The sequel to the bestselling and highly acclaimed The House of God One of the most prominent and enduring titles in medical fiction is the bitingly funny House of God, which has sold more than 2 million copies, becoming required reading for generations of medical students and health care professionals. With Man's 4th Best Hospital, Samuel Shem "the comic genius and holy terror of medicine"* returns us to the hilarious and heartbreaking world of modern medicine. After The House of God, the resident known as The Fat Man and his eccentric band of interns scattered to the four corners of the country. Today Fats, now rich and famous, has been lured across town to the House of God's WASPy rival, Man's Best Hospital. But the august institution has sunk from being ranked the best hospital in the country to an embarrassing, and unacceptable, 4th! Fats' mission? To help the hospital climb back up the rankings. But as always, he's pursuing his own agenda. . . At his new Future of Medicine Clinic, the team comes back together to renew their life-changing friendships and teach a new generation of interns and residents. In a medical landscape dominated by computer screens and corrupted by money, they have a daunting goal: "To put the human back into healthcare." What follows is an emotional and laugh-out-loud novel that reflects the issues in American healthcare today, from the tyranny of computer screens to doctor burnout to the greed of the health insurance industry. * Bill McKibben

For two decades, Dr. Danielle Ofri has cared for patients at Bellevue, the oldest public hospital in the country and a crossroads for the world's cultures. In Medicine in Translation , she introduces us, in vivid, moving portraits, to the patients she has known. They have braved language barriers, religious and racial divides, and the emotional and practical difficulties of exile in order to access quality health care. Sharing their journeys with them over the years, Danielle has witnessed some of their best and worst moments, and come to admire their resilience and courageous spirit. Danielle introduces us to her patients: Samuel Nwanko, who was brutally attacked by a Nigerian cult in his homeland and is attempting to create a new life in America; Jade Collier, an Aussie who refuses to let a small thing like a wheelchair keep her from being a homegrown ambassador to New York City; Julia Barquero, a Guatemalan woman who migrated to the States to save her disabled son but cannot obtain the lifesaving heart transplant she needs because she is undocumented. We meet a young Muslim woman threatened at knifepoint for wearing her veil, and the spitfire Señora Estrella, one of Danielle's many Spanish-speaking patients, whose torrent of words helps seal Danielle's resolve to improve her own Spanish, an essential skill in today's urban hospitals. And so she, her husband, and their two young children and seventy-five-pound dog relocate to Costa Rica, where they discover potholes the size of their New York City apartment, a casual absence of street signs or even street names, tangy green-skinned limon dulce dangling in the playground, and sudden rains surging over the craggy edges of roadside ditches. Ultimately, Danielle experiences being a patient in a foreign country when she gives birth to their third child, a "Costarricense" girl. With controversy over immigrants in our society escalating, and debate surrounding health-care reform becoming increasingly urgent, Ofri's riveting stories about her patients could not be more timely. Living and dying in the foreign country we call home, they have much to teach us about the American way, in sickness and in health.