Five Patients – by Michael Crichton (1970)

Five Patients

Michael Crichton is best known for his science-fiction and techno-thriller novels, but on occasion he veered off into non-fiction. In 1970 he wrote a book detailing the medical cases of five patients who were hospitalized at Massachusetts General Hospital while he was at Harvard Medical School. In it, he examined different aspects of hospital life: the non-stop atmosphere of the emergency room on any given day, the soaring cost of being hospitalized, deciding whether or not to operate, the introduction of technology into hospitals, and the way doctors interact with patients. About the time he published this book, Michael Crichton abandoned his medical career and devoted himself to being an author.

If you work in the medical field, the terminology in this book will be familiar to you. Unfortunately for me, much of the medical description was akin to a foreign language. There were parts of the book that I found very interesting, however, such as the section on hospital costs. He gave the example of John O’Connor, who was hospitalized for 31 days, yet only had a bill of $6,172.55! Mr Crichton went on to say:

“The single most important problem facing modern hospitals is cost… First, the cost of hospitalization has skyrocketed. The average MGH patient today pays per hour what the average patient paid per day in 1925. Even as recently as 1940, a private patient could have his room for $10.25 per day; by 1964, it cost $50.10 per day; by 1969, $72.00-$110.00 per day. This staggering increase is continuing at the rate of 6 to 8 per cent per year.”
(page 60)

Near the end of the book, the author gives the suggestion that hospitals should organize their patients into areas based on how ill they are:

“As they become healthier, they would be moved to new areas of the hospital, where they would be encouraged to be more self-sufficient, to wear their own clothes, to look after themselves, to go down to the cafeteria and get their own food, and so on. They would, at every point, be surrounded by patients of equal severity of illness.”
(page 221)

What a contrast between this 1970 view of hospitals and present day hospitals! Now you are lucky if you actually get to spend 24 hours in a hospital after having surgery. As soon as you are conscious, they try to get you on your feet. When you are able to stagger to the bathroom with help, they get out the discharge papers!

Sadly, the skyrocketing cost of medical care that Mr. Crichton describes continues its upward thrust. I would have to agree with the author when he says that we will need to transition to a national health care system as health care becomes impossible to afford.

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Dragon Teeth – by Michael Crichton (2017)

Dragon Teeth

The newest Michael Crichton novel, published by his wife almost a decade after his death, is a gem of a book. However, don’t expect “Dragon Teeth” to read like most of his other books. Instead of technology, you will find a young man growing up. Instead of pure fiction, you will find a story based on real people who feuded with each other in the 1870s. Instead of the future, you will find the past.

The tale begins with William Johnson, a pampered young student at Yale University in 1876. When another student says he would never survive in the Wild West, William impulsively joins Othniel Charles Marsh’s archeological team to search for dinosaur bones in Indian territory. Part-way through the trip, he is abandoned, and joins a rival paleontologist Edwin Drinker Cope. What began as something fun for William turns into life and death, and by the end of the story the Wild West has made him tough as nails.

I loved the fast pace and the simple plot of the story. There was nothing complicated about it, no great mystery, just a great historic novel about human rivalry and the challenges of growing up.

 

Jurassic Park – by Michael Crichton (1990)

Jurassic Park

You’ve probably seen the movie – but have you read the novel? There is so much more detail in the book – the investigation after the little girl is bitten, Alan Grant’s career in paleontology, John Hammond’s eccentric personality, and many more monologues by the philosophical Ian Malcolm. You get to see into the minds of the other characters, like Henry Wu (the geneticist), Mr. Gennaro (the financier), John Allan (the chain-smoking computer guy), and the annoying Dennis Nedry.

For those not familiar with the novel or the movie, the characters are part of a team that is dispatched to an island off the coast of Central America, where extinct animals have been artificially re-created. All sorts of things go wrong, and the characters find themselves hiding, fighting, running, and trying to outsmart the animals. It’s hard to put this book down because there is constantly a crisis.

My favorite character is Ian Malcolm. His non-stop talking and sarcastic comments about science, chaos theory, and how smart or stupid people and dinosaurs are, added depth to the story. It definitely makes one think about scientific research, and how far is too far.