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God's Hotel: A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine Hardcover – April 26, 2012

4.5 4.5 out of 5 stars 1,229 ratings

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.

Editorial Reviews

Review

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.

Product details

  • Publisher ‏ : ‎ Riverhead Books; 1st edition (April 26, 2012)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 384 pages
  • ISBN-10 ‏ : ‎ 1594488436
  • ISBN-13 ‏ : ‎ 978-1594488436
  • Item Weight ‏ : ‎ 1.3 pounds
  • Dimensions ‏ : ‎ 6.28 x 1.23 x 9.3 inches
  • Customer Reviews:
    4.5 4.5 out of 5 stars 1,229 ratings

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Customer reviews

4.5 out of 5 stars
1,229 global ratings

Customers say

Customers find the book's history great and replete with saints, bad girls, and near miracles. They also appreciate the many lessons in holistic, humane approaches and the importance of the right. Readers describe the story as entertaining and informative. They praise the writing style as well-written, unique, and personal.

AI-generated from the text of customer reviews

178 customers mention "Content"175 positive3 negative

Customers find the book's content deep, informative, and uplifting. They say it breathes the truth and is an eye-opener into alternative care. Readers also say the exemplars of particular patients are touching. They also say it should generate great conversations and is common sense yet revolutionary.

"...book comes along that not only instructs and delights but also deepens your humanity, carving out extra space inside us to carry even more compassion..." Read more

"...It is not a dull story and it happened at a hospital in San Francisco, CA. I highly recommend this book." Read more

"...its essence, "God's Hotel" is a passionate and compelling critique of modern medicine and the demise of the doctor-patient relationship...." Read more

"...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...." Read more

106 customers mention "Writing style"91 positive15 negative

Customers find the writing style well-written, humanistic, and graceful. They also say the book takes a unique and very personal look at the political and economic issues. Readers also appreciate the depth of caring and compassion of the physician for her patients. They say the methods are common sense yet revolutionary when considering the state of the world.

"...get a sense that Dr Victoria Sweet is a deeply thoughtful and compassionate person, and one of the very best kind of caregivers one could hope to..." Read more

"...But, at its best and its essence, "God's Hotel" is a passionate and compelling critique of modern medicine and the demise of the doctor-..." Read more

"...Dr. Sweet is an excellent engaging writer. I learned a lot about various subjects I formerly knew nothing about and enjoyed it along the way...." Read more

"...While excellently written, I sometimes thought I would never get through it and I can't exactly say what caused that...." Read more

41 customers mention "Story"35 positive6 negative

Customers find the story entertaining, informative, and wonderful. They also say the book keeps them engaged the whole time with heart and soul.

"...past, a candid look at today's managed health "care", a most interesting and evenhanded look at political maneuvering and still I was left..." Read more

"...She produced a very entertaining and informative read, however, the book needed good editing...." Read more

"...It is. immensely readable and engaging." Read more

"...to find that her book is a page turner and written in an easy,lighthearted way but very authoritatively.A great book and experience." Read more

11 customers mention "History"11 positive0 negative

Customers find the book's history great, with medieval medical history, hard to believe patient cases, and saints. They also say the connection with the Benedictine nun is fascinating and fills them with faith in mankind.

"...This is a great history of a great place and the great people who made it “God’s Hotel “." Read more

"God's Hospital is not only a page turner. It's a fascinating story of the history of the unique hospital in the U.S. that provides medical care to..." Read more

"...The author offers medieval medical history, hard to believe (yet true) patient cases, word analyses you'll actually want to remember, and personal..." Read more

"...Money very well spent. A great history of how and why we got to today's method of medical services delivery." Read more

6 customers mention "Originality"6 positive0 negative

Customers find the book unique, thought-provoking, and fascinating. They also describe it as strange but interesting and different.

"A fascinating look at a unique hospital, really an alms house that is a longtime San Francisco institution...." Read more

"...and anyone with a compassionate bone in their body will enjoy this unique and thought-provoking book." Read more

"Strange but interesting. New ideas of helping the sick all based on bottom line. No more personal interaction between doctor & patient. All about $." Read more

"Interesting look into an old SF institution. As a reader, I found the author's journeying back and forth for her personal jouney disconcerting." Read more

5 customers mention "Care"5 positive0 negative

Customers praise the team for delivering high quality care in a caring way.

"...Very well done, Dr Sweet." Read more

"...Simply an excellent documentation of a team delivering a high quality of care in a caring way despite the obstacles surrounding them." Read more

"...and the story of an Almshouse are key elements of this life well-lived and well told. Highly recommended." Read more

"The book came in great condition. I am satisfied with this item that I ordered.Would order again if I need books." Read more

5 customers mention "Story pace"5 positive0 negative

Customers find the story pace good and slow.

"Perfect timing I found it had been put on my Kindel while I was in the hospital...." Read more

"An good fast read..." Read more

"a slow, but insightful read..." Read more

"The beauty and efficacy of slow medicine..." Read more

Top reviews from the United States

Reviewed in the United States on November 14, 2012
A book that can delight you through its entertainments or instruct you with useful knowledge is a good book; one that does both is a great book. Rarely, a book comes along that not only instructs and delights but also deepens your humanity, carving out extra space inside us to carry even more compassion. 'God's Hotel' is such a book. [A hat-tip to Jesse Kornbluth of Head Butler for introducing me to it.]

There were many reasons I enjoyed the book, which is really many books at once:

-- The author, Dr Victoria Sweet, who has a PhD in medieval history as well as an MD, shares the ancient Latin and Greek etymologies of many terms used in patient care today. Hospitality, community, charity - what do they really mean? Through her stories about her time taking care of patients, Dr Sweet shows how those formed the three foundational principles of Laguna Honda Hospital.

-- Dr Sweet interweaves the account of her doctoral research on Hildegard von Bingen in the story. Von Bingen was the original 11th century superwoman: head cleric, builder, farmer, physician, author *and* composer at a time when women weren't allowed much power at all. Dr Sweet applies some of the premodern principles from von Bingen's healing framework to her patients, with encouraging results.

-- Dr Sweet describes in great detail and without spite the encroachment of modern medicine with its "efficiencies" into the cozy, personable and strangely effective ways of Laguna Honda, even though there is much to provoke the reader's dismay. The personal, health and financial consequences of cost-cutting, both on patients and staff, turn out to be much higher than the dollars that those measures purport to save. It's a cautionary tale about what medicine can be vs. what it has become, and should be required reading for every medical student.

-- And most of all, the stories of the patients. Laguna Honda being a hospital for the care of the indigent - the last almshouse in the US - its patients are people that the good life left behind. The poor, the mentally ill, the unlucky, those with nowhere else to go: these are the patients that Laguna Honda treats equally and without prejudice. Sometimes the patient goes to the brink of death, the 'anima' already halfway in ascent, and turns back. Other times, the patients make miraculous recoveries only to succumb to alcohol or neglect once discharged. These case histories are at once invigorating, enlightening, infuriating and heartbreaking. They are the human heart of the book.

One of the side effects of reading any book is to become partially imbued with the spirit of its author. Reading 'God's Hotel', you get a sense that Dr Victoria Sweet is a deeply thoughtful and compassionate person, and one of the very best kind of caregivers one could hope to have. As a result, this book will not only delight and instruct you, but is also likely to leave you a better human being.

-- Ali Binazir, M.D., M.Phil., author of [...], the highest-rated dating self-help book on Amazon
5 people found this helpful
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Reviewed in the United States on December 10, 2023
A great book for anyone interested in health care and changes made to delivering of care in recent years due to “modernization” and regulations. It is not a dull story and it happened at a hospital in San Francisco, CA. I highly recommend this book.
Reviewed in the United States on January 18, 2014
On some level, and in long stretches, "God's Hotel" is self-indulgent and boring.

Author Victoria Sweet pays inordinate attention to the political battles and personnel changes at the hospital, gumming up the book's narrative.

But, at its best and its essence, "God's Hotel" is a passionate and compelling critique of modern medicine and the demise of the doctor-patient relationship.

Dr. Sweet found work at perhaps the last almshouse in America, Laguna Honda Hospital in San Francisco. There, she had freedom to spend ample time with patients, arriving at more accurate diagnoses.

She is not disdainful of medical technology, but as a student -- and, in some sense, practitioner -- of pre-modern medicine, she recognizes the body's propensity to heal itself.

Proper nutrition, rest, exercise and quiet fuel the body's natural healing processes. Patients of hers who arrive taking as many as 25 different prescription medications end up taking 6 or 7 after a few weeks of Dr. Sweet's care.

The most gripping passages describe individual patients' incredible recoveries from the brink of death.

In the end, I do recommend this book, for you, and especially for your doctor.
2 people found this helpful
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Reviewed in the United States on April 19, 2016
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.
34 people found this helpful
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Top reviews from other countries

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Semolina
5.0 out of 5 stars Excellent service
Reviewed in the United Kingdom on December 16, 2023
Book received in as described condition. Very happy 😁
Fulya
2.0 out of 5 stars Diary of a Doctor
Reviewed in Germany on January 27, 2016
Although the use of language was quite good and some stories were interesting, this book is nothing more than a simple diary of a doctor. Most importantly even it lacks the emotions that should exist in a diary.
One person found this helpful
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npdy
5.0 out of 5 stars Excelente obra
Reviewed in Spain on October 20, 2015
Una profesional de la medicina plenamente cualificada cuestiona los criterios de eficiencia y eficacia al uso en los sistemas sanitarios occidentales, desde su experiencia de largos años en una institución "benéfica" más allá de la primera acepción del término. El estilo narrativo es el relato sencillo, directo y ameno, pero también plagado de opiniones y reflexiones. Debería traducirse.
mindriots
5.0 out of 5 stars More than highly recommended.
Reviewed in Canada on February 13, 2013
A beautiful book for nurses, doctors, healthcare professionals, and patients alike. One of the best books I have read in a long time. Victoria Sweet sucks you in; you become part of her world in the hospital, and can see everything she describes. It is a moving, compelling, and wonderfully human read. It is also pretty heart-breaking to read about the bureaucratic nonsense that governs healthcare and that ultimately wins out because, as we all know, money usually does. She gets to the heart of it all, and she does it with such poise and grace in her writing and interpretation of situations and encounters that both makes me happy that she is a Physician, and sad that there aren't more like her.

I am so happy Dr. Sweet wrote this book; it is so accessible. She writes with understanding and compassion, and as someone who seems to *get* it, rationally and realistically speaking. She describes so perfectly one of the fundamental problems of north american healthcare: lack of time. Taking away time destroys the ability to give optimal healthcare, and she captures this perfectly.

As Dr. Sweet finds herself doing with Hildegard of Bingen, I now find myself thinking, "hmmm...what would Dr. Sweet do?" - which tells me that this book really impacted me and my nursing practice!
3 people found this helpful
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L F
5.0 out of 5 stars Great Read
Reviewed in Canada on October 20, 2020
Really enjoyed this memoir of a Dr’s personal and professional journey. It’s so refreshing to hear from someone who has wrestled through what works and doesn’t with both modern and pre-modern methods and ideologies. A reminder that progress doesn’t have to throw out the baby with the bath water as far as what has worked before. I believe we are coming to realize as a society that maybe industrialism and efficiency have taken as much as they have given. (Some reviews had issue with her using patient and colleague names in the book - she does make a note that all the names she used were pseudonyms. It’s important to read the whole book!).
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