The House Of God
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The House Of God
''The House of God'' is a satirical novel by Samuel Shem (a pseudonym used by psychiatrist Stephen Bergman), published in 1978. The novel follows a group of medical interns at a fictionalized version of Beth Israel Hospital over the course of a year in the early 1970s, focusing on the psychological harm and dehumanization caused by their residency training. The book, described by the ''New York Times'' as "raunchy, troubling and hilarious", was viewed as scandalous at the time of its publication, but acquired a cult following and ultimately etched its place into the evolving discussion of humanism, ethics, and training in medicine. Storyline Dr. Roy Basch is an intelligent but naive former Rhodes Scholar and BMS ("Best Medical School")-educated intern ('tern') working in a hospital called the House of God after having completed his medical studies at BMS. Basch is poorly prepared for the grueling hours and the sudden responsibilities without good guidance from senior attend ...
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Samuel Shem
Samuel Shem is the pen-name of the American psychiatrist Stephen Joseph Bergman (born 1944). 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 Scholarship, Rhodes Scholar at Balliol College, Oxford, Balliol College, University of Oxford, 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 Dr. Noble's retirement party at Balliol, he related that Denis 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 Deaconess Medical Center, 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 facu ...
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Residency (medicine)
Residency or postgraduate training is specifically a stage of graduate medical education. It refers to a qualified physician (one who holds the degree of MD, DO, MBBS, MBChB), veterinarian ( DVM or VMD) , dentist ( DDS or DMD) or podiatrist ( DPM) who practices medicine, veterinary medicine , dentistry, or podiatry, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant. In many jurisdictions, successful completion of such training is a requirement in order to obtain an unrestricted license to practice medicine, and in particular a license to practice a chosen specialty. In the meantime they practice "on" the license of their supervising physician. An individual engaged in such training may be referred to as a resident, registrar or trainee depending on the jurisdiction. Residency training may be followed by fellowship or sub-specialty trai ...
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Charleston, South Carolina
Charleston is the largest city in the U.S. state of South Carolina, the county seat of Charleston County, and the principal city in the Charleston–North Charleston metropolitan area. The city lies just south of the geographical midpoint of South Carolina's coastline on Charleston Harbor, an inlet of the Atlantic Ocean formed by the confluence of the Ashley, Cooper, and Wando rivers. Charleston had a population of 150,277 at the 2020 census. The 2020 population of the Charleston metropolitan area, comprising Berkeley, Charleston, and Dorchester counties, was 799,636 residents, the third-largest in the state and the 74th-largest metropolitan statistical area in the United States. Charleston was founded in 1670 as Charles Town, honoring King CharlesII, at Albemarle Point on the west bank of the Ashley River (now Charles Towne Landing) but relocated in 1680 to its present site, which became the fifth-largest city in North America within ten years. It remained unincorpor ...
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Chicago
(''City in a Garden''); I Will , image_map = , map_caption = Interactive Map of Chicago , coordinates = , coordinates_footnotes = , subdivision_type = Country , subdivision_name = United States , subdivision_type1 = State , subdivision_type2 = Counties , subdivision_name1 = Illinois , subdivision_name2 = Cook and DuPage , established_title = Settled , established_date = , established_title2 = Incorporated (city) , established_date2 = , founder = Jean Baptiste Point du Sable , government_type = Mayor–council , governing_body = Chicago City Council , leader_title = Mayor , leader_name = Lori Lightfoot ( D) , leader_title1 = City Clerk , leader_name1 = Anna Valencia ( D) , unit_pref = Imperial , area_footnotes = , area_tot ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded upon the p ...
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Catharsis
Catharsis (from Greek , , meaning "purification" or "cleansing" or "clarification") is the purification and purgation of emotions through dramatic art, or it may be any extreme emotional state that results in renewal and restoration. In its literal medical sense, it refers to the evacuation of the '' catamenia''—the menstrual fluid or other reproductive material from the patient. But as a metaphor it was originally used by Aristotle in the ''Poetics'', comparing the effects of tragedy on the mind of a spectator to the effect of catharsis on the body. In psychology, the term is associated with Freudian psychoanalysis and specifically relates to the expression of buried trauma, bringing it into consciousness and thereby releasing it permanently. However, there is considerable debate as to its therapeutic usefulness. Social catharsis may be regarded as the collective expression of extreme emotion. Dramatic uses Catharsis is a term in dramatic art that describes the effect of tra ...
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Marcel Marceau
Marcel Marceau (; born Marcel Mangel; 22 March 1923 – 22 September 2007) was a French actor and mime artist most famous for his stage persona, "Bip the Clown". He referred to mime as the "art of silence", and he performed professionally worldwide for over 60 years. As a Jewish youth, he lived in hiding and worked with the French Resistance during most of World War II, giving his first major performance to 3,000 troops after the liberation of Paris in August., ''Wallenberg lecture'', 30 April 2001 Following the war, he studied dramatic art and mime in Paris. In 1959, he established his own pantomime school in Paris, and he subsequently set up the Marceau Foundation to promote the art in the U.S. Among his various awards and honors, he was made "Grand Officier de la Légion d'Honneur" (1998) and was awarded the National Order of Merit (1998) in France. He won the Emmy Award for his work on television, was elected member of the Academy of Fine Arts in Berlin, and was declared a ...
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Mime
Multipurpose Internet Mail Extensions (MIME) is an Internet standard that extends the format of email messages to support text in character sets other than ASCII, as well as attachments of audio, video, images, and application programs. Message bodies may consist of multiple parts, and header information may be specified in non-ASCII character sets. Email messages with MIME formatting are typically transmitted with standard protocols, such as the Simple Mail Transfer Protocol (SMTP), the Post Office Protocol (POP), and the Internet Message Access Protocol (IMAP). The MIME standard is specified in a series of requests for comments: , , , , and . The integration with SMTP email is specified in and . Although the MIME formalism was designed mainly for SMTP, its content types are also important in other communication protocols. In the HyperText Transfer Protocol (HTTP) for the World Wide Web, servers insert a MIME header field at the beginning of any Web transmission. Clients ...
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Leukemia
Leukemia ( also spelled leukaemia and pronounced ) is a group of blood cancers that usually begin in the bone marrow and result in high numbers of abnormal blood cells. These blood cells are not fully developed and are called ''blasts'' or ''leukemia cells''. Symptoms may include bleeding and bruising, bone pain, fatigue, fever, and an increased risk of infections. These symptoms occur due to a lack of normal blood cells. Diagnosis is typically made by blood tests or bone marrow biopsy. The exact cause of leukemia is unknown. A combination of genetic factors and environmental (non-inherited) factors are believed to play a role. Risk factors include smoking, ionizing radiation, petrochemicals (such as benzene), prior chemotherapy, and Down syndrome. People with a family history of leukemia are also at higher risk. There are four main types of leukemia— acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL) and chronic myeloi ...
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Euthanasia
Euthanasia (from el, εὐθανασία 'good death': εὖ, ''eu'' 'well, good' + θάνατος, ''thanatos'' 'death') is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different euthanasia laws. The British House of Lords select committee on medical ethics defines euthanasia as "a deliberate intervention undertaken with the express intention of ending a life, to relieve intractable suffering". In the Netherlands and Belgium, euthanasia is understood as "termination of life by a doctor at the request of a patient". The Dutch law, however, does not use the term 'euthanasia' but includes the concept under the broader definition of "assisted suicide and termination of life on request". Euthanasia is categorized in different ways, which include voluntary, non-voluntary, or involuntary.
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Corticosteroids
Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones. Two main classes of corticosteroids, glucocorticoids and mineralocorticoids, are involved in a wide range of physiological processes, including stress response, immune response, and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior. Some common naturally occurring steroid hormones are cortisol (), corticosterone (), cortisone () and aldosterone (). (Note that cortisone and aldosterone are isomers.) The main corticosteroids produced by the adrenal cortex are cortisol and aldosterone. Classes * Glucocorticoids such as cortisol affect carbohydrate, fat, and protein metabolism, and have anti-inflammatory, immunosuppressive, anti-proliferative, and vasoconstrictive effects. Anti-inflammatory effects are mediated by blocking the action of inflammatory mediators ( ...
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Hepatitis
Hepatitis is inflammation of the liver tissue. Some people or animals with hepatitis have no symptoms, whereas others develop yellow discoloration of the skin and whites of the eyes (jaundice), poor appetite, vomiting, tiredness, abdominal pain, and diarrhea. Hepatitis is ''acute'' if it resolves within six months, and '' chronic'' if it lasts longer than six months. Acute hepatitis can resolve on its own, progress to chronic hepatitis, or (rarely) result in acute liver failure. Chronic hepatitis may progress to scarring of the liver (cirrhosis), liver failure, and liver cancer. Hepatitis is most commonly caused by the virus ''hepatovirus A'', '' B'', '' C'', '' D'', and '' E''. Other viruses can also cause liver inflammation, including cytomegalovirus, Epstein–Barr virus, and yellow fever virus. Other common causes of hepatitis include heavy alcohol use, certain medications, toxins, other infections, autoimmune diseases, and non-alcoholic steatohepatitis (NASH). Hepa ...
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