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The laws of The House of God and Man's 4th Best Hospital

Forty-two years ago, when I had finally finished the seven revisions of my first novel, The House of God, my editor said, “Why don’t you add a glossary and a list of The Laws of the House of God.” Writing the Laws, I hardly needed to refer to the text; they just flowed out. The Laws became common parlance, not only tacked up in on-call rooms but even, recently, listed on a T-shirt for sale. Medicine has changed drastically, but the House Laws are still here.
The Laws of The House of God (1978)
I. Gomers don’t die.
II. Gomers go to the ground. ....

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Nick Hopkinson: Man's 4th Best Hospital—a powerful reminder of the moral hazards that await if we don't look out for each other

Nick Hopkinson: Man’s 4th Best Hospital a powerful reminder of the moral hazards that await if we don’t look out for each other
December 10, 2020
My copy of
The House of God, Samuel Shem’s 1978 novel of medical training, disillusion, and resistance, has a quote from Cosmopolitan on the cover; a “bawdy cult classic Catch-22 with stethoscopes.” Given the critical reception that Closing Time, Joseph Heller’s 30-year on sequel to Catch 22 received, is this a hostage to fortune for Shem’s latest follow up
I read
The House of God a few months after I’d qualified, taking cathartic comfort from the feeling that, however much I was struggling, the healthcare system I was entering in the early 90’s wasn’t as appalling as the one that nearly crushes Shem’s young protagonist/alter ego, Roy Basch. Although imperfect, the sense that we were doing what could be done for patients while also protecting them from futile interventions seemed to provide a ....

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