We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
You are probably aware that "gomer" is a technical medical term for an elderly human with too many chronic medical problems, usually including cognitive decline. The female term is "gomere."
It's an acronym for "Get Out of My Emergency Room." In the classic black-humor but realistic medical memoir of an internal medicine internship (House of God - which was Mass General I believe but sort-of named after NYC's Mount Sinai), the phrase "Gomers go to ground" was popularized.
The idea is that gomers always find a way to fall - while walking, falling off a gurney, falling out of bed, having mini-strokes or heart attacks, falling off the toilet, falling out of wheelchairs, etc. Victims of gravity and decay.
If you read the book you will never want to get near a famous teaching hospital. There is plenty of sex with nurses, chaplains, and social workers, etc in it, which is sort-of an intern ritual and the gals are all hot for fresh young interns. At Amazon:
The House of God is a mesmerizing and provocative journey that takes us into the lives of Roy Basch and five of his fellow interns at the most renowned teaching hospital in the country. Young Dr. Basch and his irreverant confidant, known only as the Fat Man, will learn not only how to be fine doctors but, eventually, good human beings. Samuel Shem has done what few in American medicine have dared to do - create an unvarnished, unglorified, and amazingly forthright portrait revealing the depth of caring, pain, pathos, and tragedy felt by all who spend their lives treating patients and stand at the crossroads between science and humanity. With over two million copies sold worldwide, The House of God has been hailed as one of the most important medical novels of the twentieth century and compared to Sinclair Lewis's Arrowsmith for its poignant portrayal of the education of American doctors.
Thus I found it amusing to see this sign in La Gomeralast month (I will post my pics of La Gomera and Tenerife when I get to it):
Correction: Reader is right I think. Boston's Beth Israel.
Here "GOMER" refers to the illegals and other immigrants that have pretty much taken over hospital waiting rooms and corridors because they are entitled to free medical care and cannot be kicked out. Usually one comes in for medical treatment and then you have the entire family camping out for days.
I read that book back when it came out. I particularly remember the narrator going into a kind of emotional shock in which all he could say was "Everything is going extremely well." A moving book, I thought, despite the black humor.
Loved the book. Beth Israel is roughly like House of God in translation, and Man's Best Hospital, their rival, is likely MGH - Massachusetts General Hospital. It is still quoted heavily among the medical professionals over 40 at my hospital. He became a psychiatrist, which proves something-or-other.
Assistant Village Idiot
Yes it was definitely was the Beth Israel hospital internal medicine residency in Boston and the "MBH" Man's Best Hospital" was the "MGH" or the Massachusetts General Hospital. Several of my attendings in my residency were people in the story or they were the models for the characters.
A friend worked in the ER in Chicago and would write ARMYOYO in the chart of the patient who checked himself out of the hospital against the doctor's recommendation. ARMYOYO = All Right Mother; You're On Your Own.
FYI: "House of God" by Samuel Shem (Dr. Stephen Bergman), is likely a ficitionalized take-off of the journal, "Intern" (Harper & Row, 1963) written by "Dr. X".
Whereas "House of God" is satirical fiction, "Intern" is an actual journal composed by an actual Intern who appears to have done his year at a hospital somewhere in New Mexico in the 1950s. Both have the same insights and bite.
If you have enjoyed "House of God", you will delight in reading its apparent source. Both should be on your bookshelf (and actually read!) before ever visiting any medical facility.