House of God #1

The House of God

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As in all hospitals, the medical hierarchy of The House of God was a pyramid - a lot at the bottom and one at the top.Put another way it was like an ice-cream cone...you had to lick your way up! Roy Basch, the 'red-hot' Rhodes Scholar, thought differently - but then he hadn't met Hyper Hooper, out to win the most post-mortems of the year award, nor Molly, the nurse with the crash helmet.He hadn't even met any of the Gomers ('Get Out of My Emergency Room!'), the no-hopers who wanted to die but who were worth more alive!

432 pages, Paperback

First published January 1,1978

Series

This edition

Format
432 pages, Paperback
Published
August 5, 2003 by Dell
ISBN
9780440296089
ASIN
0440296080
Language
English
Characters More characters

About the author

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Samuel Shem (b. 1944) is the pen name of the American psychiatrist Stephen Joseph Bergman. His main works are The House of God and Mount Misery, both fictional but close-to-real first-hand descriptions of the training of doctors in the United States.
Of Jewish descent, Bergman was a Rhodes Scholar at Balliol College, Oxford in 1966, and was tutored by Denis Noble FRS, cardiac physiologist and later head of the Oxford Cardiac Electrophysiology Group. In an address to Noble's retirement party at Balliol, he related that Noble's response to Bergman's attempt to become a writer was to ply him with copious sherry. He graduated from Harvard College and Harvard Medical School.
He was an intern at Beth Israel Hospital (subsequently renamed Beth Israel Deaconess Medical Center) ,which inspired the book The House of God.
As of 2017, Bergman is a member of the faculty of the New York University School of Medicine at NYU Langone Medical Center.
Shem's play Bill W. and Dr. Bob had an Off Broadway run at New World Stage in New York City. It ran for 132 performances and closed on June 10, 2007. The New York Times called it "an insightful new play."



Community Reviews

Rating(4.1 / 5.0, 100 votes)
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100 reviews All reviews
April 17,2025
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When I was a nursing student, I was sitting at the nurses station and writing a rough draft of my patients notes for my supervising RN to read through before I put them in the file. One of the medical interns sat down next to me and asked me if I'd read The House of God. I thought he might have been trying to convince me to join some obscure religion. I hadn't, I warily told him so, and he threw his hands up in the air and said "You have to, you need to read it, it's real life put down on paper, and it will stop you going mad. Or make you feel better about going mad when you do get there. It certainly made me feel better about going mad. They tell us we should read it, but they never tell you nurses and that's a crime. So I'm telling you now. Have a good shift!". Then he bounced up out of his chair and disappeared to wherever doctors go when they're not making the place look messy and stealing the charts just before you need them.

It took me a while to track down this book, but now I have I can absolutely say that this intern was one hundred percent right. This book IS real life down on paper. Everything in it (with regards to patients, emotional turmoil, medical care, and bowel runs) is totally relate-able. It may be dated (all these references to the Nixon era make only the vaguest sense to anybody in my generation who is not American) but it is still relevant, and after my first year out, it was cathartic to read this book and see that it isn't just me. Other people before me have felt the same helplessness and cynicism and experienced the same highs and lows, regardless of when they started or whether they're medical or nursing or anything else.

And the Laws of the House of God? Are hilariously, wonderfully, absolutely true.
April 17,2025
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It feels like one of my attendings could have wrote this, thinking they were being witty and sarcastic, and teaching a valuable moral lesson, but really just being cynical.

People say it's satire, and ok, I'm not sure, but the books that I think are satire (a confederacy of dunces) do it by describing extreme (abnormal) situations to the point they're ridiculus. This guy was just describing shitty situations, and unethical behaviours and excusing himself by saying, "oh it's the system that made me be like this to survive the year", which is... a choice.

I read the book because I found it in a twitter o reddit thread that spoke about it being incredible and capturing the feeling of being an intern o resident. It was a bad choice, and a waste of time.
April 17,2025
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It was genuinely hard to determine whether I liked or hated this book. The abbreviations and acronyms made me laugh out loud and there were many parts that were honest and real, but overall it was just so crass and not the most 2020 book
April 17,2025
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This book is still an enigma to me. It’s a reflection of medicine in the 1970s, with echoes that ring true to me today, though thankfully only echoes. Yet that’s all buried in its gallows humor, its medicine sexualized to the point of erotica, its blatant dehumanization of patients, doctors, and anyone else touched by the medical system.

This book is frankly offensive to many who read it. I laughed a lot. I cringed a lot. I’ve been told both to read it and to never near it with a ten-foot pole. I find myself in the same position: should I recommend it or not?

I am about to graduate and become one of the overworked interns that fill this book. I see the humor and the truth here, but does that mean I have already lost some human portion of myself, or have I retained it? I don’t know yet, but perhaps the best advice here is not about the novel at all, but found in the author’s afterword in my edition: Stay connected. Speak up. Learn empathy. Learn your trade, in the world.
April 17,2025
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Satirisch schrijfsel over een groep 'medical interns' in een groot Amerikaans ziekenhuis. Enigszins gedateerd maar bevat toch enkele rake en herkenbare observaties. Geen topper vanwege de matig boeiende personages en de eentonige schrijfstijl. 3 sterretjes.
April 17,2025
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I was pitched on this as being something like Catch-22, but about medicine instead of war. This made me dubious because (1) I don't know that I think Catch-22 is exactly about war and (2) comparing anything to Catch-22 is going to make me dubious on general principles.

Still, this was really worth my time. It was funny and sad and touching and interesting, and the fact that a lot of doctors seem to say that it conveys a real feeling of what internship is like is *crazy*. I don't think it'll become a book I reread every few years like Catch-22, but it was terrific.
April 17,2025
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Reir, llorar, vomitar y temer el momento de tener que ir a un hospital.
April 17,2025
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On the one hand, I can appreciate what this book did to expose the dark sides of internship and residency and the hell that future doctors are put through in the name of "medical training." I think it alerted many in the general public to the way that medical training pushed future doctors to their limits, frequently resulting in damage to their compassion, empathy, and mental health. This book was the canary in the coal mine for many both within and without the medical system. Although it took years for changes (such as limiting the working hours of residency to an average of 80 hr/week) to come, this book likely had a part in getting people to realize that changes were necessary. Even now, 40 years later, much of this book still rings true. The rate of burnout and suicide in interns and residents remains depressingly high, and too many trainees still experience the pressure to "do everything," even when that might not be in the patient's best interest. As long as doctors continue to feel that this book accurately represents their experience, there is still progress that remains to be made.
All that being said, I was not fond of the main character and would not want him to be my doctor. I also feel that there are aspects of this book that seem to belong more to a TV dramatization of medical training than to an actual residency. I understand that this book was written in the era of Watergate and "things were different." I understand that this is a fictionalized account. I also understand that the character is sarcastic and burned out and that's part of the point. But boy howdy. The sheer numbers of times that Roy shows up drunk to a shift, or drinks while on duty, or has sex while on duty, and so forth and so on. It's a lot.
So, I appreciate this book's contribution to improving medical residencies, but I have no plans to read it again.
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