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<book id="3153853">
  <title><![CDATA[Hippocrates' Shadow: What Doctors Don't Know, Don't Tell You, and How Truth Can Repair the Patient-Doctor Breach]]></title>
  <isbn><![CDATA[1416551530]]></isbn>
  <isbn13><![CDATA[9781416551539]]></isbn13>
    <work>
  <best_book_id type="integer">3153853</best_book_id>
  <books_count type="integer">1</books_count>
  <default_description>Everyone knows of the Hippocratic Oath, the famous invocation sworn by all neophyte physicians. But most don't realize that the father of modern medicine was an avid listener and a constant bedside presence. Hippocrates believed in the doctor-patient connection and gained worldwide renown for championing science over mysticism while respecting and advocating the potency of human healing. Today, argues Dr. David H. Newman, medicine focuses narrowly on the rewards of technology and science, exaggerating their benefits and ignoring or minimizing their perils. Dr. Newman sees a disconnect between doctor and patient, a disregard for the healing power of the bond, and, ultimately, a disconnect between doctors and their Oath.&lt;P&gt;The root of this divergence, writes Dr. Newman, lies in the patterns of secrecy and habit that characterize the &quot;House of Medicine,&quot; modern medicine's entrenched and carefully protected subculture. In reflexive, often unconscious defense of this subculture, doctors and patients guard medical authority, cling to tradition, and yield to demands that they &lt;I&gt;do&lt;/i&gt; something or &lt;I&gt;prescribe&lt;/i&gt; something. The result is a biomedical culture that routinely engages in unnecessary and inefficient practices, and leaves both patient and doctor dissatisfied. While demonstrating an abiding respect for, and a deep understanding of, the import of modern science, Dr. Newman reviews research that refutes common and accepted medical wisdom. He cites studies that show how mammograms may cause more harm than good; why antibiotics for sore throats are virtually always unnecessary and therefore dangerous; how cough syrup is rarely more effective than a sugar pill; the power and paradox of the placebo effect; how statistics and studies themselves are frequently deceptive; and why CPR is violent, invasive -- and almost always futile.&lt;P&gt;Through an engaging, deeply researched, and eloquent narrative laced with rich and riveting case studies, Newman cuts to the heart of what really works -- and doesn't -- in medicine and rebuilds the bridge between physicians and their patients.</default_description>
  <id type="integer">3185435</id>
  <media_type nil="true"></media_type>
  <original_language_id type="integer" nil="true"></original_language_id>
  <original_publication_day type="integer">9</original_publication_day>
  <original_publication_month type="integer">9</original_publication_month>
  <original_publication_year type="integer">2008</original_publication_year>
  <original_title>Hippocrates' Shadow: What Doctors Don't Know, Don't Tell You, and How Truth Can Repair the Patient-Doctor Breach</original_title>
  <rating_dist>total:24|5:9|4:11|3:4|2:0|1:0|</rating_dist>
  <ratings_count type="integer">24</ratings_count>
  <ratings_sum type="integer">101</ratings_sum>
  <reviews_count type="integer">62</reviews_count>
  <text_reviews_count type="integer">14</text_reviews_count>
</work>

  <average_rating><![CDATA[4.21]]></average_rating>
  <ratings_count><![CDATA[24]]></ratings_count>
  <text_reviews_count><![CDATA[14]]></text_reviews_count>
  <url><![CDATA[http://www.goodreads.com/book/show/3153853.Hippocrates_Shadow_What_Doctors_Don_t_Know_Don_t_Tell_You_and_How_Truth_Can_Repair_the_Patient_Doctor_Breach]]></url>
  <authors>
        <author id="451493">
      <name><![CDATA[David Newman]]></name>
      <role><![CDATA[]]></role>
      <url><![CDATA[http://www.goodreads.com/author/show/451493.David_Newman]]></url>
      <average_rating><![CDATA[4.06]]></average_rating>
      <ratings_count><![CDATA[32]]></ratings_count>
      <text_reviews_count><![CDATA[16]]></text_reviews_count>
    </author>
      </authors>
    <reviews start="1" end="20" total="62">
    <review id="39628901">
    <user id="220791">
    <name><![CDATA[Lena]]></name>
    <location><![CDATA[Boulder, CO]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/220791-lena]]></url>
  </user>
      <rating>4</rating>
  <votes>9</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
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  <recommended_for><![CDATA[anyone with a body]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Mon Dec 08 14:50:52 -0800 2008</date_added>
  <date_updated>Fri Dec 26 06:37:31 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[I hadn't expected a book examining problems with modern medicine to be such a page-turner, but the author lived up to his promise to reveal &quot;secrets from the house of medicine,&quot; and some of them are doozies.  <br/><br/>David Newman is a specialist in emergency medicine, and he combines s...<a href="http://www.goodreads.com/review/show/39628901">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/39628901]]></url>
</review>
    <review id="41009745">
    <user id="811687">
    <name><![CDATA[Sandi]]></name>
    <location><![CDATA[Fountain Valley, CA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/811687-sandi]]></url>
  </user>
      <rating>3</rating>
  <votes>4</votes>
  <sell_flag>false</sell_flag>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[Lena Phoenix]]></recommended_by>
  <read_at>Wed Dec 31 00:00:00 -0800 2008</read_at>
  <date_added>Sat Dec 27 09:53:45 -0800 2008</date_added>
  <date_updated>Wed Dec 31 08:31:31 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[One of the problems I often have with non-fiction is that it has a tendency to wander, get bogged down in minutiae, and/or come across sounding like a textbook.  David Newman is an excellent writer who manages to get his points across in an engaging manner.  &quot;Hippocrates' Shadow&quot; is a quic...<a href="http://www.goodreads.com/review/show/41009745">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/41009745]]></url>
</review>
    <review id="50679638">
    <user id="182193">
    <name><![CDATA[Radhika]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/182193-radhika]]></url>
  </user>
      <rating>4</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
  <shelves>
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sun Feb 01 00:00:00 -0800 2009</read_at>
  <date_added>Fri Mar 27 21:34:31 -0700 2009</date_added>
  <date_updated>Fri Mar 27 21:52:34 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[I love the content of this book.  The message is very important and timely.  There are portions of this book that are so clearly and concisely written but I am afraid not all are.  Especially when Newman uses the stories of others to make his point, he rambles a bit.  One of his greatest strengths l...<a href="http://www.goodreads.com/review/show/50679638">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/50679638]]></url>
</review>
    <review id="56386638">
    <user id="825885">
    <name><![CDATA[Mazola1]]></name>
    <location><![CDATA[Pasadena, CA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/825885-mazola1]]></url>
  </user>
      <rating>3</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
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      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Sun May 17 12:07:09 -0700 2009</date_added>
  <date_updated>Sun May 17 12:39:19 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Hippocrates' Shadow is a modern doctor's somehat skeptical (some might say amost cynical) look at modern medicine. Some of its &quot;secrets&quot; aren't really that secret, i.e., that antibiotics are overprescribed because patients demand them and doctors find it quicker and easier to go ahead and ...<a href="http://www.goodreads.com/review/show/56386638">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/56386638]]></url>
</review>
    <review id="56950062">
    <user id="2343397">
    <name><![CDATA[Marina]]></name>
    <location><![CDATA[Chicago, IL]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2343397-marina]]></url>
  </user>
      <rating>0</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Fri May 22 07:05:55 -0700 2009</date_added>
  <date_updated>Fri May 22 07:08:02 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[For those of us in medicine, a must-read.  The author is an emergency physician practicing in New York City and is also in the army reserve.  Great mix of stories from patients he's seen as a military doctor and civilian doctor.  He admits to his arrogance at times, to the uncertainty of medicine, a...<a href="http://www.goodreads.com/review/show/56950062">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/56950062]]></url>
</review>
    <review id="49941505">
    <user id="2147897">
    <name><![CDATA[David]]></name>
    <location><![CDATA[Williamstown, MA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2147897-david-elpern]]></url>
  </user>
      <rating>5</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
  <shelves>
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sat Mar 21 00:00:00 -0700 2009</read_at>
  <date_added>Sat Mar 21 04:52:26 -0700 2009</date_added>
  <date_updated>Sat Mar 21 04:54:49 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[This is an important book, written by an ER doc.  It explodes many myths we hold about health care.  I think it should be read by any sentient person who has an interest in why doctors do the things they do, order screening tests, prescribe some meds, etc.  As a physician, my eyes were opened by thi...<a href="http://www.goodreads.com/review/show/49941505">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/49941505]]></url>
</review>
    <review id="35751375">
    <user id="671457">
    <name><![CDATA[Carin]]></name>
    <location><![CDATA[Charlotte, NC]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/671457-carin]]></url>
  </user>
      <rating>4</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
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        <shelf name="medical" />
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sun Jan 25 00:00:00 -0800 2009</read_at>
  <date_added>Mon Oct 20 06:59:13 -0700 2008</date_added>
  <date_updated>Sun Jan 25 13:06:03 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Occasionally dry (particularly the last chapter) but overall fascinating look at why patients and doctors both are feeling increasing unsatisfied despite medical advances.  Most interesting facts: only 1 in 3 Million people with strep throat treadet with antibiotics will be helped.  Even then, antib...<a href="http://www.goodreads.com/review/show/35751375">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/35751375]]></url>
</review>
    <review id="48374734">
    <user id="786698">
    <name><![CDATA[Joseph]]></name>
    <location><![CDATA[Peyton, CO]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/786698-joseph-gowen]]></url>
  </user>
      <rating>5</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
  <shelves>
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Thu Mar 05 18:54:00 -0800 2009</date_added>
  <date_updated>Wed Mar 18 11:33:54 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Awesome book. I think it should be read by everyone working in the health care field. Why are we so afraid of saying &quot;we don't know,&quot; or &quot;I'm sorry&quot;? It should also be read by everyone that ever goes to see a doctor. So we as patients can remember that doctors and tests aren't in...<a href="http://www.goodreads.com/review/show/48374734">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/48374734]]></url>
</review>
    <review id="50692239">
    <user id="2169327">
    <name><![CDATA[April]]></name>
    <location><![CDATA[Berne, NY]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2169327-april-roggio]]></url>
  </user>
      <rating>0</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
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  <shelves>
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Thu Jan 01 00:00:00 -0800 2009</read_at>
  <date_added>Sat Mar 28 04:26:10 -0700 2009</date_added>
  <date_updated>Sat Mar 28 04:27:49 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Was a fascinating read, especially for those of us involved in decision making research.  Highly recommend - well, perhaps a bit selfishly, as I'd really like to discuss it with someone who's read it...!]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/50692239]]></url>
</review>
    <review id="54226664">
    <user id="1685000">
    <name><![CDATA[Margaret]]></name>
    <location><![CDATA[Vernon Hills, IL]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1685000-margaret]]></url>
  </user>
      <rating>3</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
  <shelves>
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sun Feb 01 00:00:00 -0800 2009</read_at>
  <date_added>Tue Apr 28 07:12:57 -0700 2009</date_added>
  <date_updated>Tue Apr 28 07:14:25 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[It's like Freakanomics of the US Healthcare system.  Other book club members did not like this book, but I found it interesting. ]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/54226664]]></url>
</review>
    <review id="40922165">
    <user id="349264">
    <name><![CDATA[Tracey]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/349264-tracey]]></url>
  </user>
      <rating>0</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
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        <shelf name="recommended" />
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Fri Dec 26 05:02:57 -0800 2008</date_added>
  <date_updated>Fri Dec 26 05:03:18 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[NOT AT LIB 12/08 - Lena Phoenix gave 4 stars]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/40922165]]></url>
</review>
    <review id="65041025">
    <user id="1576906">
    <name><![CDATA[Andrea]]></name>
    <location><![CDATA[Willow, AK]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1576906-andrea]]></url>
  </user>
      <rating>4</rating>
  <votes>0</votes>
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      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Sun Jul 26 14:57:42 -0700 2009</date_added>
  <date_updated>Tue Aug 18 18:03:43 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Excellent book for those in the medical field and those not. Talks about where Dr.-patient relationship has gone wrong and how to fix it. ]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/65041025]]></url>
</review>
    <review id="49409367">
    <user id="2119834">
    <name><![CDATA[Jennifer]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2119834-jennifer]]></url>
  </user>
      <rating>5</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
  <shelves>
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Thu Apr 16 12:46:05 -0700 2009</read_at>
  <date_added>Sun Mar 15 21:51:32 -0700 2009</date_added>
  <date_updated>Thu Apr 16 12:46:05 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Really interesting book. Helped me see doctors as real people again. Really improved my relationship with healthcare.]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/49409367]]></url>
</review>
    <review id="33495113">
    <user id="1068560">
    <name><![CDATA[Jay]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1068560-jay]]></url>
  </user>
      <rating>5</rating>
  <votes>0</votes>
  <sell_flag>false</sell_flag>
  <spoiler_flag>false</spoiler_flag>
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        <shelf name="currently-reading" />
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  <recommended_for><![CDATA[Anyone at all,especially those in the health industry or suffering from illness]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Mon Sep 01 00:00:00 -0700 2008</read_at>
  <date_added>Sun Sep 21 22:51:25 -0700 2008</date_added>
  <date_updated>Sun Sep 21 22:53:12 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[A must read. Absolutely essential to anyone suffering from any type of health dysfunction.  Dr. Newman spells out the simple truths and myths regarding the health field.]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/33495113]]></url>
</review>
    <review id="77687308">
    <user id="726531">
    <name><![CDATA[David]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/726531-david]]></url>
  </user>
      <rating>4</rating>
  <votes>0</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Fri Nov 13 15:14:48 -0800 2009</date_added>
  <date_updated>Fri Nov 13 15:15:07 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/77687308]]></url>
</review>
    <review id="77028420">
    <user id="2607935">
    <name><![CDATA[Lally]]></name>
    <location><![CDATA[Wilmington, DE]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2607935-lally]]></url>
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      <rating>0</rating>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Sat Nov 07 13:21:31 -0800 2009</date_added>
  <date_updated>Sat Nov 07 13:21:31 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/77028420]]></url>
</review>
    <review id="76413115">
    <user id="2891751">
    <name><![CDATA[Emily]]></name>
    <location><![CDATA[Abington, PA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2891751-emily]]></url>
  </user>
      <rating>4</rating>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Thu Jan 01 00:00:00 -0800 2009</read_at>
  <date_added>Sun Nov 01 17:58:38 -0800 2009</date_added>
  <date_updated>Sun Nov 01 17:58:51 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/76413115]]></url>
</review>
    <review id="72600410">
    <user id="2779471">
    <name><![CDATA[Sabrina]]></name>
    <location><![CDATA[New York, NY]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2779471-sabrina]]></url>
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