Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.From the Hardcover edition.

    Each essay has a task, an essay, and comments from the examiner explaining why it would get Band 9. This book also has a full explanation of the different types of essay you may have to write in the exam, and practice tasks for you to try writing your own essays. We also provide a summary of the 10 most common mistakes that people make in the IELTS writing exam. This may surprise you! By following the advice in this book, you can maximise your chance of getting a high band in IELTS writing, even if your English is not perfect. Don't miss BOOK 2 in this series 'Get IELTS Band 9 - Task 2 Essay Planning' in Kindle store now. ABOUT THE AUTHORS: Cambridge IELTS Consultants are a team of IELTS trainers and past examiners based in Cambridge, United Kingdom. They have many years experience of preparing students for IELTS at University level, marking the essays and developing course books to guide candidates through the Cambridge IELTS process. They really are the experts!

    Olsen's poignant autobiographical journey through the darkness of mental illness and the catastrophic consequences that lurk in medicine cabinets around the country offers an honest glimpse into alarming statistics and a health care system ranked last among nineteen industrialized nations worldwide. As a former sales representative in the pharmaceutical industry for several years, Olsen learned firsthand how an unprecedented number of lethal drugs are unleashed in the United States market, but her most heartrending education into the dangers of antidepressants would come as a victim and ultimately, as a survivor.Rigorously researched and documented, Confessions of an Rx Drug Pusher is a moving human drama that shares one woman's unforgettable journey of faith, forgiveness, and healing.AUTHOR BIO Gwendolyn Leslie Olsen spent more than a decade as a sales rep in the pharmaceutical industry working for health care giants such as Johnson & Johnson, Bristol-Myers Squibb and Abbott Laboratories. She is a writer, speaker, and mental health activist who lives outside Austin, Texas.

    The late-night passing of a beloved aunt summons a childhood bully who shows up minutes later, after twenty-five years, to be forgiven and to heal a broken doctor. This ER doctor finds God's opposite in: a battered child's bruises covered over by make-up, a dying patient whose son finally shows up at the end to reclaim the man's high-top sneakers, the rich or celebrity patients loaded with prescription drugs from doctor friends who end up addicted. But, his real outrage is directed at our cavalier treatment of the elderly, If you put a G-tube in your 80-year-old mother with Alzheimer's because she's no longer eating, you will probably have a fast track to hell.

    Buffett has managed to rise to the top of the ranks in stellar fashion, confounding the critics and earning the adulation of millions.As a leader, entrepreneur, potential investor, student, or whatever your calling may be, you stand to learn from the many life lessons of one of the most successful investors of all time, and one who is still very active and at the top of his game. The wisdom in this book can literally change your life.43 of his most valuable and inspiring life lessons relating to investment, human relationships and overall betterment have been de-constructed and explained including actionable information as to how you can implement the lessons into your day-to-day life.The aim of this book is to be educational and inspirational with actionable principles you can incorporate into your own life straight from the great man himself. Don't wait - grab your copy today!

    For patients to achieve maximum benefits of this surgical correction, they need understand and manage many important details both before and in the first year after surgery.This comprehensive guide explains everything from the preoperative decision-making process to the surgery itself, how to prepare your home for post-surgery rehabilitation, and a week by week description of how to rehabilitate yourself following your TKA. The road to recovery is laid out clearly in this book in such detail that there are no surprises. It concentrates extensively on postoperative rehabilitation, which is vital to the success of a TKA, and as important as the surgery itself.This book contains 145 exercises, 190 illustrations and photos, and questions and answers at the end of each chapter. It empowers patients with the knowledge they need to take charge of their own rehabilitation program.

    This is one of those funny, grotesque books you won’t forget that’s written by a nurse with a penis (you’re going to have to be able to take a joke that’s racial, bigoted, or otherwise extreme). Interested? Read on. Most “humorous” nursing books out there are injected with weak humor in an attempt to make the nursing profession look good. I, on the other hand, inject nursing with black humor. I don’t pretend there’s anything special about nursing, and I don’t try to sell this profession. In fact, once you’re done reading you’ll likely think twice before enrolling in a nursing school. I just tell it how it is. I follow only one rule: go to where the pain is. Through ten stories, I reveal the inner thoughts of male nurses and the unique challenges they face being minorities in a backdrop of vaginas and estrogen. At the end of each story, I share coaching tips. I've been a male nurse for several years and want to share my most interesting adventures and insights. I've also asked the following questions as guide posts: What do men really need to know about nursing? What can I share to add value to people considering nursing as a career? What would I have wanted to know when I was 18 years old? How could I express what people need to know, not what they want to know? Whether you’re a nursing student struggling with touching anuses or a 40 year old thinking that becoming a nurse will make life meaningful, you will find value in this book. Heck, even a nurse practitioner with a business practice will find timeless advice. I quit nursing, only to come back again. Here are some stories and lessons along the way.

    In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method.Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience takes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer - the patient. This book shows you how you use this system to transform your own organization.

    The company was forced to write-down $900 million in inventory and Surface’s future was in jeopardy.Beneath A Surface tells the inside story of how Microsoft turned its hardware dreams into a reality with new details about the challenges Panos and his team had to overcome as well as the internal politics that nearly killed the brand.For fans of Microsoft and those who are interested in the business of building brands, Beneath A Surface is a must read that tells the inside story of how Microsoft turned a failure into a fortune.

    But on the back of the pandemic, entrepreneur and Business Chicks founder Emma Isaacs believes the hustle is now dead. Moreover, traditional ways of working - long commutes, unproductive meetings and outdated systems of bureaucracy - actually don't work at all.Emma believes we don't have to work harder; we just need to work better. In fact, we can slash our hours, take shortcuts and still get more done - without feeling depleted. By becoming more intentional and reimagining the way we work, we can rewrite the old work rules and reinvigorate our lives.The New Hustle condenses Emma's wisdom into 77 anti-rules for maximum dip-in-and-out efficiency. Drawing inspiration from her team, the member of Business Chicks and the many entrepreneurs and leaders who have graced the Business Chicks stage - from Elizabeth Gilbert to Simon Sinek - she guides us towards embracing radical flexibility, making quick decisions and working smarter, from the emails we craft to the talent we recruit . . . and say no to the things that don't matter, so we can say yes to the things that do.Written with humour, insight and a serving of tough love, The New Hustle is your go-to for more productive, creative and meaningful work by one of Australia's most unconventional and effective entrepreneurs: a bestselling author, mum of six - and a woman determined to start an anti-hustle revolution.Praise for The New Hustle'For anyone who's committed to becoming their best self at work and in life.' - Marie Forleo'Refreshingly original. Makes so much bloody sense!' - Lisa WilkinsonPraise for Emma Isaccs'Emma has an inexhaustible joie de vivre, and she delivers an intelligent guide for a new way of working.' - Diane von Furstenberg'Emma Isaacs is a delight. She is kind, and she is smart, and she is grounded, and she is brave and she is funny.' - Elizabeth Gilbert

    Not a book based on old fashion theories or textbook scenarios, The Millionaire Dropout is instead based on tried and tested methods of increasing personal skills, increasing your wealth, improving your life-style and releasing all the personal power that is locked up inside you. Based on the author's firsthand experience of bootstrapping himself out of failure, The Millionaire Dropout is for anyone who wants to learn the secrets for increasing their income and their standard of living. Divided into three sections readers will walk through the stages for taking control of their life, learning how to make more money, and learning how be smart with their successes. Everyone owes it to themselves to invest a little time and effort into increasing their standard of living and releasing the personal power that is locked up inside of us all.

    It includes a concise, A-Z organization of the drugs, and includes information on 21 newly-approved drugs. More than 1,300 generic drugs and 4,500 trade names are included, as are over 800 new nursing guidelines.

    Elefteriades, one of Men’s Health magazine’s ten best doctors in America, shares moving patient stories and lessons about the human heart. The human heart is a paradox, incredibly strong yet surprisingly fragile. And while stories that reveal its symbolic characteristics abound, there are far fewer that laud its physical capabilities, which are perhaps even more profound. Dr. Elefteriades, one of the most respected cardiac surgeons in America, has treated more than 10,000 patients in his distinguished career. Now, for the first time, he shares fascinating stories of his most memorable patients and cases—patients who have challenged him technically and moved him emotionally, patients who have enriched his life and expanded his horizons while he cared for their hearts. By detailing heart conditions and cardiac reparative procedures with specific yet accessible medical narratives, Dr. Elefteriades encapsulates the beauty, complexity, and majesty of the human heart. But there is far more to this organ—and these stories—than a collection of veins, arteries, and valves. These are stories of courage, miracles, and the bravery of patients (some famous and others not) and their families when facing nearly insurmountable challenges, offering a thought-provoking, informative, and at times heart-wrenching study of the resilience of both the human body and spirit.

    He thought he was going in with his eyes wide open. Really, he had no clue. Nothing could prepare him for the harsh reality of being a compassionate human and working as an ER doctor. In his emotionally charged memoir, Sovndal examines the tenuous balance between trying to compartmentalize the trauma of tragedy while also preserving his own humanity. With candor and humility, Fragile pulls back the curtain on the ER, a place where Sovndal has learned that universal truths about the human condition can be discovered—if you pause long enough to take a breath. At turns heartbreaking and heartwarming, serious and funny, Sovndal’s memoir is about trying to reconcile the beautiful and horrific tension that makes life so fragile, and how accepting that hard truth opens us up to appreciate life’s most precious moments—which are often the ones most filled with connection, hope, and love.ABOUT THE AUTHOR:SHANNON SOVNDAL, MD, a board-certified doctor in both emergency medicine and emergency medical services (EMS), serves as a physician and medical director for multiple EMS agencies and fire departments. Dr. Sovndal has a wide range of career experience, working in tactical medicine (TEMS) with the FBI, as a team doctor for the Garmin Professional Cycling team, and as a flight physician. As the producer of the podcast Match on a Fire: Medicine and More, he is the founder of 3Hundred Training Group, which focuses on educating and training pre-hospital providers.Dr. Sovndal attended medical school at Columbia University, where he earned the prestigious Arnold P. Gold Foundation Humanism in Medicine Award, and completed his residency in Emergency Medicine at Stanford University. He is also the author of Cycling Anatomy and Fitness Cycling and lives in Boulder, Colorado, with his family.

    And yes, there are lots of books about living in France out there already. But a lot of these are the short-term adventures of single people or retired couples or tourists. Moving abroad for good with a family, and without a pension, is a whole new ball game. That’s what makes Heads Above Water different. It’s about us, a family with three children, who stick the hardships out and make things start to work. It’s about actually making a living in a new country. It’s realistic, honest and gritty – but also fun, lively and very entertaining, and, I hope, ultimately inspiring.