池醫院,史薇特醫師和夥伴重新找回古老的醫療概念:人體是個需要悉心照料的園地,用飲膳休息導引的復原力量,遠勝過「對抗疾病」。她深切體會到,醫生並不需要做很多事,往往只是最簡單的處方,病人就會好轉;就像飲食區分為速食和慢食一樣,醫療或許可以「無為而治」。

儘管在醫療健保改革的浪潮中,深池醫院的經營管理方式最終也被迫改變。史薇特醫師這本動人的紀錄,除了緬懷那樣美好的醫病關係,更提供一種人文視野的省思,闡釋了療癒應有的本質:

「生命本應緩慢,療癒無法用效率衡量。」

In ihrer Karriere als Ärztin hat Victoria Sweet vieles erlebt. Die bedrohlichste Entwicklung sieht sie darin, dass Ökonomen und Politiker das „Gesundheitssystem“ auf Effizienz trimmen – und auf der Strecke bleiben die Patienten. Gute Medizin ist mehr als technologischer Fortschritt und hochkomplexe Maschinen. Sie benötigt Zeit – Zeit, in der der Körper seine Selbstheilungskräfte aktivieren kann. Victoria Sweet berichtet von unvergesslichen Erfahrungen mit Patienten, Ärzten und Krankenpflegern, dank derer sie das Konzept der „Slow Medicine“ entdeckte. Sie zeigt auf, dass die Medizin Handwerk, Kunst und Wissenschaft in einem ist. Sie ist zugewandt, persönlich, offen für Spirituelles. Ein guter Arzt zu sein verlangt Erfahrung, die durch keinen Algorithmus ersetzt werden kann. Slow Medicine führt „schnelle“ und „langsame“ Medizin zu einem wahrhaft effektiven, effizienten, nachhaltigen und menschlichen Weg der Heilung zusammen. Victoria Sweets Plädoyer für eine menschennahe Medizin hat auch für unser Gesundheitssystem eine hohe Brisanz, in dem das Konzept der »Slow Medicine« noch weitgehend unbeachtet ist. Das „Healthcare-Barometer 2018“ zeigt, dass hierzulande Patienten ihren Arzt kritisch betrachten: Sie bemängeln nicht die Kompetenz des Mediziners, sondern dessen Zeitbudget: 45 Prozent sind der Meinung, dass ihr Arzt sich zu wenig Zeit für sie nimmt. "Ich war nicht die Erste und auch nicht die Einzige, der dieses Konzept in den Sinn kam. Überall auf der Welt haben Menschen unabhängig voneinander die Slow Medicine entdeckt. Sie liegt in der Luft und ist ein wichtiges Zukunftsmodell, mit dem wir uns alle befassen sollten.[...] Bei dieser Art von Heilung findet ein Geben und Nehmen zwischen Körper und Pflegendem, zwischen Patient und Arzt statt – eine Wechselwirkung zwischen jedem Organ, jeder Zelle und jedem Prozess. Nur langsam entwickelte ich ein Gespür dafür." (Victoria Sweet)
©2018 GoogleSite Terms of ServicePrivacyDevelopersArtistsAbout Google|Location: United StatesLanguage: English (United States)
By purchasing this item, you are transacting with Google Payments and agreeing to the Google Payments Terms of Service and Privacy Notice.