TELLTALE HEARTS

A powerful meditation on what doctors and their patients can learn from each other.

For over four decades, Dr. Dean-David Schillinger has been a witness to the evolution of public health in America. From his days as a young, bright eyed resident to the Chief of Internal Medicine at one of the country's largest public hospitals, Schillinger has seen thousands of patients and observed how our healthcare system can both work for and against them. Yet, it wasn't insurance or improved medical tests that mattered most; it was simply listening to his patients.

In Telltale Hearts, Schillinger takes readers into the exam rooms of a public hospital as he recounts his various experiences with patients and how listening to their stories, their backgrounds and more, revolutionized his own approach to medicine. In a hospital that serves mostly low income and marginalized populations, it was never just the injury or ailment that was the whole story but rather the social, political and racial circumstances that led patients to the hospital in the first place. A woman who refuses to take her pills actually cannot swallow them to begin with while another who seems to be skipping her insulin injections has a family member who is stealing them. A patient with Type 2 diabetes doesn't just suffer from high blood sugar but has consistently lived in a food desert where sugary beverages and unhealthy food were the only options.
With each story and each patient, Schillinger urges us to look at how listening to patients not only can lead to better care in a hospital, but a more empathetic approach to public health in general.

Written with compassion and introspection, Telltale Hearts is a moving portrait of modern medicine and an urgent call for change in how we, as a society, take care of our own.

Dean-David Schillinger MD is a primary care physician, scientist, author, and public health advocate. Dr. Schillinger is an internationally recognized expert in health communication and has been widely recognized for his work related to improving the health of vulnerable populations. He is credited with a number of discoveries in primary care and health communication, and is considered one of the founders of the field of health literacy. He is a practicing general internist and Chief of the University of California San Francisco (UCSF) Division of General Internal Medicine at San Francisco General Hospital (SFGH), where he founded the UCSF Center for Vulnerable Populations (CVP) in 2006, a leading research center committed to addressing the social determinants of health through research, education, policy and practice.