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County: Life, Death, and Politics at Chicago’s Public Hospital
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The amazing tale of County is the story of one of America's oldest and most unusual urban hospitals. From it's inception as a "Poor House" dispensing free medical care to indigents, Chicago's Cook County Hospital has been both a renowned teaching hospital and the healthcare provider of last resort for the city's uninsured. County covers more than thirty years of its history, beginning in the late 1970s when the author began his internship, to the "Final Rounds" when the enormous iconic Victorian hospital building was replaced and hundreds of former trainees gathered to bid it an emotional farewell.
Ansell writes of the hundreds of doctors who went through the rigorous training process with him, sharing his vision of saving the world and of resurrecting a hospital on the verge of closing. County is about people, from Ansell's mentors, including the legendary Quentin Young, to the multitude of patients whom he and County's medical staff labored to diagnose and heal. It is a story about politics, from contentious union strikes to battles against "patient dumping", and public health, depicting the AIDS crisis and the opening of County's HIV/AIDS clinic, the first in the city.
Finally, it is about a young man's medical education in urban America, a coming-of-age story set against a backdrop of race, segregation and poverty.
David A. Ansell, MD., a Chicago-based physician and health activist, has been an internal-medicine physician since training at Cook County Hospital in the late 1970s, where he spent seventeen years. Now chief medical officer at Rush University Medical Center, he sees patients, teaches, volunteers as a doctor at a Chicago free clinic, and participates in medical missions to the Dominican Republic and Haiti.
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Audible Audiobook
Listening Length: 7 hours and 6 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Blackstone Audio, Inc.
Audible.com Release Date: October 19, 2011
Language: English, English
ASIN: B005X9AOC2
Amazon Best Sellers Rank:
I liked the first part of the book as the author described how he entered medicine and his internship at Cook County filled with idealism only to be faced with the reality of patient care and poor to no support from the medical staff. See one, do one, teach one is a reality in medical education even today. He goes into great detail about his political involvement as a resident and the functioning of the hospital which I found boring. I would have enjoyed the book more if he had told more about the people that he worked with, both patients and staff.
This is another look at a grand institution. I had some great opportunities in my early training years to shadow in the Trauma Unit. I was quickly made aware that it wasn't the "HI TECH" equipment (there was none), it was the practitioners who manned the room that made the unit so great. I also got a taste, as a paramedic, of the ED when I again, did clinical rotations many many years ago....I never experienced the 300+ patients waiting for care and getting the best.... I added this to my previous read HOSPITAL which looked at CCH as well.
Dr. David Ansell has written a compelling autobiographical inside look of his own personal journey in becoming a doctor at Cook County hospital. If you have ever been an intern or resident physician or even better, residency in Chicago, you will find some eerie similarities to your own experience. His experience actually led to some important health policy changes in America where patient dumping in emergency rooms has been banned. His 17 years of frontline work in Chicago's public hospital also saw the transition from the old hospital to a new hospital. More importantly, he illustrates from a physician/patient perspective how our current health care financing system has failed us and why we need a single payer, national health insurance plan for this country. For those interested in health policy, but from a personal real life perspective, this is the book for you.
Excellent book well written and factual. Any one from Chicago and the medical field will really enjoy this book.
Excellent account of daily life at Cook County Hospital and the efforts by house staff to improve medical care for its patients. This account documents the period of time after my time there 1963-64 when house staff simply tried to endure the daily grind of taking care of an unending stream of patients. My hat is off to those who also found time to successfully advocate for their patients.
Loved this book...could not put it down.... especially since I worked there in the mid 1960's..RN in Women and Men's admitting.
David Ansell tells his experiences of working as an intern and physician with Cook County Medical Center. Told with candor and an activist's zeal, Ansell's story gives an enlightening look into the challenges of offering quality medical care in the final quarter of the 20th century at Cook County. Working in what is comparable to third world conditions, Ansell tells of the challenge he faced as a young doctor trying to make a difference in the life and health of his patients at County. Though this book reads like a memoir, it also contains a history of the medical and political developments that occurred in the latter 20th century and their impact on lives of the poor in Chicago and Cook County. While a bit uneven in quality of writing, Ansell's story is engaging and challenging to anyone concerned about health and well being of the poor.
Currently entering my third year of medical School. Dr. Ansell's book is a shining example of a life of boots on the ground medicine and activism.I highly recommend this book to any medical student especially people in Chicago. There is a lot of history in here about the County Hospital.
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