,,! ,,H\SE ,,( ,,HOPE ,,& ,,FE>
     ,LIFE 9 A ,BIG ,C;Y ,HOSPITAL

          ,,AUDREY ,,"Y1 ,,MD

      ,PUBLI%$ 0,SASQUAT* ,BOOKS1
           ,S1TTLE1 ,WA%+TON
     ,COPY"R ^C #BJJI 0,AUDREY ,"Y
  ,FUR!R REPRODUC;N OR 4TRIBU;N 9 O!R
  ?AN A SPECIALIZ$ =MAT IS PROHIBIT$4
             ,TRANSCRIP;N (
     ,,ISBN #AC3 #IGH-A-EGJFA-EAA-E
      ,,ISBN #AJ3 #A-EGJFA-EAA-;,X
      ,TRANSCRIB$ 9 ,5GLI% ,BRL BY
           ,ELL5 ,SETTEDUCATI
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             ,9 #D ,VOLUMES
               ,VOLUME #D
        ,PAGES ;I-;VI & #BGE-CEB
          ,"U ! ,SPONSOR%IP (
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                                     ;II
























       ,,SPECIAL ,,SYMBOLS ,,US$    ;III
            ,,9 ,,? ,,VOLUME

^C ,COPY"R SYMBOL
@& ,AMP]S&
,' 7#F1 #C7 ,T]M9,N SIGN
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                                     ;IV
























                ,,3T5TS               ;V
                                   ,PAGE
,"U ,3/RUC;N """""""""""""""""""""" #BGE
,BUNKS = ,DRUNKS """""""""""""""""" #BIA
,= ,SALE """""""""""""""""""""""""" #CJC
,A ,VI.N """""""""""""""""""""""""" #CBC
,APP5DIX ;,A3 ,LE>M ,M """""""""""" #CCE
,APP5DIX ;,B3 ,H[ 6,HELP """""""""" #CDG
,NOTES & ,AC"KL$G;TS """""""""""""" #CDI
















                                     ;VI
























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            ,BUNKS = ,DRUNKS        #BIA

  ,?ANKS 6AN EXP]I;TAL WET H\SE 9 ! D[N-
T[N >EA1 ,S1TTLE'S MO/ EXP5SIVE HOME.S
ALCOHOLICS L ,ELA9E ,COOK _H A PLACE TO
CALL HOME--/UDIOS ( _! [N FURNI%$ )A TW9
B$1 /OVETOP1 &A ?REE-QU>T] BA?1 PLUS A
P]SONAL REFRIG]ATOR ": !Y CD *ILL BE] IF
!Y WI%$4 ,! H\SE DID N REQUIRE ,ELA9E TO
P>TAKE 9 XS SOCIAL S]VICES1 : 9CLUD$
CASE MANAGE;T1 M$ICAL ASSI/.E1 & TWO
*EMICAL DEP5D5CY C\NSELORS ON SITE AT
ALL "TS4 ,ALL ,ELA9E _H 6D 9 ORD] 6RETA9
H] SPOT 0 H& OV] #CJ P]C5T ( H] MON?LY
*ECK1 Z R5T1 & N B1T ANYBODY UP1 : %E 0
PROBABLY N GO+ 6D4 ,IF %E FOLL[$ ! TWO
H\SE RULES1 %E 0 WELCOME 6/AY UNTIL %E
DI$4
  ,:ILE TRY+ 6LE>N M AB ! WET H\SE1 ,I
MET ,BILL ,HOBSON1 EXECUTIVE DIRECTOR (!
,D[NT[N ,EM]G5CY ,S]VICE ,C5T]1 ! UM-
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(T5 Z 2F1 ,I SD1 & WE 2LIEV$ X _H 6D ) 8
NOVEL PROJECT4 ,I M5;N$ T ,I 0      #BIB
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CALLS ,I GET AB T PLACE4 ,I CD H A RE-
PORT] "! E "D (! YE>4 ,?ANK;LLY1 ,I
DON'T GET ATTACK$ NE>LY Z (T5 Z ,I US$
TO40 ,HE _H J F9I%$ 5T]TA9+ "S"O F ..,!
,NEW ,YORK .,"TS4 ,HE PAUS$ & !N SD1
8,:5 D Y WANT 6-E BY8 ,I'LL GIVE Y ! T\R
MYF40

  ,3V5;NAL WISDOM SAYS T HOME.S;S IS A
LIFE/YLE *OICE1 T ! HOME.S >5'T 9T]E/$ 9
! RULES & /RUCTURE ( 3V5;NAL SOCIAL
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0"W+ T[>D EMPLOY;T4 ,! PRO#M ) ^! ID1S1
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ALL LIKELIHOOD1 ? P]SON W DIE 2F HE BE-
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2SPECTACL$ MAN )A :ITE BE>D :O WORE
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(! RESID5TS W&]$ 96! D9+ >EA & HELP$ HMF
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DOESN'T "W = ? SORT ( P]SON4 ,S :AT
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POPUL,N1 & 2F ^! 9DIVIDUALS DI$1 !Y MADE
FREQU5T VISITS 6C.TY M5TAL H1L?1 DETOX1
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CO/S 7 FREQU5TLY ENORM\S1 SU7E/+ T A
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9E6ECTIVE4
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3SUMP;N ( PUBLIC S]VICES & AL REDUC$ !
NUMB] ( CO/LY ,,ED VISITS4 ,TWO CO-
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[N$ (FICE T[]S D[N ! /REET 7&= :OM ,S1T-
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) ,HOBSON'S ORGANIZ,N OV] A ZON+ ISSUE4
,! ,,DESC WON1 & !N WON AG ON APP1L--
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SUIT TOOK YE>S 6FI<T1 & X 0 5 6DERAIL !
BUILD+'S F9ANC+4 ,HOBSON SUSPECT$ T 0 !
FAMILY'S ORIG9AL 9T5T ANYWAY4
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7 ALL[$ 6DR9K2 ? 0 J -MON S5SE1 ! NEWS-
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RESID5TS 7 ALL[$ 6"PY ) _! BU4IES & RUN
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P40
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S\RCES4
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F/ ?REE 7 D1D1 ! F\R? CDN'T 2 F.D1 !
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BUILD+ 0 FULL ?REE MON?S LAT]4 ,HOBSON
A4$1 8,I N"E PUT M* /OCK 9 T :OLE HOBO
3SCI\S;S4 ,I ?9K X'S A BUN* ( BULL%IT4
,IF Y (F] ^! GUYS A PLACE 6LIVE1 !Y W
TAKE X40 ,"O PROSPECTIVE RESID5T EV5 SD
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TICIPATE 9 ! S]VICES T 7 AVAILA#4 ,HE
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0 F> BETT] 6ROM.E !M1 6GET !M 6*OOSE TO
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PROJECT1 ! 9ITIAL RESULTS 7 PROMIS+3 !
MAJOR;Y 7 DR9K+ LESS ?AN :5 !Y 7 ON !
/REETS1 EI<T RESID5TS 2CAME AB/95T1 &
S"EAL MOV$ 96SOB] H\S+1 ": ! SUPPORT =
AB/9;E 0 V /R;G4
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( CALLS 6#IAA4 8,WE EXPECT$ A M$IC,Y
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8,S9CE ! A"P;TS OP5$1 WE H>DLY SEE !M AT
ALL40
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ROOM1 : LOOK$ L A ,SATUR"D MORN+ 9 A
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7 WAT*+ A BASKETBALL GAME & "O 0 R1D+ !
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6DR9K4 ,MAYBE X DEP5DS ON H[ M* M"OY
HE'S GOT4 ,S HE GOES 6! /ORE &      #BII
GETS HMF A FIF?1 IF HE HAS ! FUNDS1 OR A
BOTTLE ( *1P W9E OR MALT LIQUOR1 & !N HE
DR9KS X IMMLY4 ,ALL ( X4 ,T'S 2C HE CD
BUMP 96HIS BU4IES1 :O W WANT 6%>E1 OR A
COP W ASK HM 6P\R X \4 ,S HE GETS X D[N
Z FA/ Z HE C1 & T HOLDS HM =A :ILE4 ,:5
! ALCOHOL WE>S (F HE'S GOT 6/>T ! CYCLE
OV] AG4 ,! ?+ AB LIV+ "H IS T :5 Y BUY
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MORN+4 ,Y C L1VE X 9 YR UNIT & G D "S?+
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PO9T$ 9 ! DIREC;N (A NEI<BORHOOD 3V5I;E
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B"EAGES )DRAWN F LOCAL /ORES1 HE SD1 TO
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Z WE EXIT$ ! /UDIO & H1D$ BACK D[N 6!
MA9 RECEP;N >EA1 ": FLY]S ADV]TIS$ GUIT>
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& AL RECOGNIZE _! H]ITAGE4 ,B HE %OOK 8
H1D & SD1 8,N GO+ 6HAPP54 ,I C J PICTURE
! H1DL9E3 ,8,LUXURY ,HOTEL = ,DRUNKS40'0
  ,WE WALK$ 96VIEW (! D9+ HALL1 & ,ELA9E
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KIT*5 ISL& & TORE (F A PAP] T[EL4
  8,?ANK Y1 D>L+10 ,ELA9E SD4 ,ALICE 0
2+ V QUIET1 & ,I SAW T %E 0 WAT*+
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  8,?ANK Y1 MA'AM40                 #CJA
  8,Y H A GD "D40
  8,Y H A GD "D1 MA'AM40 ,ELA9E RETURN$
H] ATT5;N 6! CAKE1 & WE WALK$ BACK 96!
FRONT LO2Y1 ": ,HOBSON SD1 8,! WOMAN IS
A TE/A;T 6! RESILI;E (! HUMAN BODY40
  ,HE FAC$ ,ALICE & SD1 8,MI*AEL ,COPASS
IS MY H]O40
  8,COPASS IS MY H]O10 ,ALICE SD1 SMIL+4
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  8,WE'LL ALL 2 9T]E/$ 9 ! DATA10 ,I SD4
  8,S W ,I10 ,HOBSON REPLI$4
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,ALICE & ,I /OOD TALK+ OV] ! RO( ( H]
C>4 ,!Y CD PROBABLY / SEE U ON ! CLOS$-
CIRCUIT TELEVI.N MONITOR 2H ! FRONT
DESK4
  8,ELA9E DOESN'T LOOK TOO BAD40
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8,GOD1 ,I =GOT H[ SL[LY %E MOVES40 ,WE
GOT 9 ! C>1 & %E TOLD ME AB "S"O ELSE :O
_H BE5 A FREQU5T FLY] 9 ! ,,ED1 AN OLD]
MAN :O _H MOV$ 96! WET H\SE1 GOT    #CJB
HMF CL1N$ UP1 & F9,Y /OPP$ DR9K+4 ,HE'D
RETURN$ 6! ,,ED AT "O PO9T 6SAY HELLO TO
"EYBODY1 &A FEW WEEKS LAT] _H DI$ 9 8 B$
DUR+ ! NI<T4 ,HE'D SU6]$ F ADV.ED LIV]
FAILURE4 ,ALICE PUT H] SUNGLASSES ON1
/>T$ ! C>1 & SD1 8,I DON'T "K4 ,HE 0 GO+
6DIE ANYWAY4 ,HE PROBABLY LIV$ A FEW EX-
TRA MON?S 2C HE _H A RO( OV] 8 H1D4 ,&
HE GOT 6DIE ) DIGN;Y40















                ,= ,SALE            #CJC

  ,! HOSPITAL 0 / RECUP]AT+ F ! C>BON
MONOXIDE POISON+S = _M WEEKS AFW4 ,T[>D
! 5D ( ,JANU>Y1 ! C5SUS AG HIT FIFTY
NEGATIVE B$S4 ,! HOSPITAL _H BE5 FLIRT+
) M$IC DIV]T = WEEKS1 &! ,,ED 0 CLOS$ TO
AMBUL.ES ON A R\T9E BASIS4 ,A "Y ,VIET-
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9DOOR POISON+1 & 8 B1UTI;L WIFE >RIV$ F
,ASIA4 ,! TIM+ SEEM$ =TUIT\S4 ,& !N1
DEVA/AT+LY1 HE DI$ TWO "DS LAT]4
  ,ON ! W>DS1 ! HOME.S & DEBILITAT$
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T MORN+1 B :5 8 :EEL*AIR >RIV$1 HE RE-
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LUN*1 & HE BRU%$ (F 8 NURSE'S PROMISES
6KEEP 8 FOOD W>M4 ,! JUDGE AGRE$ T ,%ORT
0 9CAPA# ( MAK+ DECI.NS & APPO9T$ A
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ME A TEXT PAGE SAY+ T HE 0 SET =    #CJD
4*>GE T AFN4
  ,I CALL$ ,B>B BACK 6TELL H] ,I'D F9I%
! PAP]"W Z SOON Z ,I SAW ,GE(F ,MORGAN1
! ,,VIP :O'D SECUR$ "O (! PRIVATE ROOMS
ON ,?REE1 & :O 0 WAIT+ 6SEE ME4 ,MORGAN
0 A SIXTY-FIVE-YE>-OLD :O _H BE5 DIAG-
NOS$ ) LEUKEMIA A FEW YE>S BACK1 ON R\-
T9E BLOOD TE/S4 ,HE'D BE5 HOSPITALIZ$
S"EAL "TS S9CE1 = SIMPLE ?+S L A BLOOD
TRANSFU.N OR 6GET A DIAGNO/IC TE/ D"O1 &
HE'D GET :ISK$ BACK HOME 0HIS WIFE1 ,NA-
NETTE1 :O N"E MISS$ A B1T4 ,? YE> 8 41SE
_H TRANS=M$ F A SMOLD]+ ANNOY.E 96"S?+
VAGUELY M S9I/]1 & N[ 8 BLOOD 0 CLO7$ )
C.ER CELLS4 ,MORGAN & 8 WIFE _H OPT$ =
A7RESSIVE *EMO!RAPY1 : 8 ONCOLOGI/ _H
DESCRIB$ Z "S"TS CURATIVE1 IF PATI5TS
PROCE$$ 6B"O M>R[ TRANSPLANT,N4
  ,T 0 AN 8IF40 ,! F/ *EMO!RAPY COCKTAIL
_HN'T "W$--! TUMOR _H 3T9U$ GR[+ UN-
*ECK$--S !Y'D OPT$ = AN EV5 M TOXIC REG-
IM51 & X WASN'T CLE> T "O 0 "W+ EI4
,PLUS1 *EMO _H MADE ,MORGAN SUSCEPTI# TO
UNUSUAL 9FEC;NS1 2C ! DRUGS SUPPRESS$ 8
IMMUNE SY/EM1 & ONCE HE'D GOTT5 S   #CJE
SICK T X KEPT HM F 3T9U+ *EMO!RAPY1 AT
L1/ =A :ILE4 ,? "T HE 0 AG 2+ ADMITT$ )A
HI< FEV]4
  ,:5 ,I CAME 96! ROOM1 ,MORGAN SD1
8,HI1 Y4 ,X'S YR LUCKY "D40 ,HE 0 TRY+
6BE *E];L1 B HE S.D$ BL1K4 ,HE 0 CURL$
UP 9 A PAIR ( FLANNEL PAJAMAS F HOME4
  ,I ASK$ ,NANETTE H[ %E 0 DO+4 ,%E SI<$
& SD1 8,WE 7 MANAG+ F9E4 ,B ?1 X'S TOO
M*40 ,9 A4I;N 6! HI< FEV]1 HE'D BE5
RET*+ BILE = "DS1 : 0 ! PATT]N FOLL[+ !
NEW REGIM54
  8,S1 :AT'S ! BAD NEWS1 SLU7]80 ,MORGAN
ASK$4
  8,WE'RE GO+ 6D "S TE/S10 ,I SD4
  8,TE/S10 HE SD4 8,I C'T SEEM 6PASS !M
LATELY40
  8,WE'LL 2 GIV+ /R;G ANTIBIOTICS 6COV]
A LOT ( DI6]5T BUGS UNTIL WE FIGURE \
:AT ? IS40
  8,S Y'LL WAIT 6F9D \ :AT X IS 2F %OOT+
ME40 ,HE *UCKL$ W1KLY4 ,I KNEW HE 0 TRY+
6LI<T5 ! MOOD1 B ! REM>K CAME (F A BIT
O4LY4 ,NANETTE 0 FR[N+4
  ,I SD1 8,X'S POSSI# WE WON'T      #CJF
F9D ANY?+4 ,"S"TS X'S J H[ BODIES RE-
SPOND 6^! DRUGS40
  8,: TE/S W Y 2 ORD]+80 ,NANETTE ASK$4
,%E 0 HOLD+ A PAD ( YELL[ LEGAL PAP] & 0
POIS$ 6WRITE4
  8,WE'LL />T ) CULTURES PLUS A *E/ ;,X-
RAY40
  8,BLOOD CULTURES1 UR9E CULTURES1 /OOL
CULTURES80 ,NANETTE ASK$4
  ,I NO4$4
  8,& ,,CT SCANS8 ,6SEE IF ! LYMPH NODES
H %RUNK8 ,& :E!R T PNEUMONIA CAME BACK40
  8,"R10 ,I SD4 8,MY PREF];E IS 6/>T )!
;,X-RAY & CULTURES4 ,I ?9K WE'LL GA9 "S
9=M,N "!4 ,X WD 2 GD 6GIVE ! *EMO!RAPY
"S "T 6"W 2F ANO!R SCAN40 ,)! ,MORGANS1
,I MADE MY SU7ES;NS1 B ! TR1T;T PLAN 0
N"E F9ALIZ$ 2F ,NANETTE GAVE ! ,,OK4
  ,%E TAPP$ H] P5 AG/ H] LIPS & SD1 8,C
Y EXPLA9 T80
  ,I SI<$ & 2GAN TRY+ 6ANSW] ! "Q4 ,FIF-
TE5 M9UTES LAT]1 ,MORGAN 0 S.D ASLEEP &
,NANETTE SEEM$ M OR LESS SATISFI$4
  ,%E GAVE ME A WIDE1 GLOSSY SMILE & SD1
8,?ANK Y = YR EXCELL5T C>E40        #CJG

  ,ACTU,Y1 ,I LIK$ ,MORGAN & 8 WIFE1 &
,I IMAG9$ ,I MI<T ACT J ! SAME 9 H]
%OES4 ,I ESPECI,Y LIK$ ,MORGAN'S S5SE (
HUMOR1 EV5 IF X CAME \ AWKW>DLY "S"TS4
,B 9 G5]AL ,I _H MIX$ FEEL+S AB H[ !
HOSPITAL TR1T$ ,,VIP,'S4 ,,VIP,'S GOT
PRIVATE ROOMS J S !Y CD GET "S RE/4
,,VIP,'S CD REFUSE M$IC,NS & !RAPIES )\T
2+ LECTUR$ ON H[ ! HOSPITAL NE$$ B$S =
^? PATI5TS :O WANT$ TR1T;T4 ,I DID N ?9K
T ,,VIP,'S :O ASS]T$ _! /ATUS GOT BETT]
M$ICAL C>E1 & ? 0 N ONLY 2C WE G5U9ELY
TRI$ 6GIVE ! SAME EXCELL5T C>E 6ALL PA-
TI5TS4 ,:5 A PATI5T OR A PATI5T'S FAMILY
GOT BOSSY1 X ?REW "EY"O (F C\RSE1 & "S-
"TS WE 2CAME TOO CAUTI\S OR TOO A7RES-
SIVE = :AT ! SITU,N REQUIR$4 ,I WOND]$
:E!R ! PLAN WD H BE5 B"O-%AK+ *EMO!RAPY
FOLL[$ 0TRANSPLANT IF ,MORGAN W]5'T A
,,VIP4 ,I DIDN'T ?9K "! 0 ANY WAY HE CD
SURVIVE S* AN 9T5SIVE PROC$URE1 : 0 A
NE>-D1? EXP]I;E = EV5 ! H1L?IE/ P4 ,_H
HE BE5 /E]$ T[>D LESS A7RESSIVE !RAPY1
MAYBE HE'D EXP]I;E LESS SU6]+ & H   #CJH
M QUAL;Y "T 6SP5D ) ,NANETTE4 ,^! 7
LIKELY 6BE 8 LA/ MON?S AF ALL4
  ,I W5T 96"O (! W>D "WROOMS )A FEW
*>TS1 PAG$ ! ONCOLOGY FELL[1 & ?"\ AG AB
:E!R ,MORGAN %D H M ,,CT SCANS4 ,! SCANS
WD %[ :E!R "! 0 AN ABSCESS HI45 "S":1
AL? X 0 M LIKELY 6%[ NO?+ ( 3SEQU;E &
ONLY EXPOSE HM 6M RADI,N4 ,/1 GETT+ !
TE/ WD 2 ! PA? ( L1/ RESI/.E 9 D1L+ )!
,MORGANS4 ,! FELL[ RANG BACK4
  8,Y "K1 ,I'M N SURE H[ M* "T !Y ?9K HE
HAS10 ,I SD4
  8,NO1 ,I "K10 HE REPLI$4 ,HE SD T !
ATT5D+ ONCOLOGI/ WANT$ 6PRESS ONW>D )
*EMO!RAPY1 S WE AGRE$ 6H A 3F];E )! FAM-
ILY 9 A "D OR S1 :5 ,MORGAN 0 HOPE;LLY
FEEL+ A LL BIT BETT]4 ,I ?ANK$ ! FELL[ &
TURN$ 6,H[>D ,%ORT'S 4*>GE PAP]"W4 ,A
MO;T LAT] ,I PICK$ UP ,MORGAN'S *>T AG &
WROTE ORD]S = 8 CULTURES1 : ,I _H J AB
=GOTT54
  ,A RESID5T W&]+ "? ! "WROOM /OPP$ ME
6TELL ME T %E'D REC5TLY SE5 ,HOPE ,%]I-
DAN1 ! WOMAN = :OM WE'D 5G9E]$ ! FAIL$
ABUS]-ESCAPE /RATEGY4 ,! RESID5T    #CJI
SD T ,HOPE _H GA9$ "S WEI<T & LOOK$ GD4
,H] C.ER 0 9 REMIS.N1 & %E _H F9,Y LEFT
H] BOYFR1 :O 0 9 JAIL = ASSAULT+ "S"O
ELSE4 ,WE BO? PULL$ UP \R :ITE COATS1
CROSS$ \R >MS1 & %IV]$4 ,HOPE 0 LIV+ )
H] DAU<T] & TAK+ C>E ( H] GR&KIDS S T H]
DAU<T] CD G BACK 6"W4 ,I ?ANK$ ! RESID5T
=! GD NEWS1 !N ,I TURN$ 6! *>T (A FIFTY-
YE>-OLD MAN "ND ,B]T ,BURPHY1 A SALESMAN
:O _H TUM#D F 8 RO( A MON? E>LI]1 :ILE
CL1N+ 8 GUTT]S1 & %ATT]$ 8 "R LEG4
  ,BURPHY _H BE5 9 ! HOSPITAL = ?IRTY-"O
"DS & _H ?US F> "UG"O ?REE SURG]IES &
*1T$ D1? TWICE4 ,HE _H SURVIV$ :AT ! RA-
DIOLOGI/S CALL$ 8"O "M (A BLOOD CLOT10 :
DEVELOP$ Z A RESULT (A R>E CLOTT+ 4ORD]1
& : !Y !N C>E;LLY DUG \ ( 8 PULMON>Y >-
T]IES4 ,DESPITE ! FANCIE/ ( BLOOD ?9N]S
AF ? 9ITIAL EPISODE1 ?\<1 A NEW BLOOD
CLOT DEVELOP$1 CAUS+ SIGNIFICANT SWELL+
9 BO? ( 8 LEGS1 & X EXT5D$ 6)9 9*ES ( 8
HE>T4 ,! RADIOLOGI/S _H PLAC$ A FILT] J
2Y ! CLOT1 AT MY URG+1 6PREV5T FUR!R MI-
GR,N4 ,A FEW H\RS LAT]1 ! PULSE 9 8 LEFT
FOOT 4APPE>$ & 8 LEG 2GAN 6DIE4     #CAJ
,! RESID5TS ON ! SC5E 3TACT$ ! VASCUL>
SURG]Y S]VICE AB ! EM]G5T SITU,N1 & ,I
LEFT MY D9N] & DROVE BACK 6! HOSPITAL1
": ,BURPHY REM9D$ ME T HE _H REC5TLY
2COM 5GAG$4
  8,Y GET ME \ ( ? HOSPITAL ALIVE1 & ,I
W GIVE UP E BAD HABIT & LOSE FIFTE5
P.DS10 HE SD4 ,8 FACE EXPRESS$ %E] T]-
ROR4 ,HE SD T ! PA9 9 8 LEG 0 EXCRUCIAT-
+1 & HE PL1D$1 8,PL1SE1 D N LET ME DIE40
  ,! VASCUL> SURG]Y ATT5D+ 0 AT ! B$SIDE
MO;TS LAT]2 HE WORE SCRUBS & C>RI$ A
-PACT A?LETIC BAG4 ,SOON HE & 8 T1M 7
BR1K+ UP ! CLOT 9 ,BURPHY'S LEGS1 & BY
MORN+ X LOOK$ AG L ,BURPHY _H DODG$ A
BULLET4 ,:5 ,I CAME 0ON MY R.DS1 HE TOLD
ME T ! LEG PA9 _H SUBSID$ IMMLY1 T ONCE
M HE _H BE5 SAV$ 0! SURGEONS4 ,HE WIP$ 8
BR[1 ASK$ = ICE *IPS1 & WOND]$ IF ,I WD
2 A# 6?ANK "EY"O = HM4
  ,9 ANY CASE1 ! TASK (! "D 0 6GET HM
UP"R =! F/ "T 9 WEEKS1 & ,I WROTE ORD]S
= BO? PHYSICAL & O3UP,NAL !RAPY VISITS4
,BURPHY _H PLAY$ L1GUE HOCKEY PRIOR 6HIS
A3ID5T1 & HE _H ALR />T$ DO+        #CAA
PULL-UPS F A B> T HUNG OV] 8 B$1 B X WD
2 A PRODUC;N EV5 GETT+ HM 6/&1 S9CE HE
_H BE5 B$-B.D =A MON? & 0 SUBSEQU5TLY V
W1K4 ,9 A4I;N1 HE _H A H1VY METAL 3TRAP-
;N >.D 8 "R LEG1 : /ABILIZ$ 8 FRACTURE
EXT]N,Y1 & : HE REF]R$ 6Z 8 METAL PRIS-
ON4 ,! SURGEONS _H ASK$ HM N 6PUT ANY
WEI<T ON ! "R FOOT UNTIL ;,X-RAYS %[$ !
B"O />T+ 6H1L4 ,I WROTE =! BLOOD-?9N+
M$IC,N1 =A LABORATORY TE/ 6BE DRAWN 9 !
MORN+1 & !N LIB]ALIZ$ 8 PA9 M$IC,NS =
USE ) ACTIV;Y4
  ,Z ,I 0 FLA7+ ALL (! NEW ORD]S & C>RY+
! *>TS BACK 6! NURS+ /,N C>REL1 ": ! W>D
CL]K WD PICK !M UP1 MY PAG] RANG4 ,X 0
,GE(F ,MORGAN'S NURSE1 CALL+ 6ASK AB !
PLAN =! "D4 ,I ?ANK$ H] = *ECK+ 9 & SD
,I _H WRITT5 = CULTURES & 9CR1S$ 8 PA9
M$IC,NS4
  8,DID Y ORD] T ,,CT80
  8,NO ,,CT4 ,N GO+ 6*ANGE ! PLAN10 ,I
SD & ?ANK$ H] AG = CALL+4 ,)! ,MORGANS1
X 0 BETT] T "EYBODY 0 ON ! SAME PAGE4

                                    #CAB
  ,I PEEK$ 96,MORGAN'S ROOM AG 9 ! AFN4
,HE 0 SNOR+ S(TLY2 ? 0 ! F/ HE'D SLEPT 9
"DS1 ,NANETTE TOLD ME4 ,%E 0 5T]TA9+
S"EAL LUM9>IES 9 SUITS :O _H -E 06WI% !M
WELL4 ,I SALUT$ !M & W5T (F 6F9D ,BUR-
PHY1 :O 0 SITT+ UP R1D+ ! BOOK ..,SU3E$+
9 ,YR ,[N .,BUSI;S1 : 8 FIANC@EE _H GIV5
HM = ,*RI/MAS4 ,8 PHYSICAL !RAPI/ _H J
BE5 IN1 HE SD1 & HE'D F9,Y /OOD UP4
  8,YUP1 ,I LA/$ AB ?IRTY SECONDS10 HE
SD4 8,IF T4 ,H1D FELT L X WEI<$ #BJJ
P.DS40 ,HE _H GOTT5 SW1TY & DIZZY & NE$$
A P]SON 6SUPPORT HM ON EA* >M4 ,B 8 RE-
HABILIT,N 0 F9,Y "UWAY1 & HE LOOK$ 5]-
GIZ$4 ,HE 0 ANTSY 6GET MOBILE AG1 6GET
BACK 6! R9K1 BACK 6"W1 & ABV ALL1 BACK
6HIS FIANC@EE4 ,HE 0 R1DY 6LAUN* \ (!
HOSPITAL1 HE SD4 ,I NO4$ MY AGREE;T &
ASK$ AB ! BOOK HE 0 R1D+4
  ,HE TOLD ME ,I CD F9D 8 ,WEB SITE VIA
,GOOGLE1 IF ,I WANT$ 6*ECK \ 8 BUSI;S
SELL+ PLANT-BAS$ SUPPLE;TS4
  ,LAT] ,I F.D 8 ,WEB SITE & CLICK$ "?
PHOTOS ( HM ON ! R9K1 9 8 HOCKEY GE>1 !N
CLICK$ (F 8 PAGE & RETURN$ 6! *>T   #CAC
NOTES ,I _H BE5 PUTT+ (F4 ..,?IRTY "DS 9
! HOSPITAL1 & WE TURN ,BURPHY 9SIDE &
.\1 ,I ?"\4 ..,H[ -E WE N"E KNEW T AB
.HM8

  ,GE(F ,MORGAN SLEPT = MO/ (! FOLL[+
?REE "DS & ,NANETTE ESCAP$ ! HOSPITAL TO
RUN ]R&S %E'D DELAY$ = MON?S4 ,MORGAN'S
9ITIAL CULTURES CAME BACK NEGATIVE1 S HE
EV5TU,Y GOT ! ,,CT SCANS T ,NANETTE _H
BE5 PRESS+ =4 ,^! %[$ NO HI45 9FEC;N1 &
NO *ANGE 9 8 LYMPH NODES4 ,T AFN ,NA-
NETTE1 ,MORGAN1 & ,I 3V5$ )! ATT5D+ ON-
COLOGI/ 64CUSS ! LACK ( PROGRESS4 ,HE
SU7E/$ ,MORGAN SWIT* 6A ?IRD REGIM51 AN
EXP]I;TAL PROTOCOL T MI<T GIVE !M A LL
BIT M "T4 ,MORGAN LOOK$ PALE & PU6Y F
ALL (! FLUIDS WE _H 9FUS$ & HE SEEM$ EX-
HAU/$1 A DI6]5T P]SON ?AN ! *E]Y & FUNNY
GUY HE USU,Y WAS4
  8,I GOT 6TELL Y T ,I DON'T ?9K ,I C D
ANY M *EMO10 ,MORGAN SD4
  ,! ONCOLOGI/ A6ECT$ A 3C]N$ LOOK4 ,HE
MOV$ =W>D1 S HE 0 SITT+ ON ! $GE ( 8
*AIR1 & ASK$ IF ,MORGAN 0 SURE4     #CAD
  ,NANETTE SD1 8,H"OY1 D Y "K :AT Y'RE
SAY+80
  8,YES1 ,I "K :AT ,I'M SAY+10 ,MORGAN
SD CROSSLY4
  ,AF A L;G PAUSE HE SD1 8,I'M J S
TIR$40
  ,LAT]1 :5 HE 0 ASLEEP AG1 ,I /OOD \T-
SIDE ,MORGAN'S DOOR ) ,NANETTE1 :O 0
SO2+4 ,%E WASN'T R1DY = HM 6G1 %E SD4
,!Y _H BE5 ! BE/ ( FRS = TW5TY YE>S & _H
J GOTT5 M>RI$4 ,%E CDN'T IMAG9E LIFE )\T
HM4 ,%E WI%$ HE WD J TRY "O M C\RSE (
*EMO1 2C Y N"E KNEW :AT MI<T "W4
  ,%E BLEW H] NOSE & SD1 8,I R1LIZE ? IS
N AB ME4 ,I "K T HE DOESN'T WANT ANY M
*EMO4 ,B C'T ,I J H A C\PLE M GD MON?S )
HM80 ,)9 A MO;T %E _H COLLECT$ H]F1
?ANK$ ME = LI/5+1 & ANN\NC$ T %E _H 6GET
H]F CL1N$ UP4 ,M LUM9>IES 7 ON ! WAY4

  ,0! 5D (! WEEK1 ,B]T ,BURPHY _H TAK5
S"EAL /EPS ) CRUT*ES1 B HE WASN'T 9T]E/$
9 TALK+ AB 8 BR1?+ OR 8 LEG PA91 2C ! F/
( 8 M$ICAL BILLS _H J >RIV$ 9 ! MAIL4
,TD ,BURPHY CD ONLY TALK AB H[ HE   #CAE
_H BE5 *>G$ 4#D1HJJ 6VISIT ! ,,ED CLOSE
6HIS HOME1 AF HE'D FALL5 (F 8 RO(4 ,T
FIGURE DIDN'T 9CLUDE ANY M$ICAL C>E T
HE'D RCVD AT T F/ HOSPITAL1 OR ! PHYSI-
CIAN FEES &! AMBUL.E RIDE 6,H>BORVIEW1 :
WD CO/ _M ?\S&S ( DOLL>S M4 ,! BILLS
DIDN'T 9CLUDE 8 ?REE SURG]IES1 TWO ,,ICU
/AYS1 TWO CLOT-BU/+ PROC$URES1 A FILT]1
WEEKS ( R>E & EXP5SIVE BLOOD ?9N]S1
PHYSICAL !RAPY1 PA9 M$IC,NS1 9TRAV5\S
L9ES1 OR SPECIALI/ FEES4 ,X DIDN'T IN-
CLUDE ! CO/ ( 8 REHABILIT,N1 : 0 / 6-E1
OR ! REOP],N PLANN$ = ?REE MON?S \1 :5 8
LEG WD 2 REL1S$ F XS METAL PRISON4 ,H[
WD AN UN9SUR$ SALESMAN :O "W$ =A MODE/
MI4LE-CLASS 9COME PAY = 8 9JURY1 EV5 IF
HE H1L$ FULLY & RETURN$ 6HIS =M] LIFE8
  ,I WD S5D ,B>B 9 6TALK ) HM1 ,I SD1 &
-E BACK LAT] 9 ! "D1 S9CE MY PAG] _H J
RUNG ?REE "TS4 ,I HU/L$ 96A "WROOM 6RE-
TURN ! PAGES1 : NETT$ ME ANO!R PATI5T F
! SURG]Y S]VICE1 A FELL[ 9 8 =TIES :O _H
BE5 HIT 0A C> :ILE CROSS+ ! /REET 9 D[N-
T[N ,S1TTLE1 AF 5JOY+ ?REE OR F\R BE]S
AT HAPPY H\R4 ,HE _H MULTIPLE       #CAF
FRACTURES & 0 -+ 6! M$IC9E S]VICE 2C (A
PO/-FRACTURE BLOOD CLOT SIMIL> 6,BUR-
PHY'S4 ,ON MY WAY D[N 6MEET HM1 ,I
DROPP$ 0,B>B'S (FICE 6ASK AB ,BURPHY'S
F9ANCIAL /ATUS4 ,%E FLIPP$ "? H] B9D] &
SD T ,BURPHY'S ,M$ICAID APPLIC,N _H BE5
SUBMITT$ A C\PLE ( WEEKS AGO & ONCE HE 0
APPROV$1 ALL ( 8 CO/S WD 2 COV]$ Z L;G Z
8 4ABIL;Y LA/$ L;G] ?AN N9ETY "DS4
  8,NO PRO#M4 ,N9ETY "DS IS N GO+ 6BE A
PRO#M = ? P]SON10 ,I SD4 8,WD Y M9D /OP-
P+ 06TALK ) HM & MAKE SURE HE "U/&S8
,HE'S R1L ANXI\S AB ! M"OY SITU,N40
  ,I ZIPP$ D[N/AIRS 6SEE ! MAN :O'D BE5
HIT 0A C>1 A -M]CIAL DIV] :O 0 MUSCUL> &
MU/A*IO$ & 0 WAT*+ T5NIS ON ,,ESPN4 ,I
ASK$ H[ FA/ ! C> _H BE5 GO+ :5 HE 0 HIT1
HE SD1 8,Y "K1 ,I WASN'T RE,Y ?9K+ AB T
Z ,I 0 FLY+ UP ONTO ! HOOD (! C>40
  8,SORRY1 Y'VE PROBABLY BE5 ASK$ T "Q
TWO DOZ5 "TS40
  8,I WAKE UP AT F\R O'C E MORN+ )A DR1M
T ,I'M AB 6BE HIT 0A C>4 ,D Y ?9K ,I C G
HOME TM80 ,HE _H GD H1L? 9SUR.E1 HE A4$1
& 9 ! M1N"T HE WANT$ A PRIVATE      #CAG
ROOM4
  ,I TOLD HM HE WD 2 CLE> F MY /&PO9T Z
SOON Z WE FIGUR$ \ ! "R DOSE ( BLOOD ?9-
N]4 ,X 0 LIKELY 6BE J A "D OR TWO M1 B
,I DIDN'T SAY ?1 S9CE FUND+ =! M$IC,N
DEP5D$ ON J H[ GD 8 9SUR.E WAS4
  ,HE DID N GET A PRIVATE ROOM4

  ,9 ! AFN1 MY PAG] RANG )A TEXT MESSAGE
F A COLL1GUE T R1D1 8,,KJ IS BACK ON
,?REE--*ECK \ 8 ,,HUGE FAMILY40 ,,KJ 0 !
M* 2LOV$ ,K]MIT ,JACKSON1 JAZZ HORN G5-
IUS & TEMP]A;TAL ,FLEET PATI5T4
  ,I MADE MY WAY 6,?REE & SWUNG PA/ ,K]-
MIT'S ROOM1 : 0 PACK$ ) P WE>+ /YLI%
DRESSES & FELT HATS4 ,HE 0 9 A PRIVATE
ROOM1 & ,I ?"\ IMMLY AB H[ HE _H ONCE -E
96! ,,ED1 G"O 96C>DIAC >RE/1 RCVD AN
ELECTRICAL %OCK 6HIS *E/1 & CAME RO>+
BACK 6LIFE4 ,HE'D S9CE _H 8 "R LEG AMPU-
TAT$ & 0 DIAGNOS$ ) LIV] C.ER1 : _H
CAUS$ SEV]E BLE$+ 9 8 ABDOM5 ! PREVI\S
MON?4 ,HE _HN'T BE5 AWAKE 5 6RECOGNIZE
ME DUR+ T HOSPITALIZ,N4
  ,2F 5T]+ ! ROOM1 ,I DECID$ TO     #CAH
SE>* = ,FLEET 6LE>N :AT 0 HAPP5+4 ,K]MIT
0 LUCID AG1 ,FLEET TOLD ME1 A LL TOO LU-
CID4 ,HE WORRI$ T ,K]MIT 0 AB 6FLIP 9TO
MANIA4
  8,I M1N1 :Y IS HE 9 A PRIVATE ROOM8 ,I
DIDN'T "K HE _H S M* FAMILY4 ,IS HE DY-
+80 ,I ASK$4
  ,FLEET SD T ,K]MIT 0 / GETT+ DIALYSIS1
B T A KIDNEY TRANSPLANT 0 NO L;G] 9 !
"WS4
  ,LAT] A COLL1GUE SU7E/$ T ,FLEET MI<T
2 HAV+ A H>D "T1 & ,I ?"\ ? SEEM$ "U/&A-
#1 GIV5 H[ M* HE _H BE5 "? ) ,K]MIT4
,EV5TU,Y ,I F.D \ T ,K]MIT 0 ON -=T C>E
& WD 2 GO+ 6A NURS+ HOME :5 A B$ OP5$4
  ,:5 ,I CAME BACK LAT]1 ,K]MIT GR9N$ &
SD1 8,HEY1 GIRL60 ,HE _H BE5 RCVG A /1DY
/R1M ( MUSICIANS ALL AFN1 & ,GROV] ,WA%-
+TON 0 PLAY+ ON ! -PUT] JUKEBOX 9 8
ROOM4 ,WE VISIT$ =A :ILE1 & Z WE TALK$
AB ! ILL;SES HE _H SU6]$ F = _M YE>S HE
SD1 8,I'VE J _H "S R1L BAD LUCK40 ,!N HE
GR9N$ AG & ASK$ IF ,I CD G 6,*9AT[N &
GET HM "S R$ G+] & S\R BALLS4 ,I _H NO
IDEA :AT HE 0 TALK+ AB1 B ,I SD     #CAI
,I WD GET HM :AT"E HE WANT$4 ,FLEET TOLD
ME LAT] T HE'D =BI45 ,K]MIT F EAT+ R$
G+] & S\R BALLS YE>S AGO1 :5 ! SALT LOAD
MADE HM RETA9 M FLUID ?AN CD 2 REMOV$ )
DIALYSIS4
  8,"U ! CIRCUM/.ES1 ?\<1 WE %D PROBABLY
LET HM EAT :AT HE WANTS40
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COLLECTIVE H1L?4















                                    #CCD
























         ,APP5DIX ;,A3 ,LE>N ,M     #CCE

    ,LIFE ,SUPPORT
  ,TWO EXCELL5T RES\RCES ON ! HI/ORICAL
ROLE ( HOSPITALS >E ,*>LES ,ROS5B]G'S
..,! ,C>E ( ,/RANG]S3 ! ,RISE ( ,AM]I-
CA'S ,HOSPITAL .,SY/EM 7,! ,JOHNS ,HOP-
K9S ,UNIV]S;Y ,PRESS1 #AIHG7 & ,ROSEM>Y
,/EV5S'S ..,9 ,SICK;S & ,9 ,W1L?3 ,AM]I-
CAN ,HOSPITALS 9 ! ,TW5TIE? .,C5TURY 7,!
,JOHNS ,HOPK9S ,UNIV]S;Y ,PRESS1 #AIHI74
,ROS5B]G TELLS ! HI/ORY ( HOSPITALS "? !
E>LY TW5TIE? C5TURY1 & ,/EV5S FOCUSES ON
HOSPITAL DEVELOP;TS 9 ! TW5TIE? C5TURY4
  ,! IMPACT ( ,AM]ICAN PHYSICIAN PROFES-
.NAL ORGANIZ,NS ON \R PRES5T H1L? C>E
SY/EM IS BRILLIANTLY DOCU;T$ 9 ,PAUL
,/>R'S ,PULITZ] ,PRIZE-W9N+ ..,! ,SOCIAL
,TRANS=M,N ( ,AM]ICAN .,M$IC9E 7,BASIC
,BOOKS1 #AIHB74
  ,JAN DE ,H>TOG'S #AIFD NOVEL1 .,!
.,HOSPITAL1 0 AN EXPOS@E (! WRET*$ 3DI-
;NS AT ,H\/ON'S ,JE6]SON ,DAVIS *>;Y
HOSPITAL1 : MAY N H BE5 TOO DI6]5T F
3DI;NS 9 O!R URBAN PUBLIC HOSPITALS4
  ,DETAIL$ 9=M,N AB PUBLIC HOSPI-   #CCF
TALS IS AVAILA# 9 8,AM]ICA'S ,PUBLIC
,HOSPITALS & ,H1L? ,SY/EMS1 #BJJD10 A
REPORT 0,OBAID ,ZAMAN1 ,ELL5 ,LUK5S1 &
,L9DA ,CUMM+S1 PUBLI%$ 9 #BJJF 0! ,N,NAL
,ASSOCI,N ( ,PUBLIC ,HOSPITALS 7,,NAPH71
,WA%+TON ,D4,C41 & ONL9E AT
_+WWW.NAPH.ORG_:4

    ,SEQUEL
  ,AB #AF P]C5T ( ,AM]ICANS H NO H1L?
9SUR.E1 9CLUD+ #BG.C MILLION "W+ ADULTS1
& _M MILLIONS ONLY H 9T]MITT5T COV]AGE1
Z DETAIL$ 9 8,9COME1 ,POV]TY1 & ,H1L?
,9SUR.E ,COV]AGE 9 ! ,UNIT$ ,/ATES3
#BJJE10 PUBLI%$ 0! ,U4,S4 ,C5SUS ,BUR1U4
,PATI5TS )\T 9SUR.E RCV FEW] PREV5TIVE
S]VICES & >E M LIKELY 6DELAY NE$$ M$ICAL
C>E1 9 ,DIAMANT1 ,A4 ,L4 ET ;AL1 8,DE-
LAYS & ,UNMET ,NE$ = ,H1L? ,C>E ,AM;G
,ADULT ,PRIM>Y ,C>E ,PATI5TS 9 A ,RE-
/RUCTUR$ ,URBAN ,PUBLIC ,H1L? ,SY/EM10
..,AM]ICAN ,J\RNAL ( ,PUBLIC .,H1L?
#BJJD2 VOL4 #ID1 PGS4 #GHC-HI1 & ,SUDA-
NO1 ,J4 ,J4 & ,BAK]1 ,D4 ,W41
8,9T]MITT5T ,LACK ( ,H1L? ,9SUR.E   #CCG
,COV]AGE & ,USE ( ,PREV5TIVE ,S]VICES10
..,AM]ICAN ,J\RNAL ( ,PUBLIC .,H1L?
#BJJC2 VOL4 #IC3 PGS4 #ACJ-CG4
  ,WE PROVIDE DE FACTO UNIV]SAL H1L? C>E
"? \R EM]G5CY ROOMS1 ?ANKS 6A #AIHF LAW
CALL$ ! ,EM]G5CY ,M$ICAL ,TR1T;T & ,LA-
BOR ,ACT 7,,EMTALA71 : 0 9T5D$ 6PROTECT
A3ESS 6EM]G5CY M$ICAL S]VICES REG>D.S (A
PATI5T'S ABIL;Y 6PAY4 ,Z A RESULT ( ?
LAW1 &! ABS;E ( ANY O!R M&ATE 6PROVIDE
H1L? C>E 6ALL1 ,,ED,'S H 2COME ! F/ PO9T
( 3TACT 9 ! H1L? C>E SY/EM = _M (! UN9-
SUR$1 & ,,ED,'S >E N[ (T5 OV]LOAD$ ) ^!
PATI5TS4 ,X HAS 2COME CLE> T ! ,,ED IS A
V EXP5SIVE & 9E6ICI5T SETT+ 9 : 6TR1T !
T5S ( MILLIONS ( P :O NE$ A3ESS 6R\T9E
M$ICAL C>E2 ! ?9K+ 9 ! ,,ED G5],Y FOCUS-
ES ON SOLV+ ONLY ! PATI5T'S IMM PRO#MS4
,SEE ,JONA?AN ,GLAUS]'S 8,R,N+ &! ,ROLE
(! ,EM]G5CY ,DE"P;T Z ,SOCIETY'S ,SAFETY
,NET10 .,ACADEMIC .,EM]G5CY .,M$IC9E1
,NOVEMB] #BJJA1 VOL4 #H1 PGS4 #AAJA-F4
  ,! CO/ ( C>+ =! UN9SUR$ IS PICK$ UP BY
"EY"O ELSE4 ,BAS$ ON DATA -PIL$ F S"EAL
GOV]N;T DATABASES1 9CLUD+ !         #CCH
,U4,S4 ,C5SUS1 H1L? S]VICES RESE>*] ,K5-
NE? ,E4 ,?ORPE ( ,EMORY ,UNIV]S;Y &! AD-
VOCACY ORGANIZ,N ,FAMILIES ,,USA E/IMATE
T 4#IBB (! TYPICAL FAMILY H1L? 9SUR.E
PREMIUM 9 #BJJE W5T 6COV] ! CO/ (! UN9-
SUR$ 7! AV]AGE FAMILY PD 4#BBF P] MON? =
H1L? 9SUR.E T YE>74 ,? CO/ IS EXPECT$ TO
RISE 64#A1EJB P] FAMILY 0#BJAJ4 ,"O-
TWELF? ( H1L? 9SUR.E FEES PD 0EMPLOY]S
GOES 6FUND C>E =! UN9SUR$4
  ,EV5 ?\< ! POOR & UN9SUR$ MAY N PAY !
FULL CO/ ( _! C>E1 HOSPITAL BILLS C /
HIT H>D1 & "S HOSPITALS H PURSU$ A7RES-
SIVE COLLEC;NS PRACTICES4 ,SEE 8,UN*>I-
TA#80 0,JONA?AN ,COHN1 9 ..,! ,NEW ,YORK
.,"TS1 ,DECEMB] #AI1 #BJJD4 ,COHN'S
BOOK1 ..,SICK3 ,! ,UNTOLD ,/ORY ( ,AM]I-
CA'S ,H1L? ,C>E ,CRISIS--&! ,P ,:O ,PAY
! .,PRICE 7,H>P],COLL9S1 #BJJG71 DOCU;TS
! DRAMATIC 3SEQU;ES T 2FALL 9DIVIDUALS
)\T H1L? 9SUR.E1 & PRES5TS 8 >GU;T =A
S+LE-PAY] H1L? C>E SY/EM4
  ,AN 9TRIGU+ >GU;T AB H1L? 9EQUAL;Y -ES
F ,/EPH5 ,BEZRU*KA1 AN EM]G5CY PHYSICIAN
& EPIDEMIOLOGI/ AT ! ,UNIV]S;Y (    #CCI
,WA%+TON1 :O >GUES T 9ADEQUATE NUTRI;N1
M$ICAL C>E1 $UC,N1 ETC4 D N FULLY A3.T =
H1L? 9EQUITIES1 & T POV]TY XF C CAUSE
ILL;S4 ,SEE 8,HI]>*Y & ,H1L? >E ,RELAT$0
9 .,BRITI% .,M$ICAL .,J\RNAL1 VOL4 #CBD1
PG4 #IGH & 8,! ,/ATUS ,SYNDROME3 ,H[
,SOCIAL ,/&+ ,A6ECTS ,\R ,H1L? & ,L;GEV-
;Y0 9 ..,! ,NEW ,5GL& ,J\RNAL ( .,M$I-
C9E1 VOL4 #CEB1 PGS4 #AAEI-FJ4

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  ,! JO9T OP]AT+ AGREE;T 2T ! ,UNIV]S;Y
( ,WA%+TON1 : MANAGES ,H>BORVIEW'S DAILY
OP],NS1 &! ,K+ ,C.TY GOV]N;T1 : PROVIDES
CAPITAL = BUILD+ PROJECTS1 0 E/ABLI%$ 9
#AIFG & HAS BE5 UPDAT$ P]IODIC,Y1 MO/
REC5TLY ON ,JULY #A1 #AIIE4

    ,DIV].N
  ,PH>MACEUTICAL 9DU/RY /RATEGIES >E DE-
SCRIB$ 9 NUM]\S REC5T "WS 9CLUD+ ..,!
,TRU? ,AB ! ,DRUG ,-PANIES3 ,H[ ,!Y ,DCV
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.,M$IC9E $ITOR ,M>CIA ,ANGELL4 ,M   #CDJ
REC5T IS ,H[>D ,BRODY'S ..,HOOK$3 ,H[
,M$IC9E'S ,DEP5D;E ON ! ,PH>MACEUTICAL
,9DU/RY ,"UM9ES ,PROFES.NAL .,E?ICS
7,R[MAN @& ,LITTLEFIELD1 #BJJG74
  ,DAVID ,BLUM5?AL REVIEW$ ! SCI5TIFIC
EVID;E ON PH>MACEUTICAL 9DU/RY 9T]AC;NS
) PHYSICIANS 9 8,DOCTORS & ,DRUG ,-PA-
NIES10 ..,NEW ,5GL& ,J\RNAL ( .,M$IC9E
#BJJD1 VOL4 #CEA1 PGS4 #AHHE-IJ4

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  ,A BRIEF ON \R N,NAL PREP>$;S = 4A/]S3
8,HOSPITAL ,/A6+ & ,SURGE ,CAPAC;Y ,DUR+
A ,4A/] ,EV5T10 PUBLI%$ 0,,NAPH1 ,WA%+-
TON ,D4,C41 ,MAY #BJJG4

    ,"U ,3/RUC;N
  ,_M PUBLIC HOSPITALS H CLOS$ 9 REC5T
YE>S1 &! HO/ILE 5VIRON;T = ^! ORGANIZ,NS
IS DESCRIB$ 9 ! ,9/ITUTE ( ,M$IC9E RE-
PORT1 ..,AM]ICA'S ,H1L? ,C>E ,SAFETY
,NET3 ,9TACT B .,5DANG]$1 7,N,NAL ,ACAD-
EMY ,PRESS1 #BJJJ74 ,AL SEE ,D5NIS ,P4
,&RULIS & ,LISA ,M4 ,DU*ON'S REPORT1
8,HOSPITAL ,C>E 9 ! #AJJ ,L>GE/     #CDA
,CITIES & ,_! ,SUBURBS1 #AIIF-BJJB3
,IMPLIC,NS =! ,FUTURE (! ,HOSPITAL
,SAFETY ,NET 9 ,METROPOLITAN ,AM]ICA10
,AUGU/ #BJJE1 PUBLI%$ 0,,SUNY ,D[N/ATE
,M$ICAL ,C5T]4
  ,JOEL ,WEISSMAN'S 8,! ,TR\# ) ,UNCOM-
P5SAT$ ,HOSPITAL ,C>E10 9 ..,! ,NEW ,5G-
L& ,J\RNAL ( .,M$IC9E #BJJE2 VOL4 #CEB3
PGS4 #AAGA-GC1 DESCRIBES ! *ALL5GE (
HOSPITALS' ACT+ *>ITABLY :ILE AL / FUNC-
;N+ -PETITIVELY4
  ,! CLASSIC =-PR(IT & N-=-PR(IT ORGANI-
Z,NAL MODELS MAY H LIMIT$ UTIL;Y 9 H1L?
C>E1 "PICUL>LY = PUBLIC HOSPITALS1 Z
,BRUCE ,SIEGEL 3CLUD$ 9 A #AIIF REPORT
PRODUC$ =! ,-MONW1L? ,FUND1 8,PUBLIC
,HOSPITALS--,A ,PRESCRIP;N = ,SURVIVAL40
,BUSI;S PROFESSOR ,R4 ,$W>D ,FREEMAN HAS
ADVOCAT$ =A PHILOSOPHY T HE CALLS
8,/AKEHOLD] ,!ORY10 "U : CORPOR,NS AD-
DRESS ! NE$S ( ALL ( XS /AKEHOLD]S1 N J
XS F9ANCIAL %>EHOLD]S2 SEE 8,BUSI;S ,E?-
ICS & ,H1L? ,C>E3 ,A ,/AKEHOLD] ,P]SPEC-
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#BJJB2 VOL4 #BG3 PGS4 #EB-FE2       #CDB
,MATTIA ,J4 ,GILM>T9 IS ! L1D AU?OR ON ?
PAP]4 ,AL;G ^! L9ES1 "O (! M 9TRIGU+
BOOKS 6-E \ REC5TLY AB H1L? C>E RE=M -ES
F ,MI*AEL ,E4 ,PORT] & ,ELIZABE? ,OLM/$
,TEISB]G1 ..,REDEF9+ ,H1L? ,C>E3 ,CR1T+
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  ,D5V] ,G5]AL ,HOSPITAL HAS BE5 HI<LY
9NOVATIVE 9 XS C>E (! M$IC,Y "US]V$4
8,HOSPITALS ,TRY ,FREE ,BASIC ,C>E =
,UN9SUR$10 0,]IC ,ECKHOLM1 ..,! ,NEW
,YORK .,"TS1 ,OCTOB] #BE1 #BJJF4 ,! >TI-
CLE DESCRIBES ! PLANS ( ,D5V] ,G5]AL &
O!R HOSPITALS >.D ! C.TY 6PROVIDE PRIM>Y
C>E S]VICES = ALL PATI5TS1 9 HOPES 6DE-
CR1S+ ADV.ED ILL;S & ?US ! NE$ = EXP5-
SIVE C>E4 ,AL SEE3 ,PATRICIA ,GAB[ &
COLL1GUES' 8,D5V] ,H1L?3 A ,MODEL =!
,9TEGR,N (A ,PUBLIC ,HOSPITAL & ,-MUN;Y
,H1L? ,C5T]S10 9 ..,ANNALS ( ,9T]NAL
.,M$IC9E #BJJC2 VOL4 #ACH3 PGS4 #ADC-DI4

    ,BUNKS = ,DRUNKS
  ,E>LY DATA %[S T ! ,H\S+ ,F/ APPROA*
MAY 2 ! MO/ E6ECTIVE OP;N = PA-     #CDC
TI5TS ) SUB/.E ABUSE & M5TAL ILL;S4 ,SEE
8,H\S+ ,F/1 ,3SUM] ,*OICE1 & ,H>M ,RE-
DUC;N = ,HOME.S ,9DIVIDUALS )A ,DUAL
,DIAGNOSIS0 0,SAM ,TSEMB]IS1 ,LEYLA
,GULCUR1 & ,M>IA ,NAKAE1 ..,AM]ICAN
,J\RNAL ( ,PUBLIC .,H1L? #BJJD2 VOL4
#ID3 PGS4 #FEA-EF4
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8,WE ,H 6,D ,M ,?AN ,MA9TA9 ! ,HOME.S
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,NOVEMB] #BB1 #BJJF4

    ,A ,VI.N
  ,_M P 9 ! H1L? POLICY1 H1L? S]VICES1 &
BUSI;S SECTORS H WRITT5 AB ! NE$ = SYS-
TEMIC *ANGE 9 H1L? C>E4 ,"O DESP]ATELY
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H1L? C>E 6! POOR & UN9SUR$1 :O GET SICK]
& M EXP5SIVE ALL ! "T4 ,H["E1 WE "K V LL
AB C>+ = ^! VULN]A# POPUL,NS4 ,MIR&A
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SY/EM OV]HAUL AB.D4 ,CLAYTON ,*RI/5S5
HAS PUBLI%$ EXT5SIVELY AB 4RUPTIVE 9NO-
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AT PREVI\SLY UNRECOGNIZ$ M>KETS4 ,:5
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ETS1 !Y C *ANGE N ONLY :O ! CU/OM]S >E B
H[ CU/OM]S >E SP5D+ M"OY4 ,9 8,4RUPTIVE
,9NOV,N = ,SOCIAL ,*ANGE10 .,H>V>D
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#ID-AJA1 ,*RI/5S5 ET ;AL >GUE T 4RUPTIVE
9NOV,NS C BR+ SIMPL]1 M AF=DA# H1L? C>E
PRODUCTS & S]VICES 6A BROAD POPUL,N4 ,AL
SEE 8,4RUPTIVE ,9NOV,N3 ,C ,H1L? ,C>E
,LE>N F ,O!R ,9DU/RIES8 ,A ,3V]S,N )
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9 .,H1L? .,A6AIRS .#BJJG1 PGS4 W#BHH-
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SCRIP;N3 ,A ,4RUPTIVE ,SOLU;N = ,H1L?
.,C>E 7,MC,GRAW-,HILL1 #BJJH74
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RICK WRITE AB \R OBSES.N ) NEW TE*NOLOGY
& \R RU% 6ADOPT ^! PRODUCTS )\T     #CDE
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9 ! ,U4,S4 IS ASSOCIAT$ ) WORSE H1L? \T-
-ES4 ,HE & 8 COLL1GUES 9 H1L? \TCOMES
RESE>* AT ,D>TM\?1 9CLUD+ ! NOTORI\S
,JOHN ,E4 ,W5NB]G1 H 3V9C+LY DEMON/RAT$
T M$ICAL PRACTICES >E 9FLU;ED 0REGIONAL
FACTORS Z M* Z ANY?+ ELSE3 SEE ,W5NB]G1
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,OV] ,M$IC>E ,RE=M10 .,H1L? .,A6AIRS
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,?ORPE HAS F.D T NE>LY TWO-?IRDS (! IN-
CR1SE 9 H1L? C>E SP5D+ IS DUE 69CR1S+
41SE PREVAL;E 7M1N+ WE >E SP5D+     #CDF
\R M"OY ON POT5TI,Y PREV5TA# 3DI;NS L
DIABETES1 OBES;Y1 & HE>T 41SE71 NEW TE*-
NOLOGIES1 & NEW PATT]NS 9 DIAGNOSIS &
TR1T;T 7WE N[ PRESCRIBE M$IC,N = ASYMP-
TOMATIC 41SES74 ,H1L? PROMO;N MAY SAVE
M"OY1 HE WRITES1 B LL RESE>* HAS BE5 D"O
ON 9T]V5;NS4 ,SEE 8,! ,RISE 9 ,H1L? ,C>E
,SP5D+ & ,:AT 6,D ,AB ,X40 .,H1L? .,AF-
FAIRS .#BJJE2 VOL4 #BD1 PGS4 #ADCF-DE4
  ,! ECONOMI/ ,DAVID ,M4 ,CUTL] SU7E/S T
Z M$ICAL C>E CO/S RISE1 S DOES ! VALUE
WE EXTRACT F X1 9 ..,YR ,M"OY OR ,YR
,LIFE3 ,/R;G ,M$IC9E = ,AM]ICA'S ,H1L?
,C>E .,SY/EM4 7,OX=D ,UNIV]S;Y ,PRESS1
#BJJE74
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TEMS & N 9 "O MASSIVE SWEEP1 Z ,ATUL
,GAW&E DESCRIBES 9 8,GETT+ ,F ,"! 6,"H0
9 .,! .,NEW .,YORK] 7,JANU>Y #BF1
#BJJI74




        ,APP5DIX ;,B3 ,H[ 6,HELP    #CDG

#A4 .,DONATE .M"OY4 ,Z "O ,H>BORVIEW AD-
  M9I/RATOR SD1 M"OY IS ! LIFEBLOOD (
  ANY ORGANIZ,N4 ,LE>N AB S]VICE ORGANI-
  Z,NS 9 YR >EA T >E IMPLE;T+ NOVEL SO-
  LU;NS 6L;G-/&+ PRO#MS4 ,! ,D[NT[N
  ,EM]G5CY ,S]VICE ,C5T] 7,,DESC7 9 ,SE-
  ATTLE IS "O S* ORGANIZ,N T PROVIDES
  H\S+ = 9DIVIDUALS :O SU6] F SUB/.E
  ABUSE OR M5TAL ILL;S1 : HELPS 6/ABI-
  LIZE LIVES3 #EAE ,?IRD ,AV5UE1 ,S1T-
  TLE1 ,,WA #IHAJD2 7#BJF7 #DFD-AEGJ2
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  EQUITA#1 HI<-QUAL;Y .C>E4 ,HOSPITALS
  >E REQUIR$ 64CLOSE ! LEVEL ( *>;Y C>E
  & -MUN;Y S]VICE !Y PROVIDE4 ,"S"TS !
  NUMB]S TELL A DI6]5T /ORY ?AN ! PUBLIC
  REL,NS (FICE4
#C4 .,GET .9=M$4 ,R1D BOOKS & NEWSPAP]S
  & /AY ABR1/ (! ISSUES4 ,EV5 BETT]1
  WIT;S S\P KIT*5S1 JAILS1 FREE CL9ICS1
  CRISIS C\NSEL+ C5T]S1 & %ELT]S F/H&4
#D4 .,GET .9VOLV$4 ,-MIT 6HELP+ AN
  "US]V$ 9DIVIDUAL OR GR\P1 OR TO   #CDH
  ADVOCAT+ = AN ISSUE IMPORTANT 6Y OV]
  AN EXT5D$ P]IOD ( "T4 ,MAK+ A DI6];E
  REQUIRES SU/A9$ EF=T4 ,A C\PLE ( WEEK-
  5DS ( VOLUNTE] "W W GET Y 9SPIR$ &
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#E4 ..,TELL YR LEGISLATORS H[ Y .FEEL4
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  ON : BILLS >E PASS$4 ,9PUT F 3/ITU5TS
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  AB HI<-PROFILE LO2Y+ EF=TS4














          ,NOTES & ,AC"KL$G;TS      #CDI

  ,DOZ5S ( P 3TRIBUT$ 6! MAK+ ( ? BOOK4
,I [E MY DEEPE/ DEBT ( GRATITUDE 6! PA-
TI5TS 9 ^! /ORIES1 :O APPE> "U ALT]$ "NS
& ID5TITIES4
  ,S"EAL ( MY COLL1GUES & M5TORS 7 "PIC-
UL>LY G5]\S ) _! "T & 5]GY1 & _! 3TRIBU-
;NS >E REFLECT$ "?\T ! BOOK3 ,ALICE
,BR[N/E91 ,SAM ,W>R51 ,ANNELIESE ,S*LEY-
]1 ,SCOTT ,B>NH>T1 ,MI*AEL ,COPASS1 &
,PATRICK ,FLEET4 ,X IS A HI< PRIVILEGE
6H "W$ ) Y4
  ,I'D L 6NOTE "H T = PURPOSES ( N>RA-
TIVE SIMPLIFIC,N1 ,ALICE ,BR[N/E9 REPRE-
S5T$ ! ROLE (! 5TIRE ,,ED JUNTA1 : AL
9CLUDES ,SAM ,W>R51 ,DAVID ,BAK]1 ,DAVID
,C>LBOM1 & ,BOB ,KALUS4 ,EA* ( ^! 9DI-
VIDUALS _H HELP;L 9PUT4
  ,^? :O HELP$ ME 6"U/& H[ ! HOSPITAL
OP]ATES 9CLUD$ ,M>V ,TURCK1 ,SIG ,HANS51
,JOHNESE ,SPISSO1 ,PAMELA ,H>RELL1 ,K5
,J>MAN1 ,LUCY ,B]L9]1 ,ELLIE ,GRAHAM1
,PET] ,LEE1 ,SUSAN ,GREGG-,HANSON1 &
,PAMELA ,/EELE4 ,BILL ,HOBSON1
,EXECUTIVE ,DIRECTOR ( ,,DESC1      #CEJ
PROVID$ VALUA# BACKGR.D 9=M,N AB ,S1T-
TLE'S %ELT] SY/EM4
  ,I RCVD HELP;L -;T>Y ON ! MANUSCRIPT F
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?ANKS 6,%]RI ,S*ULTZ & ,JANE ,HUNT+TON =
$ITORIAL 9PUT1 & 6,JOHN ,C\LT] = 8 ADVO-
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CIFIC,Y ,G>Y ,LUKE & ,RA*ELLE ,L;G@E1 Z
WELL Z MY AG5T ,MAX ,G>T5B]G1 :O "W$ PA-
TI5TLY ) ME UNTIL ! BOOK 0 "R4
  ,& ?ANK Y 6MY HUSB&1 ,*>LIE ,CRISSMAN1
:O DOES M ?AN ,I C AC"KL$GE "H4









              ,AB ! ,AU?OR          #CEA

  ,AUDREY ,"Y1 ,,MD1 0 MO/ REC5TLY ,AS-
SI/ANT ,PROFESSOR ( ,M$IC9E AT ! ,UNIV]-
S;Y ( ,WA%+TON 9 ,S1TTLE &A /AFF PHYSI-
CIAN AT ,S1TTLE'S C.TY HOSPITAL1 ,H>BOR-
VIEW ,M$ICAL ,C5T]4 ,%E HOLDS A ,,BA 9
HI/ORY F ,,UC ,B]KELEY4 ,%E IS ! AU?OR (
..,:AT ,PATI5TS ,TAU<T .,ME 7,SASQUAT*
,BOOKS1 #BJJD7 & HAS BE5 CALL$ A 8F9E
/ORYTELL]0 0.,P MAGAZ9E4 ,%E & H] HUSB&
LIVE 9 ,S1TTLE4













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