God’s
Hotel
By
Victoria Sweet
Riverhead
Books, New York, 2012
$27.95
This
interesting book is a traditional doctor’s view of our hasty current practice
of medicine, what she learned from medieval medicine and San Francisco’s Laguna
Honda Hospital. She set out a tall task for herself.
Dr. Sweet
sees the practice of medicine as hasty and impersonal, driven by tests,
machines and money. She contends a well-trained doctor should spend an hour
with her patient and will discover very soon what is wrong with the patient.
The vast cost of tests, machines, MRIs and evaluations of them could be saved
by simply spending time with the patient. She calls it slow medicine
She works
at Laguna Honda Hospital for indigent and long-term care patients. She gives
great credit to the church, monasteries and nunneries who were first to take
into their institutions sick people who needed medical care and especially
those who were poor and destitute. The church’s care for the sick developed and
changed over time. The almshouse is where people went when they had no money
and were no longer able to take care of themselves. In France these palaces were called Hotel-Dieu, God’s
Hotel. Laguna Honda had been founded as an almshouse.
Sweet
became fascinated with Hildegard of Bingen, a medieval nun who was a healer
using medicine, herbs and drugs and had a whole theory of how the body and
nature all hung together. Hildegard‘s way of doing medicine held for many
generations until the discoveries of science and modern medicine changed healing.
Dr. Sweet got a doctorate in the History of Medicine, specializing in
Hildegard’s theories and practices.
Her
writing on love is fascinating. The medieval sense of charity is “a personal
action evoked by dearness and contributes to the well-being of its giver as
well as receiver.” Caring for the sick poor was a spiritual good for the giver.
That view inspired people to build hospitals for the sick poor. Many of us feel pain at the undeserved
suffering of others. That feeling is why Laguna Honda got built in the first
place and why it survives.
This
book’s real treasures are the remarkable stories Dr. Sweet tells about her
patients at LGH. She found wisdom, splendor, humor and intelligence among the
poorest, most deranged, filthy human beings who were her patients. She is
generous in her praise of the hard-working underpaid nurses, orderlies and
janitors who are all part of what makes healing happen at Laguna Honda
Hospital.
She
points out that healing happens in community not in isolation. She approves of
open wards where patients congregate, chat and relate to each other. She
opposes small rooms, pods and “neighborhoods” which now take places in houses
of healing.
She
spends a large part of the book describing the attempts to close, rebuild and redesign
Laguna Honda.
She
describes her pilgrimage to St. James of Campostela in Spain as a time of
change, discipline and grounding for Sweet. Her time, thinking and desire to
change and improve ways of healing are Dr. Sweet’s pilgrimage.
This is a
valuable book that opens our minds to looking at healing, medicine and
hospitals. We see the stories of amazing human beings made whole by slow
medicine and by new ways of looking at our system of medicine.
Robert
Warren Cromey