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God's Hotel: A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine 1st Edition

4.6 out of 5 stars 397 customer reviews
ISBN-13: 978-1594488436
ISBN-10: 1594488436
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Editorial Reviews


A Barnes & Noble and San Francisco Chronicle Best Nonfiction Book of 2012

“Transcendent… readable chapters go down like restorative sips of cool water, and its hard-core subversion cheers like a shot of gin… God’s Hotel [is] a tour de force… Others have written about the relationship between time and medical care with similar eloquence and urgency, but the centuries of perspective that Dr. Sweet brings infuse the point with unforgettable clarity.” –The New York Times

“A radical and inspiring alternative vision of caring for the sick.” –Vanity Fair

“Engaging… You might not expect a book about San Francisco's most downtrodden patients to be a page-turner, but it is. With its colorful cast of characters battling the tide of history, God's Hotel is a remarkable journey into the essence of medicine.” –San Francisco Chronicle

"Victoria Sweet writes beautifully about the enormous richness of life at Laguna Honda, the chronic [care] hospital where she has spent the last twenty years, and the intense sense of place and community that binds patients and staff there. Such community in the medical world is vanishingly rare now, and Laguna Honda may be the last of its kind… God's Hotel is a most important book which raises fundamental questions about the nature of medicine in our time. It should be required reading for anyone interested in the 'business' of healthcare – and especially those interested in the humanity of healthcare." –Oliver Sacks, M.D. author of The Man Who Mistook His Wife for a Hat and The Mind's Eye

“A beautifully written and illuminating book… [Sweet’s] metaphors are poetic and hint at the mystical, but then she pulls back with the educated eye of a scientist… For both the agnostic and the believer, Sweet pinpoints the element of medicine that makes it a calling rather than a job: the unique and sustaining love that is sparked between a doctor and patient.” –Jerome Groopman, The New York Review of Books

"Remarkable… [Sweet] would appreciate that it took time for me to journey to and through her work since that may be one of the many compelling messages she so eloquently, yet simply by storytelling, conveys… permitting ‘tincture of time’ to also do its job." –The Huffington Post

"Sweet's warm, anecdotal style shines… The author's compelling argument for Laguna Honda's philosophy of 'slow medicine' will make readers contemplate if perhaps the body should be viewed more as a garden to be tended rather than a machine to be fixed." –Kirkus (reviewed as a Best Book of 2012)

“Captivating… with this humane and thoughtful work, Sweet joins physician-authors such as Oliver Sacks, Jerome Groopman and Abraham Verghese.” –The Dallas Morning News

“[A] watershed book ...Vital, exquisitely written, and spectacularly multidimensional, Sweet’s clinically exacting, psychologically discerning, practical, spiritual, and tenderly funny anecdotal chronicle steers the politicized debate over health care back to medicine and compassion. –Booklist (starred review)

“Visionary… thoroughly subversive in all the best ways… This book’s lessons and conclusions should challenge doctors, nurses, hospital administrators, and policy makers to stop and rethink their core beliefs.” –Journal of Health Affairs

“A remarkable, poignant portrait of a committed physician on a quest to understand the heart, as well as the art, of medicine… A marvelous, arresting read.” –Library Journal (starred review)

“[Our] healthcare system might function a lot better if every single American citizen, healthcare professional, politician and legislator would read Victoria Sweet’s insightful, beautifully written and moving book.” –Bookpage

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 University of California, San Francisco, she also holds a Ph.D. in history and social medicine. To learn more about Victoria Sweet and her work, please visit www.victoriasweet.com.

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Product Details

  • Hardcover: 384 pages
  • Publisher: Riverhead Books; 1 edition (April 26, 2012)
  • Language: English
  • ISBN-10: 1594488436
  • ISBN-13: 978-1594488436
  • Product Dimensions: 6.3 x 1.2 x 9.3 inches
  • Shipping Weight: 1.2 pounds
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (397 customer reviews)
  • Amazon Best Sellers Rank: #311,254 in Books (See Top 100 in Books)

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Customer Reviews

Top Customer Reviews

By Jesse Kornbluth on September 11, 2012
Format: Hardcover
It almost always annoys me when someone who isn't a professional writer produces a great book, but Victoria Sweet has written the best non-fiction book I've read this year and all I wanted to do when I finished reading it was to meet her and congratulate her and ask her a lot of questions.

So I did.

Something happened at the start of that conversation that made me realize why her book dazzled me --- the qualities that make her a great doctor are the same qualities that make her book so powerful, original and relevant.

She heard me. She paid attention. She made me her patient.

Before I asked my first question, I mentioned a health issue. When she returned to San Francisco, she wrote me: "Now that you've let me know you haven't been feeling well, you need to make sure to let me know that/when you are feeling better and the meds are kicking in. Otherwise, I worry."

You want a doctor who has infinite time for you? Who cares --- as a person --- how you fare? Who uses not just the tools of current medicine but learns Latin so she can scour texts a thousand years old to learn the wisdom of pre-modern medicine?

For 20 years, to get that kind of doctor, you went to Laguna Honda Hospital in San Francisco.

To an almshouse --- a facility that provides medical and spiritual care to the poorest of the poor.

For free.

"God's Hotel" --- the term comes from the Hôtel-Dieu, the French charity hospitals of the Middle Ages --- is four books in one.
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Format: Hardcover Verified Purchase
I learned about God's Hotel from a blog by Dr. Danielle Ofri, one of my favorite medical essayists. She wrote the essay several days before the book was available and I got it as soon as I could order it and was definitely not disappointed. Dr. Sweet is an internist who was looking for a hospital in which she could work part time while pursuing graduate studies in the history of medicine. She found Laguna Honda hospital,probably the last almshouse in the country, caring for the castoffs of society in the way that medicine should be practiced....slowly, with attention to detail and individual caring for each patient.
She speaks of her triumphs and tragedies and of what she has learned from her patients. I have often felt that as a physician, I have learned as much from my patients as I have given them. I went to medical school in the Midwest at a time when you could still give that care that Dr. Sweet discusses. A place not unlike hers, in a building that was about a hundred years old with the occasional bat flying down the corridor on the top floors. I learned as she has, the incredible healing power that sitting with the patient and listening to concerns, fears, nuances of tone and voice could not only help healing but lead to the correct diagnosis.
I expected somewhat of a slow read but was delighted to find that her book is a page turner and written in an easy,lighthearted way but very authoritatively.
A great book and experience.
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Format: Hardcover
Dr. Sweet's memoir, like her diagnoses of some of her patients, has multiple independet but interacting parts. In part it is about her work in San Francisco's Laguna Honda Hospital, a public facility which is a direct intellectual descendent of the medieval almshouse. The second part is her study of the medical writings of Hildegard of Bingen, a 12th century Germany nun(and abbess) better known for her mystical religious writings. The third strain, which appears towards the end of the book, is about how her experiences walking the Santiago de Compestela pilgrmage in Spain, changed her thinking. As the descendent of an almshouse, Laguna Honda is now a very rare institution in the United States. Basically it has served (this may change) as a free, public hospital for those with chronic conditions. The emphasis on caring for people who aren't likely to get better distinguishes Laguna Honda from the public county hospital in San Francisco, which is supposed to treat acute conditions, after which if need be the patients will be transferred to Laguna Honda. Although Laguna Honda does have many patients with drug abuse problems and mental illnesses, it is not set up (no locked wards, etc.) to deal with violent or severely mentally ill people

The characterization of Lunga Honda as a hospital for the chronically ill may not hold true in the future. In conjunction with the completion of a new building in the last couple of years, Laguna Honda may become a facility focusing on the mentally ill and homeless, though the new building was not designed with those patients in mind.
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Format: Hardcover
For years I have felt the horrors of five minutes with my doctor when I am concerned I have upon occasion had a major concern. At last a physician speaks out about the temerity of those who have tried to make medicine the provience of machines and almost anyone but those who have spent years educating themselves, caring for us - the physician. Victoria Sweet makes a forceful argument on behalf of those who believe American medicine has become nothing but a milk cow for insurance companies and efficiency experts who care little for their client but only for the bottom line. Change is long over due in the practice of medicine in this country. Hopefully Dr. Sweet's wonderful book will be the catalyst for physicians demanding that change.
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