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Now a classic! The hilarious novel of the healing arts that reveals everything your doctor never wanted you to know. Six eager interns -- they saw themselves as modern saviors-to-be. they came from the top of their medical school class to the bottom of the hospital staff to serve a year in the time-honored tradition, racing to answer the flash of on-duty call lights and nubile nurses. But only the Fat Man --the calm, all-knowing resident -- could sustain them in their struggle to survive, to stay sane, to love-and even to be doctors when their harrowing year was done.
"Does for the practice of medicine what Catch-22 and M*A *S *H did for the practice of warfare." -- The Newark Star-Ledger
"Wildly funny... frightening... outrageous, moving... a story of modern medicine rarely, if, ever told." -- The Houston Chronicle
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Shem portrays masterfully the jumble of emotions of a typical intern. There is a superficial level of glossy brown-nosing that got you into med school in the first place. Buzz words like compassion, continuity of care and empathy are used with the teaching physicians and in meetings. Then there is a deeper level of survival where you would kill your mother for 5 minutes of sleep or being able to crap without the code blue pager going off. This level is usually not discussed or written about in many of the typical intern coming-of-age books out there. Not because it isn't true, but because it's uncomfortable and offensive to non-physicians. Shem is the master of this level of medical thinking. No one else even comes close. Shem approaches but doesn't quite get to an even more primal level - that of duty. This level is what keeps an intern from punching his residency directors or the arrogant surgeon who asks him "What is the difference between a sh*thead and a brown-noser" and then tells you the answer is depth perception.(True story) It's what makes you do your best when you know the patient is hopeless or even abusive as you try your best to save them from themselves or some disease.
The humor is black as night and the sex is soft-core porn, according to my nephew in medical school to whom I sent a copy of this book.
House of God has two profound themes. The first is a detailed description of medicine and medical training. This theme is presented with black humor, and some (but not as much as you think) exaggeration. I have read nothing that does this better. The second theme of the book is universal, however. It is the theme of Man vs. World and the World wins, but the Man is too maimed to know it.
The book still disturbs and haunts me because Shem puts in print graphically and eloquently some of the thoughts and occurences that we don't even admit to ourselves.
This book is a must read for the doctor to be. The nonmedical world has to realise that what seems as perverse dark sick humor (gomers, turfing, not doing anything, the only good admission is a dead admission) is merely an attempt to survive the onslaught of internship. Balance fatigue with limited knowledge and throw in some unparralled responsibility and you get a taste of what it's like.
House of God does just that.
Oh.. and never ever.... go to a teaching hospital in July. :)