We all have one, but most of us will never see one. The heart surgeon now has that privilege but, for centuries, the heart was out of reach even for surgeons. So when a surgeon nowadays opens up a ribcage and mends a heart, it remains something of a miracle, even if, to some, it is merely plumbing. As with plumbers, the quality of surgeons’ work varies. As with plumbers, surgeons’ opinion of their own prowess and their own attitude to risk are not always reliable. Measurement is key. We’ve had a century of effective evidence-based medicine. We’ve had barely a decade of thorough monitoring of clinical outcomes. Thanks to the ground-breaking risk modelling of pioneering surgeons like Samer Nashef, we at last know how to judge whether an operation is in a patient’s best interest, which hospital and surgeon would be best for that operation, when it might best be performed and what the exact level of risk is. We have at last made what is important in surgery measurable. But how should surgeons, and their patients, use these newfound insights? Ever since his days as a medical student, Samer Nashef has challenged the medical profession to be more open and more accurate about the success of surgical procedures, for the sake of the patients. In The Naked Surgeon, he unclothes his own profession to demonstrate to his reader (and prospective patient) many revelations, such as the paradox at the heart of the cardiac surgeon’s craft: the more an operation is likely to kill you, the better it is for you. And he does so with absolute clarity, fluency and not a little wit.

    This book will equally deepen the awareness of clinicians and enlighten the lay reader. It is a gift to both.' Donald M. Berwick, MD, MPPIn this highly articulate, down-to-earth, generous book, Dr David Galler tells stories of life and death from his position as Intensive Care specialist at Middlemore Hospital. Written lyrically and warmly, these stories are based on real life events describing the everyday dilemmas and challenges that doctors and patients commonly face.It aims to explain and demystify much of the work doctors do, cast light on the workings of the medical establishment and how medicine operates, in the hope that it will encourage patients to seek to be better informed and play a greater role in the decisions that will affect them and their loved ones.It speaks to the resilience of individuals and families and their extraordinary generosity and dignity under the most extreme pressure. This book is about realistic optimism and is a celebration of life.It is also a very personal story about David Galler's life, his family and about his own slow coming of age as a doctor, from the sadness and helplessness he felt about his father's death to at last feeling that he was of some use to his most important patient, his mother.

    In April 1868, a very young John Muir stepped off a boat in San Francisco and inquired about the quickest way out of town. “But where do you want to go?” was the response, to which Muir replied, “Anywhere that is wild.” Using Muir’s personal correspondence and published articles, Peter and Donna Thomas have reconstructed the real story of Muir’s literal ramblings over California hills and through dales, with lofty Sierra Nevada peaks, Englishmen, and bears mixed in for good measure. The trip is illustrated by charming cut-paper illustrations that take their inspiration from Muir's love of nature. John Muir’s story-telling is so compelling that even 150 years later, seeing the world through his eyes makes us want to head out into the wild.

    E. Poynor. For less than twenty percent of what you paid for that grande maple-choco-frappa-machacino latte you'll spew out your nose while reading this book, you can learn about an aspect of Alaska most people never think about: everyday life in Alaska. Of Moose and Men: A Skewed Look at Life in Alaska provides a unique insight into the Land of the Midnight Sun, where laughing about the trials unique to the country is better than giving up.

    As ordinary boomers, they simply wanted to experience “The Dream” – to live in Italy. They settled down in traditional Umbria, just east of Tuscany.Constrained by a strict budget, their experience took on challenges as diverse as getting accustomed to the vagaries of Italian appliances to gathering their own wood. Transportation was by train, bus, bicycle or footpath. What neither of them knew when they began was how the adventure would challenge their habits, upbringing, and outlook on life. Most surprising of all was how the experience would challenge their relationship to each other.A Footpath in Umbria is a celebration of the joys and revelations to be found by changing venues, whether it’s living in another country or simply venturing cross town.

    Complemented with more than 40 full-colour personal illustrations of the Captain, Life in the Skies will be a valuable and useful guide for air travellers and budding-pilots alike!Captain Lim Khoy Hing is an ex-airline pilot who is passionate about flying, having worked all his life high above the clouds since leaving college. Prior to his retirement from flag-carrier Malaysia Airlines, he was fortunate enough to fly the latest fly-by-wire planes such as the Boeing 777 and Airbus A320, A330 and A340. He has logged a total of 25,500 flying hours, or about 20 trips to the moon and back. Capt. Lim started his flying career in the Royal Malaysian Air Force, having been trained by the Royal Air Force in the United Kingdom in 1967. He served for about 12 years in the service before joining Malaysia Airlines and finished his career with the carrier AirAsia before retiring in 2011.

    It is high time for humanity to grow up and to transcend itself by embracing transhumanism.Transhumanism offers the most inclusive ideology for all ethnicities and races, the religious and the atheists, conservatives and liberals, the young and the old regardless of socioeconomic status, gender identity, or any other individual qualities. This book expounds on contemporary views and practical advice from more than 70 transhumanists.Astronaut Neil Armstrong said on the Apollo 11 moon landing in 1969, "One small step for a man, one giant leap for mankind." Transhumanism is the next logical step in the evolution of humankind, and it is the existential solution to the long-term survival of the human race.

    “Why We Left: An Anthology of American Women Expats” is a fun, inspiring and humorous read you'll enjoy from cover to cover, full of useful and encouraging words of wisdom from 27 women who made the move and couldn’t be happier. In inspiring words straight from the heart, the contributors share their plans and preparations, hardships and challenges, joys and satisfactions as their new lives in Mexico unfold.

    Brad was a journalist, and Vena, a dance director. One day they packed up all their belongings and set off for a remote spot in the woods of British Columbia. This is the story of their first year "living the life of Thoreau today"--simply, happily and successfully.

    An attractive and comprehensive guidebook, this work has been completely revised and updated by the author. The reader will find an easy-to-use text which details the natural history of the plants and animals found in the Galápagos Islands. Management and conservation of the Galápagos National Park is discussed, and visitor information and notes about the various tourist sites are given. An index and checklist of plants and animals with page references and a glossary of technical terms are provided. New photographs have been added.

    Written while Abbey was working as a ranger at Arches National Park outside of Moab, Utah, Desert Solitaire is a rare view of one man’s quest to experience nature in its purest form.Through prose that is by turns passionate and poetic, Abbey reflects on the condition of our remaining wilderness and the future of a civilization that cannot reconcile itself to living in the natural world as well as his own internal struggle with morality. As the world continues its rapid development, Abbey’s cry to maintain the natural beauty of the West remains just as relevant today as when this book was written.

     The Soul of the Rhino is the spirited yet humble account of Mishra’s unique personal journey. Fresh out of university in the 1970s, Mishra embarks on his conservation work with the help of an ornery but steadfast elephant driver, the Nepalese royal family, and handfuls of  like-minded scientists whose aim is to protect the animal in the foothills of the Himalayas. Yet, in spite of decades spent creating nature reserves and moving rhinos to protected areas, arm-wrestling politicians, and raising awareness for the cause, Mishra is still fearful about the future of the Indian Rhino. To this day, Nepal is overrun by armed insurgents, political violence, and poachers who could kill off this magnificent creature for good.   Filled with candor and bittersweet humor, Mishra re-creates his journey on behalf of the rhino, an ugly yet enchanting, terrifying yet delicate creature. The first book of its kind to delve into the multi-layered political labyrinths of South Asian wildlife conservation, and one man’s endurance in the face of it all, The Soul of the Rhino is sure to win over yourheart and soul.

    David Owen traces all that water from the Colorado's headwaters to its parched terminus, once a verdant wetland but now a million-acre desert. He takes readers on an adventure downriver, along a labyrinth of waterways, reservoirs, power plants, farms, fracking sites, ghost towns, and RV parks, to the spot near the U.S.–Mexico border where the river runs dry. Water problems in the western United States can seem tantalizingly easy to solve: just turn off the fountains at the Bellagio, stop selling hay to China, ban golf, cut down the almond trees, and kill all the lawyers. But a closer look reveals a vast man-made ecosystem that is far more complex and more interesting than the headlines let on.The story Owen tells in Where the Water Goes is crucial to our future: how a patchwork of engineering marvels, byzantine legal agreements, aging infrastructure, and neighborly cooperation enables life to flourish in the desert, and the disastrous consequences we face when any part of this tenuous system fails.

    In this book, you'll learn just about everything you need to know to find the right motorhome at the right price and not get burned in the process.You'll learn about the kinds of motorhomes to look for, where to find the best deals and how to get the best prices, and how to avoid 'deal killers'.You'll find checklists to use when inspecting a motorhome, scripts to use when calling a seller, and tips on how to negotiate with sellers to get the price you want, and how to know when it's best to walk away from a deal.You'll also find recommended best buys in used motorhomes, photos of different motorhome types, and tips that can guide you through a fun and money saving motorhome buying experience.Some of things covered in this informative book include:* Understanding the different motorhome classes* Should you buy new or used?* The importance of getting seat time before you buy* Why finding the perfect seller can save you a lot of money* How to know when you're paying too much* How to effectively search for motorhomes online* How to respond to online motorhome ads* Pre purchase checklists* How to properly road test a motorhome* Friendly negotiating techniques that'll get you the best price* Deal Killers you'll want to avoid* Best Buy in Used Motorhomes* Motorhome fuel mileage – why it matters and how to maximize mpg* After the sale – what to do nextYou'll find all this plus a lot more in 'Buying a Used Motorhome - How to get the most for your money and not get burned'.It's a fun and fast paced read that can save you several thousand dollars on your next motorhome purchase!

    In addition, he acknowledges Yellowstone's history as ground zero for the conflicts between preservation and development.